2024-09-04T15:21:59-05:00 2023-10-31 221478099 COHNREZNICK LLP 14 SYLVAN WAY PARSIPPANY NJ 070543801 990 2022-11-01 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 2024-09-03 1 1 LORI ROTHE YOKOBOSKY CPA P01273422 9732283500 2024-08-16 X 2022 2024-08-08 14:25:15Z KRISTA POSTAI 3011 N MICHIGAN PO BOX 1832 PITTSBURG KS 667622546 110257032 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 1045 15 262626 0 22523217 21297700 37507658 46459835 -91299 555743 23162798 30053802 83102374 98367080 0 317143 0 0 54758098 70327776 0 0 189997 20861817 26192120 75619915 96837039 7482459 1530041 58510347 61924562 10980268 12858027 47530079 49066535 TO PROVIDE QUALITY, AFFORDABLE, ACCESSIBLE MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE TO ANYONE REGARDLESS OF ABILITY TO PAY. 0 0 72231798 317143 76170931 PROVIDE MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES TO 81,000 INDIVIDUALS FOR 320,000 VISITS AT 38 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. 72231798 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 0 0 1 1045 0 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 KS X ROSS TURNEY 6202319873 3011 N MICHIGAN PO BOX 1832 PITTSBURG KS 667622546 ALYSIA JOHNSTON DIRECTOR 1.00 0.10 X 0 0 0 BRIAN JONES DIRECTOR 1.00 0.20 X 0 0 0 DANIEL MINNIS DDS DIRECTOR 1.00 0.10 X 0 0 0 DAVID SHEPHERD TREASURER 1.00 0.10 X X 0 0 0 DAWN FLORES VICE CHAIR 1.00 0.20 X X 0 0 0 GINGER NANCE DIRECTOR 1.00 0.10 X 0 0 0 JAKE LETNER CHAIR 1.00 0.20 X X 0 0 0 JOHN WYRICK DIRECTOR 1.00 0.20 X 0 0 0 JUDY WESTHOFF DIRECTOR 1.00 0.20 X 0 0 0 NANCY HAIRE SECRETARY 1.00 0.10 X X 0 0 0 PATRICK O'BRYAN DIRECTOR 1.00 0.10 X 0 0 0 RACHEL RUIZ DIRECTOR 1.00 0.10 X 0 0 0 SANDRA COBOS DIRECTOR 1.00 0.10 X 0 0 0 SHAWN NACCARATO DIRECTOR 1.00 0.20 X 0 0 0 TRAVIS WILSON DIRECTOR 1.00 0.10 X 0 0 0 KRISTA POSTAI CHIEF EXECUTIVE OFFICER 40.00 0.10 X 449695 0 23229 ROSS TURNEY SVP CHIEF FINANCIAL OFFICE 40.00 0.10 X 180602 0 13633 HOLLY GAULT PHYSICIAN 40.00 X 314673 0 24774 JASON WESCO PRESIDENT, CHIEF STRATEGY 40.00 X 327200 0 32820 JEQUITA SNYDER PHYSICIAN 40.00 X 307306 0 23229 MAXWELL SELF PHYSICIAN 40.00 X 337309 0 56241 PANKAJ GUGNANI PHYSICIAN 40.00 X 344046 0 23629 2260831 0 197555 95 0 1 0 ECLINICALWORKS LLC PO BOX 847950 BOSTON MA 22847 SOFTWARE SERVICES 2085473 CUELLAR CONSTRUCTION LLC 2502 N GILDA ST WICHITA KS 67205 CONSTRUCTION 630575 WARSTLER EXCAVATING 6014 SE HWY ALT 69 RIVERTON KS 66770 CONSTRUCTION 338860 PITTSBURG INTERIORS 818 EAST HWY 171 PITTSBURG KS 66762 CONSTRUCTION 228413 MICHAEL R YOUNG 311 E 20TH PITTSBURG KS 66210 CONSTRUCTION 127052 8 18526543 2771157 1482528 21297700 MEDICAID 621110 23657426 23657426 THIRD PARTY PAYORS 621400 11485921 11485921 MEDICARE 621110 7703427 7703427 SELF-PAY 621400 3613061 3613061 46459835 520702 520702 40996 0 40996 40996 40996 35041 0 35041 35041 35041 39484782 11889952 27594830 27332204 262626 PHYSICIAN INCENTIVES 900099 2243794 2243794 CAFE INCOME 900099 39084 39084 PATIENT TRANSPORTATION 900099 24358 24358 110740 110740 2417976 98367080 76170931 262626 635823 317143 317143 714330 714330 54205922 39969581 14096337 140004 2266432 1650632 610018 5782 9154790 6695983 2435352 23455 3986302 2903206 1072927 10169 121885 121885 132937 132937 4431235 4124564 306671 382798 382798 1379958 762751 612651 4556 2820361 1855798 958923 5640 831815 458813 373002 591747 299905 291842 460759 102331 358428 6125 6125 1992582 1806461 185730 391 452381 315440 136941 MEDICAL EXPENSES 7041427 7041427 EQUIP REP. & MAINT. 