BLUESTEM HEALTH: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
BLUESTEM HEALTH (EIN 41-2056863)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-08-05
IRS object ID
201912179349300806
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-05T10:35:40-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN476097913PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SEIM JOHNSON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118081 BURT STREET SUITE 200AddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP680224722ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN412056863EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BLUESTEM HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBLUEBusinessNameControlTxt
Phone4024761640PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11021 NORTH 27TH STREETAddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68503ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRAD MEYERPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone4024761640PhoneNum
Signature2019-07-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWENDY R COOLEYPreparerPersonNm
PTINP01523804PTIN
Phone4023302660PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.34.201.180IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-07-30IPDt
IP Tm15:16:15IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id06718D1991FB6EEBEB7ECD4F00D4AA79CF05A929AtSubmissionCreationDeviceId
At Submission Filing Device Id5D066E2939FE45487034BD10C4A0DC94BE27FEF9AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRAD MEYERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11021 NORTH 27TH STREETAddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68503ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,027,473GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BLUESTEMLINCOLN.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionTO BE A TRUSTED RESOURCE FOR EXCELLENT MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee158TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$8,000NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,466,754PYContributionsGrantsAmt
CY Contributions Grants$2,735,675CYContributionsGrantsAmt
PY Program Service Revenue$7,826,381PYProgramServiceRevenueAmt
CY Program Service Revenue$8,272,935CYProgramServiceRevenueAmt
PY Investment Income$10,610PYInvestmentIncomeAmt
CY Investment Income$18,177CYInvestmentIncomeAmt
PY Other Revenue$782PYOtherRevenueAmt
CY Other Revenue$686CYOtherRevenueAmt
PY Total Revenue$10,304,527PYTotalRevenueAmt
CY Total Revenue$11,027,473CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,027,009PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,730,857CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,718,285PYOtherExpensesAmt
CY Other Expenses$4,013,884CYOtherExpensesAmt
PY Total Expenses$9,745,294PYTotalExpensesAmt
CY Total Expenses$10,744,741CYTotalExpensesAmt
PY Revenues Less Expenses$559,233PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$282,732CYRevenuesLessExpensesAmt
Total Assets BOY$5,031,890TotalAssetsBOYAmt
Total Assets EOY$5,258,287TotalAssetsEOYAmt
Total Liabilities BOY$864,471TotalLiabilitiesBOYAmt
Total Liabilities EOY$808,136TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,167,419NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,450,151NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO BE A TRUSTED RESOURCE FOR EXCELLENT MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,550,685ExpenseAmt
Revenue$2,407,725RevenueAmt
DescMEDICAL 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,537,984ExpenseAmt
Revenue$778,456RevenueAmt
DescTHE 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,080,319ExpenseAmt
Revenue$1,019,770RevenueAmt
DescDENTAL SERVICES - BLUESTEM HEALTH OFFERS PREVENTATIVE DENTAL SERVICES INCLUDING: X-RAYS, EXAMS, CLEANINGS, FILLINGS, AND EXTRACTIONS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$3,678,602ExpenseAmt
Revenue$4,067,670RevenueAmt
DescOTHER SERVICES - COMMUNITY SERVICES, MEDICAL RECORDS, LAB, X-RAY, PHARMACYDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$3,678,602TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$4,067,670TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$8,847,590TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee158EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JACQUE FANNING CHIEF FINANCIAL OFFICERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4024705421PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11021 N 27TH STREETAddressLine1Txt
CityLINCOLNCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68503ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHARLOTTE BURKE
CHAIR2.00Yes (X)Yes (X)$0$0$0
NICK SASSAMAN
VICE CHAIR2.00Yes (X)Yes (X)$0$0$0
ROY RIVERA
SECRETARY2.00Yes (X)Yes (X)$0$0$0
DANNY MURRAY
TREASURER2.00Yes (X)Yes (X)$0$0$0
DANAY KALKOWSKI
PAST CHAIR THRU 12/20182.00Yes (X)Yes (X)$0$0$0
NIKI STEHLIK
