2021-04-15T17:12:31-05:00 2020-05-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2019-06-01 680545808 COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI % TOBY BARNETT COMM 5736322777 1511 CHRISTY DRIVE JEFFERSON CITY MO 65109 TOBY BARNETT CFO 2021-03-20 true Krystal K Creach P00422601 4178658701 2019 2022-09-23 18:48:47Z CRYSTAL SULLIVAN 1511 CHRISTY DRIVE JEFFERSON CITY MO 65109 15582764 false X WWW.CHCCMO.ORG X 2003 MO TO PROVIDE MEDICAL, DENTAL AND MENTAL HEALTH SERVICES TO RESIDENTS OF COLE, OSAGE, MONITEAU AND CALLAWAY COUNTIES REGARDLESS OF ABILITY TO PAY. 12 12 139 13 0 0 3374946 3550141 12693504 11987566 -289477 30521 -30273 -4582 15748700 15563646 0 0 0 0 7491757 7740447 0 0 0 7940379 6810117 15432136 14550564 316564 1013082 18470353 21462187 14040616 16019368 4429737 5442819 TO PROVIDE IMPROVED ACCESS TO PRIMARY CARE, BEHAVIORAL HEALTHCARE AND ORAL HEALTH CARE SERVICES FOR MEDICALLY UNDERSERVED INDIVIDUALS IN CENTRAL MISSOURI REGARDLESS OF THEIR ABILITY TO PAY. OUR VISION IS EMBRACING PEOPLE AND INSPIRING HEALTH. false false 5874842 8583638 DENTAL- THE ORGANIZATION OFFERS A FULL RANGE OF PREVENTIVE, FUNCTIONAL, AND RESTORATIVE DENTAL CARE, INCLUDING: CLEANINGS, HYGIENE AND TISSUE MANAGEMENT, SEALANTS, CHECK-UPS AND X-RAYS, FILLINGS, EXTRACTIONS, ORAL CANCER SCREENING, HEALTHY GUM CARE, ROOT CANALS, CROWNS AND BRIDGES, AND FULL AND PARTIAL DENTURES. EMERGENCY DENTAL CARE IS ALSO AVAILABLE. DURING FISCAL YEAR 2020, THE DENTAL PRACTICE HAD 17,864 VISITS OF WHICH 85% WERE MEDICAID AND 8% WERE UNINSURED, RECEIVING $685,579 IN DISCOUNTS 4756456 3231850 MEDICAL- A WIDE-RANGE OF PRIMARY CARE SERVICES ARE PROVIDED BY A DEDICATED TEAM OF PHYSICIANS, FAMILY NURSE PRACTITIONERS, SOCIAL WORKERS, COMMUNITY HEALTH WORKERS, NURSES, AND SUPPORT STAFF INCLUDING: OBSTETRICAL CARE, PEDIATRIC CARE, FAMILY PRACTICE, OPTOMETRY AND DIETARY. DURING FISCAL YEAR 2020, THE MEDICAL PRACTICE HAD 18,878 VISITS OF WHICH 45% WERE MEDICAID AND 21% WERE UNINSURED, RECEIVING $887,212 IN DISCOUNTS. 172949 172078 MENTAL HEALTH -THE MENTAL HEALTH PRACTICE HAD 3,691 VISITS OF WHICH 33% WERE MEDICAID AND 21% WERE UNINSURED, RECEIVING $ 159,837 IN DISCOUNTS. 10804247 true true false true false false false false false false true false false false true false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 1 0 true 139 true false false false false false false false false false false false false X 12 12 false false false false false false false true true false false true true true true true true true false false X TOBY BARNETT 5736322777 1511 CHRISTY DRIVE JEFFERSON CITY MO 65109 X CRYSTAL SULLIVAN CEO 40.0 0.0 X 327569 0 15338 ANGELA BRECKENRIDGE PHYSICIAN 40.0 0.0 X 269281 0 14140 NANCY HOWE PHYSICIAN 40.0 0.0 X 259328 0 13551 RICHARD DAUGHERTY PHYSICIAN 40.0 0.0 X 201132 0 