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BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC (EIN 81-0432169)
Tax period
2021-02-01 to 2022-01-31
Filed
2022-10-24
IRS object ID
202232979349301663
Schema version
2021v4.2
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

FieldValueIRS element (for citing)
Return2022-10-24T16:46:18-05:00ReturnTs
Tax Period End2022-01-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN810333198PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1NEWLAND AND COMPANY PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3006AddressLine1Txt
CityBUTTECityNm
State AbbreviationMTStateAbbreviationCd
ZIP597023006ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-02-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810432169EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BUTTE SILVER BOW PRIMARY HEALTH CAREBusinessNameLine1Txt
Business Name Line2CLINIC INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlBUTTBusinessNameControlTxt
Phone4067234075PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1445 CENTENNIAL AVENUEAddressLine1Txt
CityBUTTECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59701ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR SHAWNA YATESPersonNm
Person TitleCEOPersonTitleTxt
Phone4067234075PhoneNum
Signature2022-10-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDRPersonFirstNm
Person LastSHAWNA YATESPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKYLE MCGREEPreparerPersonNm
PTINP01257325PTIN
Phone4064944754PhoneNum
Preparation2022-10-13PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SOUTHWEST MONTANA COMMUNITY HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDR SHAWNA YATESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1445 CENTENNIAL AVENUEAddressLine1Txt
CityBUTTECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$23,585,687GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SWMTCHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionSERVICES OF PHYSICIANS, DENTISTS, HYGIENISTS, MID-LEVEL PROVIDERS, MENTAL HEALTH THERAPISTSActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee216TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,521,664PYContributionsGrantsAmt
CY Contributions Grants$5,990,429CYContributionsGrantsAmt
PY Program Service Revenue$15,594,255PYProgramServiceRevenueAmt
CY Program Service Revenue$17,443,290CYProgramServiceRevenueAmt
PY Investment Income$92,426PYInvestmentIncomeAmt
CY Investment Income$151,968CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$23,208,345PYTotalRevenueAmt
CY Total Revenue$23,585,687CYTotalRevenueAmt
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$10,885,873PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,525,288CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,383,246PYOtherExpensesAmt
CY Other Expenses$9,162,058CYOtherExpensesAmt
PY Total Expenses$19,269,119PYTotalExpensesAmt
CY Total Expenses$20,687,346CYTotalExpensesAmt
PY Revenues Less Expenses$3,939,226PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,898,341CYRevenuesLessExpensesAmt
Total Assets BOY$15,287,461TotalAssetsBOYAmt
Total Assets EOY$17,812,324TotalAssetsEOYAmt
Total Liabilities BOY$2,046,689TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,673,211TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,240,772NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,139,113NetAssetsOrFundBalancesEOYAmt
MissionTHE SOUTHWEST MONTANA COMMUNITY HEALTH CENTER IS GUIDED BY THE MISSION: "INSPIRE HOPE AND EMPOWER WELLNESS BY PROVIDING ACCESS TO COMPREHENSIVE HEATHCARE."MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$18,540,319ExpenseAmt
Revenue$17,443,290RevenueAmt
DescSEVEN LOCATIONS IN FOUR CITIES IN SOUTWEST MONTANA:ANACONDA, MT - MEDICAL AND BEHAVIORAL HEALTH.DILLON, MT - MEDICAL, BEHAVIORAL HEALTH, BLACKTAIL DENTAL, AND BLACKTAIL PHARMACY.BUTTE, MT - MEDICAL, BEHAVIORAL HEALTH, DENTAL, AND BUTTE PHARMACYSHERIDAN, MT - MAC'S PHARMACYDesc
Total Program Service Expenses$18,540,319TotalProgramServiceExpensesAmt
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
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
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 With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
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 Document41IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee216EmployeeCnt
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
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
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 Line1MICHELE DAVISBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4067234075PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1445 CENTENNIAL AVENUEAddressLine1Txt
CityBUTTECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59701ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
WAYNE HARPER
CHAIR1.00Yes (X)Yes (X)$0$0$0
GRETCHEN GELLER
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
JOANIE CASSIDY
TREASURER1.00Yes (X)Yes (X)$0$0$0
PAT NOONAN
SECRETARY1.00Yes (X)Yes (X)$0$0$0
PERRY HAWBAKER
DIRECTOR1.00Yes (X)$0$0$0
BRUCE SMITH
DIRECTOR1.00Yes (X)$0$0$0
ANN FINCH JOHNSTON
DIRECTOR1.00Yes (X)$0$0$0
TAMARA TODD
DIRECTOR1.00Yes (X)$0$0$0
GEORGE SKULETICH
DIRECTOR1.00Yes (X)$0$0$0
JOE MURPHY
DIRECTOR1.00Yes (X)$0$0$0
ADAM VAUTHIER
DIRECTOR1.00Yes (X)$0$0$0
SHAWNA YATES
CEO40.00Yes (X)$251,455$0$23,444
MICHELE DAVIS
CFO40.00Yes (X)$115,673$0$13,127
AMY OLSON
COO40.00Yes (X)$97,968$0$12,849
SERENA BREWER
