ADAMS COUNTY HEALTH CENTER INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- ADAMS COUNTY HEALTH CENTER INC (EIN 20-8341138)
- Tax period
- 2018-10-01 to 2019-09-30
- Filed
- 2020-01-31
- IRS object ID
- 202020319349300242
- Schema version
- 2018v3.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-01-31T14:37:51-06:00 | ReturnTs |
| Tax Period End | 2019-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200079326 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DINGUS ZARECOR & ASSOCIATES PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN AVE | AddressLine1Txt |
| City | SPOKANE VALLEY | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208341138 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADAMS COUNTY HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ADAM | BusinessNameControlTxt |
| Phone | 2082534242 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 428 | AddressLine1Txt |
| City | COUNCIL | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 836120428 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY ANN DOMECQ | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2082534242 | PhoneNum |
| Signature | 2020-01-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS DINGUS | PreparerPersonNm |
| PTIN | P00951009 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2020-01-31 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 104.42.149.79 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-01-31 | IPDt |
| IP Tm | 14:37:51 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 2474EFBFE268E1323248D70D812BABF32F861C74 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | BDB558D2839154CBA244025868728B30AD18FBA5 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-11-06 18:47:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KIM SMITH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 428 | AddressLine1Txt |
| City | COUNCIL | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 836120428 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,239,935 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ACHCID.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | FormationYr |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Activity Or Mission | ADAMS COUNTY HEALTH CENTER PROVIDES HIGH QUALITY HEALTH SERVICES TO RESIDENTS OF ADAMS COUNTY AND THE SURROUNDING AREA, REGARDLESS OF SOCIAL OR ECONOMIC STATUS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 52 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,312,803 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,341,478 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,637,547 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,758,950 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,853 | PYInvestmentIncomeAmt |
| CY Investment Income | $63,695 | CYInvestmentIncomeAmt |
| PY Other Revenue | $20,706 | PYOtherRevenueAmt |
| CY Other Revenue | $6,827 | CYOtherRevenueAmt |
| PY Total Revenue | $2,978,909 | PYTotalRevenueAmt |
| CY Total Revenue | $3,170,950 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,111,803 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,360,767 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $834,524 | PYOtherExpensesAmt |
| CY Other Expenses | $921,499 | CYOtherExpensesAmt |
| PY Total Expenses | $2,946,327 | PYTotalExpensesAmt |
| CY Total Expenses | $3,282,266 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $32,582 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$111,316 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,783,798 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,684,106 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $155,878 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $167,502 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,627,920 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,516,604 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ADAMS COUNTY HEALTH CENTER PROVIDES HIGH QUALITY HEALTH SERVICES TO RESIDENTS OF ADAMS COUNTY AND THE SURROUNDING AREA, REGARDLESS OF SOCIAL OR ECONOMIC STATUS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,483,122 | ExpenseAmt |
| Revenue | $1,758,950 | RevenueAmt |
