2023-12-14T09:10:44-06:00 2023-01-31 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-02-01 421060724 COMMUNITY HEALTH CARE INC % KEVIN HAGEDORN COMM 5633363000 500 WEST RIVER DRIVE DAVENPORT IA 528011014 KEVIN HAGEDORN CFO 5633363000 2023-11-17 true KEVIN HAGEDORN 999009999 Krystal K Creach P01248198 4178658701 2 2022 2023-04-26 12:10:37Z TOM BOWMAN 500 WEST RIVER DRIVE DAVENPORT IA 528011014 44701769 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 12 470 20 850 0 10679363 10954648 30169323 33496666 51288 121579 72082 90220 40972056 44663113 0 92582 0 0 26680825 29288354 0 0 273902 12112635 12198640 38793460 41579576 2178596 3083537 35997390 39757286 7689551 8365910 28307839 31391376 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 22659366 92582 24995329 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 2023 WERE 25,115 IN 98,942 MEDICAL VISITS. THOSE WHO QUALIFY ARE OFFERED A SLIDING FEE SCALE. 4267993 6241929 COMMUNITY HEALTH CARE, INC. PROVIDES DENTAL CARE IN THREE LOCATIONS IN BOTH IOWA AND ILLINOIS. DENTAL PATIENTS SERVED WERE 14,397 IN 30,045 DENTAL VISITS. ALL PEOPLE IN NEED ARE SERVED. THOSE WHO QUALIFY ARE OFFERED A SLIDING FEE SCALE. 2121653 2258558 COMMUNITY HEALTH CARE, INC. PROVIDES BEHAVIORAL HEALTH CARE IN FIVE LOCATIONS IN BOTH IOWA AND ILLINOIS. BEHAVIORAL HEALTH PATIENTS SERVED WERE 3,059 IN 12,993 VISITS. ALL PEOPLE IN NEED ARE SERVED. THOSE WHO QUALIFY ARE OFFERED A SLIDING FEE SCALE. 29049012 true true false true false false false false false true true false false false true false true false false false false false false false false false false true false true true false false false false false false false false false false true false false false false false false false false true 33 0 true 470 true false false false false false false 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 true false IL X KEVIN HAGEDORN 5633363000 500 WEST RIVER DRIVE DAVENPORT IA 52801 CHETAN PRASAD PHYSICIAN 40.0 0.0 X 331624 0 29606 ANJU CHANA CHIEF MEDICAL OFFICER 40.0 0.0 X 303319 0 29297 SWETHA R KANDULA PHYSICIAN PEDIATRICS 40.0 0.0 X 297999 0 29707 REEM OWEIS DENTIST 40.0 0.0 X 286577 0 12651 ANNE M METUGE AHONE PHYSICIAN 40.0 0.0 X 266241 0 25927 OLAITAN IJITIMEHIN PHYSICIAN 40.0 0.0 X 256127 0 23322 THOMAS J BOWMAN CHIEF EXECUTIVE OFFICER 40.0 0.0 X 247739 0 28159 MARK STUMPHY DENTAL DIRECTOR/DENTIST 40.0 0.0 X 216756 0 21238 KEVIN P HAGEDORN CHIEF FINANCIAL OFFICER 40.0 0.0 X 162276 0 25280 KRISTIN HUMPHRIES DIRECTOR 1.0 0.0 X 0 0 0 DARRYL DOPSON DIRECTOR 1.0 0.0 X 0 0 0 ANITA GOMEZ-JONES CHAIR 1.0 0.0 X X 0 0 0 DAVE HELSCHER DIRECTOR/TREASURER BEG 10/22 1.0 0.0 X X 0 0 0 SARAH MOORE SECRETARY 1.0 0.0 X X 0 0 0 ANNA MORENO DIRECTOR 1.0 0.0 X 0 0 0 PHYLLIS MULLETT DIRECTOR 1.0 0.0 X 0 0 0 NANA OURO-AGORO DIRECTOR BEG 11/22 1.0 0.0 X 0 0 0 LISA RANDOLPH DIRECTOR 1.0 0.0 X 0 0 0 ANTHONY SCHWENKE DIRECTOR 1.0 0.0 X 0 0 0 KATIE SPAIN VICE CHAIR 1.0 0.0 X X 0 0 0 SARAH WELLS DIRECTOR 1.0 0.0 X 0 0 0 VADEN SPURLOCK TREASURER END 10/22 1.0 0.0 X X 0 0 0 2368658 0 225187 57 false true false STRATUS INDEMAND PO BOX 675248 DETROIT MI 48267 TRANSLATIONS SERVICE 500084 GENESIS 1227 E RUSHOLME ST DAVENPORT IA 52803 OBGYN PROVIDERS 356182 ARRAY BEHAVIORAL CARE 4525 N RAVENSWOOD AVE CHICAGO IL 60640 BEHAV HLTH PROVIDERS 293708 3 183618 9744797 1026233 32623 10954648 NET PATIENT SERVICE REVENUE 624100 33040462 33040462 OTHER INCOME 624100 456204 455354 850 33496666 121579 121579 0 0 128876 38656 90220 0 90220 90220 0 0 0 0 0 0 0 0 0 0 0 44663113 33495816 850 211799 92582 92582 0 0 0 1034064 570610 463454 0 23291337 16831726 6310391 149220 637884 474864 157480 5540 2573342 1645219 906299 21824 1751727 1211135 