2019-12-13T08:49:48-06:00 2019-01-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2018-02-01 421060724 COMMUNITY HEALTH CARE INC % KEVIN HAGEDORN COMM 5633363000 500 WEST RIVER DRIVE DAVENPORT IA 528011014 KEVIN HAGEDORN CFO 2019-11-13 true Krystal K Creach P01248198 4178658701 167.68.126.162 43032920193475000000 2019-12-13 P AECC51588B8B05B8A6088E029F5570AF8FA04FA6 C3432A87FBFF9491E59BD7298F2E512B0D9B3700 2018 2020-04-17 16:48:07Z TOM BOWMAN 500 WEST RIVER DRIVE DAVENPORT IA 528011014 31749592 false X WWW.CHCQCA.ORG X 1975 IA COMMUNITY HEALTH CARE PROVIDES PRIMARY MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE TO INDIVIDUALS IN THE COMMUNITIES THEY SERVE. 12 12 386 16 850 14216 6357651 7135221 22660544 24498971 -10403 -387690 -1242 9715 29006550 31256217 0 0 0 0 18806953 20061969 0 0 34227 10534892 10462499 29341845 30524468 -335295 731749 22451675 24722157 6474474 8013207 15977201 16708950 COMMUNITY HEALTH CARE PROVIDES THE COMMUNITIES WE SERVE WITH EXCELLENCE IN PATIENT-CENTERED MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE THAT IS COMPASSIONATE, AFFORDABLE, AND ACCESSIBLE. false false 17293642 18978191 COMMUNITY HEALTH CARE, INC., PROVIDES PRIMARY MEDICAL CARE IN EIGHT LOCATIONS IN BOTH IOWA AND ILLINOIS. MEDICAL SERVICES INCLUDE INTERNAL MEDICINE, FAMILY PRACTICE, PEDIATRICS, LABORATORY, PHARMACY, AND OB/GYN. MEDICAL PATIENTS SERVED DURING FISCAL YEAR 2019 WERE 32,906 IN 91,585 MEDICAL VISITS. THOSE WHO QUALIFY ARE OFFERED A SLIDING FEE SCALE. 3100778 4404548 COMMUNITY HEALTH CARE, INC. PROVIDES DENTAL CARE IN THREE LOCATIONS IN BOTH IOWA AND ILLINOIS. DENTAL PATIENTS SERVED WERE 13,447 IN 28,837 DENTAL VISITS. ALL PEOPLE IN NEED ARE SERVED. THOSE WHO QUALIFY ARE OFFERED A SLIDING FEE SCALE. 999897 1116231 COMMUNITY HEALTH CARE, INC. PROVIDES BEHAVIORAL HEALTH CARE IN FIVE LOCATIONS IN BOTH IOWA AND ILLINOIS. BEHAVIORAL HEALTH PATIENTS SERVED WERE 1,939 IN 7,570 VISITS. ALL PEOPLE IN NEED ARE SERVED. THOSE WHO QUALIFY ARE OFFERED A SLIDING FEE SCALE. 21394317 true true false true false false false false false true true false false false true false true false false false false false false false true false false false false true true false false false false false false false false false false true false false false false false false false false true 29 0 true 386 true true true false false false false true true 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 IL X KEVIN HAGEDORN 5633363000 500 WEST RIVER DRIVE DAVENPORT IA 52801 ANISSA MCCOY DIRECTOR 1.0 0.0 X 0 0 0 GREG JASPER DIRECTOR 1.0 0.0 X 0 0 0 JILL DOBBE VICE CHAIR 1.0 0.0 X X 0 0 0 JOHN THODOS CHAIR 1.0 0.0 X X 0 0 0 JORDAN KAPLAN DIRECTOR 1.0 0.0 X 0 0 0 KIM HEMPEL DIRECTOR 1.0 0.0 X 0 0 0 PHYLLIS KENNEY SECRETARY 1.0 0.0 X X 0 0 0 RICHARD THOMPSON DIRECTOR 1.0 0.0 X 0 0 0 TIM KEARNS TREASURER 1.0 0.0 X X 0 0 0 ANNETTE MAPP DIRECTOR 1.0 0.0 X 0 0 0 MATTHEW POWELL DIRECTOR 1.0 0.0 X 0 0 0 ANTHONY SCHEWENKE DIRECTOR 1.0 0.0 X 0 0 0 KEVIN P HAGEDORN CHIEF FINANCIAL OFFICER 40.0 0.0 X 131536 0 21300 RONALD G GILLIS CHIEF INFORMATION OFFICER 40.0 0.0 X 96333 0 16691 THOMAS J BOWMAN CHIEF EXECUTIVE OFFICER 40.0 0.0 X 194818 0 8760 SANJAY PANCHOLI MD MEDICAL DIRECTOR END 08/18 40.0 0.0 X 248541 0 18134 MARK STUMPHY DENTAL DIRECTOR 40.0 0.0 X 198541 0 15921 ANNE M AHONE METUGE MD INTERNAL MEDICINE 40.0 