2025-10-01T11:46:46-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 2021 SPRING ROAD SUITE 200 OAK BROOK IL 60523 990 2024-01-01 300225826 UNITED COMMUNITY HEALTH CENTER UNIT 7122130109 715 W MILWAUKEE AVE STORM LAKE IA 50588 JAY DAHLHAUSER BOARD CHAIR 7122130109 2025-09-26 1 1 CHRIS MANDERFIELD P01238973 6305738600 2025-09-26 2024 2025-03-06 01:10:19Z RICHARD GEHRIG 715 W MILWAUKEE AVE STORM LAKE IA 50588 6580769 0 X WWW.UCHCSL.COM X 2004 IA PROVIDE AFFORDABLE, QUALITY AND CULTURALLY SENSITIVE HEALTHCARE FOR OUR DIVERSE COMMUNITIES SERVED. 10 10 57 9 0 0 2847434 1970504 3830106 4506741 36986 39051 18723 64473 6733249 6580769 0 394001 0 0 4106796 4132078 0 0 0 2109646 2379044 6216442 6905123 516807 -324354 8579082 7973831 2638289 2357392 5940793 5616439 X IT IS THE MISSION OF UNITED COMMUNITY HEALTH CENTER TO PROVIDE COMPREHENSIVE PRIMARY AND PREVENTIVE CARE TO THE UNINSURED, UNDERINSURED, AND UNDERSERVED OF BUENA VISTA AND SAC COUNTIES. 0 0 2740239 394001 2560012 THE ORGANIZATION PROVIDES PRIMARY AND PREVENTIVE CARE TO A WIDE RANGE OF PATIENTS IN 2024. UNITED COMMUNITY HEALTH CENTER (UCHC) SERVED 5301 PATIENTS FROM OVER 176 DIFFERENT ZIP CODES THROUGH 18,701 CLINIC VISITS. 25% OF THE PATIENTS SERVED HAVE INCOME UNDER THE 200% FEDERAL POVERTY LINE AND 20% OF PATIENTS ARE UNINSURED. 39% OF PATIENTS ARE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH. 51% OF PATIENTS ARE HISPANIC, 3% ARE AFRICAN AMERICAN, 5% ARE ASIAN, 32% ARE CAUCASIAN, AND 3% ARE OTHER PACIFIC ISLANDER. IN OUR MEDICAL CLINIC ELIGIBLE CHILDREN ARE GIVEN FREE VACCINES THROUGH OUR PARTICIPATION IN THE FEDERAL VFC PROGRAM. UCHC OFFERS PRIMARY AND PREVENTIVE MEDICAL CARE, LABORATORY SERVICES. WE ALSO CAN GIVE REFERRALS FOR REDUCED FEE MAMMOGRAMS WITH BUENA VISTA REGIONAL MEDICAL CENTER, AND WORK WITH THE IOWA DEPARTMENT OF PUBLIC HEALTH TO PROVIDE FREE BREAST & CERVICAL CANCER SCREENS, AS WELL AS SCREENS FOR HEART DISEASE. 2208172 0 1697710 OUR DENTAL SERVICES PROGRAM SERVED 2772 PATIENTS IN 7048 DENTAL ENCOUNTERS IN 2024. DENTAL SERVICES OFFERED INCLUDE THE FOLLOWING: DENTAL EXAMINATIONS AND X-RAYS; DENTAL TREATMENTS, FILLINGS, AND EXTRACTIONS; EMERGENCY TREATMENT FOR PAIN, SWELLING, BROKEN TEETH, ETC.; PARTIALS AND DENTURES; ROOT CANAL TREATMENT FOR DISEASES OF THE PULP. 323893 0 249019 PATIENTS ARE ASSISTED TO OBTAIN LOW COST MEDICATION RANGING FROM 20-80% DISCOUNT THROUGH THE FEDERAL 340B DRUG PROGRAM. PRESCRIPTIONS WERE FILLED THROUGH THIS PROGRAM AT OUR CONTRACT PHARMACIES, HY-VEE AND WALGREENS. IN ADDITION, PATIENTS OBTAINED FREE MEDICATIONS THROUGH OUR PRESCRIPTION ASSISTANCE PROGRAM MANAGED IN THE CLINIC. 