2021-10-25T10:20:42-05:00 2020-12-31 822385704 PETERSON CPA GROUP PC PO BOX 5667 MISSOULA MT 59806 990 2020-01-01 810542716 SAPPHIRE COMMUNITY HEALTH INC SAPP 4065410032 316 N THIRD ST HAMILTON MT 59840 JANET WOODBURN CEO 4065410032 2021-10-25 1 JANET WOODBURN 000000000 DAN PETERSON P00910393 4069261800 2021-10-25 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JANET WOODBURN 316 N THIRD ST HAMILTON MT 59840 4418719 0 X SAPPHIRECHC.ORG X 2001 MT TO PROVIDE QUALITY HEALTHCARE SERVICES TO MEDICALLY UNDERSERVED POPULATIONS OF OUR COMMUNITIES. 9 9 38 10 0 0 997215 2001233 2596931 2412331 3004 5155 0 0 3597150 4418719 0 0 0 0 1715789 2468327 0 0 0 818513 863049 2534302 3331376 1062848 1087343 2113016 3745124 144417 689182 1968599 3055942 TO PROVIDE QUALITY HEALTHCARE SERVICES TO MEDICALLY UNDERSERVED POPULATIONS OF OUR COMMUNITIES. 0 0 2713071 2412331 TO PROVIDE COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTHCARE SERVICES THAT WILL IMPROVE THE HEALTH AND STATUS AND DECREASE HEALTH DISPARITIES OF THE MEDICALLY UNDERSERVED POPULATION IN RAVALLI COUNTY, MONTANA. SAPPHIRE COMMUNITY HEALTH SERVED APPROXIMATELY 1,800 INDIVIDUALS IN 2020 PROVIDING BASIC SERVICES INCLUDING GENERAL PRIMARY MEDICAL CARE, DOT AND SPORTS PHYSICALS, IMMUNIZATIONS AND WELL CHILD VISITS, VACCINATIONS, SCREENINGS FOR CANCER, ON-GOING CARE FOR CHRONIC ILLNESSES, COLORECTAL SCREENING, DERMATOLOGY PROCEDURES AND PROVIDING SOCIAL SERVICE INFORMATION AND REFERRALS. SAPPHIRE ALSO SERVED THE COMMUNITY BY OFFERING FREE ASSISTANCE APPLYING FOR MARKETPLACE HEALTH INSURANCE AND MEDICAID. 2713071 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 38 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X APRIL VANTASSEL 4065410032 316 N THIRD ST HAMILTON MT 59840 JIM MORTON CHAIRPERSON 1.00 X X 0 0 0 JUDY GRIFFIN RN VICE CHAIR 0.75 X X 0 0 0 DIXIE STARK SECRETARY/TREASURER 0.75 X X 0 0 0 MARA ARLINGTON BOARD MEMBER 0.75 X 0 0 0 CARLOTTA GRANDSTAFF BOARD MEMBER 0.75 X 0 0 0 JOE HINNEBUSCH BOARD MEMBER 0.75 X 0 0 0 PATTY WEST BOARD MEMBER 0.75 X 0 0 0 J WILLIAM PETERS MD BOARD MEMBER 0.75 X 0 0 0 PAT CONNELL BOARD MEMBER 0.75 X 0 0 0 JANET WOODBURN CEO 40.00 X 114899 0 0 APRIL VANTASSEL CFO 40.00 X 80634 0 0 BRETT BENDER CMO 16.00 X 111011 0 0 MELANIE GOODNIGHT CNO 40.00 X 135887 0 0 SUSAN DEVINE MEDICAL 40.00 X 135267 0 0 LAUREN FOWLER MEDICAL 40.00 X 104244 0 0 PAUL SHINGLEDECKER MEDICAL 20.00 X 110660 0 0 792602 0 0 6 0 0 0 0 1964518 36715 2001233 PROGRAM SERVICE REVENU 621300 2106507 2106507 340(B) 621300 305824 305824 2412331 5155 5155 4418719 2412331 0 5155 X 792602 644451 148151 1129516 918391 211125 57934 48486 9448 322937 270274 52663 165338 138376 26962 9362 500 8862 6800 363 6437 422071 299031 123040 46125 43477 2648 57773 53605 4168 71096 67014 4082 127508 120190 7318 34624 32636 1988 3348 3348 19606 11033 8573 EQUIPMENT, REPAIRS, MAI 23474 21197 2277 0 DUES & SUBSCRIPTIONS 14197 14197 0 0 UNCOLLECTIBLE CHARGES 12233 12233 0 0 POSTAGE AND PRINTING 9819 9256 563 0 5013 5013 3331376 2713071 618305 0 984941 727698 950000 1500000 27537 187682 137477 163774 1166 0 726056 14672 11895 711384 0 454586 2113016 3745124 144417 200907 