2021-10-27T08:54:49-05:00 2020-12-31 420714325 RSM US LLP 4650 E 53RD ST DAVENPORT IA 528073479 990 2020-01-01 430957840 SWOPE HEALTH SERVICES SWOP 8165995680 3801 DR MARTIN LUTHER KING JR BLV KANSAS CITY MO 641302807 JERON RAVIN PRESIDENT/CEO 8166272013 2021-10-21 1 JERON RAVIN 999009999 JENIFER L CHASE P01306883 5638884000 2021-10-21 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X JERON RAVIN 3801 DR MARTIN LUTHER KING JR BLVD KANSAS CITY MO 641302807 68049062 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. 12 12 767 13 0 0 17687176 21119898 40451505 44728021 757714 732472 441676 427373 59338071 67007764 48450 186076 0 0 38987958 39212376 0 86900 86900 18352517 19591168 57388925 59076520 1949146 7931244 60391441 73962500 5019317 8055990 55372124 65906510 X SWOPE HEALTH SERVICES (SHS) IMPROVES THE HEALTH AND WELLNESS OF THE COMMUNITY BY DELIVERING ACCESSIBLE, QUALITY, COMPREHENSIVE PATIENT CARE. 0 0 51728262 186076 45057362 SWOPE HEALTH IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SERVING KANSAS CITY AND THE SURROUNDING BISTATE COMMUNITY AND IS ACCREDITED BY THE JOINT COMMISSION AND THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES. SWOPE HEALTH OPERATES A FULL-SERVICE CLINIC IN KANSAS CITY, MISSOURI, PLUS MISSOURI SATELLITE CLINICS IN BELTON, EAST KC, INDEPENDENCE, HICKMAN MILLS, NORTHLAND AND MAPLE WOODS, AND TWO CLINICS IN WYANDOTTE COUNTY, KANSAS. IN 2020, CLOSE TO HALF OF SWOPE HEALTH'S PATIENTS ARE AFRICAN AMERICAN, NEARLY A THIRD ARE WHITE AND MOST OF THE REMAINING PATIENTS ARE HISPANIC/LATINX OR AMERICAN INDIAN/ALASKA NATIVE. WE ARE EXPERIENCING GROWTH IN OUR HISPANIC/LATINX PATIENT POPULATIONS AT MOST LOCATIONS, CONSISTENT WITH RECENT NATIONAL CENSUS DATA.WE HAVE ACHIEVED LEVEL 3 PRIMARY CARE MEDICAL HOME (PCMH) RECOGNITION BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). USING ELECTRONIC MEDICAL RECORDS TECHNOLOGY, OUR PROVIDERS HAVE MADE SIGNIFICANT PROGRESS IN MEETING MEANINGFUL USE CRITERIA ESTABLISHED TO DEMONSTRATE QUALITY OF SERVICES PROVIDED TO OUR PATIENTS.SOME EXAMPLES OF OUR ACCOMPLISHMENTS:COVID-19 RESPONSE: AT THE BEGINNING OF MARCH, THE FIRST COVID-19 CASE IN KANSAS CITY WAS REPORTED. SWOPE HEALTH SPRANG INTO ACTION: EDUCATING OUR ASSOCIATES, PLANNING AND PREPARING FOR THE PANDEMIC. BY MID-MARCH WE HAD SUSPENDED WALK-INS, WELL-EXAMS AND NON-ESSENTIAL APPOINTMENTS AT ALL LOCATIONS. WE BEGAN SCREENING, ISOLATING SICK PATIENTS AND ENCOURAGING HAND WASHING, MASK WEARING AND PHYSICAL DISTANCING. OUR ASSOCIATES WHO COULD WORK REMOTELY DID SO WHILE WE WORKED TO GET MORE PERSONAL PROTECTIVE EQUIPMENT, CLEANING SUPPLIES AND THE THEN-SCARCE COVID-19 TESTS. WE