DIRECTOR1.00Yes (X)$0$0$0
MARYANN PONTES
DIRECTOR THRU 10/20181.00Yes (X)$0$0$0
CHRISTI WILLIAMS
DIRECTOR1.00Yes (X)$0$0$0
DR MICHAEL FERRIS
DIRECTOR1.00Yes (X)$0$0$0
ALEXANDRA SVOBODA
DIRECTOR1.00Yes (X)$0$0$0
BETSY TONNIGES
DIRECTOR1.00Yes (X)$0$0$0
AMY LEHMAN-TIMM
DIRECTOR1.00Yes (X)$0$0$0
BRAD MEYER
CEO40.00Yes (X)$135,419$0$11,270
JACQUE FANNING
CFO40.00Yes (X)$94,380$0$6,561
DR HORACIO ALVAREZ RAMIREZ
PHYSICIAN40.00$196,087$0$14,766Yes (X)
DR MICHAEL ISREAL
PHYSICIAN40.00$218,540$0$34,669Yes (X)
DR ARATHI REDDY
DENTIST38.00$165,988$0$6,639Yes (X)
DR DERRICK ANDERSON
PHYSICIAN40.00$216,306$0$16,165Yes (X)
DR SARAH CASTILLO
PHYSICIAN40.00$168,177$0$4,054Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,194,897TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$94,124TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$2,636,788GovernmentGrantsAmt
All Other Contributions$98,887AllOtherContributionsAmt
Total Contributions$2,735,675TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID621400$2,583,485$2,583,485
PHARMACY621400$2,309,967$2,309,967
PATIENT FEES621400$2,191,483$2,191,483
MEDICARE621400$836,175$836,175
CASE MANAGEMENT FEES621400$351,825$351,825
FieldValueIRS element (for citing)
Total Program Service Revenue$8,272,935TotalProgramServiceRevenueAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,177TotalRevenueColumnAmt
Exclusion$18,177ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$686TotalRevenueColumnAmt
Related Or Exempt Func Income$686RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$686OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,027,473TotalRevenueColumnAmt
Related Or Exempt Func Income$8,273,621RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$18,177ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$247,630TotalAmt
Management And General$247,630ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,344,810TotalAmt
Program Services$4,663,293ProgramServicesAmt
Management And General$681,517ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$105,576TotalAmt
Program Services$92,791ProgramServicesAmt
Management And General$12,785ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$630,390TotalAmt
Program Services$521,557ProgramServicesAmt
Management And General$108,833ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$402,451TotalAmt
Program Services$335,684ProgramServicesAmt
Management And General$66,767ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$45,981TotalAmt
Program Services$30,973ProgramServicesAmt
Management And General$15,008ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$60,032TotalAmt
Program Services$4,338ProgramServicesAmt
Management And General$55,694ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,200,114TotalAmt
Program Services$993,418ProgramServicesAmt
Management And General$206,696ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$117,616TotalAmt
Management And General$117,616ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$369,008TotalAmt
Program Services$248,197ProgramServicesAmt
Management And General$120,811ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$709,323TotalAmt
Program Services$604,957ProgramServicesAmt
Management And General$104,366ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$83,195TotalAmt
Program Services$34,297ProgramServicesAmt
Management And General$48,898ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,020TotalAmt
Management And General$3,020ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$181,383TotalAmt
Program Services$148,378ProgramServicesAmt
Management And General$33,005ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$46,201TotalAmt
Program Services$27,343ProgramServicesAmt
Management And General$18,858ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$490,643$490,643
OTHER PROGRAM SERVICES$212,292$212,292
MEDICATIONS$202,220$202,220
BAD DEBT EXPENSE$154,970$154,970

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$137,886TotalAmt
Program Services$82,239ProgramServicesAmt
Management And General$55,647ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,744,741TotalAmt
Program Services$8,847,590ProgramServicesAmt
Management And General$1,897,151ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,500BOYAmt
EOY$2,700EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,549,245BOYAmt
EOY$2,477,029EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$553,892BOYAmt
EOY$614,055EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$709,554BOYAmt
EOY$846,714EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$106,393BOYAmt
EOY$124,184EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$90,190BOYAmt
EOY$165,354EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,832,937LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,939,677LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$885,125BOYAmt
EOY$893,260EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$134,991BOYAmt
