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BULLHOOK COMMUNITY HEALTH CENTER INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
BULLHOOK COMMUNITY HEALTH CENTER INC (EIN 20-5970239)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-08-10
IRS object ID
201612239349302566
Schema version
2014v6.0
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)
Return2016-08-10T17:14:00-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13000 NORTHUP WAY SUITE 200AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN205970239EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BULLHOOK COMMUNITY HEALTH CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBULLBusinessNameControlTxt
Phone4063954305PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1521 4TH STREETAddressLine1Txt
CityHAVRECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59501ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCAROL REIFSCHNEIDERPersonNm
Person TitleBOARD CHAIRPersonTitleTxt
Phone4063954305PhoneNum
Signature2016-08-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNIONPreparerPersonNm
PTINP01469618PTIN
Phone4252506100PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCYNTHIA SMITHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1521 4TH STREETAddressLine1Txt
CityHAVRECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59501ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,673,505GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BULLHOOK.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionEXCELLENCE IN PATIENT-CENTERED, ACCESSIBLE, COST-EFFECTIVE AND TIMELY PRIMARY HEALTH CARE FOR ALL.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee55TotalEmployeeCnt
Total Volunteers16TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,862,630PYContributionsGrantsAmt
CY Contributions Grants$2,730,203CYContributionsGrantsAmt
PY Program Service Revenue$1,591,619PYProgramServiceRevenueAmt
CY Program Service Revenue$1,637,862CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$50,128CYInvestmentIncomeAmt
PY Other Revenue$380,778PYOtherRevenueAmt
CY Other Revenue$255,249CYOtherRevenueAmt
PY Total Revenue$6,835,027PYTotalRevenueAmt
CY Total Revenue$4,673,442CYTotalRevenueAmt
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$1,523,536PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,103,908CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,906,394PYOtherExpensesAmt
CY Other Expenses$1,100,581CYOtherExpensesAmt
PY Total Expenses$3,429,930PYTotalExpensesAmt
CY Total Expenses$3,204,489CYTotalExpensesAmt
PY Revenues Less Expenses$3,405,097PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,468,953CYRevenuesLessExpensesAmt
Total Assets BOY$5,307,151TotalAssetsBOYAmt
Total Assets EOY$5,932,242TotalAssetsEOYAmt
Total Liabilities BOY$1,307,856TotalLiabilitiesBOYAmt
Total Liabilities EOY$282,302TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,999,295NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,649,940NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE ARE COMMITTED TO EXCELLENCE IN PATIENT-CENTERED, ACCESSIBLE, COST-EFFECTIVE AND TIMELY PRIMARY HEALTH CARE FOR ALL.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,630,306ExpenseAmt
Grant$0GrantAmt
Revenue$1,637,862RevenueAmt
DescBULLHOOK COMMUNITY HEALTH CENTER IS COMMITTED TO EXCELLENCE IN PATIENT-CENTERED, ACCESSIBLE, COST-EFFECTIVE AND TIMELY PRIMARY HEALTHCARE FOR ALL. OUR SHARED VISION IS: PEOPLE TRUST US TO TAKE CARE OF THEM; WE HONOR AND RESPECT ALL CULTURES; OUR PROVIDERS ARE CHAMPIONS OF EXCELLENCE IN CARE; OUR STAFF ARE KNOWLEDGEABLE, COMPETENT, CARING AND HAPPY; WE HONOR OUR PATIENT'S TIME AND TAXPAYER DOLLARS BY OUR COMMITMENT TO EFFICIENCY; WE STRIVE TO BE A COMMUNITY LEADER IN HEALTHCARE; WE PROVIDE A SUCCESSFUL MEDICAL HOME FOR ALL; WE ARE DETERMINED TO BE SELF-SUFFICIENT AND FINANCIALLY VIABLE. BULLHOOK COMMUNITY HEALTH CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). HEALTH CENTERS ARE IMPORTANT SAFETY NET PROVIDERS IN RURAL AND URBAN AREAS. IN ORDER TO QUALIFY AS A FQHC, AN ORGANIZATION MUST:1. PROVIDE SERVICES TO ALL PERSONS, REGARDLESS OF THE PERSON'S ABILITY TO PAY;2. ESTABLISH A SLIDING FEE DISCOUNT PROGRAM;3. BE A NONPROFIT OR PUBLIC ORGANIZATION;4. BE COMMUNITY-BASED, WITH THE MAJORITY OF THEIR GOVERNING BOARD OF DIRECTORS COMPOSED OF THEIR PATIENTS;5. SERVE A MEDICALLY UNDERSERVED AREA OR POPULATION;6. PROVIDE COMPREHENSIVE PRIMARY CARE SERVICES; AND7. HAVE AN ONGOING QUALITY ASSURANCE PROGRAM. BULLHOOK COMMUNITY HEALTH CENTER'S COMMITMENT TO QUALITY CARE MAKES A DIFFERENCE IN THE LIVES OF THE COMMUNITY. OUR COMMITMENT STEMS FROM OUR GOAL TO