2025-07-31T10:59:17-04:00 2024-09-30 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2023-10-01 208341138 ADAMS COUNTY HEALTH CENTER INC ADAM 2082534242 PO BOX 428 COUNCIL ID 836120428 MENDY STANFORD CEO 2082534242 2025-07-31 true true RIKKI PATCH P01472231 5092420874 2025-07-31 2023 2025-03-06 01:10:19Z MENDY STANFORD PO BOX 428 COUNCIL ID 836120428 6624293 false X WWW.ACHCID.ORG X 2007 ID ADAMS COUNTY HEALTH CENTER PROVIDES HIGH QUALITY HEALTH SERVICES TO RESIDENTS OF ADAMS COUNTY AND THE SURROUNDING AREA, REGARDLESS OF SOCIAL OR ECONOMIC STATUS. 12 12 54 12 0 3497515 3421973 3397438 3159456 9101 -86314 19220 31097 6923274 6526212 0 0 3155760 3209186 0 0 1797135 2030461 4952895 5239647 1970379 1286565 7422507 8963793 2073034 2327755 5349473 6636038 X ADAMS COUNTY HEALTH CENTER PROVIDES HIGH QUALITY HEALTH SERVICES TO RESIDENTS OF ADAMS COUNTY AND THE SURROUNDING AREA, REGARDLESS OF SOCIAL OR ECONOMIC STATUS. false false 3965417 3159456 ADAMS COUNTY HEALTH CENTER (ACHC) IS A FEDERALLY QUALIFIED HEALTH CENTER WHICH PROVIDED PRIMARY AND PREVENTATIVE HEALTH, DENTAL, MENTAL HEALTH AND VISION CARE, MEDICATION MANAGEMENT SERVICES, PHYSICAL THERAPY AND X-RAY AND LABORATORY SERVICES FOR A TOTAL OF 2,889 UNDUPLICATED PATIENTS DURING THE PERIOD 10/1/2023 TO 9/30/2024. ACHC ALSO PROVIDES TELEPHARMACY SERVICES. THERE WERE A TOTAL OF 10,674 ENCOUNTERS DURING THE YEAR: 4,709 ENCOUNTERS WITH MEDICAL PROVIDERS, 3,328 ENCOUNTERS WITH DENTAL PROVIDERS, 668 ENCOUNTERS FOR OPTOMETRY SERVICES, 1,051 BEHAVIORAL HEALTH ENCOUNTERS AND 918 PHYSICAL THERAPY ENCOUNTERS. A TOTAL OF 20,294 PRESCRIPTIONS WERE FILLED BY THE ACHC TELEPHARMACY DURING FISCAL YEAR 2024. SEE CONTINUATION ON SCHEDULE O. 3965417 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 6 0 true 54 true false false false false false false false false false false false false X 12 12 false false false false false false false true true false false true true true true true true true true false ID X MENDY STANFORD 2082534242 PO BOX 428 COUNCIL ID 836120428 AMY BEAM NURSE PRACTI 40.00 X 151700 0 21517 GREGORY SMITH DENTIST 36.00 X 151523 0 6247 KEVIN MCSWEENEY OPTOMETRIST 30.00 X 116200 0 19742 CHELSEY TAYLOR PHYSICIAN AS 40.00 X 116931 0 15626 WENDY MOTT CFO 40.00 X 105362 0 16815 CARLENE EMERSON PHARMACIST 30.00 X 109778 0 6466 MENDY STANFORD CEO 40.00 X 97867 0 14307 DORIS CROSSLEY CHAIR 2.00 X X 0 0 0 EDWARD KALINOWSKI VICE CHAIR 2.00 X X 0 0 0 SHERILYN HUMPHRY SECRETARY 2.00 X X 0 0 0 VICKI WHITE TRUSTEE 2.00 X 0 0 0 JACK RUBELT TRUSTEE 2.00 X 0 0 0 MARLA ROMERO TRUSTEE 2.00 X 0 0 0 PAMELA ANDERSON TRUSTEE 2.00 X 0 0 0 CHARLIE VESELKA TRUSTEE 2.00 X 0 0 0 HEATHER LAWRENCE TRUSTEE 2.00 X 0 0 0 JOHN BONNER TRUSTEE 2.00 X 0 0 0 CRAIG WHITE TRUSTEE 2.00 X 0 0 0 TAMERA CASEY TRUSTEE 2.00 X 0 0 0 849361 100720 6 false true false MARK GUHO CONSTRUCTION 11450 JOPLIN RD BOISE ID 83714 CONSTRUCTION 3894529 ALSC ARCHITECTS 203 N WASHINGTON ST 400 SPOKANE WA 99201 ARCHITECTS 123860 2 2898757 523216 3421973 PATIENT SERVICE REVENUE, NET 624100 1973970 1973970 TELEPHARMACY SERVICE REVENUE 621399 1185486 1185486 3159456 11767 11767 98081 -98081 -98081 -98081 OTHER REVENUE 900099 31097 31097 31097 6526212 