2016-02-04T12:38:12-06:00 2015-09-30 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 992066130 990 2014-10-01 208341138 ADAMS COUNTY HEALTH CENTER INC ADAM 2082534242 PO BOX 428 COUNCIL ID 836120428 DENISE LANGSTON-GROVES EXECUTIVE DIRECTOR/CFO 2082534242 2016-02-04 true THOMAS DINGUS P00951009 5092420874 2016-02-04 2014 2016-04-25 22:37:26Z DENISE LANGSTON-GROVES PO BOX 428 COUNCIL ID 836120428 2334665 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 42 0 776181 990674 1311301 1334111 9814 8268 1284 1612 2098580 2334665 0 0 1346215 1474229 0 0 569321 669557 1915536 2143786 183044 190879 1565186 1711311 188288 143534 1376898 1567777 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 1477611 1334111 ADAMS COUNTY HEALTH CENTER (THE HEALTH CENTER) IS A FEDERALLY QUALIFIED HEALTH CENTER, WHICH PROVIDES PRIMARY AND PREVENTATIVE HEALTH AND DENTAL CARE, OBSTETRIC CARE, PSYCHOSOCIAL REHABILITATION SERVICES, COUNSELING SERVICES, TELEPHARMACY, AND X-RAY AND LABORATORY SERVICES. THE CENTER PROVIDED HEALTH SERVICES FOR 4,129 PATIENTS, PHYSICAL THERAPY SERVICES FOR 689 PATIENTS, DENTAL SERVICES FOR 2,051 PATIENTS AND MENTAL HEALTH SERVICES FOR 670 PATIENTS FOR THE YEAR ENDED SEPTEMBER 30, 2015. 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 121,908 FOR CHARITY CARE AND SLIDING FEE, 125,087 FOR MEDICARE, AND 146,770 FOR OTHER THIRD-PARTY PAYORS FOR THE YEAR ENDED SEPTEMEBER 30, 2015. THE HEALTH CENTER HAS NUMEROUS INDIVIDUALS ACCESSING SLIDING FEE DISCOUNTS FOR SERVICES RENDERED. A TOTAL OF 440 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 33,174 DENTAL SERVICES 85,289 MENTAL HEALTH SERVICES 123 THE PROGRAMS HIGHLIGHTED ABOVE PROVIDED HEALTH CARE SERVICES TO UNINSURED INDIVIDUALS WHO MAY HAVE OTHERWISE NOT RECEIVED SUCH SERVICES DUE TO FINANCIAL BARRIERS. 1477611 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 6 0 true 42 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 DENISE LANGSTON-GROVES 2082534242 PO BOX 428 COUNCIL ID 83612 SHIRLEY HALSEY CHAIR 10.00 X X 0 0 0 MENDY STANFORD VICE CHAIR 6.00 X X 0 0 0 DORIS CROSSLEY SECRETARY 2.00 X X 0 0 0 NELLO JENKINS TREASURER 6.00 X X 0 0 0 KARI DAWN IVESON TRUSTEE 2.00 X 0 0 0 SHARON LEE 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 TRUSTEE 2.00 X 0 0 0 DENISE LANGSTON-GROVES EXECUTIVE DI 40.00 X 103006 0 13579 DOUGLAS LINFORD PHYSICIAN 36.50 X 107824 0 14787 210830 28366 2 false false false 984320 6354 3412 990674 PATIENT SERVICE REVENUE, NET 624100 1334111 1334111 1334111 8268 8268 OTHER REVENUE 900099 1612 1612 1612 2334665 1334111 9880 118493 118493 1056795 682713 374082 44089 27541 16548 156365 74233 82132 98487 58759 39728 2898 2898 26080 26080 150781 126911 23870 3478 2424 1054 210683 194269 16414 43835 21876 21959 37624 28736 8888 15215 11774 3441 4398 4039 359 95064 92525 2539 11543 11543 DUES, FEES & LICENSES 56100 33594 22506 OTHER EXPENSES 11858 11173 685 ALLOCATED INDIRECT COSTS 107044 -107044 2143786 1477611 666175 0 232907 69845 808642 907826 3635 131158 104226 102853 30311 25612 1042807 568790 385465 474017 1565186 1711311 84880 105579 33434 69974 37955 188288 143534 X 1376898 1567777 1376898 1567777 1565186 1711311 190879 X false true X true true true X 22431 22431 57679 1202 56477 351783 149152 202631 580291 418436 161855 30623 30623 474017 CAPITAL LEASE OBLIGATIONS 37955 37955 X 2334665 2334665 2334665 2143786 2143786 2143786 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, 2015 AND 2014, THE CENTER HAD NO UNCERTAIN TAX POSITONS REQUIRING ACCRUAL. FORM 990 ACHC HAS ACHIEVED LEVEL 2 PATIENT CENTERED MEDICAL HOME RECOGNITION STATUS BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE EFFECTIVE SEPTEMBER 22, 2014. ACHC HAS COLLABORATED WITH THE CRITICAL ACCESS HOSPITAL