27098 MEGAN KING PHYSICIAN 40.0 0.0 X 203072 0 11603 BRANDI NICHOLS PHYSICIAN 40.0 0.0 X 208815 0 0 MOLLY TEGERDINE DENTAL DIRECTOR 40.0 0.0 X 172798 0 24616 TOBY BARNETT CFO 40.0 0.0 X 160667 0 20280 AMANDA GRELLNER PRESIDENT 1.0 0.0 X X 0 0 0 LINDA MCANAMY VICE PRESIDENT 1.0 0.0 X X 0 0 0 TOM NIEKAMP TREASURER 1.0 0.0 X X 0 0 0 CHRISTINE ELLINGER SECRETARY 1.0 0.0 X X 0 0 0 LINDA BICKEL MEMBER 1.0 0.0 X 0 0 0 LAWRENCE WANSING MEMBER ENDING 12/2019 1.0 0.0 X 0 0 0 BEV STAFFORD MEMBER 1.0 0.0 X 0 0 0 DEB HAMLER MEMBER 1.0 0.0 X 0 0 0 DARRELL KING MEMBER 1.0 0.0 X 0 0 0 KATHY DOTHAGE MEMBER 1.0 0.0 X 0 0 0 KRISTI CAMPBELL MEMBER 1.0 0.0 X 0 0 0 PAM MURRAY MEMBER 1.0 0.0 X 0 0 0 JACKIE COLEMAN MEMBER 1.0 0.0 X 0 0 0 1802662 0 126626 18 false true false MAGICAL SMILES 408 DIX RD JEFFERSON CITY MO 65109 CONTRACTED DENTAL 2770029 PATTERSON DENTAL 28244 NETWORK PLACE CHICAGO IL 60673 DENTAL SUPPLIER 362831 LABCORP PO BOX 12140 BURLINGTON NC 27216 LABORATORY SERVICES 280343 COMPASS HEALTH PO BOX 954259 ST LOUIS MO 63195 MENTAL HEALTH SERVIC 259147 NEXTGEN HEALTHCARE PO BOX 511449 LOS ANGELES CA 90051 EMR SOFTWARE SUB 204361 11 49000 3171218 329923 309892 3550141 Net Patient Service Revenue 624100 11163466 11163466 Miscellaneous Income 624100 824100 824100 11987566 49639 49639 0 0 2700 2700 0 2700 2700 19118 -19118 -19118 -19118 0 0 0 0 0 0 0 0 0 LOSS ON INVESTMENT IN EQUITY INVESTEE -7282 -7282 -7282 15563646 11987566 25939 X 0 0 0 0 721268 540321 180947 0 5898307 4128937 1769370 120149 83781 36368 544782 388055 156727 455941 321783 134158 0 2779 2779 121960 121960 0 0 0 3357568 2978607 378961 26359 12091 14268 643865 286276 357589 220506 101149 119357 0 147517 66767 80750 39550 18142 21408 0 67975 31181 36794 116317 116317 0 463765 355123 108642 77090 23439 53651 MEDICAL SUPPLIES & DRUGS 1464347 1464347 LICENSES, DUES, SUBSCRIPTIONS 53686 1165 52521 RECRUITING & RETENTION 5811 2666 3145 All other expenses 1022 417 605 14550564 10804247 3746317 0 205269 150099 11492081 14588705 55966 173074 1009186 595805 0 0 0 0 0 0 360800 326879 139739 106313 7229903 2106991 4846007 5122912 0 0 54157 46875 0 0 0 0 307148 351525 18470353 21462187 1606461 1286773 0 0 0 564545 0 0 0 0 0 0 2976582 3989242 0 0 9457573 10178808 14040616 16019368 X 4394317 5252823 35420 189996 4429737 5442819 18470353 21462187 1013082 X false true X true true true X 2689908 2982454 4380166 3374946 3550141 16977615 0 0 2689908 2982454 4380166 3374946 3550141 16977615 0 16977615 1054 3689 19248 39493 52339 115823 0 32082 35056 46434 -30273 -7282 76017 17169455 49021396 0.98883 0.99100 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 OTHER LOBBYING ACTIVITIES: DURING THE FISCAL YEAR, THE ORGANIZATION PAID DUES TO THE MISSOURI PRIMARY CARE ASSOCIATION. A PORTION OF DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES. THE ORGANIZATION IS INVESTED IN A PARTNERSHIP WITH OTHER COMMUNITY HEALTH CENTERS. THE PARTNERSHIP HAS ONE EMPLOYEE THAT MAY FROM TIME TO TIME LOBBY ON BEHALF OF THE COMMUNITY HEALTH CENTERS. 