EOY$134,991EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,031,890BOYAmt
EOY$5,258,287EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$864,471BOYAmt
EOY$808,136EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$864,471BOYAmt
EOY$808,136EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,167,419BOYAmt
EOY$4,450,151EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,167,419BOYAmt
EOY$4,450,151EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,031,890BOYAmt
EOY$5,258,287EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$282,732ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,213,828CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,719,081CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,836,608CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,466,754CurrentTaxYearMinus1YearAmt
Current Tax Year$2,735,675CurrentTaxYearAmt
Total$12,971,946TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,213,828CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,719,081CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,836,608CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,466,754CurrentTaxYearMinus1YearAmt
Current Tax Year$2,735,675CurrentTaxYearAmt
Total$12,971,946TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$12,971,946PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,684CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,621CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,961CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,439CurrentTaxYearMinus1YearAmt
Current Tax Year$18,177CurrentTaxYearAmt
Total$33,882TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,550CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$534CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$688CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$782CurrentTaxYearMinus1YearAmt
Current Tax Year$686CurrentTaxYearAmt
Total$4,240TotalAmt
FieldValueIRS element (for citing)
Total Support$13,010,068TotalSupportAmt
Gross Receipts Rltd Activities$28,479,832GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99710PublicSupportCY170Pct
Public Support PY1700.99830PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,231,510OtherCostOrOtherBasisAmt
Depreciation$648,699DepreciationAmt
Book Value$582,811BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,601,427OtherCostOrOtherBasisAmt
Depreciation$1,290,978DepreciationAmt
Book Value$310,449BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$893,260TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$10,878,979TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$6,476DonatedServicesAndUseFcltsAmt
Revenue Not Reported$6,476RevenueNotReportedAmt
Revenue Subtotal$10,872,503RevenueSubtotalAmt
Other Revenues Not Included$154,970OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$154,970RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,027,473TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,596,247TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$6,476DonatedServicesUseFcltsAmt
Expenses Not Reported$6,476ExpensesNotReportedAmt
Expenses Subtotal$10,589,771ExpensesSubtotalAmt
Other Expenses Not Included$154,970OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$154,970ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$10,744,741TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 2018 AND 2017, THE HEALTH CENTER HAD NO UNCERTAIN TAX POSITIONS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT 154,970.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT 154,970.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR HORACIO ALVAREZ RAMIREZ
PHYSICIAN$193,302$0$2,785$0$0$0$5,394$0$9,372$0$210,853$0$0$0
DR MICHAEL ISREAL
PHYSICIAN$210,258$0$8,234$0$48$0$6,736$0$27,933$0$253,209$0$0$0
DR ARATHI REDDY
DENTIST$165,988$0$0$0$0$0$6,639$0$0$0$172,627$0$0$0
DR DERRICK ANDERSON
PHYSICIAN$216,216$0$0$0$90$0$6,975$0$9,190$0$232,471$0$0$0
DR SARAH CASTILLO
PHYSICIAN$168,177$0$0$0$0$0$3,953$0$101$0$172,231$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationBLUESTEM 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. THESE PAYMENTS ARE THEN PAID OUT TO THE PROVIDERS AND SUPPORT STAFF WHO HELPED THE HEALTH CENTER PERFORM AT AND ABOVE THEIR GOALS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CTHE 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 15THE BOARD OF DIRECTORS OF BLUESTEM HEALTH SETS THE COMPENSATION FOR THE EXECUTIVE DIRECTOR 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 19BLUESTEM HEALTH MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GMEDICAL CONTRACTORS: PROGRAM SERVICE EXPENSES 993,418. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 993,418. ADMINISTRATIVE SUPPORT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 206,696. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 206,696.
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.

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