2015-01-30T18:21:54-06:00 2014-09-30 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 992066130 990 2013-10-01 208341138 ADAMS COUNTY HEALTH CENTER INC ADAM 2082534242 PO BOX 428 COUNCIL ID 836120428 DENISE LANGSTON-GROVES EXECUTIVE DIRECTOR/CFO 2082534242 2015-01-22 true THOMAS DINGUS P00951009 5092420874 2015-01-30 2013 2016-02-25 16:41:14Z DENISE LANGSTON-GROVES PO BOX 428 COUNCIL ID 836120428 2098580 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 38 0 618732 776181 1229791 1311301 8200 9814 1535 1284 1858258 2098580 0 0 1120170 1346215 0 0 619246 569321 1739416 1915536 118842 183044 1358639 1565186 164785 188288 1193854 1376898 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 1253087 1311301 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 3,621 PATIENTS, PHYSICAL THERAPY SERVICES FOR 726 PATIENTS, DENTAL SERVICES FOR 1,851 PATIENTS AND MENTAL HEALTH SERVICES FOR 1,408 PATIENTS FOR THE YEAR ENDED SEPTEMBER 30, 2014. 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 110,074 FOR CHARITY CARE AND SLIDING FEE, 127,065 FOR MEDICARE, AND 110,075 FOR OTHER THIRD-PARTY PAYORS FOR THE YEAR ENDED SEPTEMEBER 30, 2014. THE HEALTH CENTER HAS NUMEROUS INDIVIDUALS ACCESSING SLIDING FEE DISCOUNTS FOR SERVICES RENDERED. A TOTAL OF 599 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 34,827 DENTAL SERVICES 71,367 MENTAL HEALTH SERVICES 1,889 THE PROGRAMS HIGHLIGHTED ABOVE PROVIDED HEALTH CARE SERVICES TO UNINSURED INDIVIDUALS WHO MAY HAVE OTHERWISE NOT RECEIVED SUCH SERVICES DUE TO FINANCIAL BARRIERS. 1253087 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 4 0 true 38 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 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 NELLO JENKINS TREASURER 6.00 X X 0 0 0 KEITH TRAPPETT TRUSTEE 2.00 X 0 0 0 DORIS CROSSLEY SECRETARY 2.00 X X 0 0 0 SHIRLEY HALSEY CHAIR 10.00 X X 0 0 0 JACK RUBELT TRUSTEE 2.00 X 0 0 0 MENDY STANFORD VICE CHAIR 6.00 X X 0 0 0 GENE FOSTER TRUSTEE 2.00 X 0 0 0 DENISE LANGSTON-GROVES EXECUTIVE DI 40.00 X 101978 0 9003 101978 9003 1 false false false 771072 5109 2904 776181 PATIENT SERVICE REVENUE, NET 624100 1311301 1311301 1311301 9814 9814 OTHER REVENUE 900099 1284 1284 1284 2098580 1311301 11098 118764 118764 980180 600433 379747 36355 20046 16309 119352 52341 67011 91564 51026 40538 25226 25226 132762 112807 19955 4189 1648 2541 183254 156876 26378 23999 18436 5563 23131 16439 6692 8173 4597 3576 5729 5099 630 114288 110219 4069 12085 12085 OTHER EXPENSES 36485 16047 20438 ALLOCATED INDIRECT COSTS 87073 -87073 1915536 1253087 662449 0 114741 232907 610256 808642 17299 3635 135478 104226 29895 30311 911791 526326 450970 385465 1358639 1565186 61613 84880 33434 103172 69974 164785 188288 X 1193854 1376898 1193854 1376898 1358639 1565186 183044 X false true X true true true X 351783 126144 225639 560008 400182 159826 385465 CAPITAL LEASE OBLIGATIONS 69974 69974 X 2098580 2098580 2098580 1915536 1915536 1915536 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, 2014 AND 2013, THE CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. FORM 990 IN OCTOBER 2011, ACHC WAS NOTIFIED THAT IT WAS SELECTED AS 1 OF 500 FQHC'S NATIONWIDE TO PARTICIPATE IN THE FQHC ADVANCED PRIMARY CARE PRACTICE (APCP) DEMONSTRATION BEING CONDUCTED BY THE CENTER FOR MEDICARE AND MEDICAID SERVICES. APCP'S/MEDICAL HOMES PROVIDE PATIENTS WITH COORDINATED HEALTH CARE DELIVERY, DEVELOP STRONG PHYSICIAN - PATIENT RELATIONSHIPS, ENCOURAGE COMMUNICATION, AND INCORPORATE ELECTRONIC SYSTEMS TO IMPROVED HEALTH OUTCOMES. THIS WAS A THREE YEAR DEMONSTRATION WHICH ENDED 9/30/2014 THE HEALTH CENTER SUCCESSFULLY IMPLEMENTED BOTH ELECTRONIC PRACTICE MANAGEMENT (EPM) AND ELECTRONIC HEALTH RECORD (EHR) SOFTWARE PROGRAMS DURING THE YEAR ENDED SEPTEMBER 30, 2012, AND 2013-2014 WAS THE FIRST FULL YEAR ADJUSTING TO EHR. ACHC HAS ACHEIVED LEVEL 2 PATIENT CENTERED MEDICAL HOME RECOGNITION STATUS BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE EFFECTIVE SEPTEMBER 22, 2014. THE HEALTH CENTER PROVIDES MEETING ROOM SPACE, FREE OF CHARGE, TO SOUTHWEST DISTRICT HEALTH DEPARTMENT'S WIC PROGRAM WHICH HOLDS CLINICS EVERY OTHER MONTH ON THE SECOND TUESDAY OF THE MONTH. ACHC HAS COLLABORATED WITH THE CRITICAL ACCESS HOSPITAL IN MCCALL, IDAHO FOR THE PAST TWO 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 GRANT APPLICATION IS APPROVED FOR A THIRD YEAR AND WILL AGAIN COLLABORATE WITH THEM ON THIS PROJECT IN 2015. ACHC ALSO COLLABORATED WITH THE CRITICAL ACCESS HOSPITAL IN MCCALL, IDAHO ON AN INNOVATION GRANT APPLICATION WHICH, IF AWARDED, WILL BE 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". THIS IS A FAIRLY NEW PROJECT AND THE ACTUAL PROJECT PLAN WILL LIKELY SEE FRUITION DURING THE FIRST QUARTER OF 2015. 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. FORM 990, PAGE 2, PART III, LINE 4A PAYORS FOR THE YEAR ENDED SEPTEMEBER 30, 2014. THE HEALTH CENTER HAS NUMEROUS INDIVIDUALS ACCESSING SLIDING FEE DISCOUNTS FOR SERVICES RENDERED. A TOTAL OF 599 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 34,827 DENTAL SERVICES 71,367 MENTAL HEALTH SERVICES 1,889 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.