2023-09-05T17:11:51-05:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 1301 WEST 22ND STREET SUITE 1100 OAK BROOK IL 60523 990 2022-01-01 300225826 UNITED COMMUNITY HEALTH CENTER UNIT 7122130109 715 W MILWAUKEE AVE STORM LAKE IA 50588 JAY DAHLHAUSER BOARD CHAIR 7122130109 2023-08-09 1 JAY DAHLHAUSER 999009999 0 CHRIS MANDERFIELD P01238973 6305738600 2023-08-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z RICHARD GEHRIG 715 W MILWAUKEE AVE STORM LAKE IA 50588 5894736 0 X WWW.UCHCSL.COM X 2004 IA PROVIDE AFFORDABLE, QUALITY AND CULTURALLY SENSITIVE HEALTHCARE FOR OUR DIVERSE COMMUNITIES SERVED. 10 8 66 10 0 0 2906868 1912224 3061203 3825348 -384 3244 378823 153920 6346510 5894736 0 0 0 0 3399992 4066141 0 0 0 1520169 1738363 4920161 5804504 1426349 90232 7505334 7553630 2193259 2140183 5312075 5413447 X IT IS THE MISSION OF UNITED COMMUNITY HEALTH CENTER TO PROVIDE AFFORDABLE, QUALITY AND CULTURALLY SENSITIVE HEALTHCARE SERVICES TO THE DIVERSE COMMUNITIES SERVED. 0 0 2112905 0 1835128 THE ORGANIZATION PROVIDES PRIMARY AND PREVENTIVE CARE TO A WIDE RANGE OF PATIENTS IN 2022. UNITED COMMUNITY HEALTH CENTER (UCHC) SERVED 6,082 PATIENTS FROM OVER 117 DIFFERENT ZIP CODES THROUGH 17,916 CLINIC VISITS. 38% OF THE PATIENTS SERVED HAVE INCOME UNDER THE 200% FEDERAL POVERTY LINE AND 21% OF PATIENTS ARE UNINSURED. 41% OF PATIENTS ARE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH. 50% OF PATIENTS ARE HISPANIC, 5% ARE AFRICAN AMERICAN, 7% ARE ASIAN, 33% ARE CAUCASIAN, AND 5% ARE OTHER PACIFIC ISLANDER. COMMUNITY OUTREACH ACTIVITIES IN 2022 INCLUDED AREA SCHOOL IMMUNIZATION CLINICS, SERVICE ORGANIZATIONS AND LOCAL HEALTH FAIRS. 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. 1606164 0 1428132 OUR DENTAL SERVICES PROGRAM SERVED 2,483 PATIENTS IN 5,893 DENTAL ENCOUNTERS IN 2022. DENTAL SERVICES OFFERED INCLUDE THE FOLLOWING: DENTAL EXAMINATIONS AND XRAYS; DENTAL TREATMENTS, FILLINGS, AND EXTRACTIONS; EMERGENCY TREATMENT FOR PAIN, SWELLING, BROKEN TEETH, ETC.; PARTIALS AND DENTURES; ROOT CANAL TREATMENT FOR DISEASES OF THE PULP. 518890 0 498966 OUR BEHAVIOR HEALTH CLINIC SERVED PATIENTS IN 2685 VISITS, WITH 493 OF THOSE BEING DONE VIA TELEHEALTH. SERVICES INCLUDE A COMPREHENSIVE PSYCHIATRIC EVALUATION,DIAGNOSIS, AND DISCUSSION ON INDIVIDUALIZED EVIDENCE-BASED TREATMENT OPTIONS. WE OFF ER TREATMENT TO PATIENTS AND FAMILIES FROM CHILDREN TO ADULTS AND TREAT A WIDERANGE OF CONDITIONS, INCLUDING ANXIETY, DEPRESSION, ADHD, TRAUMA, BIPOLAR DISORDER, SCHIZOPHRENIA, PERSONALITY DISORDERS, AND OTHER BEHAVIORAL HEALTH CONCERNS. 39372 0 63122 PATIENTS ARE ASSISTED TO OBTAIN LOW COST MEDICATION RANGING FROM 20-80% DISCOUNT THROUGH THE FEDERAL 340B DRUG PROGRAM. PRESCRIPTIONS WERE FI LLED THROUGH THISPROGRAM AT OUR CONTRACT PHARMACIES, HY-VEE AND WALGREENS. IN ADDITION, PATIENTS OBTAINED FREE MEDICATIONS THROUGH OUR PRESCRIPTION ASSISTANCE PROGRAMMANAGED IN THE CLINIC. 39372 0 63122 4277331 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 15 0 66 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 8 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 MATT RICKLEFFS CHAIRPERSON 1.00 X X 0 0 0 JAY DAHLHAUSER VICE CHAIRPERSON 1.00 X X 0 0 0 STEVE CAMPBELL TREASURER 1.00 X X 0 0 0 LORINDA PETERSON SECRETARY 1.00 X X 0 0 0 DI DANIELS DIRECTOR 1.00 X 0 0 0 JACKIE DUFFY DIRECTOR 1.00 X 0 0 0 RENATO JIMENEZ DIRECTOR 1.00 X 0 0 0 MANDI MOLLRING DIRECTOR 1.00 X 0 0 0 KRISTINE BRANDENBERGER DIRECTOR 1.00 X 0 0 0 JOANNA CHAVEZ DELEON DIRECTOR 1.00 X 0 0 0 RICH GEHRIG CEO 40.00 X 123132 0 30487 MICHELLE ANDERSON CFO 40.00 X 95990 0 18772 ROBERT WHITMORE MD CO-MEDICAL DIRECTOR 36.00 X 230638 0 41044 NATALIE SCHALLER DO CO-MEDICAL DIRECTOR 36.00 X 236418 0 