2017-02-09T14:21:29-07:00 2016-09-30 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 992066130 990 2015-10-01 208341138 ADAMS COUNTY HEALTH CENTER INC ADAM 2082534242 PO BOX 428 COUNCIL ID 836120428 KIM SMITH CEO (AS OF 5/2016) 2082534242 2017-02-07 true THOMAS DINGUS P00951009 5092420874 2017-02-09 2015 2021-01-29 14:40:06Z KIM SMITH PO BOX 428 COUNCIL ID 836120428 2583167 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. 10 10 51 0 990674 1334219 1334111 1236707 8268 3427 1612 4286 2334665 2578639 0 0 1474229 1946806 0 0 669557 622292 2143786 2569098 190879 9541 1711311 1714810 143534 137492 1567777 1577318 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 1800994 1236707 ADAMS COUNTY HEALTH CENTER (THE HEALTH CENTER) IS A FEDERALLY QUALIFIED HEALTH CENTER, WHICH PROVIDES PRIMARY AND PREVENTATIVE HEALTH AND DENTAL CARE, COUNSELING SERVICES, TELEPHARMACY, AND X-RAY AND LABORATORY SERVICES. THE CENTER PROVIDED HEALTH SERVICES FOR 4,088 PATIENTS, PHYSICAL THERAPY SERVICES FOR 782 PATIENTS, DENTAL SERVICES FOR 2,087 PATIENTS, OPHTHALMIC SERVICES FOR 264 PATIENTS, AND MENTAL HEALTH SERVICES FOR 488 PATIENTS FOR THE YEAR ENDED SEPTEMBER 30, 2016. THE HEALTH CENTER 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 95,878 FOR CHARITY CARE AND SLIDING FEE, 144,350 FOR MEDICARE, AND 126,272 FOR OTHER THIRD-PARTY PAYORS FOR THE YEAR ENDED SEPTEMEBER 30, 2016. THE HEALTH CENTER HAS NUMEROUS INDIVIDUALS ACCESSING SLIDING FEE DISCOUNTS FOR SERVICES RENDERED. A TOTAL OF 401 INDIVIDUALS HAD ACCESS TO THE SLIDING FEE PROGRAM, WITH INCOMES BELOW 200% OF FPL, WHO WERE ELGIBLE FOR ONE OR MORE OF THE THREE FOLLOWING PROGRAMS: PROGRAM CHARITY SLIDING FEE DISCOUNT EXPENDED MEDICAL SERVICES 31,132 DENTAL SERVICES 62,719 MENTAL HEALTH SERVICES 2,027 THE PROGRAMS HIGHLIGHTED ABOVE PROVIDED HEALTH CARE SERVICES TO UNINSURED INDIVIDUALS WHO MAY HAVE OTHERWISE NOT RECEIVED SUCH SERVICES DUE TO FINANCIAL BARRIERS. 1800994 true false false false false false false false false false true false false false true 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 5 0 true 51 true false false false false false false false false false false X 10 10 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 83612 SHIRLEY HALSEY TRUSTEE 2.00 X 0 0 0 MENDY STANFORD 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 TRUSTEE 2.00 X 0 0 0 DANA HARRY TRUSTEE 2.00 X 0 0 0 KEITH TRAPPETT TRUSTEE 2.00 X 0 0 0 JACK RUBELT TRUSTEE 2.00 X 0 0 0 GENE FOSTER VICE CHAIR 6.00 X X 0 0 0 DENISE LANGSTON-GROVES EXECUTIVE DI 40.00 X 100084 0 17550 MARY ANN DOMECQ CFO (AS OF 5 40.00 X 56178 0 15771 KIM SMITH CEO (AS OF 5 40.00 X 32073 0 9548 DOUGLAS LINFORD PHYSICIAN 36.50 X 113075 0 19675 301410 62544 2 false false false 1330661 3558 1893 1334219 PATIENT SERVICE REVENUE, NET 624100 1236707 1236707 1236707 7955 7955 3000 3000 3000 3000 4528 -4528 -4528 -4528 OTHER REVENUE 900099 1286 1286 1286 2578639 1236707 7713 166815 166815 1380556 