3159456 -55217 230586 230586 2294690 1874880 419810 92610 78352 14258 387159 283664 103495 204141 153982 50159 1120 1120 40500 40500 318169 200178 117991 9310 1530 7780 131735 70497 61238 39830 36724 3106 3916 3916 9360 4406 4954 43022 42695 327 345406 308671 36735 19281 19281 MEDICAL SUPPLIES & DRUGS 712132 712132 DUES, FEES, & LICENSES 268701 193790 74911 LOSS OF ASSET 87979 87979 5239647 3965417 1274230 0 275375 296577 1668014 1025814 203813 178072 57397 63495 132912 78291 8664981 1343437 5084996 7321544 7422507 8963793 946093 303000 1126941 2024755 2073034 2327755 X 5349473 6636038 5349473 6636038 7422507 8963793 1286565 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 124628 124628 6937600 192451 6745149 260412 234037 26375 1342341 916949 425392 7321544 X 6526212 6526212 6526212 5239647 5239647 5239647 SCHEDULE D, PAGE 3, PART X THE CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE CENTER EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF SEPTEMBER 30, 2024 AND 2023, THE CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. X X X false false false false false false false false false AMY BEAM NURSE PRACTITIONER 151500 200 7585 13932 173217 GREGORY SMITH DENTIST 151323 200 6008 239 157770 FORM 990 ACHC ACHIEVED PATIENT CENTERED MEDICAL HOME (PCMH) RECOGNITION STATUS BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). ACHC CONTINUES TO PARTICIPATE IN THE IDAHO HEALTH DATA EXCHANGE (IHDE), THE HEALTH INFORMATION EXCHANGE (HIE) FOR THE IDAHO. HIE ENABLES DOCTORS, NURSES, LABS, AND OTHER MEDICAL PROVIDERS TO SECURELY ACCESS THEIR PATIENTS ELECTRONIC HEALTH INFORMATION QUICKLY TO IMPROVE THE SPEED, QUALITY, SAFETY, AND COST OF PATIENT CARE. THE HIE IS ESPECIALLY USEFUL WHEN ACHC PATIENTS ARE SEEN IN EMERGENCY DEPARTMENTS OR ARE HOSPITALIZED AND REQUIRE FOLLOW-UP CARE. PATIENT RECORDS CAN BE UPDATED TO CONFIRM CERTAIN WELLNESS TESTING THAT IS NOT PERFORMED AT ACHC (I.E., PAP SMEARS, COLONOSCOPIES, ETC.). IHDE IS AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR. ACHC RECOGNIZES THAT PATIENTS ARE SHARED BETWEEN PROVIDERS, CLINIC LOCATIONS AND HOSPITALS AND THAT PATIENTS WITH CHRONIC CONDITIONS SUCH AS DIABETES, CARDIAC DISEASES, PULMONARY CONDITIONS, AND COMORBID BEHAVIORAL HEALTH ISSUES ARE DIFFICULT TO EFFECTIVELY MANAGE AND TRANSITION TO APPROPRIATE LEVELS OF CARE. USE OF THE HIE ENHANCES CARE COORDINATION BETWEEN ACHC AND OTHER PROVIDERS AND INSTITUTIONS AND IS INTENDED TO TARGET THESE POPULATIONS TO BROADEN THE CLINICAL IMPACT OF THE HEALTH NEIGHBORHOOD. ACHCS CHRONIC CARE MANAGEMENT PROGRAM CONTINUES TO GROW. PATIENTS WITH TWO OR MORE COMORBID MEDICAL CONDITIONS SUCH AS CARDIAC DISEASE, HYPERTENSION, DIABETES, AND PULMONARY CONDITIONS ARE REFERRED TO ACHCS CHRONIC CARE MANAGER (CCM) BY THEIR PRIMARY CARE PROVIDER (PCP). THE CCM IS IN FREQUENT CONTACT WITH THE PATIENT AND REPORTS REGULARLY TO THE PCP IN ORDER TO EFFECTIVELY MANAGE THEIR CARE. ACHC STAFF IS DEDICATED TO IMPROVING PATIENT CARE AND SATISFACTION WITH THE SERVICES IT PROVIDES AND PARTICIPATES IN REGULAR QUALITY ASSURANCE/QUALITY IMPROVEMENT ACTIVITIES INCLUDING MONTHLY ON-SITE MEETINGS AND ONGOING TRAININGS CONSISTING OF MONTHLY TELEPHONE MEETINGS AND QUARTERLY INPERSON/VIRTUAL TRAININGS CONDUCTED BY THE IPCA. DENTAL SERVICES WERE PROVIDED FOR 224 INDIVIDUALS WHOSE INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. A TOTAL OF 1,348 DENTAL PROCEDURES WERE PERFORMED DURING THE 492 PATIENT ENCOUNTERS. 