2023-11-03T11:11:28-05:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2022-01-01 943036820 DIRNE HEALTH CENTERS INC DIRN 2082920292 1090 WEST PARK PLACE COEUR DALENE ID 83814 MICHAEL BAKER CHIEF EXECUTIVE OFFICER 2082920292 2023-10-31 1 MICHAEL BAKER 999009999 0 KURT BENNION CPA P01469618 4252506100 2023-10-31 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z HERITAGE HEALTH PAM THOMPSON 1090 WEST PARK PLACE COEUR DALENE ID 83814 40414764 0 X WWW.MYHERITAGEHEALTH.ORG X 1986 ID PROVIDE QUALITY HEALTH CARE TO LOW-INCOME AND UNINSURED INDIVIDUALS REGARDLESS OF ABILITY TO PAY. 14 14 410 35 14042 12199 14923032 10188579 27044464 24608080 44572 6310 5390051 4216002 47402119 39018971 0 0 0 0 23448931 26139134 0 0 457317 13675047 12641911 37123978 38781045 10278141 237926 28010711 29254295 7410819 8416477 20599892 20837818 PROVIDE QUALITY HEALTH CARE TO LOW-INCOME AND UNINSURED INDIVIDUALS REGARDLESS OF ABILITY TO PAY. 0 0 26537127 0 28451838 TO PROVIDE CARE TO ALL, REGARDLESS OF ABILITY TO PAY, AND TO SPECIALIZE IN PROVIDING CARE FOR THE MEDICALLY UNDERSERVED, LOW INCOME, AND OTHER DISADVANTAGED POPULATIONS IN KOOTENAI AND SHOSHONE COUNTIES. THE CLINIC PROVIDES COMPREHENSIVE AND COORDINATED SERVICES, INCLUDING PRIMARY MEDICAL CARE, DENTAL CARE, AND MENTAL HEALTH COUNSELING. THE CLINIC STRIVES TO IMPROVE THE OVERALL HEALTH OF THE GENERAL POPULATION THROUGH HEALTH EDUCATION AND PROMOTION ACTIVITIES. THE CLINIC'S PHILOSOPHY IS TO PROVIDE ACCESSIBLE, AFFORDABLE, COMPASSIONATE, QUALITY HEALTH CARE SERVICES FOR THE COMMUNITY. 26537127 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 9 0 410 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 ID X MICHAEL BAKER 2082920256 7830 N MEADOWLARK WAY COEUR DALENE ID 83815 ANTHONY REHIL-CREST CMO 40.00 X 320385 0 30826 MICHAEL BAKER CEO 40.00 X 301574 0 29305 HOLLI HANSEN CLINIC MEDICAL DIRECTOR 32.00 X 297258 0 5222 DANIEL HENBEST CLINIC MEDICAL DIRECTOR 40.00 X 266390 0 26204 GRAHAM RACHAL CLINIC MEDICAL DIRECTOR 40.00 X 257131 0 26117 TIFFANY KUGLER NURSE PRACTITIONER 32.00 X 267796 0 3788 MARK SMYLY PHYSICIAN ASSISTANT 40.00 X 237330 0 10725 MARK HAMPE CFO 40.00 X 218685 0 26628 DAVID ATKINS CBHO 40.00 X 221449 0 20427 EDWARD LARSEN COO & CIO 40.00 X 193811 0 27749 JADE EAST CAO 40.00 X 100173 0 11951 PAM THOMPSON PRESIDENT 2.00 X X 0 0 0 CHRISTOPHER WAY VICE PRESIDENT 2.00 X X 0 0 0 ELIZABETH MONTGOMERY SECRETARY 2.00 X X 0 0 0 GEORGE ROHLINGER TREASURER 2.00 X X 0 0 0 PAUL AMADOR DIRECTOR 2.00 X 0 0 0 DONNA AUSTIN DIRECTOR 2.00 X 0 0 0 RON BEECHER DIRECTOR 2.00 X 0 0 0 ANN DARE DIRECTOR 2.00 X 0 0 0 DR JANA HULL DIRECTOR 2.00 X 0 0 0 LINDA JOHANN DIRECTOR 2.00 X 0 0 0 CARL MCMINIMY DIRECTOR 2.00 X 0 0 0 MICHAEL SCHMIDT DIRECTOR 2.00 X 0 0 0 CHERI ZAO DIRECTOR 2.00 X 0 0 0 2681982 0 218942 43 0 1 0 ATHENA HEALTH PO BOX 415615 BOSTON MA 02241 BILLING SERVICES 1197836 