2021-05-14T15:04:21-05:00 2020-09-30 470677245 HBE LLP 7140 STEPHANIE LANE PO BOX 23110 LINCOLN NE 685423110 990 2019-10-01 470833378 MIDTOWN HEALTH CENTER MIDT 4023718000 302 W PHILLIP AVE NORFOLK NE 68701 KATHLEEN NORDBY CHIEF EXECUTIVE OFFICER 4023718000 2021-03-16 1 PATRICK A MEYER CPA CFE P00283870 4024234343 2021-03-16 2019 2022-09-23 18:48:47Z KATHLEEN NORDBY 302 W PHILLIP AVE NORFOLK NE 68701 8135336 0 X WWW.MIDTOWNHEALTHNE.ORG X 1999 NE PROVIDE MEDICAL, BEHAVIORAL, AND DENTAL SERVICES THAT ARE AFFORDABLE, ACCESSIBLE, AND PATIENT-FOCUSED. 14 14 140 0 0 0 3647059 4282830 3160017 3802428 16640 19189 30224 30759 6853940 8135206 0 0 0 0 4599323 5104545 0 0 64185 2066275 2360307 6665598 7464852 188342 670354 5599781 8258100 1611494 3599459 3988287 4658641 PROVIDE HIGH QUALITY MEDICAL, BEHAVIORAL, AND DENTAL SERVICES THAT ARE AFFORDABLE, ACCESSIBLE, AND PATIENT-FOCUSED. 0 0 5787482 3802428 MIDTOWN HEALTH CENTER IS A NON-PROFIT 501(C)(3) FEDERALLY QUALIFIED HEALTH CENTER (FQHC). MIDTOWN OFFERS MEDICAL, DENTAL, BEHAVIORAL HEALTH, AND ENABLING SERVICES TO INSURED, UNINSURED, AND UNDER-INSURED INDIVIDUALS. THE NUMBER OF INDIVIDUALS MIDTOWN SERVES CONTINUES TO GROW. IN 2020, WE SAW 7,030 INDIVIDUALS REPRESENTING A 1% DECREASE FROM 2019 FOR A TOTAL OF 21,327 ENCOUNTERS. 31.95% PERCENT OF OUR PATIENTS DID NOT HAVE INSURANCE, 33.38% WERE ENROLLED IN EITHER MEDICAID OR MEDICARE AS THEIR THIRD PARTY PAYOR, 30.47% OF THE PATIENTS HAD INCOME BELOW THE 100% POVERTY GUIDELINE WITH A FULL 65.4% OF OUR PATIENTS DECLARING THEMSELVES AND THEIR HOUSEHOLD TO BE AT OR BELOW 200% OF POVERTY. 5787482 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9 0 1 140 1 0 0 0 0 0 1 1 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 4023718000 302 W PHILLIP AVE NORFOLK NE 68701 BETTY FROEHLICH BOARD CHAIR 2.00 X X 0 0 0 ALAN EHLERS VICE CHAIR 2.00 X X 0 0 0 WILL PERRIGAN SECRETARY 2.00 X X 0 0 0 LANCE MORROW TREASURER 2.00 X X 0 0 0 GRETCHEN FORSELL PAST CHAIR 2.00 X 0 0 0 BRENDA JONES BOARD MEMBER 2.00 X 0 0 0 MARY LUHR BOARD MEMBER 2.00 X 0 0 0 SUSAN LUTZ BOARD MEMBER 2.00 X 0 0 0 JOE MTIKA BOARD MEMBER 2.00 X 0 0 0 PATRICIA SAMUELS BOARD MEMBER 2.00 X 0 0 0 ROBERT SMITH BOARD MEMBER 2.00 X 0 0 0 KAREN WEIDNER BOARD MEMBER 2.00 X 0 0 0 SUSAN WARNEKE BOARD MEMBER 2.00 X 0 0 0 KATRIN LIMONTA BOARD MEMBER 2.00 X 0 0 0 KATHLEEN NORDBY CHIEF EXECUTIVE OFFICER 40.00 X 119412 0 10396 MICHAEL DRAKE CHIEF FINANCIAL OFFICER 23.90 X 59025 0 2438 DR EMILY VUCHETICH PEDIATRICIAN 40.00 X 277897 0 27140 DR RAYMOND HELLER PHYSICIAN 40.00 X 221723 0 8918 DR DAVID SEGER DENTIST 40.00 X 175254 0 7050 DR RACHEL WADE DENTIST 40.00 X 132103 0 3188 DR STACY GIBREAL DENTIST 40.00 X 119776 0 5947 1105190 0 65077 6 0 1 0 0 3837560 445270 4282830 PATIENT REVENUE 