2025-01-15T15:00:11+00:00 2024-02-29 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-03-01 421527584 COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC COMM 3197532300 1706 W AGENCY ROAD WEST BURLINGTON IA 52655 DIANE ROUSE CFO 2025-01-15 true Krystal Creach P01248198 4178658701 2025-01-15 2023 2024-10-15 13:58:12Z DIANE ROUSE 1706 W AGENCY ROAD WEST BURLINGTON IA 52655 28866758 false X CHCSEIA.COM X 2001 IA CHCSEIA PROVIDES COMPREHENSIVE HEALTH SERVICES, GENERAL DENTISTRY AND COMMUNITY HEALTH PROGRAMS, AND OTHER HEALTH CARE SERVICES TO RESIDENTS OF THE SE IOWA REGION. 11 11 239 11 0 0 5224635 5735533 23541852 22902508 202056 169259 191176 59458 29159719 28866758 7200 0 0 0 17857633 17138603 0 0 0 9404209 11725424 27269042 28864027 1890677 2731 27718942 31006238 4683373 7967938 23035569 23038300 TO PROVIDE PRIMARY HEALTH CARE TO RESIDENTS OF THE GREATER SE IOWA REGION, ESPECIALLY THOSE INDIVIDUALS/FAMILIES WITH LIMITED RESOURCES OR WITH OTHER BARRIERS TO HEALTH CARE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. false false 19086969 22902508 COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA PROVIDES SEVERAL HEALTH SERVICES TO THE COMMUNITY, INCLUDING: COMPREHENSIVE HEALTH SERVICES WITH A VARIETY OF PHYSICIAN SPECIALTIES, GENERAL DENTISTRY AND COMMUNITY HEALTH PROGRAMS INVOLVING ORAL HEALTH EDUCATION AND DENTAL SCREENING, FAMILY PLANNING, HEALTH SCREENINGS, IMMUNIZATIONS, CASE MANAGEMENT, AND PHARMACIES. DURING THE FISCAL YEAR, THE HEALTH CENTERS HAD APPROXIMATELY 19,930 DENTAL VISITS AND 55,770 MEDICAL VISITS (INCLUDES BEHAVIORAL HEALTH). 19086969 true true false true false false false false false true false false true true false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 41 0 true 239 true false false false false false false false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true true false X DIANE ROUSE 3197532300 1706 WEST AGENCY ROAD WEST BURLINGTON IA 52655 BILL STAATS VICE CHAIR 1.0 0.0 X X 0 0 0 CINDY SHARPE TREASURER 1.0 0.0 X X 0 0 0 JEFF STRAUSE CHAIRPERSON 1.0 0.0 X X 0 0 0 JULIE SCHILLING SECRETARY 1.0 0.0 X X 0 0 0 BARRY CORSON DIRECTOR 1.0 0.0 X 0 0 0 CHUCK GRIFFIN DIRECTOR 1.0 0.0 X 0 0 0 DAVE HADEN DIRECTOR 1.0 0.0 X 0 0 0 DAVID SELMON DIRECTOR 1.0 0.0 X 0 0 0 DAVID WHITAKER DIRECTOR 1.0 0.0 X 0 0 0 DELANEY RICHARDS DIRECTOR 1.0 0.0 X 0 0 0 JOANNA SCHNEDEN DIRECTOR END 01/24 1.0 0.0 X 0 0 0 SUE SORENSEN DIRECTOR 1.0 0.0 X 0 0 0 ANTONIO FLORES CEO 40.0 0.0 X 165435 0 21524 DIANE ROUSE CFO 40.0 0.0 X 164371 0 39920 LUCAS LEMBURG CHIEF DENTAL OFFICER 40.0 0.0 X 276314 0 43579 RHEA HARTLEY CHIEF MEDICAL OFFICER 40.0 0.0 X 345809 0 30256 CHRISTINA ANDERSON PHYSICIAN 40.0 0.0 X 243646 0 26652 ERIC BOYUM PSYCHIATRIST 40.0 0.0 X 306771 0 46682 MATTHEW WEIDMAN PEDIATRICIAN 40.0 0.0 X 337809 0 42167 PATRICK WILLIAMS PEDIATRICIAN 40.0 0.0 X 326555 0 40563 SARA RODEFFER DENTIST 40.0 0.0 X 182463 0 39394 2349173 0 330737 30 