2019-06-17T12:40:43-05:00 2019-01-31 810385940 ANDERSON ZURMUEHLEN & CO PC PO BOX 748 BUTTE MT 59703 990 2018-02-01 810432169 BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC BUTT 4067234075 445 CENTENNIAL AVE BUTTE MT 59701 JENNIFER MALONE CEO 4067234075 2019-06-17 1 JAMES E WOY P00102054 4067820451 2019-06-17 71.92.235.235 2019-06-17 12:19:56 MD P 5D6A5661A397750E81DC3C2D90CC6C9E611513FE 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 2018 2019-02-21 02:37:17Z SOUTHWEST MONTANA COMMUNITY HEALTH CENTER JENNIFER MALONE 445 CENTENNIAL AVENUE BUTTE MT 59701 16723530 0 X WWW.SWMTCHC.ORG X 1986 MT SERVICES OF PHYSICIANS, DENTISTS, HYGIENISTS, MID-LEVEL PROVIDERS, MENTAL HEALTH THERAPISTS, AND PHARMACISTS; DIAGNOSTIC LABORATORY AND RADIOLOGY SERVICES; PREVENTATIVE AND PRIMARY HEALTH AND DENTAL SERVICES; PHARMACEUTICAL SERVICES; BEHAVIORAL HEALTH SERVICES; TRANSPORTATION SERVICES AS REQUIRED FOR ADEQUATE PATIENT CARE. 13 13 169 14 0 0 3980248 3807767 11250040 11977273 13866 44319 0 0 15244154 15829359 0 0 0 0 8005236 8760919 0 0 9767 6195719 5794260 14200955 14555179 1043199 1274180 7930956 8850735 1452471 1159172 6478485 7691563 THE SOUTHWEST MONTANA COMMUNITY HEALTH CENTER IS GUIDED BY THE MISSION: "INSPIRE, HOPE AND EMPOWER WELLNESS BY PROVIDING ACCESS TO COMPREHENSIVE HEALTHCARE." 0 0 12767394 11977273 FOUR LOCATIONS IN SOUTHWEST MONTANA: BUTTE, DILLON, SHERIDAN, AND ANACONDA. 12767394 1 0 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 16 0 1 169 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X NANCY PROCTOR 4067234075 445 CENTENNIAL AVENUE BUTTE MT 59701 MARK ROSENLEAF SECRETARY 1.00 X X 0 0 0 BRUCE SMITH DIRECTOR 1.00 X 0 0 0 PERRY HAWBAKER DIRECTOR 1.00 X 0 0 0 WAYNE HARPER CHAIR 1.00 X X 0 0 0 ANN FINCH-JOHNSTON DIRECTOR 1.00 X X 0 0 0 GEORGE SKULETICH DIRECTOR 1.00 X 0 0 0 JOANIE CASSIDY TREASURER 1.00 X X 0 0 0 GRETCHEN GELLER DIRECTOR 1.00 X 0 0 0 PAT NOONAN DIRECTOR 1.00 X 0 0 0 TAMARA TODD DIRECTOR 1.00 X 0 0 0 AMY JO KIBLER DIRECTOR 1.00 X 0 0 0 TAMMY HICKLIN-ESTABROOK DIRECTOR 1.00 X 0 0 0 JOE MURPHY DIRECTOR 1.00 X 0 0 0 NANCY PROCTOR CFO 40.00 X 32154 0 7716 DON FOLEY CFO 40.00 X 60975 0 11271 JENNIFER MALONE CEO 40.00 X 119955 0 8208 SHAWNA YATES DIRECTOR OF OPERATIONS 32.00 X 182799 0 23030 SERENA BREWER DOCTOR 40.00 X 190131 0 7699 HAROLD BRUCE NURSE PRACTIONER 40.00 X 187200 0 10318 CATHERINE WHITE DOCTOR 35.00 X 217708 0 16736 LEONARD BLINDER DOCTOR 40.00 X 159318 0 8208 TAMMY COX DIRECTOR OF PHARMACY SERVI 32.00 X 113362 0 8653 MEGAN EVANS DOCTOR 24.00 X 107261 0 25468 SHAWN PATRICK DIRECTOR OF PHARMACY SERVI 38.00 X 132094 0 10562 MARCUS PASKE CLINICAL PHARMACIST 36.00 X 103144 0 22490 1606101 0 160359 10 0 1 0 OCHIN INC 1881 SW NAITO PKWY PORTLAND OR 97201 ELECTRONIC HEALTH RECORD SERVICE 310099 SANFI PASTEUR INC 55 CORPORATE DRIVE BRIDGEWATER NJ 08807 PHARMACEUTICAL VACCINES 154569 MEDIMPACT HEALTHCARE SYSTEMS INC 10181 SCRIPPS GATEWAY CT SAN DIEGO CA 92131 PHARMACEUTICALS 140139 3 3540153 267614 3807767 PATIENT SERVICES 621990 6339186 6339186 PHARMACY REVENUE 621990 5351574 5351574 OTHER REVENUE 621990 286513 286513 11977273 12842 12842 925648 894171 31477 31477 31477 15829359 11977273 0 44319 1154163 942410 211753 6061720 5581414 471507 8799 188767 168671 19978 118 750857 670918 79467 472 605412 540960 64074 378 6551 6551 30632 30632 6567 6567 156636 53365 103271 64736 30992 33744 722321 421274 