2019-03-13T12:29:17-05:00 2018-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2017-07-01 391899361 IN CONCERTCARE INC % THEODORE BOESEN INCO 5152449610 9943 HICKMAN ROAD Suite 103 URBANDALE IA 503225304 THEODORE BOESEN CEO 5152449610 2018-11-05 true Krystal K Creach P01248198 4178658701 75.59.154.13 43032920190725000021 2019-03-13 P 353840E92A19E57AE3D09FB5FB5D869273682438 C3432A87FBFF9491E59BD7298F2E512B0D9B3700 2017 2019-02-21 02:37:17Z THEODORE BOESEN 9943 HICKMAN ROAD 103 URBANDALE IA 503225304 2972240 false X WWW.IOWAPCA.ORG X 1997 IA TO PROVIDE AN INTEGRATED SERVICE DELIVERY NETWORK FOR HEALTH CENTERS TO STRENGTHEN THEIR POSITION IN THEIR RESPECTIVE MARKETPLACES AND STATEWIDE. 13 13 0 15 0 0 128724 400979 621746 2566508 437 4753 0 0 750907 2972240 0 0 0 0 170916 747156 0 0 0 504567 2422853 675483 3170009 75424 -197769 3403204 3151384 623361 569310 2779843 2582074 X TO IMPROVE DELIVERY OF ACCESSIBLE, EFFICIENT, COORDINATED, QUALITY AND APPROPRIATE HEALTH CARE SERVICES. SEE SCHEDULE O FOR THE FULL MISSION STATEMENT. false false 2380367 2566508 IN CONCERTCARE, INC., PROVIDES DATA CENTER AND NETWORK MANAGEMENT, TRAINING AND SUPPORT FOR HOSTED CLINICAL APPLICATIONS (PRACTICE MANAGEMENT AND ELECTRONIC HEALTH RECORD, ELECTRONIC DENTAL RECORD, AND PATIENT REGISTRY/POPULATION HEALTH MANAGEMENT APPLICATIONS) TO TEN COMMUNITY HEALTH CENTERS IN IOWA AND NEBRASKA, ALLOWING THEM TO PROCURE AND MAINTAIN COST EFFECTIVE HEALTH INFORMATION TECHNOLOGY SYSTEMS. SEE SCHEDULE O FOR MORE INFORMATION. 393643 IN CONCERTCARE, INC. IS SUPPORTED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION TO SUPPORT 11 PARTICIPATING COMMUNITY HEALTH CENTERS IN IOWA AND NEBRASKA TO ADVANCE THEIR ADOPTION, IMPLEMENTATION, AND MEANINGFUL USE OF HEALTH INFORMATION TECHNOLOGY, INCLUDING CERTIFIED ELECTRONIC HEALTH RECORDS, AND SUPPORT TECHNOLOGY ENABLED QUALITY IMPROVEMENT STRATEGIES. 2774010 false true false true 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 false false false false false true false false true X 5 0 true 0 false false false false false false X 13 13 false true false false true true false true true false false true true true true true true true false false X THEODORE BOESEN 5152449610 9943 HICKMAN ROAD SUITE 103 URBANDALE IA 503225304 JULIE WOODYARD BOARD MEMBER 1.0 1.0 X 0 0 0 MARI KAPTAIN-DAHLEN CHAIR 1.0 1.0 X X 0 0 0 KELLY HUNTSMAN VICE CHAIR 1.0 1.0 X X 0 0 0 JENNIFER LIGHTBODY BOARD MEMBER END 12/17 1.0 1.0 X 0 0 0 RICK JOHNSON SECRETARY 1.0 1.0 X X 0 0 0 JEFF TRACY BOARD MEMBER 1.0 0.0 X 0 0 0 RENAE KRUCKENBERG TREASURER 1.0 1.0 X X 0 0 0 SAMANTHA CANNON BOARD MEMBER 1.0 1.0 X 0 0 0 NANCY DYKSTRA BOARD MEMBER END 12/17 1.0 1.0 X 0 0 0 RICH GEHRIG BOARD MEMBER 1.0 1.0 X 0 0 0 RON KEMP BOARD MEMBER 1.0 1.0 X 0 0 0 KENNY MCMORRIS BOARD MEMBER 1.0 0.0 X 0 0 0 CHRISTINE KEMP BOARD MEMBER BEG 01/18 1.0 1.0 X 0 0 0 NATHAN VANDER PLAATS BOARD MEMBER BEG 01/18 1.0 1.0 X 0 0 0 JOE LOCK BOARD MEMBER 1.0 1.0 X 0 0 0 THEODORE BOESEN CHIEF EXECUTIVE OFFICER 7.0 33.0 X 27691 135196 20574 KELLY FRETT CHIEF FINANCIAL OFFICER 18.0 22.0 X 49650 60684 5544 77341 195880 26118 0 false true false RK DIXON 5700 UTICA RIDGE ROAD DAVENPORT IA 52807 NETWORK MGT/SUPPORT 