2019-10-31T10:32:59-05:00 2018-12-31 420714325 RSM US LLP 4650 E 53RD ST DAVENPORT IA 528073479 990 2018-01-01 430957840 SWOPE HEALTH SERVICES SWOP 8165995680 3801 BLUE PARKWAY KANSAS CITY MO 64130 JERON RAVIN PRESIDENT/CEO 8166272013 2019-10-15 1 JENIFER L CHASE P01306883 5638884000 66.98.98.129 2019-10-15 13:22:59 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9D8C4631151EF1E1BB3DDB3444689A82E6B5C400 2018 2019-02-21 02:37:17Z JERON RAVIN 3801 BLUE PARKWAY KANSAS CITY MO 64130 58054875 0 X WWW.SWOPEHEALTH.ORG X 1969 MO SWOPE HEALTH SERVICES (SHS) IMPROVES THE HEALTH AND WELLNESS OF THE COMMUNITY BY DELIVERING ACCESSIBLE, QUALITY, COMPREHENSIVE PATIENT CARE. 16 16 789 17 0 6309 18928534 16392916 33840546 38295037 811802 851364 648869 416000 54229751 55955317 0 79962 0 0 35366562 36489625 0 0 0 15839114 16711648 51205676 53281235 3024075 2674082 54219728 54147882 4612225 4357200 49607503 49790682 X SWOPE HEALTH SERVICES (SHS) IMPROVES THE HEALTH AND WELLNESS OF THE COMMUNITY BY DELIVERING ACCESSIBLE, QUALITY, COMPREHENSIVE PATIENT CARE. 0 0 46659385 79962 38615461 SHS IS A JOINT COMMISSION AND CARF (COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES) ACCREDITED HEALTH SERVICES PROVIDER AND A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SERVING KANSAS CITY AND SURROUNDING COMMUNITY SHS SERVED SEVERAL RACIAL AND ETHNIC GROUPS IN 2018. MORE THAN HALF OF SHS' PATIENTS ARE AFRICAN AMERICAN, NEARLY A QUARTER ARE WHITE AND MOST OF THE REMAINING PATIENTS ARE HISPANIC/LATINO OR AMERICAN INDIAN/ALASKA NATIVE. WE ARE EXPERIENCING GROWTH IN OUR HISPANIC/LATINO PATIENT POPULATIONS AT MOST LOCATIONS, WHICH IS CONSISTENT WITH RECENT NATIONAL CENSUS DATA. WE HAVE ACHIEVED LEVEL 3 PRIMARY CARE MEDICAL HOME (PCMH) RECOGNITION BY NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). USING EMR TECHNOLOGY, OUR PROVIDERS HAVE MADE SIGNIFICANT PROGRESS IN MEETING MEANINGFUL USE CRITERIA ESTABLISHED TO DEMONSTRATE QUALITY OF SERVICES PROVIDED TO OUR PATIENTS. IN 2014, SHS ESTABLISHED A NEW PRIMARY CARE ACCESS POINT IN BELTON. IN 2015, SHS ESTABLISHED A NEW PRIMARY CARE ACCESS POINT IN KANSAS CITY, MISSOURI, HICKMAN MILLS SCHOOL DISTRICT. SHS RECEIVED NEW ACCESS POINT GRANTS FROM THE HEALTH RESOURCES AND SERVICE ADMINISTRATION (HRSA) FOR BOTH SITES. IN 2016, SHS OPENED A NEW CLINIC IN COLLABORATION WITH TRI COUNTY MENTAL HEALTH SERVICES IN NORTH KANSAS CITY. THUS, SHS NOW PROVIDES MUCH NEEDED PRIMARY CARE SERVICES IN THESE NEW COMMUNITIES. IN 2018 WE DECIDED TO RELOCATE OUR NORTHLAND CLINIC TO A NEW LOCATION AND STARTED CONSTRUCTION/RENOVATION WORK FOR A NEW CLINIC. FREE AND LOW COST MEDICATIONS: IN ADDITION TO OFFERING 340B PROGRAM, LOW COST MEDICATIONS, SHS SECURED OVER $100,000 IN FREE MEDICATIONS FOR ITS PATIENTS THROUGH VARIOUS PHARMCEUTICAL PATIENT ASSTANCE PROGRAMS INCLUDING PFIZER'S SHARING THE