STRATEGY STUDIO / PUBLIC DATA EXPLORER

SCENIC BLUFFS HEALTH CENTER INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
SCENIC BLUFFS HEALTH CENTER INC (EIN 39-1760445)
Tax period
2020-07-01 to 2021-06-30
Filed
2021-12-16
IRS object ID
202143509349300839
Schema version
2020v4.1
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)
Return2021-12-16T13:57:28-06:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390974031PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WEGNER CPAS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12921 LANDMARK PL STE 300AddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP537134236ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391760445EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SCENIC BLUFFS HEALTH CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSCENBusinessNameControlTxt
Phone6086545100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1238 FRONT STAddressLine1Txt
CityCASHTONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP546192002ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARI FREIBERGPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone6086545100PhoneNum
Signature2021-12-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMARIPersonFirstNm
Person LastFREIBERGPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJASON STEPHENS CPAPreparerPersonNm
PTINP01263225PTIN
Phone6082744020PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARI FREIBERGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1238 FRONT STAddressLine1Txt
CityCASHTONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP546192002ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,340,002GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressSCENICBLUFFS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1993FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionAN INDEPENDENT, NON-PROFIT, COMMUNITY-BASED PRIMARY CARE SERVICE PROVIDER.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee100TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,517,901PYContributionsGrantsAmt
CY Contributions Grants$5,500,271CYContributionsGrantsAmt
PY Program Service Revenue$3,906,255PYProgramServiceRevenueAmt
CY Program Service Revenue$5,791,518CYProgramServiceRevenueAmt
PY Investment Income$25,330PYInvestmentIncomeAmt
CY Investment Income$13,848CYInvestmentIncomeAmt
PY Other Revenue$37,765PYOtherRevenueAmt
CY Other Revenue$34,365CYOtherRevenueAmt
PY Total Revenue$6,487,251PYTotalRevenueAmt
CY Total Revenue$11,340,002CYTotalRevenueAmt
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$4,929,586PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,205,182CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,136,257PYOtherExpensesAmt
CY Other Expenses$2,895,140CYOtherExpensesAmt
PY Total Expenses$7,065,843PYTotalExpensesAmt
CY Total Expenses$8,100,322CYTotalExpensesAmt
PY Revenues Less Expenses-$578,592PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,239,680CYRevenuesLessExpensesAmt
Total Assets BOY$8,948,915TotalAssetsBOYAmt
Total Assets EOY$11,025,466TotalAssetsEOYAmt
Total Liabilities BOY$5,186,865TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,023,736TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,762,050NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,001,730NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionDELIVERING ACCESSIBLE, PATIENT-CENTERED PRIMARY CARE, SUPPORTING HEALTHIER PEOPLE AND COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,159,610ExpenseAmt
Grant$0GrantAmt
Revenue$5,791,518RevenueAmt
DescSCENIC BLUFFS, RECOGNIZED AS A PATIENT-CENTERED MEDICAL HOME (PCMH) BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE, PROVIDES PRIMARY, PREVENTIVE HEALTHCARE TO THE UNDERSERVED POPULATIONS OF MONROE, VERNON, CRAWFORD AND LA CROSSE COUNTIES IN WESTERN WISCONSIN. IN 2020, WE SERVED 7,602 PATIENTS WITH A TOTAL OF 20,164 APPOINTMENTS. OF THESE APPOINTMENTS, 36% WERE MEDICAL, 43% WERE DENTAL, 9% WERE COMPLEMENTARY MEDICINE, 12% WERE BEHAVIORAL HEALTH, AND MANY PATIENTS RECEIVED HEALTH EDUCATION AND PHARMACY SERVICES. SCENIC BLUFFS WORKS TO ADDRESS THE CARE NEEDS OF OUR PATIENTS AND COMMUNITIES, FOCUSING ON THE ISSUES THAT KEEP PEOPLE HEALTHY. WE DO THIS THROUGH EDUCATIONAL, PREVENTION-BASED PROGRAMMING THAT CONNECTS PATIENTS WITH RESOURCES AND EDUCATION. SCENIC BLUFFS AIMS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH THROUGH EDUCATIONAL, PREVENTION-BASED PROGRAMMING THAT CONNECTS PATIENTS WITH RESOURCES AND EDUCATION. THIS IS POSSIBLE THROUGH OUR HEALTH EDUCATORS, HELP TEAM, CERTIFIED APPLICATION COUNSELOR, AND OUR ENGAGEMENT IN NEARLY 50 COMMUNITY COALITIONS AND BOARDS.Desc
Total Program Service Expenses$6,159,610TotalProgramServiceExpensesAmt
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 LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
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 ContriYes (1)DeductibleNonCashContriInd
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 Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee100EmployeeCnt
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
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSHERYL ROBINSONPersonNm
Phone6086545100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1238 FRONT STREETAddressLine1Txt
CityCASHTONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP546192002ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ANN KLINKNER
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
BECKY GRETEBECK
