2024-05-13T21:19:16-04:00 2023-12-31 920127098 ELGEE REHFELD LLC 9309 GLACIER HWY STE B200 JUNEAU AK 998019300 990 2023-01-01 273912808 SEWARD COMMUNITY HEALTH CENTER INC SEWA 9072242273 PO BOX 2895 SEWARD AK 996641324 CRAIG AMBROSIANI EXECUTIVE DIRECTOR 9072242273 2024-05-01 true CRAIG AMBROSIANI XXX-XX-XXXX false JANELLE ANDERSON P01466741 9077893178 2024-05-10 2023 2023-04-26 12:10:37Z CRAIG AMBROSIANI PO BOX 2895 SEWARD AK 99664 4408245 false X HTTPS://WWW.SEWARDHEALTHCENTER.ORG X 2011 AK INTEGRATED PRIMARY CARE AND BEHAVIORAL HEALTH, SUPPLEMENTED BY PATIENT SUPPORT SERVICES SUCH AS HEALTH EDUCATION, CASE MANAGEMENT, SLIDING FEE DISCOUNT PROGRAM, PAYMENT PLANS, TRANSPORTATION ASSISTANCE, PRESCRIPTION ASSISTANCE, AND VIDEO TRANSLATION. 10 10 42 10 0 1978311 1972976 1693605 2434704 99 565 0 3672015 4408245 0 0 2569324 2821893 0 0 1005194 1289626 3574518 4111519 97497 296726 1646429 1862796 409787 329428 1236642 1533368 X TO IDENTIFY AND SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY BY PROVIDING QUALITY, AFFORDABLE SERVICES, AND PROMOTING WELLNESS, PREVENTION, AND PARTNERSHIPS. false false 2540021 2434704 DURING 2023, REGULAR SERVICES PROVIDED BY SEWARD COMMUNITY HEALTH CENTER HAD LIMITED IMPACT FROM COVID, AS WE HAVE WORKED TO NORMALIZE COVID INTO REGULAR OPERATIONS. POST COVID, WE INCREASED OUR PATIENT VISITS BY BRINGING CHRONIC PATIENTS IN MORE FREQUENTLY FOR BETTER OUTCOMES. THIS INCREASED OUR PATIENT VISITS BY 30% WITH OUR NUMBER OF PATIENTS INCREASING BY 7% OVER 2022. OTHER SIGNIFICANT IMPACTS ARE THAT STAFF TURNOVER HAS COME BACK DOWN TO PRE-COVID LEVELS, BUT SALARY COSTS INCREASED BY OVER 20%. THE LACK OF INCREASED PAYMENTS FROM THE GOVERNMENT AND COMMERCIAL PAYORS, COMPILED WITH THE HIGH COST OF SUPPLIES AND STAFF, HAS KEPT US AT AN OPERATIONAL FINANCIAL BREAK-EVEN. THE SLIDING FEE PROGRAM, A DISCOUNT PROGRAM BASED ON HOUSEHOLD INCOME AND FAMILY SIZE UP TO 200% OF THE POVERTY LEVEL FOR ALASKA GENERATED 55,361 OF ADJUSTMENTS, (CREDITS) TO PATIENTS BILLS FOR THIS PROGRAM, A 14% INCREASE OVER THE PRIOR YEAR. 2540021 true true false false false false false false false false true false false false false true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 14 0 true 42 true false false false false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true true false X SEWARD COMMUNITY HEALTH CENTER INC 9072242273 PO BOX 2895 SEWARD AK 99664 SRIHARSHA GOWTHAM MEDICAL DOCT 40.00 X 273223 0 37113 CRAIG AMBROSIANI EXECUTIVE DI 40.00 X 210712 0 21985 JEANETTE NIENABER PHYSICIAN AS 40.00 X 160830 0 32014 MARCIE WOOD FINANCE