Form 990 for tax year 2022
Filed by COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA INC.
Totals
- Total revenue
- $29,159,719
- Total expenses
- $27,269,042
- Contributions and grants received
- $5,224,635
- Grants paid
- $7,200
- Program service revenue
- $23,541,852
- Investment income
- $202,056
- Other revenue
- $191,176
- Total assets, end of year
- $27,718,942
- Total liabilities, end of year
- $4,683,373
- Net assets or fund balances, end of year
- $23,035,569
- Program services expenses (Part IX)
- $18,061,106
- Management and general expenses
- $9,207,936
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $18,061,106
Program services were 66.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1e · Government grants (contributions)
$5,030,357
-
1f · All other contributions, gifts and grants
$194,278
-
1g · Noncash contributions included above
$7,200
-
2a · Program service revenue: NET PATIENT SERVICE REVENUE
total $23,304,533 · related or exempt $23,304,533
-
2b · Program service revenue: OTHER REVENUE
total $237,319 · related or exempt $237,319
-
3 · Investment income
total $202,056 · excluded $202,056
-
4 · Income from investment of tax-exempt bond proceeds
total $0
-
5 · Royalties
total $0
-
6c · Rental income or loss
real property $0 · personal property $0
-
6d · Net rental income or loss
total $0
-
7d · Net gain or loss
total $0
-
8a · Fundraising events: gross income
$0
-
8b · Fundraising events: direct expenses
$0
-
8c · Net income from fundraising events
total $0
-
9a · Gaming: gross income
$0
-
9b · Gaming: direct expenses
$0
-
9c · Net income from gaming
total $0
-
10a · Gross sales of inventory
$0
-
10b · Cost of goods sold
$0
-
10c · Net income from sales of inventory
total $0
-
11a · Other revenue: GAIN ON INV IN EQUITY INVESTEE
total $191,176 · excluded $191,176
-
11e · Other revenue, total
$191,176
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $0
-
2 · Grants to domestic individuals
total $7,200 · program services $7,200
-
3 · Grants to foreign organizations and individuals
total $0
-
4 · Benefits paid to or for members
total $0
-
5 · Compensation of officers, directors and key employees
total $1,063,598 · program services $677,083 · management and general $386,515
-
6 · Compensation of disqualified persons
total $0
-
7 · Other salaries and wages
total $13,367,764 · program services $8,689,629 · management and general $4,678,135
-
8 · Pension plan contributions
total $540,579 · program services $345,002 · management and general $195,577
-
9 · Other employee benefits
total $1,910,013 · program services $1,046,929 · management and general $863,084
-
10 · Payroll taxes
total $975,679 · program services $621,040 · management and general $354,639
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $86,307 · management and general $86,307
-
11c · Fees: accounting
total $148,953 · management and general $148,953
-
11d · Fees: lobbying
total $0
-
11e · Fees: professional fundraising services
total $0
-
11f · Fees: investment management
total $0
-
11g · Fees: other
total $3,352,377 · program services $2,871,831 · management and general $480,546
-
12 · Advertising and promotion
total $49,475 · program services $3,798 · management and general $45,677
-
13 · Office expenses
total $890,878 · program services $287,100 · management and general $603,778
-
14 · Information technology
total $0
-
15 · Royalties
total $0
-
16 · Occupancy
total $725,830 · program services $26,291 · management and general $699,539
-
17 · Travel
total $48,421 · program services $13,190 · management and general $35,231
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $40,775 · program services $33,019 · management and general $7,756
-
20 · Interest
total $94,182 · program services $11,301 · management and general $82,881
