2022-09-08T15:18:23-05:00 2021-10-31 221478099 COHNREZNICK LLP 14 SYLVAN WAY PARSIPPANY NJ 070543801 990 2020-11-01 753002264 COMMUNITY HEALTH CENTER OF SE KANSAS INC COMM 6202319873 3011 N MICHIGAN PO BOX 1832 PITTSBURG KS 667622546 ROSS TURNEY SVP CHIEF FINANCIAL OFFICER 6202319873 2022-09-02 1 ROSS TURNEY 999009999 LORI ROTHE YOKOBOSKY CPA P01273422 9732283500 2022-08-31 X 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z KRISTA POSTAI 3011 N MICHIGAN PO BOX 1832 PITTSBURG KS 667622546 84211390 0 X WWW.CHCSEK.ORG X 2002 KS TO PROVIDE QUALITY, AFFORDABLE, ACCESSIBLE MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE TO ANYONE REGARDLESS OF ABILITY TO PAY. 15 15 699 0 2928 0 12656312 23575982 30009061 28538531 117512 -322807 18765697 24975531 61548582 76767237 0 0 0 0 39337676 46124172 0 0 99708 17759308 18230351 57096984 64354523 4451598 12412714 41358651 50466527 13657756 10394253 27700895 40072274 TO PROVIDE QUALITY, AFFORDABLE, ACCESSIBLE MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE TO ANYONE REGARDLESS OF ABILITY TO PAY. 0 0 47978008 53461023 PROVIDE MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES TO 64,800 INDIVIDUALS FOR 241,000 VISITS AT 35 CLINICS IN SOUTHEAST KANSAS AND NORTHEAST OKLAHOMA. FEES ARE BASED UPON ABILITY TO PAY, BUT ALL SERVICES PROVIDED REGARDLESS OF ABILITY TO PAY. CHC/SEK ALSO OFFERS SUBSTANCE ABUSE, PHARMACY AND ENABLING SERVICES. 47978008 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 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 1 1 1 0 0 1 83 0 1 699 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ROSS TURNEY 6202319873 3011 N MICHIGAN PO BOX 1832 PITTSBURG KS 667622546 PATRICK O'BRYAN CHAIR 1.00 0.10 X X 0 0 0 JAKE LETNER VICE CHAIR 1.00 0.10 X X 0 0 0 ROSE MADISON SECRETARY 1.00 0.10 X X 0 0 0 DAVID SHEPHERD TREASURER 1.00 0.10 X X 0 0 0 DAWN FLORES DIRECTOR 0.50 0.10 X 0 0 0 JERRY HAMM DIRECTOR 0.50 0.10 X 0 0 0 JANIE HENDERSON DIRECTOR 0.50 0.10 X 0 0 0 BRIAN JONES DIRECTOR 0.50 0.10 X 0 0 0 DANNY MCCULLOUGH DIRECTOR 0.50 0.10 X 0 0 0 NANCY HAIRE DIRECTOR 0.50 0.10 X 0 0 0 TREVOR MELVIN DIRECTOR 0.50 0.10 X 0 0 0 DANIEL MINNIS DDS DIRECTOR 0.50 0.10 X 0 0 0 SHAWN NACCARATO DIRECTOR 0.50 0.10 X 0 0 0 JUDY WESTHOFF DIRECTOR 0.50 0.10 X 0 0 0 JOHN WYRICK DIRECTOR 0.50 0.10 X 0 0 0 BETHA ELLIOTT OUTGOING DIRECTOR 0.50 0.10 X 0 0 0 KRISTA POSTAI CHIEF EXECUTIVE OFFICER 40.00 0.10 X 369684 0 26338 DOUGLAS STUCKEY OUTGOING CHIEF FINANCIAL OFFICER 40.00 0.10 X 200640 0 23096 ROSS TURNEY SVP CHIEF FINANCIAL OFFICER 40.00 0.10 X 0 0 0 MAXWELL SELF PHYSICIAN 40.00 X 309809 0 37810 PANKAJ GUGNANI PHYSICIAN 40.00 X 301362 0 22292 JEQUITA SNYDER PHYSICIAN 40.00 X 281924 0 19415 JASON WESCO PRESIDENT, CHIEF STRATEGY OFFICER 40.00 X 250122 0 22606 LARRY SEALS PHYSICIAN 40.00 X 252300 0 12624 1965841 0 164181 66 0 1 0 ECLINICALWORKS PO BOX 847950 BOSTON MA 02284 EMR PROVIDER 1480557 RX PREFERRED BENEFITS PO BOX 396 MT JULIET TN 37121 340(B) PHARMACY OVERLAY 406338 COLUMBUS TELEPHONE (OPTIC) 224 S KANSAS AVE COLUMBUS KS 66725 TELECOMMUNICATIONS 369237 CYTOCHECK LABORATORY 1201 CORPORATE DRIVE PARSONS KS 67357 REFERENCE LAB TESTING 284562 ALLIANCE RADIOLOGY 8005 W 110TH ST STE 214 OVERLAND PARK KS 66210 IMAGING REVIEW SERVICE 212066 9 16160756 7415226 93334 23575982 MEDICAID 621110 13604100 13604100 THIRD PARTY PAYORS 621400 7480690 7480690 MEDICARE 621110 6437139 6437139 SELF-PAY 621400 1016602 1016602 28538531 84077 84077 68460 18349 50111 50111 50111 126359 533243 -406884 -406884 -406884 30735563 6892561 23843002 23840074 2928 PHYSICIAN INCENTIVES 900099 942870 942870 MISCELLANEOUS REVENUE 900099 139548 139548 1082418 76767237 53461023 2928 -272696 707451 707451 36218595 26289806 9853423 75366 1595909 1158334 434227 3348 4985864 3556234 1419351 10279 2616353 1860703 750272 5378 10470 10470 92676 92676 4860822 4769041 91781 212272 212272 1940702 812365 1125240 3097 1901150 1364153 535096 1901 707879 443881 263998 249103 154101 95002 54388 54388 63274 63274 1713270 1551871 161060 339 269365 197714 71651 340B FILLING FEES 2763526 2763526 MEDICAL EXPENSES 2377586 2377586 EQUIP REP & MAINT 513044 376575 136469 DUES & LICENSE FEES 183386 104773 78613 317438 197345 120093 64354523 47978008 16276807 99708 424818 384484 17400248 17974271 2944361 5211703 3062101 4311053 383167 631781 63549 104370 31162388 9396493 16274269 21765895 82970 806138 41358651 50466527 6682803 8806275 4895158 113143 2079795 1474835 13657756 10394253 X 27200895 36495852 500000 3576422 27700895 40072274 41358651 50466527 12412714 -18938 -22397 0 X X 0 1 X 1 1 1 X 9696306 10019597 11683242 13709355 23575982 68684482 21563789 22971722 41113932 52460901 52380533 190490877 31260095 32991319 52797174 66170256 75956515 259175359 0 0 0 259175359 28160 52724 221024 197122 152537 651567 28160 52724 221024 197122 152537 651567 2928 2928 115270 184608 428245 1053043 1082418 2863584 31403525 33228651 53446443 67420421 77194398 262693438 0.98660 0.98850 0.00250 0.00250 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2016 AMOUNT: $ 115,270. 2017 AMOUNT: $ 184,608. 2018 AMOUNT: $ 428,245. 2019 AMOUNT: $ 1,053,043. 2020 AMOUNT: $ 139,548. PHYSICIAN INCENTIVES - 2020 AMOUNT: $ 942,870. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1643781 1643781 20894510 5590944 15303566 320649 23390 297259 7057950 3782159 3275791 1245498 1245498 21765895 X 84735524 -18938 102382 973933 1057377 83678147 -6910910 -6910910 76767237 72312584 102382 7855679 7958061 64354523 0 64354523 PART X, LINE 2: THE ORGANIZATION HAS NO UNRECOGNIZED TAX BENEFITS AT OCTOBER 31, 2021 AND 2020. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2018 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE CONSOLIDATED STATEMENTS OF FINANCIAL POSITION. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION REVENUE 973,933. PART XI, LINE 4B - OTHER ADJUSTMENTS: PHARMACY COST OF GOODS SOLD -6,892,561. RENTAL EXPENSE OFFSET -18,349. PART XII, LINE 2D - OTHER ADJUSTMENTS: PHARMACY COST OF GOODS SOLD 6,892,561. RELATED ORGANIZATION EXPENSES 944,769. RENTAL EXPENSE OFFSET 18,349. X X X 0 0 0 0 0 0 0 1 0 KRISTA POSTAI CHIEF EXECUTIVE OFFICER 251359 0 117768 0 557 0 18505 0 7833 0 396022 0 0 0 MAXWELL SELF PHYSICIAN 309412 0 0 0 397 0 15183 0 22627 0 347619 0 0 0 PANKAJ GUGNANI PHYSICIAN 301224 0 0 0 138 0 15071 0 7221 0 323654 0 0 0 JEQUITA SNYDER PHYSICIAN 281712 0 0 0 212 0 7120 0 12295 0 301339 0 0 0 JASON WESCO PRESIDENT, CHIEF STRATEGY OFFICER 249984 0 0 0 138 0 12618 0 9988 0 272728 0 0 0 LARRY SEALS PHYSICIAN 251874 0 0 0 426 0 12624 0 0 0 264924 0 0 0 DOUGLAS STUCKEY OUTGOING CHIEF FINANCIAL OFFICER 174663 0 25368 0 609 0 11269 0 11827 0 223736 0 0 0 PART I LINE 7: ANNUAL, END-OF-YEAR BONUSES WERE PROVIDED TO SELECTED STAFF. BOARD APPROVES CEO'S BONUS, CEO DETERMINES OTHER STAFF BONUSES. X 4 93334 0 1 0 PART I, COLUMN (B): COLUMN B REPRESENTS NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11B CHCSEK PREPARES AND CIRCULATES PROPOSED FORM 990 TO FINANCE COMMITTEE FOR DETAILED ANALYSIS, AND THEN REVIEWS PROPOSED FORM 990 WITH FULL BOARD BEFORE SUBMISSION. A COPY OF THE FILED RETURN IS MADE AVAILABLE TO THE FULL BOARD AFTER FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CHCSEK BOARD MEMBERS AND LEADERSHIP STAFF COMPLETE ANNUAL COMPLIANCE QUESTIONNAIRES TO DISCLOSE POSSIBLE CONFLICTS OF INTEREST AT ANY POINT DURING THE TAX YEAR, AND THEN REVIEWED BY THE COMPLIANCE OFFICER AND SHARED WITH FINANCIAL AUDITORS. NO SIGNIFICANT CONFLICTS WERE DISCLOSED IN THE FINANCIAL STATEMENTS. FORM 990, PART VI, SECTION B, LINE 15 STAFF COMPENSATION IS LIMITED TO SALARY RANGES APPROVED BY THE BOARD OF DIRECTORS, AS DETERMINED BY THE CEO AND VP OF HUMAN RESOURCES, ASSISTED BY INDUSTRY-SPECIFIC SALARY SURVEYS AND COMPARABLE LOCAL NONPROFIT COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIALS AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THERE HAVE BEEN NO CHANGES IN THE AUDIT OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. FINANCE COMMITTEE SELECTS, AFFIRMED BY THE FULL BOARD, ON SELECTION OF INDEPENDENT AUDITOR. FINANCE COMMITTEE AND FULL BOARD REVIEWS ALL AUDIT WORK PRODUCT. BUILDING HEALTH INC 3015 N MICHIGAN STREET PITTSBURG KS 66762 844531146 NON-FQHC ACTIVITES KS 501(C)(3) LINE 12A, I COMMUNITY HEALTH CENTER OF SEK INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0