CMO40.00Yes (X)$222,147$0$16,244
TAMMY COX
DIRECTOR OF PHARMACY SERVI40.00Yes (X)$158,700$0$7,939
HAROLD BRUCE
NURSE PRACTITIONER40.00$217,204$0$9,662Yes (X)
CATHERINE WHITE
DOCTOR30.00$194,541$0$16,522Yes (X)
CORY SONNEMAN
DOCTOR40.00$194,513$0$7,686Yes (X)
MEGAN EVANS
DOCTOR32.00$158,360$0$20,728Yes (X)
KARA BARTOLETTI
DENTAL DIRECTOR30.00$164,040$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,774,601TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$128,201TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K20IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
OCHIN INC
1881 SW NATIO PARKWAYPORTLANDOR97201ELECTRONIC HEALTH RECORD SERVICE$424,272
ANDERSON ZURMUEHLEN TECHNOLOGY SERVICES
PO BOX 1040HELENAMT59624TECHNOLOGY SERVICE$282,927
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$5,232,855GovernmentGrantsAmt
All Other Contributions$757,574AllOtherContributionsAmt
Total Contributions$5,990,429TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PHARMACY REVENUE621990$9,262,603$9,262,603
PATIENT SERVICES621990$7,937,866$7,937,866
OTHER REVENUE621990$242,821$242,821
FieldValueIRS element (for citing)
Total Program Service Revenue$17,443,290TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$109,050TotalRevenueColumnAmt
Exclusion$109,050ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$42,918SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$42,918SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$42,918TotalRevenueColumnAmt
Exclusion$42,918ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,585,687TotalRevenueColumnAmt
Related Or Exempt Func Income$17,443,290RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$151,968ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$738,165TotalAmt
Program Services$687,243ProgramServicesAmt
Management And General$50,922ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,780,184TotalAmt
Program Services$8,176,896ProgramServicesAmt
Management And General$603,288ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,006,939TotalAmt
Program Services$1,867,983ProgramServicesAmt
Management And General$138,956ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$56,617TotalAmt
Program Services$54,600ProgramServicesAmt
Management And General$2,017ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$109,064TotalAmt
Program Services$70,232ProgramServicesAmt
Management And General$38,832ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$476,119TotalAmt
Program Services$297,293ProgramServicesAmt
Management And General$178,826ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$69,332TotalAmt
Program Services$15,500ProgramServicesAmt
Management And General$53,832ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$80,713TotalAmt
Program Services$66,812ProgramServicesAmt
Management And General$13,901ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$17,098TotalAmt
Program Services$261ProgramServicesAmt
Management And General$16,837ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$219,917TotalAmt
Program Services$46,119ProgramServicesAmt
Management And General$173,798ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$6,577,159$6,577,159
CONTRACTED SERVICES$834,644$382,259$452,385
EQUIPMENT AND SUPPLIES$124,578$50,956$73,622
JANITORIAL$115,492$6,535$108,957

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$481,325TotalAmt
Program Services$240,471ProgramServicesAmt
Management And General$240,854ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,687,346TotalAmt
Program Services$18,540,319ProgramServicesAmt
Management And General$2,147,027ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,761,538BOYAmt
EOY$3,056,987EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,762,971BOYAmt
EOY$8,515,961EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$440,532BOYAmt
EOY$403,686EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$758,128BOYAmt
EOY$735,341EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$797,404BOYAmt
EOY$875,399EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$140,648BOYAmt
EOY$88,062EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,988,311LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,219,643LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,571,348BOYAmt
EOY$2,768,668EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,054,351BOYAmt
EOY$1,355,970EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$541BOYAmt
EOY$12,250EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$15,287,461BOYAmt
EOY$17,812,324EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,292,775BOYAmt
EOY$1,427,534EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$753,914BOYAmt
EOY$245,677EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,046,689BOYAmt
EOY$1,673,211EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,240,772BOYAmt
EOY$16,139,113EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,240,772BOYAmt
EOY$16,139,113EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,287,461BOYAmt
EOY$17,812,324EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,898,341ReconcilationRevenueExpnssAmt
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$399,319CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$267,614CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$99,585CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$620,335CurrentTaxYearMinus1YearAmt
Current Tax Year$757,574CurrentTaxYearAmt
Total$2,144,427TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,669,406CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,517,426CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,886,234CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,495,584CurrentTaxYearMinus1YearAmt
Current Tax Year$22,676,146CurrentTaxYearAmt
Total$93,244,796TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,068,725CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,785,040CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,985,819CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,115,919CurrentTaxYearMinus1YearAmt
Current Tax Year$23,433,720CurrentTaxYearAmt
Total$95,389,223TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,820,048CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,958,723CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,876,963CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,129,140CurrentTaxYearMinus1YearAmt
Current Tax Year$3,985,345CurrentTaxYearAmt
Total$17,770,219TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,820,048CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,958,723CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,876,963CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,129,140CurrentTaxYearMinus1YearAmt
Current Tax Year$3,985,345CurrentTaxYearAmt
Total$17,770,219TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$77,619,004PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,691CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,842CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,811CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$92,426CurrentTaxYearMinus1YearAmt
Current Tax Year$151,967CurrentTaxYearAmt
Total$285,737TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,691CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,842CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,811CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$92,426CurrentTaxYearMinus1YearAmt
Current Tax Year$151,967CurrentTaxYearAmt
Total$285,737TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,077,416CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,797,882CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,005,630CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,208,345CurrentTaxYearMinus1YearAmt
Current Tax Year$23,585,687CurrentTaxYearAmt
Total$95,674,960TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.81130PublicSupportCY509Pct
Public Support PY5090.80690PublicSupportPY509Pct
Investment Income CY0.00300InvestmentIncomeCYPct
Investment Income PY0.00170InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$166,560OtherCostOrOtherBasisAmt
Book Value$166,560BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,087,969OtherCostOrOtherBasisAmt
Depreciation$730,139DepreciationAmt
Book Value$1,357,830BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,762,815OtherCostOrOtherBasisAmt
Depreciation$768,733DepreciationAmt
Book Value$994,082BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,904,070OtherCostOrOtherBasisAmt
Depreciation$1,685,536DepreciationAmt
Book Value$218,534BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$66,897OtherCostOrOtherBasisAmt
Depreciation$35,235DepreciationAmt
Book Value$31,662BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,768,668TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$23,585,687TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$23,585,687RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$23,585,687TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$20,687,346TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$20,687,346ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$20,687,346TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationIT IS THE OPINION OF MANAGEMENT THAT THE FOUNDATION HAS NO SIGNIFICANT UNCERAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION. THE FEDERAL INCOME TAX RETURNS OF THE FOUNDATION ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. ALL TAX FILINGS ARE CURRENT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
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 (8 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
SHAWNA YATES
CEO$251,455$0$0$0$0$0$10,411$0$13,033$0$274,899$0$0$0
SERENA BREWER
CMO$222,147$0$0$0$0$0$8,932$0$7,312$0$238,391$0$0$0
HAROLD BRUCE
NURSE PRACTITIONER$217,204$0$0$0$0$0$8,789$0$873$0$226,866$0$0$0
CATHERINE WHITE
DOCTOR$194,541$0$0$0$0$0$7,840$0$8,682$0$211,063$0$0$0
CORY SONNEMAN
DOCTOR$194,513$0$0$0$0$0$0$0$7,686$0$202,199$0$0$0
MEGAN EVANS
DOCTOR$158,360$0$0$0$0$0$6,581$0$14,147$0$179,088$0$0$0
TAMMY COX
DIRECTOR OF PHARMACY SERVI$158,700$0$0$0$0$0$6,453$0$1,486$0$166,639$0$0$0
KARA BARTOLETTI
DENTAL DIRECTOR$164,040$0$0$0$0$0$0$0$0$0$164,040$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 WILL BE REVIEWED BY THE FULL BOARD AND THE FULL BOARD WILL APPROVE THE 990 BEFORE SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS AND THE ORGANIZATION REVIEW THE CONFLICT OF INTEREST POLICY ON A MONTHLY BASIS AND INVESTIGATE ANY POSSIBLE CONFLICTS THAT MAY OCCUR.
FORM 990, PART VI, SECTION B, LINE 15THE CHAIRMAN OF THE BOARD ALONG WITH BOARD MEMBERS REVIEW AND APPROVE CEO COMPENSATION. THE FINANCE AND EXECUTIVE COMMITTEES REVIEW AND/OR CALCULATE COMPENSATION RANGES FOR ALL TOP EXECUTIVES AND MANAGEMENT. CHC SETS SALARY STRUCTURE USING COMPARABLE SALARY SURVEYS/DATA FOR ALL LABOR CATEGORIES.
FORM 990, PART VI, SECTION C, LINE 19ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANTS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.