| Desc | ADAMS COUNTY HEALTH CENTER INC, (ACHC) IS A FEDERALLY QUALIFIED HEALTH CENTER WHICH PROVIDES PRIMARY AND PREVENTATIVE HEALTH, DENTAL, MENTAL HEALTH, OPTOMETRY, BEHAVIORAL HEALTH, MEDICATION MANAGEMENT, PHYSICAL THERAPY AND X-RAY AND LABORATORY SERVICES. DURING THE PERIOD 10/01/2018 THROUGH 9/30/2019 THE HEALTH CENTER PROVIDED THESE SERVICES TO 2,376 UNDUPLICATED PATIENTS. THERE WERE A TOTAL OF 8,315 ENCOUNTERS DURING THE YEAR: 4,250 MEDICAL, 2,521 DENTAL, 363 OPTOMETRIC, 265 BEHAVIORAL HEALTH/MEDICATION MANAGEMENT AND 916 PHYSICAL THERAPY. ACHC'S TELE-PHARMACY FILLED A TOTAL OF 9,807 PRESCRIPTIONS DURING FISCAL YEAR 2019. ACHC PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 122,769 FOR CHARITY CARE (16,408) AND SLIDING FEE (106,361), 150,777 FOR MEDICARE AND 166,467 FOR OTHER THIRD-PARTY PAYERS FOR THE YEAR ENDED SEPTEMBER 30, 2019. THE HEALTH CENTER HAD A TOTAL OF 482 PATIENTS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINE ENROLLED IN ITS SLIDING FEE PROGRAM WHO RECEIVED DISCOUNTS IN THESE PROGRAMS: MEDICAL: 38,223 (INCLUDES OPTOMETRY, PT, LAB & X-RAY SERVICES) DENTAL: 65,247 MENTAL HEALTH: 2,891 THE PROGRAMS OFFERED AT ACHC PROVIDE HEALTH CARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. | Desc |
| Total Program Service Expenses | $2,483,122 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 52 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | ID | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KIM SMITH | PersonNm |
| Phone | 2082534242 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 428 | AddressLine1Txt |
| City | COUNCIL | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 836120428 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| DEBBIE MAXWELL | |||||||
| CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LYNN MARQUARD | |||||||
| VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARLA ROMERO | |||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NELLO JENKINS | |||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHIRLEY HALSEY | |||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DORIS CROSSLEY | |||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| KEITH TRAPPETT | |||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JACK RUBELT | |||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL PARADIS | |||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| PAMELA ANDERSON | |||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| KIM SMITH | |||||||
| CEO | 40.00 | Yes (X) | $98,829 | $0 | $11,510 | ||
| MARY ANN DOMECQ | |||||||
| CFO | 40.00 | Yes (X) | $93,383 | $0 | $13,964 | ||
| MICHAEL HOLM | |||||||
| DENTIST | 36.00 | $117,865 | $0 | $16,670 | Yes (X) | ||
| TAWNI PETERSON | |||||||
| NURSE PRACTI | 40.00 | $115,789 | $0 | $15,507 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $425,866 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $57,651 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $1,340,569 | GovernmentGrantsAmt |
| All Other Contributions | $909 | AllOtherContributionsAmt |
| Noncash Contributions | $800 | NoncashContributionsAmt |
| Total Contributions | $1,341,478 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE, NET | 624100 | $1,350,955 | $1,350,955 |
| TELEPHARMACY SERVICE REVENUE | 621399 | $407,995 | $407,995 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,758,950 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,680 | TotalRevenueColumnAmt |
| Exclusion | $12,680 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,500 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,500 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,500 | TotalRevenueColumnAmt |
| Exclusion | $3,500 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $120,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $68,985 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $51,015 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51,015 | TotalRevenueColumnAmt |
| Exclusion | $51,015 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $3,327 | TotalRevenueColumnAmt |
| Exclusion | $3,327 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,327 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,170,950 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,758,950 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $70,522 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,874 | TotalAmt |