IN MCCALL, IDAHO FOR THE PAST THREE YEARS IN A DENTAL GRANT PROJECT FUNDED THROUGH THE STATE OFFICE OF RURAL HEALTH, WHICH WE HAVE NAMED THE "BRIGHTER SMILES" GRANT. THE CRITICAL ACCESS HOSPITAL IS THE LEAD GRANT APPLICANT AND REFERS DENTAL PATIENTS WITH INCOME LEVELS BELOW 200% OF FEDERAL POVERTY LEVEL TO ACHC FOR CARE. EACH QUALIFIED INDIVIDUAL MAY RECEIVE UP TO 500 IN DENTAL CARE AT ACHC THROUGH THIS GRANT PROJECT. WE HAVE RECEIVED NOTICE THAT THE CRITICAL ACCESS HOSPITAL IS NOT ELIGIBLE FOR A FOURTH YEAR. ACHC ALSO COLLABORATED WITH THE CRITICAL ACCESS HOSPITAL IN MCCALL, IDAHO ON AN INNOVATION GRANT APPLICATION WHICH WAS AWARDED AND FUNDED THROUGH THE HRSA. THE CRITICAL ACCESS HOSPITAL IS THE LEAD GRANT APPLICANT ON THIS RURAL OUTPATIENT CARE COORDINATION COLLABORATIVE (ROCCC) PROJECT. IT IS RECOGNIZED 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 BEHAVIORIAL 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. ROCCC PROJECT IS INTENDED TO TARGET THESE POPULATIONS TO BROADEN THE CLINICAL IMPACT OF THE "HEALTH NEIGHBORHOOD". ACHC LEADERSHIP IS ALSO COLLABORATING WITH THE CRITICAL ACCESS HOSPITAL IN MCCALL, IDAHO ON A PROJECT CALLED "VALLEY ADAMS HEALTH IMPROVEMENT COALITION". THE TARGET POPULATIONS THAT THE COALITION HAS IDENTIFIED TO DATE ARE TOBACCO USE REDUCTION IN YOUTH, VIOLENCE AGAINST WOMEN INCLUDING SEXUAL VIOLENCE AND ABUSE, AND MENTAL HEALTH NEEDS. IN OCTOBER 2014, ACHC UPGRADED EXAMINATION ROOM TABLES AND THE TREATMENT ROOM TABLE, WHICH WAS MADE POSSIBLE WITH AN EXPANDED MEDICAL SERVICES GRANT FUNDED BY HRSA. THIS HRSA GRANT FUNDING ALSO ENABLED ACHC TO ADD A NURSE PRACTITIONER, REGISTERED NURSE, PATIENT CARE COORDINATOR, UPGRADE OUR MEDICAL EQUIPMENT AND INCREASE OUR HOURS OF OPERATION FOR THE PURPOSE OF INCREASING ACCESS TO HEALTH CARE OF THE COMMUNITY. IN MARCH 2015, ACHC UPGRADED DENTAL OPERATORY EQUIPMENT TO STATE OF THE ART, ERGONOMICALLY CORRECT EQUIPMENT FOR A MORE PATIENT FRIENDLY AND PROVIDER EFFICIENT EXPERIENCE. IN SEPTEMBER 2015, ACHC WAS AWARDED EXPANDED SERVICES GRANT FUNDING FROM HRSA. THIS GRANT FUNDING WILL ALLOW ACHC TO EXPAND SERVICES TO INCLUDE OPTOMETRY, GIVING LESS FORTUNATE PERSONS THE OPPORTUNITY TO ACCESS AFFORDABLE EYE CARE. THIS FUNDING WILL ENABLE ACHC TO ADD AN OPTOMETRIST, OPTOMETRIC ASSISTANT, PATIENT CARE COORDINATOR AND COMMUNITY HEALTH EDUCATION SPECIALIST DURING THE 2016 FISCAL YEAR. IN SEPTEMBER 2015, ACHC APPLIED TO PARTICIPATE IN THE STATEWIDE HEALTHCARE INNOVATION PLAN (SHIP) AND RECEIVED APPROVAL IN DECEMBER 2015. THE SHIP PILOT PROJECT WILL BEGIN IN JANUARY 2016. SHIP PILOT PROJECT IS AIMED AT PROMOTING AND SUPPORTING THE PATIENT CENTERED MEDICAL HOME (PCMH) MODEL, REDUCING THE COST OF CARE, AND INTEGRATING THE MEDICAL-HEALTH NEIGHBORHOOD. FORM 990, PAGE 2, PART III, LINE 4A PAYORS FOR THE YEAR ENDED SEPTEMEBER 30, 2015. THE HEALTH CENTER HAS NUMEROUS INDIVIDUALS ACCESSING SLIDING FEE DISCOUNTS FOR SERVICES RENDERED. A TOTAL OF 440 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 33,174 DENTAL SERVICES 85,289 MENTAL HEALTH SERVICES 123 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 CFO/EXECUTIVE DIRECTOR WHO REVIEWS 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 DIRECTOR 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 DIRECTOR 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 DIRECTOR AND/OR THE BOARD OF TRUSTEES SHALL INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE EXECUTIVE DIRECTOR 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 DIRECTOR 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 DIRECTOR/CFO'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 DIRECTOR/CFO IS THE ONLY OFFICER OR KEY EMPLOYEE. 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.