CARE PROGRAM. THIS WAS CRITICAL IN MAINTAINING THE HEALTH OF THE UNINSURED PATIENTS, AND ASSISTED WITH PURCHASING OF PRESCRIBED MEDICATIONS FOR SHS PATIENTS WHO ARE WOEFULLY UNDERINSURED. MATERNAL AND CHILDRENS' SERVICES: PREGNANT WOMEN IN SHS' TARGET SERVICE AREA OFTEN DO NOT RECEIVE EARLY AND CONSISTENT PRENATAL CARE. AS A RESULT, THEY ARE MORE LIKELY THAN OTHER PREGNANT WOMEN TO EXPERIENCE INFANT MORTALITY OR DELIVER PREMATURE AND/OR LOW-BIRTH-WEIGHT INFANTS WITH DEVELOPMENTAL DELAYS AND OTHER EXPENSIVE AND DEBILITATING LONG-TERM HEALTH AND SOCIAL PROBLEMS. IN FACT, SHS SERVES A POPULATION WHO HAS A HIGHER PREMATURITY RATE THAN THE NATIONAL AVERAGE. WE PROVIDE CASE MANAGEMENT AND RELATED SUPPORT SERVICES DESIGNED TO IDENTIFY, ENROLL AND KEEP PREGNANT WOMEN IN ITS PRENATAL PROGRAM. SHS DATA CONTINUES TO SHOW THAT WOMEN IN ITS PRENATAL PROGRAM EXPERIENCE A LOWER INCIDENCE OF NEGATIVE OUTCOMES. FAMILY PLANNING SERVICES ARE ALSO OFFERED. KNOWING INADEQUATE DENTAL HYGIENE AND ORAL INFECTIONS CAN CONTRIBUTE TO PREMATURE LABOR. WE ALSO REFER PREGNANT WOMEN TO OUR DENTAL DEPARTMENT FOR ANY NECESSARY DENTAL CARE. SHS SUPPORTS NEW MOTHERS POST-PARTUM CARE THROUGH A VARIETY OF PROGRAMS AND SERVICES. FOR EXAMPLE, WE OFFER CLASSES AND ONE-TO-ONE COUNSELING TO ENCOURAGE WOMEN TO BREASTFEED THEIR BABIES, A STRATEGY THAT IS NOT ONLY COST SAVING BUT THAT PROVIDES A HOST OF LONG-TERM HEALTH BENEFITS TO BOTH THE MOTHER AND CHILD. THROUGH OUR WIC PROGRAM, BREAST PUMPS ARE MADE AVAILABLE TO THESE NEW MOMS, IN ADDITION TO NUTRITION EDUCATION. SHS PROVIDED HEALTH CARE SERVICES TO CLOSE TO 9,000 CHILD AND ADOLESCENT PATIENTS, TREATING EVERYTHING FROM SPRAINS AND CUTS TO COLDS AND THE FLU. WE ALSO TREAT CHRONIC CONDITIONS SUCH AS ASTHMA AND BEHAVIORAL HEALTH CONDITIONS. BECAUSE THERE ARE SO MANY THINGS THAT CAN IMPAIR THE PHYSICAL, SOCIAL AND INTELLECTUAL DEVELOPMENT OF A CHILD, SHS MAKES EVERY EFFORT TO IDENTIFY THESE POTENTIAL PROBLEMS EARLY SO APPROPRIATE TREATMENT CAN BE INITIATED BEFORE A DEVELOPMENTAL PROBLEM BECOMES A PERMANENT DISABILITY. TO PROVIDE CHILDREN IN A HIGH-CRIME URBAN AREA WITH A SAFE AND EXCITING HALLOWEEN EXPERIENCE, SHS SPONSORES TREAT TOWN EVERY YEAR AT THE CLINIC ON BLUE PARKWAY. MORE THAN 1,400 CHILDREN ATTENDED THIS ANNUAL EVENT IN 2018. THEY RECEIVED TREATS, TOOTHBRUSHES AND OTHER IMPORTANT HEALTH INFORMATION, INCLUDING DETAILS ON HOW TO ACCESS DENTAL SERVICES AT OUR FACILITIES. ADULT MEDICAL SERVICES: SHS HAS ALWAYS ADVOCATED FOR PREVENTIVE CARE AND LONG-TERM MANAGEMENT OF CHRONIC CONDITIONS. THE MAJORITY OF SHS' PATIENTS HAVE CHRONIC CONDITIONS LIKE CARDIOVASCULAR DISEASE (NOT LIMITED TO HYPERTENSION, HYPERLIPIDEMIA OR MYOCARDIAL INJURY TO NAME A FEW), DIABETES, DEPRESSION, ETC. SHS HAS A DISPROPORTIONATE NUMBER OF PATIENTS WITH THESE CHRONIC CONDITIONS AND WE HAVE INITIATED SEVERAL MEANS TO