PROVIDE COMPLETE HEALTHCARE FOR OUR PATIENTS AND THEIR FAMILIES, REGARDLESS OF ABILITY TO PAY. AS A CERTIFIED PATIENT CENTERED MEDICAL HOME (PCMH) WE PUT YOU, THE PATIENT, AT THE CENTER OF THE HEALTHCARE SYSTEM. OUR TEAM OF FAMILY PHYSICIANS AND FAMILY NURSE PRACTITIONERS, DENTISTS, PHARMACISTS, ADDICTION COUNSELORS, LICENSED CLINICAL SOCIAL WORKERS, AND THEIR STAFF, ARE TRAINED IN PROVIDING HEALTHCARE SERVICES TO PEOPLE OF ALL AGES. WE PROVIDE A WIDE RANGE OF SERVICES INCLUDING ROUTINE PREVENTATIVE CARE, INCLUDING IMMUNIZATIONS, EDUCATION, WELL CHILD CHECKS, AND MEN'S AND WOMEN'S HEALTH PHYSICALS, AS WELL AS MANAGEMENT OF ACUTE AND CHRONIC DISEASES, DENTAL CARE, MENTAL HEALTH COUNSELING, ADDICTION COUNSELING, AND PHARMACY SERVICES INCLUDING DIABETIC EDUCATION AND MEDICATION MANAGEMENT. WE PROVIDE THESE SERVICES TO ENSURE THAT OUR PATIENTS AND THEIR FAMILIES HAVE THE INFORMATION AND TOOLS NECESSARY TO TAKE CONTROL OF THEIR HEALTH AND INCREASE THEIR QUALITY OF LIFE.Desc
Total Program Service Expenses$2,630,306TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 Required0ScheduleJRequiredInd
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 MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee55EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CYNTHIA SMITHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4063954305PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1521 4TH STREETAddressLine1Txt
CityHAVRECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59501ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JESSICA ALCORN-WINDYBOY
BOARD CHAIR2.000.00Yes (X)Yes (X)$0$0$0
TODD HANSON
BOARD CHAIR (THROUGH AUG 2014)2.001.00Yes (X)Yes (X)$0$0$0
ANGELA TWOMBLY
VICE CHAIR2.000.00Yes (X)Yes (X)$0$0$0
CAROL REIFSCHNEIDER
SECRETARY2.000.00Yes (X)Yes (X)$0$0$0
GUS SHARP
TREASURER2.000.00Yes (X)Yes (X)$0$0$0
HEATHER ADKINS
DIRECTOR (THROUGH JAN 2015)1.000.00Yes (X)$0$0$0
DANA FISHER SPRING
DIRECTOR1.000.00Yes (X)$0$0$0
ERNEST GOETTLICH III
DIRECTOR1.000.00Yes (X)$0$0$0
DENNIS JOHNSON
DIRECTOR1.000.00Yes (X)$0$0$0
WILLIAM LANIER
DIRECTOR1.000.00Yes (X)$0$0$0
JIM LYONS
DIRECTOR (THROUGH SEP 2014)1.000.00Yes (X)$0$0$0
JANA MCPHERSON
DIRECTOR (THROUGH JULY 2014)1.000.00Yes (X)$0$0$0
MARY PAPPAS
DIRECTOR1.000.00Yes (X)$0$0$0
DANA PYETTE
DIRECTOR (THROUGH SEP 2014)1.000.00Yes (X)$0$0$0
DEBI RHINES
DIRECTOR1.000.00Yes (X)$0$0$0
NORMA TESKE
DIRECTOR1.000.00Yes (X)$0$0$0
CYNTHIA SMITH
CEO39.001.00Yes (X)$65,609$0$20,875
BEATRIZ FRAUSTO
CFO39.001.00Yes (X)$14,115$0$0
LINDA PATRICK-HAYES
CONTROLLER39.001.00Yes (X)$25,169$0$0
ZACHARY RAMBERG
CHIEF DENTAL OFFICER40.000.00$125,308$0$3,122Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$230,201TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$23,997TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
STAFF CARE INC
PO BOX 281923ATLANTAGA30384LOCUMS SERVICES$131,664
EHS
PO BOX 204485DALLASTX75320ELECTRONIC HEALTH RECORD SERVICES$109,865
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Related Organizations$1,139,605RelatedOrganizationsAmt
Government Grants$1,462,789GovernmentGrantsAmt
All Other Contributions$127,809AllOtherContributionsAmt
Noncash Contributions$21,268NoncashContributionsAmt
Total Contributions$2,730,203TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICESDesc
Business621400BusinessCd
Total Revenue Column$1,637,862TotalRevenueColumnAmt
Related Or Exempt Func Income$1,637,862RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,637,862TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,191TotalRevenueColumnAmt
Exclusion$50,191ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$63OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$63OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$63TotalRevenueColumnAmt
Exclusion-$63ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
DEVELOPMENT FEES900099$250,250$250,250
MISCELLANEOUS900099$4,999$4,999
FieldValueIRS element (for citing)
Other Revenue Total$255,249OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,673,442TotalRevenueColumnAmt
Related Or Exempt Func Income$1,637,862RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$305,377ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$122,607TotalAmt
Management And General$122,607ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,613,079TotalAmt
Program Services$1,469,673ProgramServicesAmt
Management And General$143,406ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$31,048TotalAmt
Program Services$27,530ProgramServicesAmt
Management And General$3,518ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$178,944TotalAmt
Program Services$144,373ProgramServicesAmt
