2018-08-28T09:10:59-05:00 2017-12-31 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2017-01-01 412056863 BLUESTEM HEALTH BLUE 4024761640 1021 NORTH 27TH STREET LINCOLN NE 68503 BRAD MEYER CHIEF EXECUTIVE OFFICER 4024761640 2018-06-27 1 WENDY R COOLEY P01523804 4023302660 2017 2022-09-23 18:48:47Z BRAD MEYER 1021 NORTH 27TH STREET LINCOLN NE 68503 10304901 0 X WWW.BLUESTEMLINCOLN.COM X 2002 NE TO BE A TRUSTED RESOURCE FOR EXCELLENT MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES. 14 14 128 23 0 0 2836608 2466754 4635203 7826381 1961 10610 688 782 7474460 10304527 0 0 0 0 5152888 6027009 0 0 0 2275110 3718285 7427998 9745294 46462 559233 4162986 5031890 554800 864471 3608186 4167419 X TO BE A TRUSTED RESOURCE FOR EXCELLENT MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES. 0 0 2188056 2168021 MEDICAL 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. 1518609 1042492 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. 1052126 1504704 DENTAL SERVICES - BLUESTEM HEALTH OFFERS PREVENTATIVE DENTAL SERVICES INCLUDING: X-RAYS, EXAMS, CLEANINGS, FILLINGS, AND EXTRACTIONS. 3141262 3111946 OTHER SERVICES - COMMUNITY SERVICES, MEDICAL RECORDS, LAB, X-RAY, PHARMACY 3141262 3111946 7900053 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 11 0 1 128 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 1 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 DANAY KALKOWSKI CHAIR 2.00 X X 0 0 0 ROY RIVERA SECRETARY 2.00 X X 0 0 0 PAT MEYER TREASURER 2.00 X X 0 0 0 CHARLOTTE BURKE VICE CHAIR 2.00 X X 0 0 0 LINDA MANGAN SECRETARY THRU 12/17 2.00 X X 0 0 0 NICK SASSAMAN PAST CHAIR 4.00 X X 0 0 0 KELLY EPP DIRECTOR 1.00 X 0 0 0 CHRISTI WILLIAMS DIRECTOR 1.00 X 0 0 0 DANNY MURRAY DIRECTOR 1.00 X 0 0 0 DEBBIE HOUSER DIRECTOR 1.00 X 0 0 0 DR MICHAEL FERRIS DIRECTOR 1.00 X 0 0 0 ALEXANDRA SVOBODA DIRECTOR 1.00 X 0 0 0 BETSY TONNIGES DIRECTOR 1.00 X 0 0 0 JOYCE SCHMEECKLE DIRECTOR 1.00 X 0 0 0 AMY LEHMAN-TIMM DIRECTOR 1.00 X 0 0 0 BRAD MEYER CEO 40.00 X 124870 0 6759 JACQUE FANNING CFO 40.00 X 91430 0 1295 DR HORACIO ALVAREZ RAMIREZ PHYSICIAN 40.00 X 192219 0 8556 DR MICHAEL ISREAL PHYSICIAN 40.00 X 226793 0 14666 DR ARATHI REDDY DENTIST 38.00 X 161999 0 6376 DR DERRICK ANDERSON PHYSICIAN 40.00 X 214034 0 14338 DR SARAH CASTILLO PHYSICIAN 40.00 X 155599 0 6344 1166944 0 58334 10 0 1 0 0 2202517 264237 2466754 MEDICAID 621400 2818173 2818173 PATIENT FEES 621400 1977764 1977764 PHARMACY 621400 1936249 1936249 MEDICARE 621400 805707 805707 CASE MANAGEMENT FEES 621400 288488 288488 7826381 10439 10439 545 374 171 171 171 MISCELLANEOUS REVENUE 900099 782 782 782 10304527 7827163 0 10610 X 224354 224354 4910990 4199244 711746 81679 67154 14525 444807 333605 111202 365179 296764 68415 47723 30361 17362 63803 4769 59034 1025049 746352 278697 55465 55465 301392 217624 83768 859654 859654 65934 27882 38052 589 589 178737 60171 118566 40256 17528 22728 MEDICAL SUPPLIES 369482 369482 BAD DEBT EXPENSE 279323 279323 MEDICATIONS 169067 169067 OTHER PROGRAM SERVICES 146569 146569 115242 74504 40738 9745294 7900053 1845241 0 2500 2500 2021373 2549245 122449 553892 835388 709554 52586 106393 50841 90190 2649681 1764556 942858 885125 134991 134991 4162986 5031890 554800 864471 554800 864471 X 3608186 4167419 3608186 4167419 4162986 5031890 559233 0 X X 0 1 X 1 1 1 X 2161483 2213828 2719081 2836608 2466754 12397754 2161483 2213828 2719081 2836608 2466754 12397754 12397754 1592 1684 1621 1961 10439 17297 378 1550 534 688 782 3932 12418983 23677843 0.99830 0.99880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1183639 587703 595936 1466042 1176853 289189 885125 X 10033179 7975 7975 10025204 279323 279323 10304527 9473946 7975 7975 9465971 279323 279323 9745294 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. X X 0 0 0 0 0 0 0 0 0 DR HORACIO ALVAREZ RAMIREZ PHYSICIAN 191979 0 240 0 0 0 1797 0 6759 0 200775 0 0 0 DR MICHAEL ISREAL PHYSICIAN 224785 0 1960 0 48 0 6301 0 8365 0 241459 0 0 0 DR ARATHI REDDY DENTIST 160999 0 1000 0 0 0 6376 0 0 0 168375 0 0 0 DR DERRICK ANDERSON PHYSICIAN 212944 0 1000 0 90 0 7579 0 6759 0 228372 0 0 0 DR SARAH CASTILLO PHYSICIAN 155359 0 240 0 0 0 6226 0 118 0 161943 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 THE 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 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 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 19 BLUESTEM HEALTH MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL 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.