2024-04-15T09:17:51-05:00 2023-05-31 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-06-01 680545808 COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI % TOBY BARNETT COMM 4178658701 1511 CHRISTY DRIVE JEFFERSON CITY MO 65101 TOBY BARNETT CFO 4178658701 2023-09-05 true Toby Barnett XXX-XX-XXXX Krystal K Creach P01248198 4178658701 2023-03-22 3 2022 2023-04-26 12:10:37Z CRYSTAL SULLIVAN 1511 CHRISTY DRIVE JEFFERSON CITY MO 65101 23985260 false X WWW.CHCCMO.ORG X 2003 MO TO PROVIDE MEDICAL, DENTAL AND MENTAL HEALTH SERVICES TO RESIDENTS OF COLE, OSAGE, MONITEAU AND CALLAWAY COUNTIES REGARDLESS OF ABILITY TO PAY. 12 12 162 12 0 0 4840940 7618706 14113940 15707830 -2988 76640 979180 303160 19931072 23706336 0 0 0 0 8510951 10082033 0 0 0 9005899 9582415 17516850 19664448 2414222 4041888 23228826 29734388 11678720 14096014 11550106 15638374 X TO PROVIDE IMPROVED ACCESS TO PRIMARY CARE, BEHAVIORAL HEALTHCARE AND ORAL HEALTH CARE SERVICES FOR MEDICALLY UNDERSERVED INDIVIDUALS IN CENTRAL MISSOURI REGARDLESS OF THEIR ABILITY TO PAY. OUR VISION IS EMBRACING PEOPLE AND INSPIRING HEALTH. false false 8044609 8271799 OUR DENTAL CLINIC OFFERS A FULL RANGE OF PREVENTATIVE, FUNCTIONAL AND RESTORATIVE DENTAL CARE, INCLUDING CLEANINGS, HYGIENE AND TISSUE MANAGEMENT, SEALANTS, CHECK-UPS, X-RAYS, FILLINGS, EXTRACTIONS, ORAL CANCER SCREENING, HEALTHY GUM CARE, ROOT CANALS, CROWNS, BRIDGES AND DENTURES. EMERGENCY DENTAL CARE IS ALSO AVAILABLE. DURING THE FISCAL YEAR 2023, THE DENTAL PRACTICE HAD 29,794 VISITS, OF WHICH 87% WERE MEDICAID AND 5% WERE UNINSURED, RECEIVING $515,658 IN DISCOUNTS. 6056862 6801884 OUR MEDICAL CLINIC OFFERS A WIDE RANGE OF PRIMARY CARE SERVICES PROVIDED BY A DEDICATED TEAM OF PHYSICIANS, NURSE PRACTITIONERS, COMMUNITY HEALTH WORKERS, NURSES, AND SUPPORT STAFF. WE PROVIDE FAMILY MEDICINE, PEDIATRICS, OBSTETRICS/GYNECOLOGY, OPTOMETRY, LABORATORY, AND ULTRASOUND SERVICES. DURING THE FISCAL YEAR 2023, THE MEDICAL PRACTICE HAD 30,168 VISITS, OF WHICH 53% WERE MEDICAID AND 10% WERE UNINSURED, RECEIVING $661,854 IN DISCOUNTS. 370438 634147 OUR MENTAL HEALTH PRACTICE PROVIDES SERVICES IN PSYCHOLOGY, COUNSELING, SOCIAL WORK, PSYCHIATRY, AND SUBSTANCE USE TREATMENT. DURING THE FISCAL YEAR 2023, THE BEHAVIORAL HEALTH PRACTICE HAD 6,794 VISITS, OF WHICH 46% WERE MEDICAID AND 10% WERE UNINSURED, RECEIVING $52,457 IN DISCOUNTS. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 14471909 true true false true false false false false false false true true false false true false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 1 0 true 162 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 false false X TOBY BARNETT 5736320277 1511 CHRISTY DRIVE JEFFERSON CITY MO 65101 CRYSTAL SULLIVAN CEO 40.0 0.0 X 354579 0 21606 LORI CLAYPOOL PHYSICIAN 40.0 0.0 X 315888 0 24475 RYAN SMITH DENTIST 40.0 0.0 X 312408 0 18052 MEGAN KING-BROWN PHYSICIAN 40.0 0.0 X 252426 0 18321 SARAH CRABTREE PHYSICIAN 40.0 0.0 X 229103 0 15447 RICHARD DAUGHERTY PHYSICIAN 40.0 0.0 X 203263 0 32480 TOBY BARNETT CHIEF FINANCIAL OFFICER 40.0 0.0 X 170308 0 32515 AMANDA GRELLNER PRESIDENT 1.0 0.0 X X 0 0 0 LINDA MCANANY VICE PRESIDENT 1.0 0.0 X X 0 0 0 TOM NIEKAMP TREASURER 1.0 0.0 X X 0 0 0 CHRISTINE ELLINGER SECRETARY 1.0 0.0 X X 0 0 0 DARRYL KING BOARD MEMBER 1.0 0.0 X 0 0 0 DEBBIE HAMLER BOARD MEMBER 1.0 0.0 X 0 0 0 KATHY DOTHAGE BOARD MEMBER 1.0 0.0 X 0 0 0 LINDA BICKEL BOARD MEMBER 1.0 0.0 X 0 0 0 BEVERLY STAFFORD BOARD MEMBER 1.0 0.0 X 0 0 0 JAQUELINE COLEMAN BOARD MEMBER 1.0 0.0 X 0 0 0 KRISTI CAMPBELL BOARD MEMBER 1.0 0.0 X 0 0 0 TOM LUEBBERING BOARD MEMBER 1.0 0.0 X 0 0 0 1837975 0 162896 19 false true false MAGICAL SMILES 408 DIX RD JEFFERSON CITY MO 65101 CONTRACTED DENTAL 514268 MCKESSON MEDICAL SURGICAL PO BOX 634404 CINCINNATI OH 45263 MEDICAL SERVICES 822024 PATTERSON DENTAL 28244 NETWORK PLACE CHICAGO IL 60673 DENTAL SERVICES 795022 NEXTGEN HEALTHCARE PO BOX 511449 LOS ANGELES CA 90051 EMR SOFTWARE 406124 COMPASS HEALTHCARE PO BOX 954259 ST LOUIS MO 63195 BEHAVIORAL HEALTH SE 302443 14 49000 7220989 348717 369437 7618706 Net Patient Service Revenue 624100 15421646 15421646 MISCELLANEOUS INCOME 624100 246832 246832 INCENTIVE REVENUE 624100 39352 39352 15707830 77818 77818 0 0 1489 1489 0 1489 1489 277746 278924 -1178 -1178 -1178 0 0 0 0 0 0 0 0 0 GAIN ON INVESTMENT IN EQUITY INVESTEE 900099 301671 301671 301671 23706336 15707830 379800 0 0 0 0 579008 579008 0 7779088 5892241 1886847 181101 139515 41586 987194 727873 259321 555642 394266 161376 0 4884 4884 147407 147407 0 0 0 4436820 3232948 1203872 0 56297 56297 1180329 787123 393206 109284 83449 25835 0 356607 310408 46199 50967 38918 12049 0 92019 37754 54265 22368 22368 0 889341 667429 221912 131624 125090 6534 MEDICAL SUPPLIES & DRUGS 1994873 1994873 LICENSES, DUES, SUBSCRIPTIONS 57182 57182 RECRUITING & RETENTION 50981 38929 12052 All other expenses 1432 1093 339 19664448 14471909 5192539 0 177539 4983683 13916599 6110136 143891 2575861 418628 564551 0 0 0 0 0 0 383032 478377 211056 259981 9830696 3829913 5405500 6000783 0 0 40735 7580087 0 0 0 0 2531846 1180929 23228826 29734388 1922074 1979363 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9756646 12116651 11678720 14096014 X 11480852 15570214 69254 68160 11550106 15638374 23228826 29734388 4041888 46380 X false true X true true true X 3374946 3550141 5409276 4840940 7618706 24794009 0 0 3374946 3550141 5409276 4840940 7618706 24794009 0 24794009 39493 52339 4241 2473 79307 177853 0 -30273 -7282 1091905 976192 301671 2332213 27304075 68001254 0.90807 0.90760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 65566 65566 false SCHEDULE C, PART II-B, LINE 1 OTHER LOBBYING ACTIVITIES: DURING THE FISCAL YEAR, THE ORGANIZATION PAID DUES TO THE MISSOURI PRIMARY CARE ASSOCIATION. A PORTION OF DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES. THE ORGANIZATION IS INVESTED IN A PARTNERSHIP WITH OTHER COMMUNITY HEALTH CENTERS. THE PARTNERSHIP HAS ONE EMPLOYEE THAT MAY FROM TIME TO TIME LOBBY ON BEHALF OF THE COMMUNITY HEALTH CENTERS. 