2012-10-01T18:12:17-05:00 2011-12-31 390758449 WIPFLI LLP 12 E ROWAN STE 2 SPOKANE WA 99207 990 2011-01-01 043634356 BOUNDARY REGIONAL HEALTH CENTER INC BOUN 2082678422 PO BOX Q BONNERS FERRY ID 83805 VICTORIA MCCLELLAN KING 2082678422 2012-10-01 1 MICHAEL R BELL P00290700 5094894524 2012-10-01 2011 2016-02-24 21:20:13Z KANIKSU HEALTH SERVICES RAY MILLER PO BOX Q BONNERS FERRY ID 83805 5689172 0 X N/A X 2002 ID THE MISSION OF KANIKSU HEALTH SERVICES IS TO PROVIDE HIGH QUALITY, COST EFFECTIVE, CULTURALLY SENSITIVE HEALTH CARE SERVICES. SINCE THEIR INCEPTION, KANIKSU HEALTH SERVICES HAS FILLED A MUCH-NEEDED NICHE FOR MEDICAL SERVICES IN AN UNDERSERVED AREA. THE CENTERS CONTINUE TO UPGRADE AND EXPAND THEIR SERVICES AS FUNDS ALLOW. 9 9 83 9 0 0 1702521 2441291 2928018 3247881 0 0 0 0 4630539 5689172 0 0 0 0 3101698 3801786 0 0 0 1378751 1514734 4480449 5316520 150090 372652 1029712 2761411 978774 2337821 50938 423590 THE MISSION OF KANIKSU HEALTH SERVICES IS TO PROVIDE HIGH QUALITY, COST EFFECTIVE, CULTURALLY SENSITIVE HEALTH CARE SERVICES. 0 0 4028507 3229694 KANIKSU HEALTH SERVICES (CENTER) PROVIDED 31,919 MEDICAL VISITS AND 4,508 DENTAL VISITS TO THE CITIZENS OF BOUNDARY AND BONNER COUNTIES. THESE SERVICES WERE PROVIDED TO ALL WHO NEEDED MEDICAL OR DENTAL ATTENTION REGARDLESS OF A PERSONS ABILITY TO PAY. THE CENTER UTILIZES A SLIDING FEE SCHEDULE UP TO 200% OF THE FEDERAL POVERTY GUIDELINES. FOR APPLICANTS THAT QUALIFY BASED ON INCOME AND FAMILY SIZE, A PORTION OF OR ALL THEIR CHARGES MAY BE FORGEONE FOR A NOMINAL FEE OR A PERCENTAGE OF CHARGES. THE SLIDING FEE CHARGES FOREGONE WERE $740,524 IN 2011. 4028507 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 12 0 1 83 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X VICTORIA MCCLELLAN KING 2082678422 P O BOX Q BONNERS FERRY ID 83805 SKIP O' FALLON 5.00 X 0 0 0 STEVE FOORD 2.00 X 0 0 0 STEPHEN ACKER 2.00 X 0 0 0 DAVID BRINKMAN 2.00 X 0 0 0 SHEILA FARMIN-AUMICK 2.00 X 0 0 0 RAY MILLER 2.00 X 0 0 0 BETTY MILLS 2.00 X 0 0 0 STEVE SODORFF 2.00 X 0 0 0 SUSAN EDWARDS 2.00 X 0 0 0 VICTORIA MCCLELLAN KING 40.00 X 86147 0 8942 JOEL HUGHES 10.00 X 12398 0 0 JOHNATHAN SMITH 40.00 X 128704 0 8466 THOMAS LAWRENCE 40.00 X 169646 0 12199 WARD LEEDY 40.00 X 179103 0 12232 STEVE PUFFER 40.00 X 135460 0 10865 711458 0 52704 5 0 1 0 0 2441291 2441291 PATIENT SERV REV, NET 621110 3215428 3215428 MANAGED FEE 561499 14266 14266 MISCELLANEOUS 561499 7812 7812 INCENTIVE PAYMENTS 561499 5230 5230 COMMUNITY EDUCATION 561499 3482 3482 1663 1663 3247881 5689172 3229694 0 18187 699060 612913 86147 2513681 2005773 507908 291156 238748 52408 297889 244269 53620 3121 3121 17015 17015 431922 426405 5517 4507 4507 252357 190475 61882 305626 305626 281319 230682 50637 22128 15876 6252 101118 101118 44154 27626 16528 17944 4196 13748 CONTINUING EDUCATION 12827 12827 0 LICENSES 8757 8757 DUES AND SUBSCRIPTIONS 7185 5332 1853 RECRUITMENT 4754 4628 126 5316520 4028507 1288013 0 279629 75342 340634 557420 1020 806 6604 2595538 473493 407623 2122045 