200000 200000 4041339 423998 3617341 448386 447626 760 2540178 1235367 1304811 5122912 0 Due to Third Party Payers 10178808 10178808 15218425 35420 35420 15183005 380641 380641 15563646 14569682 19118 19118 14550564 14550564 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 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $35,240 NET ASSETS RELEASED FROM RESTRICTIONS SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $(19,118) LOSS ON DISPOSAL OF ASSETS $189,996 CONTRIBUTIONS RECEIVED WITH DONOR RESTRICTIONS $209,763 GRANTS FOR ACQUISITION OF PROPERTY AND EQUIPMENT ------------- $380,641 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $19,118 LOSS ON DISPOSAL OF ASSETS X X false false false false false false false true false CRYSTAL SULLIVAN CEO 294569 0 33000 0 0 0 9827 0 5511 0 342907 0 TOBY BARNETT CFO 144667 0 16000 0 0 0 4820 0 15460 0 180947 0 ANGELA BRECKENRIDGE PHYSICIAN 269281 0 0 0 0 0 8078 0 6062 0 283421 0 NANCY HOWE PHYSICIAN 259328 0 0 0 0 0 7489 0 6062 0 272879 0 BRANDI NICHOLS PHYSICIAN 208815 0 0 0 0 0 0 0 0 0 208815 0 MEGAN KING PHYSICIAN 203072 0 0 0 0 0 6092 0 5511 0 214675 0 RICHARD DAUGHERTY PHYSICIAN 201132 0 0 0 0 0 5793 0 21305 0 228230 0 MOLLY TEGERDINE DENTAL DIRECTOR 142021 0 30777 0 0 0 5184 0 19432 0 197414 0 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: INCENTIVE COMPENSATION FOR THE CEO AND CFO IS BASED ON INDIVIDUAL CONTRACTS/AGREEMENTS. INCENTIVE AMOUNTS FOR OTHER INDIVIDUALS IS BASED ON PRODUCTION METRICS. X 1 309892 FMV false false false SCHEDULE M, PART I, COLUMN B NUMBER OF CONTRIBUTORS: THE ORGANIZATION RECEIVED VACCINES FROM A SINGLE DONOR. FORM 990, PART I, LINE 6 NUMBER OF VOLUNTEERS: THE TOTAL NUMBER OF VOLUNTEERS INCLUDES NON-COMPENSATED MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART III, LINE 4C PROGRAM SERVICES: FOR PATIENTS NEEDING BEHAVIORAL AND MENTAL HEALTH SERVICES, THE ORGANIZATION EMPLOYS A CLINICAL PSYCHOLOGIST AND A LICENSED CLINICAL SOCIAL WORKER AS WELL AS PARTNERS WITH PATHWAYS COMMUNITY BEHAVIORAL HEALTH CARE, A NOT-FOR-PROFIT COMMUNITY MENTAL HEALTH COMPANY. COMMITTED TO PROVIDING EXCEPTIONAL CARE FOR THE MIND, BODY, AND SPIRIT, COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI OFFERS HIGHLY TRAINED PROFESSIONALS TO PROVIDE BEHAVIORAL HEALTH AND ADDICTION SERVICES FOR INDIVIDUALS AND THEIR FAMILIES IN A CARING AND CONFIDENTIAL MANNER. THE ORGANIZATION KNOWS THAT MENTAL, EMOTIONAL AND BEHAVIORAL WELLNESS CONTRIBUTE TO PHYSICAL WELL BEING. THEREFORE, IT INTEGRATES BEHAVIORAL HEALTH SERVICES INTO ITS DISEASE MANAGEMENT AND PRIMARY/PREVENTATIVE CARE. THE