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Nonprofiteer
← BLUESTEM HEALTH

Form 990 for tax year 2024

Filed by BLUESTEM HEALTH.

Totals

Total revenue
$24,250,455
Total expenses
$25,146,332
Contributions and grants received
$2,892,358
Grants paid
$17,236
Program service revenue
$21,047,873
Investment income
$283,458
Other revenue
$26,766
Total assets, end of year
$28,739,702
Total liabilities, end of year
$12,206,284
Net assets or fund balances, end of year
$16,533,418
Program services expenses (Part IX)
$15,792,428
Management and general expenses
$9,353,904
Fundraising expenses
$0
Program service expenses (Part III)
$15,792,428

Program services were 62.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $2,884,239

  • 1f · All other contributions, gifts and grants

    $8,119

  • 1g · Noncash contributions included above

    $840,818

  • 2a · Program service revenue: PATIENT FEES

    total $13,523,842 · related or exempt $13,523,842

  • 2b · Program service revenue: PHARMACY

    total $6,069,628 · related or exempt $6,069,628

  • 2c · Program service revenue: CASE MANAGEMENT

    total $1,454,403 · related or exempt $1,454,403

  • 3 · Investment income

    total $442,007 · excluded $442,007

  • 6a · Gross rents

    real property $5,446

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $5,446

  • 6d · Net rental income or loss

    total $5,446 · excluded $5,446

  • 7b · Less cost or other basis and sales expenses

    other assets $158,549

  • 7c · Gain or loss

    other assets -$158,549

  • 7d · Net gain or loss

    total -$158,549 · excluded -$158,549

  • 11a · Other revenue: MISCELLANEOUS INCOME

    total $21,320 · excluded $21,320

  • 11e · Other revenue, total

    $21,320

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $17,236 · program services $17,236

  • 5 · Compensation of officers, directors and key employees

    total $1,031,910 · management and general $1,031,910

  • 7 · Other salaries and wages

    total $11,147,311 · program services $8,196,732 · management and general $2,950,579

  • 8 · Pension plan contributions

    total $290,100 · program services $95,576 · management and general $194,524

  • 9 · Other employee benefits

    total $1,541,735 · program services $493,786 · management and general $1,047,949

  • 10 · Payroll taxes

    total $841,622 · program services $247,902 · management and general $593,720

  • 11b · Fees: legal

    total $21,392 · management and general $21,392

  • 11c · Fees: accounting

    total $158,001 · management and general $158,001

  • 11g · Fees: other

    total $3,020,990 · program services $893,287 · management and general $2,127,703

  • 12 · Advertising and promotion

    total $183,454 · program services $170,868 · management and general $12,586

  • 13 · Office expenses

    total $391,061 · program services $364,231 · management and general $26,830

  • 16 · Occupancy

    total $1,365,866 · program services $1,272,157 · management and general $93,709

  • 17 · Travel

    total $4,879 · program services $4,544 · management and general $335

  • 22 · Depreciation, depletion and amortization

    total $560,968 · program services $251,096 · management and general $309,872

  • 23 · Insurance

    total $115,746 · program services $107,805 · management and general $7,941

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $3,069,872 · program services $2,371,972 · management and general $697,900