ADDRESS THESE CONDITIONS. IF NOT PROPERLY MANAGED, THESE CHRONIC CONDITIONS CAN LEAD TO HEART DISEASE, STROKE AND A NUMBER OF OTHER SERIOUS AND VERY EXPENSIVE-TO-TREAT CONDITIONS. WE HAVE INITIATED THE PROCESS OF CARE MANAGEMENT AND HAVE BEEN MODIFYING OUR WORKFLOWS AND STAFFING TO ACHIEVE THE REQUIRED CLINICAL METRICS TO HELP THESE PATIENTS. WE MODIFIED OUR WORKFLOWS AND HAVE ORGANIZED OUR STAFF IN TEAMS TO HELP ADDRESS ANY CONCERNS AND ISSUES THE PATIENT MIGHT HAVE TO HELP THEM NAVIGATE THROUGH THE SYSTEM TO HELP TAKE CARE OF THEIR HEALTH. THIS IS A HUGE TASK AND REQUIRES SEVERAL INITIATIVES - TRACKING OF LABS, REFERRALS, HOSPITAL FOLLOW UPS AND DISCHARGE FOLLOW UPS. WE CONTINUE TO HIRE CARE COORDINATORS AND OTHER STAFF TO SUPPORT THIS INITIATIVE. WE CONTINUE TO HAVE THE HEALTH CARE HOME PROGRAM THAT IS SPONSORED BY THE STATE AND WE HAVE CARE COORDINATORS AND CASE MANAGERS WHO WORK ONE-ON-ONE WITH THE PATIENTS TO HELP MANAGE THEIR HEALTH. NURSES IN THE HEALTH CARE HOME PROGRAM MONITOR THE CRITICAL INDICATORS OF PATIENT CHRONIC DISEASES; EXPLAIN THE IMPORTANCE OF ADHERING TO MEDICATION REGIMENS; AND ADVISE THEM ABOUT DIET, EXERCISE AND OTHER SELF-MANAGEMENT LIFESTYLE CHANGES THAT ARE KNOWN TO SLOW THE PROGRESSION OF THEIR DISEASE. CURRENTLY WE HAVE SEVERAL CASE MANAGERS/CARE COORDINATORS TO HELP ACHIEVE OUR PATIENT GOALS. SWOPE HEALTH SERVICES CONTINUES TO HELP PATIENTS WITH DIABETES BY EDUCATING THEM ON PATIENT SELF-CARE MANAGEMENT. THE HOMELESS: IN 2018, SHS ASSISTED OVER 2,700 HOMELESS PATIENTS WITH HEALTH CARE, HOUSING AND OTHER ESSENTIAL SERVICES. SHS STAFF MEMBERS ARE ACTIVE IN THE HOMELESS SERVICES COMMUNITY AND OFTEN GO TO SHELTERS, COMMUNITY DAY CENTERS AND HOMELESS ENCAMPMENTS TO ASSESS BASIC MEDICAL AND BEHAVIORAL NEEDS OF THE HOMELESS. A NEW MOBILE MEDICAL UNIT WITH TWO EXAM ROOMS WAS PURCHASED AND PLACED IN THE SERVICE IN 2017 AND CONTINUES TO BE WELL RECEIVED AND IS A TREMENDOUS RESOURCE FOR COMMUNITY OUTREACH. ONCE THE PATIENTS HAVE BEEN INDENTIFIED AND REGISTERED IN OUR SYSTEM, WE CONDUCT ASSESSMENTS TO DETERMINE WHICH SERVICES ONE MIGHT NEED AND/OR QUALIFY FOR. CASE MANAGERS ASSIST IN OBTAINING PHYSICAL AND MENTAL HEALTH TREATMENT AS WELL AS HOUSING, TRANSPORTATION, AND FINANCIAL ASSISTANCE. CASE MANAGERS ALSO WORK TO FIND PERMANENT HOUSING FOR THE HOMELESS THROUGH PROGRAMS SUCH AS SECTION 8, SUPPORTED COMMUNITY LIVING SERVICES AND SHELTER PLUS CARE, AS WELL AS LOW INCOME AND OTHER SUBSIDIZED HOUSING. FOR THOSE WITH MENTAL HEALTH CONCERNS, BOTH INDIVIDUAL AND GROUP THERAPY ARE OFFERED TO ASSIST WITH OBTAINING OVERALL MENTAL AND PHYSICAL HEALTH GOALS. STAFF ALSO PROVIDES MEDICATION MANAGEMENT, MEDICATION ASSISTANCE AND DENTAL SERVICES. FINALLY, OUR OUTREACH STAFF AND TRANSPORTATION STAFF TRANSPORT HOMELESS INDIVIDUALS FROM AREA SHELTERS TO APPOINTMENTS AT OUR CLINIC TO ENSURE THEY ARE GETTING REGULAR CHECK-UPS OR BEING PROVIDED URGENT HEALTHCARE AS THE NEED ARISES. 