| Management And General | $202,874 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,693,840 | TotalAmt |
| Program Services | $1,384,042 | ProgramServicesAmt |
| Management And General | $309,798 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,369 | TotalAmt |
| Program Services | $57,683 | ProgramServicesAmt |
| Management And General | $1,686 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,013 | TotalAmt |
| Program Services | $188,331 | ProgramServicesAmt |
| Management And General | $67,682 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,671 | TotalAmt |
| Program Services | $111,992 | ProgramServicesAmt |
| Management And General | $36,679 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,810 | TotalAmt |
| Management And General | $28,810 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275,200 | TotalAmt |
| Program Services | $229,626 | ProgramServicesAmt |
| Management And General | $45,574 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,836 | TotalAmt |
| Program Services | $7,946 | ProgramServicesAmt |
| Management And General | $3,890 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $292,952 | TotalAmt |
| Program Services | $268,602 | ProgramServicesAmt |
| Management And General | $24,350 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,471 | TotalAmt |
| Program Services | $35,998 | ProgramServicesAmt |
| Management And General | $4,473 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,089 | TotalAmt |
| Program Services | $27,849 | ProgramServicesAmt |
| Management And General | $5,240 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,033 | TotalAmt |
| Program Services | $23,677 | ProgramServicesAmt |
| Management And General | $5,356 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,507 | TotalAmt |
| Management And General | $1,507 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,269 | TotalAmt |
| Program Services | $71,361 | ProgramServicesAmt |
| Management And General | $18,908 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,578 | TotalAmt |
| Management And General | $11,578 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUES, FEES & LICENSES | Desc |
| Total | $106,754 | TotalAmt |
| Program Services | $76,015 | ProgramServicesAmt |
| Management And General | $30,739 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,282,266 | TotalAmt |
| Program Services | $2,483,122 | ProgramServicesAmt |
| Management And General | $799,144 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $204,505 | BOYAmt |
| EOY | $149,504 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $987,910 | BOYAmt |
| EOY | $1,022,250 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,133 | BOYAmt |
| EOY | $112,384 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,795 | BOYAmt |
| EOY | $12,736 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,293 | BOYAmt |
| EOY | $47,919 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,158,660 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $819,347 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $397,162 | BOYAmt |
| EOY | $339,313 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,783,798 | BOYAmt |
| EOY | $1,684,106 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,878 | BOYAmt |
| EOY | $167,502 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,878 | BOYAmt |
| EOY | $167,502 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,627,920 | BOYAmt |
| EOY | $1,516,604 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,627,920 | BOYAmt |
| EOY | $1,516,604 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,783,798 | BOYAmt |
| EOY | $1,684,106 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$111,316 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $402,384 | OtherCostOrOtherBasisAmt |
| Depreciation | $237,282 | DepreciationAmt |
| Book Value | $165,102 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $756,276 | OtherCostOrOtherBasisAmt |
| Depreciation | $582,065 | DepreciationAmt |