CONDUCTED OUR FIRST TESTING IN MARCH, WHILE AT THE SAME TIME, WE WERE ADDING AIR FILTRATION SYSTEMS, RESTRUCTURING PUBLIC AREAS FOR DISTANCING AND RAMPING UP OUR TELEMEDICINE CAPACITY. FOR OUR FRONTLINE ASSOCIATES WITH KIDS HOME FROM SCHOOL, WE OFFERED SUPPORT FOR DAYCARE SERVICES.WE ESTABLISHED DEDICATED COVID-19 CLINICS AT SWOPE HEALTH CENTRAL AND WYANDOTTE, AS WELL AS DRIVE-THROUGH TESTING CAPABILITIES. WE RAMPED UP TO PROVIDE TESTING IN THE COMMUNITY. IN 2020, COVID-19 TESTING EVENTS TOOK US TO MORE THAN 80 LOCATIONS IN THE KANSAS CITY METRO AREA, INCLUDING: KANSAS CITY PUBLIC LIBRARIES; QUINDARO COMMUNITY CENTER; SALVATION ARMY ADULT REHAB CENTER; BENILDE HALL; HEALING HOUSE; WELCOME HOUSE; AMETHYST PLACE; MATTIE RHODES CENTER; REDISCOVER; PLATTE COUNTY BOARD OF SERVICES; GUADALUPE CENTER; AND LAWNDALE SENIOR LIVING APARTMENTS. OUR VISITS TO SCHOOLS INCLUDED KIPP ENDEAVOR ACADEMY CHARTER SCHOOL, SOUTHEAST HIGH SCHOOL AND SCUOLA VITA NUOVA CHARTER SCHOOL. WE HELD EVENTS AT LOCAL CHURCHES, SUCH AS HOLY NAME OF JESUS CATHOLIC CHURCH, TRINITY UNITED METHODIST, MOUNT PLEASANT MISSIONARY BAPTIST CHURCH, MEMORIAL MISSIONARY BAPTIST CHURCH, AND THE CHURCH OF JESUS CHRIST OF LATTER-DAY SAINTS. BY THE END OF THE YEAR, SWOPE HEALTH COMPLETED MORE THAN 12,000 COVID-19 TESTS THROUGHOUT THE KANSAS CITY METRO AREA, INCLUDING MORE THAN 1,000 AT THE WYANDOTTE CLINIC.THE FIRST VACCINES AGAINST COVID-19 WERE APPROVED IN THE FOURTH QUARTER OF 2020. IN DECEMBER, WE DISTRIBUTED THE FIRST VACCINATIONS TO SWOPE HEALTH ASSOCIATES AND PLANS WERE MADE FOR LARGE COMMUNITY VACCINATION EVENTS. AT THE START OF 2021, SWOPE HEALTH BEGAN OFFERING THE VACCINE TO PATIENTS, THEN TO THE BROADER COMMUNITYFREE AND LOW-COST MEDICATIONS: SWOPE HEALTH SECURED MORE THAN $10,155 IN FREE MEDICATIONS FOR ITS PATIENTS THROUGH VARIOUS PHARMACEUTICAL PATIENT ASSISTANCE 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 SWOPE HEALTH PATIENTS WHO ARE WOEFULLY UNDERINSURED. SWOPE HEALTH ALSO PARTICIPATES IN THE U.S. HEALTH RESOURCES & SERVICES ADMINISTRATION'S (HRSA) 340B DRUG PRICING PROGRAM OFFERING LOW-COST PRESCRIPTION MEDICATIONS TO OUR UNINSURED AND HOMELESS PATIENTS. MATERNAL AND CHILDREN'S SERVICES: PREGNANT WOMEN IN THE SWOPE HEALTH'S SERVICE AREA OFTEN DO NOT RECEIVE EARLY AND CONSISTENT PRENATAL CARE. THIS CONTRIBUTES TO THEIR INCREASED RISK FOR INFANT MORTALITY OR DELIVERING PREMATURE AND/OR LOW BIRTHWEIGHT INFANTS WITH DEVELOPMENTAL DELAYS AND OTHER EXPENSIVE AND DEBILITATING LONG-TERM HEALTH AND SOCIAL PROBLEMS. SWOPE HEALTH SERVES A POPULATION WITH 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 OUR PRENATAL PROGRAM. SWOPE HEALTH