2018-06-11T16:09:50-05:00 2018-01-31 810385940 ANDERSON ZURMUEHLEN & CO PC PO BOX 748 BUTTE MT 59703 990 2017-02-01 810432169 BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC BUTT 4067234075 445 CENTENNIAL AVE BUTTE MT 59701 JENNIFER MALONE CEO 4067234075 2018-06-11 1 ANNETTE P HILL P00102055 4067820451 2018-05-31 2017 2022-09-23 18:48:47Z SOUTHWEST MONTANA COMMUNITY HEALTH CENTER JENNIFER MALONE 445 CENTENNIAL AVENUE BUTTE MT 59701 15275794 0 X WWW.SWMTCHC.ORG X 1986 MT SERVICES OF PHYSICIANS, DENTISTS, HYGIENISTS, MID-LEVEL PROVIDERS, MENTAL HEALTH THERAPISTS, AND PHARMACISTS; DIAGNOSTIC LABORATORY AND RADIOLOGY SERVICES; PREVENTATIVE AND PRIMARY HEALTH AND DENTAL SERVICES; PHARMACEUTICAL SERVICES; BEHAVIORAL HEALTH SERVICES; TRANSPORTATION SERVICES AS REQUIRED FOR ADEQUATE PATIENT CARE. 14 14 169 0 0 0 3761795 3980248 9932334 11250040 14082 13866 0 0 13708211 15244154 0 0 0 0 7360043 8005236 0 0 7695 5164400 6195719 12524443 14200955 1183768 1043199 7067151 7930956 1666370 1452471 5400781 6478485 X THE COMMUNITY HEALTH CENTER IS GUIDED BY THE CONVICTION THAT EVERY PERSON, REGARDLESS OF RACE, AGE, SEX, OR INCOME HAS THE RIGHT TO RECEIVE QUALITY HEALTH CARE IN A SUPPORTIVE ATMOSPHERE. FURTHER, WE BELIEVE THAT IT IS ESSENTIAL THAT EVERYONE HAVE THE OPPORTUNITY TO MAINTAIN A STATE OF POSITIVE HEALTH AND HAVE THE PROFESSIONAL HELP REQUIRED TO MAINTAIN THEIR WELLNESS THROUGH PREVENTION, EDUCATION, AND COUNSELING. 0 0 12580925 11250040 THE CLINIC PROVIDES INITIAL PRIMARY HEALTH SERVICES IN THE BUTTE-SILVER BOW COMMUNITY AND SURROUNDING AREA. THE CLINIC PROVIDES SERVICES AT THREE LOCATIONS IN SOUTHWEST MONTANA: BUTTE, DILLON, AND SHERIDAN. 12580925 1 0 0 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 1 23 0 1 169 1 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DON FOLEY 4067234075 445 CENTENNIAL AVENUE BUTTE MT 59701 MARK ROSENLEAF SECRETARY 1.00 X X 0 0 0 BRUCE SMITH DIRECTOR 1.00 X 0 0 0 PERRY HAWBAKER DIRECTOR 1.00 X 0 0 0 WAYNE HARPER VICE CHAIR 1.00 X X 0 0 0 ANN FINCH-JOHNSTON CHAIR 1.00 X X 0 0 0 JANELLE HANDLOS DIRECTOR 1.00 X 0 0 0 JOANIE CASSIDY TREASURER 1.00 X X 0 0 0 GRETCHEN GELLER DIRECTOR 1.00 X 0 0 0 PAT NOONAN DIRECTOR 1.00 X 0 0 0 TAMARA TODD DIRECTOR 1.00 X 0 0 0 AMY JO KIBLER DIRECTOR 1.00 X 0 0 0 TAMMY HICKLIN-ESTABROOK DIRECTOR 1.00 X 0 0 0 SARAH SEXTON DIRECTOR 1.00 X 0 0 0 GEORGE SKULETICH DIRECTOR 1.00 X 0 0 0 DON FOLEY CFO 40.00 X 93651 0 5161 JESSICA COTTON CEO 40.00 X 51197 0 4501 JENNIFER MALONE CEO 40.00 X 31139 0 1230 SHAWNA YATES DIRECTOR OF OPERATIONS 40.00 X 190934 0 15599 SERENA BREWER DOCTOR 40.00 X 186852 0 15262 HAROLD BRUCE NURSE PRACTIONER 40.00 X 174056 0 14968 CATHERINE WHITE DOCTOR 40.00 X 218424 0 16273 LEONARD BLINDER DOCTOR 40.00 X 154862 0 10616 MARIA BARTOLETTI DENTIST 40.00 X 143923 0 13497 MARIO BARTOLETTI DENTIST 40.00 X 126100 0 7716 TAMMY COX DIRECTOR OF PHARMACY SERVICES 40.00 X 102191 0 4190 MEGAN EVANS DOCTOR 40.00 X 103403 0 12246 SHAWN PATRICK DIRECTOR OF PHARMACY SERVICES 40.00 X 118054 0 12483 1694786 0 133742 10 0 1 0 OCHIN INC 1881 SW NAITO PKWY PORTLAND OR 97201 ELECTRONIC HEALTH RECORD SERVICE 274365 MARCOM LLC 130 N MAIN ST SUITE 280 BUTTE MT 59701 INFORMATION TECHNOLOGY AND CYBER SECURIT 258927 2 3580929 399319 3980248 PATIENT SERVICES 621990 6001666 6001666 