  • 24b · Other expenses: OTHER EXPENSES

    total $444,514 · program services $412,834 · management and general $31,680

  • 24c · Other expenses: DUES & SUBSCRIPTIONS

    total $259,209 · program services $241,425 · management and general $17,784

  • 24d · Other expenses: BAD DEBT EXPENSES

    total $250,644 · program services $250,644

  • 24e · All other expenses

    total $429,822 · program services $400,333 · management and general $29,489

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $4,600 · end of year $4,600

  • 2 · Savings and temporary cash investments

    beginning of year $12,716,141 · end of year $6,194,413

  • 3 · Pledges and grants receivable

    beginning of year $9,688 · end of year $32,076

  • 4 · Accounts receivable

    beginning of year $2,202,524 · end of year $2,001,777

  • 7 · Other notes and loans receivable

    beginning of year $80,000 · end of year $80,000

  • 8 · Inventories for sale or use

    beginning of year $818,007 · end of year $667,164

  • 9 · Prepaid expenses and deferred charges

    beginning of year $341,518 · end of year $309,029

  • 10a · Land, buildings and equipment: cost or other basis

    $6,409,938

  • 10b · Land, buildings and equipment: accumulated depreciation

    $2,962,272

  • 10c · Land, buildings and equipment, net

    beginning of year $3,621,011 · end of year $3,447,666

  • 14 · Intangible assets

    beginning of year $166,809 · end of year $139,017

  • 15 · Other assets

    beginning of year $10,663,300 · end of year $15,863,960

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,391,846 · end of year $2,448,313

  • 19 · Deferred revenue

    end of year $80,003

  • 25 · Other liabilities

    beginning of year $10,802,457 · end of year $9,677,968

  • 27 · Net assets without donor restrictions

    beginning of year $17,429,295 · end of year $16,533,418

Mission and programs · 2024

Mission

TO BE A TRUSTED RESOURCE FOR EXCELLENT MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES.

  • MEDICAL SERVICES - BLUESTEM HEALTH PROVIDES PRIMARY AND PREVENTIVE HEALTHCARE SERVICES TO LOW-INCOME, UNINSURED, AND UNDERINSURED INDIVIDUALS IN THE COMMUNITY. SERVICES INCLUDE GENERAL MEDICAL CARE, IMMUNIZATIONS, PRENATAL CARE, PEDIATRIC CARE, AND CHRONIC DISEASE MANAGEMENT.DENTAL SERVICES - BLUESTEM HEALTH PROVIDES COMPREHENSIVE DENTAL CARE TO UNDERSERVED POPULATIONS, INCLUDING PREVENTIVE CARE, RESTORATIVE PROCEDURES, ORAL SURGERY, AND EMERGENCY DENTAL CARE. THE CENTER OFFERS SERVICES TO LOW-INCOME, UNINSURED, AND UNDERINSURED INDIVIDUALS, ENSURING ACCESS TO QUALITY DENTAL CARE REGARDLESS OF THEIR ABILITY TO PAY.PHARMACY SERVICES - BLUESTEM HEALTH PARTICIPATES IN THE FEDERAL 340(B) PHARMACY PROGRAM PROVIDING AFFORDABLE PRESCRIPTION MEDICATIONS TO LOW-INCOME, UNINSURED, AND UNDERINSURED PATIENTS. SERVICES INCLUDE MEDICATION DISPENSING, PATIENT COUNSELING, MEDICATION THERAPY MANAGEMENT, AND ASSISTANCE ACCESSING PHARMACEUTICAL ASSISTANCE PROGRAMS TO ENSURE PATIENTS RECEIVE THE NEEDED MEDICATIONS.MENTAL HEALTH SERVICES - BLUESTEM HEALTH PROVIDES MENTAL AND BEHAVIORAL SERVICES, INCLUDING INDIVIDUAL AND GROUP THERAPY, PSYCHOLOGICAL EVALUATIONS, CRISIS INTERVENTION, AND SUBSTANCE ABUSE TREATMENT.ANCILLARY SERVICES - BLUESTEM HEALTH PROVIDES VARIOUS ANCILLARY SERVICES, INCLUDING THE SLIDING FEE DISCOUNT PROGRAM, MEDICAID, SNAP, HEALTH INSURANCE MARKETPLACE APPLICATION ASSISTANCE, LABORATORY TESTING, DIAGNOSTIC IMAGING, AND NUTRITIONAL COUNSELING. THESE SERVICES ARE INTEGRAL TO THE CENTER'S HOLISTIC APPROACH TO PATIENT CARE, SUPPORTING ACCURATE DIAGNOSIS, EFFECTIVE TREATMENT, AND ONGOING HEALTH MANAGEMENT FOR ALL PATIENTS.

