2019-04-10T06:23:33-05:00 2018-05-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2017-06-01 680545808 COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI % TOBY BARNETT COMM 5736322777 1511 CHRISTY DRIVE JEFFERSON CITY MO 65109 TOBY BARNETT CFO 2019-04-01 true Krystal K Creach P01248198 4178658701 167.68.126.162 43032920191005000002 2019-04-10 P 35B2FEF9FD89B74F90B63698513A1BB518488CA1 92996119D705B961BF1767000FEBD157C9C05609 2017 2019-02-21 02:37:17Z X JEFF DAVIS 1511 CHRISTY DRIVE JEFFERSON CITY MO 65109 17518706 false X WWW.CHCCMO.ORG X 2003 MO TO PROVIDE MEDICAL, DENTAL AND MENTAL HEALTH SERVICES TO RESIDENTS OF COLE, OSAGE, MONITEAU AND CALLAWAY COUNTIES REGARDLESS OF ABILITY TO PAY. 12 12 139 13 0 0 2982454 4380166 10245385 11573183 3689 283645 35056 46434 13266584 16283428 0 0 0 0 6290741 7157276 0 0 0 6132114 7006569 12422855 14163845 843729 2119583 10877025 16231761 8883435 12118588 1993590 4113173 X TO PROVIDE IMPROVED ACCESS TO PRIMARY CARE, BEHAVIORAL HEALTHCARE AND ORAL HEALTH CARE SERVICES FOR MEDICALLY UNDERSERVED INDIVIDUALS IN CENTRAL MISSOURI REGARDLESS OF THEIR ABILITY TO PAY. OUR VISION IS EMBRACING PEOPLE AND INSPIRING HEALTH. false false 6140992 6153856 DENTAL PRACTICE - THE ORGANIZATION OFFERS A FULL RANGE OF PREVENTIVE, FUNCTIONAL, AND RESTORATIVE DENTAL CARE, INCLUDING: CLEANINGS, HYGIENE AND TISSUE MANAGEMENT, SEALANTS, CHECK-UPS AND X-RAYS, FILLINGS, EXTRACTIONS, ORAL CANCER SCREENING, HEALTHY GUM CARE, ROOT CANALS, CROWNS AND BRIDGES, AND FULL AND PARTIAL DENTURES. EMERGENCY DENTAL CARE IS ALSO AVAILABLE. DURING FISCAL YEAR 2018, THE DENTAL PRACTICE HAD 27,287 VISITS OF WHICH 90% WERE MEDICAID AND 6% WERE UNINSURED, RECEIVING $418,146 IN DISCOUNTS. 4676578 4686376 MEDICAL PRACTICE - A WIDE-RANGE OF PRIMARY CARE SERVICES ARE PROVIDED BY A DEDICATED TEAM OF PHYSICIANS, FAMILY NURSE PRACTITIONERS, SOCIAL WORKERS, NURSES, AND SUPPORT STAFF INCLUDING: OBSTETRICAL CARE, PEDIATRIC CARE, ADULT HEALTHCARE, PHYSICAL EXAMS, FAMILY PLANNING, AND PAIN MANAGEMENT. DURING FISCAL YEAR 2018, THE MEDICAL PRACTICE HAD 20,780 VISITS OF WHICH 48% WERE MEDICAID AND 20% WERE UNINSURED, RECEIVING $704,785 IN DISCOUNTS. 648149 649507 MENTAL HEALTH - THE MENTAL HEALTH PRACTICE HAD 2,880 VISITS OF WHICH 37% WERE MEDICAID AND 21% WERE UNINSURED, RECEIVING $77,750 IN DISCOUNTS. SEE SCHEDULE O FOR MORE INFORMATION. 83269 83444 11548988 true true false true 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 1 0 true 139 true false false false false false false false false false false X 12 12 false false true false false false false true true false false true true true true true true true false false X TOBY BARNETT 5736320243 1511 CHRISTY DRIVE JEFFERSON CITY MO 65109 AMANDA GRELLNER PRESIDENT 1.0 0.0 X X 0 0 0 LINDA MCANANY VICE PRESIDENT 1.0 0.0 X X 0 0 0 THOMAS NIEKAMP TREASURER 1.0 0.0 X X 0 0 0 CHRISTINE ELLINGER SECRETARY 1.0 0.0 X X 0 0 0 KRISTI CAMPBELL DIRECTOR 1.0 0.0 X 0 0 0 LAWRENCE WANSING DIRECTOR 1.0 0.0 