| Book Value | $174,211 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $339,313 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $3,230,950 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $60,000 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $60,000 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,170,950 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $3,170,950 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,342,266 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $60,000 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $60,000 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,282,266 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $3,282,266 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE CENTER EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF SEPTEMBER 30, 2019 AND 2018, THE CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 | ACHC PARTICIPATED IN IDAHO'S STATEWIDE HEALTHCARE INNOVATION PLAN (SHIP) FROM ITS INCEPTION IN DECEMBER 2014. THE SHIP CONCLUDED IN JANUARY 2019. DURING THE PERIOD THAT THE SHIP WAS IN PLACE ACHC ACHIEVED LEVEL 3 PATIENT CENTERED MEDICAL HOME (PCMH) RECOGNITION STATUS BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). THE IDAHO PRIMARY CARE ASSOCIATION (IPCA) COLLABORATED WITH THE SHIP TO ENABLE ITS' MEMBER COMMUNITY HEALTH CENTERS (CHCS) TO OBTAIN PCMH RECOGNITION. ACHC IS ONE OF FOUR MEMBER CHCS TO REACH LEVEL 3 RECOGNITION BEFORE THE SHIP CONCLUDED. ACHC PARTICIPATES IN THE IDAHO HEALTH DATA EXCHANGE (IHDE), THE HEALTH INFORMATION EXCHANGE (HIE) FOR IDAHO. IHDE ENABLES ACHC TO SECURELY ACCESS ITS PATIENTS' ELECTRONIC HEALTH CARE INFORMATION QUICKLY WHICH IMPROVES THE SPEED, QUALITY, SAFETY AND COST OF PATIENT CARE. THE HIE IS ESPECIALLY USEFUL WHEN ACHC PATIENTS ARE SEEN IN EMERGENCY DEPARTMENTS OR ARE HOSPITALIZED AND REQUIRE FOLLOW-UP CARE. IHDE IS AVAILABLE YEAR-ROUND, 24 HOURS PER DAY, 7 DAYS PER WEEK. ACHC RECOGNIZES THAT PATIENTS ARE SHARED BETWEEN PROVIDERS, CLINIC LOCATIONS AND HOSPITALS, AND THAT PATIENTS WITH CHRONIC CONDITIONS SUCH AS DIABETES, CARDIAC DISEASES, PULMONARY CONDITIONS AND COMORBID BEHAVIORAL HEALTH ISSUES ARE DIFFICULT TO EFFECTIVELY MANAGE AND TRANSITION TO APPROPRIATE LEVELS OF CARE. USE OF THE HIE ENHANCES CARE COORDINATION BETWEEN ACHC AND OTHER PROVIDERS AND INSTITUTIONS AND IS INTENDED TO TARGET THESE POPULATIONS TO BROADEN THE CLINICAL IMPACT OF THE "HEALTH NEIGHBORHOOD". SINCE JULY 2017 ACHC PATIENTS WITH TWO OR MORE CHRONIC, COMORBID MEDICAL CONDITIONS SUCH AS DIABETES, HYPERTENSION, CARDIAC DISEASE AND PULMONARY CONDITIONS HAVE BEEN REFERRED TO ACHC'S CHRONIC CARE MANAGER (CCM) BY THEIR PRIMARY CARE PROVIDER (PCP). THE CCM IS IN FREQUENT CONTACT WITH THE PATIENT, EITHER BY TELEPHONE OR FACE-TO-FACE AND REPORTS REGULARLY TO THE PCP IN ORDER TO EFFECTIVELY MANAGE THEIR CARE. ACHC IS DEDICATED TO IMPROVING PATIENT CARE AND SATISFACTION WITH THE SERVICES PROVIDED. STAFF PARTICIPATES IN MONTHLY ON-SITE MEETINGS AND ONGOING TRAININGS. DURING FY 2019 ACHC UTILIZED ONE-TIME QUALITY IMPROVEMENT FUNDING FROM HRSA TO (1) PURCHASE A NEW OPTICAL COHERENCE TOMOGRAPHY MACHINE WHICH ALLOWS FOR NON-INVASIVE IMAGING OF EACH DISTINCTIVE LAYER OF THE RETINA. THE IMAGE CAN BE MAPPED AND MEASURED AND IS AN AID IN THE DIAGNOSIS OF EYE DISEASES SUCH AS GLAUCOMA, AGE-RELATED MACULAR DEGENERATION AND DIABETIC EYE DISEASE. FURTHER, THESE IMAGES MAY BE FORWARDED TO EYE SPECIALISTS IF THE PATIENT'S CONDITION REQUIRES REFERRAL FOR SPECIALTY SERVICES. (2) TWO MEMBERS OF THE MEDICAL STAFF ATTENDED THE BASIC X-RAY TECHNIQUES WORKSHOPS IN BILLINGS, MT OVER A TWO-WEEK PERIOD. QI FUNDING WAS USED TO PAY COURSE FEES AND TRAVEL EXPENSES FOR THE TRAINING. (3) A SECOND LABORATORY INTERFACE WAS PURCHASED SO THAT A SECOND BLOOD CHEMISTRY ANALYZER COULD BE UTILIZED TO FEED RESULTS DIRECTLY INTO THE PATIENT EMR THUS GREATLY REDUCING THE POSSIBILITY OF HUMAN ERROR UPON DATA ENTRY. IN SEPTEMBER 2018 ACHC WAS AWARDED FUNDING TO EXPAND EXISTING MENTAL HEALTH SERVICES IN ITS SCOPE OF PROJECT. A 1.0 FTE MENTAL HEALTH COUNSELOR AND 1.0 FTE CASE MANAGER WERE HIRED IN THE FALL OF 2018. MEDICAL AND MENTAL HEALTH STAFF HAVE ATTENDED SEMINARS AND CONFERENCES IN ORDER EXPAND THEIR KNOWLEDGE REGARDING CLINICAL AND MEDICATION MANAGEMENT FOR MENTAL HEALTH PATIENTS. AN ALL-STAFF TRAINING REGARDING INTEGRATION OF BEHAVIORAL HEALTH AND PRIMARY CARE WAS PRESENTED. FIVE EXAMINATION/COUNSELING ROOMS HAVE BEEN RETROFITTED WITH SOUNDPROOFING MATERIALS WHICH HAS GREATLY ENHANCED PATIENT PRIVACY AND ACHC HAS ORDERED A NEW HANDICAP-ACCESSIBLE TRANSPORT VAN SO THAT BEHAVIORAL HEALTH CLIENTS WITHOUT RELIABLE VEHICLES MAY BE BROUGHT TO THEIR APPOINTMENTS. ANTICIPATED DELIVERY DATE FOR THE TRANSPORT VAN IN APRIL 2020. IN AN ONGOING COLLABORATION WITH THE HOSPITAL FOUNDATION FOR THE CRITICAL ACCESS HOSPITAL IN MCCALL, ID DENTAL SERVICES WERE PROVIDED TO 73 INDIVIDUALS AT OR BELOW 200% OF FPL BETWEEN FEBRUARY AND MAY 2019. THERE WERE 129 PATIENT ENCOUNTERS AND 717 PROCEDURES PERFORMED. 