42857 BRIAN SMITH DDS DENTAL DIRECTOR 40.00 X 192665 0 30904 878843 0 164064 4 0 1 0 REBNORD TECHNOLOGIES 210 SALE BARN ROAD STORM LAKE IA 50588 IT SERVICES 200104 ATHENA HEALTH 311 ARSENAL ST WATERTOWN MD 02472 ELECTRONIC MEDICAL RECORDS SOFTWARE, IT 164176 SHIVE HATTERY PO BOX 1599 CEDAR RAPIDS IA 52406 ARCHITECT 161587 GREENWAYEHS PO BOX 203658 DALLAS TX 75320 ELECTRONIC MEDICAL RECORDS SOFTWARE, IT 108657 4 1912224 1912224 CLINIC PROGRAMS 624100 3825348 3825348 3825348 3244 3244 OTHER REVENUE 900099 153920 153920 153920 5894736 3825348 0 157164 X 268381 268381 2867732 2344127 523605 713810 493617 220193 216218 158593 57625 43766 3006 40760 659281 549914 109367 43233 16495 26738 113353 49312 64041 36573 23041 13532 350862 217060 133802 24654 15532 9122 MEDICAL EXPENSES 350451 350451 LICENSES AND DUES 60136 23477 36659 RECRUITMENT 44739 31003 13736 MISCELLANEOUS 9983 1703 8280 1332 1332 5804504 4277331 1527173 0 2585150 1922725 816430 818599 151078 138606 19412 59942 6513108 2694488 3559287 3818620 373977 795138 7505334 7553630 553537 527564 1639722 1612619 2193259 2140183 X 5312075 5413447 5312075 5413447 7505334 7553630 90232 11140 0 X X 0 1 X 1 1 1 X 1347960 1768014 2575186 2906868 1912224 10510252 1347960 1768014 2575186 2906868 1912224 10510252 10510252 651 887 754 801 3244 6337 107 240 43693 378823 25896 448759 10965348 14152492 0.95850 0.95000 X 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 4284592 1608735 2675857 1677238 1085753 591485 3818620 OTHER RECEIVABLES 5974 COST ADJUSTMENT - MEDICAID 298734 DEPOSITS 490430 795138 X 5905876 11140 11140 5894736 0 5894736 5804504 0 5804504 0 5804504 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. X X X 0 0 0 0 0 0 0 1 0 NATALIE SCHALLER DO CO-MEDICAL DIRECTOR 232381 0 1500 0 2537 0 22451 0 20406 0 279275 0 0 0 ROBERT WHITMORE MD CO-MEDICAL DIRECTOR 216173 0 0 0 14465 0 20981 0 20063 0 271682 0 0 0 BRIAN SMITH DDS DENTAL DIRECTOR 182038 0 0 0 10627 0 17370 0 13534 0 223569 0 0 0 RICH GEHRIG CEO 123132 0 0 0 0 0 12471 0 18016 0 153619 0 0 0 PART I, LINE 7 MEDICAL DIRECTORS CAN EARN BONUS FOR HITTING PRODUCTIVITY MARKS AS SPECIFIED IN EMPLOYMENT CONTRACT EMILY WILLIAMS FAMILY MEMBER OF RICH GEHRIG, OFFICER OF ORGANIZATION 38605 COMPENSATION AS AN EMPLOYEE OF THE ORGANIZATION 0 LINDA RICKLEFS FAMILY MEMBER OF MATT RICKLEFS, OFFICER OF ORGANIZATION 17100 CONTRACT LABOR FOR SOCIAL MEDIA POSTINGS 0 FORM 990, PART VI, SECTION A, LINE 2 MATT RICKLEFS AND RENATO JIMINEZ HAVE A FAMILY RELATIONSHIP, THOSE BOARD MEMBERS ARE FAMILY MEMBERS. RICH IS EMILY WILLIAMS'S DAD, SHE IS OUR QA DIRECTOR UNDER THE MEDICAL DIRECTOR (SCHEDULE L QUESTIONS), ALONG WITH BOARD CHAIR M RICKLEFS'S WIFE WHO IS CONTRACTED TO DO OUR SOCIAL MEDIA. 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 2022. 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. FORM 990, PART IX, LINE 11G CONTRACT SERVICES - BILLING: PROGRAM SERVICE EXPENSES 239,366. MANAGEMENT AND GENERAL EXPENSES 1,731. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 241,097. CONTRACT SERVICES - CONSULTANTS: PROGRAM SERVICE EXPENSES 86,752. MANAGEMENT AND GENERAL EXPENSES 22,926. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 109,678. CONTRACT SERVICES - LABORATORY: PROGRAM SERVICE EXPENSES 54,799. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,799. CONTRACT SERVICES - MAINTENANCE: PROGRAM SERVICE EXPENSES 38,410. MANAGEMENT AND GENERAL EXPENSES 26,195. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 64,605. CONTRACT SERVICES - INFORMATION TECHNOLOGY: PROGRAM SERVICE EXPENSES 130,587. MANAGEMENT AND GENERAL EXPENSES 58,515. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 189,102. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR