2024-03-12T15:45:19-05:00 2023-09-30 470677245 HBE LLP 7140 STEPHANIE LANE PO BOX 23110 LINCOLN NE 685423110 990 2022-10-01 470833378 MIDTOWN HEALTH CENTER MIDT 4023718000 302 W PHILLIP AVE NORFOLK NE 68701 KATHLEEN NORDBY CHIEF EXECUTIVE OFFICER 4023718000 2024-02-21 1 KATHLEEN NORDBY 999009999 1 PATRICK A MEYER CPA CFE P00283870 4024234343 2024-02-21 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KATHLEEN NORDBY 302 W PHILLIP AVE NORFOLK NE 68701 13341327 0 X WWW.MIDTOWNHEALTHNE.ORG X 1999 NE PROVIDE HIGH QUALITY MEDICAL, BEHAVIORAL HEALTH, AND DENTAL SERVICES THAT ARE AFFORDABLE, ACCESSIBLE, AND PATIENT-FOCUSED. 13 13 118 13 0 0 4788796 5635106 6263420 7500937 23754 188669 36351 16615 11112321 13341327 0 0 0 0 6334589 6649097 0 0 70362 3134635 3686547 9469224 10335644 1643097 3005683 11599492 15172209 1970890 2537924 9628602 12634285 PROVIDE HIGH QUALITY MEDICAL, BEHAVIORAL HEALTH, AND DENTAL SERVICES THAT ARE AFFORDABLE, ACCESSIBLE, AND PATIENT-FOCUSED. 0 0 7527035 7500937 MIDTOWN HEALTH CENTER IS A NON-PROFIT 501(C)(3) FEDERALLY QUALIFIED HEALTH CENTER (FQHC). MIDTOWN OFFERS MEDICAL, DENTAL, AND BEHAVIORAL HEALTH TO INSURED, UNINSURED, AND UNDER-INSURED INDIVIDUALS. THE NUMBER OF INDIVIDUALS MIDTOWN SERVES CONTINUES TO GROW. IN 2022, WE SAW 8,176 INDIVIDUALS REPRESENTING A 4% INCREASE FROM 2021 FOR A TOTAL OF 29,017 ENCOUNTERS. 24% PERCENT OF OUR PATIENTS DID NOT HAVE INSURANCE, 42.7% WERE ENROLLED IN EITHER MEDICAID OR MEDICARE AS THEIR THIRD PARTY PAYOR, 33.1% OF THE PATIENTS HAD INCOME BELOW THE 100% POVERTY GUIDELINE WITH A FULL 58.4% OF OUR PATIENTS DECLARING THEMSELVES AND THEIR HOUSEHOLD TO BE AT OR BELOW 200% OF POVERTY. 7527035 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 9 0 1 118 1 0 0 0 0 0 1 1 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X KATHY NORDBY 4023718000 302 W PHILLIP AVE NORFOLK NE 68701 BETTY FROEHLICH PAST CHAIR 2.00 X 0 0 0 SUSAN LUTZ CHAIR 2.00 X X 0 0 0 JARECSY MEDINA BOARD MEMBER 2.00 X 0 0 0 LANCE MORROW TREASURER 2.00 X X 0 0 0 GRETCHEN FORSELL BOARD MEMBER 2.00 X 0 0 0 DAN FULLNER BOARD MEMBER 2.00 X 0 0 0 MARY LUHR BOARD MEMBER 2.00 X 0 0 0 BRENDA JONES VICE CHAIR 2.00 X X 0 0 0 JOE MTIKA BOARD MEMBER 2.00 X 0 0 0 SANDRA RENNER BOARD MEMBER 2.00 X 0 0 0 KAREN WEIDNER SECRETARY 2.00 X X 0 0 0 EUNICE RAMIREZ BOARD MEMBER 2.00 X 0 0 0 KATRIN LIMONTA BOARD MEMBER 2.00 X 0 0 0 KATHLEEN NORDBY CHIEF EXECUTIVE OFFICER 40.00 X 146970 0 21454 KARIE LANGHORST CHIEF FINANCIAL OFFICER 40.00 X 108825 0 10940 JESSICA GORDON CHIEF OPERATING OFFICER 40.00 X 107963 0 10612 DR EMILY VUCHETICH PEDIATRICIAN 40.00 X 336573 0 39514 DR RAYMOND HELLER PHYSICIAN 32.00 X 241186 0 10427 DR DAVID SEGER DENTIST 40.00 X 184040 0 20764 DR LOISKA SIVAGANESHAN PHYSICIAN 36.00 X 150521 0 6231 ALLISON WALLICK PHYSICIAN 40.00 X 207826 0 14802 1483904 0 134744 8 0 1 0 0 5085072 550034 4277 5635106 PATIENT REVENUE 621110 7418745 7418745 CONTRACT REVENUE 621110 82192 82192 7500937 188669 188669 16615 0 16615 