DATA SHOW THAT WOMEN IN OUR 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.SWOPE HEALTH ALSO SUPPORTS NEW MOTHERS WITH 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 PROVIDES A HOST OF LONG-TERM HEALTH BENEFITS TO THE MOTHER AND CHILD. OUR WIC PROGRAM PROVIDES BREAST PUMPS AND NUTRITION EDUCATION TO THESE NEW MOMS. SWOPE HEALTH HAS REALIGNED ASSETS AND RESOURCES FOR THE CARE OF INFANTS, CHILDREN, AND ADOLESCENTS IN ITS DEPARTMENT OF CHILDREN'S SERVICES, WHICH SERVED NEARLY 8,000 CHILD AND ADOLESCENT PATIENTS IN 2020. SWOPE HEALTH HAS PROVIDED HEALTH CARE SERVICES TO TREAT EVERYTHING FROM SPRAINS AND CUTS TO COLDS AND THE FLU, AS WELL AS CHRONIC ILLNESS, INCLUDING ASTHMA AND BEHAVIORAL HEALTH CONDITIONS. CHILDREN'S SERVICES HAS DEVELOPED PROGRAMS AND COMMUNITY-BASED PARTNERSHIPS THAT IMPROVE ACCESS TO CARE AND SERVICES FOR VULNERABLE OR UNDERSERVED PEDIATRIC POPULATIONS, INCLUDING NEWBORN HEALTH SUPERVISION, ASTHMA MANAGEMENT, MOBILE PEDIATRIC SERVICES, AND COMMUNITY- AND SCHOOL-BASED SERVICES. BECAUSE THERE ARE SO MANY THINGS THAT CAN IMPAIR THE PHYSICAL, SOCIAL, AND INTELLECTUAL DEVELOPMENT OF A CHILD, SWOPE HEALTH MAKES EVERY EFFORT TO IDENTIFY THESE POTENTIAL PROBLEMS EARLY AND INITIATE APPROPRIATE TREATMENT BEFORE A DEVELOPMENTAL PROBLEM BECOMES A PERMANENT DISABILITY.TO PROVIDE CHILDREN IN A HIGH-CRIME URBAN AREA WITH A SAFE AND EXCITING HALLOWEEN EXPERIENCE, SWOPE HEALTH SPONSORS AN ANNUAL "TREAT TOWN" AT THE CENTRAL LOCATION. IN 2020, IN RESPONSE TO THE PANDEMIC, SWOPE HEALTH CONVERTED TREAT TOWN INTO A DRIVE-THROUGH EXPERIENCE. THE RESPONSE WAS OVERWHELMING FROM THE COMMUNITY AS MORE THAN 1,400 CHILDREN WORE THEIR COSTUMES AND WERE CHAUFFEURED BY PARENTS AND GUARDIANS TO RECEIVE TREATS, TOOTHBRUSHES, INFORMATION ON OUR HEALTH SERVICES FOR THE ENTIRE FAMILY, AND SAFETY TIPS REGARDING COVID-19. ADULT MEDICAL SERVICES: SWOPE HEALTH HAS ALWAYS ADVOCATED FOR PREVENTIVE CARE AND LONG-TERM MANAGEMENT OF CHRONIC CONDITIONS. THE MAJORITY OF SWOPE HEALTH PATIENTS HAVE CHRONIC CONDITIONS LIKE CARDIOVASCULAR DISEASE (HYPERTENSION, HYPERLIPIDEMIA OR MYOCARDIAL INJURY, TO NAME A FEW), DIABETES, DEPRESSION, ETC. IF NOT PROPERLY MANAGED, THESE CHRONIC CONDITIONS CAN HAVE SERIOUS AND LIFE-ALTERING COMPLICATIONS, SUCH AS HEART ATTACK, STROKE, AND KIDNEY FAILURE. OUR STATE-SPONSORED HEALTH CARE HOME PROGRAM INVOLVES CARE COORDINATORS AND CASE MANAGERS WORKING ONE-ON-ONE WITH PATIENTS TO HELP MANAGE THEIR HEALTH. NURSES IN THE HEALTH CARE HOME PROGRAM MONITOR THE CRITICAL INDICATORS OF THE PATIENTS' 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 OUR PATIENTS ACHIEVE THEIR HEALTH GOALS, AND WE HAVE