    Expenses $15,792,428 · Grants $17,236 · Revenue $21,047,873

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Dr Michael Israel

    CMO

    Total calculated
    $391,238
    From this org
    $320,996
    From related orgs
    $0
    Other
    $70,242
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $221,149
    Bonus
    $99,847
    Other
    $0
    Deferred
    $13,578
    Nontaxable benefits
    $56,664
    Filer's total
    $391,238
  • Dr Heather Kleeman

    PHYSICIAN

    Total calculated
    $333,987
    From this org
    $287,514
    From related orgs
    $0
    Other
    $46,473
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $220,616
    Bonus
    $66,898
    Other
    $0
    Deferred
    $11,715
    Nontaxable benefits
    $34,758
    Filer's total
    $333,987
  • Dr Andrew Shahan

    DEPUTY MEDICAL DIRECTOR

    Total calculated
    $316,315
    From this org
    $283,147
    From related orgs
    $0
    Other
    $33,168
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $219,902
    Bonus
    $63,245
    Other
    $0
    Deferred
    $10,168
    Nontaxable benefits
    $23,000
    Filer's total
    $316,315
  • Dr Charles Kreshel

    PHYSICIAN

    Total calculated
    $281,764
    From this org
    $260,605
    From related orgs
    $0
    Other
    $21,159
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $211,475
    Bonus
    $49,130
    Other
    $0
    Deferred
    $10,393
    Nontaxable benefits
    $10,766
    Filer's total
    $281,764
  • Dr Horacio Alvarez Ramirez

    PHYSICIAN

    Total calculated
    $264,123
    From this org
    $228,017
    From related orgs
    $0
    Other
    $36,106
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $209,068
    Bonus
    $18,949
    Other
    $0
    Deferred
    $8,989
    Nontaxable benefits
    $27,117
    Filer's total
    $264,123
  • Dr Adam Rasmussen

    PHYSICIAN

    Total calculated
    $247,679
    From this org
    $212,768
    From related orgs
    $0
    Other
    $34,911
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $191,968
    Bonus
    $20,800
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $34,911
    Filer's total
    $247,679
  • Brad Meyer

    CEO

    Total calculated
    $239,859
    From this org
    $220,102
    From related orgs
    $0
    Other
    $19,757
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $219,602
    Bonus
    $500
    Other
    $0
    Deferred
    $8,781
    Nontaxable benefits
    $10,976
    Filer's total
    $239,859
  • Jacque Fanning

    CFO

    Total calculated
    $216,690
    From this org
    $163,094
    From related orgs
    $0
    Other
    $53,596
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $147,627
    Bonus
    $15,467
    Other
    $0
    Deferred
    $6,206
    Nontaxable benefits
    $47,390
    Filer's total
    $216,690
  • Shane Ludwig

    COO

    Total calculated
    $184,123
    From this org
    $158,677
    From related orgs
    $0
    Other
    $25,446
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $158,177
    Bonus
    $500
    Other
    $0
    Deferred
    $5,815
    Nontaxable benefits
    $19,631
    Filer's total
    $184,123
  • Andrew Schill

    VICE CHAIR & CHAIR

    Total calculated
    $0
    Hours/week
    2
  • Tyler Strong

    DIRECTOR & VICE CHAIR

    Total calculated
    $0
    Hours/week
    2
  • Lucy Florez

    SECRETARY

    Total calculated
    $0
    Hours/week
    2
  • Beth Whitaker

    TREASURER (THROUGH AUGUST 2024)

    Total calculated
    $0
    Hours/week
    2
  • Kevin Bagley

    TREASURER

    Total calculated
    $0
    Hours/week
    2
  • Bob Bleicher

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Derek Blumenstock

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Nasir Ahmad Farahmand

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Tammy Fikar-Burton

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Romeo Guerra

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Doyle Karst

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Kerry Kemen

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Jack Kramer PhD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Michelle Roberts

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Lecia Ann Vitosh

    DIRECTOR (THROUGH JANUARY 2024)

    Total calculated
    $0
    Hours/week
    1
  • Than Htut Win

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2024
Filed
28 October 2025
IRS schema version
2024v5.2
Source object
202513019349300346

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