DIRE 40.00 X 136931 0 31434 JUDITH KEPES REGISTERED N 40.00 X 106425 0 20559 DEBORAH GREEN BOARD CHAIR 2.00 X X 0 0 0 ELLEN O'BRIEN BOARD SECRET 2.00 X X 0 0 0 PATRICIA LINVILLE BOARD TREASU 2.00 X X 0 0 0 MARISSA BECK DIRECTOR 1.00 X 0 0 0 DENISE CERNIGLIA DIRECTOR 1.00 X 0 0 0 MELISSA GUERNSEY DIRECTOR 1.00 X 0 0 0 SHANE E HAND II DIRECTOR 1.00 X 0 0 0 STEVE PAUTZ DIRECTOR 1.00 X 0 0 0 AMANDA SANCHEZ DIRECTOR 1.00 X 0 0 0 EDWARD SLAVICH DIRECTOR 1.00 X 0 0 0 KALE TIPPIT DIRECTOR 1.00 X 0 0 0 888121 143105 5 false true false PROVIDENCE SEWARD MEDICAL CENTER 417 1ST STREET SEWARD AK 99664 LAB SERVICES 117391 1 1814264 158712 3100 1972976 PATIENT REVENUE 621110 1948602 1948602 340B PATIENT PHARMACY REV. 621110 475284 475284 OTHER PATIENT RELATED SERVICE 621110 10818 10818 2434704 565 565 4408245 2434704 565 232696 232696 1938938 1298483 640455 39566 28467 11099 453151 258972 194179 157542 87981 69561 113940 113940 394564 221113 173451 14833 8751 6082 52089 36819 15270 135652 101116 34536 53279 42698 10581 15788 9457 6331 27129 27129 25711 21637 4074 MEDICAL/PROG SUPPLIES 342026 342026 TRAINING/RECRUITMENT 56844 33538 23306 EQUIPMENT/MAINTENANCE 48226 43331 4895 DUES/SUBSCRIPTIONS 9545 5632 3913 4111519 2540021 1571498 0 598946 488547 309464 310463 124202 129650 248984 260830 46342 69939 632263 28896 318491 603367 1646429 1862796 246377 328428 163410 1000 409787 329428 X 1236642 1533368 1236642 1533368 1646429 1862796 296726 X false true X true true true X 1637409 2452024 2151534 1978311 1972976 10192254 1637409 2452024 2151534 1978311 1972976 10192254 10192254 101 148 136 99 565 1049 10193303 6924523 0.99990 0.99930 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 212217 212217 420046 28896 391150 603367 X 4488254 80009 80009 4408245 4408245 4191528 80009 80009 4111519 4111519 SCHEDULE D, PAGE 3, PART X SCHC IS EXEMPT FROM INCOME TAXES AS A NOT-FOR-PROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND APPLICABLE INCOME TAX REGULATIONS OF THE STATE OF ALASKA, EXCEPT FOR NET INCOME FROM UNRELATED BUSINESS, OF WHICH SCHC HAS NONE. SCHC APPLIES THE PROVISIONS OF TOPIC 740 OF THE FASB ACCOUNTING STANDARDS CODIFICATION RELATING TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. SCHC ANNUALLY REVIEWS ITS TAX POSITIONS TAKEN IN ACCORDANCE WITH THE RECOGNITION STANDARDS. SCHC BELIEVES THAT IT HAS NO UNCERTAIN TAX POSITIONS WHICH WOULD REQUIRE DISCLOSURE OF ADJUSTMENT IN THESE FINANCIAL STATEMENTS. X X X X X false false false false false false false false false SRIHARSHA GOWTHAM MEDICAL DOCTOR 273223 8442 28671 310336 CRAIG