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $580,962 · program services $232,669 · management and general $348,293
-
23 · Insurance
total $129,120 · program services $52,959 · management and general $76,161 · fundraising $0
-
24a · Other expenses: MEDICAL SUPPLIES & DRUGS
total $3,016,658 · program services $3,016,658
-
24b · Other expenses: LICENSES, DUES, SUBSCRIPTIONS
total $136,656 · program services $43,672 · management and general $92,984
-
24c · Other expenses: RECRUITING & RETENTION
total $103,615 · program services $81,735 · management and general $21,880
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $749,903 · end of year $1,161,821
-
2 · Savings and temporary cash investments
beginning of year $8,343,659 · end of year $11,196,229
-
3 · Pledges and grants receivable
beginning of year $36,190 · end of year $547,767
-
4 · Accounts receivable
beginning of year $3,421,422 · end of year $2,848,826
-
5 · Loans and receivables from officers and key people
beginning of year $0 · end of year $0
-
6 · Loans and receivables from disqualified persons
beginning of year $0 · end of year $0
-
7 · Other notes and loans receivable
beginning of year $0 · end of year $0
-
8 · Inventories for sale or use
beginning of year $361,862 · end of year $343,668
-
9 · Prepaid expenses and deferred charges
beginning of year $93,779 · end of year $638,817
-
10a · Land, buildings and equipment: cost or other basis
$13,249,352
-
10b · Land, buildings and equipment: accumulated depreciation
$5,408,635
-
10c · Land, buildings and equipment, net
beginning of year $6,942,697 · end of year $7,840,717
-
11 · Investments: publicly traded securities
beginning of year $0 · end of year $0
-
12 · Investments: other securities
beginning of year $0 · end of year $0
-
13 · Investments: program-related
beginning of year $495,339 · end of year $686,515
-
14 · Intangible assets
beginning of year $578,900 · end of year $513,364
-
15 · Other assets
beginning of year $4,617,416 · end of year $1,941,218
-
17 · Accounts payable and accrued expenses
beginning of year $1,746,641 · end of year $2,099,441
-
18 · Grants payable
beginning of year $0 · end of year $0
-
19 · Deferred revenue
beginning of year $279,092 · end of year $26,236
-
20 · Tax-exempt bond liabilities
beginning of year $0 · end of year $0
-
21 · Escrow or custodial account liability
beginning of year $0 · end of year $0
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
23 · Secured mortgages and notes payable
beginning of year $1,928,725 · end of year $1,818,044
-
24 · Unsecured notes and loans payable
beginning of year $281,461 · end of year $143,732
-
25 · Other liabilities
beginning of year $260,356 · end of year $595,920
-
27 · Net assets without donor restrictions
beginning of year $21,121,326 · end of year $22,403,067
-
28 · Net assets with donor restrictions
beginning of year $23,566 · end of year $632,502
Mission and programs · 2022
Mission
TO PROVIDE PRIMARY HEALTH CARE TO RESIDENTS OF THE GREATER SE IOWA REGION, ESPECIALLY THOSE INDIVIDUALS/FAMILIES WITH LIMITED RESOURCES OR WITH OTHER BARRIERS TO HEALTH CARE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.
Activities or mission (Part I)
CHCSEIA PROVIDES COMPREHENSIVE HEALTH SERVICES, GENERAL DENTISTRY AND COMMUNITY HEALTH PROGRAMS, AND OTHER HEALTH CARE SERVICES TO RESIDENTS OF THE SE IOWA REGION.
-
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA PROVIDES SEVERAL HEALTH SERVICES TO THE COMMUNITY, INCLUDING: COMPREHENSIVE HEALTH SERVICES WITH A VARIETY OF PHYSICIAN SPECIALTIES, GENERAL DENTISTRY AND COMMUNITY HEALTH PROGRAMS INVOLVING ORAL HEALTH EDUCATION AND DENTAL SCREENING, FAMILY PLANNING, HEALTH SCREENINGS, IMMUNIZATIONS, CASE MANAGEMENT, AND PHARMACIES. DURING THE FISCAL YEAR, THE HEALTH CENTERS HAD APPROXIMATELY 22,800 DENTAL VISITS AND 62,300 MEDICAL VISITS (INCLUDES BEHAVIORAL HEALTH).
