BLUESTEM HEALTH: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- BLUESTEM HEALTH (EIN 41-2056863)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-05-01
- IRS object ID
- 201221229349300607
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-01T09:04:16-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 476097913 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEIM JOHNSON LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18081 BURT STREET SUITE 200 | AddressLine1 |
| City | OMAHA | City |
| State | NE | State |
| ZIP Code | 680224722 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 412056863 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEOPLE'S HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PEOP | NameControl |
| Phone | 4024761640 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1021 NORTH 27TH STREET | AddressLine1 |
| City | LINCOLN | City |
| State | NE | State |
| ZIP Code | 68503 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DEBRA SHOEMAKER | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 4024761640 | Phone |
| Date Signed | 2012-04-24 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JULIE M GERKEN | Name |
| PTIN | P00400882 | PTIN |
| Phone | 4023302660 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DEBRA SHOEMAKER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1021 NORTH 27TH STREET | AddressLine1 |
| City | LINCOLN | City |
| State | NE | State |
| ZIP Code | 68503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5216435 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PHCLINCOLN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2002 | YearFormation |
| State Legal Domicile | NE | StateLegalDomicile |
| Activity Or Mission Description | COMMUNITY HEALTH SERVICES PROVIDE AFFORDABLE, COMPREHENSIVE, ACCESSIBLE, CULTURALLY APPROPRIATE, COST EFFECTIVE HEALTH AND DENTAL CARE TO INDIVIDUALS AND FAMILIES WITH LIMITED RESOURCES AND/OR OTHER BARRIERS TO SERVICE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 104 | TotalNbrEmployees |
| Total Nbr Volunteers | 43 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2113180 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2173858 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 3286301 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3041055 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -12 | InvestmentIncomePriorYear |
| Investment Income Current Year | -1023 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4566 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1321 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5404035 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5215211 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3157618 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2934229 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2358185 | OtherExpensePriorYear |
| Other Expenses Current Year | 1864747 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 5515803 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4798976 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -111768 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 416235 | RevenuesLessExpensesCY |
| Total Assets BOY | 2494132 | TotalAssetsBOY |
| Total Assets EOY | 2900909 | TotalAssetsEOY |
| Total Liabilities BOY | 483240 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 473782 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2010892 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2427127 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 2152444 | Expense |
| Revenue | 2303891 | Revenue |
| Description | MEDICAL 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 617942 | Expense |
| Revenue | 521035 | Revenue |
| Description | DENTAL SERVICES - PHC OFFERS PREVENTATIVE DENTAL SERVICES INCLUDING: X-RAYS, EXAMS, CLEANINGS, FILLINGS AND EXTRACTIONS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 225948 | Expense |
| Revenue | 0 | Revenue |
| Description | INTEGRATED 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. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 670713 | Expense |
| Revenue | 216129 | Revenue |
| Description | OTHER SERVICES - COMMUNITY SERVICES, MEDICAL RECORDS, LAB, X-RAY, PHARMACY | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 670713 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 216129 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 3667047 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 21 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 104 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRETCHEN THORNBURG FINANCE DIRECTOR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4024761640 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1021 N 27TH STREET | AddressLine1 |
| City | LINCOLN | City |
| State | NE | State |
| ZIP Code | 68503 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| SUSANNE BLUE | |||||||
| CHAIR | 5.00 | X | X | 0 | 0 | 0 | |
| JOAN ANDERSON | |||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 | |
| PAT MEYER | |||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 | |
| CARLEEN SANCHEZ | |||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 | |
| JILL JENSEN | |||||||
| PAST CHAIR | 2.00 | X | X | 0 | 0 | 0 | |
| KATHLEEN CAMPBELL | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JANET COLEMAN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| WAYNE CRAMM | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| KELLY EPP | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| KEVIN FLORES | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| RYAN GRATOPP | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| PAULA GUERRERO | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LINDA MANGAN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOSIE RODRIGUEZ | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOYCE SCHMEECKLE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| EMMETT SNOW | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| SHAERON TURNER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DEBRA SHOEMAKER | |||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 88280 | 0 | 8357 | ||
| GRETCHEN THORNBURG | |||||||
| FINANCE DIRECTOR | 40.00 | X | 59288 | 0 | 7436 | ||
| DR ALBERT HALLS | |||||||
| PHYSICIAN | 40.00 | 138976 | 0 | 15562 | X | ||
| DR MARYAM MAHMOODIAN | |||||||
| MEDICAL DIRECTOR | 40.00 | 145579 | 0 | 11304 | X | ||
| DR DAVID PAULUS | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | 160799 | 0 | 16119 | X | ||
| DR ARATHI REDDY | |||||||
| DENTAL DIRECTOR | 32.00 | 116996 | 0 | 1440 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 709918 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 60218 | TotalOtherCompensation |
| Number Individuals GT100 K | 4 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 1591016 | GovernmentGrants |
| All Other Contributions | 582842 | AllOtherContributions |
| Total Contributions | 2173858 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICAID | 621400 | 1701859 | 1701859 |
| PATIENT FEES | 621400 | 820762 | 820762 |
| MEDICARE | 621400 | 358149 | 358149 |
| CASE MANAGEMENT FEES | 621400 | 94888 | 94888 |
| PHARMACY | 621400 | 65397 | 65397 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3041055 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 201 | TotalRevenueColumn |
| Exclusion | $201 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1224 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -1224 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1224 | TotalRevenueColumn |
| Exclusion | -$1,224 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 1321 | TotalRevenueColumn |