X 0 0 0 KATHY DOTHAGE DIRECTOR 1.0 0.0 X 0 0 0 DEBBIE HAMLER DIRECTOR 1.0 0.0 X 0 0 0 LINDA BICKEL DIRECTOR 1.0 0.0 X 0 0 0 PAMELA MURRAY DIRECTOR 1.0 0.0 X 0 0 0 DARREL KING DIRECTOR 1.0 0.0 X 0 0 0 BEVERLY STAFFORD DIRECTOR 1.0 0.0 X 0 0 0 CHRISTOPHER SUTTON DIRECTOR ENDING 6/18 1.0 0.0 X 0 0 0 JEFF DAVIS CHIEF EXECUTIVE OFFICER 40.0 0.0 X 213928 0 20519 TOBY BARNETT CHIEF FINANCIAL OFFICER 40.0 0.0 X 129475 0 15671 CRYSTAL SULLIVAN CHIEF CLINICAL OFFICER 40.0 0.0 X 257787 0 8548 MISTY WILLIAMS DENTAL DIRECTOR 40.0 0.0 X 214780 0 22655 NANCY HOWE PEDIATRICIAN 40.0 0.0 X 225859 0 7041 MEGAN KING PHYSICIAN 40.0 0.0 X 172745 0 5312 BRANDI NICHOLS OBSTERICIAN 40.0 0.0 X 214465 0 4724 MICHELLE MOONEY DENTIST 40.0 0.0 X 177405 0 6172 RICHARD DAUGHERTY PHYSICIAN 40.0 0.0 X 167069 0 5121 1773513 0 95763 9 false true false MAGICAL SMILES JEFFERSON CITY MO 65109 DENTAL PROVIDER 2896762 SEPTAGON CONSTRUCTION CO JEFFERSON CITY MO 65101 CONSTRUCTION 2317612 TRIGGERFISH CORPORATION ST JOSEPH MO 64506 CONTRACTED ADMIN 404893 COMPASS HEALTH ST LOUIS MO 63195 MENTAL HLTH PROVIDER 220610 LABCORP OF AMERICA HOLDINGS BURLINGTON NC 27216 CLINICAL LABORATORY 153491 7 45000 4105582 229584 254749 4380166 Net Patient Service Revenue 624100 11294919 11294919 EHR Incentive Revenue 624100 21250 21250 Miscellaneous Income 624100 257014 257014 11573183 19248 19248 0 0 0 0 0 1499675 1235278 264397 264397 264397 0 0 0 0 0 0 0 0 0 GAIN ON INVESTMENT IN EQUITY INVESTEE 900099 46434 46434 46434 16283428 11573183 330079 X 0 0 0 0 883363 503770 379593 0 5169093 4443089 726004 129339 112123 17216 538749 460739 78010 436732 358697 78035 0 1884 1884 75082 75082 0 0 0 3977582 3530733 446849 19903 19903 850051 406236 443815 175445 145485 29960 0 237190 196686 40504 41456 41456 0 48192 25045 23147 0 0 353256 288683 64573 25056 20072 4984 MEDICAL SUPPLIES & DRUGS 955901 955901 LICENSES, DUES, SUBSCRIPTIONS 121780 121780 BAD DEBT 101729 101729 RECRUITING & RETENTION 2653 2653 19409 19409 14163845 11548988 2614857 0 160178 522738 5481771 8500928 312799 113017 984484 972430 0 0 0 0 0 0 284303 312839 92473 114151 6836577 1474183 3372672 5362394 0 0 89340 84430 0 0 0 0 99005 248834 10877025 16231761 1704190 1847418 0 0 305 305 0 0 0 0 0 0 1353940 2728837 0 0 5825000 7542028 8883435 12118588 X 1947045 4077655 46545 35518 0 0 1993590 4113173 10877025 16231761 2119583 X false true X true true true X 2576296 2308664 2689908 2982454 4380166 14937488 0 0 2576296 2308664 2689908 2982454 4380166 14937488 2975 14934513 569 491 1054 3689 19248 25051 0 -5850 34082 35056 46434 109722 15072261 42631844 0.99086 0.99100 X false false false false false false false false true false SCHEDULE C, PART II-B, LINE 1 OTHER LOBBYING ACTIVITIES: DURING THE FISCAL YEAR, THE ORGANIZATION PAID DUES TO THE MISSOURI PRIMARY CARE ASSOCIATION. A PORTION OF DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES. THE ORGANIZATION IS INVESTED IN A PARTNERSHIP WITH OTHER COMMUNITY HEALTH CENTERS. THE PARTNERSHIP HAS ONE EMPLOYEE THAT MAY FROM TIME TO TIME LOBBY ON BEHALF OF THE COMMUNITY HEALTH CENTERS. 