HIRED STAFF TO PROVIDE SIMILAR CARE TO PATIENTS WITH CHRONIC DISEASE WHO ARE NOT ENROLLED IN THE HEALTH CARE HOME PROGRAM. WE HAVE MODIFIED OUR WORKFLOWS AND ORGANIZED OUR STAFF, INCLUDING CARE MANAGERS, TO WORK IN TEAMS TO BETTER HELP THESE PATIENTS NAVIGATE THE HEALTHCARE SYSTEM. THIS IS A HUGE INITIATIVE AND REQUIRES SEVERAL TASKS- TRACKING LAB RESULTS, REFERRALS TO SPECIALTY CARE, HOSPITAL AND EMERGENCY ROOM FOLLOW UPS. WE CONTINUE TO HIRE CARE MANAGERS, REFERRAL COORDINATORS, AND COMMUNITY HEALTH WORKERS TO SUPPORT THIS INITIATIVE. SWOPE HEALTH ALSO HELPS PATIENTS WITH DIABETES AND OTHER CHRONIC DISEASES BY EDUCATING THEM ON DISEASE MANAGEMENT AND LIFESTYLE MODIFICATION. 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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, 2020 OR 2019. AS A SINGLE-MEMBER LIMITED LIABILITY COMPANY, PACE'S ACTIVITIES ARE TREATED AS PART OF ITS TAX-EXEMPT MEMBER SWOPE HEALTH SERVICES. 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 0 0 INVESTMENTS 0 805606 0 0 0 0 0 0 805606 0 805606 1 0 1 0 0 0 PART III ACCOUNTING METHOD: X X 1 SHANNON WEIGAND 15976 WERST GELDING DR SURPRISE AZ 85379 GRANT WRITING 0 16068035 86900 15981135 16068035 86900 15981135 MO 0 SWOPE PARKWAY HOUSING INC 3801 BLUE PARKWAY KANSAS CITY MO 64130 431531202 501(C)(3) 186076 DONATION TO SUPPORT GENERAL OPERATIONS 1 0 X X 0 0 0 0 0 0 0 0 0 DHANALAKSHMI RENGACHARY MD OB-GYN DEPARTMENT CHAIR 408549 0 0 0 11299 0 13180 0 6042 0 439070 0 0 0 NALLU REDDY MD PSYCHIATRIST 329555 0 0 0 3919 0 11322 0 11322 0 356118 0 0 0 NAIMISH PATEL CFO/COO 276763 0 0 0 8364 0 9682 0 28781 0 323590 0 0 0 OTIS LATIMER MD PHYSICIAN 262414 0 0 0 7633 0 9576 0 25750 0 305373 0 0 0 DEREK BROWN MD PSYCHIATRIST 273082 0 0 0 661 0 7669 0 16475 0 297887 0 0 0 JENNIFER FROST INTERIM CHEIF MEDICAL OFFICER 248699 0 0 0 672 0 6900 0 10630 0 266901 0 0 0 KENNETH THOMAS MD PHYSICIAN 244158 0 0 0 2497 0 0 0 17140 0 263795 0 0 0 JERON RAVIN PRESIDENT 236779 0 0 0 6203 0 4912 0 6882 0 254776 0 0 0 ROBIN WHEELER-SANDERS VP HUMAN RESOURCE DIRECTOR 169604 0 0 0 864 0 6444 0 23350 0 200262 0 0 0 MARK MILLER VP BEHAVIORAL HEALTH 183180 0 0 0 4374 0 6565 0 54 0 194173 0 0 0 FORM 990, PART III, LINE 4A, DESCRIPTION OF PROGRAM SERVICE: (CONT'D) DENTAL SERVICES: ORAL HEALTH IS NECESSARY FOR OVERALL POSITIVE HEALTH OUTCOMES. PATIENTS WITH POOR ORAL HYGIENE ARE AT RISK FOR GUM DISEASE AND CAVITIES, AND STUDIES SHOW THESE PATIENTS ALSO ARE AT INCREASED RISK FOR HEART DISEASE AND STROKE. ADDITIONALLY, STUDIES HAVE SHOWN THAT DIABETIC PATIENTS WHO ALSO SUFFER FROM GUM DISEASE HAVE HIGHER HBA1C VALUES. ACCESS TO ADEQUATE DENTAL CARE IS DIFFICULT, PARTICULARLY