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Nonprofiteer
← BLUESTEM HEALTH

Form 990 for tax year 2022

Filed by BLUESTEM HEALTH.

Totals

Total revenue
$23,709,333
Total expenses
$21,741,276
Contributions and grants received
$6,021,434
Grants paid
$0
Program service revenue
$17,629,849
Investment income
$36,173
Other revenue
$21,877
Total assets, end of year
$21,288,790
Total liabilities, end of year
$9,486,935
Net assets or fund balances, end of year
$11,801,855
Program services expenses (Part IX)
$17,905,152
Management and general expenses
$3,836,124
Fundraising expenses
$0
Program service expenses (Part III)
$17,905,152

Program services were 82.4% 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)

    $5,921,052

  • 1f · All other contributions, gifts and grants

    $100,382

  • 2a · Program service revenue: MEDICAID

    total $6,160,725 · related or exempt $6,160,725

  • 2b · Program service revenue: PHARMACY

    total $5,021,983 · related or exempt $5,021,983

  • 2c · Program service revenue: PATIENT FEES

    total $3,367,041 · related or exempt $3,367,041

  • 2d · Program service revenue: MEDICARE

    total $2,155,494 · related or exempt $2,155,494

  • 2e · Program service revenue: QUALITY INCENTIVES

    total $924,606 · related or exempt $924,606

  • 3 · Investment income

    total $36,173 · excluded $36,173

  • 6a · Gross rents

    real property $4,571

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $4,571

  • 6d · Net rental income or loss

    total $4,571 · excluded $4,571

  • 11a · Other revenue: MISCELLANEOUS REVENUE

    total $17,306 · related or exempt $17,306

  • 11e · Other revenue, total

    $17,306

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $617,954 · management and general $617,954

  • 6 · Compensation of disqualified persons

    total $57,324 · program services $57,324

  • 7 · Other salaries and wages

    total $10,186,867 · program services $9,523,701 · management and general $663,166

  • 8 · Pension plan contributions

    total $271,228 · program services $208,044 · management and general $63,184

  • 9 · Other employee benefits

    total $1,528,223 · program services $1,264,856 · management and general $263,367

  • 10 · Payroll taxes

    total $736,894 · program services $553,550 · management and general $183,344

  • 11b · Fees: legal

    total $11,340 · management and general $11,340

  • 11c · Fees: accounting

    total $136,247 · program services $17,981 · management and general $118,266

  • 11g · Fees: other

    total $2,239,922 · program services $1,460,753 · management and general $779,169

  • 12 · Advertising and promotion

    total $181,601 · management and general $181,601

  • 13 · Office expenses

    total $895,231 · program services $417,774 · management and general $477,457

  • 16 · Occupancy

    total $1,026,511 · program services $849,761 · management and general $176,750

  • 17 · Travel

    total $40,489 · program services $972 · management and general $39,517

  • 19 · Conferences, conventions and meetings

    total $35,946 · program services $35,126 · management and general $820

  • 22 · Depreciation, depletion and amortization

    total $397,814 · program services $329,060 · management and general $68,754

  • 23 · Insurance

    total $101,090 · program services $68,442 · management and general $32,648

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $1,869,891 · program services $1,869,891

  • 24b · Other expenses: MEDICATIONS

    total $527,505 · program services $527,505

  • 24c · Other expenses: OTHER PROGRAM SERVICES

    total $455,447 · program services $454,263 · management and general $1,184

  • 24d · Other expenses: BAD DEBT EXPENSE

    total $219,171 · program services $219,171

  • 24e · All other expenses

    total $204,581 · program services $46,978 · management and general $157,603

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 $4,555,119 · end of year $6,591,736

  • 3 · Pledges and grants receivable

    beginning of year $1,148,946 · end of year $723,872

  • 4 · Accounts receivable

    beginning of year $2,018,206 · end of year $2,413,299

  • 8 · Inventories for sale or use

    beginning of year $584,847 · end of year $727,274

  • 9 · Prepaid expenses and deferred charges

    beginning of year $186,668 · end of year $325,569

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

    $6,163,955

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

    $3,128,681

  • 10c · Land, buildings and equipment, net

    beginning of year $2,165,753 · end of year $3,035,274

  • 14 · Intangible assets

    beginning of year $222,393 · end of year $194,601

  • 15 · Other assets

    beginning of year $1,395,418 · end of year $7,272,565

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,448,152 · end of year $2,566,036

  • 25 · Other liabilities

    beginning of year $0 · end of year $6,920,899

  • 27 · Net assets without donor restrictions

    beginning of year $9,833,798 · end of year $11,801,855

Mission and programs · 2022

Mission

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

  • MEDICAL SERVICES - BLUESTEM HEALTH PROVIDES COMPREHENSIVE MEDICAL SERVICES TO ITS PATIENTS. OUR PROVIDER STAFF INCLUDES FAMILY PRACTICE PHYSICIANS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, AND PSYCHIATRIC NURSE PRACTITIONER & BEHAVIORAL HEALTH THERAPISTS.

