2019-11-15T13:49:42-06:00 2018-12-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2018-01-01 680427383 MCCLOUD HEALTHCARE CLINIC INC % JAMES PROFFITT MCCL 5309642389 PO BOX 1143 MCCLOUD CA 96057 JAMES SUMNER PROFFITT CEO 2019-11-15 true Krystal K Creach P01248198 4178658701 167.68.126.162 43032920193195000020 2019-11-15 P 8705656393E68C4A592E0CEA227AF158EB1E06AC EADA8263F67F30EEC173F90D1C5FD4FB3EC213FF 2018 2020-03-31 21:24:44Z SHASTA CASCADE HEALTH CENTERS JAMES SUMNER PROFFITT PO BOX 1143 MCCLOUD CA 96057 4786443 false X WWW.SHASTACASCADEHEALTH.ORG X 1999 CA WE OFFER ACCESS TO A FULL SCOPE OF HIGH QUALITY, EFFICIENT HEALTH CARE FOR EVERYONE WITHOUT REGARD TO THEIR ABILITY TO PAY. 10 10 65 14 0 0 1132848 1378777 2363520 3407133 -2555 233 300 300 3494113 4786443 0 0 0 0 2397015 3210053 0 0 0 1657348 2273771 4054363 5483824 -560250 -697381 1751554 2221984 873927 2041738 877627 180246 X WE ARE A COMPREHENSIVE PRIMARY HEALTHCARE PRACTICE DEDICATED TO BUILDING A HEALTHY COMMUNITY AND IMPROVING THE INDIVIDUAL HEALTH, WELL-BEING, AND QUALITY OF LIFE FOR EVERYONE. false false 2908719 3407133 WE SERVED OVER 3000 UNIQUE PATIENTS IN 2018 AND PROVIDED HEALTH CARE SERVICES TO THE COMMUNITY REGARDLESS OF ABILITY TO PAY. SEE SCHEDULE O FOR MORE INFORMATION. 2908719 true true false false false false false false false false true false false false true false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 29 0 true 65 true false false false false false false false false false false false false X 10 10 true false false false false false false true true false false true true true true true true false false false CA X JAMES PROFFITT 5309642389 116 W MINNESOTA AVE MCCLOUD CA 96057 ADRIENNE WEIDER BOARD MENTOR 1.0 0.0 X 0 0 0 ANITA MCFALL SECRETARY 3.0 0.0 X X 0 0 0 ANTHONY KYDD DIRECTOR 1.0 0.0 X 0 0 0 CHARLENE FAIRCHILD DIRECTOR 1.0 0.0 X 0 0 0 CHRISTINE RICHEY DIRECTOR 1.0 0.0 X 0 0 0 DIANE TOLOSANO VICE PRESIDENT 3.0 0.0 X X 0 0 0 MILTON SHRADER TREASURER 3.0 0.0 X X 0 0 0 DIANE BRICKELL PRESIDENT 3.0 0.0 X X 0 0 0 MARLENE HINES DIRECTOR BEGIN 12/2018 1.0 0.0 X 0 0 0 RODGER PAGE DIRECTOR BEGIN 08/2018 1.0 0.0 X 0 0 0 JAMES PROFFITT CEO 40.0 0.0 X 168960 0 8448 CALEB OTT COO 40.0 0.0 X 92297 0 4615 LISA PROFFITT CHIEF QUALITY OFFICER 40.0 0.0 X 117398 0 5870 GABRIEL SMITH DENTIST 40.0 0.0 X 226156 0 22163 GRADY R FORT DOCTOR 40.0 0.0 X 183370 0 9169 JULIE FADNESS NURSE PRACTITIONER 40.0 0.0 X 130000 0 6500 CECILY SHAW-SCALA NURSE PRACTITIONER 40.0 0.0 X 102563 0 5128 1020744 0 61893 6 false true false BKD LLP 910 E SAINT LOUIS STREET SUITE 20 SPRINGFIELD MO 658011190 ACCOUNTING/AUDIT/TAX 190039 HEALTH INFORMATION TECHNOLOGY CARE 1310 REDWOOD WAY STE 125 PETALUMA CA 94954 IT 110468 2 1298697 80080 26649 1378777 PATIENT SERVICE REVENUE 624100 3254790 3254790 PCP QUALITY IMPROVEMENT PROGRAM REVENUE 624100 110866 110866 OTHER INCOME 624100 41477 41477 3407133 233 233 0 0 300 300 0 300 300 0 0 0 0 0 0 0 0 0 0 0 4786443 3407133 533 0 0 0 0 397588 397588 0 2271907 1658089 613818 33413 20902 12511 295206 196513 98693 211939 132581 79358 182689 182689 4403 4403 222746 222746 0 0 0 335393 314393 21000 21078 21078 397844 397844 210221 210221 0 129810 62577 67233 39490 39490 0 23580 23580 47365 24684 22681 0 94133 47459 46674 39182 13865 25317 MEDICAL SUPPLIES & DRUGS 329481 329481 BAD DEBT 106147 106147 LICENCES, DUES, SUBSCRIPTIONS 62688 62688 RECRUITING & RETENTION 21391 21391 6130 2028 4102 5483824 2908719 2575105 0 120928 37378 250260 110190 18897 80033 264870 349379 0 0 0 0 0 0 13100 21153 53351 73902 1806239 310823 858468 1495416 0 0 0 0 0 0 0 24533 171680 30000 1751554 2221984 224698 553244 0 0 0 0 0 0 0 0 0 0 314229 