FOR THE ADULT POPULATION. THIS IS DUE TO LIMITED COVERAGE OF DENTAL SERVICES BY PUBLIC INSURANCE PROGRAMS, SUCH AS MEDICAID AND MEDICARE. IN 2020, SWOPE HEALTH PROVIDED COMPREHENSIVE DENTAL CARE (SCREENINGS, EXAMINATIONS, X-RAYS, SEALANTS, FLUORIDE VARNISHES, RESTORATIONS, EXTRACTIONS, HYGIENE SERVICES INCLUDING TREATMENT OF GUM DISEASE, AND PROSTHETIC SERVICES INCLUDING PARTIALS, DENTURES, AND CROWN AND BRIDGE WORK) TO 7,300 ADULTS AND CHILDREN. WE OFFERED WALK-IN APPOINTMENTS AND SAME DAY SERVICES FOR PATIENTS WITH PAIN AND DENTAL EMERGENCIES. WE MADE A COMMITMENT TO PROVIDE SAME-DAY TREATMENT TO RESOLVE ISSUES. WE PRIORITIZE APPOINTMENTS FOR PEDIATRIC, OB, AND PATIENTS WITH CHRONIC CONDITIONS SUCH AS HIGH BLOOD PRESSURE OR DIABETES. WE INCREASED OUR MOBILE DENTAL SERVICES TO REACH 889 PATIENTS IN 2020. THIS INCLUDED VISITS TO 20 EARLY CHILDHOOD CENTERS WITH MID-AMERICA REGIONAL COUNCIL; ONE ELEMENTARY CHARTER SCHOOL AND KANSAS CITY PUBLIC SCHOOL CHILDREN KINDERGARTEN TO EIGHTH GRADES; SEVEN HOMELESS SHELTERS, INCLUDING MEN-ONLY SHELTERS, AND SHELTERS FOR WOMEN AND CHILDREN THAT INCLUDES A DOMESTIC VIOLENCE SHELTER. WE ALSO PROVIDED DENTAL SERVICES AT ONE-DAY EVENTS, SUCH AS BACK-TO-SCHOOL EVENTS, THROUGHOUT THE METROPOLITAN AREA INCLUDING KANSAS CITY, KANSAS. BEHAVIORAL HEALTH SERVICES: IN 2019, A TOTAL OF 12,534 INDIVIDUALS RECEIVED COMPREHENSIVE PSYCHIATRIC SERVICES IN MISSOURI, ACCORDING TO THE MISSOURI DEPARTMENT OF MENTAL HEALTH. ALTHOUGH THIS REPRESENTS JUST 2% OF THE POPULATION (703,211 IN MISSOURI, ACCORDING TO THE UNITED STATES CENSUS), THE CONSENSUS IS THAT ROUGHLY 30% OF THE POPULATION HAS A MENTAL ILLNESS OR SUBSTANCE USE DISORDER. IT'S ALSO IMPORTANT TO NOTE THAT MORE THAN 12.5% OF THE POPULATION HAS NO HEALTH INSURANCE. SWOPE HEALTH BEHAVIORAL HEALTH PROVIDED SERVICES TO MORE THAN 5,800 INDIVIDUALS IN 2020. THOSE INDIVIDUALS RECEIVED MORE THAN 120,000 SERVICES, SOME WHICH OCCURRED ON THE SAME DAY. THESE SERVICES INCLUDE COMMUNITY SUPPORT, INDIVIDUAL AND GROUP THERAPY, MEDICATION ASSESSMENT AND MANAGEMENT, SUBSTANCE USE TREATMENT, RESIDENTIAL TREATMENT, CRISIS INTERVENTION, AND CASE MANAGEMENT. THESE SERVICES ARE AVAILABLE FOR AGES 3 AND OVER. ADULTS ARE ALSO OFFERED PSYCHOSOCIAL REHABILITATION, INTEGRATED TREATMENT FOR SUBSTANCE USE, OPIOID TREATMENT, AND EMPLOYMENT SERVICES. THE POPULATION SERVED BY BEHAVIORAL HEALTH IS 61% AFRICAN-AMERICAN, 27% WHITE, NEARLY 5% HISPANIC WITH THE REMAINING COMPOSED OF INDIVIDUALS OF A VARIETY OF RACES. A MAJORITY, 73%, REPORT THEY ARE UNEMPLOYED. WE HAVE FOUND OUR CLIENTS FACE TRANSPORTATION, ECONOMIC, AND EDUCATIONAL CHALLENGES. AS CHALLENGES ARE