209528 209528 4500906 1093014 3407892 1004169 373681 630488 4074378 2360042 1714336 41715 3176 38539 6000783 INVESTMENT IN EQUITY INVESTEE 7580087 C 7580087 0 DUE TO THIRD PARTY PAYORS 11119845 Long Term Debt 114699 ROU Liability 882107 12116651 23216480 46380 44254 90634 23125846 580490 580490 23706336 19665626 1178 1178 19664448 19664448 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN 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 ON FORM 990, PART VIII, LINE 12: $ 44,254 NET ASSETS RELEASED FROM RESTRICTIONS SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ (1,178) LOSS ON DISPOSAL OF ASSETS $ 43,160 CONTRIBUTIONS RECEIVED WITH DONOR RESTRICTIONS $ 538,508 GRANTS FOR ACQUISITION OF PROPERTY AND EQUIPMENT ------------- $ 580,490 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 1,178 LOSS ON DISPOSAL X X false false false false false false false true false TOBY BARNETT CHIEF FINANCIAL OFFICER 170308 0 0 0 0 0 5618 0 26897 0 202823 0 0 0 RICHARD DAUGHERTY PHYSICIAN 200600 0 2663 0 0 0 6549 0 25931 0 235743 0 0 0 CRYSTAL SULLIVAN CEO 319069 0 35510 0 0 0 9900 0 11706 0 376185 0 0 0 LORI CLAYPOOL PHYSICIAN 315888 0 0 0 0 0 9526 0 14949 0 340363 0 0 0 MEGAN KING-BROWN PHYSICIAN 231276 0 21150 0 0 0 7577 0 10744 0 270747 0 0 0 RYAN SMITH DENTIST 212097 0 100311 0 0 0 9492 0 8560 0 330460 0 0 0 SARAH CRABTREE PHYSICIAN 216436 0 12667 0 0 0 6887 0 8560 0 244550 0 0 0 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: INCENTIVE COMPENSATION FOR THE CEO IS BASED ON INDIVIDUAL CONTRACTS/AGREEMENTS. INCENTIVE AMOUNTS FOR OTHER INDIVIDUALS IS BASED ON PRODUCTION METRICS. X 1 369437 FMV false false false SCHEDULE M, PART I, COLUMN B NUMBER OF CONTRIBUTORS: THE ORGANIZATION RECEIVED VACCINES FROM A SINGLE DONOR. FORM 990, PART I, LINE 6 NUMBER OF VOLUNTEERS: THE TOTAL NUMBER OF VOLUNTEERS INCLUDE NON-COMPENSATED MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART III, LINE 4C PROGRAM SERVICES: FOR PATIENTS NEEDING BEHAVIORAL AND MENTAL HEALTH SERVICES, THE ORGANIZATION EMPLOYS A CLINICAL PSYCHOLOGIST AND A LICENSED CLINICAL SOCIAL WORKER AS WELL AS PARTNERS WITH PATHWAYS COMMUNITY BEHAVIORAL HEALTH CARE, A NOT-FOR-PROFIT COMMUNITY MENTAL HEALTH COMPANY. COMMITTED TO PROVIDING EXCEPTIONAL CARE FOR THE MIND, BODY, AND SPIRIT, COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI OFFERS HIGHLY TRAINED PROFESSIONALS TO PROVIDE BEHAVIORAL HEALTH AND ADDICTION SERVICES FOR INDIVIDUALS AND THEIR FAMILIES IN A CARING AND