2015-02-12T17:54:36-06:00 2014-03-31 208019714 JDS PROFESSIONAL GROUP 10303 E DRY CREEK RD STE 400 ENGLEWOOD CO 80112 990 2013-04-01 830326307 COMMUNITY HEALTH CENTER OF CENTRAL WYOMING COMM 3072336000 5000 BLACKMORE ROAD CASPER WY 82609 DANIEL MEYERS CEO 3072336000 2015-02-12 true LORI B BAUER CPA P01260252 3037710123 2015-02-12 2013 2016-02-25 16:41:14Z DANIEL MEYERS 5000 BLACKMORE RD CASPER WY 82609 11059576 false X WWW.CHCCW.ORG X 1999 WY TO MAINTAIN A HIGH QUALITY PATIENT CARE DELIVERY SYSTEM THAT PROVIDES ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES, REGARDLESS OF ABILITY TO PAY. IT IS THE DESIRE OF CHCCW TO TREAT ALL PATIENTS WITH THE DIGINITY AND RESPECT THEY DESERVE FROM PRE-NATAL CARE TO GERIATRIC CARE, COMPREHENSIVE SERVICES COVER ALL LIFE SPANS, MAKING THE CHCCW A TRUE HEALTHCARE HOME AS STEWARDS OF THE COMMUNITY, THE ORGANIZATION SEEKS TO UNDERSTAND, RESPOND TO, AND SERVE COMMUNITY NEEDS, OFFEREING ASSISTANCE TO THOSE WITH LIMITED OPTIONS AND REMOVING BARRIERS THAT PREVENT PEOPLE FROM ACCESSING CARE. THE VISION OF CHCCW IS FOR CENTRAL WYOMING TO BECOME THE HEALTHIEST REGION IN THE STATE. 13 13 156 21 0 7773885 2835074 7616517 8223363 1463 1139 0 15391865 11059576 0 0 6909349 7518561 0 76260 5024275 4494420 11933624 12012981 3458241 -953405 14570094 13587939 1321798 1293048 13248296 12294891 X TO MAINTAIN A HIGH QUALITY PATIENT CARE DELIVERY SYSTEM THAT PROVIDES ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES, REGARDLESS OF ABILITY TO PAY. IT IS THE DESIRE OF CHCCW TO TREAT ALL PATIENTS WITH THE DIGINITY AND RESPECT THEY DESERVE FROM PRE-NATAL CARE TO GERIATRIC CARE, COMPREHENSIVE SERVICES COVER ALL LIFE SPANS, MAKING THE CHCCW A TRUE HEALTHCARE HOME AS STEWARDS OF THE COMMUNITY, THE ORGANIZATION SEEKS TO UNDERSTAND, RESPOND TO, AND SERVE COMMUNITY NEEDS, OFFEREING ASSISTANCE TO THOSE WITH LIMITED OPTIONS AND REMOVING BARRIERS THAT PREVENT PEOPLE FROM ACCESSING CARE. THE VISION OF CHCCW IS FOR CENTRAL WYOMING TO BECOME THE HEALTHIEST REGION IN THE STATE. false false 6146094 6758386 MEDICAL FACILITY - THE ORGANIZATION PROVIDES LAB, MULTIPHASIC, PHARMACY, AND MEDICAL SERVICES TO PATIENTS. APPROXIMATELY 36,570 PATIENT VISITS WERE SEEN AT THE MEDICAL FACILITY DURING THE FISCAL YEAR. SERVICES INCLUDE FAMILY MEDICINE, GERIATRIC CARE, PEDIATRICS, INTERNAL MEDICINE AND OBSTETRICS, INPATIENT SERVICES AT WYOMING MEDICAL CENTER AND LONG-TERM CARE FACILITIES, FULL PHARMACY FOR PATIENTS, LABORATORY, X-RAYS, ULSTRASOUNDS, AND OTHER SCREENING AND DIAGNOSTIC TESTS, SUCH AS VISION AND HEARING, PATIENT HEALTH EDUCATION, PATIENT ASSISTANCE, PREVENTATIVE CARE, AND SPANISH TRANSLATION SERVICES. 