Management And General$34,571ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$158,230TotalAmt
Program Services$127,661ProgramServicesAmt
Management And General$30,569ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,606TotalAmt
Management And General$5,606ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,150TotalAmt
Management And General$22,150ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$256,822TotalAmt
Program Services$209,525ProgramServicesAmt
Management And General$47,297ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$30,104TotalAmt
Program Services$26,135ProgramServicesAmt
Management And General$3,969ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$51,228TotalAmt
Program Services$40,982ProgramServicesAmt
Management And General$10,246ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$88,981TotalAmt
Program Services$86,149ProgramServicesAmt
Management And General$2,832ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$78,157TotalAmt
Program Services$59,399ProgramServicesAmt
Management And General$18,758ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total-$2,418TotalAmt
Program Services-$15,656ProgramServicesAmt
Management And General$13,238ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,342TotalAmt
Management And General$17,342ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$18,346TotalAmt
Management And General$18,346ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBTS$250,073$225,066$25,007
SUPPLIES$218,286$163,782$54,504
RECRUITMENT AND RETENTI$44,173$44,173
DUES AND SUBSCRIPTIONS$21,731$21,514$217

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,204,489TotalAmt
Program Services$2,630,306ProgramServicesAmt
Management And General$574,183ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$47,651BOYAmt
EOY$326,182EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$427,077BOYAmt
EOY$120,808EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$4,473,244BOYAmt
EOY$5,112,810EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$63,416BOYAmt
EOY$91,800EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,932BOYAmt
EOY$6,340EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$382,533LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$114,231LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$281,831BOYAmt
EOY$268,302EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$10,000BOYAmt
EOY$6,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,307,151BOYAmt
EOY$5,932,242EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$283,314BOYAmt
EOY$282,302EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,024,542BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,307,856BOYAmt
EOY$282,302EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,979,539BOYAmt
EOY$5,626,251EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$19,756BOYAmt
EOY$23,689EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,999,295BOYAmt
EOY$5,649,940EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,307,151BOYAmt
EOY$5,932,242EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,468,953ReconcilationRevenueExpnssAmt
Prior Period Adjustments$181,692PriorPeriodAdjustmentsAmt
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)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income PY0.00000InvestmentIncomePYPct

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$258,500OtherCostOrOtherBasisAmt
Book Value$258,500BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$124,033OtherCostOrOtherBasisAmt
Depreciation$114,231DepreciationAmt
Book Value$9,802BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$268,302TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,647,242TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$3,647,242RevenueSubtotalAmt
Other Revenues Not Included$1,026,200OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,026,200RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,673,442TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,204,489TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$3,204,489ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$3,204,489TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE CLINIC IS A TAX EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND COMPARABLE STATE LAW. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS INCLUDED IN THE FINANCIAL STATEMENTS. MANAGEMENT EVALUATED THE CLINIC'S TAX POSITIONS AND CONCLUDED THAT THE CLINIC HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION. THE CLINIC'S FEDERAL EXEMPT ORGANIZATION INCOME TAX RETURNS (FORM 990) ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED.