0 0 4006123 16700 3989423 450274 448898 1376 2331228 1008585 1322643 48952 48952 5362394 0 Due to Third Party Payers 7542028 7542028 14881992 -45702 -45702 14927694 1355734 1355734 16283428 13797719 -264397 -264397 14062116 101729 101729 14163845 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: $( 101,729) BAD DEBT EXPENSE 56,027 NET ASSETS RELEASED FROM RESTRICTION __________ $( 45,702) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 264,397 GAIN ON DISPOSAL 45,000 TEMPORARILY RESTRICTED CONTRIBUTIONS 1,046,337 GRANTS FOR ACQUISITION OF PROPERTY AND EQUIPMENT __________ $1,355,734 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ (264,397) GAIN ON DISPOSAL SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 101,729 BAD DEBT EXPENSE X X false false false false false false false false false JEFF DAVIS CHIEF EXECUTIVE OFFICER 179380 0 34548 0 0 0 6243 0 14276 0 234447 0 0 0 CRYSTAL SULLIVAN CHIEF CLINICAL OFFICER 256839 0 0 0 948 0 7757 0 791 0 266335 0 0 0 NANCY HOWE PEDIATRICIAN 224085 0 1000 0 774 0 6784 0 257 0 232900 0 0 0 MEGAN KING PHYSICIAN 172085 0 0 0 660 0 5186 0 126 0 178057 0 0 0 BRANDI NICHOLS OBSTERICIAN 214465 0 0 0 0 0 4724 0 0 0 219189 0 0 0 MISTY WILLIAMS DENTAL DIRECTOR 174261 0 40519 0 0 0 6916 0 15739 0 237435 0 0 0 MICHELLE MOONEY DENTIST 135555 0 41850 0 0 0 5346 0 826 0 183577 0 0 0 RICHARD DAUGHERTY PHYSICIAN 134894 0 32175 0 0 0 5015 0 106 0 172190 0 0 0 X 1 254749 FMV false false false SCHEDULE M, PART I, COLUMN B NUMBER OF CONTRIBUTORS: THE ORGANIZATION RECEIVED VACCINES FROM A SINGLE DONOR. FORM 990, PART I, LINE 6 NUMBER OF VOLUNTEERS: THE TOTAL NUMBER OF VOLUTNEERS INCLUDES NON-COMPENSATED MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART III, LINE 4C PROGRAM SERVICES: FOR PATIENTS NEEDING BEHAVIORAL AND MENTAL HEALTH SERVICES, THE ORGANIZATION EMPLOYS A CLINICAL PSYCHOLOGIST AND A LICENSED CLINICAL SOCIAL WORKER AS WELL AS PARTNERS WITH PATHWAYS COMMUNITY BEHAVIORAL HEALTH CARE, A NOT-FOR-PROFIT COMMUNITY MENTAL HEALTH COMPANY. COMMITTED TO PROVIDING EXCEPTIONAL CARE FOR THE MIND, BODY, AND SPIRIT, COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI OFFERS HIGHLY TRAINED PROFESSIONALS TO PROVIDE BEHAVIORAL HEALTH AND ADDICTION SERVICES FOR INDIVIDUALS AND THEIR FAMILIES IN A CARING AND CONFIDENTIAL MANNER. THE ORGANIZATION KNOWS THAT MENTAL, EMOTIONAL AND BEHAVIORAL WELLNESS CONTRIBUTE TO PHYSICAL WELL BEING. THEREFORE, IT INTEGRATES BEHAVIORAL HEALTH SERVICES INTO ITS DISEASE MANAGEMENT AND PRIMARY/PREVENTATIVE CARE. THE ORGANIZATION'S PROFESSIONALS WORK TOGETHER TO PROVIDE TOOLS AND TREATMENTS INCLUDING: ASSESSMENT AND PRIVATE CONSULTATIONS, GROUP THERAPY SESSIONS, PHARMACOLOGICAL SUPPORT, FAMILY COUNSELING, AND OUTSIDE REFERRALS FOR MORE SPECIALIZED CARE. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES: ADDITIONAL PROGRAM SERVICES PROVIDED BY THE HEALTH CENTER INCLUDE THE VISION AND OUTREACH PROGRAMS. THE VISION PRACTICE HAD 370 VISITS OF WHICH 47% WERE MEDICAID AND 21% WERE UNINSURED, RECEIVING $20,693 IN DISCOUNTS. FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: THE BYLAWS WERE AMENDED IN AUGUST, 2017 TO INCLUDE THE FOLLOWING CHANGES: (1)THE EXECUTIVE DIRECTOR OF CHCCMO SHALL SERVE AS A NON-VOTING MEMBER OF THE BOARD OF DIRECTORS. (2)THE DUTIES OF BOARD MEMBERS WERE DEFINED TO INCLUDE: - ATTENDING AT LEAST 50% OF MEETINGS IN ANY 12 MONTH PERIOD - PARTICIPATING IN COMMITEES AS NEEDED - ADVOCATING FOR CHCCMO IN THE COMMUNITY - BEING AN ACTIVE PARTICIPANT WITH REGARD TO DECISIONS FACING CHCCMO AND THE PATIENTS THEY SERVE. FORM 990, PART VI, SECTION B, LINE 11B 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 FILING, THE FORM 990 IS FIRST REVIEWED BY TOP MANAGEMENT. ONCE MANAGEMENT IS CONFIDENT WITH THE RETURN, A FINAL DRAFT IS E-MAILED TO EACH BOARD MEMBER FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: THE CONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED ANNUALLY BY BOARD MEMBERS AND ADMINISTRATIVE TEAM MEMBERS. POLICY: CONFLICT OF INTEREST AVOIDANCE PROCEDURES HELP BOARD MEMBERS, CONSULTANTS, EMPLOYEES AND THOSE WHO PROVIDE SERVICES OR FURNISH GOODS TO THE COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI IDENTIFY SITUATIONS THAT ARE OR MAY BE A CONFLICT OF INTEREST OR THE APPEARANCE OF CONFLICT OF INTEREST. A. CONFLICT OF INTEREST DEFINED. THE FOLLOWING CIRCUMSTANCES SHALL BE DEEMED TO CREATE CONFLICTS OF INTEREST: 1. OUTSIDE INTERESTS. (I) A CONTRACT OR TRANSACTION BETWEEN COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI AND A RESPONSIBLE PERSON OR FAMILY MEMBER. (II) A CONTRACT OR TRANSACTION BETWEEN COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI AND AN ENTITY IN WHICH A RESPONSIBLE PERSON OR FAMILY MEMBER HAS A MATERIAL FINANCIAL INTEREST OR OF WHICH SUCH PERSON IS A DIRECTOR, OFFICER, AGENT, PARTNER, EMPLOYEE, ASSOCIATE, TRUSTEE, PERSONAL REPRESENTATIVE, RECEIVER, GUARDIAN, CUSTODIAN, CONSERVATOR, OR OTHER LEGAL REPRESENTATIVE. 2. OUTSIDE ACTIVITIES. (I) A RESPONSIBLE PERSON COMPETING WITH COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI IN THE RENDERING OF SERVICES OR ANY OTHER CONTRACT OR TRANSACTION WITH A THIRD PARTY. (II) A RESPONSIBLE PERSON'S HAVING A MATERIAL FINANCIAL INTEREST IN; OR SERVING AS A DIRECTOR, OFFICER, EMPLOYEE, AGENT, PARTNER, ASSOCIATE, TRUSTEE, PERSONAL REPRESENTATIVE, RECEIVER, GUARDIAN, CUSTODIAN, CONSERVATOR, OR OTHER LEGAL REPRESENTATIVE OF, OR CONSULTANT TO; AN ENTITY OR INDIVIDUAL THAT COMPETES WITH COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI IN THE PROVISION OF SERVICES OR IN ANY OTHER CONTRACT OR TRANSACTION WITH A THIRD PARTY. 