2021-11-15T17:41:16-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 1301 WEST 22ND STREET SUITE 1100 OAK BROOK IL 60523 990 2020-01-01 300225826 UNITED COMMUNITY HEALTH CENTER UNIT 7122130109 715 W MILWAUKEE AVE STORM LAKE IA 50588 STEVE CAMPBELL BOARD TREASURER 7122130109 2021-10-25 1 STEVE CAMPBELL 999009999 CHRIS MANDERFIELD P01238973 6305738600 2021-10-25 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z RICH GEHRIG 715 W MILWAUKEE AVE STORM LAKE IA 50588 4733566 0 X WWW.UCHCSL.COM X 2004 IA PROVIDE COMPREHENSIVE PRIMARY AND PREVENTIVE CARE TO THE UNINSURED, UNDERINSURED, AND UNDERSERVED 9 9 53 9 0 0 1768014 2575186 2796478 2113454 887 -1850 247 43693 4565626 4730483 0 0 0 0 2779013 3035287 0 0 0 1397022 1487654 4176035 4522941 389591 207542 4959673 6094475 1281489 2208749 3678184 3885726 X IT IS THE MISSION OF UNITED COMMUNITY HEALTH CENTER TO PROVIDE COMPREHENSIVE PRIMARY AND PREVENTIVE CARE TO THE UNINSURED, UNDERINSURED, AND UNDERSERVED OF BUENA VISTA AND SAC COUNTIES. 0 0 1985515 0 1269109 THE ORGANIZATION PROVIDES PRIMARY AND PREVENTIVE CARE TO A WIDE RANGE OF PATIENTS IN 2020. UNITED COMMUNITY HEALTH CENTER (UCHC) SERVED 4412 PATIENTS FROM OVER 115 DIFFERENT ZIP CODES THROUGH 13,050 CLINIC VISITS. 49% OF THE PATIENTS SERVED HAVE INCOME UNDER THE 200% FEDERAL POVERTY LINE AND 21% OF PATIENTS ARE UNINSURED. 45% OF PATIENTS ARE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH. 54% OF PATIENTS CONSIDER THEMSELVES HISPANIC OR LATINO. 5% ARE AFRICAN AMERICAN, 9% ARE ASIAN, 79% ARE CAUCASIAN, AND 4% ARE OTHER PACIFIC ISLANDER. COMMUNITY OUTREACH ACTIVITIES IN 2020 WERE VERY LIMITED DUE TO THE COVID PANDEMIC. IN OUR MEDICAL CLINIC ELIGIBLE CHILDREN ARE GIVEN FREE VACCINES THROUGH OUR PARTICIPATION IN THE FEDERAL VFC PROGRAM, ALONG WITH LIMITED ADULT FEE FLU SHOTS PROCURED THRU A PROGRAM WITH THE STATE OF IOWA. UCHC OFFERS PRIMARY AND PREVENTIVE MEDICAL CARE, LABORATORY SERVICES. WE ALSO CAN GIVE REFERRALS FOR REDUCED FEE MAMMOGRAMS WITH BUENA VISTA REGIONAL MEDICAL CENTER, AND WORK WITH THE IOWA DEPARTMENT OF PUBLIC HEALTH TO PROVIDE FREE BREAST & CERVICAL CANCER SCREENS, AS WELL AS SCREENS FOR HEART DISEASE. 889864 0 538588 OUR DENTAL SERVICES PROGRAM SERVED 1479 PATIENTS IN 3178 DENTAL ENCOUNTERS IN 2020. DENTAL SERVICES OFFERED INCLUDE THE FOLLOWING: DENTAL EXAMINATIONS AND X-RAYS; DENTAL TREATMENTS, FILLINGS, AND EXTRACTIONS; EMERGENCY TREATMENT FOR PAIN, SWELLING, BROKEN TEETH, ETC.; PARTIALS AND DENTURES; ROOT CANAL TREATMENT FOR DISEASES OF THE PULP. THESE ENCOUNTERS WERE VERY LIMITED DURING THE COVID PANDEMIC. 125497 0 75957 PATIENTS ARE ASSISTED TO OBTAIN LOW COST MEDICATION RANGING FROM 20-80% DISCOUNT THROUGH THE FEDERAL 340B DRUG PROGRAM. PRESCRIPTIONS WERE FILLED THROUGH THIS PROGRAM AT OUR CONTRACT PHARMACIES, HY-VEE AND WALGREENS. 379679 0 229800 OUR BEHAVIOR HEALTH CLINIC SERVED 174 PATIENTS IN 1249 VISITS, WITH 708 OF THOSE BEING DONE VIA TELEHEALTH. THE USE OF TELEHEALTH IN BEHAVIOR HEALTH INCREASED DRAMATICALLY DUE TO THE COVID PANDEMIC IN 2020. SERVICES INCLUDE A COMPREHENSIVE PSYCHIATRIC EVALUATION, DIAGNOSIS, AND DISCUSSION ON INDIVIDUALIZED EVIDENCE-BASED TREATMENT OPTIONS. WE OFFER TREATMENT TO PATIENTS AND FAMILIES FROM CHILDREN TO ADULTS AND TREAT A WIDE RANGE OF CONDITIONS, INCLUDING ANXIETY, DEPRESSION, ADHD, TRAUMA, BIPOLAR DISORDER, SCHIZOPHRENIA, PERSONALITY DISORDERS, AND OTHER BEHAVIORAL HEALTH CONCERNS. 