1769482 1162257 DENTAL - THE ORGANIZATION'S DENTAL CLINIC OPERATES WITHIN SCOPE AND PROVIDED APPROXIMATELY 5,704 PATIENT VISITS DURING THE FISCAL YEAR. SERVICES INCLUDE DENTAL HYGIENE, GENERAL RESTORATIVE ORAL CARE (FILLINGS), GLOWNS, BRIDGES, ENDODONTIC (ROOT CANALS), EXODONTIA (EXTRACTIONS), PERIODONTAL SURGERY, PROSTHODONTICS (DENTURES, PARTIALS), MINI IMPLANTS FOR DENTURES, EMERGENCY DENTAL APPOINTMENTS, ORAL CANCER SCREENING, AND ELECTRONIC PATIENT RECORDS. 800628 302720 BEHAVIORAL HEALTH - THE ORGANIZATION'S BEHAVIORAL HEALTH DEPARTMENT OPERATES WITHIN SCOPE AND PROVIDED APPROXIMATELY 2,199 PATIENT VISITS DURING THE FISCAL YEAR. SERVICES INLCUDE PSYCHOLOGICAL EVALUATIONS AND TESTING, PERSONAL SKILLS TRAINING, MEDICATION MANAGEMENT, PSYCHOTHERAPY, SOCIAL INTERACTION GROUP THERAPY, BEHAVIORAL MODIFICATION TREATMENT FOR ATTENTION DEFICIT DISORDER, SPECIALIZED TREATMENT (POST TRAUMATIC STRESS DISORDER, PSYCHOLOGICAL TRAUMA AND ABUSE, AUTISM AND ASPERGURS SYNDROME, HEAD INJURIES), AND PSYCHOLOGICAL EVALUATIONS FOR CHRONIC PAIN MANAGEMENT. 8716204 true true false true 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 true false false false false false false true false false false false false false false false false false true 20 0 true 156 true false false false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true true false X THE ORGANIZATION 3072336000 5000 BLACKMORE RD CASPER WY 82609 DEB JOHNSON DIRECTOR 10.00 X 0 0 0 RORY FRANKLIN DIRECTOR 10.00 X 0 0 0 DOUG FOLLICK VICE-CHAIR 10.00 X X 0 0 0 MIKE GILMORE CHAIR 10.00 X X 0 0 0 SEAN ELLIS DDS SECRETARY 10.00 X X 0 0 0 KIM HOLLOWAY DIRECTOR 10.00 X 0 0 0 SUSAN KARAVITIS DIRECTOR 10.00 X 0 0 0 LESLI WRIGHT TREASURER 10.00 X X 0 0 0 DR JAMES FOWLER DIRECTOR 10.00 X 0 0 0 JEFF MURATORE DIRECTOR 10.00 X 0 0 0 JODY HALFERTY DIRECTOR 10.00 X 0 0 0 MOLLY LEVINE DIRECTOR 10.00 X 0 0 0 CRAIG ABEL DIRECTOR 10.00 X 0 0 0 SANDY BARTON DIRECTOR 10.00 X 0 0 0 EBBA STEDILLIE DIRECTOR 10.00 X 0 0 0 DR PATRICIA BELL CHIEF MED. O 40.00 X 187020 0 22172 LORI SAUNDERS COO/DIR. OF 40.00 X 71413 0 17509 DIAHANN BARRERA CFO 40.00 X 69883 0 10434 MARTIN THONE MS PHD CEO 40.00 X 52489 0 3156 DANIEL REINER CEO ENDING 1 40.00 X 44000 0 6350 ERIC NIEMEYER CFO 40.00 X 28324 0 559 DANIEL J MEYERS CEO 40.00 X 9579 0 574 DR PAUL HARNETTY PHYSICIAN 40.00 X 457969 0 32863 DR MICHAEL OWENS PHYSICIAN 40.00 X 217482 0 18396 DR RONNY SANTOSA PHYSICIAN 40.00 X 167326 0 10098 DR JUNGSOOK JOHNSON PHYSICIAN 40.00 X 149253 0 20308 DR CORY NAIMAN PHYSICIAN 40.00 X 116211 0 20217 1570949 162636 6 false true false PRIORITY MANAGEMENT GROUP INC 700 SCHOOL ST PAWTUCKET RI 02860 AR MGT 459121 EMISSARY MANAGEMENT LLC 901 N MARKET ST WILMINGTON DE 19801 PHARMACY MGMT 155648 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 65806 ACCOUNTING 105600 3 27449 2707627 99998 2835074 PATIENT SERVICE REVENUE 