3. GIFTS, GRATUITIES AND ENTERTAINMENT. A RESPONSIBLE PERSON ACCEPTING GIFTS, ENTERTAINMENT, OR OTHER FAVORS FROM ANY INDIVIDUAL OR ENTITY THAT: (I) DOES OR IS SEEKING TO DO BUSINESS WITH, OR IS A COMPETITOR OF COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI; OR (II) HAS RECEIVED, IS RECEIVING, OR IS SEEKING TO RECEIVE A LOAN OR GRANT, OR TO SECURE OTHER FINANCIAL COMMITMENTS FROM COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI; (III) IS A CHARITABLE ORGANIZATION; UNDER CIRCUMSTANCES WHERE IT MIGHT BE INFERRED THAT SUCH ACTION WAS INTENDED TO INFLUENCE OR POSSIBLY WOULD INFLUENCE THE RESPONSIBLE PERSON IN THE PERFORMANCE OF HIS OR HER DUTIES. THIS DOES NOT PRECLUDE THE ACCEPTANCE OF ITEMS OF NOMINAL OR INSIGNIFICANT VALUE OR ENTERTAINMENT OF NOMINAL OR INSIGNIFICANT VALUE THAT ARE NOT RELATED TO ANY PARTICULAR TRANSACTION OR ACTIVITY OF COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI. B. PROCEDURES 1. BOARD MEMBERSHIP. NO BOARD MEMBER MAY BE AN EMPLOYEE OF THE COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI OR IMMEDIATE FAMILY MEMBER OF AN EMPLOYEE. 2. BOARD PARTICIPATION. BEFORE BOARD OR COMMITTEE ACTION ON A CONTRACT OR TRANSACTION INVOLVING A CONFLICT OF INTEREST OR APPEARANCE OF A CONFLICT OF INTEREST, A DIRECTOR OR COMMITTEE MEMBER HAVING A CONFLICT OF INTEREST AND WHO IS IN ATTENDANCE AT THE MEETING SHALL DISCLOSE ALL FACTS MATERIAL TO THE CONFLICT OF INTEREST. SUCH DISCLOSURE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. 3. RESPONSIBLE PERSONS WHO ARE NOT MEMBERS OF THE BOARD OF DIRECTORS OF COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI, OR WHO HAVE A CONFLICT OF INTEREST WITH RESPECT TO A CONTRACT OR TRANSACTION THAT IS NOT THE SUBJECT OF BOARD OR COMMITTEE ACTION, SHALL DISCLOSE TO THE CHAIR OR THE CHAIR'S DESIGNEE ANY CONFLICT OF INTEREST THAT SUCH RESPONSIBLE PERSON HAS WITH RESPECT TO A CONTRACT OR TRANSACTION. SUCH DISCLOSURE SHALL BE MADE AS SOON AS THE CONFLICT OF INTEREST IS KNOWN TO THE RESPONSIBLE PERSON. THE RESPONSIBLE PERSON SHALL REFRAIN FROM ANY ACTION THAT MAY AFFECT COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI'S PARTICIPATION IN SUCH CONTRACT OR TRANSACTION. IN THE EVENT IT IS NOT ENTIRELY CLEAR THAT A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE CONFLICT SHALL DISCLOSE THE CIRCUMSTANCES TO THE BOARD PRESIDENT WHO SHALL DETERMINE WHETHER THERE EXISTS A CONFLICT OF INTEREST THAT IS SUBJECT TO THIS POLICY. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION REVIEW POLICY: IN FY 2018, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS CONDUCTED AN ANNUAL PERFORMANCE AND COMPENSATION REVIEW FOR THE CEO. MPCA SALARY DATA WAS USED AS COMPARABILITY DATA. THE BOARD'S DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE POLICY: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST FOR A LEGITIMATE BUSINESS PURPOSE (AS DETERMINED BY TOP MANAGEMENT). APPROVED DOCUMENTS WILL BE DISTRIBUTED VIA MAIL. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:3539606 FORM 990 PART IX LINE 11G DESCRIPTION:LABORATORY FEES TOTAL FEES:220440 FORM 990 PART IX LINE 11G DESCRIPTION:DATA PROCESSING FEES TOTAL FEES:207716 FORM 990 PART IX LINE 11G DESCRIPTION:UNIFORM SERVICE TOTAL FEES:9820