984055 396501 55733 38425 17308 215734 125959 89775 127968 83399 44569 26807 26807 133341 104112 29229 4587 2856 1731 226521 195058 31463 32222 23420 8802 23315 15706 7609 14131 7924 6207 1800 1403 397 74485 68488 5997 8628 8628 DUES, FEES & LICENSES 38494 17846 20648 RECRUITMENT & RETENTION 35025 35025 OTHER EXPENSES 2936 127 2809 ALLOCATED INDIRECT COSTS 97191 -97191 2569098 1800994 768104 0 69845 224780 907826 885765 131158 102853 107476 25612 23333 1051079 584609 474017 466470 6986 1711311 1714810 105579 137203 37955 289 143534 137492 X 1567777 1577318 1567777 1577318 1711311 1714810 9541 X false true X true true true X 22431 22431 57679 4086 53593 351783 172160 179623 599598 408363 191235 19588 19588 466470 CAPITAL LEASE OBLIGATIONS 289 289 X 2578639 2578639 2578639 2569098 2569098 2569098 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 REASONBLY ESTIMABLE. AS OF SEPTEMBER 30, 2016 AND 2015, THE CENTER HAD NO UNCERTAIN TAX POSITONS REQUIRING ACCRUAL. FORM 990 ACHC ACHIEVED LEVEL 2 PATIENT CENTERED MEDICAL HOME (PCMH) RECOGNITION STATUS BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE EFFECTIVE SEPTEMBER 22, 2014. WE CONTINUE TO WORK TOWARD LEVEL 3 RECOGNITION BY PARTICIPATING IN IDAHO'S STATEWIDE HEALTHCARE INNOVATION PLAN (SHIP) WHICH IS AIMED AT PROMOTING THE PCMH MODEL WHILE REDUCING THE COST OF CARE AND INTEGRATING THE MEDICAL-HEALTH NEIGHBORHOOD AND BY WORKING WITH BOTH FEDERAL AND STATE LEVEL PCMH COACHES. STAFF PARTICIPATED IN FACE-TO-FACE MEETINGS, MONTHLY ASSISTANCE CALLS AND WEBINARS THROUGHOUT THE YEAR. WE PLAN TO SUBMIT FOR LEVEL 3 PCMH RECOGNITION STATUS IN SEPTEMBER 2017. THE TECHNICAL COMPONENT OF THE SHIP PROGRAM IS THE IDAHO HEALTH DATA EXCHANGE (IHDE) PROGRAM. THE PURPOSE OF IHDE IS TO FACILITATE ACCESS TO KEY CLINICAL INFORMATION BETWEEN HEALTHCARE PROVIDERS AND HOSPITALS. ACHC SUCCESSFULLY TRANSMITTED TEST PATIENT DATA TO THE IHDE BEGINNING IN NOVEMBER 2016. ACHC WENT "LIVE" WITH IHDE AT THE END OF DECEMBER 2016. ACHC HAS WORKED IN COLLABORATION WITH THE CRITICAL ACCESS HOSPITAL IN MCCALL, IDAHO FOR THE PAST FOUR YEARS IN A DENTAL GRANT PROJECT WHICH HAS BEEN NAMED THE "BRIGHTER SMILES" GRANT. FOR THIS FUNDING CYCLE THE CRITICAL ACCESS HOSPITAL REFERRED PATIENTS WITH INCOME LEVELS BELOW 150% OF THE FEDERAL POVERTY LEVEL TO ACHC FOR CARE. EACH QUALIFIED INDIVIDUAL COULD RECEIVE UP TO 500 IN DENTAL CARE AT ACHC THROUGH THIS GRANT PROJECT. ACHC CONTINUES TO COLLABORATE WITH THE CRITICAL ACCESS HOSPITAL IN MCCALL, ID ON THE "VALLEY ADAMS HEALTH IMPROVEMENT COALITION" PROJECT. IN ADDITION TO THE TARGET AREAS FROM LAST YEAR (TOBACCO USE REDUCTION IN YOUTH, VIOLENCE- INCLUDING SEXUAL VIOLENCE AND ABUSE- AGAINST WOMEN, AND MENTAL HEALTH NEEDS) TWO MORE TARGET AREAS HAVE BEEN IDENTIFIED: EXERCISE (WALK- ABILITY) AND ACCESS TO FOOD/FOOD DISTRIBUTION PROGRAMS. AS PART OF THE RURAL OUTPATIENT CARE COORDINATION COLLABORATIVE (ROCCC) PROJECT WHICH IS FUNDED BY A GRANT AWARD THROUGH