BLUESTEM HEALTH: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
BLUESTEM HEALTH (EIN 41-2056863)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-08-28
IRS object ID
201822409349300412
Schema version
2017v2.3
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)
Return2018-08-28T09:10:59-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Begin2017-01-01TaxPeriodBeginDt

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
Signature2018-06-27SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWENDY R COOLEYPreparerPersonNm
PTINP01523804PTIN
Phone4023302660PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$10,304,901GrossReceiptsAmt
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 Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee128TotalEmployeeCnt
Total Volunteers23TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,836,608PYContributionsGrantsAmt
CY Contributions Grants$2,466,754CYContributionsGrantsAmt
PY Program Service Revenue$4,635,203PYProgramServiceRevenueAmt
CY Program Service Revenue$7,826,381CYProgramServiceRevenueAmt
PY Investment Income$1,961PYInvestmentIncomeAmt
CY Investment Income$10,610CYInvestmentIncomeAmt
PY Other Revenue$688PYOtherRevenueAmt
CY Other Revenue$782CYOtherRevenueAmt
PY Total Revenue$7,474,460PYTotalRevenueAmt
CY Total Revenue$10,304,527CYTotalRevenueAmt
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$5,152,888PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,027,009CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,275,110PYOtherExpensesAmt
CY Other Expenses$3,718,285CYOtherExpensesAmt
PY Total Expenses$7,427,998PYTotalExpensesAmt
CY Total Expenses$9,745,294CYTotalExpensesAmt
PY Revenues Less Expenses$46,462PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$559,233CYRevenuesLessExpensesAmt
Total Assets BOY$4,162,986TotalAssetsBOYAmt
Total Assets EOY$5,031,890TotalAssetsEOYAmt
Total Liabilities BOY$554,800TotalLiabilitiesBOYAmt
Total Liabilities EOY$864,471TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,608,186NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,167,419NetAssetsOrFundBalancesEOYAmt
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$2,188,056ExpenseAmt
Revenue$2,168,021RevenueAmt
DescMEDICAL SERVICES - BLUESTEM HEALTH PROVIDES COMPREHENSIVE MEDICAL SERVICES TO ITS PATIENTS. OUR PROVIDER STAFF INCLUDES FAMILY PRACTICE PHYSICIANS, NURSE PRACTITIONERS, A PHYSICIAN ASSISTANT, CERTIFIED NURSE MIDWIVES (PROVIDE OB CARE/DELIVERIES) AND VOLUNTEER SPECIALTY PHYSICIANS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,518,609ExpenseAmt
Revenue$1,042,492RevenueAmt
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$1,052,126ExpenseAmt
Revenue$1,504,704RevenueAmt
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$3,141,262ExpenseAmt
Revenue$3,111,946RevenueAmt
DescOTHER SERVICES - COMMUNITY SERVICES, MEDICAL RECORDS, LAB, X-RAY, PHARMACYDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$3,141,262TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$3,111,946TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$7,900,053TotalProgramServiceExpensesAmt
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 Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee128EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
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 (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DANAY KALKOWSKI
CHAIR2.00Yes (X)Yes (X)$0$0$0
ROY RIVERA
SECRETARY2.00Yes (X)Yes (X)$0$0$0
PAT MEYER
TREASURER2.00Yes (X)Yes (X)$0$0$0
CHARLOTTE BURKE
VICE CHAIR2.00Yes (X)Yes (X)$0$0$0
LINDA MANGAN
SECRETARY THRU 12/172.00Yes (X)Yes (X)$0$0$0
NICK SASSAMAN
PAST CHAIR4.00Yes (X)Yes (X)$0$0$0
KELLY EPP
DIRECTOR1.00Yes (X)$0$0$0
CHRISTI WILLIAMS
DIRECTOR1.00Yes (X)$0$0$0
DANNY MURRAY
DIRECTOR1.00Yes (X)$0$0$0
DEBBIE HOUSER
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
JOYCE SCHMEECKLE
DIRECTOR1.00Yes (X)$0$0$0
AMY LEHMAN-TIMM
DIRECTOR1.00Yes (X)$0$0$0
BRAD MEYER
CEO40.00Yes (X)$124,870$0$6,759
JACQUE FANNING
CFO40.00Yes (X)$91,430$0$1,295
DR HORACIO ALVAREZ RAMIREZ
PHYSICIAN40.00$192,219$0$8,556Yes (X)
DR MICHAEL ISREAL
PHYSICIAN40.00$226,793$0$14,666Yes (X)
DR ARATHI REDDY
DENTIST38.00$161,999$0$6,376Yes (X)
DR DERRICK ANDERSON
PHYSICIAN40.00$214,034$0$14,338Yes (X)
DR SARAH CASTILLO
PHYSICIAN40.00$155,599$0$6,344Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,166,944TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$58,334TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$2,202,517GovernmentGrantsAmt
All Other Contributions$264,237AllOtherContributionsAmt
Total Contributions$2,466,754TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID621400$2,818,173$2,818,173
PATIENT FEES621400$1,977,764$1,977,764
PHARMACY621400$1,936,249$1,936,249
MEDICARE621400$805,707$805,707
CASE MANAGEMENT FEES621400$288,488$288,488
FieldValueIRS element (for citing)
Total Program Service Revenue$7,826,381TotalProgramServiceRevenueAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,439TotalRevenueColumnAmt
Exclusion$10,439ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$545OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$374OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$171OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$171TotalRevenueColumnAmt
Exclusion$171ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$782TotalRevenueColumnAmt
Related Or Exempt Func Income$782RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$782OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,304,527TotalRevenueColumnAmt
Related Or Exempt Func Income$7,827,163RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$10,610ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$224,354TotalAmt
Management And General$224,354ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,910,990TotalAmt
Program Services$4,199,244ProgramServicesAmt
Management And General$711,746ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$81,679TotalAmt
Program Services$67,154ProgramServicesAmt
Management And General$14,525ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$444,807TotalAmt
Program Services$333,605ProgramServicesAmt
Management And General$111,202ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$365,179TotalAmt
Program Services$296,764ProgramServicesAmt
Management And General$68,415ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$47,723TotalAmt
Program Services$30,361ProgramServicesAmt
Management And General$17,362ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$63,803TotalAmt
Program Services$4,769ProgramServicesAmt
Management And General$59,034ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,025,049TotalAmt
Program Services$746,352ProgramServicesAmt
Management And General$278,697ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$55,465TotalAmt
Management And General$55,465ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$301,392TotalAmt
Program Services$217,624ProgramServicesAmt
Management And General$83,768ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$859,654TotalAmt
Program Services$859,654ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$65,934TotalAmt
Program Services$27,882ProgramServicesAmt
Management And General$38,052ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$589TotalAmt
Management And General$589ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$178,737TotalAmt
Program Services$60,171ProgramServicesAmt
Management And General$118,566ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$40,256TotalAmt
Program Services$17,528ProgramServicesAmt
Management And General$22,728ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$369,482$369,482
BAD DEBT EXPENSE$279,323$279,323
MEDICATIONS$169,067$169,067
OTHER PROGRAM SERVICES$146,569$146,569