false true false ICON MEDICAL NETWORK 525 3RD ST SUITE 304 LAKE OSWEGO OR 97034 PEDIATRIC SERVICES 1223459 PAIN CENTERS OF IOWA 5515 UTICA RIDGE ROAD 600 DAVENPORT IA 52807 HEALTH SERVICES 297425 AMERICAN HEALTHCARE STAFFING ASSOCIATION 3051 WILLOWOOD ROAD EDMOND OK 73034 PEIDATRIC SERVICES 271293 FORVIS MAZARS LLP 910 E ST LOUIS ST SPRINGFIELD MO 65801 AUDIT & CONSULT SVCS 206306 NEXTGEN 1811 VON KARMAN AVE STE 800 IRVINE TX 92612 SOFTWARE SUPPORT 147487 7 5554388 181145 5735533 NET PATIENT SERVICE REVENUE 624100 22348541 22348541 INCENTIVE REVENUE 624100 498946 498946 OTHER REVENUE 624100 55021 55021 0 0 0 0 22902508 169259 169259 0 0 0 0 GAIN ON INV IN EQUITY INVESTEE 900099 59458 59458 0 0 0 0 59458 28866758 22902508 0 228717 X 1087208 695958 391250 12694917 7868591 4826326 507860 322449 185411 1907894 999880 908014 940724 577649 363075 240045 240045 4937714 4222779 714935 0 46193 46193 884993 294157 590836 728326 30174 698152 56205 16526 39679 68534 48955 19579 105937 5254 100683 711758 265400 446358 157923 55642 102281 MEDICAL SUPPLIES & DRUGS 3549863 3549863 LICENSES, DUES, SUBSCRIPTION 125966 33049 92917 RECRUITING & RETENTION 111967 100643 11324 0 0 0 0 28864027 19086969 9777058 0 1161821 447872 11196229 7584069 547767 440344 2848826 1847255 0 0 0 0 343668 219881 638817 690143 20706843 5937578 7840717 14769265 0 686515 745973 513364 447828 1941218 3813608 27718942 31006238 2099441 3874114 26236 0 0 0 1818044 3676974 143732 0 595920 416850 4683373 7967938 X 22403067 22030800 632502 1007500 23035569 23038300 27718942 31006238 2731 0 X false true X true true true X 3299706 5415566 4481022 5224635 5735533 24156462 0 0 3299706 5415566 4481022 5224635 5735533 24156462 0 24156462 28523 61533 101380 202056 169259 562751 0 0 0 0 0 0 0 24719213 104504560 0.9772 0.9819 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC), THE IOWA PRIMARY CARE ASSOCIATION (IAPCA), AND THE ILLINOIS PRIMARY HEALTHCARE ASSOCIATION (ILPHCA). A PORTION OF THESE DUES MAY BE USED FOR LOBBYING PURPOSES. 302163 302163 10322804 3193316 7129488 224028 223054 974 3067996 2513564 554432 6789852 7644 6782208 14769265 DUE FROM THIRD PARTY PAYERS 2843485 OTHER RECEIVABLES 553272 ROU ASSETS 34015 457(B) ASSETS 382836 3813608 457(B) PLAN PAYABLE 382836 ROU LEASE LIABILITY 34014 416850 28517522 25762 538001 563763 27953759 912999 912999 28866758 28889789 25762 0 25762 28864027 0 0 28864027 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 NET ASSETS RELEASED FROM RESTRICTION - 538001 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements CONTRIBUTIONS WITH DONOR RESTRICTIONS - 912999 X true true X X X false false false false false false false true false DIANE ROUSE CFO 149753 0 10000 0 4618 0 8691 0 31229 0 204291 0 0 0 ANTONIO FLORES CEO 160435 0 5000 0 0 0 8416 0 13108 0 186959 0 0 0 RHEA HARTLEY CHIEF MEDICAL OFFICER 311539 0 34270 0 0 0 17412 0 12844 0 376065 0 0 0 LUCAS LEMBURG CHIEF DENTAL