2021-10-11T17:00:23-05:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 4334 MUNSON STREET SUITE 200 CANTON OH 44718 990 2020-01-01 812171085 MY COMMUNITY HEALTH CENTER MYCO 3303636242 2600 7TH STREET SW CANTON OH 44710 KELLY LORENZ CFO 3303631310 2021-10-01 1 KELLY LORENZ 999009999 JENNIFER COLEMAN P00743188 3304972000 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z TERRY REGULA 2600 7TH STREET SW CANTON OH 44710 7848326 0 X WWW.MYCOMHC.ORG X 2016 OH TO PROVIDE COMPASSIONATE CARE TO ALL; HEALING AND LEARNING TOGETHER. 9 9 96 9 0 0 2868174 3891548 4510125 3951109 15791 5650 27 19 7394117 7848326 100 0 0 0 3381073 4004014 0 0 0 3021867 2819382 6403040 6823396 991077 1024930 2065525 3081082 499422 490049 1566103 2591033 X MY COMMUNITY HEALTH CENTER (MCHC) IS A GRASSROOTS, COMMUNITY-BASED 501(C)(3) OHIO NONPROFIT ORGANIZATION WHOSE MISSION IS TO PROVIDE COMPASSIONATE CARE TO ALL, HEALING AND LEARNING TOGETHER. MCHC'S GOAL IS TO BE RESPONSIVE TO THE NEEDS OF THE COMMUNITIES IT SERVES, BUT WITH CONTINUED EMPHASIS ON THE UNDERSERVED AND THOSE WITHOUT ACCESS TO CARE, REGARDLESS OF RACE, ECONOMIC STATUS, AGE, SEX, SEXUAL ORIENTATION, OR DISABILITY. 0 0 5314088 0 3951109 MY COMMUNITY HEALTH CENTER (MCHC) IS A GRASSROOTS, COMMUNITY-BASED 501(C)(3) OHIO NONPROFIT ORGANIZATION WHOSE MISSION IS TO PROVIDE COMPASSIONATE CARE TO ALL, HEALING AND LEARNING TOGETHER. MCHC'S GOAL IS TO BE RESPONSIVE TO THE NEEDS OF THE COMMUNITIES IT SERVES, BUT WITH CONTINUED EMPHASIS ON THE UNDERSERVED AND THOSE WITHOUT ACCESS TO CARE, REGARDLESS OF RACE, ECONOMIC STATUS, AGE, SEX, SEXUAL ORIENTATION, OR DISABILITY.MCHC ESTABLISHED ITSELF AS A COMMUNITY CLINIC SITE IN AUGUST 2017 AND HAS BEEN ACTIVE AS A COMMUNITY HEALTH CARE PROVIDER SINCE. THE ORGANIZATION BELIEVES IN TRAINING THE NEXT GENERATION OF HEALTH CARE PROVIDERS. AS SUCH MCHC HAS ESTABLISHED A RELATIONSHIP WITH THREE RESIDENCY PROGRAMS FOR THEIR RESIDENTS TO PROVIDE OUTPATIENT, CONTINUITY OF CARE AT MCHC; INTERNAL MEDICINE, FAMILY MEDICINE & OBSTETRICS AND GYNECOLOGY. IN SEPTEMBER 2019, MCHC RECEIVED FULL DESIGNATION FROM THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) TO BE FEDERALLY QUALIFIED HEALTH CENTER.SERVICES PROVIDED BY MCHC INCLUDE FAMILY PRACTICE, INTERNAL MEDICINE, PRENATAL SERVICES, POSTPARTUM CARE, WELL CHILD & PEDIATRIC CARE, SCREENINGS, CHRONIC DISEASE MANAGEMENT, DENTAL CARE (BY REFERRAL), LABORATORY, BEHAVIORAL HEALTH (INCLUDING INDIVIDUALS/GROUPS), FAMILY PLANNING, OUTREACH, HEALTH EDUCATION (INCLUDING NUTRITION), ELIGIBILITY ASSISTANCE, AND CASE MANAGEMENT. THESE OUTPATIENT PRIMARY HEALTH SERVICES ARE PROVIDED TO THE MEDICALLY UNDERSERVED POPULATIONS IN STARK COUNTY, OHIO AND SURROUNDING COMMUNITIES. THE ORGANIZATION RECEIVED APPROVAL TO OPEN A SECOND SITE IN MAGNOLIA, OHIO, A HRSA DESIGNATED UNDERSERVED AREA IN SEPTEMBER 2019. THIS FULLY FUNCTIONING SATELLITE OFFICE BEGAN OPERATIONS IN JANUARY 2020 AND PROVIDES MOST OF THE SAME