Adams County Health Center Inc

“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.”

“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.”

“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.”

“The executive team are the only officers or key employees. See 990, part vi, line 15a.”

“The health center makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

“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.”

“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.”