OFFICER 205616 0 30880 0 39818 0 14156 0 29423 0 319893 0 0 0 PATRICK WILLIAMS PEDIATRICIAN 223431 0 64982 0 38142 0 16767 0 23796 0 367118 0 0 0 MATTHEW WEIDMAN PEDIATRICIAN 277149 0 49075 0 11585 0 8665 0 33502 0 379976 0 0 0 ERIC BOYUM PSYCHIATRIST 296771 0 10000 0 0 0 15789 0 30893 0 353453 0 0 0 SARA RODEFFER DENTIST 148433 0 34030 0 0 0 9552 0 29842 0 221857 0 0 0 CHRISTINA ANDERSON PHYSICIAN 243646 0 0 0 0 0 12380 0 14272 0 270298 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees THE ORGANIZATION OFFERS A WELLNESS PROGRAM TO ITS EMPLOYEES WHICH PROVIDES DIRECT REIMBURSEMENT OF UP TO $25 PER MONTH TOWARDS DOCUMENTED PARTICIPATION IN AN APPROVED HEALTH ACTIVITY. EMPLOYEES MUST SUBMIT PROOF OF PAYMENT FOR THE EMPLOYEE'S MEMBERSHIP FOR THE MONTH ALONG WITH PROOF OF ATTENDANCE OF AT LEAST THREE TIMES PER MONTH. Schedule J, Part I, Line 7 Non-fixed payments BONUS AMOUNTS PAID ARE BASED ON PRODUCTION LEVELS AND QUALITY MEASURES. Form 990, Part I, Line 6 VOLUNTEERS THE ORGANIZATION'S BOARD OF DIRECTORS IS A VOLUNTEER BOARD. Form 990, Part III, Line 1 ORGANIZATION'S MISSION CHCSEIA IS A FEDERALLY QUALIFIED HEALTH CENTER WHOSE MISSION IS TO PROVIDE AFFORDABLE, COMPREHENSIVE, CULTURALLY APPROPRIATE, COST EFFECTIVE HEALTH CARE TO RESIDENTS OF THE GREATER SOUTHEASTERN IOWA REGION IN ORDER TO IMPROVE THEIR OVERALL HEALTH STATUS. THE MAIN PURPOSES OF THE ORGANIZATION ARE THE FOLLOWING: -PROVIDE PRIMARY MEDICAL CARE, GENERAL DENTAL SERVICES, AND INTEGRATED BEHAVIORAL HEALTH SERVICES -CREATE NEW HEALTH CARE RESOURCES AND HEALTH CARE ARRANGEMENTS TO OFFER TO THE COMMUNITIES SERVED BY THE CORPORATION -EXPAND ACCESS TO HEALTH CARE TO THOSE INDIVIDUALS UNABLE TO OBTAIN ADEQUATE HEALTH CARE -REDUCE UNNECESSARY DUPLICATION OF SERVICES, TECHNOLOGY AND FACILITIES BY COORDINATING THE DELIVERY OF HEALTH CARE SERVICES ON A COST-EFFECTIVE BASIS -CARRY ON ANY EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO THE SICK AND INJURED OR THE PROMOTION OR HEALTH WHICH MAY BE JUSTIFIED BY THE FACILITIES, PERSONNEL, FUNDS OR OTHER REQUIREMENTS THAT ARE OR CAN BE MADE AVAILABLE -PROMOTE AND CARRY ON SPECIFIC RESEARCH RELATED TO THE CARE OF THE SICK AND INJURED INSOFAR AS SAID RESEARCH CAN BE CARRIED ON, OR IN CONNECTION WITH, THE FACILITIES AND PROGRAMS OPERATED BY THIS CORPORATION -TAKE AND HOLD BY BEQUEST, DEVISE, GIFT, GRANT, PURCHASE, LEASE OR OTHERWISE ANY PROPERTY, REAL, PERSONAL, TANGIBLE OR INTANGIBLE, OR ANY UNDIVIDED INTEREST THEREIN, WITHOUT LIMITATION AS TO AMOUNT OR VALUE -SELL, CONVEY OR TO OTHER DISPOSE OF ANY SAID PROPERTY AND INVEST, REINVEST, OR DEAL WITH THE PRINCIPAL OR THE INCOME THEREOF IN SAID MANNER AS, IN THE JUDGEMENT OF THE DIRECTORS OF THIS CORPORATION, WILL BEST PROMOTE THE PURPOSES OF THE CORPORATION WITHOUT LIMITATION, EXCEPT SUCH LIMITATIONS, IF ANY AS MAY BE CONTAINED IN THE INCORPORATION, THE BYLAWS OF THE CORPORATION, OR ANY OTHER LAWS THERETO APPLICABLE -RAISE GIFTS, BEQUESTS, DONATIONS, AND OTHER FUNDS FROM THE PUBLIC AND FROM ALL OTHER SOURCES AVAILABLE, RECEIVE AND MAINTAIN SUCH FUNDS AND EXPEND PRINCIPAL AND INCOME THERE FROM IN SUPPORT OF OR IN FURTHERANCE OF THE CHARITABLE PURPOSES OF THE CORPORATION Form 990, Part VI, Line 15a & 15B - COMPENSATION REVIEW ANNUALLY, PAY RANGES ARE REVIEWED AS PART OF THE BUDGETING PROCESS. COMPARABILITY DATA IS USED FROM FQHC SALARY SURVEY RESULTS FROM NACHC, IOWA PRIMARY CARE ASSOCIATION AND ILLINOIS PRIMARY CARE ASSOCIATION. IOWA WORKFORCE DEVELOPMENT SURVEY RESULTS FOR THE REGION ARE ALSO COMPARED. ANY PROPOSED CHANGES ARE TAKEN TO CHCSEIA'S PERSONNEL COMMITTEE, FINANCE COMMITTEE AND BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. Form 990, Part VI, Line 1a Delegate broad authority to a committee The executive committee consists of the 4 officers of the Board of Directors. The Executive Committee shall have all of the powers of the governing board when the governing board is not in session and shall generally perform such duties and exercise such powers as may be delegated by the governing board. Such actions shall be reported to and approved by the governing board at the next regularly scheduled board meeting. It is the duty of the Executive Committee to annually evaluate the performance of the Chief Executive Officer and report to the full board. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE FINANCE DEPARTMENT OF THE ORGANIZATION. PRIOR TO BEING FILED, THE RETURN IS REVIEWED BY THE ORGANIZATION'S CFO. IT IS THEN PROVIDED TO THE BOARD FOR REVIEW AND APPROVAL. Form 990, Part VI, Line 12c Conflict of interest policy A. GENERAL PRINCIPLES PROHIBITING CONFLICTS: NO EMPLOYEE, CONTRACTOR, AGENT, OFFICER OR MEMBER OF THE BOARD OF DIRECTORS OF CHC/SEIA WILL PARTICIPATE IN THE SELECTION, AWARD, OR ADMINISTRATION OF A CONTRACT OR GRANT (SUPPORTED BY FEDERAL FUNDS) IF A REAL OR APPARENT CONFLICT OF INTEREST WOULD BE INVOLVED. SUCH A CONFLICT WOULD ARISE WHEN THE EMPLOYEE, CONTRACTOR, AGENT, OFFICER OR BOARD MEMBER, OR ANY MEMBER OF HIS OR HER IMMEDIATE FAMILY, HIS OR HER PARTNER OR AN ORGANIZATION WHICH EMPLOYS OR IS ABOUT TO EMPLOY ANY OF THE PARTIES INDICATED HEREIN, HAS A FINANCIAL OR OTHER INTEREST IN THE FIRM SELECTED FOR THE CONTRACT OR AWARD. B. CONFLICTS OF INTEREST AND DISCLOSURE REQUIREMENTS: NO EMPLOYEE, CONTRACTOR, AGENT, OFFICER OR BOARD MEMBER WILL HAVE A DIRECT OR INDIRECT FINANCIAL INTEREST IN OR RECEIVE ANY COMPENSATION OR OTHER BENEFITS AS A RESULT OF TRANSACTIONS BETWEEN CHC/SEIA AND ANY INDIVIDUAL OR BUSINESS FIRM WITHOUT DISCLOSING THE CONFLICT OF INTEREST. NO EMPLOYEE, CONTRACTOR, AGENT, OFFICER, OR MEMBER OF THE BOARD OF DIRECTORS MAY PARTICIPATE IN THE SELECTION, AWARD, OR ADMINISTRATION OF A CONTRACT OR GRANT IN WHICH FEDERAL FUNDS ARE USED, IF THEY HAVE A FINANCIAL OR OTHER INTEREST IN THE FIRM SELECTED FOR THE CONTRACT OR AWARD WITHOUT