379679 0 229800 3380555 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 17 0 53 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 IA X CHELLE ANDERSON 7122130109 715 W MILWAUKEE AVE STORM LAKE IA 50588 ROBERT WHITMORE MD CO-MEDICAL DIRECTOR 40.00 X 241370 0 43591 BRIAN SMITH DDS DENTAL DIRECTOR 40.00 X 171359 0 22807 NATALIE SCHALLER DO CO-MEDICAL DIRECTOR 24.00 X 201658 0 38988 RICH GEHRIG CEO 40.00 X 112278 0 25001 MICHELLE ANDERSON CFO 40.00 X 87346 0 21159 CLARK FORT CHAIRPERSON 1.00 X X 0 0 0 MATT RICKLEFFS VICE CHAIRPERSON 1.00 X X 0 0 0 STEVE CAMPBELL TREASURER 1.00 X X 0 0 0 LORINDA PETERSON SECRETARY 1.00 X X 0 0 0 MATT BROSTAD DIRECTOR 1.00 X 0 0 0 JAY DAHLHAUSER DIRECTOR 1.00 X 0 0 0 DI DANIELS DIRECTOR 1.00 X 0 0 0 JACKIE DUFFY DIRECTOR 1.00 X 0 0 0 RENATO JIMENEZ DIRECTOR 1.00 X 0 0 0 814011 0 151546 4 0 1 0 WOODRUFF CONSTRUCTION LLC 1890 KOUNTRY LANE FT DODGE IA 50501 CONSTRUCTION 953095 REBNORD TECHNOLOGIES 210 SALE BARN ROAD STORM LAKE IA 50588 IT SERVICE AGREEMENT 161602 2 2561366 13820 2575186 CLINIC PROGRAMS 624100 2113454 2113454 2113454 754 754 479 3083 -2604 -2604 -2604 OTHER REVENUE 900099 43693 43693 43693 4730483 2113454 0 41843 245785 245785 2062688 1728945 333743 571465 367465 204000 155349 113177 42172 3701 91 3610 36844 871 35973 417272 335490 81782 36928 12744 24184 102692 51245 51447 31780 20021 11759 258879 197075 61804 23291 14673 8618 MEDICAL EXPENSES 308835 308835 BAD DEBT 151815 151815 LICENSES AND DUES 55795 36517 19278 RECRUITMENT 47547 40734 6813 12275 857 11418 4522941 3380555 1142386 0 739397 1436601 318573 315630 82007 357259 330830 2096 0 66465 55753 5756242 2049924 3068870 3706318 407013 167336 4959673 6094475 713487 542451 568002 1666298 1281489 2208749 X 3678184 3885726 3678184 3885726 4959673 6094475 207542 0 X X 0 1 X 1 1 1 X 1247568 1208801 1347960 1768014 2575186 8147529 1247568 1208801 1347960 1768014 2575186 8147529 8147529 282 405 651 887 754 2979 59227 90311 107 240 43693 193578 8344086 10820485 0.97640 0.97510 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 0 0 1 0 1 0 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO THE IOWA PRIMARY CARE ASSOCIATION. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING. 281494 281494 4136518 1123136 3013382 1338230 926788 411442 3706318 X 4578668 -151815 -151815 4730483 0 4730483 4371126 -151815 -151815 4522941 0 4522941 PART X, LINE 2: THE ORGANIZATION HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)3 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE ORGANIZATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED BY THE ORGANIZATION AS A RESULT OF THIS STANDARD. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -151,815. PART XII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -151,815. X X 0 0 0 0 0 0 0 1 1 0 ROBERT WHITMORE MD CO-MEDICAL DIRECTOR 237485 0 3885 0 0 0 23016 0 20575 0 284961 0 0 0 BRIAN SMITH DDS DENTAL DIRECTOR 168253 0 1468 0 1638 0 16059 0 6748 0 194166 0 0 0 NATALIE SCHALLER DO CO-MEDICAL DIRECTOR 189916 0 4168 0 7574 0 18413 0 20575 0 240646 0 0 0 PART I, LINE 3 THE HEALTH CENTER COMPENSATION AND BENEFITS REPORT FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE COMPENSATION AND BENEFITS SURVEY FROM THE IOWA PRIMARY CARE ASSOCIATION ARE THE RESOURCES USED FOR COMPARABILITY DATA AND SUBSTANTIATION OF THE DELIBERATION AND DECISION. THIS PROCESS IS USED FOR ALL OFFICERS AND KEY EMPLOYEES. THE FINANCE COMMITTEE AND BOARD REVIEWS THE COMPENSATION FOR THE CFO EACH YEAR, INCLUDING 