2024-03-28T16:57:31-05:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2022-07-01 205970239 BULLHOOK COMMUNITY HEALTH CENTER INC BULL 4063954305 521 4TH STREET HAVRE MT 59501 MICHAEL RAPPOLD BOARD CHAIR 4063954305 2024-03-18 1 MICHAEL RAPPOLD 999009999 0 KURT BENNION CPA P01469618 4252506100 2024-03-18 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KYNDRA HALL 521 4TH STREET HAVRE MT 59501 8130806 0 X WWW.BULLHOOK.COM X 2007 MT INSPIRING A HEALTHY COMMUNITY THROUGH PATIENT-CENTERED CARE. 12 12 78 16 0 0 2625819 3443555 4521926 4424768 16599 137826 230610 123254 7394954 8129403 0 0 0 0 4020649 3938439 0 0 77 2074743 2988167 6095392 6926606 1299562 1202797 12316579 13593299 396383 470306 11920196 13122993 X INSPIRING A HEALTHY COMMUNITY THROUGH PATIENT-CENTERED CARE. 0 0 5346729 0 4424768 BULLHOOK COMMUNITY HEALTH CENTER'S MISSION IS TO INSPIRE A HEALTHY COMMUNITY THROUGH PATIENT-CENTERED CARE.OUR VISION:- WE ARE A COMMUNITY LEADER IN HEALTHCARE.- PEOPLE TRUST US.- WE RESPECT ALL CULTURES.- WE ARE FINANCIALLY VIABLE.- WE ARE COMMITTED TO UTILIZING HEALTHCARE EFFICIENTLY.- OUR PROVIDERS ARE CHAMPIONS OF PATIENT-CENTERED CARE. - OUR STAFF IS COMPETENT, CARING AND HAPPY.(CONTINUED ON SCHEDULE O)BULLHOOK COMMUNITY HEALTH CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). HEALTH CENTERS ARE IMPORTANT SAFETY NET PROVIDERS IN RURAL AND URBAN AREAS. IN ORDER TO QUALIFY AS A FQHC, AN ORGANIZATION MUST: 1. PROVIDE SERVICES TO ALL PERSONS, REGARDLESS OF THE PERSON'S ABILITY TO PAY;2. ESTABLISH A SLIDING FEE DISCOUNT PROGRAM;3. BE A NONPROFIT OR PUBLIC ORGANIZATION;4. BE COMMUNITY-BASED, WITH THE MAJORITY OF THEIR GOVERNING BOARD OF DIRECTORS COMPOSED OF THEIR PATIENTS;5. SERVE A MEDICALLY UNDERSERVED AREA OR POPULATION;6. PROVIDE COMPREHENSIVE PRIMARY CARE SERVICES; AND7. HAVE AN ONGOING QUALITY ASSURANCE PROGRAM.BULLHOOK COMMUNITY HEALTH CENTER'S COMMITMENT TO QUALITY CARE MAKES A DIFFERENCE IN THE LIVES OF THE COMMUNITY. OUR COMMITMENT STEMS FROM OUR GOAL TO PROVIDE COMPLETE HEALTHCARE FOR OUR PATIENTS AND THEIR FAMILIES, REGARDLESS OF ABILITY TO PAY. AS A CERTIFIED PATIENT CENTERED MEDICAL HOME (PCMH) WE PUT YOU, THE PATIENT, AT THE CENTER OF THE HEALTHCARE SYSTEM. OUR TEAM OF FAMILY PHYSICIANS AND FAMILY NURSE PRACTITIONERS, DENTISTS, PHARMACISTS, ADDICTION COUNSELORS, LICENSED CLINICAL SOCIAL WORKERS, AND THEIR STAFF, ARE TRAINED IN PROVIDING HEALTHCARE SERVICES TO PEOPLE OF ALL AGES. WE PROVIDE A WIDE RANGE OF SERVICES INCLUDING ROUTINE PREVENTATIVE CARE, INCLUDING IMMUNIZATIONS, EDUCATION, WELL CHILD CHECKS, AND MEN'S AND WOMEN'S HEALTH PHYSICALS, AS WELL AS MANAGEMENT OF ACUTE AND CHRONIC DISEASES, DENTAL CARE, MENTAL HEALTH COUNSELING, ADDICTION COUNSELING, AND PHARMACY SERVICES INCLUDING DIABETIC EDUCATION AND MEDICATION MANAGEMENT. WE PROVIDE THESE SERVICES TO ENSURE THAT OUR PATIENTS AND THEIR FAMILIES HAVE THE INFORMATION AND TOOLS NECESSARY TO TAKE CONTROL OF THEIR HEALTH AND INCREASE THEIR QUALITY OF LIFE.BULLHOOK HAS HELPED THROUGH THE COVID PANDEMIC IN PROVIDING COVID TESTING DRIVE-THROUGH EVENTS AND ON-SITE COVID TESTING FOR PATIENTS AND THOSE WHO HAVE BEEN IDENTIFIED THROUGH CONTRACT TRACING. BULLHOOK HAS ALSO PLAYED IN INTEGRAL PART IN GETTING VACCINATIONS OUT IN OUR COMMUNITY. WE PARTICIPATED IN SEVERAL MASS VACCINATION CLINICS AND ALSO OFFERED VACCINATIONS IN-HOUSE TO PATIENTS AND NON-PATIENTS ALIKE, THANKS TO VACCINATIONS SUPPLIED THROUGH THE STATE. 