2024-03-27T11:15:58-05:00 2023-09-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-10-01 521256116 B-K HEALTH CENTER INC B-KH 5702787500 498 S MAIN STREET STE D MONTROSE PA 18801 KRISTEN FOLLERT CEO 5702787500 2024-03-27 1 KRISTEN FOLLERT XXX-XX-XXXX 1 KERRI N BOGDA CPA P00760402 7177404863 2024-03-27 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DBA NEPA COMMUNITY HEALTH CENTER KRISTEN FOLLERT 498 S MAIN STREET STE D MONTROSE PA 18801 9455972 0 X WWW.NEPACHC.ORG X 1981 PA TO PROVIDE HEALTH CARE IN UNDERSERVED AREAS FOR ALL COMMUNITY MEMBERS. 10 10 65 10 0 0 2665874 2858573 3963827 6557171 663 901 35878 39327 6666242 9455972 200 1085 0 0 4715901 5257259 0 0 0 1650585 2171434 6366686 7429778 299556 2026194 3628902 6982685 800320 2127909 2828582 4854776 X TO PROVIDE, MAINTAIN AND STAFF HEALTH CENTERS IN UNDERSERVED AREAS FOR ALL PEOPLE, REGARDLESS OF AGE, RACE, COLOR, CREED, SEX OR COUNTRY OF ORIGIN. 0 0 5734848 1085 6557171 NEPA COMMUNITY HEALTH CARE IS COMMITTED TO PROVIDING QUALITY HEALTH CARE TO THE RESIDENTS OF SUSQUEHANNA COUNTY PENNSYLVANIA AND SURROUNDING AREAS. THE SERVICE AREA POPULATION IS APPROXIMATELY 38,434 LIVES, WITH OVER 11.6% LIVING IN POVERTY, OF WHICH 17.4% ARE UNDER THE AGE OF 19.WE PROVIDE PRIMARY CARE AND INTEGRATED BEHAVIORAL HEALTH AT FOUR CLINICS LOCATED STRATEGICALLY TO IMPROVE ACCESS TO CARE. THE CONTINUED GROWTH OF OUR DENTAL SERVICE LINE, AN INCREASE IN OUR OVERALL PATIENT UNIVERSE, AND AN INCREASE IN QUALITY DRIVEN CARE TO PATIENTS WITH DIABETES ARE NOTABLE ACCOMPLISHMENTS OF THE PAST YEAR. PUBLIC AND PRIVATE INSURANCE AND A SLIDING FEE DISCOUNT ARE ACCEPTED AT ALL CLINIC SITES. OUR 340B DRUG DISCOUNT PROGRAM IS ANOTHER IMPORTANT COMPONENT OF ENSURING ACCESS TO CARE BY REDUCING THE COST OF MEDICATION FOR UN- AND UNDER-INSURED PATIENTS. 5734848 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 65 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X AMY MCKEEBY CFO 5702787500 498 S MAIN STREET MONTROSE PA 18801 JUDITH HERSCHEL PRESIDENT 1.00 0.00 X X 0 0 0 STUART SHAPIRO VICE PRESIDENT 1.00 0.00 X X 0 0 0 ANDREW COOLBAUGH SECRETARY 1.00 0.00 X X 0 0 0 LORI MITCHELL MBA TREASURER 1.00 0.00 X X 0 0 0 KENNETH COOPER BOARD MEMBER 1.00 0.00 X 0 0 0 TRACI DECKER BOARD MEMBER 1.00 0.00 X 0 0 0 ELISABETH LANDES BOARD MEMBER 1.00 0.00 X 0 0 0 MACY MATTHEWS BOARD MEMBER 1.00 0.00 X 0 0 0 TODD MOFFETT BOARD MEMBER 1.00 0.00 X 0 0 0 JOSEPH PLONSKI BOARD MEMBER (UNTIL 6/23) 1.00 0.00 X 0 0 0 RACHAEL THOMAS BOARD MEMBER 1.00 0.00 X 0 0 0 JEFFREY MEAD BOARD MEMBER 1.00 0.00 X 0 0 0 ANNE COOK BOARD MEMBER 1.00 0.00 X 0 0 0 MARY WETHERALL CEO (UNTIL 12/31/22) 40.00 0.00 X 155775 0 25579 AMY MCKEEBY CFO 40.00 0.00 X 98831 0 11802 KRISTEN FOLLERT CEO AS OF 11/14/22 40.00 0.00 X 95914 0 25669 DYLAN KILMER BEHAVIORAL HEALTH DIRECTOR 40.00 0.00 X 126700 0 10502 WILLIAM IVESON MEDICAL DIRECTOR 40.00 0.00 X 139462 0 25932 616682 0 99484 3 0 1 0 0 2607410 251163 2858573 PATIENT SERVICE REV. 623000 6557171 6557171 6557171 901 901 INSURANCE INCENTIVES 900099 20189 20189 PENNIE ASSISTER FUNDIN 900099 15330 15330 MEDICAL RECORD FEES 900099 3600 3600 208 208 39327 9455972 6557171 0 40228 1085 1085 267627 267627 4025453 3437538 587915 694902 591450 103452 269277 