529005 11587 0 53212 53212 140394 140394 0 0 0 4116285 3239999 868199 8087 99161 33569 65592 192105 22222 168719 1164 1459834 1459834 0 719769 570217 148372 1180 140283 75205 63841 1237 0 197023 99251 93091 4681 37672 37672 0 1408212 1007507 400705 223243 135428 86584 1231 MEDICAL SUPPLIES AND DRUGS 2655515 2655515 LICENSES, DUES, SUBSCRIPTIONS 297080 85505 211575 REPAIRS AND MAINTENANCE 261352 198739 62613 RECRUITMENT AND RETENTION 25560 25560 171940 99719 69662 2559 41579576 29049012 12256662 273902 777509 346339 13781501 14442918 1402950 2362395 3893637 3275331 0 0 0 0 0 0 94873 107295 503699 1370658 30981908 14282443 15413605 16699465 0 0 0 0 0 0 0 0 129616 1152885 35997390 39757286 5273942 6329679 0 0 938264 2512 1138510 746690 0 0 0 0 338835 223801 0 0 0 1063228 7689551 8365910 X 27430950 28828758 876889 2562618 28307839 31391376 35997390 39757286 3083537 X false true X true true true X 7135221 7018919 18802895 10679363 10954648 54591046 0 0 7135221 7018919 18802895 10679363 10954648 54591046 0 54591046 68129 157857 157786 215009 250455 849236 850 850 850 850 850 4250 0 55444532 138939393 0.98461 0.98713 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. 49616 165 -7691 1500 407 40183 45393 95 6071 1502 441 49616 43250 100 3880 1400 28 409 45393 36785 200 6904 639 43250 39055 1065 -2666 669 36785 1.00000 true false 1516265 1516265 18750295 9066686 9683609 2267214 619920 1647294 6341755 4595837 1745918 2106379 2106379 16699465 0 LEASE LIABILITY 1063228 1063228 43033140 17100 537241 554341 42478799 2184314 2184314 44663113 41635332 17100 38656 55756 41579576 41579576 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. A FUND WAS ESTABLISHED DECEMBER 23, 1999 BY MATERNAL 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. 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: $ 537,241 NET ASSETS RELEASED SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $2,222,970 TRNA CONTRIBUTIONS (38,656) RENTAL EXPENSES ---------- $2,184,314 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 38,656 RENTAL EXPENSES true HILLCREST FAMILY SERVICES 2005 ASBURY ROAD DUBUQUE AZ 52001 420680411 501(C)(3) 90917 SUPPORT 1 FORM 990, SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: COMMUNITY HEALTH CARE INC. MONITORS THE GRANT EXPENDITURES BY REQUIRING THE SUBRECIPIENT OF ANY GRANT TO PROVIDE A BUDGET OF ITS EXPENDITURES, PROOF OF LIABILITY, YEAR END AUDITIED FINANCIAL STATEMENTS AND PERFORMS A DESK REVIEW AUDIT ANNUALLY. X X X false false false false false true false true false THOMAS J BOWMAN CHIEF EXECUTIVE OFFICER 227881 0 15000 0 4858 0 11964 0 16195 0 275898 0 0 0 KEVIN P HAGEDORN CHIEF FINANCIAL OFFICER 143834 0 14769 0 3673 0 7901 0 17379 0 187556 0 0 0 ANJU CHANA CHIEF MEDICAL OFFICER 287797 0 15328 0 194 0 14836 0 14461 0 332616 0 0 0 MARK STUMPHY DENTAL DIRECTOR/DENTIST 187833 0 25000 0 3923 0 9796 0 11442 0 237994 0 0 0 ANNE M METUGE AHONE PHYSICIAN 263916 0 2000 0 325 0 10319 0 15608 0 292168 0 0 0 CHETAN PRASAD PHYSICIAN 291279 0 40172 0 173 0 14924 0 14682 0 361230 0 0 0 REEM OWEIS DENTIST 232153 0 45768 0 8656 0 11444 0 1207 0 299228 0 0 0 SWETHA R KANDULA PHYSICIAN PEDIATRICS 294509 0 3000 0 490 0 14628 0 15079 0 327706 0 0 0 OLAITAN IJITIMEHIN PHYSICIAN 253933 0 2000 0 194 0 12614 0 10708 0 279449 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 1938778 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 0 false false A false X 7 32623 FMV 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 2023. FORM 990, PART VI, SECTION B, LINE 15B COMPENSATION DETERMINATION POLICY: OTHER OFFICER AND 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 2023. 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.