PHARMACY REVENUE 621990 5219147 5219147 MISCELLANEOUS REVENUE 621990 29227 29227 11250040 8691 8691 36815 31640 5175 5175 5175 15244154 11250040 0 13866 1732168 1555696 176472 4963116 4675071 281031 7014 153557 141272 12285 616573 571113 44779 681 539822 496636 43186 10520 10520 26157 26157 698 698 728054 347302 380752 55867 24243 31624 338545 127392 211153 106245 72354 33891 18728 1101 17627 22320 17968 4352 365100 96473 268627 MEDICAL SUPPLIES 4056979 4056758 221 BAD DEBT EXPENSE 161563 161563 MISCELLANEOUS 98637 78099 20538 REPAIRS AND MAINTENANCE 57386 27205 30181 148920 94002 54918 14200955 12580925 1612335 7695 904191 1473686 2123767 2534024 66022 0 473057 528714 414429 478492 119393 114645 4608249 2191216 2621609 2417033 344683 384362 7067151 7930956 870564 815798 84752 115501 711054 521172 1666370 1452471 X 5388978 6460736 11803 17749 5400781 6478485 7067151 7930956 1043199 34505 0 X X 0 1 X 1 1 1 X 122579 22260 241609 293765 399319 1079532 10781818 11107221 12032562 13738211 14669406 62329218 10904397 11129481 12274171 14031976 15068725 63408750 0 2260885 2423708 2589579 2699889 2820048 12794109 2260885 2423708 2589579 2699889 2820048 12794109 50614641 5397 5579 12049 10717 8691 42433 5397 5579 12049 10717 8691 42433 10909794 11135060 12286220 14042693 15077416 63451183 0.79770 0.79410 0.00070 0.00070 X 39000 39000 2932520 959289 1973231 1636729 1231927 404802 2417033 X 15117096 34505 -161563 -127058 15244154 0 15244154 14039392 -161563 -161563 14200955 0 14200955 PART X, LINE 2: THE COMMUNITY HEALTH CENTER IS A TAX EXEMPT ORGANIZATION UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A RESULT, NO PROVISION FOR INCOME TAX IS INCLUDED IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS -161,563. PART XII, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS -161,563. FORM 990, SCHEDULE D, PART XI, LINE 2D AND PART XII, LINE 2D THE PROVISION FOR BAD DEBTS IS PRESENTED UNDER REVENUE IN THE AUDITED FINANCIAL STATEMENTS. X X X X 0 0 0 0 0 0 0 0 0 SHAWNA YATES DIRECTOR OF OPERATIONS 190934 0 0 0 0 0 0 0 15599 0 206533 0 0 0 SERENA BREWER DOCTOR 186852 0 0 0 0 0 0 0 15262 0 202114 0 0 0 HAROLD BRUCE NURSE PRACTIONER 174056 0 0 0 0 0 0 0 14968 0 189024 0 0 0 CATHERINE WHITE DOCTOR 218424 0 0 0 0 0 0 0 16273 0 234697 0 0 0 LEONARD BLINDER DOCTOR 154862 0 0 0 0 0 0 0 10616 0 165478 0 0 0 MARIA BARTOLETTI DENTIST 143923 0 0 0 0 0 0 0 13497 0 157420 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 WILL BE REVIEWED BY THE FULL BOARD AT ITS MONTHLY MEETING AND THE FULL BOARD WILL APPROVE THE 990 BEFORE SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE 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 15 THE FINANCE AND EXECUTIVE COMMITTEES REVIEW AND/OR CALCULATE COMPENSATION PACKAGES FOR THE CEO, COO, MEDICAL DIRECTOR AND OTHER TOP MANAGEMENT OFFICIALS AND KEY EMPLOYEES ANNUALLY. THE BOARD OF DIRECTORS THEN REVIEW AND APPROVE ANY COMPENSATION PACKAGES. CHC SETS SALARIES USING A COMMUNITY STANDARD (WHAT IS PAID TO OTHERS OF LIKE POSITION IN SW MONTANA AND WHAT IS PAID TO OTHER CHC PROVIDERS IN THE STATE AND REGION) FOR PROFESSIONALS, PHYSICIANS, PHARMACISTS, DENTISTS, EXECUTIVIES, AND MID-LEVEL PROVIDERS. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAIABLE 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.