2021-05-26T15:18:49-05:00 2020-12-31 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2020-01-01 412056863 BLUESTEM HEALTH BLUE 4024761640 1021 NORTH 27TH STREET LINCOLN NE 68503 BRAD MEYER CHIEF EXECUTIVE OFFICER 4024761640 2021-05-26 1 BRAD MEYER 999009999 WENDY R COOLEY P01523804 4023302660 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z BRAD MEYER 1021 NORTH 27TH STREET LINCOLN NE 68503 18638164 0 X WWW.BLUESTEMLINCOLN.COM X 2002 NE TO BE A TRUSTED RESOURCE FOR EXCELLENT MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES. 16 16 199 23 0 0 2792875 4272040 11383800 14346514 12923 739 3061 6371 14192659 18625664 0 0 0 0 8833674 11180137 0 0 0 5085273 5963790 13918947 17143927 273712 1481737 5979739 9768873 1255876 3563273 4723863 6205600 X TO BE A TRUSTED RESOURCE FOR EXCELLENT MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES. 0 0 6827365 6182639 MEDICAL SERVICES - BLUESTEM HEALTH PROVIDES COMPREHENSIVE MEDICAL SERVICES TO ITS PATIENTS. OUR PROVIDER STAFF INCLUDES FAMILY PRACTICE PHYSICIANS, NURSE PRACTITIONERS, A PHYSICIAN ASSISTANT, PSYCHIATRIC NURSE PRACTITIONER & BEHAVIORAL HEALTH THERAPISTS, AND VOLUNTEER SPECIALTY PHYSICIANS. 1566951 1222927 THE HEALTH 360 CLINIC, A PARTNERSHIP BETWEEN LUTHERAN FAMILY SERVICES OF NEBRASKA AND BLUESTEM HEALTH, PROVIDES AN AFFORDABLE, HOLISTIC APPROACH TO CARE, ESPECIALLY FOR THE MOST VULNERABLE. SERVICES AT HEALTH 360 ARE PROVIDED ON A SLIDING FEE SCALE THAT OFFERS REDUCED PRICES ON OFFICE VISITS AND SERVICES BASED ON INCOME. 1205103 848268 DENTAL SERVICES - BLUESTEM HEALTH OFFERS PREVENTATIVE DENTAL SERVICES INCLUDING: X-RAYS, EXAMS, CLEANINGS, FILLINGS, AND EXTRACTIONS. 4720757 6094518 OTHER SERVICES - COMMUNITY SERVICES, MEDICAL RECORDS, LAB, PHARMACY 4720757 6094518 14320176 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 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 45 0 1 199 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JACQUE FANNING CHIEF FINANCIAL OFFICER 4024705421 1021 N 27TH STREET LINCOLN NE 68503 DR MICHAEL ISRAEL PHYSICIAN 40.00 X 292675 0 39375 DR HORACIO ALVAREZ RAMIREZ PHYSICIAN 40.00 X 236993 0 18364 DR CHARLES KRESHEL PHYSICIAN 40.00 X 245648 0 6348 DR ARATHI REDDY DENTIST 38.00 X 192887 0 7167 BRAD MEYER CEO 40.00 X 178356 0 18239 DR HEATHER KLEEMAN PHYSICIAN 40.00 X 168294 0 12582 JACQUE FANNING CFO 40.00 X 113636 0 13941 NICK SASSAMAN CHAIR 2.00 X X 0 0 0 ANDREW SCHILL VICE CHAIR 2.00 X X 0 0 0 CHRISTI WILLIAMS SECRETARY 2.00 X X 0 0 0 DANNY MURRAY TREASURER 2.00 X X 0 0 0 DR MICHAEL FERRIS DIRECTOR 1.00 X 0 0 0 BETSY TONNIGES DIRECTOR 1.00 X 0 0 0 NIKI STEHLIK DIRECTOR 1.00 X 0 0 0 VINCENT PAUL RAMIREZ DIRECTOR 1.00 X 0 0 0 JULIA STUBBLEFIELD DIRECTOR 1.00 X 0 0 0 ROMEO GUERRA DIRECTOR 1.00 X 0 0 0 DEREK BLUMENSTOCK DIRECTOR 1.00 X 0 0 0 MARCIA MURRAY DIRECTOR 1.00 X 0 0 0 GALEN BERNADT DIRECTOR 1.00 X 0 0 0 BOB BLEICHER DIRECTOR 1.00 X 0 0 0 LOIS GILLAM DIRECTOR 1.00 X 0 0 0 MARK VERSEN DIRECTOR 1.00 X 0 0 0 CHARLOTTE BURKE IMMEDIATE PAST PRESIDENT (THRU 09/20) 1.00 X 0 0 0 KAREN KILGARIN DIRECTOR (THRU 08/20) 1.00 X 0 0 0 1428489 0 116016 19 0 1 0 PAUL DAVIS RESTORATION 3641 S 6TH ST LINCOLN NE 38502 CONSTRUCTION/BUILDING RENOVATIONS 624211 RPH INNOVATIONS LLC 439 GRANT STREET DOWNERS GROVE IL 60515 340B PROGRAM MANAGEMENT AND PROCESSING F 419846 NEXTGEN HEALTHCARE 18111 VON KARMAN AVE SUITE 800 IRVINE CA 92612 E.H.R. SOFTWARE SUPPORT, PORTALS, PRACTI 156411 LABCORP PO BOX 12140 BURLINGTON NC 27216 PATIENT LAB SERVICES 120721 ELEANOR CREATIVE 701 P STREET SUITE 201 LINCOLN NE 68508 MARKETING SERVICES 104295 8 4173710 98330 4272040 PHARMACY 621400 4908134 4908134 PATIENT FEES 621400 3275137 3275137 MEDICAID 621400 3101517 3101517 CASE MANAGEMENT FEES 621400 2086264 2086264 MEDICARE 621400 975462 975462 14346514 5839 5839 4533 0 4533 4533 4533 7400 12500 -5100 -5100 -5100 MISCELLANEOUS REVENUE 900099 1838 1838 1838 18625664 14348352 0 5272 324172 324172 8710292 7733870 976422 181446 152176 29270 1298799 1120377 178422 665428 549507 115921 14806 14806 83475 15831 67644 1679105 1348557 330548 176307 13517 162790 776986 504679 272307 833481 721898 111583 53920 23242 30678 3217 3217 10461 9003 1458 311766 265416 46350 65877 49301 16576 MEDICAL SUPPLIES 793759 791564 2195 OTHER PROGRAM SERVICES 433341 430921 2420 MEDICATIONS 331966 331966 BAD DEBT EXPENSE 204413 204413 190910 53938 136972 17143927 14320176 2823751 0 3700 4500 2596437 3146056 822663 1957733 835864 1654292 192329 542682 142095 230615 4404285 2421475 1108674 1982810 277977 250185 5979739 9768873 1250376 2123873 5500 0 1439400 1255876 3563273 X 4723863 6205600 4723863 6205600 5979739 9768873 1481737 0 X X 0 1 X 1 1 1 X 2836608 2466754 2735675 2792875 4272040 15103952 2836608 2466754 2735675 2792875 4272040 15103952 15103952 1961 10439 18177 14580 10372 55529 688 782 686 1404 1838 5398 15164879 46464833 0.99600 0.99630 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2143482 847129 1296353 2051784 1475346 576438 209019 99000 110019 1982810 PAYCHECK PROTECTION PROGRAM LOAN 1439400 1439400 X 18421331 80 80 18421251 204413 204413 18625664 16939594 80 80 16939514 204413 204413 17143927 PART X, LINE 2: THE HEALTH CENTER IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HEALTH CENTER ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 740, INCOME TAXES. THE HEALTH CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2020 AND 2019, THE HEALTH CENTER HAD NO UNCERTAIN TAX POSITIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 204,413. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 204,413. X X 0 0 0 0 0 0 0 1 0 DR MICHAEL ISRAEL PHYSICIAN 208746 0 83929 0 0 0 8327 0 31048 0 332050 0 0 0 DR HORACIO ALVAREZ RAMIREZ PHYSICIAN 204595 0 32398 0 0 0 7947 0 10417 0 255357 0 0 0 DR CHARLES KRESHEL PHYSICIAN 223337 0 22311 0 0 0 6220 0 128 0 251996 0 0 0 DR ARATHI REDDY DENTIST 192276 0 611 0 0 0 7167 0 0 0 200054 0 0 0 BRAD MEYER CEO 177745 0 611 0 0 0 7204 0 11035 0 196595 0 0 0 DR HEATHER KLEEMAN PHYSICIAN 107478 0 60816 0 0 0 0 0 12582 0 180876 0 0 0 PART I, LINE 7 BLUESTEM HEALTH IS PART OF AN ORGANIZATION THAT STRIVES TO SAVE INSURANCE COMPANIES MONEY WHILE ALSO IMPROVING THE HEALTH OF PATIENTS. THE ORGANIZATION SETS OVERALL MEASURES/GOALS FOR THE HEALTH CENTER TO ACHIEVE. BASED ON HOW WELL THE HEALTH CENTER PERFORMS AND THE OUTCOMES IT PRODUCES FOR PATIENTS, THE HEALTH CENTER RECEIVES INCENTIVE PAYMENTS. A PORTION OF THESE PAYMENTS ARE THEN PAID OUT TO THE PROVIDERS AND SUPPORT STAFF WHO HELPED THE HEALTH CENTER PERFORM AT AND ABOVE THEIR GOALS. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE REVIEWS THE FORM 990 AND PRESENTS IT TO THE BOARD OF DIRECTORS WITH A RECOMMENDATION FOR APPROVAL BEFORE IT IS SUBMITTED TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY RESPONSIBLE PERSONS AND EACH RESPONSIBLE PERSON MUST ANNUALLY COMPLETE A DISCLOSURE FORM IDENTIFYING ANY POSSIBLE CONFLICTS OF INTEREST. THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED AND UPDATED AT THE ANNUAL MEETING EACH YEAR. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS OF BLUESTEM HEALTH SETS THE COMPENSATION FOR THE CHEIF EXECUTIVE OFFICER AND OTHER KEY EMPLOYEES. THEY REVIEW AN ANNUAL SALARY SURVEY CONDUCTED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. THE BOARD ALSO REVIEWS THE SALARY SURVEY FOR NONPROFIT ORGANIZATIONS CONDUCTED BY THE MEDICAL GROUP MANAGEMENT ASSOCIATION. DECISIONS FOR COMPENSATION ARE BASED ON A PERSON'S EXPERIENCE, SKILLS AND EDUCATIONAL LEVEL. THE SALARIES ARE APPROVED WITH A MAJORITY VOTE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 BLUESTEM HEALTH MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS OF BLUESTEM HEALTH ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.