46659385 1 1 0 1 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 124 0 1 789 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X GREGORY ADAMS 8165995680 3801 BLUE PARKWAY KANSAS CITY MO 64130 LINDA ADKISON DIRECTOR 2.00 X 0 0 0 JAMES D BOYD TREASURER 2.00 X X 0 0 0 JACK CANNON III DIRECTOR 2.00 X 0 0 0 DANA TIPPIN CUTLER SECRETARY 2.00 X X 0 0 0 CIELO FERNANDEZ DIRECTOR 2.00 X 0 0 0 TRESIA FRANKLIN DIRECTOR 2.00 X 0 0 0 ELLEN JUNGER DIRECTOR 2.00 X 0 0 0 TOM KOKJER DIRECTOR 2.00 X 0 0 0 DAVID LISBON MD DIRECTOR 2.00 X 0 0 0 JACK MCCANNA DIRECTOR 2.00 X 0 0 0 MAURICE OELKLAUS DIRECTOR 2.00 X 0 0 0 ELIZABETH PRESTON DIRECTOR 2.00 X 0 0 0 JUAN RANGEL DIRECTOR 2.00 X 0 0 0 YOLANDA SIMS VICE CHAIRPERSON 2.00 X X 0 0 0 H DAVID WHALEN DIRECTOR 2.00 X 0 0 0 HARRY E WILKINS III MD CHAIRPERSON 2.00 X X 0 0 0 DAVID BARBER PRESIDENT 50.00 X 348281 0 19895 NAIMISH PATEL CFO/COO 50.00 X 232322 0 55741 MARK MILLER VP BEHAVIORAL HEALTH 50.00 X 165761 0 10067 KENNETH THOMAS MD CHIEF MEDICAL OFFICER 50.00 X 254077 0 38769 ROBIN WHEELER VP HUMAN RESOURCE DIRECTOR 50.00 X 181074 0 31318 DAVID MOYER DDS DENTAL DEPARTMENT CHAIR 40.00 X 196337 0 4031 DEREK BROWN MD PSYCHIATRIST 40.00 X 260553 0 42889 DOROTHY JACKSON MD PHYSICIAN 40.00 X 235232 0 22051 OTIS LATIMER MD PHYSICIAN 40.00 X 251200 0 56162 NALLU REDDY MD PSYCHIATRIST 40.00 X 314758 0 35560 DHANALAKSHMI RENGACHARY MD OB-GYN DEPARTMENT CHAIR 40.00 X 437628 0 29951 2877223 0 346434 53 0 1 0 ECLINICALWORKS LLC PO BOX 847950 BOSTON MA 02284 EMR SOFTWARE MAINTENANCE 411597 UNITED AMERICAN SECURITY PO BOX 829620 PHILADELPHIA PA 19182 SECURITY SERVICES 115086 RSM US LLP 5155 PAYSPHERE CIRCLE CHICAGO IL 60674 ASSURANCE AND TAX SERVICES 105226 3 13965886 2427030 16392916 PATIENT CARE 621400 19583502 19583502 CONTRACTS REVENUE 621400 18265371 18265371 SETTLEMENTS 621400 446164 446164 38295037 679417 679417 95576 0 95576 95576 95576 2271505 2098983 575 172522 -575 171947 171947 MISCELLANEOUS REVENUES 900099 320424 320424 320424 55955317 38615461 0 946940 79962 79962 1537671 669040 868631 27972774 26595761 1377013 641275 589973 51302 4080356 3554902 525454 2257549 2085757 171792 2404460 1893699 510761 73664 73664 95883 95883 36000 36000 210272 210272 681376 681376 3111676 1929964 1181712 296262 284262 12000 319949 234016 85933 1625245 773726 851519 272673 272673 HEALTHCARE SUPPLIES 5329065 5329065 EQUIPMENT MAINTENANCE 1389535 1389535 OTHER OPERATING 865588 568347 297241 53281235 46659385 6621850 0 4617543 4481662 1300259 1309828 729830 773790 288417 295809 84664 390544 42299205 23414896 18612270 18884309 13405771 12951716 13541986 13227058 334164 334164 1304824 1499002 54219728 54147882 4111087 4233294 501138 123906 4612225 4357200 X 49607503 49790682 49607503 49790682 54219728 54147882 2674082 -2490903 0 X X 0 1 X 1 1 1 X 16178107 15691672 16827447 18928534 16392916 84018676 16178107 15691672 16827447 18928534 16392916 84018676 84018676 473929 728388 852993 699951 952808 3708069 297884 192753 666393 505315 143184 1805529 89532274 0.93840 0.93890 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2014 AMOUNT: $ 297,884. 