ORGANIZATION'S PROFESSIONALS WORK TOGETHER TO PROVIDE TOOLS AND TREATMENTS INCLUDING: ASSESSMENT AND PRIVATE CONSULTATIONS, GROUP THERAPY SESSIONS, PHARMACOLOGICAL SUPPORT, FAMILY COUNSELING, AND OUTSIDE REFERRALS FOR MORE SPECIALIZED CARE. FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW PROCESS: 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. PRIOR TO FILING, THE FORM 990 IS FIRST REVIEWED BY TOP MANAGEMENT. ONCE MANAGEMENT IS CONFIDENT WITH THE RETURN, A FINAL DRAFT IS E-MAILED TO EACH BOARD MEMBER FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: THE CONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED ANNUALLY BY BOARD MEMBERS AND ADMINISTRATIVE TEAM MEMBERS. POLICY: CONFLICT OF INTEREST AVOIDANCE PROCEDURES HELP BOARD MEMBERS, CONSULTANTS, EMPLOYEES AND THOSE WHO PROVIDE SERVICES OR FURNISH GOODS TO THE COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI IDENTIFY SITUATIONS THAT ARE OR MAY BE A CONFLICT OF INTEREST OR THE APPEARANCE OF CONFLICT OF INTEREST. A. CONFLICT OF INTEREST DEFINED. THE FOLLOWING CIRCUMSTANCES SHALL BE DEEMED TO CREATE CONFLICTS OF INTEREST: 1. OUTSIDE INTERESTS. (I) A CONTRACT OR TRANSACTION BETWEEN COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI AND A RESPONSIBLE PERSON OR FAMILY MEMBER. (II) A CONTRACT OR TRANSACTION BETWEEN COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI AND AN ENTITY IN WHICH A RESPONSIBLE PERSON OR FAMILY MEMBER HAS A MATERIAL FINANCIAL INTEREST OR OF WHICH SUCH PERSON IS A DIRECTOR, OFFICER, AGENT, PARTNER, EMPLOYEE, ASSOCIATE, TRUSTEE, PERSONAL REPRESENTATIVE, RECEIVER, GUARDIAN, CUSTODIAN, CONSERVATOR, OR OTHER LEGAL REPRESENTATIVE. 2. OUTSIDE ACTIVITIES. (I) A RESPONSIBLE PERSON COMPETING WITH COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI IN THE RENDERING OF SERVICES OR ANY OTHER CONTRACT OR TRANSACTION WITH A THIRD PARTY. (II) A RESPONSIBLE PERSON'S HAVING A MATERIAL FINANCIAL INTEREST IN; OR SERVING AS A DIRECTOR, OFFICER, EMPLOYEE, AGENT, PARTNER, ASSOCIATE, TRUSTEE, PERSONAL REPRESENTATIVE, RECEIVER, GUARDIAN, CUSTODIAN, CONSERVATOR, OR OTHER LEGAL REPRESENTATIVE OF, OR CONSULTANT TO; AN ENTITY OR INDIVIDUAL THAT COMPETES WITH COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI IN THE PROVISION OF SERVICES OR IN ANY OTHER CONTRACT OR TRANSACTION WITH A THIRD PARTY. 3. GIFTS, GRATUITIES AND ENTERTAINMENT. A RESPONSIBLE PERSON ACCEPTING GIFTS, ENTERTAINMENT, OR OTHER FAVORS FROM ANY INDIVIDUAL OR ENTITY THAT: (I) DOES OR IS SEEKING TO DO BUSINESS WITH, OR IS A COMPETITOR OF COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI; OR (II) HAS RECEIVED, IS RECEIVING, OR IS SEEKING TO RECEIVE A LOAN OR GRANT, OR TO SECURE OTHER FINANCIAL COMMITMENTS FROM COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI; (III) IS A CHARITABLE ORGANIZATION; UNDER CIRCUMSTANCES WHERE IT MIGHT BE INFERRED THAT SUCH ACTION WAS INTENDED TO INFLUENCE OR POSSIBLY WOULD INFLUENCE THE RESPONSIBLE PERSON IN THE PERFORMANCE OF HIS OR HER DUTIES. THIS DOES NOT PRECLUDE THE ACCEPTANCE OF ITEMS OF NOMINAL OR INSIGNIFICANT VALUE OR ENTERTAINMENT OF NOMINAL OR INSIGNIFICANT VALUE THAT ARE NOT RELATED TO ANY PARTICULAR TRANSACTION OR ACTIVITY OF COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI. B. PROCEDURES 1. BOARD MEMBERSHIP. NO BOARD MEMBER MAY BE AN EMPLOYEE OF THE COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI OR IMMEDIATE FAMILY MEMBER OF AN EMPLOYEE. 2. BOARD PARTICIPATION. BEFORE BOARD OR COMMITTEE ACTION ON A CONTRACT OR TRANSACTION INVOLVING A CONFLICT OF INTEREST OR APPEARANCE OF A CONFLICT OF INTEREST, A DIRECTOR OR COMMITTEE MEMBER HAVING A CONFLICT OF INTEREST AND WHO IS IN ATTENDANCE AT THE MEETING SHALL DISCLOSE ALL FACTS MATERIAL TO THE CONFLICT OF INTEREST. SUCH DISCLOSURE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. 3. RESPONSIBLE PERSONS WHO ARE NOT MEMBERS OF THE BOARD OF DIRECTORS OF COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI, OR WHO HAVE A CONFLICT OF INTEREST WITH RESPECT TO A CONTRACT OR TRANSACTION THAT IS NOT THE SUBJECT OF BOARD OR COMMITTEE ACTION, SHALL DISCLOSE TO THE CHAIR OR THE CHAIR'S DESIGNEE ANY CONFLICT OF INTEREST THAT SUCH RESPONSIBLE PERSON HAS WITH RESPECT TO A CONTRACT OR TRANSACTION. SUCH DISCLOSURE SHALL BE MADE AS SOON AS THE CONFLICT OF INTEREST IS KNOWN TO THE RESPONSIBLE PERSON. THE RESPONSIBLE PERSON SHALL REFRAIN FROM ANY ACTION THAT MAY AFFECT COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI'S PARTICIPATION IN SUCH CONTRACT OR TRANSACTION. IN THE EVENT IT IS NOT ENTIRELY CLEAR THAT A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE CONFLICT SHALL DISCLOSE THE CIRCUMSTANCES TO THE BOARD PRESIDENT WHO SHALL DISCLOSE THE CIRCUMSTANCES TO THE BOARD PRESIDENT WHO SHALL DETERMINE WHETHER THERE EXISTS A CONFLICT OF INTEREST THAT IS SUBJECT TO THIS POLICY. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION REVIEW POLICY: IN FY 2020, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS CONDUCTED AN ANNUAL PERFORMANCE AND COMPENSATION REVIEW FOR THE CEO. MPCA SALARY DATA WAS USED AS COMPARABILITY DATA. THE BOARD'S DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE POLICY: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST FOR A LEGITIMATE BUSINESS PURPOSE (AS DETERMINED BY TOP MANAGEMENT). APPROVED DOCUMENTS WILL BE DISTRIBUTED VIA MAIL. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:3097808 FORM 990 PART IX LINE 11G DESCRIPTION:DATA PROCESSING TOTAL FEES:123844 FORM 990 PART IX LINE 11G DESCRIPTION:JANITORIAL SERVICES TOTAL FEES:118842 FORM 990 PART IX LINE 11G DESCRIPTION:UNIFORM SERVICES TOTAL FEES:17074