0.0 X 228119 0 22284 JOHN LENO OB/GYN 40.0 0.0 X 263292 0 14228 SUJATA KARKARE INTERNAL MEDICINE 40.0 0.0 X 255615 0 10943 VALENA FISCUS INTERNAL MEDICINE 40.0 0.0 X 202717 0 18360 ANJU CHANA INTERNAL MEDICINE 40.0 0.0 X 205961 0 19523 2025473 0 166144 42 false true false 0 173227 10002 5738359 1213633 851500 7135221 NET PATIENT SERVICE REVENUE 624100 23722159 23722159 OTHER INCOME 624100 776812 775962 850 24498971 28529 28529 0 0 81719 67518 14201 0 14201 14201 416219 -416219 -416219 -416219 5152 10002 9638 -4486 -4486 0 0 0 0 0 0 0 31256217 24498121 850 -377975 X 0 0 0 0 950575 481137 469438 0 15638520 11492582 4133515 12423 438314 323083 115231 1810739 1140740 668186 1813 1223821 866423 357398 0 84866 84866 163271 163271 0 0 0 3184731 2559256 625328 147 74032 30032 44000 228946 48710 160392 19844 1504439 133544 1370895 0 506306 443556 62750 109158 43063 66095 0 75012 1857 73155 131356 11747 119609 0 1093337 717505 375832 140173 86345 53828 MEDICAL SUPPLIES AND DRUGS 1550131 1550131 BAD DEBT 1181956 1181956 LICENSES, DUES, SUBSCRIPTIONS 235532 130836 104696 REPAIRS AND MAINTENANCE 178269 151814 26455 20984 20984 30524468 21394317 9095924 34227 1127963 16264 3748655 5755499 271500 576049 2164628 2319192 0 0 0 0 0 0 60995 50981 161512 175593 25977279 10210485 14127817 15766794 0 0 0 0 0 0 7500 0 781105 61785 22451675 24722157 2884072 2834289 0 0 0 25172 2603253 2251947 0 0 0 0 753194 2801799 35954 0 198001 100000 6474474 8013207 X 15852472 16561559 124729 147391 0 0 15977201 16708950 22451675 24722157 731749 X false true X true true true X 5930652 8188230 6425575 6357651 7135221 34037329 0 0 5930652 8188230 6425575 6357651 7135221 34037329 164224 33873105 22768 22579 21688 10257 28529 105821 25904 24794 26348 39315 40450 156811 0 34299961 101482808 0.98755 0.99237 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true false true false SCHEDULE C, PART II-B, LINES 1(A), 1(B), AND 1(G) LOBBYING ACTIVITIES: THE ORGANIZATION WILL FROM TIME TO TIME ASK ITS BOARD MEMBERS, LEADERSHIP TEAM, AND EMPLOYEES TO CONTACT THEIR LOCAL LEGISLATORS IF THERE IS PENDING LEGISLATION THAT COULD HELP OR HARM THE HEALTH CENTER. THE SUM TOTAL OF THE TIME AND EFFORTS THE HEALTH CENTER SPENDS ON DIRECT LOBBYING EFFORTS IS NOT MATERIAL TO THE OVERALL EXPENSES OF THE ORGANIZATION. SCHEDULE C, PART II-B, LINE 1(I) OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE ILLINOIS PRIMARY CARE ASSOCIATION AND THE IOWA PRIMARY CARE ASSOCIATION. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING EXPENSES. HOWEVER, A REVIEW OF THESE ORGANIZATIONS' FORM 990 RETURNS REVEAL NO POLITICAL ACTIVITY HAS OCCURRED WITH THE USE OF THESE DUES. 39055 1065 -2666 669 36785 33109 1855 4703 612 39055 597 30701 2379 568 33109 608 120 24 52 103 597 695 14 24 77 608 1.00000 true false 1516265 1516265 17600339 6580130 11020209 2138753 348527 1790226 4721922 3281828 1440094 15766794 0 EST. AMOUT DUE TO 3RD PARTY 100000 100000 30556974 12000 -998819 -986819 31543793 -287576 -287576 31256217 29847887 12000 493375 505375 29342512 1181956 1181956 30524468 SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS: A FUND WAS SET UP TO HONOR DR. MARY MARIANI, DDS WHO BELIEVED EVERYONE DESERVES A BEAUTIFUL SMILE. THE FUNDS ARE TO BENEFIT THE CHC DENTAL CLINICS WHERE MARY SERVED FOR OVER 25 YEARS. VALUE $3,838.22. A FUND WAS ESTABLISHED DECEMBER 