2015 AMOUNT: $ 192,753. 2016 AMOUNT: $ 666,393. 2017 AMOUNT: $ 505,315. 2018 AMOUNT: $ 143,184. 36000 36000 46623385 46659385 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 36000 36000 36000 36000 144000 250000 250000 250000 250000 1000000 1500000 PART II-A, LINE 1, LOBBYING ACTIVITIES: SWOPE HEALTH SERVICES (SHS) PAID DENTON US LLP $36,000 TO REVIEW PROSPECTIVE LEGISLATION AND ADVISE SHS AND LEGISLATIVE OFFICIALS OF THE IMPACT OF SUCH LEGISLATION. 1027410 1027410 26102857 13099304 13003553 1086945 931482 155463 2727193 2420135 307058 11354800 6963975 4390825 18884309 MUTUAL FUNDS 8638714 F ALTERNATIVE INVESMTENTS 2419582 F FIXED INCOME SECURITIES 2168762 F 13227058 X PART X, LINE 2: SWOPE HEALTH SERVICES, SWOPE PARKWAY HOUSING, INC., AND SWOPE HEALTH FOUNDATION ARE EXEMPT FROM INCOME TAXES UNDER PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. UNCERTAIN TAX PROVISIONS, IF ANY, ARE RECORDED IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES (PREVIOUSLY FIN 48). FASB ASC 740 REQUIRES THE RECOGNITION OF A LIABILITY FOR TAX POSITIONS TAKEN THAT DO NOT MEET THE MORE-LIKELY-THAN NOT STANDARD THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. THERE IS NO LIABILITY FOR UNCERTAIN TAX POSITIONS RECORDED AT DECEMBER 31, 2018 OR 2017. FORMS 990 FILED BY SWOPE HEALTH SERVICES, SWOPE PARKWAY HOUSING, INC., AND SWOPE HEALTH FOUNDATION ARE GENERALLY SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 0 500944 0 0 0 0 0 0 500944 0 500944 1 0 1 0 0 0 0 SWOPE PARKWAY HOUSING INC 3801 BLUE PARKWAY KANSAS CITY MO 64130 431531202 501(C)(3) 79962 DONATION TO SUPPORT GENERAL OPERATIONS 1 0 X X X X 0 0 0 0 0 0 0 0 0 DAVID BARBER PRESIDENT 334223 0 0 0 14058 0 11755 0 8140 0 368176 0 0 0 NAIMISH PATEL CFO/COO 225200 0 0 0 7122 0 8412 0 47329 0 288063 0 0 0 MARK MILLER VP BEHAVIORAL HEALTH 163570 0 0 0 2191 0 5788 0 4279 0 175828 0 0 0 KENNETH THOMAS MD CHIEF MEDICAL OFFICER 251666 0 0 0 2411 0 0 0 38769 0 292846 0 0 0 ROBIN WHEELER VP HUMAN RESOURCE DIRECTOR 180211 0 0 0 863 0 6644 0 24674 0 212392 0 0 0 DAVID MOYER DDS DENTAL DEPARTMENT CHAIR 193037 0 0 0 3300 0 4031 0 0 0 200368 0 0 0 DEREK BROWN MD PSYCHIATRIST 260109 0 0 0 444 0 7439 0 35450 0 303442 0 0 0 DOROTHY JACKSON MD PHYSICIAN 231916 0 0 0 3316 0 0 0 22051 0 257283 0 0 0 OTIS LATIMER MD PHYSICIAN 244099 0 0 0 7101 0 8894 0 47268 0 307362 0 0 0 NALLU REDDY MD PSYCHIATRIST 312347 0 0 0 2411 0 10312 0 25248 0 350318 0 0 0 DHANALAKSHMI RENGACHARY MD OB-GYN DEPARTMENT CHAIR 426076 0 0 0 11552 0 