Expenses $18,061,106 · Grants $7,200 · Revenue $23,541,852
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Patrick WilliamsPATRICK WILLIAMS
PEDIATRICIAN
- Total calculated
- $412,893
- From this org
- $359,940
- From related orgs
- $0
- Other
- $52,953
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $295,344
- Bonus
- $64,596
- Other
- $0
- Deferred
- $18,179
- Nontaxable benefits
- $34,774
- Filer's total
- $412,893
-
Frances JacksonFRANCES JACKSON
PEDIATRICIAN
- Total calculated
- $394,508
- From this org
- $349,530
- From related orgs
- $0
- Other
- $44,978
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $294,758
- Bonus
- $54,772
- Other
- $0
- Deferred
- $17,450
- Nontaxable benefits
- $27,528
- Filer's total
- $394,508
-
Rhea HartleyRHEA HARTLEY
CHIEF MEDICAL OFFICER
- Total calculated
- $389,629
- From this org
- $358,070
- From related orgs
- $0
- Other
- $31,559
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $308,653
- Bonus
- $49,417
- Other
- $0
- Deferred
- $18,017
- Nontaxable benefits
- $13,542
- Filer's total
- $389,629
-
Eric BoyumERIC BOYUM
PSYCHIATRIST
- Total calculated
- $341,275
- From this org
- $294,802
- From related orgs
- $0
- Other
- $46,473
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $279,530
- Bonus
- $15,272
- Other
- $0
- Deferred
- $15,083
- Nontaxable benefits
- $31,390
- Filer's total
- $341,275
-
Shailesh DesaiSHAILESH DESAI
PHYSICIAN
- Total calculated
- $288,110
- From this org
- $245,897
- From related orgs
- $0
- Other
- $42,213
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $212,376
- Bonus
- $16,970
- Other
- $16,551
- Deferred
- $12,684
- Nontaxable benefits
- $29,529
- Filer's total
- $288,110
-
Lucas LemburgLUCAS LEMBURG
CHIEF DENTAL OFFICER
- Total calculated
- $287,454
- From this org
- $243,642
- From related orgs
- $0
- Other
- $43,812
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $207,406
- Bonus
- $22,429
- Other
- $13,807
- Deferred
- $12,488
- Nontaxable benefits
- $31,324
- Filer's total
- $287,454
-
Christina AndersonCHRISTINA ANDERSON
PHYSICIAN
- Total calculated
- $285,844
- From this org
- $268,208
- From related orgs
- $0
- Other
- $17,636
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $252,936
- Bonus
- $15,272
- Other
- $0
- Deferred
- $3,034
- Nontaxable benefits
- $14,602
- Filer's total
- $285,844
-
Diane RouseDIANE ROUSE
CFO
- Total calculated
- $198,131
- From this org
- $156,663
- From related orgs
- $0
- Other
- $41,468
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $145,407
- Bonus
- $6,772
- Other
- $4,484
- Deferred
- $8,256
- Nontaxable benefits
- $33,212
- Filer's total
- $198,131
-
Antonio FloresANTONIO FLORES
CEO
- Total calculated
- $188,384
- From this org
- $165,342
- From related orgs
- $0
- Other
- $23,042
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $155,070
- Bonus
- $10,272
- Other
- $0
- Deferred
- $8,406
- Nontaxable benefits
- $14,636
- Filer's total
- $188,384
-
David WhitakerDAVID WHITAKER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
David SelmonDAVID SELMON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Angelica CardenasANGELICA CARDENAS
DIRECTOR END 06/22
- Total calculated
- $0
- Hours/week
- 1
-
Barry CorsonBARRY CORSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Bill StaatsBILL STAATS
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Chuck GriffinCHUCK GRIFFIN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Cindy SharpeCINDY SHARPE
DIRECTOR END; TREAS BEG 06/22
- Total calculated
- $0
- Hours/week
- 1
-
Ebony GrayEBONY GRAY
DIRECTOR END 07/22
- Total calculated
- $0
- Hours/week
- 1
-
Jason StrandbergJASON STRANDBERG
CHAIR END 04/22
- Total calculated
- $0
- Hours/week
- 1
-
Jeff StrauseJEFF STRAUSE
TREASURER END; CHAIR BEG 04/22
- Total calculated
- $0
- Hours/week
- 1
-
Joanna SchnedenJOANNA SCHNEDEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Julie SchillingJULIE SCHILLING
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Sue SorensenSUE SORENSEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Dave HadenDAVE HADEN
DIRECTOR BEG 12/22
- Total calculated
- $0
- Hours/week
- 1
-
Delaney RichardsDELANEY RICHARDS
DIRECTOR BEG 01/23
- Total calculated
- $0
- Hours/week
- 1
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 1a · Health or social club dues or initiation fees
- 1b · Written policy on the line-1a expenses
- 2 · Substantiation required before reimbursing expenses
- 3 · Written employment contract
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 7 · Other non-fixed payments
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- SCHEDULE J, PART I, LINE 1A
- HEALTH CLUB DUES: THE ORGANIZATION OFFERS A WELLNESS PROGRAM TO ITS EMPLOYEES WHICH PROVIDES DIRECT REIMBURSEMENT OF UP TO $25 PER MONTH TOWARDS DOCUMENTED PARTICIPATION IN AN APPROVED HEALTH ACTIVITY. EMPLOYEES MUST SUBMIT PROOF OF PAYMENT FOR THE EMPLOYEE'S MEMBERSHIP FOR THE MONTH ALONG WITH PROOF OF ATTENDANCE OF AT LEAST THREE TIMES PER MONTH.
- SCHEDULE J, PART I, LINE 7
- NON-FIXED PAYMENTS: BONUS AMOUNTS PAID ARE BASED ON PRODUCTION LEVELS AND QUALITY MEASURES.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 January 2024
- IRS schema version
- 2022v5.0
- Source object
- 202430169349300308
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