23, 1999 BY MATERIAL HEALTH CENTER, INC. WITH THE MERGER OF MATERNAL HEALTH AND COMMUNITY HEALTH CARE, INC. APRIL 1, 2016 THE ENDOWMENT WAS RE-DESIGNATED TO CHC TO BE USED FOR WOMEN'S HEALTH. VALUE $32,946.85. SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IS 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 FORM 990, PART VIII, LINE 12: $(1,181,956) BAD DEBT EXPENSE 183,137 NET ASSETS RELEASED ------------ $( 998,819) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 205,799 TRNA CONTRIBUTIONS ( 416,219) LOSS ON DISPOSAL OF PROPERTY ( 67,518) RENTAL EXPENSES ( 9,638) SPECIAL EVENT EXPENSE ------------ $( 287,576) SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 416,219 LOSS ON DISPOSAL OF PROPERTY 67,518 RENTAL EXPENSES 9,638 SPECIAL EVENT EXPENSE ----------- $ 493,375 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 1,181,956 BAD DEBT EXPENSE TOUR DE CHC 15154 10002 5152 4010 2526 1142 924 1036 0 15154 10002 5152 4010 2526 1142 924 1036 9638 -4486 X X X false false false false false true false true false KEVIN P HAGEDORN CHIEF FINANCIAL OFFICER 122951 0 8414 0 171 0 4750 0 16550 0 152836 0 0 0 THOMAS J BOWMAN CHIEF EXECUTIVE OFFICER 194606 0 0 0 212 0 7169 0 1591 0 203578 0 0 0 ANNE M AHONE METUGE MD INTERNAL MEDICINE 223928 0 4000 0 191 0 8462 0 13822 0 250403 0 0 0 JOHN LENO OB/GYN 256987 0 3615 0 2690 0 9500 0 4728 0 277520 0 0 0 SUJATA KARKARE INTERNAL MEDICINE 245000 0 10128 0 487 0 9852 0 1091 0 266558 0 0 0 VALENA FISCUS INTERNAL MEDICINE 198526 0 4000 0 191 0 7310 0 11050 0 221077 0 0 0 ANJU CHANA INTERNAL MEDICINE 203791 0 2000 0 170 0 7499 0 12024 0 225484 0 0 0 SANJAY PANCHOLI MD MEDICAL DIRECTOR END 08/18 189741 0 37500 0 21300 0 5817 0 12317 0 266675 0 0 0 MARK STUMPHY DENTAL DIRECTOR 159214 0 20000 0 19327 0 5846 0 10075 0 214462 0 0 0 SCHEDULE J, PART I, LINE 6A BONUSES CONTINGENT ON NET EARNINGS: THE ORGANIZATION HAS ESTABLISHED AN INCENTIVE PLAN THAT IS DEPENDENT UPON THE ORGANIZATION MEETING CERTAIN NET EARNINGS TARGETS. AFTER THE ORGANIZATION MEETS THESE TARGETS, THE PLAN ALLOWS FOR STAFF TO EARN A BONUS BASED ON A PERCENTAGE OF THEIR ANNUAL COMPENSATION IF THE STAFF MEETS TARGETS BASED ON THEIR INDIVIDUAL PERFORMANCE, PATIENT EXPERIENCE TARGETS AND STAFF ENGAGEMENT TARGETS. SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: THE BONUS IS FACTORED ON SEVERAL ITEMS. THE MAIN PORTION OF THE BONUS IS GENERATED BY PATIENT VOLUME. EACH PROVIDER HAS A MINIMUM NUMBER OF FACE TO FACE BILLABLE ENCOUNTERS THAT THEY NEED TO SEE ON A YEARLY BASIS. THE MINIMUM NUMBER IS ADJUSTED ACCORDING TO SPECIALTY AND CLINIC TYPE, I.E. DENTISTS VS. INTERNIST. ONCE THE PROVIDER HAS MET THE MINIMUM NUMBER OF FACE TO FACE BILLABLE ENCOUNTERS, THEY BEGIN TO ACCRUE A BONUS FOR EACH PATIENT THEY SEE. THERE ARE ALSO QUALITY INDICATORS THAT ARE TRACKED FOR EACH PROVIDER WHICH CAN EARN THEM SMALL BONUSES. EXAMPLES WOULD BE: TIMELY DICTATION, PATIENT SATISFACTION, A1C LEVELS UNDER CONTROL FOR DIABETICS, PROPER IMMUNIZATIONS GIVEN FOR CHILDREN, ETC. THESE QUALITY INDICATORS ARE ALSO SPECIFIC TO THE PROVIDER TYPE. A CITY OF BUFFALO IOWA 426004303 000000000 2017-11-01 2694000 REFUND PRIOR ISSUE 2003 BOND false false false A 414598 0 2694000 0 0 0 33802 0 0 0 2660198 0 1997 true false true true A false true false false false false 0 true false false false A false false true false