2544411 1315372 1229039 340B FILLING FEES 2440251 2440251 DUES & LICENSE FEES 427809 167016 260793 133639 5124 128515 96837039 72231798 24415244 189997 319067 226142 22523574 17072619 3908446 3665897 5134325 7892905 809067 1263781 136166 216207 43745943 12522223 25616227 31223720 63475 60599 302692 58510347 61924562 10093073 10773128 37632 5702 299082 1200000 550481 879197 10980268 12858027 X 46420079 47981535 1110000 1085000 47530079 49066535 58510347 61924562 1530041 6415 0 X 0 1 X 1 1 1 X 11683242 13709355 23575982 22523217 21297700 92789496 41113932 52460901 52380533 59196354 46459835 251611555 52797174 66170256 75956515 81719571 67757535 344401051 5700 5300 11000 0 5700 5300 11000 344390051 221024 197122 152537 213849 561698 1346230 221024 197122 152537 213849 561698 1346230 2928 61353 262626 326907 428245 1053043 1082418 1378161 2417976 6359843 53446443 67420421 77194398 83372934 70999835 352434031 0.97720 0.98400 0.00380 0.00270 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 428,245. 2019 AMOUNT: $ 1,053,043. 2020 AMOUNT: $ 139,548. 2021 AMOUNT: $ 166,819. 2022 AMOUNT: $ 110,740. PHYSICIAN INCENTIVES - 2020 AMOUNT: $ 942,870. 2021 AMOUNT: $ 1,211,342. 2022 AMOUNT: $ 2,243,794. CAFE INCOME - 2022 AMOUNT: $ 39,084. PATIENT TRANSPORTATION - 2022 AMOUNT: $ 24,358. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1971161 1971161 31943604 7445284 24498320 313830 65037 248793 7374922 3907355 3467567 2142426 1104547 1037879 31223720 DUE TO AFFILIATE 552496 OPERATING LEASE LIABILITY 326701 879197 X PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF OCTOBER 31, 2023 AND 2022, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2020 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. 1 INSPIRE HEALTH FOUNDATION INC 3015 N MICHIGAN ST PITTSBURG KS 66762 880770422 501(C)(3) 317143 0 TO FURTHER EXEMPT PURPOSE 1 PART I, LINE 2: CONTRIBUTION MADE TO AFFILIATE, THEREFORE, THE BOARD IS ABLE TO MONITOR USE OF FUNDS. X X X 0 0 0 0 0 0 0 1 0 KRISTA POSTAI CHIEF EXECUTIVE OFFICER 315077 0 133620 0 998 0 15250 0 7979 0 472924 0 0 0 MAXWELL SELF PHYSICIAN 284973 0 25048 0 27288 0 15250 0 40991 0 393550 0 0 0 PANKAJ GUGNANI PHYSICIAN 327873 0 14548 0 1625 0 15250 0 8379 0 367675 0 0 0 JASON WESCO PRESIDENT, CHIEF STRATEGY 261160 0 65000 0 1040 0 15250 0 17570 0 360020 0 0 0 HOLLY GAULT PHYSICIAN 296696 0 17148 0 829 0 15250 0 9524 0 339447 0 0 0 JEQUITA SNYDER PHYSICIAN 283573 0 17524 0 6209 0 15250 0 7979 0 330535 0 0 0 ROSS TURNEY SVP CHIEF FINANCIAL OFFICE 164601 0 15000 0 1001 0 4932 0 8701 0 194235 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 3 1482528 FMV 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. 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 INSPIRE HEALTH FOUNDATION INC 3015 N MICHIGAN STREET PITTSBURG KS 66762 880770422 FOUNDATION & EDUCATION KS 501(C)(3) LINE 7 COMMUNITY HEALTH CENTER OF SEK INC 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 INSPIRE HEALTH FOUNDATION INC B 317143 FMV