AMBROSIANI EXECUTIVE DIRECTOR 210712 6371 15614 232697 JEANETTE NIENABER PHYSICIAN ASSISTANT 160830 5050 26964 192844 MARCIE WOOD FINANCE DIRECTOR 136931 4192 27242 168365 FORM 990, PAGE 2, PART III, LINE 4A DURING 2023, REGULAR SERVICES PROVIDED BY SEWARD COMMUNITY HEALTH CENTER HAD LIMITED IMPACT FROM COVID, AS WE HAVE WORKED TO NORMALIZE COVID INTO REGULAR OPERATIONS. POST COVID, WE INCREASED OUR PATIENT VISITS BY BRINGING CHRONIC PATIENTS IN MORE FREQUENTLY FOR BETTER OUTCOMES. THIS INCREASED OUR PATIENT VISITS BY 30% WITH OUR NUMBER OF PATIENTS INCREASING BY 7% OVER 2022. OTHER SIGNIFICANT IMPACTS ARE THAT STAFF TURNOVER HAS COME BACK DOWN TO PRE-COVID LEVELS, BUT SALARY COSTS INCREASED BY OVER 20%. THE LACK OF INCREASED PAYMENTS FROM THE GOVERNMENT AND COMMERCIAL PAYORS, COMPILED WITH THE HIGH COST OF SUPPLIES AND STAFF, HAS KEPT US AT AN OPERATIONAL FINANCIAL BREAK-EVEN. THE SLIDING FEE PROGRAM, A DISCOUNT PROGRAM BASED ON HOUSEHOLD INCOME AND FAMILY SIZE UP TO 200% OF THE POVERTY LEVEL FOR ALASKA GENERATED 55,361 OF ADJUSTMENTS, (CREDITS) TO PATIENTS BILLS FOR THIS PROGRAM, A 14% INCREASE OVER THE PRIOR YEAR. FORM 990, PAGE 6, PART VI, LINE 11B A PDF FILE OF THE FORM 990 AND ALL SCHEDULES IS REVIEWED BY THE FINANCE COMMITTEE AND A COPY IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS. THEY ARE GIVEN 14 DAYS TO REVIEW AND SUBMIT ANY QUESTIONS OR CONCERNS TO THE SCHC FINANCE DEPARTMENT. IF NONE ARE RECEIVED BY FINANCE, THE 990 AND SCHEDULES ARE SUBMITTED TO THE INTERNAL REVENUE SERVICE. FORM 990, PAGE 6, PART VI, LINE 12C ANNUAL CONFLICT OF INTEREST STATEMENTS ARE COMPLETED BY THE BOARD, OFFICERS, AND KEY EMPLOYEES. IF A CONFLICT ARISES, EACH INDIVIDUAL IS REQUIRED TO REPORT THE CONFLICT TO THE BOARD CHAIR OR THE EXECUTIVE DIRECTOR. THE EXECUTIVE COMMITTEE OF THE BOARD WILL REVIEW THE ISSUE AND DETERMINE A SOLUTION. FORM 990, PAGE 6, PART VI, LINE 15A THE CHAIR AND VICE CHAIR OF THE BOARD REVIEWED SALARY DATA FROM THE NORTHWEST PRIMARY CARE ASSOCIATION AND THE STATE OF ALASKA TO DETERMINE THE EXECUTIVE DIRECTOR'S SALARY. EXTERNAL CONSULTANTS ARE ALSO UTILIZED TO DO SALARY SURVEY COMPARISONS EVERY TWO TO THREE YEARS. FORM 990, PAGE 6, PART VI, LINE 15B NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION AND THE STATE OF ALASKA SALARY STUDIES WERE USED AS THE BASIS FOR DETERMINING ALL STAFF WAGES. EXTERNAL CONSULTANTS WERE ALSO UTILIZED TO DO SALARY SURVEY COMPARISONS EVERY TWO TO THREE YEARS. FORM 990, PAGE 6, PART VI, LINE 19 ALL DOCUMENTS THAT ARE REQUIRED TO BE MADE AVAILABLE TO THE PUBLIC ARE MADE SO UPON REQUEST.