921047 0 0 335000 567447 873927 2041738 X 848777 157478 28850 22768 0 0 877627 180246 1751554 2221984 -697381 X false true X true true true X 982270 1108802 1114665 1132848 1378777 5717362 0 0 982270 1108802 1114665 1132848 1378777 5717362 20596 5696766 286 540 882 575 533 2816 0 0 5720178 12996741 0.99591 0.99952 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 151904 151904 1219630 83985 1135645 129369 41608 87761 305336 185230 120106 1495416 0 DUE TO THIRD PARTY 567447 567447 4686378 -77297 -77297 4763675 22768 22768 4786443 5377677 5377677 106147 106147 5483824 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $(106,147) BAD DEBT EXPENSE 28,850 NET ASSETS RELEASED FROM RESTRICTION ---------- $(77,297) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 22,768 TEMPORARILY RESTRICTED CONTRIBUTIONS SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT LINE 1: $ 106,147 BAD DEBT EXPENSE X X false false false false false false false true false JAMES PROFFITT CEO 153960 0 15000 0 0 0 0 0 8448 0 177408 0 0 0 GABRIEL SMITH DENTIST 226156 0 0 0 0 0 0 0 22163 0 248319 0 0 GRADY R FORT DOCTOR 183370 0 0 0 0 0 0 0 9169 0 192539 0 0 0 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: PER BOARD OF DIRECTORS APPROVAL AND DISCRETION, ALL FULL-TIME EMPLOYEES AND MANAGEMENT EMPLOYEES RECEIVED A YEAR-END CHRISTMAS BONUS. THE BOARD ALSO HAS DISCRETION TO AWARD ADDITIONAL BONUSES TO TOP MANAGEMENT BASED UPON CERTAIN NON-FINANCIAL METRICS AND ANNUAL REVIEWS. X 323 26649 FMV false false false SCHEDULE M, PART I, COLUMN B NUMBER OF ITEMS RECEIVED: THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF VACCINES RECEIVED. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS: THE MCCLOUD CLINIC SERVES A COMMUNITY POPULATION OF 1,850 AND IS CLASSIFIED AS A FRONTIER MEDICAL PROVIDER. WE PROVIDE HIGH QUALITY HEALTHCARE TO EVERYONE WITHOUT REGARD TO THEIR ABILITY TO PAY. WE PROVIDE BOTH SCHEDULED VISITS AND WALK IN CARE. WE ARE A PREFERRED PROVIDER FOR MEDICAL, MEDICARE AND BLUE CROSS. WE ACCEPT ALL INSURANCE AND PRIVATE PAY PATIENTS. WE OFFER A SLIDING SCALE FOR INDIVIDUALS WHO ARE UNINSURED OR UNDER-INSURED. ON JUNE 6, 2012, THE CLINIC WAS AWARDED THE NEW ACCESS POINT GRANT AND BECAME A 330 FUNDED FEDERALLY QUALIFIED HEALTH CENTER. WE WERE GRANTED FEDERALLY QUALIFIED HEALTH CENTER LOOK ALIKE STATUS IN OCTOBER 2008. IN 2014, WE OPENED THE MCCLOUD DENTAL CENTER (MDC), WHICH PROVIDES A WIDE RANGE OF DENTAL SERVICES VIA SCHEDULED AND WALK IN VISITS. THE MDC PROVIDES SLIDING SCALE DENTAL SERVICES FOR INDIVIDUALS WHO ARE UNINSURED OR UNDER-INSURED, AND ACCEPTS DENTI-CAL, AMONG OTHER INSURANCES, AND PRIVATE PAY PATIENTS. FORM 990, PART VI, SECTION A, LINE 2 FAMILY RELATIONSHIP: OFFICERS OF THE ORGANIZATION JAMES PROFFITT AND LISA PROFFITT HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: 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. FORM 990 IS REVIEWED BY FINANCE DEPT STAFF AND CEO PRIOR TO BOARD PRESENTATION. THE FORM 990 IS FURNISHED TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ANNUAL CONFLICT OF INTEREST DISCLOSURE DOCUMENTS ARE REVIEWED BY THE CEO AND COO. TRANSACTIONS WITH RELATED PARTIES WHERE A POTENTIAL CONFLICT OF INTEREST EXISTS OR MAY APPEAR TO EXIST MUST BE CAREFULLY HANDLED. SUCH TRANSACTIONS REQUIRE ANNUAL SELF-DISCLOSURE, AND ARE CONSTANTLY MONITORED BY THE STAFF AND BOARD OF DIRECTORS. ANY DIRECTOR HAVING A CONFLICT OF INTEREST IS NOT ENTITLED TO VOTE ON THE DECISION TO ENTER INTO SUCH TRANSACTIONS AS MIGHT PRESENT A CONFLICT OF INTEREST OR RISK TO THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENT AVAILABILITY: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.