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
SARA COOK
TREASURER1.00Yes (X)Yes (X)$0$0$0
MELVIN SCHMITZ
DIRECTOR1.00Yes (X)$0$0$0
HETTI BROWN
DIRECTOR1.00Yes (X)$0$0$0
EMILY HAYES
DIRECTOR1.00Yes (X)$0$0$0
JUDI ZABEL
DIRECTOR1.00Yes (X)$0$0$0
KARINE BRUEGGEN
SECRETARY1.00Yes (X)Yes (X)$0$0$0
JENNIFER RHUDY
DIRECTOR1.00Yes (X)$0$0$0
LEE NERISON
DIRECTOR1.00Yes (X)$0$0$0
JILL PETERSON
DIRECTOR1.00Yes (X)$0$0$0
MATTHEW BERSAGEL-BRALEY
DIRECTOR1.00Yes (X)$0$0$0
KERRY SULLIVAN-FLOCK
DIRECTOR1.00Yes (X)$0$0$0
MARI FREIBERG
CHIEF EXECUTIVE OFFICER40.00Yes (X)$185,455$0$19,419
SHERYL ROBINSON
CHIEF FINANCIAL OFFICER40.00Yes (X)$121,309$0$12,593
STEVE HUNTZICKER
CHIEF OPERATING OFFICER40.00Yes (X)$85,583$0$13,261
ELIZABETH BADE
MEDICAL DIRECTOR40.00$240,192$0$18,993Yes (X)
JAMES SUEPPEL
DENTIST40.00$195,217$0$17,593Yes (X)
BRENT PARKER
DENTIST40.00$125,015$0$8,652Yes (X)
MARK HEBERLEIN
PHYSICIAN40.00$232,117$0$16,999Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,184,888TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$107,510TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
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
WIPFLI LLP
4890 OWEN AYRES COURT STE 200EAU CLAIREWI54701TECHNOLOGY SUPPORT$152,686
ECLINICALWORKS
TWO TECHNOLOGY DRIVEWESTBOROUGHMA01581EHR LICENSING AND RELATED SUPPORT SERVIC$128,580
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Federated Campaigns$17,214FederatedCampaignsAmt
Government Grants$5,194,858GovernmentGrantsAmt
All Other Contributions$288,199AllOtherContributionsAmt
Noncash Contributions$238,323NoncashContributionsAmt
Total Contributions$5,500,271TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621498$5,653,280$5,653,280
CONTRACT SERVICES621498$138,238$138,238
FieldValueIRS element (for citing)
Total Program Service Revenue$5,791,518TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,848TotalRevenueColumnAmt
Exclusion$13,848ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$5,400RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$5,400RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,400TotalRevenueColumnAmt
Exclusion$5,400ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,965TotalRevenueColumnAmt
Exclusion$28,965ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$28,965OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,340,002TotalRevenueColumnAmt
Related Or Exempt Func Income$5,791,518RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$48,213ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$693,808TotalAmt
Program Services$173,148ProgramServicesAmt
Management And General$520,660ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,745,617TotalAmt
Program Services$3,057,891ProgramServicesAmt
Management And General$687,726ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$118,756TotalAmt
Program Services$87,358ProgramServicesAmt
Management And General$31,398ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$352,394TotalAmt
Program Services$293,419ProgramServicesAmt
Management And General$58,975ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$294,607TotalAmt
Program Services$216,715ProgramServicesAmt
Management And General$77,892ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,356TotalAmt
Management And General$3,356ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,200TotalAmt
Management And General$12,200ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$903,123TotalAmt
Program Services$780,175ProgramServicesAmt
Management And General$122,948ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$60,030TotalAmt
Program Services$60,030ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$349,865TotalAmt
Program Services$257,281ProgramServicesAmt
Management And General$92,584ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$204,380TotalAmt
Program Services$29,794ProgramServicesAmt
Management And General$174,586ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$135,034TotalAmt
Program Services$121,531ProgramServicesAmt
Management And General$13,503ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$12,128TotalAmt
Program Services$8,920ProgramServicesAmt
Management And General$3,208ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$26,457TotalAmt
Program Services$19,459ProgramServicesAmt
Management And General$6,998ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$98,038TotalAmt
Program Services$88,234ProgramServicesAmt
Management And General$9,804ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$354,169TotalAmt
Program Services$246,701ProgramServicesAmt
Management And General$107,468ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$33,447TotalAmt
Program Services$24,379ProgramServicesAmt
Management And General$9,068ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PATIENT SUPPLIES$500,793$500,793
BAD DEBT EXPENSE$170,596$170,596
PUBLICATIONS AND SUBSCR$26,377$19,400$6,977
RECRUITMENT$5,147$3,786$1,361

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,100,322TotalAmt
Program Services$6,159,610ProgramServicesAmt
Management And General$1,940,712ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$555,490BOYAmt
EOY$256,796EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,185,649BOYAmt
EOY$6,157,357EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$153,630BOYAmt
EOY$113,561EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$600,172BOYAmt
EOY$991,965EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$26,441BOYAmt
EOY$16,132EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$28,220BOYAmt