624100 8134528 8134528 OTHER REVENUE 624100 88835 88835 8223363 1139 1139 11059576 8223363 1139 X 488313 272276 216037 5561887 4656098 850789 55000 222361 156703 63754 1904 702890 499077 197928 5885 543110 380294 158505 4311 1325188 475546 849642 44524 1743 42781 85458 7377 78081 311071 112590 198481 48380 37128 11252 9717 9717 968276 791048 168344 8884 30046 24546 5224 276 MEDICAL SUPPLIES 1111898 1111898 OTHER 236566 18275 218291 EQUIPMENT R&M 235315 103223 132092 TRAINING & RECRUITMENT 44048 25848 18200 43933 32817 11116 12012981 8716204 3220517 76260 151918 10688 9067 565548 65164 128663 1035665 374572 149429 228762 45907 65852 15821746 3629066 13091770 12192680 21174 21174 14570094 13587939 958566 990227 11916 319273 279123 32043 23698 1321798 1293048 X 13205667 12243225 42629 51666 13248296 12294891 14570094 13587939 -953405 X false true X true true true X 2126591 1974381 9240080 7773885 2835074 23950011 2126591 1974381 9240080 7773885 2835074 23950011 23950011 10092 21439 6149 1463 1139 40282 23990293 31812549 0.99830 0.99720 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false SCHEDULE C, PART II-B, LINE 1 THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC). A PORTION OF THESE DUES MAY BE USED FOR LOBBYING PURPOSES. 1260084 1260084 9328964 874752 8454212 1925934 233126 1692808 3306764 2521188 785576 12192680 ESTIMATED SELF INSURANCE COSTS 23698 23698 X 11059576 11059576 11059576 12012981 12012981 12012981 SCHEDULE D, PAGE 3, PART X THE ORGANIZATION FOLLOWS ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES WHICH REQUIRES IT TO DETERMINE WHETHER A TAX POSITION (AND THE RELATED TAX BENEFIT) IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY, BASED SOLELY ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT TO BE RECOGNIZED IS MEASURED AS THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT, PRESUMING THAT THE TAX POSITION IS EXAMINED BY THE APPROPRIATE TAXING AUTHORITY THAT HAS FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. DURING THE YEARS ENDED MARCH 31, 2014 AND 2013, THE ORGANIZATION'S MANAGEMENT EVALUATED ITS TAX POSITIONS TO DETERMINE THE EXISTENCE OF UNCERTAINTIES, AND DID NOT NOTE ANY MATTERS THAT WOULD REQUIRE RECOGNITION OR WHICH MAY HAVE AN AFFECT ON ITS TAX-EXEMPT STATUS. X X X X X false false false false false false false true false DR PATRICIA BELL CHIEF MED. OFFICER 187020 9455 12717 209192 DR PAUL HARNETTY PHYSICIAN 457969 20146 12717 490832 DR MICHAEL OWENS PHYSICIAN 217482 12053 6343 235878 DR RONNY SANTOSA PHYSICIAN 167326 5231 4867 177424 DR JUNGSOOK JOHNSON PHYSICIAN 149253 9346 10962 169561 SCHEDULE J, PAGE 1, PART I, LINE 7 MEDICAL PROFESSIONALS RECEIVED PRODUCTIVITY BONUSES WHICH WERE BONUSES GIVEN TO PROVIDERS BASED ON PRODUCTION GOALS (ENCOUNTERS