BLUESTEM HEALTH: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
BLUESTEM HEALTH (EIN 41-2056863)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-05-16
IRS object ID
201601379349303455
Schema version
2015v2.1
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)
Return2016-05-16T10:56:42-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

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
Signature2016-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBARBARA J FAJENPreparerPersonNm
PTINP00400874PTIN
Phone4023302660PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

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$6,852,676GrossReceiptsAmt
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 Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee130TotalEmployeeCnt
Total Volunteers48TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,213,828PYContributionsGrantsAmt
CY Contributions Grants$2,719,081CYContributionsGrantsAmt
PY Program Service Revenue$3,613,873PYProgramServiceRevenueAmt
CY Program Service Revenue$4,131,440CYProgramServiceRevenueAmt
PY Investment Income-$3,743PYInvestmentIncomeAmt
CY Investment Income-$2,943CYInvestmentIncomeAmt
PY Other Revenue$1,550PYOtherRevenueAmt
CY Other Revenue$534CYOtherRevenueAmt
PY Total Revenue$5,825,508PYTotalRevenueAmt
CY Total Revenue$6,848,112CYTotalRevenueAmt
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$3,880,475PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,563,740CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,883,798PYOtherExpensesAmt
CY Other Expenses$2,170,815CYOtherExpensesAmt
PY Total Expenses$5,764,273PYTotalExpensesAmt
CY Total Expenses$6,734,555CYTotalExpensesAmt
PY Revenues Less Expenses$61,235PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$113,557CYRevenuesLessExpensesAmt
Total Assets BOY$3,851,223TotalAssetsBOYAmt
Total Assets EOY$4,018,226TotalAssetsEOYAmt
Total Liabilities BOY$403,056TotalLiabilitiesBOYAmt
Total Liabilities EOY$456,502TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,448,167NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,561,724NetAssetsOrFundBalancesEOYAmt
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$2,269,711ExpenseAmt
Revenue$1,831,077RevenueAmt
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$803,674ExpenseAmt
Revenue$648,360RevenueAmt
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$437,409ExpenseAmt
Revenue$352,877RevenueAmt
DescINTEGRATED BEHAVIORAL HEALTH - INTEGRATED BEHAVIORAL HEALTH IS OFFERED AS A JOINT EFFORT BETWEEN PEOPLE'S HEALTH CENTER, CENTERPOINTE, REGION V SERVICES NETWORK PROVIDERS AND THE COMMUNITY HEALTH ENDOWMENT. THIS PROGRAM IS DESIGNED TO OFFER ASSESSMENT, SHORT-TERM SOLUTION FOCUSED TREATMENT AND REFERRAL IN A COST-EFFECTIVE, EFFICIENT MODEL. DESIRED OUTCOMES INCLUDE LESS FREQUENT NEED FOR MEDICAL CARE, FEWER SOMATIC HEALTH SYMPTOMS, INCREASED MEDICATION COMPLIANCE FOR INDIVIDUALS WITH CHRONIC ILLNESSES, DECREASED ANXIETY, REFERRALS FOR PATIENTS EXPERIENCING ISSUES WITH ALCOHOL AND OTHER DRUG RELATED PROBLEMS, AND MORE PATIENTS RECEIVING SERVICES AT PEOPLE'S HEALTH CENTER DUE TO A REDUCTION IN THE AMOUNT OF TIME PRIMARY HEALTH CARE PROVIDERS ARE NEEDED TO SPEND WITH BEHAVIORAL HEALTH PATIENTS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$1,610,994ExpenseAmt
Revenue$1,299,660RevenueAmt
DescOTHER SERVICES - COMMUNITY SERVICES, MEDICAL RECORDS, LAB, X-RAY, PHARMACYDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,610,994TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$1,299,660TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$5,121,788TotalProgramServiceExpensesAmt
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
Employee130EmployeeCnt
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 Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
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 Line1MARY BUNDY 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
JOYCE SCHMEECKLE
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
NICK SASSAMAN
DIRECTOR1.00Yes (X)$0$0$0
CHARLOTTE BURKE
DIRECTOR1.00Yes (X)$0$0$0
KELLY EPP
DIRECTOR1.00Yes (X)$0$0$0
RYAN GRATOPP
DIRECTOR1.00Yes (X)$0$0$0
NIZAR HAIYA
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
TODD RECKLING
DIRECTOR1.00Yes (X)$0$0$0
KK TRIVEDI
DIRECTOR1.00Yes (X)$0$0$0
SHAREON TURNER
DIRECTOR1.00Yes (X)$0$0$0
BRAD MEYER
CEO40.00Yes (X)$115,817$0$7,501
MARY BUNDY
CHIEF FINANCIAL OFFICER40.00Yes (X)$79,403$0$9,998
DR DERRICK ANDERSON
PHYSICIAN40.00$116,717$0$3,387Yes (X)
DR HONG CUI
PHYSICIAN40.00$173,194$0$5,334Yes (X)
DR MICHAEL ISREAL
PHYSICIAN40.00$185,400$0$8,727Yes (X)
DR ARATHI REDDY
DENTIST36.00$136,757$0$5,347Yes (X)
DR LAYUSIANA CIOBANU
DENTIST32.00$113,442$0$4,452Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$920,730TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$44,746TotalOtherCompensationAmt
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$1,979,392GovernmentGrantsAmt
All Other Contributions$739,689AllOtherContributionsAmt
Noncash Contributions$16,277NoncashContributionsAmt
Total Contributions$2,719,081TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID621400$1,728,249$1,728,249
PATIENT FEES621400$1,362,948$1,362,948
MEDICARE621400$435,919$435,919
PHARMACY621400$357,952$357,952
CASE MANAGEMENT FEES621400$246,372$246,372
FieldValueIRS element (for citing)
Total Program Service Revenue$4,131,440TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,621TotalRevenueColumnAmt
Exclusion$1,621ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$4,564OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$4,564OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,564TotalRevenueColumnAmt
Exclusion-$4,564ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$534TotalRevenueColumnAmt
Related Or Exempt Func Income$534RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$534OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,848,112TotalRevenueColumnAmt
Related Or Exempt Func Income$4,131,974RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$2,943ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$212,718TotalAmt
Management And General$212,718ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,616,712TotalAmt
Program Services$3,036,376ProgramServicesAmt
Management And General$580,336ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$61,599TotalAmt
Program Services$46,569ProgramServicesAmt
Management And General$15,030ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$387,521TotalAmt
Program Services$218,200ProgramServicesAmt
Management And General$169,321ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$285,190TotalAmt
Program Services$208,929ProgramServicesAmt
Management And General$76,261ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$14,688TotalAmt
Program Services$571ProgramServicesAmt
Management And General$14,117ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$49,432TotalAmt
Management And General$49,432ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$671,495TotalAmt
Program Services$490,414ProgramServicesAmt
Management And General$181,081ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$12,585TotalAmt
Management And General$12,585ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$316,958TotalAmt
Program Services$241,620ProgramServicesAmt
Management And General$75,338ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$347,795TotalAmt
Program Services$308,875ProgramServicesAmt
Management And General$38,920ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$55,637TotalAmt
Program Services$30,583ProgramServicesAmt
Management And General$25,054ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,049TotalAmt
Management And General$3,049ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$467TotalAmt
Management And General$467ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$185,429TotalAmt
Program Services$88,544ProgramServicesAmt
Management And General$96,885ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$30,763TotalAmt
Program Services$13,684ProgramServicesAmt
Management And General$17,079ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$192,311$192,311
BAD DEBT EXPENSE$125,057$125,057
MEDICATIONS$77,353$77,353
LICENSES, FEES & MEMBER$71,927$26,833$45,094

