2025-05-15T13:31:30-04:00 2024-06-30 WITHUMSMITHBROWNPC 200 S ORANGE AVESTE 1200 ORLANDO FL 328013400 990 2023-07-01 352631980 COMMUNITY HEALTH CARE CENTER INC % THE ORGANIZATION COMM 4067917827 601 1ST AVE N GREAT FALLS MT 59401 Brenda Ries Assoc. VP of Finance 4067917927 2025-05-15 true true ERIK A HALLUSKA CPA P01954172 4078491569 2023 2025-03-06 01:10:19Z ALLUVION HEALTH Brenda Ries 601 1ST AVE N GREAT FALLS MT 59401 25139003 false X WWW.ALLUVIONHEALTH.ORG X 2018 MT SEE SCHEDULE O 11 11 276 13 7440 0 4322192 4275293 18914511 20267450 1818112 93662 77370 294080 25132185 24930485 0 0 0 0 14211747 16177449 0 0 0 8660167 7701493 22871914 23878942 2260271 1051543 22736862 9134354 4288230 7494917 18448632 1639437 ALLUVION HEALTH IS A NOT-FOR-PROFIT FEDERALLY QUALIFIED HEALTH CENTER FOCUSING ON PROVIDING HIGH QUALITY, COST-EFFECTIVE, COMPREHENSIVE PRIMARY AND PREVENTIVE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE. false false 20184912 20467068 Alluvion Health Is a Not-for-profit Federally Qualified Health Center Focusing on Providing High Quality, Cost effective, Comprehensive Primary and Preventive Medical, Dental, And Behavioral Health Care. 20184912 true true false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false true false false false false true true true false false true 36 0 true 276 true true true false false false false false false false false false false false false X 11 11 false false false false false false false true true false false false true true true true true true true false X THE ORGANIZATION 4067917927 601 1ST AVE N Great Falls MT 59401 Trista Besich chief executive officer 40.0 0.0 X 266603 0 10789 Darren George VP Medical Operations 40.0 0.0 X 202227 0 465 Elaine Barbieri MD 40.0 0.0 X 191214 0 3150 Michael Hall Associate Medical Officer 40.0 0.0 X 178841 0 5774 Cole Funseth Dentist 40.0 0.0 X 150970 0 312 Brooke Nygaard Dentist 40.0 0.0 X 140537 0 8863 Jessica Vlasie NP 40.0 0.0 X 134903 0 2400 Michelle Nieset Dentist 40.0 0.0 X 135582 0 572 Jennifer King chief FINANCIAL OFFICER 40.0 0.0 X 94298 0 10217 Phoebe Marcinek President 1.0 0.0 X X 0 0 0 Laurie Glover trustee 1.0 0.0 X 0 0 0 Deb Kottel VICE PRESIDENT 1.0 0.0 X X 0 0 0 Darrel Krause trustee(thru 02/21/2024) 1.0 0.0 X 0 0 0 Jay Welsh trustee 1.0 0.0 X 0 0 0 Hannah Pate trustee 1.0 0.0 X 0 0 0 Jerry Ferderer trustee 1.0 0.0 X 0 0 0 Tom Jacobson Treasurer/secretary 1.0 0.0 X X 0 0 0 Wyatt Johnson trustee 1.0 0.0 X 0 0 0 Jacob Bachmeier trsutee 1.0 0.0 X 0 0 0 Erin Faulkner trustee 1.0 0.0 X 0 0 0 Janet Duffy trustee 1.0 0.0 X 0 0 0 Lisa Foley Trustee (thru 08/16/23) 1.0 0.0 X 0 0 0 1495175 0 42542 8 false true false Sletten Construction PO Box 2467 GREAT FALLS MT 59403 construction svcs 5010216 eClinical Works LLC PO Box 847950 BOSTON MA 022847950 health software svcs 452269 Nelson Architects LLC 621 2nd Ave N GREAT FALLS MT 59401 architect services 224270 Flying Horse Coummunications 212 Discovery Dr Ste D BOZEMAN MT 59718 marketing services 169432 AT Klemens 814 12th St N GREAT FALLS MT 59401 construction svcs 129311 5 4050905 224388 108656 4275293 PATIENT SERVICES 621400 15957929 15957929 PHARMACY REVENUE 621400 3815759 3815759 OTHER CONTRACTED REVENUE 621400 493762 493762 20267450 13180 13180 0 0 7440 7440 0 7440 7440 289000 208518 80482 80482 80482 0 0 0 0 0 0 0 0 0 INSURANCE PROCEEDS 900099 87022 87022 OTHER REVENUE 900099 199618 199618 286640 24930485 20467068 7440 180684 0 0 0 0 651260 571579 79681 0 12389197 10873393 1515804 446295 398895 47400 1620047 1447987 172060 1070650 956940 113710 0 70083 70083 92735 92735 0 0 0 950918 623219 327699 162493 45963 116530 152846 108878 43968 680985 667978 13007 0 234159 148681 85478 177191 119081 58110 0 0 93066 59604 33462 0 0 391794 139250 252544 328633 81648 246985 MEDICAL SUPPLIES 3352333 3352202 131 CONTRIBUTION EXPENSES 340170 340170 LEASE EXPENSE 263469 85098 178371 REPAIRS AND MAINTENANCE 180638 77926 102712 229980 86420 143560 23878942 20184912 3694030 0 11269 2757 203850 579500 1407347 363926 1577223 1717241 0 0 0 0 0 0 0 0 277535 120493 4597396 1265391 16507280 3332005 0 0 0 0 0 0 0 0 2752358 3018432 22736862 9134354 3579952 3784780 0 0 0 75788 0 0 0 0 0 0 708278 1045021 0 0 0 2589328 4288230 7494917 X 18448632 1639437 0 0 18448632 1639437 22736862 9134354 X 1051543 -3688596 -14172142 X X false true X true true true X 417000 0 0 4322192 4275293 9014485 13977510 17072903 21393589 18914511 20267450 91625963 0 0 0 14394510 17072903 21393589 23236703 24542743 100640448 0 0 0 100640448 121 2878 1674895 1814247 13180 3505321 0 121 2878 1674895 1814247 13180 3505321 0 0 12600 26370 7440 46410 0 0 0 51000 286640 337640 14394631 17075781 23081084 25128320 24850003 104529819 0.96279 0.95820 0.03353 0.04050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2736305 198577 2537728 1857203 1066814 790389 3888 3888 3332005 RIGHT OF USE OF ASSET 704332 DUE FROM RELATED