2020-01-31T14:37:51-06:00 2019-09-30 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2018-10-01 208341138 ADAMS COUNTY HEALTH CENTER INC ADAM 2082534242 PO BOX 428 COUNCIL ID 836120428 MARY ANN DOMECQ CFO 2082534242 2020-01-23 true THOMAS DINGUS P00951009 5092420874 2020-01-31 104.42.149.79 2020-01-31 14:37:51 CS P 2474EFBFE268E1323248D70D812BABF32F861C74 BDB558D2839154CBA244025868728B30AD18FBA5 2018 2020-11-06 18:47:13Z KIM SMITH PO BOX 428 COUNCIL ID 836120428 3239935 false X WWW.ACHCID.ORG X 2007 ID ADAMS COUNTY HEALTH CENTER PROVIDES HIGH QUALITY HEALTH SERVICES TO RESIDENTS OF ADAMS COUNTY AND THE SURROUNDING AREA, REGARDLESS OF SOCIAL OR ECONOMIC STATUS. 9 9 52 0 1312803 1341478 1637547 1758950 7853 63695 20706 6827 2978909 3170950 0 0 2111803 2360767 0 0 834524 921499 2946327 3282266 32582 -111316 1783798 1684106 155878 167502 1627920 1516604 X ADAMS COUNTY HEALTH CENTER PROVIDES HIGH QUALITY HEALTH SERVICES TO RESIDENTS OF ADAMS COUNTY AND THE SURROUNDING AREA, REGARDLESS OF SOCIAL OR ECONOMIC STATUS. false false 2483122 1758950 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. 2483122 true false false false false false false false false false true false false false false true true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true 8 0 true 52 true false false false false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false ID X KIM SMITH 2082534242 PO BOX 428 COUNCIL ID 836120428 DEBBIE MAXWELL CHAIR 2.00 X X 0 0 0 LYNN MARQUARD VICE CHAIR 2.00 X X 0 0 0 MARLA ROMERO SECRETARY 2.00 X X 0 0 0 NELLO JENKINS TREASURER 2.00 X X 0 0 0 SHIRLEY HALSEY TRUSTEE 2.00 X 0 0 0 DORIS CROSSLEY TRUSTEE 2.00 X 0 0 0 KEITH TRAPPETT TRUSTEE 2.00 X 0 0 0 JACK RUBELT TRUSTEE 2.00 X 0 0 0 MICHAEL PARADIS TRUSTEE 2.00 X 0 0 0 PAMELA ANDERSON TRUSTEE 2.00 X 0 0 0 KIM SMITH CEO 40.00 X 98829 0 11510 MARY ANN DOMECQ CFO 40.00 X 93383 0 13964 MICHAEL HOLM DENTIST 36.00 X 117865 0 16670 TAWNI PETERSON NURSE PRACTI 40.00 X 115789 0 15507 425866 57651 2 false false false 1340569 909 800 1341478 PATIENT SERVICE REVENUE, NET 624100 1350955 1350955 TELEPHARMACY SERVICE REVENUE 621399 407995 407995 1758950 12680 12680 3500 3500 3500 3500 120000 68985 51015 51015 51015 OTHER REVENUE 900099 3327 3327 3327 3170950 1758950 70522 202874 202874 1693840 1384042 309798 59369 57683 1686 256013 188331 67682 148671 111992 36679 28810 28810 275200 229626 45574 11836 7946 3890 292952 268602 24350 40471 35998 4473 33089 27849 5240 29033 23677 5356 1507 1507 90269 71361 18908 11578 11578 DUES, FEES & LICENSES 106754 76015 30739 3282266 2483122 799144 0 204505 149504 987910 1022250 120133 112384 37795 12736 36293 47919 1158660 819347 397162 339313 1783798 1684106 155878 167502 155878 167502 X 1627920 1516604 1627920 1516604 1783798 1684106 -111316 X false true X true true true X 402384 237282 165102 756276 582065 174211 339313 X 3230950 60000 60000 3170950 3170950 3342266 60000 60000 3282266 3282266 SCHEDULE D, PAGE 3, PART X 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. 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.