EOY$52,758EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,694,483LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,257,586LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,399,313BOYAmt
EOY$3,436,897EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,948,915BOYAmt
EOY$11,025,466EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$698,079BOYAmt
EOY$750,226EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,186,739BOYAmt
EOY$2,087,776EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,302,047BOYAmt
EOY$1,185,734EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,186,865BOYAmt
EOY$4,023,736EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,604,290BOYAmt
EOY$6,848,169EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$157,760BOYAmt
EOY$153,561EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,762,050BOYAmt
EOY$7,001,730EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,948,915BOYAmt
EOY$11,025,466EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,239,680ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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)
HospitalYes (X)HospitalInd

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$86,340OtherCostOrOtherBasisAmt
Book Value$86,340BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,216,388OtherCostOrOtherBasisAmt
Depreciation$2,442,873DepreciationAmt
Book Value$2,773,515BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,906,030OtherCostOrOtherBasisAmt
Depreciation$1,652,164DepreciationAmt
Book Value$253,866BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$485,725OtherCostOrOtherBasisAmt
Depreciation$162,549DepreciationAmt
Book Value$323,176BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,436,897TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
REFUNDABLE ADVANCE$361,073
PAYCHECK PROTECTION PROGRAM LOAN$824,661
FieldValueIRS element (for citing)
Total Liability$1,185,734TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$11,340,002TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$11,340,002RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,340,002TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$8,100,322TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$8,100,322ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$8,100,322TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
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 (4 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
ELIZABETH BADE
MEDICAL DIRECTOR$237,374$0$2,818$0$0$0$9,493$0$9,500$0$259,185$0$0$0
MARK HEBERLEIN
PHYSICIAN$230,390$0$1,727$0$0$0$9,499$0$7,500$0$249,116$0$0$0
JAMES SUEPPEL
DENTIST$194,369$0$848$0$0$0$8,093$0$9,500$0$212,810$0$0$0
MARI FREIBERG
CHIEF EXECUTIVE OFFICER$185,455$0$0$0$0$0$7,734$0$11,685$0$204,874$0$0$0

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$15NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOST OF DONATED PROPMethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$51NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOST OF DONATED PROPMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)DENTAL EQUIPMENT250$238,157FAIR MARKET VALUE
Yes (X)GIFT CARDS2$100FAIR MARKET VALUE
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN COLUMN B.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE PREPARED FORM 990 IS REVIEWED BY THE GOVERNING BODY AND MANAGEMENT BEFORE THE RETURN IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY ALL DIRECTORS AND EMPLOYEES COMPLETE AND SIGN A CONFLICT OF INTEREST STATEMENT. THE SIGNED STATEMENTS ARE REVIEWED AND MAINTAINED BY THE CHIEF EXECUTIVE OFFICER. A COMPREHENSIVE LEGAL REVIEW OF THE CONFLICT OF INTEREST POLICY IS CONDUCTED EVERY THREE YEARS, WITH THE LATEST REVIEW COMPLETED IN 2020. LEGAL COUNSEL IS CONSULTED IN THE INTERIM YEARS IF THERE ARE ADDITIONAL MATTERS IDENTIFIED THAT MAY REPRESENT A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15THE DIRECTORS ANNUALLY CONDUCT A PERFORMANCE REVIEW OF THE CHIEF EXECUTIVE OFFICER. HUMAN RESOURCES COLLECTS COMPENSATION INFORMATION FROM OUTSIDE SOURCES AND PRESENTS THIS INFORMATION TO THE DIRECTORS FOR THEIR CONSIDERATION WHEN DETERMINING THE CHIEF EXECUTIVE OFFICER'S COMPENSATION. THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS APPROVED BY THE DIRECTORS AND DELIBERATIONS AND DECISIONS ABOUT THE CHIEF EXECUTIVE OFFICER'S COMPENSATION ARE DOCUMENTED IN THE MINUTES OF THE MEETINGS OF THE GOVERNING BODY. AN ANNUAL PERFORMANCE REVIEW IS ALSO CONDUCTED FOR KEY EMPLOYEES TO IDENTIFY THE PERCENTAGE BY WHICH THE KEY EMPLOYEES' SALARY SHOULD BE ADJUSTED. CONTRACTED KEY EMPLOYEES ALSO HAVE OPPORTUNITIES TO NEGOTIATE WAGES AT CONTRACT TIME.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GHOUSEKEEPING: PROGRAM SERVICE EXPENSES 10,732. MANAGEMENT AND GENERAL EXPENSES 1,167. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,899. RADIOLOGY: PROGRAM SERVICE EXPENSES 1,714. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,714. LAB SERVICES: PROGRAM SERVICE EXPENSES 154,396. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 154,396. EHR EXPENSES: PROGRAM SERVICE EXPENSES 103,579. MANAGEMENT AND GENERAL EXPENSES 13,308. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 116,887. CONTRACTED PERSONNEL: PROGRAM SERVICE EXPENSES 493,009. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 493,009. OTHER SERVICES: PROGRAM SERVICE EXPENSES 16,745. MANAGEMENT AND GENERAL EXPENSES 108,473. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,218.