184870 303405 144417 689182 X 1968599 3036541 19401 1968599 3055942 2113016 3745124 1087343 0 X 0 1 X 1 1 1 X 927207 801131 890640 997215 2001233 5617426 927207 801131 890640 997215 2001233 5617426 5617426 8 18 29 3004 5155 8214 5625640 7850855 0.99850 0.99920 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 702837 702837 23219 14672 8547 0 711384 CONSTRUCTION IN PROGRESS 454586 454586 X 4418719 0 4418719 0 4418719 3331376 0 3331376 0 3331376 PART X, LINE 2: SAPPHIRE IS EXEMPT FROM INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THIS CODE ENABLES SAPPHIRE TO ACCEPT DONATIONS THAT QUALIFY AS CHARITABLE DONATIONS TO THE DONOR. SAPPHIRE'S INCREASE IN NET ASSETS IS GENERALLY NOT SUBJECT TO TAXATION. NO PROVISION FOR INCOME TAX HAS BEEN RECORDED IN THESE FINANCIAL STATEMENTS BECAUSE SAPPHIRE BELIEVES IT HAD NO INCOME UNRELATED TO ITS TAX-EXEMPT PURPOSE IN 2020 OR 2019. X X X 0 0 0 0 0 0 0 0 0 PART I, LINE 3 SAPPHIRE COMMUNITY HEALTH, INC. USED A RECENT COMPENSATION SURVEY TO ESTABLISH PAY LEVELS FOR ITS CEO. THE CEO ENTERS INTO A WRITTEN EMPLOYMENT CONTRACT THAT IS APPROVED BY THE BOARD OF DIRECTORS. JIM MORTON (CEO)HRC PROPERTIES INC (A MONTANA NONPROFIT CORPORATION) LESSOR 76218 SAPPHIRE COMMUNITY HEALTH PAID HRC PROPERTIES, INC., A MONTANA NONPROFIT CORPORATION, $81,860 FOR RENT DURING THE YEAR. JIM MORTON, SAPPHIRE COMMUNITY HEALTH BOARD CHAIR, IS AN OFFICER/DIRECTOR OF HRC PROPERTIES, INC., A MONTANA NONPROFIT CORPORATION. 0 JIM MORTON (CEO)DISTRICT XI HR COUNCIL (A MONTANA NONPROFIT CORPORATION) CLIENT 18600 SAPPHIRE COMMUNITY HEALTH PROVIDES PRIMARY HEALTHCARE SERVICES TO LOW-INCOME INDIVIDUALS AND HOUSEHOLDS IN RAVALLI COUNTY. DISTRICT XI HUMAN RESOURCE COUNCIL, A MONTANA NONPROFIT CORPORATION, REIMBURSED SAPPHIRE COMMUNITY HEALTH $18,600 FOR THESE SERVICES DURING THE YEAR. JIM MORTON, SAPPHIRE COMMUNITY HEALTH BOARD CHAIR, IS AN OFFICER OF THE DISTRICT XI HUMAN RESOURCE COUNCIL, A MONTANA NONPROFIT CORPORATION. 0 FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S PROCESS TO REVIEW FORM 990 - THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE FORM 990 AND MAKES A RECOMMENDATION TO THE BOARD REGARDING APPROVAL PRIOR TO FILING. THE FULL BOARD OF DIRECTORS RECEIVES A COPY OF THE FORM 990 TO REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS SIGN A STANDARDS OF CONDUCT FORM EACH YEAR WHICH DISCUSSES THEIR FIDUCIARY RESPONSIBILITIES, INCLUDING THEIR GENERAL RESPONSIBILITIES, STANDARDS FOR MANAGING CONFLICTS OF INTEREST, AND DISCLOSURES CONCERNING FINANCIAL OR OTHER INTERESTS THAT CREATE A POTENTIAL OR ACTUAL CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE LEADERSHIP TEAM MAKES RECOMMENDATIONS TO THE BOARD BASED ON SALARY SURVEY DATA. THE BOARD APPROVES COMPENSATION DURING THE ANNUAL BUDGET SETTING AND APPROVAL PROCESS. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G MANAGEMENT CONSULTING: PROGRAM SERVICE EXPENSES 6,936. MANAGEMENT AND GENERAL EXPENSES 123,040. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 129,976. LABORATORY & MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 292,095. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 292,095.