2020. THE CEO'S SALARY WAS APPROVED IN 2009 AS PART OF THE INITIAL CONTRACT. THESE SALARIES ARE ALL APPROVED AS PART OF THE ANNUAL BUDGET BY THE BOARD OF DIRECTORS. PART I, LINE 7 MEDICAL DIRECTORS CAN EARN BONUS FOR HITTING PRODUCTIVITY MARKS AS SPECFIED IN EMPLOYMENT CONTRACT. PART I, LINE 8 DENTAL DIRECTOR WAS PAID A SIGN-ON BONUS AS ACCORDING TO EMPLOYEMENT CONTRACT. RICH GEHRIG CEO 23401 CEO'S DAUGHTER IS AN EMPLOYEE OF THE ORGANIZATION 0 MATT RICKLEFS VICE CHAIR 17100 TREASURER'S WIFE DOES THE SOCIAL MEDIA POSTINGS 0 MATT RICKLEFS VICE CHAIR TREASURER DOES SOME WEBSITE MAINTENANCE 0 FORM 990, PART VI, SECTION A, LINE 2 MATT RICKLEFS AND AND RENATO JIMINEZ - FAMILY RELATIONSHIP - BOARD MEMBERS ARE FAMILY MEMBERS MATT RICKLEFS - BUSINESS RELATIONSHIP - EMPLOYEE OF CENTRAL BANK CLARK FORT - BUSINESS RELATIONSHIP - EMPLOYEE OF STILLE, PIERCE AND PERZBORN STEVE CAMPBELL - BUSINESS RELATIONSHIP - EMPLOYEE OF HUNZELMAN PUTZIER, CPA LLC FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEES HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. ONCE A DRAFT IS PREPARED, THE 990 IS INTERNALLY REVIEWED BY THE CEO AND CFO. AFTER THIS REVIEW, THE 990 IS PRESENTED AT THE BOARD MEETING AND TIME IS GIVEN AFTER THE MEETING TO ALLOW FOR BOARD MEMBERS TO ASK QUESTIONS OR MAKE CHANGES TO THE 990 BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE EMPLOYEES, BOARD, AND OFFICERS ("BOARD MEMBERS") ARE TO AVOID EVEN THE APPEARANCE OF A CONFLICT OF INTEREST. ALL BOARD MEMBERS SHALL DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST AT THE EARLIEST PRACTICABLE TIME. NO BOARD MEMBER SHALL VOTE ON ANY MATTER UNDER CONSIDERATION AT A BOARD OR COMMITTEE MEETING IN WHICH SUCH A BOARD MEMBER HAS A CONFLICT OF INTEREST. THE MINUTES OF SUCH MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE AND THAT THE BOARD MEMBER HAVING A CONFLICT OF INTEREST ABSTAINED FROM VOTING. ANY DISCLOSURE OF A PERSON'S INTEREST SHALL APPEAR IN THE MINUTES OF THE MEETING OF THE BOARD OF DIRECTORS OR COMMITTEE THEREOF. THE CONFLICT OF INTEREST POLICY IS MONITORED BY THE CEO, ADDRESSED ANNUALLY AT THE JANUARY BOARD MEETING AND WHEN ALL NEW BOARD MEMBERS JOIN. A BOARD MEMBER WHO HAS A CONFLICT OF INTEREST SHALL NOT TAKE PART IN THE DISCUSSION OF SUCH MATTERS UNLESS ALL PERSONS INTEREST IN SUCH CONTRACT OR TRANSACTION SHALL ALSO HAVE THE RIGHT TO TAKE PART IN THE SAME DISCUSSION OF SUCH MATTER. THE BOARD MEMBERS' PARTICIPATION IN THE DISCUSSION SHALL BE LIMITED TO STATEMENTS CONCERNING THE FAIRNESS AND REASONABLENESS OF SUCH CONTRACT OR TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 THE HEALTH CENTER COMPENSATION AND BENEFITS REPORT FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE COMPENSTAION AND BENEFITS SURVEY FROM THE IOWA PRIMARY CARE ASSOCIATION ARE THE RESOURCES USED FOR COMPARABILITY DATA AND SUBSTANTIATION OF THE DELIBERATION AND DECISION. THIS PROCESS IS USED FOR ALL OFFICERS AND KEY EMPLOYEES. THE FINANCE COMMITTEE AND BOARD REVIEWS THE COMPENSATION FOR THE CEO EACH YEAR, INCLUDING 2020. THE CFO'S SALARY WAS APPROVED IN 2009 AS PART OF THE INITIAL CONTRACT. THESE SALARIES ARE ALL APPROVED AS PART OF THE ANNUAL BUDGET BY THE BOARD OF DIRECTORS WITHIN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 ALL OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO BE VIEWED AT THE ADIMINISTRATIVE OFFICE AT 715 WEST MILWAUKEE AVE UPON WRITTEN REQUEST. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR