2018-04-10T15:32:47-05:00 2017-05-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2016-06-01 680545808 COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI % TOBY BARNETT COMM 5736322777 3400 WEST TRUMAN BLVD JEFFERSON CITY MO 65109 TOBY BARNETT CFO 2018-03-21 true Krystal K Creach P01248198 4178658701 167.68.126.162 43032920181005000145 2018-04-10 P 35B2FEF9FD89B74F90B63698513A1BB518488CA1 AE6E5E46D41BC60DF08B4BEE75B34EFCBA1C7A6F 2016 2021-01-29 14:40:06Z JEFF DAVIS 3400 WEST TRUMAN BLVD JEFFERSON CITY MO 65109 13266584 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 12 124 12 0 0 2689908 2982454 6968663 10245385 1054 3689 34082 35056 9693707 13266584 0 0 0 0 5593810 6290741 0 0 0 3419810 6132114 9013620 12422855 680087 843729 7225947 10877025 6076086 8883435 1149861 1993590 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 4639486 3422966 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 2017, THE MEDICAL PRACTICE HAD 19,247 VISITS OF WHICH 39% WERE MEDICAID AND 23% WERE UNINSURED, RECEIVING $492,437 IN DISCOUNTS. 5058395 6473805 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 2017, THE DENTAL PRACTICE HAD 28,023 VISITS OF WHICH 90% WERE MEDICAID AND 6% WERE UNINSURED, RECEIVING $230,674 IN DISCOUNTS. 550831 278406 THE MENTAL HEALTH PRACTICE HAD 2,708 VISITS OF WHICH 45% WERE MEDICAID AND 17% WERE UNINSURED, RECEIVING $49,244 IN DISCOUNTS. SEE SCHEDULE O FOR MORE INFORMATION. 17504 70208 10266216 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 124 true false false false false false false false false false false X 12 12 false false false false false false false true true false false true true true true true true true false false X TOBY BARNETT 5736320243 2730 W MAIN ST 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 JEFF DAVIS CHIEF EXECUTIVE OFFICER 40.0 0.0 X 139496 0 20253 TOBY BARNETT CHIEF FINANCIAL OFFICER 40.0 0.0 X 110378 0 15833 CRYSTAL SULLIVAN CHIEF CLINICAL OFFICER 40.0 0.0 X 245819 0 7631 RICHARD DAUGHERTY PHYSICIAN 40.0 0.0 X 166279 0 24081 NANCY HOWE PEDIATRICIAN 40.0 0.0 X 207330 0 12878 MEGAN KING PHYSICIAN 40.0 0.0 X 158695 0 10395 BRANDI NICHOLS OBSTETRICIAN 10.0 0.0 X 178493 0 5355 MISTY WILLIAMS DENTAL DIRECTOR 40.0 0.0 X 146792 0 27619 1353282 0 124045 14 false true false MAGICAL SMILES JEFFERSON CITY MO 65109 DENTAL PROVIDER 1026655 TRANSAMERICA FUNDS KANSAS CITY MO 64121 INVESTMENT FIRM 341855 COMPASS HEALTH CLINTON MO 64735 MENTAL HLTH PROVIDER 253935 LABCORP OF AMERICA HOLDINGS BURLINGTON NC 27216 CLINICAL LABORATORY 192426 NEXTGEN HEALTHCARE LOS ANGELES CA 90051 ELECTRONIC MEDICAL 180933 7 49000 2718329 215125 230442 2982454 Net Patient Service Revenue 624100 9915361 9915361 EHR INCENTIVE REVENUE 624100 110500 110500 MISCELLANEOUS INCOME 624100 219524 219524 10245385 3689 3689 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 GAIN ON INVESTMENT IN EQUITY INVESTEE 900099 35056 35056 35056 13266584 10245385 38745 X 0 0 0 0 539410 253450 285960 0 4736594 4080770 655824 131285 114026 17259 491870 429781 62089 391582 323800 67782 0 3025 3025 65037 65037 0 0 0 2186185 1916305 269880 18562 18562 1043970 642114 401856 109314 85124 24190 0 192011 149521 42490 40040 40040 0 50299 24153 26146 0 0 347172 266184 80988 15292 11022 4270 BAD DEBT 1200744 1200744 MEDICAL SUPPLIES & DRUGS 769222 769222 LICENSES, DUES, SUBSCRIPTIONS 74999 74999 RECRUITING & RETENTION 6659 6659 9583 9583 12422855 10266216 2156639 0 155446 160178 3337609 5481771 337298 312799 655086 984484 0 0 0 0 0 0 280837 284303 71237 92473 6199466 2826794 2286951 3372672 0 0 64489 89340 0 0 0 0 36994 99005 7225947 10877025 978639 1704190 0 0 2447 305 0 0 0 0 0 0 0 1353940 0 0 5095000 5825000 6076086 8883435 X 1002179 1947045 147682 46545 0 0 1149861 1993590 7225947 10877025 843729 X false true X true true true X 2248341 2576296 2308664 2689908 2982454 12805663 0 0 2248341 2576296 2308664 2689908 2982454 12805663 46916 12758747 466 569 491 1054 3689 6269 0 -5850 34082 35056 63288 12875220 37634985 0.99095 0.99040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 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. 667588 667588 1334851 827852 506999 450274 416464 33810 2166241 1480468 685773 1580512 102010 1478502 3372672 0 Due to Third Party Payers 5825000 5825000 12160008 -1049911 -1049911 13209919 56665 56665 13266584 11222111 11222111 1200744 1200744 12422855 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: $(1,200,744) BAD DEBT EXPENSE 150,833 NET ASSETS RELEASED FROM RESTRICTION ------------ $(1,049,911) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT ON LINE 1: $ 49,696 TEMPORARILY RESTRICTED CONTRIBUTIONS 6,969 GRANTS FOR ACQUISITION OF PROPERTY AND EQUIPMENT ------------ $ 56,665 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 1,200,744 BAD DEBT EXPENSE X X false false false false false false false false false JEFF DAVIS CHIEF EXECUTIVE OFFICER 128002 0 10000 0 1494 0 4665 0 15588 0 159749 0 0 0 CRYSTAL SULLIVAN CHIEF CLINICAL OFFICER 242825 0 0 0 2994 0 7631 0 0 0 253450 0 0 0 RICHARD DAUGHERTY PHYSICIAN 163525 0 0 0 2754 0 5429 0 18652 0 190360 0 0 0 NANCY HOWE PEDIATRICIAN 204817 0 0 0 2513 0 6784 0 6094 0 220208 0 0 0 MEGAN KING PHYSICIAN 156233 0 0 0 2462 0 5290 0 5105 0 169090 0 0 0 BRANDI NICHOLS OBSTETRICIAN 178493 0 0 0 0 0 5355 0 0 0 183848 0 0 0 MISTY WILLIAMS DENTAL DIRECTOR 131729 0 13465 0 1598 0 5081 0 22538 0 174411 0 0 0 X 1 230442 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 VOLUNTEERS 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 NON-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 338 VISITS OF WHICH 55% WERE MEDICAID AND 28% WERE UNINSURED, RECEIVING $12,751 IN DISCOUNTS. 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 2017, 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: 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 OTHER FEES FOR SERVICES: $1,824,698 CONTRACT SERVICES 234,890 LABORATORY FEES 117,961 DATA PROCESSING FEES 8,636 UNIFORM SERVICE ----------- $2,186,185