621110 3634232 3634232 CONTRACT REVENUE 621110 168196 168196 3802428 19189 19189 23051 0 23051 23051 23051 7838 130 7708 7708 8135206 3802428 0 49948 228345 228345 4098558 3063325 992088 43145 155554 115340 38590 1624 323151 233316 86548 3287 298937 212246 83703 2988 5633 5633 25358 25358 612171 612171 76565 65080 7657 3828 249335 201032 42255 6048 129086 96815 30980 1291 13460 10770 2690 43478 40264 3214 66096 51204 14892 197436 148077 47385 1974 36337 35610 727 DENTAL, MEDICAL & PHARM 623742 623742 ASSOCIATION DUES 123742 113843 9899 REPAIRS AND MAINTENANCE 55092 47931 7161 LAB FEES 24182 24182 78594 67176 11418 7464852 5787482 1613185 64185 73968 3785418 1562995 190400 393197 525915 433723 529019 52 602 4151888 938799 3112125 3213089 23721 13657 5599781 8258100 382740 618822 126368 1951478 1102386 1029159 1611494 3599459 X 3988287 4658641 3988287 4658641 5599781 8258100 670354 0 X X 0 1 X 1 1 1 X 2970601 3294277 4679085 3647059 4282830 18873852 2970601 3294277 4679085 3647059 4282830 18873852 18873852 19269 27394 28120 16640 19189 110612 3500 5039 8539 18993003 7013228 0.99370 0.99290 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 93269 93269 3125360 433285 2692075 933259 505514 427745 3213089 X 8135336 0 8135336 -130 -130 8135206 7464982 130 130 7464852 0 7464852 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES. FOR THE YEAR ENDED SEPTEMBER 30, 2020, THE ORGANIZATION HAD NO TAX LIABILITY ON UNRELATED BUSINESS ACTIVITY. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -130. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 130. 1 X 0 0 0 0 0 0 0 0 0 DR EMILY VUCHETICH PEDIATRICIAN 199463 0 78434 0 0 0 11208 0 15932 0 305037 0 0 0 DR RAYMOND HELLER PHYSICIAN 220294 0 1429 0 0 0 8869 0 49 0 230641 0 0 0 DR DAVID SEGER DENTIST 173820 0 1434 0 0 0 7001 0 49 0 182304 0 0 0 PART I, LINE 3 THERE IS A STUDY TO COMPARE PAY FROM LIKE ORGANIZATIONS ACROSS THE NATION AND MIDWEST. WE ALSO INCLUDE CONSIDERATION OF THE LOCAL MARKET FOR OTHER HEALTH CARE OR HEALTH DELIVERY AGENCIES LOCALLY THAT WE COMPETE WITH FOR STAFF. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C A NEW CONFLICT OF INTEREST POLICY IS DISTRIBUTED AND SIGNED ANNUALLY BY BOARD MEMBERS. THE POLICY CLEARLY STATES THE BOARD MEMBERS RESPONSIBILITY TO DISCLOSE EXISTING KNOWN CONFLICTS AT THAT TIME AND DISCLOSE FUTURE CONFLICTS OR POTENTIAL/PERCEIVED CONFLICTS AT THE TIME ANY NEW SITUATION OR DECISION MAY WARRANT SUCH DISCLOSURE. FORM 990, PART VI, SECTION B, LINE 15 THERE IS A STUDY TO COMPARE PAY FROM LIKE ORGANIZATIONS ACROSS THE NATION AND MIDWEST. WE ALSO INCLUDE CONSIDERATION OF THE LOCAL MARKET FOR OTHER HEALTH CARE OR HEALTH DELIVERY AGENCIES LOCALLY THAT WE COMPETE WITH FOR STAFF. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.