12094 0 17857 0 467579 0 0 0 FORM 990, PART III, LINE 4A (CONT'D) DENTAL CARE: GOOD DENTAL CARE IS A PREREQUISITE TO GOOD HEALTH. IN FACT, STUDIES SHOW THAT CHILDREN WITH POOR ORAL HYGIENE ARE AT INCREASED RISK FOR HEART DISEASE, STROKE AND A NUMBER OF OTHER AILMENTS LATER IN LIFE. UNFORTUNATELY, MOST LOW-INCOME PEOPLE DO NOT RECEIVE ADEQUATE DENTAL CARE, AND PUBLIC INSURANCE PROGRAMS, SUCH AS MEDICAID AND MEDICARE, INCREASINGLY LIMIT THE DENTAL SERVICES THEY WILL COVER, PARTICULARLY FOR ADULTS. IN 2018, SHS PROVIDED COMPREHENSIVE DENTAL CARE (SCREENINGS, EXAMINATIONS, XRAYS, FILLINGS, EXTRACTIONS, SEALANTS, FLUORIDE VARNISHES, TREATMENT OF GUM DISEASE, AND DENTURES) TO CLOSE TO 8,500 ADULTS AND CHILDREN. WE OFFER SAME-DAY TREATMENT TO PATIENTS IN PAIN, PROVIDING AN ALTERNATIVE TO THE EXPENSIVE EMERGENCY DEPARTMENT AT A LOCAL HOSPITAL. WE WORK WITH OB/GYN PROVIDERS AND PEDIATRIC PROVIDERS TO SCHEDULE PRIORITY APPOINTMENTS FOR THESE DENTALLY VULNERABLE POPULATIONS. DURING THE PAST YEAR, THE DENTAL DEPARTMENT HAS INCREASED ITS MOBILE DENTAL SERVICES TO INCLUDE MULTIPLE HEAD START LOCATIONS TREATING PATIENTS AGE THREE TO FIVE; ATTENDING A CHARTER ELEMENTARY SCHOOL TO TREAT CHILDREN FROM KINDERGARTEN TO EIGHTH GRADE; AND TREATING PATIENTS AT OVER SEVEN HOMELESS SHELTERS THAT INCLUDES BOTH MEN AND WOMEN, INCLUDING A DOMESTIC VIOLENCE SHELTER FOR WOMEN. WE HAVE ALSO BEEN TREATING DENTAL PATIENTS AT ONE DAY EVENTS THROUGHOUT THE METROPOLITAN KANSAS CITY AREA FROM KANSAS TO MISSOURI. BEHAVIORAL HEALTH: ACCORDING TO A 2018 REPORT ENTITLED A VIEW OF CONSUMER HEALTH ACCESS IN KANSAS AND MISSOURI BY THE GREATER KANSAS CITY HEALTH CARE FOUNDATION, KANSAS HEALTH FOUNDATION, MISSOURI FOUNDATION FOR HELP, REACH HEALTHCARE FOUNDATION AND UNITED METHODIST HELP MINISTRY FUND, 30% OF ADULTS 19 TO 64 RESPONDING TO THE SURVEY HAD A MENTAL HEALTH DIAGNOSIS. IN 2018, SWOPE HEALTH SERVICES PROVIDED MENTAL HEALTH AND/OR SUBSTANCE USE DISORDER SERVICES TO NEARLY 6,300 PATIENTS RESULTING IN OVER 100,000 VISITS. MANY OF THESE CLIENTS HAVE VERY FEW RESOURCES AND HAVE A DESPERATE NEED FOR THE BEHAVIORAL HEALTH CARE THAT SHS PROVIDES, WHICH CONSISTS OF VISITS FOR PSYCHIATRIC EVALUATION, MEDICATION MANAGEMENT, OUTPATIENT THERAPY, CASE MANAGEMENT, SUBSTANCE USE DISORDER TREATMENT INCLUDING OPIOID TREATMENT AND INTENSIVE RESIDENTTAL TREATMENT AS WELL AS SUPPORT FOR THOSE EXPERIENCING ACUTE CRISES. OPIOID TREATMENT IS EXPANDING AND BECOMING A SIGNIFICANT PART OF THE OVERALL SUBSTANCE USE DISORDER TREATMENT PROGRAM. DURING 2018, SWOPE HEATH SERVICES ALONG WITH OTHER COMMUNITY MENTAL HEALTH CENTERS AND A CONSORTIUM OF AREA HOSPITALS CONTINUED TO IMPROVE AND BUILD UPON THE HOSPITAL DIVERSION PROGRAM. THIS PROGRAM IS DESIGNED TO HELP THOSE SEEKING SERVICES VIA THE AREA HOSPITAL EMERGENCY ROOMS AND RECEIVE INTENSIVE CASE MANAGEMENT SERVICES