IDENTIFIED, THE PROVIDERS HAVE ACCESS TO SOCIAL WORKERS, CASE MANAGERS, AND CARE COORDINATORS TO ASSIST THE CLIENT IN OBTAINING RESOURCES, PROVIDE ADDITIONAL EDUCATION, AND TO COORDINATE MULTIPLE TREATMENT PROVIDERS. SWOPE HEALTH BEHAVIORAL HEALTH, MEDICAL AND DENTAL SERVICES CONTINUE TO IMPROVE OUR SERVICE INTEGRATION. THIS HAS RESULTED IN INCREASED CARE COORDINATION, RESOURCE ATTAINMENT, AND BETTER PATIENT OUTCOMES. WE CONTINUE TO EXPLORE MULTIPLE SOLUTIONS TO PROVIDE THE BEST ARRAY OF SERVICES AS POSSIBLE. BEHAVIORAL HEALTH HAS ALSO ESTABLISHED COMMUNITY PARTNERSHIPS WITH OTHER COMMUNITY MENTAL HEALTH CENTERS, MEDICAL SCHOOLS, HEALTH CARE FOUNDATIONS, AND MORE. BY COLLABORATING, WE HAVE BEEN ABLE TO EXPAND RESOURCES THAT ARE AVAILABLE TO OUR CLIENTS. IN 2019, WE EXPANDED TELEHEALTH, WHICH PREPARED US TO MOVE TO VIRTUAL TREATMENT IMMEDIATELY DURING THE PANDEMIC. WE SLOWLY MOVED BACK TO IN-PERSON SERVICES AS VACCINES BECAME AVAILABLE AND ARE NOW PROVIDING ALMOST 60% OF SERVICES IN PERSON, WITH THE REST MADE UP OF A SMALL NUMBER BY PHONE, AND EXTENSIVE TELEHEALTH. ACCESS TO CARE REMAINS A TOP PRIORITY AS WE LOOK TOWARD NEW MODELS OF SERVICE DELIVERY, COMBINING REMOTE AND ON-SITE SERVICES TO MEET THE NEEDS OF CLIENTS. WE HAVE ALSO SEEN A CONTINUAL GROWTH IN THE NUMBER OF INDIVIDUALS SEEKING CARE AND BEING REFERRED TO CARE. OUR CARE COORDINATOR TEAM HAS SERVED AS A LINK BETWEEN HOSPITALS AND THE OUTPATIENT CLINICS. THEIR OUTREACH HAS SHORTENED THE LENGTH OF TIME IT TAKES TO ACCESS CARE, INCREASED SERVICES, WITH BETTER COLLABORATION BETWEEN THE REFERENTS AND THE TREATMENT TEAM. HOMELESS OUTREACH: IN 2020, SWOPE HEALTH ASSISTED MORE THAN 2,800 HOMELESS PATIENTS WITH HEALTH CARE, HOUSING AND OTHER ESSENTIAL SERVICES. SWOPE HEALTH STAFF MEMBERS ARE ACTIVE IN THE HOMELESS COMMUNITY AND OFTEN VISIT 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 INTO SERVICE IN 2017. IT CONTINUES TO BE WELL RECEIVED AND IS A TREMENDOUS RESOURCE FOR COMMUNITY OUTREACH. SERVICES WERE DISCONTINUED DURING THE COVID-19 PERIOD IN 2020 BUT HAVE RECENTLY RESUMED. ONCE A PATIENT IS IDENTIFIED 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 HOUSING, SUPPORTED COMMUNITY LIVING SERVICES AND SHELTER-PLUS CARE, AS WELL AS LOW-INCOME AND OTHER SUBSIDIZED HOUSING. FOR THOSE WITH MENTAL HEALTH CONCERNS, INDIVIDUAL AND GROUP THERAPY ARE OFFERED TO ASSIST WITH OBTAINING OVERALL MENTAL AND PHYSICAL HEALTH GOALS. SWOPE HEALTH ALSO PROVIDES MEDICATION MANAGEMENT, MEDICATION ASSISTANCE, AND DENTAL SERVICES. OUR OUTREACH AND TRANSPORTATION STAFF DRIVE HOMELESS INDIVIDUALS FROM AREA SHELTERS TO APPOINTMENTS AT OUR CLINIC TO ENSURE THEY ARE GETTING