5346729 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 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 78 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X MARIE GILLETT 4063954305 521 4TH STREET HAVRE MT 59501 DEE ALTHOUSE PHYSICIAN 40.00 X 199605 0 14448 KYNDRA HALL CEO 55.00 X 170021 0 5101 CRAIG KANESHIRO DENTIST (THROUGH OCTOBER 2022) 40.00 X 155188 0 13116 JAMES CONRAD KUSEL CDO & DENTIST (THROUGH OCTOBER 2022) 40.00 X 152228 0 13027 CINDY BRANDON PHARMACIST 40.00 X 147093 0 12873 DARIN MILLER PHARMACIST 40.00 X 137422 0 12583 MARIE GILLETT CFO 40.00 X 107350 0 3221 MICHAEL RAPPOLD CHAIR 2.00 X X 0 0 0 WILLIAM LANIER VICE-CHAIR 2.00 X X 0 0 0 DEBI RHINES TREASURER 2.00 X X 0 0 0 CAROL REIFSCHNEIDER SECRETARY 2.00 X X 0 0 0 BONNITA BERNHARDT DIRECTOR 1.00 X 0 0 0 ASHLEY BIRDTAIN DIRECTOR (THROUGH JULY 2022) 1.00 X 0 0 0 COREY CRAWFORD DIRECTOR 1.00 X 0 0 0 JAMIE DUKE DIRECTOR 1.00 X 0 0 0 BETH DURODOYE DIRECTOR 1.00 X 0 0 0 JOHN KELLEHER DIRECTOR 1.00 X 0 0 0 WILL RAWN DIRECTOR (THROUGH JUNE 2023) 1.00 X 0 0 0 BRENDA SKORNOGOSKI DIRECTOR 1.00 X 0 0 0 KRISTA SOLOMON DIRECTOR 1.00 X 0 0 0 CAITLIN TESKE DIRECTOR 1.00 X 0 0 0 JENNIFER THOMPSON DIRECTOR (THROUGH JANUARY 2023) 1.00 X 0 0 0 FRANK ZUCCALA DIRECTOR (THROUGH FEBRUARY 2023) 1.00 X 0 0 0 1068907 0 74369 8 0 1 0 ECLINICAL WORKS PO BOX 847950 BOSTON MA 02284 ELECTRONIC MEDICAL RECORD SERVICES 109900 1 4604 3210606 228345 15000 3443555 NET PATIENT SERVICES 621400 2280591 2280591 PHARMACY REVENUE 624100 2144177 2144177 4424768 137826 137826 0 4604 1403 -1403 -1403 MISCELLANEOUS INCOME 900099 124657 124657 124657 8129403 4424768 0 261080 X 292613 292613 2932574 2427030 505544 75359 62155 13204 382792 284324 98468 255101 189480 65621 50688 50688 18200 18200 772233 490960 281273 245985 229079 16906 76436 10113 66323 12575 12575 68975 43326 25649 3178 2756 422 77444 67154 10290 334884 267907 66977 51770 51770 MEDICAL SUPPLIES 1122150 1122073 77 MAINTENANCE 78733 62986 15747 DUES & SUBSCRIPTIONS 68853 68748 105 MISCELLANEOUS EXPENSES 6063 6063 6926606 5346729 1579800 77 93249 205368 6338108 6771486 289503 266929 212080 277938 20575 8669 8714028 2738583 5276139 5975445 86925 87464 12316579 13593299 396383 470306 396383 470306 X 11913419 13106505 6777 16488 11920196 13122993 12316579 13593299 1202797 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1311869 1311869 5360891 1921024 3439867 2041268 817559 1223709 5975445 X 7984145 2566 2566 7981579 147824 147824 8129403 6929172 2566 2566 6926606 0 6926606 PART X, LINE 2: THE CLINIC IS TAX-EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND COMPARABLE STATE LAW. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS INCLUDED IN THE FINANCIAL STATEMENTS. MANAGEMENT EVALUATED THE CLINIC'S TAX POSITIONS AND CONCLUDED THAT THE CLINIC HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION. THE CLINIC'S FEDERAL EXEMPT ORGANIZATION INCOME TAX RETURNS (FORM 990) ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 1,403. PATIENT ASSISTANCE 1,163. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST INCOME 137,824. CONTRIBUTIONS WITH DONOR RESTRICTIONS 10,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: PATIENT ASSISTANCE 1,163. FUNDRAISING EVENT EXPENSES 1,403. X X X X 0 0 0 0 0 0 0 0 0 DEE ALTHOUSE PHYSICIAN 199605 0 0 0 0 0 5988 0 8460 0 214053 0 0 0 KYNDRA HALL CEO 170021 0 0 0 0 0 5101 0 0 0 175122 0 0 0 CRAIG KANESHIRO DENTIST (THROUGH OCTOBER 2022) 155188 0 0 0 0 0 4656 0 8460 0 168304 0 0 0 JAMES CONRAD KUSEL CDO & DENTIST (THROUGH OCTOBER 2022) 152228 0 0 0 0 0 4567 0 8460 0 165255 0 0 0 CINDY BRANDON PHARMACIST 147093 0 0 0 0 0 4413 0 8460 0 159966 0 0 0 DARIN MILLER PHARMACIST 137422 0 0 0 0 0 4123 0 8460 0 150005 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD OF DIRECTORS AND THE PAST-CHAIR IF THEY REMAIN A CURRENT BOARD MEMBER. THE EXECUTIVE COMMITTEE CONVENES AS NECESSARY AND, UNDER THE DIRECTION OF THE BOARD, ACTS FOR THE ORGANIZATION IN ALL MATTERS DURING THE INTERIM PERIOD BETWEEN BOARD MEETINGS. THE EXECUTIVE COMMITTEE CONDUCTS THE PRELIMINARY EVALUATION OF THE CEO AND MAKES RECOMMENDATIONS TO THE FULL BOARD ACCORDINGLY. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE ORGANIZATION'S CFO AND CEO, BY THE FINANCE COMMITTEE, AND BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL BOARD MEMBERS, MEMBERS OF A COMMITTEE WITH BOARD-DELEGATED POWERS, AND OFFICERS. IF A PERSON HAS AN ACTUAL OR POTENTIAL CONFLICT, THEY DISCLOSE ITS EXISTENCE AND ALL MATERIAL FACTS. THAT INDIVIDAUL THEN LEAVES THE MEETING WHILE THE REMAINING INDIVIDUALS VOTE ON WHETHER A CONFLIC EXISTS. IF A CONFLICT EXISTS, THE BOARD OR A COMMITTEE TAKES APPROPRIATE STEPS TO DETERMINE WHETHER THE TRANSACTION WOULD BE IN THE ORGANIZATION'S BEST INTEREST. IF NO BETTER TRANSACTION CAN BE IDENTIFIED, THE DISINTERESTED BOARD OF COMMITTEE MEMBERS VOTE ON WHETHER TO ENTER THE TRANSACTION. IF AN INDIVIDUAL VIOLATES THE CONFLICT OF INTEREST POLICY, THE BOARD OF DIRECTORS WILL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTIONS. EACH INDIVIDUAL IS REQUIRED TO SIGN A STATEMENT WHEN THEY ARE ELECTED OR APPOINTED TO THE POSITION. PERIODIC REVIEWS ARE CONDUCTED. FORM 990, PART VI, SECTION B, LINE 15A TO EVALUATE THE CEO'S COMPENSATION, THE BOARD OF DIRECTORS REVIEWS THE CHAMPS SALARY SURVERY. THE PROCESS AND CONCLUSIONS ARE DOCUMENTED. THE REVIEW PROCESS LAST OCCURED IN 2023. TO EVALUATE THE OTHER OFFICERS' COMPENSATION, THE CEO REVIEWS THE CHAMPS SALARY SURVEY. THE PROCESS AND CONCLUSIONS ARE DOCUMENTED. THE REVIEW PROCESS LAST OCCURRED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S MAIN OFFICE. FORM 990, PART IX, LINE 11G OTHER SERVICES: PROGRAM SERVICE EXPENSES 490,960. MANAGEMENT AND GENERAL EXPENSES 281,273. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 772,233.