2011-02-28T16:32:42-06:00 2010-09-30 DINGUS ZARECOR & ASSOCIATES 12015 E MAIN STE A SPOKANE VALLEY WA 99206 990 2009-10-01 208341138 ADAMS COUNTY HEALTH CENTER INC ADAM 2082534242 PO BOX 428 COUNCIL ID 836120428 DENISE LANGSTON-GROVES 2082534242 2011-02-14 true TOM DINGUS 5092420874 2011-02-28 2009 2016-02-24 21:20:13Z DENISE LANGSTON-GROVES PO BOX 428 COUNCIL ID 836120428 1520921 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 29 0 709028 637559 785476 876464 7726 6673 2056 225 1504286 1520921 0 0 852340 984762 0 1948 364422 452309 1216762 1437071 287524 83850 707093 769967 114397 93421 592696 676546 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 1027885 876464 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, TELEPHARMACY, CASE MANAGEMENT SERVICES, AND X-RAY AND LABORATORY SERVICES. THE CENTER PROVIDED HEALTH SERVICES FOR 2,780 PATIENTS, PHYSICAL THERAPY SERVICES FOR 594 PATIENTS, DENTAL SERVICES FOR 1,405 PATIENTS AND MENTAL HEALTH SERVICES FOR 601 PATIENTS FOR THE YEAR ENDED SEPTEMBER 30, 2010. 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 59,490 FOR CHARITY CARE AND SLIDING FEE, 51,270 FOR MEDICARE, AND 48,158 FOR OTHER THIRD-PARTY PAYORS FOR THE YEAR ENDED SEPTEMEBER 30, 2010. THE HEALTH CENTER HAS NUMEROUS INDIVIDUALS ACCESSING SLIDING FEE DISCOUNTS FOR SERVICES RENDERED. CHARITY HEALTH CARE SERVICES WERE RENDERED TO A TOTAL OF 199 INDIVIDUALS, WITH INCOMES BELOW 200% OF FPL, WHO ACCESSED ONE OR MORE OF THE THREE FOLLOWING PROGRAMS: PROGRAM CHARITY SLIDING FEE DISCOUNT EXPENDED MEDICAL SERVICES 27,554 PHYSICAL THERAPY 486 DENTAL SERVICES 30,867 MENTAL HEALTH SERVICES 583 THE PROGRAMS HIGHLIGHTED ABOVE PROVIDED HEALTH CARE SERVICES TO UNINSURED INDIVIDUALS WHO MAY HAVE OTHERWISE NOT RECEIVED SUCH SERVICES DUE TO FINANCIAL BARRIERS. UNDER THE CAPITAL IMPROVEMENT PROGRAM, THE HEALTH CENTER PURCHASED DIGITAL RADIOLOGY SOFTWARE, EQUIPMENT, AND ELECTRONIC IMAGING STORAGE SOFTWARE. THIS CHANGE IN OPERATIONS EXPEDITED THE TURN AROUND TIME FOR RADIOLOGIST FORMAL REVIEW TO UNDER TWO HOURS AS COMPARED TO UP TO FIVE DAYS PRIOR TO THE NEW SOFTWARE AND EQUIPMENT. 1027885 true false false false false false false false false 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 3 0 true 29 true false false false false false false false false false 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 FRED GLEMSER 2.00 X 0 0 0 SHARON LEE 6.00 X X 0 0 0 DANA HARRY 10.00 X 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 0 0 0 SHIRLEY HALSEY 2.00 X X 0 0 0 JACK RUBELT 2.00 X 0 0 0 MENDY STANFORD 2.00 X 0 0 0 GENE FOSTER 2.00 X 0 0 0 DENISE LANGSTON-GROVES 40.00 X 75688 0 8260 DOUGLAS LINFORD 40.00 X 116535 0 12929 192223 21189 1 false false false 634123 3436 310 637559 PATIENT SERVICE REVENUE, NET 624100 876464 876464 876464 6673 6673 OTHER REVENUE 900099 225 225 225 1520921 876464 6898 86910 86910 718402 500592 217810 29179 19391 9788 75869 45740 30129 74402 45606 28796 158 158 19937 19937 131774 100544 31230 7162 6451 711 165953 151736 12269 1948 18276 15063 3213 13260 6894 6366 5330 3310 2020 830 790 40 54737 40202 14535 7909 947 6962 BAD DEBTS 18373 18373 OTHER EXPENSES 8610 2621 5989 INDIRECT COSTS ALLOCATED 69625 -69625 1437071 1027885 407238 1948 36086 887 315713 388004 4765 4030 50572 103362 8729 7087 935 8264 623236 365496 288849 257740 1444 593 707093 769967 83210 59181 18993 34240 12194 114397 93421 X 592696 676546 592696 676546 707093 769967 X false true true X true true X false false false false false false false false false false 186836 97016 89820 436400 268480 167920 257740 1520921 1437071 83850 83850 1520921 1520921 1520921 1437071 1437071 1437071 FIRST ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 59,490 FOR CHARITY CARE AND SLIDING FEE, 51,270 FOR MEDICARE, AND 48,158 FOR OTHER THIRD-PARTY PAYORS FOR THE YEAR ENDED SEPTEMEBER 30, 2010. THE HEALTH CENTER HAS NUMEROUS INDIVIDUALS ACCESSING SLIDING FEE DISCOUNTS FOR SERVICES RENDERED. CHARITY HEALTH CARE SERVICES WERE RENDERED TO A TOTAL OF 199 INDIVIDUALS, WITH INCOMES BELOW 200% OF FPL, WHO ACCESSED ONE OR MORE OF THE THREE FOLLOWING PROGRAMS: PROGRAM CHARITY SLIDING FEE DISCOUNT EXPENDED MEDICAL SERVICES 27,554 PHYSICAL THERAPY 486 DENTAL SERVICES 30,867 MENTAL HEALTH SERVICES 583 THE PROGRAMS HIGHLIGHTED ABOVE PROVIDED HEALTH CARE SERVICES TO UNINSURED INDIVIDUALS WHO MAY HAVE OTHERWISE NOT RECEIVED SUCH SERVICES DUE TO FINANCIAL BARRIERS. UNDER THE CAPITAL IMPROVEMENT PROGRAM, THE HEALTH CENTER PURCHASED DIGITAL RADIOLOGY SOFTWARE, EQUIPMENT, AND ELECTRONIC IMAGING STORAGE SOFTWARE. THIS CHANGE IN OPERATIONS EXPEDITED THE TURN AROUND TIME FOR RADIOLOGIST FORMAL REVIEW TO UNDER TWO HOURS AS COMPARED TO UP TO FIVE DAYS PRIOR TO THE NEW SOFTWARE AND EQUIPMENT. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11 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 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. ADDITIONAL INFORMATION SCHEDULE O FORM 990, PART X, LINE 10 - DESCRIPTION OF DEPRECIATION EXPENSE IT IS THE HEALTH CENTER'S POLICY TO CAPITALIZE PROPERTY AND EQUIPMENT WITH A BASIS GREATER THAN 5,000 AND AN ESTIMATED USEFUL LIFE OF ONE OR MORE YEARS, LESSER AMOUNTS ARE EXPENSED. THE CENTER'S CAPITAL ASSETS ARE STATED AT COST. CONTRIBUTED ITEMS ARE RECORDED AT FAIR VALUE AT THE DATE OF CONTRIBUTION. DEPRECIATION AND AMORTIZATION HAVE BEEN COMPUTED ON THE STRAIGHT-LINE METHOD OVER THE FOLLOWING ESTIMATED USEFUL SERVICE LIVES: LEASEHOLD IMPROVMENTS 15 TO 20 YEARS EQUIPMENT 3 TO 20 YEARS