1029712 2761411 379425 829660 240557 358792 1508161 978774 2337821 X 50938 423590 50938 423590 1029712 2761411 372652 0 X 0 1 0 X 1 1 X 1657264 1455776 1509963 1702521 2441291 8766815 1657264 1455776 1509963 1702521 2441291 8766815 8766815 24 24 8766839 10607118 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 95000 95000 127987 82717 61444 76371 57048 19323 417506 333728 83778 1878674 1862500 2122045 5689172 5316520 372652 372652 5689172 0 5689172 0 5689172 5316520 0 5316520 0 5316520 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, ASC TOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, REQUIRES AN ORGANIZATION TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OR THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE THE CENTER HAS ANY MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS. THE CENTER'S FEDERAL RETURNS FOR TAX YEARS 2008 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. X X X 0 0 0 0 0 0 0 0 0 THOMAS LAWRENCE 156613 0 7420 0 5613 0 0 0 12199 0 181845 0 0 0 WARD LEEDY 167013 0 7068 0 5022 0 0 0 12232 0 191335 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE CFO WILL REVIEW A DRAFT COPY OF THE IRS FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THIS IS REVIEWED ANNUALLY FOR THE BOARD OF DIRECTORS, AND ANNUALLY AT CONTRACT RENEWAL FOR KEY EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 15 THE KANIKSU HEALTH SERVICES COMPENSATION MODEL - AS APPROVED BY THE BOARD OF DIRECTORS (BOD) - IS A COMPENSATION SCHEDULE BASED ON THE MOST RECENT NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER (NACHC) REGION 10 (WASHINGTON, OREGON, IDAHO). COMPENSATION SURVEY DATA BASED ON SIZE OF THE ORGANIZATION - ANNUAL REVENUES, SCOPE OF RESPONSIBILITY, YEARS OF EXPERIENCE AND EDUCATIONAL DEGREES, CERTIFICATIONS, ETC. ALL JOB CATEGORIES (INCLUDE CEO, OTHER OFFICERS AND KEY EMPLOYEES, ALL CLINICAL PROVIDERS AND ALL STAFF) HAVE AN ASSOCIATED COMPENSATION MODEL -THIS APPROACH HAS BEEN APPROVED BY THE BOD. THIS IS USED FOR ALL NEW HIRES AND IS EVALUATED ANNUALLY TO BE SURE THAT THERE IS INTERNAL EQUITY AMONG EMPLOYEES, ETC. THIS COMPENSATION MODEL IS ADJUSTED ANNUALLY BASED ON THE MOST RECENT NACHC DATA - RANGES OF SALARY ARE REVIEWED. IS IS THE GOAL OF KHS TO BE IN THE MEDIAN RANGE OF THE COMPENSATION MODEL - THIS APPROACH HAS BEEN APPROVED BY THE BOARD OF DIRECTORS. ANY ADJUSTMENTS MADE TO CURRENT EMPLOYEES WILL BE BASED ON AVAILABILITY OF BUDGET AS APPROVED BY THE BOD AND WILL BE DETERMINED BY "RANGE MOVEMENT" FOR STAFF POSITIONS AND FOR MAINTAINING COMPETITIVE RECRUITMENT AND RETENTION FOR PROVIDERS AS COMPARED TO OTHER COMMUNITY HEALTH CENTERS IN IDAHO AND IN REGION 10. DECISIONS ARE MADE BY THOSE WITHOUT CONFLICT AND THE DECISIONS ARE DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC. AS A RESULT OF A FEDERAL AWARD, THE ORGANIZATION IS REQUIRED TO UNDERGO AN AUDIT AS SET FORTH IN THE SINGLE AUDIT ACT. AS SUCH, THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE ON THE FEDERAL AUDIT CLEARINGHOUSE WEBSITE.