PARTY 2314100 3018432 0 LEASE LIABILITY 769944 INVESTMENT IN ADLERA 1819384 2589328 X Part X Line 2 Alluvion Health is a nonprofit organization exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for income taxes is reflected in the accompanying consolidated financial statements. Accounting principles generally accepted in the United States of America prescribe requirements for the recognition of income taxes in consolidated financial statements, and the amounts recognized are affected by income tax positions taken by Alluvion in its respective tax returns. Alluvion Health's status as an exempt organization is defined as an income tax position under these requirements. While management believes it has complied with the Internal Revenue Code, the sustainability of some income tax positions taken by the organization in its tax returns may be uncertain. There are minimum thresholds of likelihood that uncertain tax positions are required to meet before being recognized in the consolidated financial statements. Management does not believe that the organization has any material uncertain tax positions at June 30, 2024, and 2023. In the event interest and penalties were due relating to an unsustainable tax position, they would be treated as a component of income tax expense. X X false false false false false false false true false Trista Besich chief executive officer 264603 0 2000 0 0 0 0 0 0 0 266603 0 Michael Hall Associate Medical Officer 176841 0 2000 0 0 0 0 0 5774 0 184615 0 Darren George VP Medical Operations 177227 0 25000 0 0 0 0 0 0 0 202227 0 Elaine Barbieri MD 191214 0 0 0 0 0 0 0 3150 0 194364 0 Cole Funseth Dentist 149970 0 1000 0 0 0 0 0 312 0 151282 0 PART 1, Line 7 The organization awarded performance bonuses to the CEO, Associate Medical Officer, and Dentist. Additionally, a recruitment sign-on bonus was provided to the VP of Medical Operations during the fiscal year ending June 30, 2024. X 1 108656 false false false FORM 990, PART I, LINE 1 ALLUVION HEALTH IS A NOT-FOR-PROFIT FEDERALLY QUALIFIED HEALTH CENTER FOCUSING ON PROVIDING HIGH QUALITY, COST-EFFECTIVE, COMPREHENSIVE PRIMARY AND PREVENTIVE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CARE. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN WILL BE REVIEWED BY THE CEO AND A COPY PROVIDED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION FOLLOWS THE CONFLICT OF INTEREST POLICY AND REQUIRES OFFICERS, DIRECTORS, AND KEY EMPLOYEES TO REVIEW AND REPORT ANY CONFLICTS YEARLY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION UTILIZE THE REGIONAL HEALTH CENTER ASSOCIATIONS WAGE AND SALARY SURVEY AS A GUIDE FOR WAGE SETTING FOR ALL EMPLOYEES. THE COMMUNITY HEALTH ASSOCIATION OF MOUNTAIN AND PLAINS STATES CONDUCTS A REGIONAL SALARY AND BENEFITS SURVEY EVERY TWO YEARS AND PUBLISHES THE RESULTS FOR THE REGIONS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XI, LINE 8 The prior year's tax return was filed before the completion of the audited financial statements. As a result, a prior period adjustment of -3,688,596 needs to be made in this return to reconcile the beginning balance of net assets. FORM 990, PART XI, LINE 9 During the year ended June 30, 2022, the Organization began a long-term construction project involving a property known as 601 Central. Through the date of impairment, the Organization capitalized construction costs of approximately $14.2 million. During the year ended June 30, 2024, the Organization was notified that the estimated costs to complete the intended construction plans for 601 Central exceeded original estimates and the cash flow capabilities of the Organization. Based on these facts, the Organization has determined that the only feasible option is to list the property for sale. In August 2024, the property was listed for sale at a price of approximately $4.5 million. After closing costs, it is estimated that all additional proceeds will be used to pay off liens placed on the building from the original contractor. Management has evaluated the property and related costs for impairment, and consequently, have recorded in impairment allowance of $14,172,142 for the year ended June 30, 2024 in the accompanying consolidated financial statements. FORM 990, PART XII, Line 2c THE BOARD OF DIRECTORS HAD CONSTITUED AN AUDIT COMMITTEE AND DELEGATED TO THAT COMMITTEE THE RESPONSIBILITY FOR ENGAGING INDEPENDENT AUDITORS AND MONITORING THE AUDIT PROCESS.THIS STRUCTURE HAVE BEEN IN EFFECT IN THE CURRENT REPORTING PERIOD. ALLUVION HEALTH FOUNDATION 601 1ST AVE N GREAT FALLS MT 59401 845066330 SUPPORT MT 501c(3) 12A-TYPE I ALLUVION HEA true ADLERA LAB LLC 601 1ST AVE N GREAT FALLS MT 59401 833313894 LABORATORY SERVIC MT COMMUNITY HEALT S corp 1403739 1434478 1.00000 true true false false false false false false false false false false false false false false false false false false ADLERA LAB LLC A 7440 FMV