301047 148593 96104 52489 16295 8109 8186 323262 56243 267019 MEDICAL SUPPLIES 3650273 3649836 437 PROVISION FOR UNCOLLECT 302332 302332 MISCELLANEOUS 108860 78495 30365 PROFESSIONAL DEVELOPMEN 61040 56912 4128 196162 72176 123986 14555179 12767394 1778018 9767 1473686 1426817 2534024 2745129 528714 855939 161152 478492 467043 114645 71666 4783747 2514475 2417033 2269272 384362 853717 7930956 8850735 815798 803235 115501 1527 521172 354410 1452471 1159172 X 6460736 7656385 17749 35178 6478485 7691563 7930956 8850735 X 1274180 -61103 1 X X 0 1 X 1 1 1 X 22260 241609 293765 399319 267614 1224567 11107221 12032562 13738211 14669406 15517426 67064826 11129481 12274171 14031976 15068725 15785040 68289393 0 2423708 2589579 2699889 2820048 2958723 13491947 2423708 2589579 2699889 2820048 2958723 13491947 54797446 5579 12049 10717 8691 12842 49878 5579 12049 10717 8691 12842 49878 11135060 12286220 14042693 15077416 15797882 68339271 0.80180 0.79770 0.00070 0.00070 X 78150 78150 2135590 893244 1242346 1275076 499397 775679 1280804 1111238 169566 14127 10596 3531 2269272 X 15438646 -61103 -329610 -390713 15829359 0 15829359 14246280 -308899 -308899 14555179 0 14555179 PART X, LINE 2: THE COMMUNITY HEALTH CENTER IS A TAX EXEMPT ORGANIZATION UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A RESULT, NO PROVISION FOR INCOME TAX IS INCLUDED IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: PRIOR YEAR PHARMACY REVENUE NOT RECOGNIZED ON PRIOR YEAR 990 PROVISION FOR BAD DEBTS INVESTMENT MANAGEMENT FEES INCLUDED IN EXPENSES PART XII, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS INVESTMENT MANAGEMENT EXPENSES FORM 990, SCHEDULE D, PART XI, LINE 2D AND PART XII, LINE 2D THE PROVISION FOR BAD DEBTS IS PRESENTED UNDER REVENUE IN THE AUDITED FINANCIAL STATEMENTS. X X X X 0 0 0 0 0 0 0 0 0 SHAWNA YATES DIRECTOR OF OPERATIONS 182799 0 0 0 0 0 0 0 23030 0 205829 0 0 0 SERENA BREWER DOCTOR 190131 0 0 0 0 0 0 0 7699 0 197830 0 0 0 HAROLD BRUCE NURSE PRACTIONER 187200 0 0 0 0 0 0 0 10318 0 197518 0 0 0 CATHERINE WHITE DOCTOR 217708 0 0 0 0 0 0 0 16736 0 234444 0 0 0 LEONARD BLINDER DOCTOR 159318 0 0 0 0 0 0 0 8208 0 167526 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 THE BY-LAWS WERE AMENDED TO STATE A RANGE OF BOARD MEMBER NINE TO 15 INSTEAD OF 15 WHICH WAS REPORTED IN THE PRIOR YEAR BY-LAWS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WILL BE REVIEWED BY THE FULL BOARD AT ITS MONTHLY MEETING AND THE FULL BOARD WILL APPROVE THE 990 BEFORE SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS AND THE ORGANIZATION REVIEW THE CONFLICT OF INTEREST POLICY ON A MONTHLY BASIS AND INVESTIGATE ANY POSSIBLE CONFLICTS THAT MAY OCCUR. FORM 990, PART VI, SECTION B, LINE 15 THE FINANCE AND EXECUTIVE COMMITTEES REVIEW AND/OR CALCULATE COMPENSATION PACKAGES FOR THE CEO, COO, MEDICAL DIRECTOR AND OTHER TOP MANAGEMENT OFFICIALS AND KEY EMPLOYEES ANNUALLY. THE BOARD OF DIRECTORS THEN REVIEW AND APPROVE ANY COMPENSATION PACKAGES. CHC SETS SALARIES USING A COMMUNITY STANDARD (WHAT IS PAID TO OTHERS OF LIKE POSITION IN SW MONTANA AND WHAT IS PAID TO OTHER CHC PROVIDERS IN THE STATE AND REGION) FOR PROFESSIONALS, PHYSICIANS, PHARMACISTS, DENTISTS, EXECUTIVIES, AND MID-LEVEL PROVIDERS. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAIABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: ROUNDING 1. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.