2023-10-02T12:23:39-05:00 2023-05-31 810348775 JUNKERMIERCLARKCAMPANELLASTEVENSPC 3060 CABERNET DR STE 2 HELENA MT 59601 990 2022-06-01 770597067 GLACIER COMMUNITY HEALTH CENTER INC GLAC 4068735670 519 EAST MAIN CUT BANK MT 59427 BETSY SEGLEM CEO/COO 4068735670 2023-10-02 1 BETSY SEGLEM 999009999 0 TYLER BRYANT CPA P01375059 4064426901 2023-10-02 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z BETSY SEGLEM 519 EAST MAIN CUT BANK MT 59427 6187797 0 X WWW.GLACIERCHC.ORG X 2003 MT GLACIER COMMUNITY HEALTH CENTER'S MISSION IS TO PROVIDE AFFORDABLE, QUALITY HEALTHCARE IN A CULTURALLY SENSITIVE AND CARING ENVIRONMENT. 9 9 50 9 0 0 2582348 3294832 2792579 2876250 781 10877 17444 3932 5393152 6185891 0 0 0 0 3627239 3907962 0 0 0 1339340 1661536 4966579 5569498 426573 616393 6519894 7100542 788283 752538 5731611 6348004 GLACIER COMMUNITY HEALTH CENTER'S MISSION IS TO PROVIDE AFFORDABLE, QUALITY HEALTHCARE IN A CULTURALLY SENSITIVE AND CARING ENVIRONMENT. 0 0 3767072 2876250 PROVIDED PRIMARY HEALTH CARE TO UNDERSERVED REGION OF MONTANA. 3767072 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 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 8 0 50 1 0 0 0 0 0 0 0 0 0 0 X 9 9 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 1 0 X THE ORGANIZATION 4068735670 519 EAST MAIN CUT BANK MT 59427 JUDY VERMULM CHAIR 1.00 X X 0 0 0 NANCY LIGHT VICE CHAIR 1.00 X X 0 0 0 GARY COEN TREASURER 1.00 X X 0 0 0 KATI BELGARDE SECRETARY 0.00 X X 0 0 0 ROGER VERMULM DIRECTOR 1.00 X 0 0 0 JANET ERICKSON DIRECTOR 1.00 X 0 0 0 MONA SHORTMAN DIRECTOR 1.00 X 0 0 0 LISA CLINE DIRECTOR 1.00 X 0 0 0 KATIE MORRISETT DIRECTOR 1.00 X 0 0 0 ANGIE HAAS CEO/CFO 40.00 X 140180 0 18224 ELIZABETH SEGLEM COO 40.00 X 108030 0 23000 MARSHA ATHERTON MEDICAL DIRECTOR 40.00 X 207015 0 10786 DANIELLE KENNEDY DENTAL DIRECTOR 40.00 X 193218 0 14609 DONALD RIRIE DOCTOR 40.00 X 197903 0 40140 MICHELLE BEEBE DOCTOR 40.00 X 130709 0 15338 JEFFREY FULTZ IT 40.00 X 178934 0 22125 JOSEPH SHOLLENBARGER DOCTOR 40.00 X 123815 0 13341 CHRISTOPHER CALERICH DOCTOR 40.00 X 105725 0 29873 1385529 0 187436 9 0 1 0 0 3256880 37952 3294832 NET PATIENT SERVICE RE 621400 2500869 2500869 340B REVENUE 621400 375381 375381 2876250 10877 10877 5838 1906 3932 3932 3932 6185891 2876250 0 14809 692548 543249 149299 2435241 1628355 806886 539161 296539 242622 241012 132557 108455 263735 228294 35441 84109 84109 62055 62055 46410 21002 25408 21548 21548 177261 137339 39922 19824 13396 6428 MEDICAL SUPPLIES 608860 608860 TRAINING 117634 48771 68863 SMALL EQUIPMENT 78612 59444 19168 REPAIRS AND MAINTENANCE 45849 35668 10181 135639 13598 122041 5569498 3767072 1802426 0 127470 95562 3055231 3494952 215511 278760 26074 98579 4357822 1225133 3095608 3132689 6519894 7100542 221550 211499 566733 541039 788283 752538 X 5731611 6348004 5731611 6348004 6519894 7100542 616393 0 X 0 1 X 1 1 1 X 2043932 2795718 3180958 2582348 2886845 13489801 2043932 2795718 3180958 2582348 2886845 13489801 13489801 6050 5251 1046 781 10877 24005 2210411 2706756 2438339 2792578 2876250 13024334 26538140 13024334 0.50830 0.52250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 161521 161521 3392953 794288 2598665 803348 430845 372503 3132689 6187797 0 6187797 -1906 -1906 6185891 5571404 1906 1906 5569498 0 5569498 PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -1,906. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 1,906. X X 0 0 0 0 0 0 0 0 0 DONALD RIRIE DOCTOR 197903 0 0 0 0 0 0 0 40140 0 238043 0 0 0 MARSHA ATHERTON MEDICAL DIRECTOR 207015 0 0 0 0 0 0 0 10786 0 217801 0 0 0 DANIELLE KENNEDY DENTAL DIRECTOR 193218 0 0 0 0 0 0 0 14609 0 207827 0 0 0 JEFFREY FULTZ IT 178934 0 0 0 0 0 0 0 22125 0 201059 0 0 0 ANGIE HAAS CEO/CFO 140180 0 0 0 0 0 0 0 18224 0 158404 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 TWO BOARD MEMBERS ARE RELATED TO EACH OTHER. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF THE 990 IS PROVIDED TO THE BOARD OF DIRECTORS AT A REGULAR BOARD MEETING, PRIOR TO BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE SIGNED ANNUALLY BY ALL EMPLOYEES AND BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 15 THE CEO COMPENSATION IS DETERMINED AND APPROVED BY THE BOARD OF DIRECTORS. THE USE OF CHAMPS SALARY AND WAGE INFORMATION IS UTILIZED IN THE PROCESS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE DURING BUSINESS HOURS UPON REQUEST.