2023-05-12T18:01:11-04:00 2022-12-31 920127098 ELGEE REHFELD LLC 9309 GLACIER HWY STE B200 JUNEAU AK 998019300 990 2022-01-01 273912808 SEWARD COMMUNITY HEALTH CENTER INC SEWA 9072242273 PO BOX 2895 SEWARD AK 996641324 CRAIG AMBROSIANI EXECUTIVE DIRECTOR 9072242273 2023-05-10 true CRAIG AMBROSIANI XXX-XX-XXXX false ROBERT L REHFELD P00104959 9077893178 2023-05-10 2022 2023-04-26 12:10:37Z CRAIG AMBROSIANI PO BOX 2895 SEWARD AK 99664 3672015 false X HTTPS://WWW.SEWARDHEALTHCENTER.ORG X 2011 AK TO IDENTIFY AND SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY BY PROVIDING QUALITY, AFFORDABLE SERVICES, AND PROMOTING WELLNESS, PREVENTION, AND PARTNERSHIPS. 8 8 51 0 2151534 1978311 1382236 1693605 136 99 0 3533906 3672015 0 0 2671194 2569324 0 0 909521 1005194 3580715 3574518 -46809 97497 1549326 1646429 410181 409787 1139145 1236642 X TO IDENTIFY AND SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY BY PROVIDING QUALITY, AFFORDABLE SERVICES, AND PROMOTING WELLNESS, PREVENTION, AND PARTNERSHIPS. false false 2143515 1693605 DURING 2022, REGULAR SERVICES PROVIDED BY SEWARD COMMUNITY HEALTH CENTER STILL HAD MINOR IMPACT FROM COVID. THE IMPACT RANGED FROM CONTIUNED TESTING AND PROVIDING CARE TO ACTIVE AND RECOVERING COVID PATIENTS, WITH MUCH LESS VOLUME THAN PRIOR YEARS. OTHER SIGNIFICANT IMPACTS ARE THE CONTINUED HIGH TURNOVER, (+50%) INCREASED COST OF STAFFING AND THE LACK OF RATE INCREASES FROM INSURERS AND OUR FEDERAL BASE GRANT, SO OUR INCREASED EXPENSES ARE NOT BEING OFFSET BY INCREASED RATES. ROUTINE PATIENT ENCOUNTERS IN 2022 INCREASED OVER THE PRIOR YEAR BY 5% TO 5,125, WITH AN AVERAGE REVENUE OF 422/VISIT WHICH WAS A 5% INCREASE OVER THE PRIOR YEAR DUE TO SLIGHTLY HIGHER PATIENT ACUITY. THE SLIDING FEE PROGRAM, A DISCOUNT PROGRAM BASED ON HOUSEHOLD INCOME AND FAMILY SIZE UP TO 200% OF THE POVERTY LEVEL FOR ALASKA GENERATED 48,441 OF ADJUSTMENTS, (CREDITS) TO PATIENTS BILLS FOR THIS PROGRAM, A 46% INCREASE OVER THE PRIOR YEAR. 2143515 true true false false false false false false false false true false false false false false 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 13 0 true 51 true false false false false false false false false false false false false X 8 8 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 CRAIG AMBROSIANI EXECUTIVE DI 40.00 X 207830 0 24270 JEANETTE NIENABER PHYSICIAN AS 40.00 X 146143 0 31634 JULIE CRITES NURSE PRACTI 40.00 X 137448 0 38979 MARCIE WOOD FINANCE DIRE 40.00 X 134845 0 31908 SRIHARSHA GOWTHAM MEDICAL DOCT 40.00 X 109527 0 15729 PATRICIA LINVILLE BOARD CHAIR 2.00 X X 0 0 0 MELODY JORDAN VICE CHAIR 2.00 X X 0 0 0 DEBORAH GREEN BOARD SECRET 2.00 X X 0 0 0 DENISE CERNIGLIA BOARD TREASU 2.00 X X 0 0 0 MARISSA BECK DIRECTOR 1.00 X 0 0 0 ELLEN O'BRIEN DIRECTOR 1.00 X 0 0 0 STEVE PAUTZ DIRECTOR 1.00 X 0 0 0 KALE TIPPIT DIRECTOR 1.00 X 0 0 0 MARY TOUGAS