CONFIDENTIAL MANNER. THE ORGANIZATION KNOWS THAT MENTAL, EMOTIONAL AND BEHAVIORAL WELLNESS CONTRIBUTE TO PHYSICAL WELL BEING. THEREFORE, IT INTEGRATES BEHAVIORAL HEALTH SERVICES INTO ITS DISEASE MANAGEMENT AND PRIMARY/PREVENTATIVE CARE. THE ORGANIZATION'S PROFESSIONALS WORK TOGETHER TO PROVIDE TOOLS AND TREATMENTS INCLUDING: ASSESSMENT AND PRIVATE CONSULTATIONS, GROUP THERAPY SESSIONS, PHARMACOLOGICAL SUPPORT, FAMILY COUNSELING, AND OUTSIDE REFERRALS FOR MORE SPECIALIZED CARE. FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, THE FORM 990 IS FIRST REVIEWED BY TOP MANAGEMENT. ONCE MANAGEMENT IS CONFIDENT WITH THE RETURN, A FINAL DRAFT IS E-MAILED TO EACH BOARD MEMBER FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: THE CONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED ANNUALLY BY BOARD MEMBERS AND ADMINISTRATIVE TEAM MEMBERS. POLICY: CONFLICT OF INTEREST AVOIDANCE PROCEDURES HELP BOARD MEMBERS, CONSULTANTS, EMPLOYEES AND THOSE WHO PROVIDE SERVICES OR FURNISH GOODS TO THE COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI IDENTIFY SITUATIONS THAT ARE OR MAY BE A CONFLICT OF INTEREST OR THE APPEARANCE OF CONFLICT OF INTEREST. A. CONFLICT OF INTEREST DEFINED. THE FOLLOWING CIRCUMSTANCES SHALL BE DEEMED TO CREATE CONFLICTS OF INTEREST: 1. OUTSIDE INTERESTS. (I) A CONTRACT OR TRANSACTION BETWEEN COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI AND A RESPONSIBLE PERSON OR FAMILY MEMBER. (II) A CONTRACT OR TRANSACTION BETWEEN COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI AND AN ENTITY IN WHICH A RESPONSIBLE PERSON OR FAMILY MEMBER HAS A MATERIAL FINANCIAL INTEREST OR OF WHICH SUCH PERSON IS A DIRECTOR, OFFICER, AGENT, PARTNER, EMPLOYEE, ASSOCIATE, TRUSTEE, PERSONAL REPRESENTATIVE, RECEIVER, GUARDIAN, CUSTODIAN, CONSERVATOR, OR OTHER LEGAL REPRESENTATIVE. 2. OUTSIDE ACTIVITIES. (I) A RESPONSIBLE PERSON COMPETING WITH COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI IN THE RENDERING OF SERVICES OR ANY OTHER CONTRACT OR TRANSACTION WITH A THIRD PARTY. (II) A RESPONSIBLE PERSON'S HAVING A MATERIAL FINANCIAL INTEREST IN; OR SERVING AS A DIRECTOR, OFFICER, EMPLOYEE, AGENT, PARTNER, ASSOCIATE, TRUSTEE, PERSONAL REPRESENTATIVE, RECEIVER, GUARDIAN, CUSTODIAN, CONSERVATOR, OR OTHER LEGAL REPRESENTATIVE OF, OR CONSULTANT TO; AN ENTITY OR INDIVIDUAL THAT COMPETES WITH COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI IN THE PROVISION OF SERVICES OR IN ANY OTHER CONTRACT OR TRANSACTION WITH A THIRD PARTY. 