5272304 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 14 0 57 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 IA X CHELLE ANDERSON 7122130109 715 W MILWAUKEE AVE STORM LAKE IA 50588 JAY DAHLHAUSER CHAIRPERSON 1.00 X X 0 0 0 DI DANIELS - VICE CHAIRPERSON - PART YEAR 1.00 X X 0 0 0 MANDI MOLLRING VICE CHAIRPERSON 1.00 X X 0 0 0 STEVE CAMPBELL TREASURER 1.00 X X 0 0 0 JULIA WHITE SECRETARY 1.00 X X 0 0 0 KRISTINE BANDENBERGER DIRECTOR 1.00 X 0 0 0 ALEX GIRRES DIRECTOR 1.00 X 0 0 0 MAGGIE REYES DIRECTOR 1.00 X 0 0 0 JULIE NADRCHAL DIRECTOR 1.00 X 0 0 0 TRACY GOTTO DIRECTOR 1.00 X 0 0 0 SELYNNA BUTLER DIRECTOR 1.00 X 0 0 0 JACKIE DUFFY DIRECTOR - PART YEAR 1.00 X 0 0 0 RICH GEHRIG CEO 40.00 X 132568 0 35367 MICHELLE ANDERSON CFO 40.00 X 108480 0 29981 BRIAN SMITH DDS DENTAL DIRECTOR 40.00 X 206672 0 29326 447720 0 94674 3 0 1 0 WOODRUFF CONSTRUCTION LLC 1890 KOUNTRY LANE FT DODGE IA 50501 CONSTRUCTION ADDITION 417720 1 1970087 417 1970504 CLINIC PROGRAMS 624100 4506741 4506741 4506741 39051 39051 OTHER REVENUE 900099 64473 64473 64473 6580769 4506741 0 103524 394001 394001 308369 308369 2908032 2343848 564184 265342 212416 52926 421532 333448 88084 228803 169063 59740 306 306 60091 60091 681190 641185 40005 24339 2904 21435 176466 140442 36024 161158 82594 78564 59270 37343 21927 2064 1213 851 36122 21220 14902 35325 22253 13072 537819 277527 260292 26962 16985 9977 MEDICAL EXPENSES 514915 514915 BAD DEBT 59232 59232 RECRUITMENT 2399 1409 990 RENT 1386 1386 6905123 5272304 1632819 0 1328929 736265 842045 873263 6643 252494 226990 87096 82714 9283881 3590061 5781103 5693820 280772 360779 8579082 7973831 840997 675624 212392 125217 1584900 1556551 2638289 2357392 X 5940793 5616439 5940793 5616439 8579082 7973831 -324354 0 X 0 1 X 1 1 1 X 2575186 2906868 1912224 2847434 1970504 12212216 2575186 2906868 1912224 2847434 1970504 12212216 12212216 754 801 3244 36986 39051 80836 43693 378823 25896 18723 64473 531608 12824660 17464876 0.95220 0.95930 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2020 AMOUNT: $ 43,693. 2021 AMOUNT: $ 378,823. 2022 AMOUNT: $ 25,896. 2023 AMOUNT: $ 18,723. 2024 AMOUNT: $ 64,473. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 0 0 1 0 1 0 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO THE IOWA PRIMARY CARE ASSOCIATION. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING. 551278 551278 6577427 2197094 4380333 2155176 1392967 762209 5693820 X 6134747 7211 -453233 -446022 6580769 0 6580769 6459101 7211 7211 6451890 453233 453233 6905123 PART X, LINE 2: THE ORGANIZATION HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)3 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE ORGANIZATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED BY THE ORGANIZATION AS A RESULT OF THIS STANDARD. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT -59,232. CHARITY CARE -394,001. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 59,232. CHARITY CARE 394,001. 