BLUESTEM HEALTH: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
BLUESTEM HEALTH (EIN 41-2056863)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-06-01
IRS object ID
201711529349300731
Schema version
2016v3.0
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)
Return2017-06-01T14:51:00-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN412056863EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PEOPLE'S HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPEOPBusinessNameControlTxt
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
Signature2017-05-23SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBARBARA J FAJENPreparerPersonNm
PTINP00400874PTIN
Phone4023302660PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.34.201.180IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-05-23IPDt
IP Tm13:52:15IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id94A2358B3CB5A7C182ABC21FE0E317543A3DE98DAtSubmissionCreationDeviceId
At Submission Filing Device IdC299A94BE5AD8C02AF4BA4D8B7C4DB3D2DC5F135AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$7,474,460GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PHCLINCOLN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionTO PROVIDE COMMUNITY HEALTH AND DENTAL CARE SERVICES THAT ARE AFFORDABLE, COMPREHENSIVE, ACCESSIBLE, CULTURALLY APPROPRIATE, AND COST EFFECTIVE TO INDIVIDUALS AND FAMILIES WITH LIMITED RESOURCES AND/OR OTHER BARRIERS TO SERVICE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee140TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,719,081PYContributionsGrantsAmt
CY Contributions Grants$2,836,608CYContributionsGrantsAmt
PY Program Service Revenue$4,131,440PYProgramServiceRevenueAmt
CY Program Service Revenue$4,635,203CYProgramServiceRevenueAmt
PY Investment Income-$2,943PYInvestmentIncomeAmt
CY Investment Income$1,961CYInvestmentIncomeAmt
PY Other Revenue$534PYOtherRevenueAmt
CY Other Revenue$688CYOtherRevenueAmt
PY Total Revenue$6,848,112PYTotalRevenueAmt
CY Total Revenue$7,474,460CYTotalRevenueAmt
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$4,563,740PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,152,888CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,170,815PYOtherExpensesAmt
CY Other Expenses$2,275,110CYOtherExpensesAmt
PY Total Expenses$6,734,555PYTotalExpensesAmt
CY Total Expenses$7,427,998CYTotalExpensesAmt
PY Revenues Less Expenses$113,557PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$46,462CYRevenuesLessExpensesAmt
Total Assets BOY$4,018,226TotalAssetsBOYAmt
Total Assets EOY$4,162,986TotalAssetsEOYAmt
Total Liabilities BOY$456,502TotalLiabilitiesBOYAmt
Total Liabilities EOY$554,800TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,561,724NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,608,186NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE PEOPLE'S HEALTH CENTER PROVIDES AFFORDABLE, COMPREHENSIVE, ACCESSIBLE, CULTURALLY APPROPRIATE, COST EFFECTIVE PRIMARY HEALTH CARE. THE CENTER WILL SERVE PEOPLE OF THE LINCOLN, NEBRASKA AREA, ESPECIALLY THOSE INDIVIDUALS/FAMILIES WITH LIMITED RESOURCES OR WITH OTHER BARRIERS TO HEALTH CARE TO IMPROVE THEIR OVERALL HEALTH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,086,007ExpenseAmt
Revenue$1,672,486RevenueAmt
DescMEDICAL SERVICES - PHC 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$994,753ExpenseAmt
Revenue$797,558RevenueAmt
DescDENTAL SERVICES - PHC OFFERS PREVENTATIVE DENTAL SERVICES INCLUDING: X-RAYS, EXAMS, CLEANINGS, FILLINGS AND EXTRACTIONS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$830,580ExpenseAmt
Revenue$665,930RevenueAmt
DescTHE HEALTH 360 CLINIC, A PARTNERSHIP BETWEEN LUTHERAN FAMILY SERVICES OF NEBRASKA AND PEOPLE'S HEALTH CENTER, 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 Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$1,870,771ExpenseAmt
Revenue$1,499,917RevenueAmt
DescOTHER SERVICES - COMMUNITY SERVICES, MEDICAL RECORDS, LAB, X-RAY, PHARMACYDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,870,771TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$1,499,917TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$5,782,111TotalProgramServiceExpensesAmt
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 Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee140EmployeeCnt
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 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 (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
NICK SASSAMAN
CHAIR4.00Yes (X)Yes (X)$0$0$0
DANAY KALKOWSKI
VICE CHAIR2.00Yes (X)Yes (X)$0$0$0
LINDA MANGAN
SECRETARY2.00Yes (X)Yes (X)$0$0$0
PAT MEYER
TREASURER2.00Yes (X)Yes (X)$0$0$0
JOYCE SCHMEECKLE
DIRECTOR1.00Yes (X)$0$0$0