473487 CDMS LLC 1022 MOHICAN PASS MADISON WI 53711 HEALTHCARE ANALYTICS 132070 2 400979 400979 MEMBER USAGE FEES 900099 2196759 2196759 PROJECT MANAGEMENT INCOME 900099 159579 159579 OTHER INCOME 900099 210170 210170 2566508 4753 4753 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2972240 2566508 4753 X 0 0 0 0 83333 83333 0 531088 279716 251372 14578 9152 5426 76302 50850 25452 41855 25076 16779 0 48898 44089 4809 40147 40147 0 0 0 683014 683014 0 61093 50027 11066 1010594 1008767 1827 0 39600 39600 35945 25701 10244 0 10781 5556 5225 7488 7488 0 457789 457098 691 17748 259 17489 RECRUITING & RETENTION 9420 4120 5300 LICENSES,DUES,SUBSCRIPTIONS 136 71 65 REPAIRS & MAINTENANCE 200 93 107 3170009 2774010 395999 0 52705 11994 1063127 1071786 60028 51787 200240 167388 0 0 0 0 0 0 0 0 125154 190723 4820394 3162688 1901950 1657706 0 0 0 0 0 0 0 0 0 0 3403204 3151384 321542 238813 0 0 2740 112281 0 0 0 0 0 0 222710 102662 0 0 76369 115554 623361 569310 X 2779843 2582074 0 0 0 0 2779843 2582074 3403204 3151384 -197769 X false true X true false false true false 4820394 3162688 1657706 1657706 0 DUE TO AFFILIATE 115554 115554 2972240 2972240 2972240 3170009 3170009 3170009 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. false false false false false false false false false THEODORE BOESEN CHIEF EXECUTIVE OFFICER 26396 128876 1295 6320 0 0 1283 6266 2214 10811 31188 152273 0 0 SCHEDULE J, PART I, LINE 3 CHIEF EXECUTIVE OFFICER COMPENSATION: A RELATED ORGANIZATION, IOWA PRIMARY CARE ASSOCIATION, ESTABLISHES THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER USING THE FOLLOWING: -WRITTEN EMPLOYMENT CONTRACT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION: TO IMPROVE DELIVERY OF ACCESSIBLE, EFFICIENT, COORDINATED, QUALITY AND APPROPRIATE HEALTH CARE SERVICES THAT MEETS THE NEEDS AND IMPROVES THE HEALTH STATUS OF THE MEDICALLY NEEDY THROUGH THE CREATION OF A COMPREHENSIVE, COMMUNITY-BASED INTEGRATED HEALTH CARE DELIVERY NETWORK. FORM 990, PART III, LINE 4(A) PROGRAM SERVICE ACTIVITY #1: OTHER SERVICES PROVIDED BY IN CONCERTCARE, INC. RELATED TO THESE SYSTEMS INCLUDE PRACTICE MANAGEMENT AND REVENUE CYCLE SUPPORT, HEALTHCARE ANALYTICS AND DATA WAREHOUSE SUPPORT, MEANINGFUL USE CONSULTING, PERFORMANCE IMPROVEMENT COACHING, INTEROPERABILITY SERVICES, STRATEGIC TECHNOLOGY PLANNING, DISASTER RECOVERY, AND HIPAA COMPLIANCE, RISK ASSESSMENTS AND PRIVACY AND SECURITY CONSULTING. FORM 990, PART V, LINE 2A AND PART IX, LINES 5,7,8,9 & 10 COMMON PAYMASTER: IOWA PRIMARY CARE ASSOCIATION, A RELATED ORGANIZATION, CONTRACTS WITH FOCUS ONESOURCE, A PROFESSIONAL EMPLOYER ORGANIZATION, TO FILE ALL EMPLOYEE PAYROLL TAXES AND W-3 FILINGS. THE SALARY EXPENSES, PAYROLL TAXES, PENSION EXPENSE, AND EMPLOYEE BENEFITS LISTED ON PART IX ARE PAID BY IOWA PRIMARY CARE ASSOCIATION AND ALLOCATED TO IN CONCERTCARE FOR THE EMPLOYEES THAT ARE WORKING ON IN CONCERTCARE PROGRAMS. THESE EXPENSES ARE REIMBURSED BY IN CONCERTCARE TO IOWA PRIMARY CARE ASSOCIATION. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT DUTIES: THE ORGANIZATION RECEIVES MANAGEMENT AND ADMINISTRATIVE SERVICES FROM IOWA PRIMARY CARE ASSOCIATION, A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS: THE ORGANIZATION MEMBERS ARE COMPRISED OF CORPORATE MEMBERS. FROM TIME TO TIME, BY VOTE OF APPROVAL OF THE BOARD OF DIRECTORS, THE CORPORATE MEMBERS MAY BE REQUIRED TO PROVIDE FUNDING TO THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A POWER OF MEMBERS: EACH CORPORATE MEMBER HAS THE RIGHT TO ANNUALLY APPOINT A SINGLE DIRECTOR TO SERVE ON THE BOARD OF DIRECTORS, WHICH OCCURS AT THE ANNUAL MEETING OF THE BOARD OF DIRECTORS. ANY DIRECTOR MAY BE REMOVED WITH OR WITHOUT CAUSE, BY THE CORPORATE MEMBER THAT ELECTED THE DIRECTOR. 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. PRIOR TO BEING FILED, A TENTATIVE DRAFT OF THE FORM 990 IS REVIEWED BY TOP MANAGEMENT AND THE BOARD FINANCE COMMITTEE. A FINAL DRAFT IS THEN PROVIDED TO THE FULL BOARD FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICTS OF INTEREST POLICY: PER THE IN CONCERTCARE, INC. CONFLICT OF INTEREST POLICY, INCC REQUIRES THAT ALL EMPLOYEES, AGENTS, OFFICERS, AND MEMBERS OF THE BOARD OF DIRECTORS AND CANDIDATES FOR BOARD MEMBERSHIP DISCLOSE IN WRITING (AND UPDATE AT LEAST ANNUALLY) ALL BUSINESS, CIVIC, COMMUNITY, BOARD, COMMITTEE, AND FAMILY RELATIONSHIPS WHICH MIGHT POTENTIALLY CREATE A CONFLICT OF INTEREST AND WHERE APPLICABLE, PROVIDE A STATEMENT SUGGESTING HOW SUCH CONFLICT COULD BE AVOIDED OR MITIGATED. TO COMPLY WITH THIS POLICY, INCC GATHERS FULL CONFLICT OF INTEREST QUESTIONNAIRES AT LEAST BI-ANNUALLY FROM KEY EMPLOYEES AND BOARD MEMBERS. IN AN INTERIM YEAR, IF A QUESTIONNAIRE IS NOT DISTRIBUTED, BOARD MEMBERS ARE REMINDED THAT CONFLICTS OF INTEREST MUST BE DISCLOSED IN WRITING TO INCC. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION REVIEW POLICY: THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF IOWA PRIMARY CARE ASSOCIATION LAST REVIEWED THE COMPENSATION OF THE CEO IN MARCH 2016 USING SALARY INFORMATION COMPILED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC). THE CEO'S SALARY IS PAID BY IOWA PRIMARY CARE ASSOCIATION AND IS ALLOCATED TO IN CONCERTCARE BASED ON ACTUAL WORK PERFORMED. THE BOARD CHAIR RETAINS A FILE DOCUMENTING THE COMPENSATION REVIEW PROCESS. FORM 990, PART VI, SECTION B, LINE 15B OTHER OFFICER COMPENSATION REVIEW POLICY: THE CHIEF EXECUTIVE OFFICER REVIEWED AND APPROVED THE COMPENSATION OF THE CHIEF FINANCIAL OFFICER IN MARCH 2016 USING SALARY INFORMATION COMPILED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC). THE CHIEF EXECUTIVE OFFICER RETAINS A FILE DOCUMENTING THE COMPENSATION REVIEW PROCESS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATION GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE AT THE ORGANIZATION OFFICES OR UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:IT NETWORK MAINTENANCE TOTAL FEES:473487 FORM 990 PART IX LINE 11G DESCRIPTION:REPORTING & ANALYTICS SUPPORT TOTAL FEES:132070 FORM 990 PART IX LINE 11G DESCRIPTION:IT PROFESSIONAL SERVICES TOTAL FEES:63866 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONSULTING TOTAL FEES:13591 IOWA PRIMARY CARE ASSOCIATION 9943 HICKMAN ROAD SUITE 103 URBANDALE IA 50322 421311646 HEALTHCARE IA 501(C) (3) 7 NA false false false false false true false false false false false true false true true true true false false false