2019 IS THE SEVENTH YEAR OF THIS PROGRAM WHICH IS DESIGNED TO PREVENT UTILIZATION OF THE HOSPITAL EMERGENCY DEPARTMENT FOR SYMPTOMATIC RELIEF BY PROVIDING PREVENTIVE DENTAL CARE FOR PATIENTS WITHOUT DENTAL INSURANCE. |
| FORM 990, PAGE 2, PART III, LINE 4A | ADAMS COUNTY HEALTH CENTER INC, (ACHC) IS A FEDERALLY QUALIFIED HEALTH CENTER WHICH PROVIDES PRIMARY AND PREVENTATIVE HEALTH, DENTAL, MENTAL HEALTH, OPTOMETRY, BEHAVIORAL HEALTH, MEDICATION MANAGEMENT, PHYSICAL THERAPY AND X-RAY AND LABORATORY SERVICES. DURING THE PERIOD 10/01/2018 THROUGH 9/30/2019 THE HEALTH CENTER PROVIDED THESE SERVICES TO 2,376 UNDUPLICATED PATIENTS. THERE WERE A TOTAL OF 8,315 ENCOUNTERS DURING THE YEAR: 4,250 MEDICAL, 2,521 DENTAL, 363 OPTOMETRIC, 265 BEHAVIORAL HEALTH/MEDICATION MANAGEMENT AND 916 PHYSICAL THERAPY. ACHC'S TELE-PHARMACY FILLED A TOTAL OF 9,807 PRESCRIPTIONS DURING FISCAL YEAR 2019. ACHC PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 122,769 FOR CHARITY CARE (16,408) AND SLIDING FEE (106,361), 150,777 FOR MEDICARE AND 166,467 FOR OTHER THIRD-PARTY PAYERS FOR THE YEAR ENDED SEPTEMBER 30, 2019. THE HEALTH CENTER HAD A TOTAL OF 482 PATIENTS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINE ENROLLED IN ITS SLIDING FEE PROGRAM WHO RECEIVED DISCOUNTS IN THESE PROGRAMS: MEDICAL: 38,223 (INCLUDES OPTOMETRY, PT, LAB & X-RAY SERVICES) DENTAL: 65,247 MENTAL HEALTH: 2,891 THE PROGRAMS OFFERED AT ACHC PROVIDE HEALTH CARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE CEO AND CFO WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE BOARD OF TRUSTEES WHO THEN APPROVE THE 990. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CFO SIGNS THE FORM 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN. |
| FORM 990, PAGE 6, PART VI, LINE 12C | IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PARTY MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE EXECUTIVE TEAM AND/OR BOARD OF TRUSTEES DESCRIBING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS AND AFTER ANY DISCUSSION WITH THE INTERESTED PARTY THE EXECUTIVE TEAM AND/OR THE BOARD OF TRUSTEES SHALL DETERMINE IF A CONFLICT OF INTEREST EXISTS. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS, THEN THE EXECUTIVE TEAM AND/OR THE BOARD OF TRUSTEES SHALL INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE EXECUTIVE TEAM AND/OR THE BOARD OF TRUSTEES SHALL DETERMINE WHETHER THE HEALTH CENTER CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE EXECUTIVE TEAM AND/OR THE BOARD OF TRUSTEES SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE HEALTH CENTER'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. A FINAL DECISION SHALL BE DETERMINED AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. VIOLATIONS OF THE CONFLICT OF INTEREST POLICY CAN RESULT IN DISCIPLINARY AND CORRECTIVE ACTION BEING TAKEN UP TO AND INCLUDING TERMINATION. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF TRUSTEES EVALUATES THE EXECUTIVE TEAM'S PERFORMANCE AND COMPENSATION ANNUALLY. SOURCES UTILIZED BY THE BOARD WHEN DETERMINING COMPENSATION INCLUDE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND STATE OF IDAHO SALARY SURVEYS AS WELL AS PERSONAL CONTACT WITH IDAHO COMMUNITY HEALTH CENTERS. SALARY CHANGES ARE DISCUSSED AND APPROVED BY MAJORITY VOTE OF THE BOARD OF TRUSTEES AND ARE INCLUDED IN THE MINUTES OF THE MEETING AT WHICH THE ACTION IS TAKEN. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE EXECUTIVE TEAM ARE THE ONLY OFFICERS OR KEY EMPLOYEES. SEE 990, PART VI, LINE 15A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE HEALTH CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
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