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$15,869TotalAmt
Program Services$15,869ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,734,555TotalAmt
Program Services$5,121,788ProgramServicesAmt
Management And General$1,612,767ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$997BOYAmt
EOY$1,000EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,905,633BOYAmt
EOY$2,231,994EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$139,636BOYAmt
EOY$154,196EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$740,609BOYAmt
EOY$658,388EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$17,799BOYAmt
EOY$45,061EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,351,621LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,424,034LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,046,549BOYAmt
EOY$927,587EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,851,223BOYAmt
EOY$4,018,226EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$317,070BOYAmt
EOY$436,502EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$25,986BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$60,000BOYAmt
EOY$20,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$403,056BOYAmt
EOY$456,502EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,448,167BOYAmt
EOY$3,561,724EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,448,167BOYAmt
EOY$3,561,724EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,851,223BOYAmt
EOY$4,018,226EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$113,557ReconcilationRevenueExpnssAmt
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$2,173,858CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,455,297CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,161,483CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,213,828CurrentTaxYearMinus1YearAmt
Current Tax Year$2,719,081CurrentTaxYearAmt
Total$11,723,547TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,173,858CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,455,297CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,161,483CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,213,828CurrentTaxYearMinus1YearAmt
Current Tax Year$2,719,081CurrentTaxYearAmt
Total$11,723,547TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$11,723,547PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$201CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$988CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,592CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,684CurrentTaxYearMinus1YearAmt
Current Tax Year$1,621CurrentTaxYearAmt
Total$6,086TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,321CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,910CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$378CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,550CurrentTaxYearMinus1YearAmt
Current Tax Year$534CurrentTaxYearAmt
Total$7,693TotalAmt
FieldValueIRS element (for citing)
Total Support$11,737,326TotalSupportAmt
Gross Receipts Rltd Activities$17,429,641GrossReceiptsRltdActivitiesAmt
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$1,095,687OtherCostOrOtherBasisAmt
Depreciation$478,249DepreciationAmt
Book Value$617,438BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,255,934OtherCostOrOtherBasisAmt
Depreciation$945,785DepreciationAmt
Book Value$310,149BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$927,587TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$6,761,007TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$37,952DonatedServicesAndUseFcltsAmt
Revenue Not Reported$37,952RevenueNotReportedAmt
Revenue Subtotal$6,723,055RevenueSubtotalAmt
Other Revenues Not Included$125,057OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$125,057RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,848,112TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,647,450TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$37,952DonatedServicesUseFcltsAmt
Expenses Not Reported$37,952ExpensesNotReportedAmt
Expenses Subtotal$6,609,498ExpensesSubtotalAmt
Other Expenses Not Included$125,057OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$125,057ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,734,555TotalExpensesPerForm990Amt

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, 2015 AND 2014, THE HEALTH CENTER HAD NO UNCERTAIN TAX POSITIONS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT 125,057.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT 125,057.

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 (2 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 HONG CUI
PHYSICIAN$173,194$0$0$0$0$0$5,170$0$164$0$178,528$0$0$0
DR MICHAEL ISREAL
PHYSICIAN$177,900$0$7,500$0$0$0$1,926$0$6,801$0$194,127$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE 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 IOWA/NEBRASKA PRIMARY CARE ASSOCIATION, WHICH IS A SALARY RANGE SURVEY COMPLETED BY EIGHTEEN COMMUNITY HEALTH CENTERS. THE BOARD ALSO REVIEWS THE SALARY SURVEY FOR NONPROFIT ORGANIZATIONS IN THE SURROUNDING AREAS PRODUCED BY THE NONPROFIT ASSOCIATION OF THE MIDLANDS. 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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