2025-11-04T15:52:13-05:00 2024-12-31 920127098 ELGEE REHFELD LLC 9309 GLACIER HWY STE B200 JUNEAU AK 998019300 990 2024-01-01 273912808 SEWARD COMMUNITY HEALTH CENTER INC SEWA 9072242273 PO BOX 2895 SEWARD AK 996641324 JILIAN CHAPMAN CHIEF EXECUTIVE OFCR 9072242273 2025-10-27 true false JANELLE ANDERSON P01466741 9077893178 2025-10-31 2024 2025-03-06 01:10:19Z JILIAN CHAPMAN 4254499 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. 9 9 39 0 1972976 1594073 2434704 2660212 565 214 0 4408245 4254499 0 0 2821893 2704608 0 0 1289626 1478342 4111519 4182950 296726 71549 1862796 1956324 329428 351407 1533368 1604917 X TO IDENTIFY AND SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY BY PROVIDING QUALITY, AFFORDABLE SERVICES, AND PROMOTING WELLNESS, PREVENTION, AND PARTNERSHIPS. false false 2576510 2660212 DURING 2024, SEWARD COMMUNITY HEALTH CENTER CONTINUED TO STRIVE TO STRENGTHEN AND EXPAND SERVICES FOR OUR COMMUNITY. WE SAW A 4% DECREASE IN PATIENT VISITS COMPARED TO 2023 DESPITE OUR PROACTIVE APPROACH TO MANAGING CHRONIC CONDITIONS BY ENCOURAGING MORE FREQUENT VISITS TO SUPPORT BETTER LONG-TERM OUTCOMES. A MAIN BARRIER TO GROWTH WAS A HIGHER-THAN-EXPECTED PROVIDER TURNOVER, WHICH DIRECTLY IMPACTS THE NUMBER OF PATIENTS SERVED EACH DAY. OPERATIONALLY, STAFF TURNOVER IN GENERAL HAS BEEN HIGHER THAN NORMAL AS WELL. SALARY COSTS HAVE CONTINUED TO RISE AS WE WORKED TO REMAIN COMPETITIVE IN HEALTHCARE STAFFING. DESPITE THESE HIGHER COSTS ALONG WITH ONGOING INCREASES IN MEDICAL SUPPLIES REIMBURSEMENTS FROM GOVERNMENT AND COMMERCIAL PAYORS HAVE NOT KEPT PACE, LEAVING THE ORGANIZATION OPERATING AT A FINANCIAL BREAK-EVEN. OUR SLIDING FEE DISCOUNT PROGRAM, WHICH PROVIDES REDUCED COSTS FOR PATIENTS WITH HOUSEHOLD INCOMES UP TO 200% OF THE FEDERAL POVERTY LEVEL FOR ALASKA, CONTINUED TO PLAY A CRITICAL ROLE IN IMPROVING ACCESS TO CARE. IN 2024, THE PROGRAM GENERATED 77,572 IN PATIENT BILL ADJUSTMENTS, A 40% INCREASE OVER THE PRIOR YEAR. 2576510 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 18 0 true 39 true false false false false false false false false false false false false X 9 9 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 274242 0 31676 CRAIG AMBROSIANI EXECUTIVE DI 40.00 X 197923 0 21584 CHRISTIE GRIFFIN NURSE PRACTI 40.00 X 137742 0 20850 JEANETTE NIENABER PHYSICIAN AS 40.00 X 135050 0 25959 MARCIE WOOD FINANCE DIRE 40.00 X 133910 0 33884 LYNZY DUNAWAY CLINIC SUPER 40.00 X 100748 0 29626 JILIAN CHAPMAN CHIEF EXECUT 40.00 X 91417 0 44417 MARISSA BECK DIRECTOR 1.00 X 0 0 0 MELISSA GUERNSEY DIRECTOR 1.00 X 0 0 0 STEVEN PAUTZ DIRECTOR 1.00 X 0 0 0 AMANDA SANCHEZ DIRECTOR 1.00 X 0 0 0 EDWARD STAVICH DIRECTOR 1.00 X 0 0 0 KALE TIPPIT DIRECTOR 1.00 X 0 0 0 DEBORAH GREEN BOARD CHAIR 2.00 X X 0 0 0 SHANE E HAND II VICE CHAIR 1.00 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 1071032 207996 12 false true false PROVIDENCE SEWARD MEDICAL CENTER 417 1ST STREET SEWARD AK 99664 LAB SERVICES 128041 1 1585668 8405 1594073 PATIENT REVENUE 621110 2041672 