2014-02-12T16:40:56-06:00 2013-09-30 DINGUS ZARECOR & ASSOCIATES 12015 E MAIN STE A SPOKANE VALLEY WA 99206 990 2012-10-01 208341138 ADAMS COUNTY HEALTH CENTER INC ADAM 2082534242 PO BOX 428 COUNCIL ID 836120428 DENISE LANGSTON-GROVES 2082534242 2014-02-05 true THOMAS DINGUS 5092420874 2014-02-12 2012 2015-11-30 17:44:51Z DENISE LANGSTON-GROVES PO BOX 428 COUNCIL ID 836120428 1858258 false X WWW.ADAMS-COUNTY-HEALTH-CENTER.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 37 0 671607 618732 1107856 1229791 8861 8200 2277 1535 1790601 1858258 0 0 1050541 1120170 0 0 548298 619246 1598839 1739416 191762 118842 1279431 1358639 204419 164785 1075012 1193854 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 1179840 1229791 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 3,731 PATIENTS, PHYSICAL THERAPY SERVICES FOR 687 PATIENTS, DENTAL SERVICES FOR 1,266 PATIENTS AND MENTAL HEALTH SERVICES FOR 1,701 PATIENTS FOR THE YEAR ENDED SEPTEMBER 30, 2013. 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 93,089 FOR CHARITY CARE AND SLIDING FEE, 94,882 FOR MEDICARE, AND 92,007 FOR OTHER THIRD-PARTY PAYORS FOR THE YEAR ENDED SEPTEMEBER 30, 2013. THE HEALTH CENTER HAS NUMEROUS INDIVIDUALS ACCESSING SLIDING FEE DISCOUNTS FOR SERVICES RENDERED. A TOTAL OF 625 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 27,713 PHYSICAL THERAPY 230 DENTAL SERVICES 59,022 MENTAL HEALTH SERVICES 785 THE PROGRAMS HIGHLIGHTED ABOVE PROVIDED HEALTH CARE SERVICES TO UNINSURED INDIVIDUALS WHO MAY HAVE OTHERWISE NOT RECEIVED SUCH SERVICES DUE TO FINANCIAL BARRIERS. 1179840 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 false true 6 0 true 37 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 2.00 X 0 0 0 SHARON LEE 2.00 X 0 0 0 DANA HARRY 2.00 X 0 0 0 NELLO JENKINS 6.00 X X 0 0 0 KEITH TRAPPETT 2.00 X 0 0 0 DORIS CROSSLEY 2.00 X X 0 0 0 SHIRLEY HALSEY 10.00 X X 0 0 0 JACK RUBELT 2.00 X 0 0 0 MENDY STANFORD 6.00 X X 0 0 0 GENE FOSTER 2.00 X 0 0 0 DENISE LANGSTON-GROVES 40.00 X 99557 0 8596 99557 8596 false false false 618172 560 360 618732 PATIENT SERVICE REVENUE, NET 624100 1229791 1229791 1229791 8200 8200 OTHER REVENUE 900099 1535 1535 1535 1858258 1229791 9735 115311 115311 839918 509851 330067 31609 17413 14196 50604 21910 28694 82728 43910 38818 24227 24227 167075 151779 15296 3798 2758 1040 194201 180484 13717 37180 18476 18704 25812 16544 9268 18755 15307 3448 7813 6978 835 103993 99618 4375 11434 699 10735 OTHER EXPENSES 24958 12892 12066 INDIRECT COSTS ALLOCATED 81221 -81221 1739416 1179840 559576 0 91720 114741 536084 610256 4673 17299 79480 135478 2930 39666 29895 1036588 585618 461128 450970 63750 1279431 1358639 52384 61613 152035 103172 204419 164785 X 1075012 1193854 1075012 1193854 1279431 1358639 118842 X false true X true true true X 387410 138498 248912 649178 447120 202058 450970 CAPITAL LEASE OBLIGATIONS 103172 103172 X 1858258 1858258 1858258 1739416 1739416 1739416 LIABILITY UNDER FIN 48 FOOTNOTE 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 EVALUTES 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, 2013 AND 2012, THE CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. ADDITIONAL INFORMATION 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. THE HEALTH CENTER SUCCESSFULLY IMPLEMENTED BOTH ELECTRONIC PRACTICE MANAGEMENT (EPM) AND ELECTRONIC HEALTH RECORD (EHR) SOFTWARE PROGRAMS DURING THE YEAR ENDED SEPTEMBER 30, 2012. 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. THE HEALTH CENTER'S LEADERSHIP WAS INSTRUMENTAL IN THE DEVELOPMENT OF COUNCIL'S "COMMUNITY HEALTH ADVOCACY TEAM" (CHAT). DURING 2013 CHAT HELD NINE CONSECUTIVE WEEKLY LIFE/HEALTH/PARENTING IMPROVEMENT CLASSES, WHICH WERE DUBBED "SAVE OUR SHIPS" (SOS), AT THE HEALTH CENTER. SOS CLASSES INCLUDED THE FOLLOWING SUBJECT MATTER: TIME MANAGEMENT; NUTRITION/GENERAL HEALTH; MEALS/SHOPPING/BUDGETS; FRUGAL LIVING; SELF RESCUE; DISCIPLINE; HEALTH AND HYGIENE; CRISIS MANAGEMENT; WHERE TO GO FROM HERE. THIS PROJECT WAS DONE IN CONJUNCTION WITH THE "WE CAN" PROGRAM WHERE THE HEALTH CENTER TEACHES CHILDREN ABOUT NUTRITION AND PHYSICAL ACTIVITY. FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 93,089 FOR CHARITY CARE AND SLIDING FEE, 94,882 FOR MEDICARE, AND 92,007 FOR OTHER THIRD-PARTY PAYORS FOR THE YEAR ENDED SEPTEMEBER 30, 2013. THE HEALTH CENTER HAS NUMEROUS INDIVIDUALS ACCESSING SLIDING FEE DISCOUNTS FOR SERVICES RENDERED. A TOTAL OF 625 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 27,713 PHYSICAL THERAPY 230 DENTAL SERVICES 59,022 MENTAL HEALTH SERVICES 785 THE PROGRAMS HIGHLIGHTED ABOVE PROVIDED HEALTH CARE SERVICES TO UNINSURED INDIVIDUALS WHO MAY HAVE OTHERWISE NOT RECEIVED SUCH SERVICES DUE TO FINANCIAL BARRIERS. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 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. ENFORCEMENT OF CONFLICTS POLICY 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. COMPENSATION PROCESS FOR TOP OFFICIAL 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 UNANIMOUS VOTE OF THE BOARD OF TRUSTEES AND ARE INCLUDED IN THE MINUTES OF THE MEETING AT WHICH THE ACTION IS TAKEN. COMPENSATION PROCESS FOR OFFICERS 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. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION 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.