DISCLOSING THE CONFLICT OF INTEREST. IF AN EMPLOYEE, CONTRACTOR, AGENT, OFFICER, OR MEMBER OF THE BOARD OF DIRECTORS BELIEVES THAT ONE OF THE AFOREMENTIONED CONFLICTS ACTUALLY OR POTENTIALLY EXISTS, HE OR SHE MUST IMMEDIATELY DISCLOSE THIS INFORMATION IN WRITING TO THE CEO. DISCLOSURES BY MEMBERS OF THE BOARD OF DIRECTORS MUST ALSO BE MADE TO THE CHAIR OF THE BOARD OF DIRECTORS (AND IF IT IS THE CEO OR THE CHAIR WHO HAS SUCH A FINANCIAL INTEREST, HE OR SHE MUST MAKE DISCLOSURE TO THE CHAIR OR VICE CHAIR, RESPECTIVELY). CHC/SEIA REQUIRES THAT ALL EMPLOYEES, CONTRACTORS, AGENTS, OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS AND CANDIDATES FOR BOARD MEMBERSHIP DISCLOSE IN WRITING (AND UPDATE AT LEAST ANNUALLY) AT OR AROUND THEIR JANUARY MEETING: - ALL BUSINESS AND FAMILY RELATIONSHIPS WHICH CREATE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, AND -WHERE APPLICABLE, PROVIDE A STATEMENT SUGGESTING HOW SUCH CONFLICT COULD BE AVOIDED OR MITIGATED. TO FACILITATE DISCLOSURE, CHC/SEIA REQUIRES EMPLOYEES, CONTRACTORS, AGENTS, OFFICERS AND BOARD MEMBERS TO COMPLETE A CHC/SEIA CONFLICT OF INTEREST FORM. COMPLETION OF THE FORM DOES NOT RELIEVE INDIVIDUALS OF THE OBLIGATION TO NOTIFY THE CEO OR BOARD CHAIR IF CHANGES OCCUR SINCE FILING OF THE FORM REGARDING A NEW CONFLICT OF INTEREST. NO MEMBER OF THE BOARD OF DIRECTORS MAY VOTE ON ANY MATTER WHICH MAY DIRECTLY OR INDIRECTLY RESULT IN FINANCIAL OR OTHER GAIN TO THAT MEMBER, OR WHICH MAY CONFLICT WITH THAT MEMBER'S OBLIGATIONS TO ANOTHER ORGANIZATION'S BOARD OF DIRECTORS OR TO HIS OR HER EMPLOYER. PROVIDED THAT THE MEMBER OF THE BOARD OF DIRECTORS HAS FIRST DISCLOSED A CONFLICT OR POTENTIAL CONFLICT, AND ABSTAINS FROM VOTING IN THAT REGARD, HE OR SHE MAY PARTICIPATE IN DISCUSSIONS RELATING TO THAT MATTER. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC EXCEPT IN CASES WHERE IT IS REQUIRED BY LAW. FINANCIAL STATEMENTS ARE ONLY RELEASED FOR ACTIVITIES THAT ARE DEEMED NECESSARY FOR BONA FIDE BUSINESS PURPOSES, SUCH AS LOANS, OR IN CASES WHERE IT IS REQUIRED BY LAW. Form 990, Part IX, Line 11g Other Fees CONTRACT SERVICES - Total Expense: 2029320, Program Service Expense: 1982844, Management and General Expenses: 46476, Fundraising Expenses: ; HIT EXPENSE - Total Expense: 1289984, Program Service Expense: 891164, Management and General Expenses: 398820, Fundraising Expenses: ; PROFESSIONAL FEES - Total Expense: 1247099, Program Service Expense: 1247099, Management and General Expenses: , Fundraising Expenses: ; OTHER CONTRACTUAL FEES - Total Expense: 272109, Program Service Expense: 61199, Management and General Expenses: 210910, Fundraising Expenses: ; INTERPRETOR SERVICES - Total Expense: 49702, Program Service Expense: 40473, Management and General Expenses: 9229, Fundraising Expenses: ; CONSULTING FEES - Total Expense: 49500, Program Service Expense: , Management and General Expenses: 49500, Fundraising Expenses: ;