3. GIFTS, GRATUITIES AND ENTERTAINMENT. A RESPONSIBLE PERSON ACCEPTING GIFTS, ENTERTAINMENT, OR OTHER FAVORS FROM ANY INDIVIDUAL OR ENTITY THAT: (I) DOES OR IS SEEKING TO DO BUSINESS WITH, OR IS A COMPETITOR OF COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI; OR (II) HAS RECEIVED, IS RECEIVING, OR IS SEEKING TO RECEIVE A LOAN OR GRANT, OR TO SECURE OTHER FINANCIAL COMMITMENTS FROM COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI; (III) IS A CHARITABLE ORGANIZATION; UNDER CIRCUMSTANCES WHERE IT MIGHT BE INFERRED THAT SUCH ACTION WAS INTENDED TO INFLUENCE OR POSSIBLY WOULD INFLUENCE THE RESPONSIBLE PERSON IN THE PERFORMANCE OF HIS OR HER DUTIES. THIS DOES NOT PRECLUDE THE ACCEPTANCE OF ITEMS OF NOMINAL OR INSIGNIFICANT VALUE OR ENTERTAINMENT OF NOMINAL OR INSIGNIFICANT VALUE THAT ARE NOT RELATED TO ANY PARTICULAR TRANSACTION OR ACTIVITY OF COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI. B. PROCEDURES 1. BOARD MEMBERSHIP. NO BOARD MEMBER MAY BE AN EMPLOYEE OF THE COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI OR IMMEDIATE FAMILY MEMBER OF AN EMPLOYEE. 2. BOARD PARTICIPATION. BEFORE BOARD OR COMMITTEE ACTION ON A CONTRACT OR TRANSACTION INVOLVING A CONFLICT OF INTEREST OR APPEARANCE OF A CONFLICT OF INTEREST, A DIRECTOR OR COMMITTEE MEMBER HAVING A CONFLICT OF INTEREST AND WHO IS IN ATTENDANCE AT THE MEETING SHALL DISCLOSE ALL FACTS MATERIAL TO THE CONFLICT OF INTEREST. SUCH DISCLOSURE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. 3. RESPONSIBLE PERSONS WHO ARE NOT MEMBERS OF THE BOARD OF DIRECTORS OF COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI, OR WHO HAVE A CONFLICT OF INTEREST WITH RESPECT TO A CONTRACT OR TRANSACTION THAT IS NOT THE SUBJECT OF BOARD OR COMMITTEE ACTION, SHALL DISCLOSE TO THE CHAIR OR THE CHAIR'S DESIGNEE ANY CONFLICT OF INTEREST THAT SUCH RESPONSIBLE PERSON HAS WITH RESPECT TO A CONTRACT OR TRANSACTION. SUCH DISCLOSURE SHALL BE MADE AS SOON AS THE CONFLICT OF INTEREST IS KNOWN TO THE RESPONSIBLE PERSON. THE RESPONSIBLE PERSON SHALL REFRAIN FROM ANY ACTION THAT MAY AFFECT COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI'S PARTICIPATION IN SUCH CONTRACT OR TRANSACTION. IN THE EVENT IT IS NOT ENTIRELY CLEAR THAT A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE CONFLICT SHALL DISCLOSE THE CIRCUMSTANCES TO THE BOARD PRESIDENT WHO SHALL DISCLOSE THE CIRCUMSTANCES AND DETERMINE WHETHER THERE IS AN EXISTING CONFLICT OF INTEREST THAT IS SUBJECT TO THIS POLICY. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION REVIEW POLICY: IN FY 2023, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS CONDUCTED AN ANNUAL PERFORMANCE AND COMPENSATION REVIEW FOR THE CEO. MPCA SALARY DATA WAS USED AS COMPARABILITY DATA. THE BOARD'S DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE POLICY: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST FOR A LEGITIMATE BUSINESS PURPOSE (AS DETERMINED BY TOP MANAGEMENT). APPROVED DOCUMENTS WILL BE DISTRIBUTED VIA MAIL. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:4186861 FORM 990 PART IX LINE 11G DESCRIPTION:DATA PROCESSING TOTAL FEES:214743 FORM 990 PART IX LINE 11G DESCRIPTION:UNIFORM SERVICES TOTAL FEES:35216