CHARLOTTE BURKE
DIRECTOR1.00Yes (X)$0$0$0
KELLY EPP
DIRECTOR1.00Yes (X)$0$0$0
CHRISTI WILLIAMS
DIRECTOR1.00Yes (X)$0$0$0
NIZAR ZHAIYA
DIRECTOR1.00Yes (X)$0$0$0
DEBBIE HOUSER
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL FARRIS
DIRECTOR1.00Yes (X)$0$0$0
ROY RIVERA
DIRECTOR1.00Yes (X)$0$0$0
KK TRIVEDI
DIRECTOR1.00Yes (X)$0$0$0
SHAERON TURNER
DIRECTOR1.00Yes (X)$0$0$0
BRAD MEYER
CEO40.00Yes (X)$117,522$0$7,823
MARY BUNDY
CFO THROUGH 8/1640.00Yes (X)$65,160$0$6,523
JACQUE FANNING
CFO40.00Yes (X)$25,439$0$66
DR HONG CUI
PHYSICIAN40.00$133,405$0$5,380Yes (X)
DR MICHAEL ISREAL
PHYSICIAN40.00$221,444$0$15,314Yes (X)
DR ARATHI REDDY
DENTIST38.00$148,399$0$5,821Yes (X)
DR DERRICK ANDERSON
PHYSICIAN40.00$203,199$0$10,534Yes (X)
DR SARAH CASTILLO
PHYSICIAN40.00$180,519$0$11,661Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,095,087TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$63,122TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$2,324,831GovernmentGrantsAmt
All Other Contributions$511,777AllOtherContributionsAmt
Total Contributions$2,836,608TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID621400$1,907,439$1,907,439
PATIENT FEES621400$1,579,952$1,579,952
MEDICARE621400$429,664$429,664
PHARMACY621400$398,823$398,823
CASE MANAGEMENT FEES621400$319,325$319,325
FieldValueIRS element (for citing)
Total Program Service Revenue$4,635,203TotalProgramServiceRevenueAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,961TotalRevenueColumnAmt
Exclusion$1,961ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$688TotalRevenueColumnAmt
Related Or Exempt Func Income$688RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$688OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,474,460TotalRevenueColumnAmt
Related Or Exempt Func Income$4,635,891RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,961ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$222,533TotalAmt
Management And General$222,533ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,136,266TotalAmt
Program Services$3,506,430ProgramServicesAmt
Management And General$629,836ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$64,554TotalAmt
Program Services$54,361ProgramServicesAmt
Management And General$10,193ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$409,994TotalAmt
Program Services$318,613ProgramServicesAmt
Management And General$91,381ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$319,541TotalAmt
Program Services$253,560ProgramServicesAmt
Management And General$65,981ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$27,680TotalAmt
Program Services$20,806ProgramServicesAmt
Management And General$6,874ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$59,956TotalAmt
Program Services$14,566ProgramServicesAmt
Management And General$45,390ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$624,094TotalAmt
Program Services$361,162ProgramServicesAmt
Management And General$262,932ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$24,560TotalAmt
Management And General$24,560ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$354,578TotalAmt
Program Services$262,900ProgramServicesAmt
Management And General$91,678ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$412,900TotalAmt
Program Services$412,900ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$54,187TotalAmt
Program Services$23,263ProgramServicesAmt
Management And General$30,924ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,277TotalAmt
Management And General$4,277ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$75TotalAmt
Management And General$75ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$174,947TotalAmt
Program Services$67,563ProgramServicesAmt
Management And General$107,384ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$35,120TotalAmt
Program Services$15,775ProgramServicesAmt
Management And General$19,345ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$176,244$176,244
MEDICAL SUPPLIES$149,090$149,090
MEDICATIONS$86,694$86,694
LICENSES, FEES & MEMBER$62,050$29,526$32,524

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$28,658TotalAmt
Program Services$28,658ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,427,998TotalAmt
Program Services$5,782,111ProgramServicesAmt
Management And General$1,645,887ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt
EOY$2,500EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,231,994BOYAmt
EOY$2,021,373EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$154,196BOYAmt
EOY$122,449EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$658,388BOYAmt
EOY$835,388EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$52,586EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$45,061BOYAmt