AND TREATMENT ENGAGEMENT TO HELP BREAK THE CYCLE OF HOSPITALIZATIONS. THESE CLIENTS RECEIVE MUCH MORE COMPREHENSIVE TREATMENT BY THE COMMUNITY PROVIDERS, WHICH LEADS TO BETTER UTILIZATION OF THE RESOURCES AVAILABLE TO HELP THOSE IN CRISIS OR NEED. THE DATA SHOWS THAT THIS PROGRAM CONTINUES TO BE SUCCESSFUL. AS ONE OF THE FEW SAFETY NET AGENCIES IN THE GREATER KANSAS CITY AREA LOCATED IN THE URBAN CORE, SHS WORKS HARD TO ACHIEVE ITS MISSION TO HELP PROVIDE INTEGRATED MENTAL HEALTH, SUBSTANCE USE DISORDER AND PRIMARY CARE SERVICES TO A POPULATION AT RISK FOR UNEMPLOYMENT, VIOLENCE AND SHORTENED LIFE EXPECTANCY. IN 2018 THE ADDICTION TREATMENT CENTER IN THE CENTRAL KANSAS CITY AREA PROVIDED SUBSTANCE USE TRIAGE SERVICES TO HUNDREDS OF JACKSON COUNTY RESIDENTS. SWOPE HEALTH SERVICES ALONG WITH THE OTHER AREA PROVIDERS AND THE METROPOLITAN AREA POLICE DEPARTMENTS ARE PROVIDING A CRITICAL SERVICE TO HELP REDUCE THE INAPPROPRIATE USE OF HOSPITAL EMERGENCY ROOMS BY INDIVIDUALS THAT MAY BE EXPERIENCING A SUBSTANCE USE DISORDER PROBLEM THAT IS BETTER TREATED IN AN OUTPATIENT SETTING. CREATING A ONE-STOP, INTEGRATED HEALTH CARE SYSTEM: IN 2018 SHS DEDICATED A TEAM OF MEDICAL, BEHAVIORAL AND DENTAL CARE LEADERS TO DIRECT THE INTEGRATED CARE EFFORTS AT SWOPE HEALTH SERVICES. WHEN SEEKING SERVICES PATIENTS OFTEN MUST TRAVEL TO DIFFERENT SITES ON DIFFERENT DAYS TO GET ALL THE MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE THEY NEED. AS PART OF THIS EFFORT A MORE COORDINATED APPROACH IN PATIENT REFERRAL BETWEEN SERVICE AREAS IN SWOPE HEALTH SERVICES IS RESULTING IN GREATER CARE COORDINATION AND BETTER ACCESS TO CARE IN A MORE TIMELY MANNER. THIS EFFORT CONTINUES TO EXPAND. ONE OF THE NEW INITIATIVES WAS TO TAKE ALL THREE SERVICE AREAS AND CREATE A MEMORANDUM OF UNDERSTANDING TEMPLATE THAT CAN BE USED WITH AREA NOT-FOR-PROFIT AGENCIES IN ORDER TO HELP THEM BETTER IDENTIFY AND UTIILIZE THE INTEGRATED SERVICES OFFERED BY SWOPE HEALTH. HEALTHCARE HOME: SHS IS PARTICIPATING IN BOTH THE PRIMARY CARE AND BEHAVIORAL HEALTH HOME INITIATIVES SPONSORED BY THE STATE OF MISSOURI. THE PRIMARY CARE MEDICAL HOME HAS AN AVERAGE ENROLLMENT OF 660 CLIENTS AND THE BEHAVIORAL HEALTH ENROLLMENT AVERAGES 400 CLIENTS. THE FOCUS OF BOTH HEALTH HOMES IS GREATER UTILIZATION OF THE HEALTH HOME TEAM FOR TREATMENT OF CHRONIC DISEASES AND PREVENTION WITH LESS INAPPROPRIATE USAGE OF EMERGENCY CARE AND REDUCTION UNWARRANTED HOSPITALIZATIONS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION PRESENTS AND DISCUSSES A DRAFT OF ITS FORM 990 WITH THE ORGANIZATION'S SENIOR MANAGEMENT, AS WELL AS THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE REMAINING BOARD MEMBERS ARE PROVIDED WITH A COPY FOR REVIEW AND COMMENT AS WELL. COMMENTS AND QUESTIONS OF THE REVIEWING INDIVIDUALS ARE ADDRESSED BY THOSE RESPONSIBLE FOR PREPARING THE FORM 