false false 0 false false false 0 false false A false X 1 850000 BARGAIN SALE X 2 1500 FAIR MARKET VALUE false true false SCHEDULE M, PART I, COLUMN (B) NUMBER OF CONTRIBUTORS: THE NUMBER ENTERED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED DURING THE YEAR. FORM 990, PART VI, SECTION B, LINE 11B REVIEW PROCESS OF 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIALS STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF COMMUNITY HEALTH CARE INC. THE CHIEF FINANCIAL OFFICER OF THE ORGANIZATION FIRST REVIEWS THE RETURN SEPARATELY IN DETAIL. AFTER THIS REVIEW, THE AUDIT COMMITTEE REVIEWS THE FORM 990 AND RECOMMENDS FILING TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS THEN PROVIDED A COPY OF THE RETURN AND AUTHORIZES FILING. THE BOARD IS ALLOWED TO ASK QUESTIONS AND MAKE COMMENTS REGARDING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY COMPLIANCE: ALL CONFLICTS ARE MONITORED THROUGHOUT THE YEAR. IF A POTENTIAL CONFLICT ARISES, THE BOARD WOULD BE NOTIFIED AND STEPS ARE TAKEN TO REMEDY THE CONFLICT. IF A QUESTION CONCERNING A CONFLICT OF INTEREST FOR ANY DIRECTOR IS RAISED, AND IN THE ABSENCE OF THE DIRECTOR RECUSING HIM OR HERSELF, A WRITTEN SECRET BALLOT MAY BE USED BY THE REMAINING DIRECTORS TO DETERMINE IF SUCH CONFLICT OF INTEREST EXISTS. SHOULD A CONFLICT OF INTEREST, PECUNIARY OR OTHERWISE, BE DETERMINED FOR ANY DIRECTOR, SUCH DIRECTOR SHALL BE EXCLUDED FROM VOTING ON THAT SUBJECT MATTER. A SIMPLE AFFIRMATIVE MAJORITY OF THOSE PRESENT SHALL RULE. IN ALL EVENTS, A DIRECTOR SHALL DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION DETERMINATION POLICY: THE CEO IS A CONTRACTED EMPLOYEE. THE BOARD OF DIRECTORS COMPLETES A PERFORMANCE REVIEW IN WRITING ON AN ANNUAL BASIS BASED ON COMPENSATION SURVEYS CONDUCTED ANNUALLY BY THE PRIMARY CARE ASSOCIATIONS IN IOWA AND ILLINOIS AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. AT THAT TIME, THEY MAY AWARD A DISCRETIONARY BONUS OR MERIT INCREASE BASED UPON CEO AND ORGANIZATIONAL PERFORMANCE. CHANGES TO SALARY ARE NOTED IN THE CONTRACT. THE ORIGINAL, CURRENT CONTRACT IS HOUSED WITH HUMAN RESOURCES AND A COPY GOES TO PAYROLL. THE LAST COMPENSATION REVIEW WAS PERFORMED IN 2019. FORM 990, PART VI, SECTION B, LINE 15B OTHER OFFICER & KEY EMPLOYEE COMPENSATION DETERMINATION POLICY: COMPENSATION FOR KEY EMPLOYEE IS SET BY THE CEO AND DIRECTOR OF HUMAN RESOURCES BASED ON COMPENSATION SURVEYS CONDUCTED ANNUALLY BY THE PRIMARY CARE ASSOCIATION IN IOWA AND ILLINOIS AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. THE LAST COMPENSATION REVIEW WAS PERFORMED IN 2019. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE POLICY: THE ORGANIZATION'S FINANCIAL STATEMENTS, IRS FORM 990, AND OTHER DOCUMENTS AND POLICIES ARE MADE AVAILABLE TO INTERESTED PARTIES, UPON REQUEST, FOR VIEWING ON-SITE. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED PROVIDERS TOTAL FEES:1181796 FORM 990 PART IX LINE 11G DESCRIPTION:LABORATORY TOTAL FEES:571768 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED 340B FEES TOTAL FEES:223374 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSLATION TOTAL FEES:242867 FORM 990 PART IX LINE 11G DESCRIPTION:HUMAN RESOURCES TOTAL FEES:197452 FORM 990 PART IX LINE 11G DESCRIPTION:HOUSEKEEPING TOTAL FEES:208721 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER TOTAL FEES:558753