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$115,242TotalAmt
Program Services$74,504ProgramServicesAmt
Management And General$40,738ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,745,294TotalAmt
Program Services$7,900,053ProgramServicesAmt
Management And General$1,845,241ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,021,373BOYAmt
EOY$2,549,245EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$122,449BOYAmt
EOY$553,892EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$835,388BOYAmt
EOY$709,554EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$52,586BOYAmt
EOY$106,393EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$50,841BOYAmt
EOY$90,190EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,649,681LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,764,556LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$942,858BOYAmt
EOY$885,125EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,162,986BOYAmt
EOY$5,031,890EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$554,800BOYAmt
EOY$864,471EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$554,800BOYAmt
EOY$864,471EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,608,186BOYAmt
EOY$4,167,419EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,608,186BOYAmt
EOY$4,167,419EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,162,986BOYAmt
EOY$5,031,890EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$559,233ReconcilationRevenueExpnssAmt
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$2,161,483CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,213,828CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,719,081CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,836,608CurrentTaxYearMinus1YearAmt
Current Tax Year$2,466,754CurrentTaxYearAmt
Total$12,397,754TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,161,483CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,213,828CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,719,081CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,836,608CurrentTaxYearMinus1YearAmt
Current Tax Year$2,466,754CurrentTaxYearAmt
Total$12,397,754TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$12,397,754PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,592CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,684CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,621CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,961CurrentTaxYearMinus1YearAmt
Current Tax Year$10,439CurrentTaxYearAmt
Total$17,297TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$378CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,550CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$534CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$688CurrentTaxYearMinus1YearAmt
Current Tax Year$782CurrentTaxYearAmt
Total$3,932TotalAmt
FieldValueIRS element (for citing)
Total Support$12,418,983TotalSupportAmt
Gross Receipts Rltd Activities$23,677,843GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99830PublicSupportCY170Pct
Public Support PY1700.99880PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,183,639OtherCostOrOtherBasisAmt
Depreciation$587,703DepreciationAmt
Book Value$595,936BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,466,042OtherCostOrOtherBasisAmt
Depreciation$1,176,853DepreciationAmt
Book Value$289,189BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$885,125TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$10,033,179TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$7,975DonatedServicesAndUseFcltsAmt
Revenue Not Reported$7,975RevenueNotReportedAmt
Revenue Subtotal$10,025,204RevenueSubtotalAmt
Other Revenues Not Included$279,323OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$279,323RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$10,304,527TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,473,946TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$7,975DonatedServicesUseFcltsAmt
Expenses Not Reported$7,975ExpensesNotReportedAmt
Expenses Subtotal$9,465,971ExpensesSubtotalAmt
Other Expenses Not Included$279,323OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$279,323ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$9,745,294TotalExpensesPerForm990Amt

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, 2017 AND 2016, THE HEALTH CENTER HAD NO UNCERTAIN TAX POSITIONS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT 279,323.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT 279,323.

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 Payments0AnyNonFixedPaymentsInd
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$191,979$0$240$0$0$0$1,797$0$6,759$0$200,775$0$0$0
DR MICHAEL ISREAL
PHYSICIAN$224,785$0$1,960$0$48$0$6,301$0$8,365$0$241,459$0$0$0
DR ARATHI REDDY
DENTIST$160,999$0$1,000$0$0$0$6,376$0$0$0$168,375$0$0$0
DR DERRICK ANDERSON
PHYSICIAN$212,944$0$1,000$0$90$0$7,579$0$6,759$0$228,372$0$0$0
DR SARAH CASTILLO
PHYSICIAN$155,359$0$240$0$0$0$6,226$0$118$0$161,943$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4THE HEALTH CENTER UPDATED ITS BYLAWS DURING THE YEAR TO REFLECT THE NAME CHANGE OF THE CORPORATION FROM PEOPLE'S HEALTH CENTER TO BLUESTEM HEALTH. THE BYLAWS WERE ALSO UPDATED DURING THE YEAR TO REFLECT A NEW BOARD MEMBER POSITION AND NEW COMMITTEES. THE IMMEDIATE PAST PRESIDENT WAS THE NEW BOARD MEMBER POSITION ADDED AND THE GOVERNANCE AND PERSONNEL COMMITTEES WERE THE NEW COMMITTEES ADDED.
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 746,352. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 746,352. ADMINISTRATIVE SUPPORT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 278,697. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 278,697.
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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