EOY$50,841EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,535,295LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,592,437LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$927,587BOYAmt
EOY$942,858EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,018,226BOYAmt
EOY$4,162,986EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$436,502BOYAmt
EOY$554,800EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$20,000BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$456,502BOYAmt
EOY$554,800EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,561,724BOYAmt
EOY$3,608,186EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,561,724BOYAmt
EOY$3,608,186EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,018,226BOYAmt
EOY$4,162,986EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$46,462ReconcilationRevenueExpnssAmt
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$2,455,297CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,161,483CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,213,828CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,719,081CurrentTaxYearMinus1YearAmt
Current Tax Year$2,836,608CurrentTaxYearAmt
Total$12,386,297TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,455,297CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,161,483CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,213,828CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,719,081CurrentTaxYearMinus1YearAmt
Current Tax Year$2,836,608CurrentTaxYearAmt
Total$12,386,297TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$12,386,297PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$988CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,592CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,684CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,621CurrentTaxYearMinus1YearAmt
Current Tax Year$1,961CurrentTaxYearAmt
Total$7,846TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,910CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$378CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,550CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$534CurrentTaxYearMinus1YearAmt
Current Tax Year$688CurrentTaxYearAmt
Total$7,060TotalAmt
FieldValueIRS element (for citing)
Total Support$12,401,203TotalSupportAmt
Gross Receipts Rltd Activities$19,023,789GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99880PublicSupportCY170Pct
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$1,155,253OtherCostOrOtherBasisAmt
Depreciation$530,285DepreciationAmt
Book Value$624,968BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,380,042OtherCostOrOtherBasisAmt
Depreciation$1,062,152DepreciationAmt
Book Value$317,890BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$942,858TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$7,309,330TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$11,114DonatedServicesAndUseFcltsAmt
Revenue Not Reported$11,114RevenueNotReportedAmt
Revenue Subtotal$7,298,216RevenueSubtotalAmt
Other Revenues Not Included$176,244OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$176,244RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,474,460TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,262,868TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$11,114DonatedServicesUseFcltsAmt
Expenses Not Reported$11,114ExpensesNotReportedAmt
Expenses Subtotal$7,251,754ExpensesSubtotalAmt
Other Expenses Not Included$176,244OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$176,244ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,427,998TotalExpensesPerForm990Amt

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, 2016 AND 2015, THE HEALTH CENTER HAD NO UNCERTAIN TAX POSITIONS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT 176,244.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT 176,244.

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 (4 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 MICHAEL ISREAL
PHYSICIAN$208,344$0$13,100$0$0$0$8,891$0$6,423$0$236,758$0$0$0
DR ARATHI REDDY
DENTIST$148,399$0$0$0$0$0$5,821$0$0$0$154,220$0$0$0
DR DERRICK ANDERSON
PHYSICIAN$203,199$0$0$0$0$0$4,111$0$6,423$0$213,733$0$0$0
DR SARAH CASTILLO
PHYSICIAN$180,519$0$0$0$0$0$3,755$0$7,906$0$192,180$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 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 PEOPLE'S HEALTH CENTER 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 19THE PEOPLE'S HEALTH CENTER 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 PEOPLE'S HEALTH CENTER 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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