| Exclusion | $1,321 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1321 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5215211 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3041055 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $298 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 163361 | Total |
| Management And General | 163361 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2222818 | Total |
| Program Services | 1648989 | ProgramServices |
| Management And General | 573829 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15251 | Total |
| Program Services | 15251 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 344884 | Total |
| Program Services | 237814 | ProgramServices |
| Management And General | 107070 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187915 | Total |
| Program Services | 129383 | ProgramServices |
| Management And General | 58532 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35100 | Total |
| Management And General | 35100 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40855 | Total |
| Management And General | 40855 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 732286 | Total |
| Program Services | 709930 | ProgramServices |
| Management And General | 22356 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12151 | Total |
| Management And General | 12151 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 320314 | Total |
| Program Services | 258413 | ProgramServices |
| Management And General | 61901 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 203762 | Total |
| Program Services | 202973 | ProgramServices |
| Management And General | 789 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8924 | Total |
| Program Services | 4064 | ProgramServices |
| Management And General | 4860 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 790 | Total |
| Management And General | 790 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2399 | Total |
| Management And General | 2399 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 163813 | Total |
| Program Services | 149674 | ProgramServices |
| Management And General | 14139 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34159 | Total |
| Program Services | 23205 | ProgramServices |
| Management And General | 10954 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 269867 | 269867 | |
| LICENSES, FEES & MEMBER | 35350 | 17473 | 17877 |
| MISCELLANEOUS EXPENSES | 4977 | 11 | 4966 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4798976 | Total |
| Program Services | 3667047 | ProgramServices |
| Management And General | 1131929 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 700 | BOY |
| EOY | 750 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106232 | BOY |
| EOY | 1006655 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 124094 | BOY |
| EOY | 147410 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 838933 | BOY |
| EOY | 418354 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11701 | BOY |
| EOY | 3625 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2017704 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 693589 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1412472 | BOY |
| EOY | 1324115 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2494132 | BOY |
| EOY | 2900909 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 244240 | BOY |
| EOY | 228478 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 65304 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 199000 | BOY |
| EOY | 180000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40000 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 483240 | BOY |
| EOY | 473782 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2010892 | BOY |
| EOY | 2427127 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2010892 | BOY |
| EOY | 2427127 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2494132 | BOY |
| EOY | 2900909 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 416235 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1408724 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1556666 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1914467 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2113180 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2173858 | CurrentTaxYear |
| Total | 9166895 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1408724 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1556666 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1914467 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2113180 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2173858 | CurrentTaxYear |
| Total | 9166895 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 9166895 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 5849 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1340 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 323 | CurrentTaxYearMinus1Year |
| Current Tax Year | 201 | CurrentTaxYear |
| Total | 7713 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2331904 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2205099 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2665938 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3290867 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3042376 | CurrentTaxYear |
| Total | 13536184 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 22710792 | TotalSupport |
| Public Support Pertcentage170 | 0.40360 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.39880 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1085946 | OtherCostOrOtherBasis |
| Depreciation | 285335 | Depreciation |
| Book Value | 800611 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 931758 | OtherCostOrOtherBasis |
| Depreciation | 408254 | Depreciation |
| Book Value | 523504 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1324115 | TotalOfBookValueLandBuildings |
| Total Revenue | 5215211 | TotalRevenue |
| Total Expenses | 4798976 | TotalExpenses |
| Excess Or Deficit For Year | 416235 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 416235 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 5268572 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 53361 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 53361 | RevenueNotRptdF990 |
| Revenue Subtotal | 5215211 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 5215211 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 4852337 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 53361 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 53361 | ExpensesNotRptdF990 |
| Expenses Subtotal | 4798976 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 4798976 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | 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, 2011 AND 2010, THE HEALTH CENTER HAD NO UNCERTAIN TAX POSITIONS. WITH FEW EXCEPTIONS, THE HEALTH CENTER IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2007. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR ALBERT HALLS | |||||||||||||
| 138976 | 0 | 0 | 0 | 0 | 0 | 1782 | 0 | 13780 | 0 | 154538 | 0 | 0 | 0 |
| DR MARYAM MAHMOODIAN | |||||||||||||
| 145579 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 11304 | 0 | 156883 | 0 | 0 | 0 |
| DR DAVID PAULUS | |||||||||||||
| 160799 | 0 | 0 | 0 | 0 | 0 | 2098 | 0 | 14021 | 0 | 176918 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE FINANCE COMMITTEE REVIEWS THE FORM 990 AND PRESENTS IT TO THE BOARD OF DIRECTORS WITH A RECOMMENDATION FOR APPROVAL BEFORE IT IS SUBMITTED. |
| 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 REVIEWD AND UPDATED AT THE ANNUAL MEETING EACH YEAR. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE 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 19 | THE 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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