2041672 340B PATIENT PHARMACY REV. 621110 610508 610508 OTHER PATIENT RELATED SERVICE 621110 8032 8032 2660212 214 214 4254499 2660212 214 X 355342 355342 1799695 1214068 585627 33388 22391 10997 349858 215728 134130 166325 88159 78166 15085 8749 6336 132704 76968 55736 439354 265125 174229 8674 4944 3730 52007 34095 17912 75718 43916 31802 96911 85734 11177 19672 11213 8459 64172 64172 29300 25291 4009 MEDICAL/PROG SUPPLIES 384710 384710 DUES/SUBSCRIPTIONS 83900 47823 36077 TRAINING/RECRUITMENT 52508 29930 22578 EQUIPMENT/MAINTENANCE 23627 17666 5961 4182950 2576510 1606440 0 488547 515260 310463 308685 129650 161606 260830 365246 69939 54631 643963 93067 603367 550896 1862796 1956324 328428 351407 1000 329428 351407 X 1533368 1604917 1533368 1604917 1862796 1956324 71549 X false true X true true true X 2452024 2151534 1978311 1972976 1594073 10148918 2452024 2151534 1978311 1972976 1594073 10148918 10148918 148 136 99 565 214 1162 10150080 9425391 0.99990 0.99990 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 212217 212217 431746 93067 338679 550896 X 4375908 121409 121409 4254499 4254499 4304359 121409 121409 4182950 4182950 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 TO 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 X true false false false false false false false false SRIHARSHA GOWTHAM MEDICAL DOCTOR 274242 8415 23261 305918 CRAIG AMBROSIANI EXECUTIVE DIRECTOR 197923 5980 15604 219507 CHRISTIE GRIFFIN NURSE PRACTITIONER 137742 3238 17612 158592 JEANETTE NIENABER PHYSICIAN ASSISTANT 135050 4249 21710 161009 MARCIE WOOD FINANCE DIRECTOR 133910 4110 29774 167794 SCHEDULE J, PAGE 1, PART I, LINE 4 CRAIG AMBROSIANI 90,000 0 0 FORM 990, PAGE 2, PART III, LINE 4A DURING 2024, SEWARD COMMUNITY HEALTH CENTER CONTINUED TO STRIVE TO STRENGTHEN AND EXPAND SERVICES FOR OUR COMMUNITY. WE SAW A 4% DECREASE IN PATIENT VISITS COMPARED TO 2023 DESPITE OUR PROACTIVE APPROACH TO MANAGING CHRONIC CONDITIONS BY ENCOURAGING MORE FREQUENT VISITS TO SUPPORT BETTER LONG-TERM OUTCOMES. A MAIN BARRIER TO GROWTH WAS A HIGHER-THAN-EXPECTED PROVIDER TURNOVER, WHICH DIRECTLY IMPACTS THE NUMBER OF PATIENTS SERVED EACH DAY. OPERATIONALLY, STAFF TURNOVER IN GENERAL HAS BEEN HIGHER THAN NORMAL AS WELL. SALARY COSTS HAVE CONTINUED TO RISE AS WE WORKED TO REMAIN COMPETITIVE IN HEALTHCARE STAFFING. DESPITE THESE HIGHER COSTS ALONG WITH ONGOING INCREASES IN MEDICAL SUPPLIES REIMBURSEMENTS FROM GOVERNMENT AND COMMERCIAL PAYORS HAVE NOT KEPT PACE, LEAVING THE ORGANIZATION OPERATING AT A FINANCIAL BREAK-EVEN. OUR SLIDING FEE DISCOUNT PROGRAM, WHICH PROVIDES REDUCED COSTS FOR PATIENTS WITH HOUSEHOLD INCOMES UP TO 200% OF THE FEDERAL POVERTY LEVEL FOR ALASKA, CONTINUED TO PLAY A CRITICAL ROLE IN IMPROVING ACCESS TO CARE. IN 2024, THE PROGRAM GENERATED 77,572 IN PATIENT BILL ADJUSTMENTS, A 40% 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. FORM 990, PART IX, LINE 11G HEALTH RELATED PROVIDERS 230,831 149,395 0 OTHER PROFESSIONAL 34,294 24,834 0 TOTAL 265,125 174,229 0