DIRECTOR 1.00 X 0 0 0 SUSAN URBACH DIRECTOR 1.00 X 0 0 0 735793 142520 5 false true false 1944858 33453 12053 1978311 PATIENT REVENUE 621110 1364462 1364462 340B PROGRAM REVENUE 621110 308705 308705 OTHER PATIENT RELATED SERVICE 621110 20438 20438 1693605 99 99 3672015 1693605 99 232100 232100 1735945 1120461 615484 32096 21493 10603 409455 237689 171766 159728 88873 70855 94474 94474 319709 207721 111988 13629 7769 5860 51169 38790 12379 110598 80477 30121 92762 85396 7366 9216 5254 3962 1767 1767 22221 18147 4074 MEDICAL/PROG SUPPLIES 140616 140616 DUES/SUBSCRIPTIONS 82560 48838 33722 TRAINING/RECRUITMENT 45085 25698 19387 EQUIPMENT/MAINTENANCE 21388 16293 5095 3574518 2143515 1431003 0 645408 598946 308104 309464 238367 124202 134535 248984 10695 46342 320258 1767 212217 318491 1549326 1646429 265181 246377 145000 163410 410181 409787 X 1130356 1236642 8789 1139145 1236642 1549326 1646429 97497 X false true X true true true X 1667780 1637409 2452024 2151534 1978311 9887058 1667780 1637409 2452024 2151534 1978311 9887058 9887058 110 101 148 136 99 594 6455 6455 9894107 4489819 0.99930 0.99920 X PART II, LINE 10 6,455 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 212217 212217 108041 1767 106274 318491 3750517 78502 78502 3672015 3672015 3653020 78502 78502 3574518 3574518 SCHEDULE D, PAGE 4, PART XIII SCHC IS EXEMPT FROM INCOME TAXES AS A NONPROFIT CORPORATION 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 CRAIG AMBROSIANI EXECUTIVE DIRECTOR 207830 6533 17737 232100 JEANETTE NIENABER PHYSICIAN ASSISTANT 146143 4723 26911 177777 JULIE CRITES NURSE PRACTITIONER 137448 4311 34668 176427 MARCIE WOOD FINANCE DIRECTOR 134845 4290 27618 166753 FORM 990, PAGE 2, PART III, LINE 4A DURING 2022, REGULAR SERVICES PROVIDED BY SEWARD COMMUNITY HEALTH CENTER STILL HAD MINOR IMPACT FROM COVID. THE IMPACT RANGED FROM CONTIUNED TESTING AND PROVIDING CARE TO ACTIVE AND RECOVERING COVID PATIENTS, WITH MUCH LESS VOLUME THAN PRIOR YEARS. OTHER SIGNIFICANT IMPACTS ARE THE CONTINUED HIGH TURNOVER, (+50%) INCREASED COST OF STAFFING AND THE LACK OF RATE INCREASES FROM INSURERS AND OUR FEDERAL BASE GRANT, SO OUR INCREASED EXPENSES ARE NOT BEING OFFSET BY INCREASED RATES. ROUTINE PATIENT ENCOUNTERS IN 2022 INCREASED OVER THE PRIOR YEAR BY 5% TO 5,125, WITH AN AVERAGE REVENUE OF 422/VISIT WHICH WAS A 5% INCREASE OVER THE PRIOR YEAR DUE TO SLIGHTLY HIGHER PATIENT ACUITY. THE SLIDING FEE PROGRAM, A DISCOUNT PROGRAM BASED ON HOUSEHOLD INCOME AND FAMILY SIZE UP TO 200% OF THE POVERTY LEVEL FOR ALASKA GENERATED 48,441 OF ADJUSTMENTS, (CREDITS) TO PATIENTS BILLS FOR THIS PROGRAM, A 46% 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. MOST RECENT REVIEW OF COMPENSATION OCCURRED IN MAY 2022. 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 IN DECEMBER 2022. 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.