2019-02-05T15:20:45-06:00 2018-09-30 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2017-10-01 208341138 ADAMS COUNTY HEALTH CENTER INC ADAM 2082534242 PO BOX 428 COUNCIL ID 836120428 MARY ANN DOMECQ CFO 2082534242 2019-01-31 true LUKE ZARECOR P02161725 5092420874 2019-02-05 63.131.236.90 2019-02-05 15:20:45 CS P 2474EFBFE268E1323248D70D812BABF32F861C74 2474EFBFE268E1323248D70D812BABF32F861C74 2017 2019-02-21 02:37:17Z KIM SMITH PO BOX 428 COUNCIL ID 836120428 2978909 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 51 0 1270997 1312803 1342698 1637547 7518 7853 115041 20706 2736254 2978909 0 0 2035464 2111803 0 141 682770 834524 2718234 2946327 18020 32582 1717905 1783798 122567 155878 1595338 1627920 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 2178785 1637547 ADAMS COUNTY HEALTH CENTER (ACHC) IS A FEDERALLY QUALIFIED HEALTH CENTER PROVIDING PRIMARY AND PREVENTATIVE HEALTH, DENTAL, MENTAL HEALTH, VISION CARE, MEDICATION MANAGEMENT SERVICES, PHYSICAL THERAPY SERVICES, X-RAY AND LABORATORY SERVICES TO A TOTAL OF 2,235 UNDUPLICATED PATIENTS DURING THE PERIOD 10/1/2017 TO 9/30/2018. THERE WERE A TOTAL OF 4,584 ENCOUNTERS WITH MEDICAL PROVIDERS, 2,447 ENCOUNTERS WITH DENTAL PROVIDERS, 329 ENCOUNTERS FOR OPTOMETRY SERVICES AND 839 PHYSICAL THERAPY ENCOUNTERS FOR THE YEAR ENDED SEPTEMBER 30, 2018. ACHC ALSO PROVIDES TELEPHARMACY SERVICES WITH A TOTAL OF 8,487 PRESCRIPTIONS FILLED DURING FISCAL YEAR 2018. 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 106,848 FOR CHARITY CARE AND SLIDING FEE, 162,222 FOR MEDICARE AND 107,988 FOR OTHER THIRD-PARTY PAYORS FOR THE YEAR ENDED SEPTEMBER 30, 2018. THE HEALTH CENTER HAS NUMEROUS INDIVIDUALS ACCESSING HEALTH CARE WHO ARE AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINE. A TOTAL OF 474 PERSONS ENROLLED IN THE SLIDING FEE PROGRAM HAD ACCESS TO ONE OR MORE OF THE FOLLOWING PROGRAMS: PROGRAM CHARITY SLIDING FEE DISCOUNT MEDICAL SERVICES 41,287 (INCLUDES OPTOMETRY AND PT SERVICES) DENTAL SERVICES 65,561 THE PROGRAMS OFFERED AT ACHC PROVIDE HEALTH CARE SERVICES TO UNINSURED/UNDERINSURED INDIVIDUALS WHO MAY NOT HAVE OTHERWISE RECEIVED THESE SERVICES DUE TO FINANCIAL BARRIERS. 2178785 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 11 0 true 51 true 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 SHIRLEY HALSEY TRUSTEE 2.00 X 0 0 0 DORIS CROSSLEY CHAIR 10.00 X X 0 0 0 NELLO JENKINS TREASURER 6.00 X X 0 0 0 KARI DAWN IVESON SECRETARY 2.00 X X 0 0 0 LYNN MARQUARD VICE CHAIR 6.00 X 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 DEBBIE MAXWELL TRUSTEE 2.00 X 0 0 0 KIM SMITH CEO 40.00 X 88150 0 10488 MARY ANN DOMECQ CFO 40.00 X 85043 0 13101 MICHAEL HOLM DENTIST 36.00 X 119741 0 13558 KEVIN MCSWEENEY OPTOMETRIST 30.00 X 119207 0 14873 TAWNI PETERSON NURSE PRACTI 40.00 X 113728 0 14912 525869 66932 3 false false false 1311175 1628 327 1312803 PATIENT SERVICE REVENUE, NET 624100 1305654 1305654 TELEPHARMACY SERVICE REVENUE 621399 331893 331893 1637547 7853 7853 6000 6000 6000 6000 OTHER REVENUE 900099 14706 14706 14706 2978909 1637547 28559 190424 190424 1506990 1128245 378745 52660 40107 12553 225296 141565 83731 136433 93022 43411 27959 27959 242978 210992 31986 10313 6835 3478 304013 284579 19293 141 23115 18476 4639 25652 18278 7374 19853 15696 4157 441 100 341 84800 80041 4759 11529 766 10763 DUES, FEES, LICENSES & OT 83871 58008 25863 ALLOCATED INDIRECT COSTS 82075 -82075 2946327 2178785 767401 141 249714 204505 858627 987910 110505 120133 29373 37795 33170 36293 1149717 752555 436516 397162 1717905 1783798 122567 155878 122567 155878 X 1595338 1627920 1595338 1627920 1717905 1783798 32582 X false true X true true true X 22431 22431 57679 9854 47825 363343 215537 147806 706264 527164 179100 397162 X 2978909 2978909 2978909 2946327 2946327 2946327 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, 2018 AND 2017, THE CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. FORM 990 ACHC ACHIEVED LEVEL 3 PATIENT CENTERED MEDICAL HOME (PCMH) RECOGNITION STATUS BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) EFFECTIVE FEBRUARY 1, 2018. ACHC IS A MEMBER OF THE IDAHO PRIMARY CARE ASSOCIATION (IPCA), WHICH IS COMPRISED OF SIXTEEN IDAHO NONPROFIT COMMUNITY HEALTH CENTERS AND IS ONE OF FOUR MEMBERS TO HAVE ACHIEVED LEVEL 3 PCMH RECOGNITION. ACHC CONTINUES TO PARTICIPATE IN IDAHO'S STATEWIDE HEALTH INNOVATION PLAN (SHIP) WHICH IS AIMED AT PROMOTING THE PCMH MODEL WHILE REDUCING THE COST OF CARE AND INTEGRATING THE MEDICAL HEALTH NEIGHBORHOOD. ACHC CONTINUES TO PARTICIPATE IN THE IDAHO HEALTH DATA EXCHANGE (IHDE), THE TECHNICAL COMPONENT OF THE SHIP PROGRAM. IHDE IS THE HEALTH INFORMATION EXCHANGE (HIE) FOR IDAHO. HIE ENABLES DOCTORS, NURSES, LABS, AND OTHER MEDICAL PROVIDERS TO SECURELY ACCESS THEIR PATIENTS' ELECTRONIC HEALTH INFORMATION QUICKLY TO IMPROVE THE SPEED, QUALITY, SAFETY AND COST OF PATIENT CARE. IHDE IS AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR. ACHC STAFF IS DEDICATED TO IMPROVING PATIENT CARE AND SATISFACTION WITH THE SERVICES IT PROVIDES AND PARTICIPATES IN REGULAR QUALITY ASSURANCE/QUALITY IMPROVEMENT ACTIVITIES INCLUDING MONTHLY ON-SITE MEETINGS AND ONGOING TRAININGS CONSISTING OF MONTHLY TELEPHONE MEETINGS AND QUARTERLY IN-PERSON TRAININGS CONDUCTED BY THE IPCA. DURING FY 2018 ACHC USED QUALITY IMPROVEMENT FUNDS AWARDED BY HRSA TO PURCHASE AND IMPLEMENT EQUIPMENT THAT AUTOMATICALLY FEEDS CERTAIN LABORATORY RESULTS DIRECTLY INTO THE PATIENT CHARTS WHICH ELIMINATES THE POSSIBILITY OF HUMAN ERROR WHEN MANUALLY ENTERING LAB RESULTS. 2018 WAS THE SIXTH YEAR THAT ACHC HAS WORKED IN COLLABORATION WITH THE CRITICAL ACCESS HOSPITAL IN MCCALL, ID TO PROVIDE DENTAL SERVICES THROUGH THEIR "BRIGHTER SMILES" DENTAL GRANT PROJECT. NINETY-THREE INDIVIDUALS AT OR BELOW 200% OF FPL RECEIVED DENTAL CARE UNDER THE PROJECT. ACHC CONTINUES TO COLLABORATE WITH THE CRITICAL ACCESS HOSPITAL IN MCCALL, ID ON THE "VALLEY ADAMS HEALTH IMPROVEMENT COALITION" PROJECT. THE FOCUS OF THE PROJECT IS THE SUPPORT OF AREA YOUTH WITH THE MAIN FOCUS BEING YOUTH MENTAL HEALTH. YOUTH MENTAL HEALTH EDUCATION AND TRAININGS INCLUDE: SUICIDE PREVENTION, SUBSTANCE ABUSE PREVENTION OR REDUCTION, SEXUAL ABUSE AND VIOLENCE AGAINST MINORS, PARENTING SKILLS AND FOOD ACCESS/SUSTAINABILITY. 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. CARE COORDINATION BETWEEN ACHC AND OTHER PROVIDERS AND INSTITUTIONS 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. IN JULY 2018 ACHC SUBMITTED A FY2018 EXPANDING ACCESS TO QUALITY SUBSTANCE USE DISORDER AND MENTAL HEALTH SERVICES (SUD-MH) GRANT APPLICATION REQUESTING FUNDING TO EXPAND EXISTING SERVICES IN ITS SCOPE OF PROJECT. FORM 990, PAGE 2, PART III, LINE 4A PROVIDING CARE TO THESE PATIENTS WAS 106,848 FOR CHARITY CARE AND SLIDING FEE, 162,222 FOR MEDICARE AND 107,988 FOR OTHER THIRD-PARTY PAYORS FOR THE YEAR ENDED SEPTEMBER 30, 2018. THE HEALTH CENTER HAS NUMEROUS INDIVIDUALS ACCESSING HEALTH CARE WHO ARE AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINE. A TOTAL OF 474 PERSONS ENROLLED IN THE SLIDING FEE PROGRAM HAD ACCESS TO ONE OR MORE OF THE FOLLOWING PROGRAMS: PROGRAM CHARITY SLIDING FEE DISCOUNT MEDICAL SERVICES 41,287 (INCLUDES OPTOMETRY AND PT SERVICES) DENTAL SERVICES 65,561 THE PROGRAMS OFFERED AT ACHC PROVIDE HEALTH CARE SERVICES TO UNINSURED/UNDERINSURED INDIVIDUALS WHO MAY NOT HAVE OTHERWISE RECEIVED THESE SERVICES DUE TO FINANCIAL BARRIERS. 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 CEO 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.