217506 51771 47151 47151 541812 264173 277639 109275 109275 186149 109619 76530 1528 1528 301396 273811 27585 13245 13245 5263 5263 4200 4200 209847 209847 41754 3872 37882 MEDICAL SUPPLIES 355462 355462 DRUG PRICING PROGRAM 230374 230374 RECRUITING & TRAINING 61263 61263 DUES & MEMBERSHIPS 18722 18722 43993 34383 9610 7429778 5734848 1694930 0 294126 199687 1460785 2505181 241558 483195 40742 75673 10028 2458927 762131 1591691 1696796 0 2012125 3628902 6982685 325627 375185 474693 205255 0 1547469 800320 2127909 X 2818579 4854776 10003 0 2828582 4854776 3628902 6982685 2026194 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 70188 70188 1172551 275635 896916 1216188 486496 729692 1696796 ESTIMATED THIRD PARTY SETTLEMENTS 530215 OPEARTING LEASES RIGHT OF USE ASSET 1481910 2012125 ESTIMATED THIRD PARTY SETTLEMENTS 54532 OPERATING LEASE LIABILITIES 1492937 1547469 9437620 -18352 -18352 9455972 0 9455972 7411426 0 7411426 18352 18352 7429778 PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -18,352. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 18,352. X X X 1 0 0 0 0 0 0 1 0 MARY WETHERALL CEO (UNTIL 12/31/22) 148275 0 0 0 7500 0 0 0 25579 0 181354 0 0 0 WILLIAM IVESON MEDICAL DIRECTOR 139462 0 0 0 0 0 0 0 25932 0 165394 0 0 0 PART I, LINE 4A MARY WETHERALL, FORMER CEO, RECEVIED A SEVERANCE PAYMENT IN THE AMOUNT OF $7,500. PART I, LINE 7 BONUSES ARE DISCRETIONARY AND ARE BASED UPON BOTH FINANCIAL AND NONFINANCIAL FACTORS SUCH AS AN INCREASE IN HEALTH CENTER REVENUE AND THE ACHIEVEMENT OF CERTIFICATIONS FOR PROVIDING QUALITY CARE. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 IS REVIEWED BY THE CFO PRIOR TO FILING. ONCE THE CFO IS SATISFIED, THE FULL BOARD OF DIRECTORS RECEIVES THE FORM 990 FOR REVIEW IN ADVANCE OF THE RETURN BEING FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, ALL MEMBERS OF THE BOARD OF TRUSTEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT. THE POLICY COVERS FAMILIES AND BUSINESS RELATIONSHIPS AS POTENTIAL SOURCES OF CONFLICT. AFTER THE STATEMENTS ARE TURNED IN, THEY ARE REVIEWED BY THE PRESIDENT/CEO. BOARD MEMBERS SHALL NOT VOTE ON ANY RESOLUTION OR MOTION REGARDING MATTERS WHERE AN ACTUAL OR POTENTIAL FINANCIAL INTEREST OR CONFLICT OF INTEREST EXISTS. THE PROCEEDINGS WHERE CONFLICTS OR THE APPEARANCE OF CONFLICTS WERE DISCUSSED, INCLUDING THE ACTIONS TAKEN, THE TERMS OF ANY MATTER APPROVED, THE NAMES OF THE DIRECTORS PRESENT AND HOW THEY VOTED, THE COMPARABILITY DATA RELIED ON BY THE BOARD, AND ANY ACTIONS TAKEN BY A PERSON HAVING A CONFLICT OF INTEREST ARE RECORDED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS AT THE CEO'S ANNUAL REVIEW. THE COMPENSATION IS BASED ON PERFORMANCE, COMPARABLE REGIONAL SALARIES, THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS' MOST RECENT HEALTH CENTER SALARY & BENEFITS REPORT, AND THE FISCAL HEALTH OF THE ORGANIZATION. THESE FACTORS ARE ALL CONSIDERED WHEN ENSURING THAT THE CEO'S COMPENSATION FALLS WITHIN FAIR MARKET RANGE FOR THE INDUSTRY. COMPENSATION OF KEY EMPLOYEES IS DETERMINED BY THE CEO AND REPORTED TO THE BOARD. THE CEO USES THE SAME RESOURCES, IN ADDITION TO RECOMMENDATIONS FROM THE CFO AND HR AND DEVELOPMENT DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.