2018-02-20T16:28:49-06:00 2017-09-30 201430448 McMill CPA PC PO Box 1264 Norfolk NE 68702 990 2016-10-01 470833378 Midtown Health Center MIDT 4023718000 302 W Phillip Ave Norfolk NE 68701 Kathleen Nordby Executive Director 4023718000 2018-01-16 1 Danny Fuerhoff CPA P00026845 4023711160 63.224.175.75 2018-01-16 11:25:02 CS P F2A4BFBF0A55D5B0A3EA1D7214BB0105FBBEEA02 9E79A75B65331890E69AB4C208A32DEF8EDD0E2B 2016 2021-01-29 14:40:06Z Kathleen Nordby 302 W Phillip Ave Norfolk NE 68701 6588952 0 X N/A X 1999 NE Provide medical, behavioral and dental services that are affordable, accessible and patient focused. 14 14 94 0 0 0 2970601 3294277 2224686 3263781 1669 5077 17600 25817 5214556 6588952 0 0 0 0 2766991 3423933 0 0 111830 1840583 2515786 4607574 5939719 606982 649233 3579455 4084412 1688829 1544554 1890626 2539858 Providing high quality medical, behavioral, and dental services that are affordable, accessible, and patient focused. 0 0 4984580 3267281 The organization provides medical, dental and behavioral health services to the poor and uninsured or under-insured of our community. Our target population is this population within Madison County but we do not deny services to anyone based on their geographic location or ability to pay. In 2016 we saw 5,837 unduplicated patients for a total of 21,949 encounters. Of this population 41% were uninsured, 27% were either Medicaid or Medicare, and the rest had private insurance. 4984580 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 1 0 0 0 0 0 0 0 0 1 4 0 94 1 0 0 0 0 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 Kathy Nordby Executive Director 40.00 X 97389 0 0 Karen Weidner Board member 0.00 X 0 0 0 Joe Mtika Board member 0.00 X 0 0 0 Brenda Jones Past Chair 0.00 X 0 0 0 Alan Ehlers Board member 0.00 X 0 0 0 Pat Samuels Secretary 0.00 X X 0 0 0 Betty Froehlich Vice President 0.00 X X 0 0 0 Gretchen Forsell President 0.00 X X 0 0 0 Susie Lutz Treasurer 0.00 X X 0 0 0 Will Perrigan Board member 0.00 X 0 0 0 Leonor Fuhrer Board member 0.00 X 0 0 0 Lance Morrow Board member 0.00 X 0 0 0 Bradley Johnson Board member 0.00 X 0 0 0 Mary Luhr Board member 0.00 X 0 0 0 Marcus Rios Board member 0.00 X 0 0 0 Dr Raymond Heller Medical Director/Physician 40.00 X 188506 0 0 Dr Emily Vuchetich Pediatrician 40.00 X 190079 0 0 475974 0 0 2 0 1 0 0 5000 2763339 525938 32105 3294277 Patient revenue 621110 3202718 3202718 Contract Revenue 621110 61063 61063 3263781 5077 5077 22317 0 22317 22317 22317 Miscellaneous income 900099 3500 3500 3500 6588952 3267281 0 27394 285895 193028 91893 974 2711055 2204532 447558 58965 41962 33570 7553 839 164204 131363 29557 3284 220817 176654 39747 4416 8140 2442 5698 23837 23837 315292 299537 9778 5977 37449 11235 26214 296926 242881 46882 7163 19486 13640 5846 106501 84375 21300 826 19367 10258 8313 796 54752 47284 5601 1867 56329 56329 92712 74170 18542 24781 20745 3836 200 Bad debt expense 757156 757156 Dental, Medical & Pharm 575383 575383 Lab fees 41190 41190 Recruitment/hiring 29786 29786 56699 35351 21039 309 5939719 4984580 843309 111830 533936 192752 635270 1003673 169542 258718 321005 343292 7120 6778 2636681 382076 1881146 2254605 31436 24594 3579455 4084412 268951 333510 114854 19333 1305024 1191711 1688829 1544554 X 1885626 2539858 5000 0 1890626 2539858 3579455 4084412 X 649233 -2 X X 0 1 X 1 1 1 X 1596091 1768636 2150636 2970601 3294277 11780241 1596091 1768636 2150636 2970601 3294277 11780241 11780241 2211 7822 20493 19269 27394 77189 3500 3500 11860930 9774067 0.99320 0.99470 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 88913 88913 1917036 191130 1725906 630732 190946 439786 2254605 X 6588951 0 6588951 1 1 6588952 5939719 1 1 5939718 0 5939718 Part X, Line 2: The Organization files required income tax returns in the U.S. federal jurisdiction. With few exceptions, the Organization is no longer subject to U.S. federal income tax examinations by tax authorities for years before 2014. The Organization has concluded no material uncertain tax positions have been taken on any open tax returns. For the current year the Organization believes all tax positions are fully supportable by existing Federal law and related interpretations and there are no uncertain tax positions to consider. Part XI, Line 4b - Other Adjustments: Rounding 1. Part XII, Line 2d - Other Adjustments: Rounding 1. 1 X 0 0 0 0 0 0 0 0 0 Dr Raymond Heller Medical Director/Physician 188506 0 0 0 0 0 0 0 0 0 188506 0 0 0 Dr Emily Vuchetich Pediatrician 190079 0 0 0 0 0 0 0 0 0 190079 0 0 0 X 32105 Cost 0 0 0 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 XI, line 9: Rounding -2. Form 990, Part XI, Line 2c This process has not changed from the prior year.