PART XI, LINE 4B - OTHER ADJUSTMENTS:TRANSFER FROM RELATED ORGANIZATION 1,026,200.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonTAMI MILLERPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionCEO'S DAUGHTERRelationshipDescriptionTxt
Transaction$80,524TransactionAmt
TransactionEMPLOYMENTTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 2DURING THE FISCAL YEAR, THE ORGANIZATION MOVED TO A SINGLE LOCATION AND OPENED A PHARMACY.
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD OF DIRECTORS AND THE PAST-CHAIR IF THEY REMAIN A CURRENT BOARD MEMBER. THE EXECUTIVE COMMITTEE CONVENES AS NECESSARY AND, UNDER THE DIRECTION OF THE BOARD, ACTS FOR THE ORGANIZATION IN ALL MATTERS DURING THE INTERIM PERIOD BETWEEN BOARD MEETINGS. THE EXECUTIVE COMMITTEE CONDUCTS THE PRELIMINARY EVALUATION OF THE CEO AND MAKES RECOMMENDATIONS TO THE FULL BOARD ACCORDINGLY.
FORM 990, PART VI, SECTION B, LINE 11PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE ORGANIZATION'S CEO AND CFO, BY THE FINANCE COMMITTEE, AND BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL BOARD MEMBERS, MEMBERS OF A COMMITTEE WITH BOARD-DELEGATED POWERS, AND OFFICERS. IF A PERSON HAS AN ACTUAL OR POTENTIAL CONFLICT, THEY DISCLOSE ITS EXISTENCE AND ALL MATERIAL FACTS. THAT INDIVIDAUL THEN LEAVES THE MEETING WHILE THE REMAINING INDIVIDUALS VOTE ON WHETHER A CONFLIC EXISTS. IF A CONFLICT EXISTS, THE BOARD OR A COMMITTEE TAKES APPROPRIATE STEPS TO DETERMINE WHETHER THE TRANSACTION WOULD BE IN THE ORGANIZATION'S BEST INTEREST. IF NO BETTER TRANSACTION CAN BE IDENTIFIED, THE DISINTERESTED BOARD OF COMMITTEE MEMBERS VOTE ON WHETHER TO ENTER THE TRANSACTION. IF AN INDIVIDUAL VIOLATES THE CONFLICT OF INTEREST POLICY, THE BOARD OF DIRECTORS WILL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTIONS. EACH INDIVIDUAL IS REQUIRED TO SIGN A STATEMENT WHEN THEY ARE ELECTED OR APPOINTED TO THE POSITION. PERIODIC REVIEWS ARE CONDUCTED.
FORM 990, PART VI, SECTION B, LINE 15ATO EVALUATE THE CEO'S COMPENSATION, THE BOARD OF DIRECTORS REVIEWS THE CHAMPS SALARY SURVERY. THE PROCESS AND CONCLUSIONS ARE DOCUMENTED. THE REVIEW PROCESS LAST OCCURED IN 2014.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S MAIN OFFICE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1BULLHOOK QALICB INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1521 4TH STREETAddressLine1Txt
CityHAVRECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59501ZIPCd
FieldValueIRS element (for citing)
EIN900943022EIN
Primary ActivitiesSUPPORT BULLHOOK COMMUNITY HEALTH CENTER, INC.PrimaryActivitiesTxt
Legal Domicile StateMTLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 11D, III-NFIPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BULLHOOK COMMUNITY HEALTH CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
BULLHOOK QALICB
C$1,139,605GAAP
BULLHOOK QALICB
D$6,964,796GAAP
BULLHOOK QALICB
L$363,655GAAP
BULLHOOK QALICB
N$68,701GAAP