    Expenses $10,060,156 · Revenue $10,909,381

  • DENTAL SERVICES - BLUESTEM HEALTH OFFERS DENTAL SERVICES INCLUDING: X-RAYS, EXAMS, CLEANINGS, FILLINGS, SEALANTS AND EXTRACTIONS.

    Expenses $1,251,972 · Revenue $1,031,961

  • OTHER SERVICES - COMMUNITY SERVICES, MEDICAL RECORDS, LAB, PHARMACY.

    Expenses $6,593,024 · Revenue $5,705,813

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Vincent Paul Ramirez

    CHAIR

    Total calculated
    $0
    Hours/week
    2
  • Andrew Schill

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    2
  • Betsy Tonniges

    SECRETARY

    Total calculated
    $0
    Hours/week
    2
  • Niki Stehlik

    TREASURER

    Total calculated
    $0
    Hours/week
    2
  • Danny Murray

    DIRECTOR THRU 2/2022

    Total calculated
    $0
    Hours/week
    1
  • Romeo Guerra

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Derek Blumenstock

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Galen Bernadt

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Bob Bleicher

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Beth Whitaker

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • David Wisch

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Janice Walker

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Kevin Karmazin

    DIRECTOR

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

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Lucy Florez

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Michelle Roberts

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Tyler Strong

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Marcia Murray

    DIRECTOR THRU 2/2022

    Total calculated
    $0
    Hours/week
    1
  • Brad Meyer

    CEO

    Total calculated
    $259,132
    From this org
    $249,880
    From related orgs
    $0
    Other
    $9,252
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $206,545
    Bonus
    $43,275
    Other
    $60
    Deferred
    $9,118
    Nontaxable benefits
    $134
    Filer's total
    $259,132
  • Jacque Fanning

    CFO

    Total calculated
    $178,138
    From this org
    $158,462
    From related orgs
    $0
    Other
    $19,676
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $129,392
    Bonus
    $29,070
    Other
    $0
    Deferred
    $5,910
    Nontaxable benefits
    $13,766
    Filer's total
    $178,138
  • Shane Ludwig

    COO

    Total calculated
    $180,684
    From this org
    $164,482
    From related orgs
    $0
    Other
    $16,202
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $135,206
    Bonus
    $29,276
    Other
    $0
    Deferred
    $5,362
    Nontaxable benefits
    $10,840
    Filer's total
    $180,684
  • Dr Michael Israel

    CHIEF MEDICAL OFFICER

    Total calculated
    $372,218
    From this org
    $333,160
    From related orgs
    $0
    Other
    $39,058
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $208,955
    Bonus
    $124,157
    Other
    $48
    Deferred
    $7,535
    Nontaxable benefits
    $31,523
    Filer's total
    $372,218
  • Dr Andrew Shahan

    DEPUTY MEDICAL DIRECTOR

    Total calculated
    $322,878
    From this org
    $315,220
    From related orgs
    $0
    Other
    $7,658
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $220,120
    Bonus
    $95,100
    Other
    $0
    Deferred
    $7,124
    Nontaxable benefits
    $534
    Filer's total
    $322,878
  • Dr Horacio Alvarez Ramirez

    PHYSICIAN

    Total calculated
    $274,031
    From this org
    $252,938
    From related orgs
    $0
    Other
    $21,093
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $207,648
    Bonus
    $45,290
    Other
    $0
    Deferred
    $8,128
    Nontaxable benefits
    $12,965
    Filer's total
    $274,031
  • Dr Charles Kreshel

    PHYSICIAN

    Total calculated
    $310,275
    From this org
    $300,984
    From related orgs
    $0
    Other
    $9,291
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $220,576
    Bonus
    $80,408
    Other
    $0
    Deferred
    $8,806
    Nontaxable benefits
    $485
    Filer's total
    $310,275
  • Dr Heather Kleeman

    PHYSICIAN

    Total calculated
    $289,967
    From this org
    $257,597
    From related orgs
    $0
    Other
    $32,370
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $212,651
    Bonus
    $44,946
    Other
    $0
    Deferred
    $9,390
    Nontaxable benefits
    $22,980
    Filer's total
    $289,967

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 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 7
BLUESTEM HEALTH IS PART OF AN ORGANIZATION THAT STRIVES TO SAVE INSURANCE COMPANIES MONEY WHILE ALSO IMPROVING THE HEALTH OF PATIENTS. THE ORGANIZATION SETS OVERALL MEASURES/GOALS FOR THE HEALTH CENTER TO ACHIEVE. BASED ON HOW WELL THE HEALTH CENTER PERFORMS AND THE OUTCOMES IT PRODUCES FOR PATIENTS, THE HEALTH CENTER RECEIVES INCENTIVE PAYMENTS. A PORTION OF THESE PAYMENTS ARE THEN PAID OUT TO THE PROVIDERS AND SUPPORT STAFF WHO HELPED THE HEALTH CENTER PERFORM AT AND ABOVE THEIR GOALS.

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
2022
Filed
25 August 2023
IRS schema version
2022v5.0
Source object
202322429349300602

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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