990, AND APPROPRIATE MODIFICATIONS ARE MADE TO THE DRAFT BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, AND ASSOCIATES ARE REQUIRED TO COMPLETE ANNUALLY THE CONFLICT OF INTEREST DISCLOSURE FORM AND PROVIDE PERIODIC UPDATES TO THE FORM AS MAY BE NECESSARY. IF A CONFLICT IS IDENTIFIED VIA ANNUAL DISCLOSURE FORM, SUPERVISOR AND HUMAN RESOURCES WILL DISCUSS STEPS TO RESOLVE. DEPENDING UPON THE LEVEL OF STAFF INVOLVED AND NATURE OF THE CONFLICT, UNRESOLVED SITUATIONS ARE ADDRESSED BY THE BOARD OF DIRECTORS. ANY CONFLICT IDENTIFIED WILL REQUIRE RECUSAL OF THE DIRECTOR, OFFICER, OR KEY EMPLOYEE WHERE APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S GOVERNANCE PROCESS FOR DETERMINING COMPENSATION OF THE PRESIDENT/CEO INCLUDES AN ANNUAL REVIEW OF SUCH COMPENSATION BY THE COMPANY'S BOARD OF DIRECTORS. IN CARRYING OUT THIS ANNUAL REVIEW, THE BOARD ENGAGES AN INDEPENDENT COMPENSATION CONSULTING FIRM TO ADVISE AND ASSESS THE REASONABLENESS OF THE COMPENSATION OF THE PRESIDENT/CEO AND OTHER MEMBERS OF THE SENIOR LEADERSHIP TEAM, NONE OF WHOM PARTICIPATE IN THIS REVIEW OF HIS/HER OWN COMPENSATION. THE BOARD ALSO CONSIDERS RECOMMENDATIONS FROM THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF SWOPE HEALTH SERVICES. THE SHS EXECUTIVE COMMITTEE MET ONCE IN 2018 FOR THE SOLE PURPOSE OF REVIEWING CEO COMPENSATION AND MAKING A PERFORMANCE ADJUSTMENT IN ACCORDANCE WITH DATA PREVIOUSLY PRESENTED BY ITS INDEPENDENT COMPENSATION CONSULTANT. DECISIONS WERE COMMUNICATED TO THE VP OF HUMAN RESOURCES FOR IMPLEMENTATION. THE DISCUSSIONS AND DECISIONS WERE CONTEMPORANEOUSLY DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIALS STATEMENTS, AND FORM 990 ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S GOVERNANCE STRUCTURE INCLUDES A FINANCE COMMITTEE, WHICH IS A SEPARATE STANDING COMMITTEE OF THE BOARD OF DIRECTORS. THIS COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT PROCESS, INCLUDING REVIEWING AND DISCUSSING THE RESULTS OF THE ANNUAL AUDIT WITH THE INDEPENDENT ACCOUNTANT AS WELL AS THE SELECTION AND ENGAGEMENT OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR. SWOPE HEALTH FOUNDATION 3801 BLUE PARKWAY KANSAS CITY MO 64130 431497518 RAISE FUNDS TO SUPPORT THE CLINICAL PROGRAMS OF SWOPE HEALTH SERVICES MO 501(C)(3) LINE 7 SWOPE HEALTH SERVICES 1 SWOPE PARKWAY HOUSING INC 3801 BLUE PARKWAY KANSAS CITY MO 64130 431531202 PROVIDE HOUSING TO HANDICAPPED CLIENTS MO 501(C)(3) LINE 7 SWOPE HEALTH SERVICES 1 SWOPE COMMUNITY ENTERPRISES 4001 BLUE PARKWAY KANSAS CITY MO 64130 542081401 SUPPORTING ORGANIZATION MO 501(C)(3) LINE 12D, III-O N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 SWOPE PARKWAY HOUSING INC B 79962 FAIR MARKET VALUE SWOPE PARKWAY HOUSING INC P 96870 FAIR MARKET VALUE SWOPE HEALTH FOUNDATION P 13759 FAIR MARKET VALUE SWOPE PARKWAY HOUSING INC Q 88960 FAIR MARKET VALUE