REGULAR CHECK-UPS AND PROVIDED EMERGENT HEALTHCARE AS THE NEED ARISES. THIS SERVICE WAS ALSO SUSPENDED IN 2020 BUT HAS RECENTLY HAD A SLOW REVITALIZATION. HEALTHCARE HOME: SWOPE HEALTH 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 1,500 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 OF 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 AFTER FILING WITH THE INTERNAL REVENUE SERVICE. COMMENTS AND QUESTIONS OF THE REVIEWING INDIVIDUALS ARE ADDRESSED BY THOSE RESPONSIBLE FOR PREPARING THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE ANNUALLY THE CONFLICT OF INTEREST DISCLOSURE FORM AND PROVIDE PERIODIC UPDATES TO THE FORM AS MAY BE NECESSARY. ANY CONFLICTS IDENTIFIED WILL REQUIRE RECUSAL OF THE DIRECTOR, OFFICER, OR KEY EMPLOYEE WHERE APPROPRIATE. A HUMAN RESOURCES REPRESENTATIVE REVIEWS THE CONFLICT OF INTEREST DISCLOSURES AND DETERMINES IF THERE IS A POTENTIAL CONFLICT. THE REPRESENTATIVE THEN FORWARDS THE DISCLOSURES WITH POTENTIAL CONFLICTS TO THE VICE PRESIDENT OF HUMAN RESOURCES WHO DETEREMINES IF THERE IS A CONFLICT AND IF FURTHER ACTION IS NECESSARY. 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 2020 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 VII, LINE 1A: SWOPE HEALTH SERVICES, SWOPE PARKWAY HOUSING, INC., AND SWOPE HEALTH FOUNDATION ARE RELATED ENTITIES. AS A RESULT, BOARD OVERLAP EXISTS AMONG THESE ENTITIES, AND IT WOULD BE ADMINISTRATIVELY IMPRACTICAL FOR MEMBERS OF THE GOVERNING BOARD AND THE EXECUTIVE TEAM TO BREAKOUT THEIR HOURS DEVOTED AND REPORTABLE COMPENSATION AMONG EACH ORGANIZATION. THE AMOUNTS REPORTED AS REPORTABLE COMPENSATION FOR OFFICERS, UNLESS OTHERWISE NOTED ELSEWHERE IN PART VII, ARE FOR SERVICES RENDERED ON BEHALF OF SWOPE HEALTH SERVICES AND SWOPE PARKWAY HOUSING, INC. ALL REPORTABLE COMPENSATION, UNLESS OTHERWISE NOTED IN PART VII, IS PAID BY SWOPE HEALTH SERVICES. 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. PACE KC LLC 3801 DR MARTIN LUTHER KING JR BLVD KANSAS CITY MO 641302807 841963990 PROVIDING MEDICAL AND SUPPORTIVE SERVICES TO THE ELDERLY MO 1294349 1294349 SWOPE HEALTH SERVICES SWOPE HEALTH FOUNDATION 3801 DR MARTIN LUTHER KING JR BLVD KANSAS CITY MO 641302807 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 DR MARTIN LUTHER KING JR BLVD KANSAS CITY MO 641302807 431531202 PROVIDE HOUSING TO HANDICAPPED CLIENTS MO 501(C)(3) LINE 7 SWOPE HEALTH SERVICES 1 SWOPE COMMUNITY ENTERPRISES 3801 DR MARTIN LUTHER KING JR BLVD KANSAS CITY MO 641302807 542081401 SUPPORTING ORGANIZATION MO 501(C)(3) LINE 12D, III-O N/A 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SWOPE PARKWAY HOUSING INC B 186076 FAIR MARKET VALUE