AND CHARGES) STIPULATED IN THEIR EMPLOYMENT CONTRACTS. JOHN BARRERA SPOUSE/D BARRER 12273 EMPLOYEE COMP false FORM 990 - ORGANIZATION'S MISSION TO MAINTAIN A HIGH QUALITY PATIENT CARE DELIVERY SYSTEM THAT PROVIDES ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES, REGARDLESS OF ABILITY TO PAY. IT IS THE DESIRE OF CHCCW TO TREAT ALL PATIENTS WITH THE DIGINITY AND RESPECT THEY DESERVE FROM PRE-NATAL CARE TO GERIATRIC CARE, COMPREHENSIVE SERVICES COVER ALL LIFE SPANS, MAKING THE CHCCW A TRUE HEALTHCARE HOME AS STEWARDS OF THE COMMUNITY, THE ORGANIZATION SEEKS TO UNDERSTAND, RESPOND TO, AND SERVE COMMUNITY NEEDS, OFFEREING ASSISTANCE TO THOSE WITH LIMITED OPTIONS AND REMOVING BARRIERS THAT PREVENT PEOPLE FROM ACCESSING CARE. THE VISION OF CHCCW IS FOR CENTRAL WYOMING TO BECOME THE HEALTHIEST REGION IN THE STATE. FORM 990, PAGE 6, PART VI, LINE 11B 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. THE CEO AND CFO REVIEW THE RETURN IN DETAIL WITH THE INDEPENDENT ACCOUNTING FIRM PREPARING THE FORM. UPON COMPLETION OF TOP MANANAGMENT'S REVIEW, A TENTATIVE FINAL DRAFT IS EMAILED/MAILED TO ALL BOARD MEMBERS FOR THEIR REVIEW. ANY QUESTIONS OR RECOMMENDED CHANGES ARE DIRECTED TO THE CFO AND CHANGED IF NECESSARY PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C THE BOARD OF DIRECTORS, THROUGH THE SENIOR MANAGEMENT IS ACCOUNTABLE FOR IMPLEMENTATION, ENFORCEMENT, MONITORING, OVERSIGHT, AND COMMUNICATION OF THE ORGANIZATIONS CONFLICT OF INTEREST POLICY. DEPARTMENTAL DIRECTORS AND SUPERVISORS ARE ACCOUNTABLE FOR IMPLEMENTATION, ENFORCEMENT, MONITORING, OVERSIGHT, AND COMMUNICATION OF THE CONFLICT OF INTEREST POLICY IN THEIR DEPARTMENTS. MEMBERS OF THE BOARD MUST NOT ENGAGE IN ANY ACTIVITIES OR RELATIONSHIPS WHICH MIGHT DIRECTLY OR INDIRECTLY RESULT IN A CONFLICT OF INTEREST, OR IMPAIR THEIR INDEPENDENCE OF JUDGMENT. THEY MUST NOT ACCEPT GIFTS, FAVORS OR BENEFITS THAT MIGHT TEND IN ANY WAY TO INFLUENCE THEM IN PERFORMANCE OF THEIR DUTIES AS TRUSTEES. IF A CONFLICT WAS TO ARISE, THE INTERESTED PERSON WOULD NOT PARTICIPATE IN DECISION MAKING RELATED TO THE CONFLICT. CORPORATE OFFICES AND KEY EMPLOYEES ARE ALSO REQUIRED TO ANNUALLY REVIEW POTENTIAL CONFLICTS OF INTEREST. FORM 990, PAGE 6, PART VI, LINE 15A (1) REVIEWED BY THE BOARD; (2) MARKET SALARY AND BENEFITS DATA ARE REVIEWED; (3) SEVERAL CANDIDATES ARE CONSIDERED BY EXTENSIVE INTERVIEWING AND (4) BACKGROUND CHECKS. FORM 990, PAGE 6, PART VI, LINE 15B (1) REVIEWED BY THE BOARD; (2) MARKET SALARY AND BENEFITS DATA ARE REVIEWED; (3) SEVERAL CANDIDATES ARE CONSIDERED BY EXTENSIVE INTERVIEWING AND (4) BACKGROUND CHECKS. FORM 990, PAGE 6, PART VI, LINE 19 UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES 475,546 666,481 0 PROFESSIONAL FEES 0 183,161 0