16615 16615 13341327 7500937 0 205284 497368 497368 4889100 3796867 1038756 53477 358888 225122 129885 3881 542898 320399 216975 5524 360843 209289 147946 3608 259 259 28850 28850 947713 646311 301402 108154 104909 3245 387563 269511 117425 627 139803 96464 43339 23420 5387 18033 48271 48271 42253 39802 2451 259260 248890 10370 47440 10911 36529 DENTAL, MEDICAL & PHARM 1286932 1286932 ASSOCIATION DUES 171264 23976 147288 TECHNICAL ASSISTANCE 72015 66254 5761 REPAIRS AND MAINTENANCE 70778 70070 708 52572 28820 23752 10335644 7527035 2738247 70362 106444 238268 6074774 7998849 398960 464042 416119 439218 173382 150895 7257407 1597608 4426661 5659799 3152 784 0 220354 11599492 15172209 888453 1458983 194922 14533 887515 842794 0 221614 1970890 2537924 X 9628602 12634285 9628602 12634285 11599492 15172209 3005683 0 X X 0 1 X 1 1 1 X 3647059 4282830 6581837 4727274 5635104 24874104 3647059 4282830 6581837 4727274 5635104 24874104 24874104 16640 19189 18759 23754 188669 267011 25141115 25350446 0.98940 0.99540 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 769102 769102 5288992 724969 4564023 1199313 872639 326674 5659799 OPERATING LEASE OBLIGATIONS 221614 221614 X 13341327 0 13341327 0 13341327 10335644 0 10335644 0 10335644 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES. FOR THE YEAR ENDED SEPTEMBER 30, 2023, THE ORGANIZATION HAD NO TAX LIABILITY ON UNRELATED BUSINESS ACTIVITY. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: REIMBURSEMENTS PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSEMENTS 1 X 0 0 0 0 0 0 0 0 0 DR EMILY VUCHETICH PEDIATRICIAN 235406 0 101167 0 0 0 15029 0 24485 0 376087 0 0 0 DR RAYMOND HELLER PHYSICIAN 236319 0 4867 0 0 0 9658 0 769 0 251613 0 0 0 ALLISON WALLICK PHYSICIAN 201803 0 6023 0 0 0 6412 0 8390 0 222628 0 0 0 DR DAVID SEGER DENTIST 177957 0 6083 0 0 0 13596 0 7168 0 204804 0 0 0 KATHLEEN NORDBY CHIEF EXECUTIVE OFFICER 140887 0 6083 0 0 0 11997 0 9457 0 168424 0 0 0 DR LOISKA SIVAGANESHAN PHYSICIAN 150521 0 0 0 0 0 0 0 6231 0 156752 0 0 0 PART I, LINE 3 THERE IS A STUDY TO COMPARE PAY FROM LIKE ORGANIZATIONS ACROSS THE NATION AND MIDWEST. WE ALSO INCLUDE CONSIDERATION OF THE LOCAL MARKET FOR OTHER HEALTH CARE OR HEALTH DELIVERY AGENCIES LOCALLY THAT WE COMPETE WITH FOR STAFF. X 4277 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C A NEW CONFLICT OF INTEREST POLICY IS DISTRIBUTED AND SIGNED ANNUALLY BY BOARD MEMBERS. THE POLICY CLEARLY STATES THE BOARD MEMBERS RESPONSIBILITY TO DISCLOSE EXISTING KNOWN CONFLICTS AT THAT TIME AND DISCLOSE FUTURE CONFLICTS OR POTENTIAL/PERCEIVED CONFLICTS AT THE TIME ANY NEW SITUATION OR DECISION MAY WARRANT SUCH DISCLOSURE. FORM 990, PART VI, SECTION B, LINE 15 THERE IS A STUDY TO COMPARE PAY FROM LIKE ORGANIZATIONS ACROSS THE NATION AND MIDWEST. WE ALSO INCLUDE CONSIDERATION OF THE LOCAL MARKET FOR OTHER HEALTH CARE OR HEALTH DELIVERY AGENCIES LOCALLY THAT WE COMPETE WITH FOR STAFF. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.