2011-10-21T15:42:16-05:00 2010-12-31 WIPFLI LLP 12 E ROWAN STE 2 SPOKANE WA 99207 990 2010-01-01 043634356 BOUNDARY REGIONAL HEALTH CENTER INC BOUN 2082678422 PO BOX Q BONNERS FERRY ID 83805 VICTORIA MCCLELLAN KING 2082678422 2011-10-21 1 MICHAEL R BELL 5094894524 2011-10-21 2010 2016-03-07 17:11:31Z KANIKSU HEALTH SERVICES DARRELL KERBY PO BOX Q BONNERS FERRY ID 83805 4630539 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. 11 11 73 11 0 0 1509963 1702521 2933401 2928018 0 0 0 0 4443364 4630539 0 0 0 0 3234731 3101698 0 0 0 1106690 1378751 4341421 4480449 101943 150090 682920 1029712 782072 978774 -99152 50938 THE MISSION OF KANIKSU HEALTH SERVICES IS TO PROVIDE HIGH QUALITY, COST EFFECTIVE, CULTURALLY SENSITIVE HEALTH CARE SERVICES. 0 0 3134445 2875173 KANIKSU HEALTH SERVICES (CENTER) PROVIDED 25,505 MEDICAL VISITS AND 6,577 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 $746,404 IN 2010. 3134445 1 1 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 18 0 1 73 1 0 0 0 0 0 0 0 0 0 0 X 11 11 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 DARRELL KERBY 2.00 X 0 0 0 RAY MILLER 2.00 X 0 0 0 CAROL HAMPTON 5.00 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 DON BARTLING 2.00 X 0 0 0 STEVE FOORD 2.00 X 0 0 0 BJ BIDDLE 2.00 X 0 0 0 SHEILA FARMIN-AUMICK 2.00 X 0 0 0 STEPHEN ACKER 2.00 X 0 0 0 VICTORIA MCCLELLAN KING 40.00 X 84989 0 8289 JOEL HUGHES 10.00 X 39907 0 0 JOHNATHAN SMITH 40.00 X 129620 0 7629 THOMAS LAWRENCE 40.00 X 267131 0 17532 WARD LEEDY 40.00 X 185787 0 18017 STEVE PUFFER 40.00 X 155269 0 10402 862703 0 61869 4 0 1 0 0 1702521 1702521 PATIENT SERV REV, NET 621110 2844049 2844049 MISCELLANEOUS 561499 49834 49834 MANAGED FEE 561499 31124 31124 MEDICAL RECORDS 561499 3011 3011 2928018 4630539 2875173 0 52845 884668 791390 93278 1676840 1006957 669883 277442 224948 52494 262748 213034 49714 2653 2653 15830 15830 600412 495718 104694 7925 7925 298116 133841 164275 56179 56179 250212 202870 47342 35356 32010 3346 31007 31007 46852 17161 29691 14578 14578 DUES AND SUBSCRIPTIONS 15289 12174 3115 RECRUITMENT 4342 4342 4480449 3134445 1346004 0 90174 279629 174749 340634 8673 1020 2290 806 836961 429338 407034 407623 682920 1029712 267815 379425 240557 514257 358792 782072 978774 X -99152 50938 -99152 50938 682920 1029712 150090 0 X 0 1 0 X 1 1 X 1631386 1657264 1455776 1509963 1702521 7956910 1631386 1657264 1455776 1509963 1702521 7956910 7956910 88 24 112 7957022 12048813 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 95000 95000 127987 46800 81187 76371 59394 16977 405205 323144 82061 132398 132398 407623 4630539 4480449 150090 0 150090 4630539 0 4630539 0 4630539 4480449 0 4480449 0 4480449 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: PART X, LINE 2: THE CENTER IS A TAX-EXEMPT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ( THE CODE ) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION IS ALSO EXEMPT FROM STATE INCOME TAXES UNDER SIMILAR PROVISIONS IN THE IDAHO STATUTES. 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. THE CENTER RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS. FEDERAL RETURNS FOR THE YEARS ENDED 2007, 2008, AND 2009 REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS. THE 2010 RETURN IS NOT YET DUE. X X X 0 0 0 0 0 0 0 0 0 THOMAS LAWRENCE 153608 0 105843 0 7680 0 0 0 17532 0 284663 0 0 0 WARD LEEDY 164008 0 14099 0 7680 0 0 0 18017 0 203804 0 0 0 STEVE PUFFER 135293 0 12591 0 7385 0 0 0 10402 0 165671 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE CONTRACTED 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 DECISTIONS 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.