1 CHARITY CARE 956 394001 0 N/A N/A PART I, LINE 2: THE ORGANIZATION DOES NOT PROVIDE CASH ASSISTANCE. THE ORGANIZATION PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A SLIDING FEE SCALE WITH DISCOUNTS BASED ON PATIENT FAMILY SIZE AND INCOME IN ACCORDANCE WITH FEDERAL POVERTY GUIDELINES IS USED TO DETERMINE PATIENT FEES. BECAUSE THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. X 0 0 0 0 0 0 0 0 0 BRIAN SMITH DDS DENTAL DIRECTOR 199837 0 0 0 6835 0 19137 0 10189 0 235998 0 0 0 RICH GEHRIG CEO 132568 0 0 0 0 0 13255 0 22112 0 167935 0 0 0 EMILY WILLIAMS FAMILY MEMBER OF RICH GEHRIG, OFFICER OF ORGANIZATION 32674 COMPENSATION AS AN EMPLOYEE OF THE ORGANIZATION 0 FORM 990, PART VI, SECTION A, LINE 2 STEVE CAMPBELL, BUSINESS RELATIONSHIP - PART OWNER OF HUNZELMAN PUTZIER, LLC/VENDOR USED BY UCHC FOR PAYROLL PROCESSING. RICH GEHRIG, FAMILY RELATIONSHIP - DAUGHTER EMILY WILLIAMS IS EMPLOYEE AT UCHC. FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEES HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B 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. ONCE A DRAFT IS PREPARED, THE 990 IS INTERNALLY REVIEWED BY THE CEO AND CFO. AFTER THIS REVIEW, THE 990 IS PRESENTED AT THE BOARD MEETING AND TIME IS GIVEN AFTER THE MEETING TO ALLOW FOR BOARD MEMBERS TO ASK QUESTIONS OR MAKE CHANGES TO THE 990 BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE EMPLOYEES, BOARD, AND OFFICERS ("BOARD MEMBERS") ARE TO AVOID EVEN THE APPEARANCE OF A CONFLICT OF INTEREST. ALL BOARD MEMBERS SHALL DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST AT THE EARLIEST PRACTICABLE TIME. NO BOARD MEMBER SHALL VOTE ON ANY MATTER UNDER CONSIDERATION AT A BOARD OR COMMITTEE MEETING IN WHICH SUCH A BOARD MEMBER HAS A CONFLICT OF INTEREST. THE MINUTES OF SUCH MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE AND THAT THE BOARD MEMBER HAVING A CONFLICT OF INTEREST ABSTAINED FROM VOTING. ANY DISCLOSURE OF A PERSON'S INTEREST SHALL APPEAR IN THE MINUTES OF THE MEETING OF THE BOARD OF DIRECTORS OR COMMITTEE THEREOF. THE CONFLICT OF INTEREST POLICY IS MONITORED BY THE CEO, ADDRESSED ANNUALLY AT THE JANUARY BOARD MEETING AND WHEN ALL NEW BOARD MEMBERS JOIN. A BOARD MEMBER WHO HAS A CONFLICT OF INTEREST SHALL NOT TAKE PART IN THE DISCUSSION OF SUCH MATTERS UNLESS ALL PERSONS INTEREST IN SUCH CONTRACT OR TRANSACTION SHALL ALSO HAVE THE RIGHT TO TAKE PART IN THE SAME DISCUSSION OF SUCH MATTER. THE BOARD MEMBERS' PARTICIPATION IN THE DISCUSSION SHALL BE LIMITED TO STATEMENTS CONCERNING THE FAIRNESS AND REASONABLENESS OF SUCH CONTRACT OR TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 THE HEALTH CENTER COMPENSATION AND BENEFITS REPORT FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE COMPENSATION AND BENEFITS SURVEY FROM THE IOWA PRIMARY CARE ASSOCIATION ARE THE RESOURCES USED FOR COMPARABILITY DATA AND SUBSTANTIATION OF THE DELIBERATION AND DECISION. THIS PROCESS IS USED FOR ALL OFFICERS AND KEY EMPLOYEES. THE FINANCE COMMITTEE AND BOARD REVIEWS THE COMPENSATION FOR THE CEO EACH YEAR, INCLUDING 2024. THE CFO'S SALARY WAS APPROVED IN 2009 AS PART OF THE INITIAL CONTRACT. THESE SALARIES ARE ALL APPROVED AS PART OF THE ANNUAL BUDGET BY THE BOARD OF DIRECTORS WITHIN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 ALL OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO BE VIEWED AT THE ADMINISTRATIVE OFFICE AT 715 WEST MILWAUKEE AVE UPON WRITTEN REQUEST.