2024 IS THE TWELFTH CONSECUTIVE YEAR THAT ACHC HAS PROVIDED THESE SERVICES IN COLLABORATION WITH THE HOSPITAL FOUNDATION OF THE CRITICAL ACCESS HOSPITAL IN MCCALL, ID. FORM 990, PART III LINE 4A - FIRST ACCOMPLISHMENT (CONTINUATION) ACHC PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 72,595 FOR CHARITY CARE AND SLIDING FEE, 113,096 FOR MEDICARE AND 245,128 FOR OTHER THIRD-PARTY PAYORS FOR THE YEAR ENDED SEPTEMBER 30, 2024. THE HEALTH CENTER HAS NUMEROUS INDIVIDUALS ACCESSING HEALTH CARE WHO ARE AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINE. A TOTAL OF 474 PERSONS ENROLLED IN THE SLIDING FEE PROGRAM HAD ACCESS TO ONE OR MORE OF THE FOLLOWING PROGRAMS: PROGRAM CHARITY SLIDING FEE DISCOUNT MEDICAL 26,515 (INCLUDES OPTOMETRY, PT, LAB AND X-RAY SERVICES) DENTAL 42,582 BEHAVIORAL HEALTH 3,262 THE PROGRAMS OFFERED AT ACHC PROVIDE HEALTH CARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE CEO AND CFO WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE BOARD OF TRUSTEES WHO THEN APPROVE THE 990. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE PREPARER IS AUTHORIZED TO E-FILE THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PARTY MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE EXECUTIVE TEAM AND/OR BOARD OF TRUSTEES DESCRIBING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS AND AFTER ANY DISCUSSION WITH THE INTERESTED PARTY THE EXECUTIVE TEAM AND/OR THE BOARD OF TRUSTEES SHALL DETERMINE IF A CONFLICT OF INTEREST EXISTS. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS, THEN THE EXECUTIVE TEAM AND/OR THE BOARD OF TRUSTEES SHALL INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE EXECUTIVE TEAM AND/OR THE BOARD OF TRUSTEES SHALL DETERMINE WHETHER THE HEALTH CENTER CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE EXECUTIVE TEAM AND/OR THE BOARD OF TRUSTEES SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE HEALTH CENTER'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. A FINAL DECISION SHALL BE DETERMINED AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. VIOLATIONS OF THE CONFLICT OF INTEREST POLICY CAN RESULT IN DISCIPLINARY AND CORRECTIVE ACTION BEING TAKEN UP TO AND INCLUDING TERMINATION. FORM 990, PAGE 6, PART VI, LINE 15A THE BOARD OF TRUSTEES EVALUATES THE EXECUTIVE TEAM'S PERFORMANCE AND COMPENSATION ANNUALLY. SOURCES UTILIZED BY THE BOARD WHEN DETERMINING COMPENSATION INCLUDE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND STATE OF IDAHO SALARY SURVEYS AS WELL AS PERSONAL CONTACT WITH IDAHO COMMUNITY HEALTH CENTERS. SALARY CHANGES ARE DISCUSSED AND APPROVED BY MAJORITY VOTE OF THE BOARD OF TRUSTEES AND ARE INCLUDED IN THE MINUTES OF THE MEETING AT WHICH THE ACTION IS TAKEN. FORM 990, PAGE 6, PART VI, LINE 15B THE EXECUTIVE TEAM ARE THE ONLY OFFICERS OR KEY EMPLOYEES. SEE 990, PART VI, LINE 15A. FORM 990, PAGE 6, PART VI, LINE 19 THE HEALTH CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.