HEALTH CENTER SERVICES AS DESCRIBED ABOVE. IN MARCH OF 2020 TO MEET THE CHALLENGING ISSUES OF COVID-19 WITH OUR PATIENTS, MCHC ADDED TELEHEALTH SERVICES AND PROVIDED OVER 6,700 TELEHEALTH VISITS. IN ADDITION, MCHC ALSO PROVIDED COVID TESTING TO APPROXIMATELY 860 PATIENTS. IN TOTAL FOR 2020, MCHC PROVIDED CARE TO APPROXIMATELY 9,200 PATIENTS WITH CLOSE TO 33,000 MEDICAL VISITS. MCHC EMPLOYS MORE THAN 70 EMPLOYEES, MANY FROM THE LOCAL COMMUNITY. STAFF ARE FLUENT IN ENGLISH AND AMERICAN SIGN LANGUAGE (CONTRACTED TRANSLATION SERVICES FOR OTHER LANGUAGES) AND EFFECTIVE AT WORKING WITH PEOPLE AT ALL LEVELS OF LITERACY.OUR OBSTETRICAL PROGRAM IS UNIQUE IN THE FACT THAT WE ARE THE LARGEST OB PROVIDER FOR MEDICAID PATIENTS IN STARK COUNTY. WE ALSO PROVIDE THE ONLY CERTIFIED CENTERING PROGRAM IN THE COUNTY.COMMUNITY COLLABORATION IS IMPORTANT TO MCHC. BELOW IS A BRIEF DESCRIPTION OF COLLABORATIONS WITH COMMUNITY PARTNERS: - OB DEPARTMENT COLLABORATES WITH STARK COUNTY AND CANTON CITY HEALTH DEPARTMENTS ON THE THRIVE INITIATIVE TO REDUCE INFANT MORTALITY. - THE INTERNAL MEDICINE DIVISION COLLABORATES WITH ACCESS HEALTH TO PROVIDE COMMUNITY HEALTH WORKERS FOR HIGH RISK DIABETICS IN THE PRACTICE. - MCHC COLLABORATES WITH BEACON PHARMACY TO PROVIDE PRESCRIPTION MEDICATIONS AT A REDUCED COST TO PATIENTS. THE STAFF TYPICALLY PARTICIPATE IN MANY COMMUNITY ACTIVITIES, BUT THEY WERE SUSPENDED IN 2020 DUE TO COVID. HOWEVER, THEY DID PARTICIPATE IN COVID TESTING WITH THE CANTON CITY HEALTH DEPARTMENT AND THE NATIONAL GUARD. 5314088 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9 0 96 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 OH X KELLY LORENZ 3303631310 2600 7TH STREET SW CANTON OH 44710 MARIA HEEGE PRESIDENT 1.00 X X 0 0 0 SHARLA ELTON TREASURER 1.00 X X 0 0 0 CYRILIA PRATT SECRETARY 1.00 X X 0 0 0 STEVE JACKSON DIRECTOR 1.00 X 0 0 0 JAMES ANDERSON DIRECTOR 1.00 X 0 0 0 RENEE BACKIE DIRECTOR 1.00 X 0 0 0 SUSAN MERCER MD DIRECTOR 1.00 X 0 0 0 LINDA WOODLOCK DIRECTOR 1.00 X 0 0 0 JEFFREY ZELLERS DIRECTOR 1.00 X 0 0 0 TERRY REGULA CEO 40.00 X 186466 0 20642 KELLY LORENZ CFO 40.00 X 109325 0 6505 JOHN SUTTON MD MEDICAL DIRECTOR 40.00 X 240091 0 13709 535882 0 40856 3 0 1 0 AULTMAN HEALTH FOUNDATION 2600 SIXTH STREET SW CANTON OH 44710 MSA AGREEMENT 953541 AULTMAN HOSPITAL 2600 SIXTH STREET SW CANTON OH 44710 PRECEPTORING SERVICES 923761 ALLSCRIPTS- ESCONDIDO CA 24630 NETWORK PLACE CHICAGO IL 60673 BILLING SERVICE, EHR HOSTING & QUALITY S 263492 CANTON MEDICAL EDUCATION FOUNDATION 2600 SIXTH STREET SW CANTON OH 44710 PRECEPTORING SERVICES 119049 4 1906324 1985224 1226 3891548 PATIENT SERVICE REVENUE 621400 3800241 3800241 QUALITY INCENTIVE REVENUE 621400 104095 104095 STUDENT PRECEPT INCOME 621400 46773 46773 3951109 5650 5650 OTHER REVENUE 900099 19 19 19 7848326 3951109 0 5669 X 576737 308627 268110 2723685 2376087 347598 21233 10815 10418 460752 384327 76425 221607 178555 43052 41006 41006 1703153 1545756 157397 18815 18815 52302 587 51715 69541 69541 355308 355308 986 80 906 538 538 53576 53576 36414 5578 30836 COST OF GOODS SOLD 153844 153844 MEDICATIONS 133561 133561 SUPPLIES AND EQUIPMENT 102845 99818 3027 OTHER EXPENSES 97493 46912 50581 6823396 5314088 1509308 0 1378727 2251742 424996 470226 21770 35825 23114 39042 333823 49576 216918 284247 2065525 3081082 499422 490049 499422 490049 X 1566103 2369663 221370 1566103 2591033 2065525 3081082 1024930 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 333823 49576 284247 284247 7848326 0 7848326 0 7848326 6823396 0 6823396 0 6823396 X X X X 0 0 0 0 0 0 0 0 0 JOHN SUTTON MD MEDICAL DIRECTOR 226288 0 13113 0 690 0 2400 0 11309 0 253800 0 0 0 TERRY REGULA CEO 179974 0 5000 0 1492 0 20642 0 0 0 207108 0 0 0 PART I, LINE 3 THE BOARD OF DIRECTORS DECIDES AND APPROVES THE CEO'S COMPENSATION. THE COMPENSATION IS THEN REVIEWED BY THE HUMAN RESOURCES MANAGER. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY AN INDEPENDENT CPA FIRM BASED ON INFORMATION PROVIDED BY THE ORGANIZATION'S CFO. THE CEO AND CFO CAREFULLY REVIEWED AND ANALYZED THE TAX RETURN, RECONCILING THE GENERAL LEDGER AMOUNTS TO THE APPROPRIATE SCHEDULES ON THE FORM 990 AND COMPARING THOSE AMOUNTS TO THE AUDITED FINANCIAL STATEMENTS. A COMPLETE COPY OF THE 990 WAS THEN SENT VIA EMAIL TO THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO CLINIC BOARD MEMBERS, EMPLOYEES, CONSULTANTS AND THOSE WHO FURNISH GOODS OR SERVICES TO THE ORGANIZATION. EACH BOARD MEMBER IS REQUIRED TO COMPLETE A CERTIFICATION OF AGREEMENT WITH THE CONFLICT OF INTEREST POLICY AND DISCLOSE ANY KNOWN CONFLICTS OF INTEREST UPON HIS OR HER ELECTION OR RE-ELECTION TO THE BOARD AND ANNUALLY THEREAFTER. WHENEVER THE CHIEF EXECUTIVE OFFICER, KEY MANAGEMENT PERSONNEL OR ANY BOARD MEMBER HAS A CONFLICT OF INTEREST OR A PERCEIVED CONFLICT OF INTEREST WITH MCHC, HE OR SHE IS REQUIRED TO NOTIFY THE FULL BOARD OF SUCH CONFLICT IN WRITING USING THE ANNUAL CERTIFICATION FORM. WHEN ANY CONFLICT OF INTEREST IS RELEVANT TO A MATTER THAT COMES UNDER CONSIDERATION OR REQUIRES ACTION BY THE BOARD, OR A BOARD COMMITTEE, THE INTERESTED PERSON IS REQUIRED TO CALL IT TO THE ATTENTION OF THE BOARD CHAIR AND MUST LEAVE THE MEETING DURING BOARD OR COMMITTEE DISCUSSION OR DECISION ON THE MATTER. HOWEVER, THAT PERSON IS ALLOWED TO PROVIDE THE BOARD OR APPLICABLE COMMITTEE WITH ANY AND ALL RELEVANT INFORMATION ON THE PARTICULAR MATTER. BOARD MEMBERS WHO VIOLATE THE CONFLICT OF INTEREST POLICY MAY, DEPENDING ON THE SEVERITY OF THE VIOLATION, BE SUBJECT TO ORAL ADMONISHMENT OR REMOVAL FROM THEIR POSITION. FORM 990, PART VI, SECTION C, LINE 19 MY COMMUNITY HEALTH CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,545,756. MANAGEMENT AND GENERAL EXPENSES 152,854. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,698,610. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,543. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,543.