THE HRSA, ACHC WORKS CLOSELY WITH THE ST. LUKE'S HEALTHCARE SYSTEM TO COORDINATE CARE FOR ITS PATIENTS WHO ARE DISCHARGED FROM ANY OF THE ST. LUKE'S HOSPITAL FACILITIES. A ST. LUKE'S CARE COORDINATOR CONTACTS ACHC'S CARE COORDINATOR WHEN ANY ACHC PATIENT IS DISCHARGED FROM ONE OF THE ST. LUKE'S FACILITIES SO THAT ACHC CAN FOLLOW UP WITH THAT PATIENT TO ENSURE THAT THEY RECEIVE THE CARE AND SUPPORT THAT THEY NEED DURING THEIR CONVALESCENCE. THE ROCCC RECOGNIZES THAT PATIENTS ARE SHARED BETWEEN PROVIDERS AND CLINIC LOCATIONS AND THAT COMPLEX PATIENTS, SPECIFICALLY THOSE WITH CHRONIC CONDITIONS LIKE DIABETES, CARDIAC DISEASE, PULMONARY CONDITIONS, AND COMORBID BEHAVIORAL HEALTH ISSUES ARE DIFFICULT TO EFFECTIVELY MANAGE AND TRANSITION TO APPROPRIATE LEVELS OF CARE. THESE CHRONIC CONDITIONS ARE HIGHLY PREVALENT, ASSOCIATED WITH HIGH MORBIDITY, AND HAVE A HIGH COST BURDEN FOR BOTH PATIENTS AND THE NATION. THE ROCCC PROJECT IS INTENDED TO TARGET THESE POPULATIONS TO BROADEN THE CLINICAL IMPACT OF THE "HEALTH NEIGHBORHOOD". IN SEPTEMBER 2015 ACHC WAS AWARDED EXPANDED SERVICES GRANT FUNDING FROM HRSA. THIS GRANT FUNDING ALLOWED ACHC TO EXPAND SERVICES TO INCLUDE OPTOMETRY WHICH HAS GIVEN OUR PATIENT POPULATION ACCESS TO AFFORDABLE, QUALITY EYE CARE. OPTOMETRIC EQUIPMENT AND SUPPLIES WERE PURCHASED AND INSTALLED AND THE DEPARTMENT BEGAN OPERATIONS IN EARLY JANUARY 2016. THIS FUNDING ALLOWED ACHC TO ADD AN OPTOMETRIST, OPTOMETRIC ASSISTANT, PATIENT CARE COORDINATOR AND COMMUNITY HEALTH EDUCATION SPECIALIST DURING THE 2016 FISCAL YEAR. IN SEPTEMBER 2016 ACHC WAS AWARDED DELIVERY SYSTEM HEALTH INFORMATION INVESTMENT (DSHII) SUPPLEMENTAL FUNDING IN THE AMOUNT OF 46,869. THESE FUNDS HAVE BEEN USED TO PURCHASE A BACK-UP SERVER FOR THE SELF-HOSTED E.H.R.; PURCHASE AN E.H.R. INTERFACE, BASE SOFTWARE LICENSE W/C.D.I. AND SOFTWARE FOR INSTALLATION, TRAINING AND MAINTENANCE IN ORDER TO UPGRADE AND EXPAND INFORMATION TECHNOLOGY SYSTEMS TO SUPPORT AND SUSTAIN ACHC'S CONTINUED GROWTH TO MEET OUR PATIENTS' NEEDS. FORM 990, PAGE 2, PART III, LINE 4A SEPTEMEBER 30, 2016. THE HEALTH CENTER HAS NUMEROUS INDIVIDUALS ACCESSING SLIDING FEE DISCOUNTS FOR SERVICES RENDERED. A TOTAL OF 401 INDIVIDUALS HAD ACCESS TO THE SLIDING FEE PROGRAM, WITH INCOMES BELOW 200% OF FPL, WHO WERE ELGIBLE FOR ONE OR MORE OF THE THREE FOLLOWING PROGRAMS: PROGRAM CHARITY SLIDING FEE DISCOUNT EXPENDED MEDICAL SERVICES 31,132 DENTAL SERVICES 62,719 MENTAL HEALTH SERVICES 2,027 THE PROGRAMS HIGHLIGHTED ABOVE PROVIDED HEALTH CARE SERVICES TO UNINSURED INDIVIDUALS WHO MAY HAVE OTHERWISE NOT RECEIVED SUCH 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 DIRECTORS WHO THEN APPROVE THE 990. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CFO 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. IN CONFORMITY WITH THE ABOVE DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IT SHALL BE CONCLUDED. 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.