SMITH & MALEK 601 E FRONT AVENUE COEUR DALENE ID 83814 LEGAL SERVICES 462984 FAMILY SUPPORT SERVICES 2201 IRONWOOD PLACE COEUR DALENE ID 83814 PROGRAM MANAGEMENT 431632 TIMEDOC HEALTH 815 W WEED STREET CHICAGO IL 60642 CHRONIC CARE MANAGEMENT 303350 PHREESIA INC 434 FAYETTEVILLE STREET SUITE 1400 RALEIGH NC 27601 POPULATION HEALTH MANAGEMENT 278146 9 9741918 446661 3044438 10188579 PATIENT REVENUE 624100 24539261 24539261 OTHER MEDICAL REVENUE 624100 68819 68819 24608080 6310 6310 414802 400760 14042 14042 14042 4838791 995033 3843758 3843758 MISCELLANEOUS INCOME 900099 358202 358202 358202 39018971 28451838 14042 364512 1502965 148273 1354692 20283205 14661888 5346067 275250 247805 174609 71718 1478 2527761 1701744 811733 14284 1577398 1044867 511606 20925 462984 462984 115242 115242 3634903 2679040 950997 4866 88965 18832 62434 7699 763914 461040 238950 63924 1535683 1179799 338461 17423 248022 114273 133455 294 44768 9476 31418 3874 195217 15077 180006 134 752317 487954 242218 22145 83555 18993 64562 UBI TAXES 3405 3405 MEDICAL SUPPLIES 3418403 3418403 CONTINUING EDUCATION 711675 118988 590646 2041 EQUIPMENT 251393 147664 97707 6022 331465 136207 178300 16958 38781045 26537127 11786601 457317 17232411 16195179 32983 39983 3689760 3073618 398826 863699 151489 365362 8150786 2445560 4742146 5705226 1763096 1563835 0 1447393 28010711 29254295 2682461 2969700 459687 409687 4960 4960 3487352 3155704 776359 420640 0 1455786 7410819 8416477 X 20599892 20717818 120000 20599892 20837818 28010711 29254295 237926 0 X 0 1 X 1 1 1 X 6830694 9516157 9729012 14923032 10188579 51187474 6830694 9516157 9729012 14923032 10188579 51187474 51187474 553 1464 1098 44572 6310 53997 38392 14042 52434 470823 604814 412544 980882 358202 2827265 54121170 144242259 0.94580 0.93900 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME SPECIAL FUNDRAISING EVENTS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1051198 1051198 2855605 103714 2751891 1614192 1011283 602909 2629791 1330563 1299228 5705226 RIGHT-OF-USE LEASE LIABILITIES 1455786 1455786 X 39577469 75307 1395793 1471100 38106369 912602 912602 39018971 40247303 75307 1395793 1471100 38776203 4842 4842 38781045 PART IV, LINE 2B: THE ORGANIZATION HOLDS TENANT SECURITY DEPOSITS FOR RENTAL SPACES. THE DEPOSIT, LESS REPAIRS FOR DAMAGES, WILL BE RETURNED TO THE TENANT WHEN THE LEASE IS TERMINATED. PART X, LINE 2: THE CLINIC HAS RECEIVED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE THAT STATES IT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS SHOWN IN THE FINANCIAL STATEMENTS. MANAGEMENT EVALUATED THE CLINIC'S TAX POSITIONS AND CONCLUDED THAT THE CLINIC HAD TAKEN NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 400,760. COST OF GOODS SOLD 995,033. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 4,842. GRANTS AND CONTRIBUTIONS FOR ACQUISITION OF PROPERTY AND EQUIPMENT 787,760. GRANTS AND CONTRIBUTIONS WITH DONOR RESTRICTIONS 120,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 400,760. COST OF GOODS SOLD 995,033. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 4,842. X 1 1 X X X X 0 0 0 1 0 0 0 0 0 ANTHONY REHIL-CREST CMO 307946 0 12439 0 0 0 5761 0 25065 0 351211 0 0 0 MICHAEL BAKER CEO 283916 0 17658 0 0 0 5577 0 23728 0 330879 0 0 0 HOLLI HANSEN CLINIC MEDICAL DIRECTOR 253080 0 44178 0 0 0 5222 0 0 0 302480 0 0 0 DANIEL HENBEST CLINIC MEDICAL DIRECTOR 252674 0 13716 0 0 0 5522 0 20682 0 292594 0 0 0 GRAHAM RACHAL CLINIC MEDICAL DIRECTOR 249946 0 7185 0 0 0 3669 0 22448 0 283248 0 0 0 TIFFANY KUGLER NURSE PRACTITIONER 227950 0 39846 0 0 0 3788 0 0 0 271584 0 0 0 MARK SMYLY PHYSICIAN ASSISTANT 232448 0 4882 0 0 0 2777 0 7948 0 248055 0 0 0 MARK HAMPE CFO 216027 0 2658 0 0 0 4482 0 22146 0 245313 0 0 0 DAVID ATKINS CBHO 212389 0 9060 0 0 0 4289 0 16138 0 241876 0 0 0 EDWARD LARSEN COO & CIO 191737 0 2074 0 0 0 4021 0 23728 0 221560 0 0 0 PART I, LINE 1A THE ORGANIZATION PROVIDES ALL EMPLOYEES WITH A DISCOUNT AT TWO LOCAL HEALTH CLUBS. DURING 2022, A PORTION OF MIKE BAKER'S PAID TIME OFF (PTO) WAS CASHED IN TO PAY FOR HIS GOLF CLUB MEMBERSHIP. THIS WAS INCLUDED IN HIS TAXABLE COMPENSATION. PART I, LINE 5 SOME PHYSICIANS ARE COMPENSATED BASED ON INDIVIDUALS SERVED AND AMOUNTS COLLECTED. X 12 3044438 COST 0 0 1 0 FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE COMPRISED OF THE OFFICERS OF THE BOARD AND THE CHAIRS OF EACH COMMITTEE OF THE BOARD. THE EXECUTIVE COMMITTEE HAS THE POWERS OF THE BOARD WHEN THE BOARD IS NOT IN SESSION. THE EXECUTIVE COMMITTEE IS EMPOWERED TO ACT FOR THE FULL BOARD IN MATTERS THAT REQUIRE IMMEDIATE ACTION OR DO NOT INVOLVE MAJOR QUESTIONS OF POLICY OR FUNDING. IT IS ALSO THE COORDINATING COMMITTEE THAT ORGANIZES THE BOARD'S WORK AND THE ACTIVITIES OF THE OTHER COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE CEO, THEN IT WAS PRESENTED TO THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C ALL POTENTIAL DIRECTOR CONFLICTS OF INTEREST ARE DISCLOSED TO THE BOARD. WHEN ANY SUCH INTEREST BECOMES A MATTER OF BOARD ACTION, THE DIRECTOR DOES NOT VOTE OR USE PERSONAL INFLUENCE ON THE MATTER AND ISN'T COUNTED IN DETERMINING WHETHER A QUORUM EXISTS. THE DIRECTOR MAY, HOWEVER, BRIEFLY STATE A POSITION ON THE MATTER AND ANSWER PERTINENT QUESTIONS. FOR EMPLOYEES, THE CEO OR THEIR DESIGNEE(S) REVIEWS ALL REPORTS OF CONFLICTS OF INTEREST AND CONDUCTS WHATEVER INVESTIGATION AND/OR TAKES WHATEVER ACTION HE OR SHE, IN THEIR JUDGEMENT, DETERMINES TO BE APPROPRIATE UNDER THE CIRCUMSTANCES. FORM 990, PART VI, SECTION B, LINE 15A THE CEO'S COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. SEVERAL MARKET RATE STUDIES ARE REVIEWED INCLUDING NWRPCA AND NACHC DATA. THIS INFORMATION IS GIVEN TO THE BOARD EXECUTIVE COMMITTEE TO DECIDE ANNUAL COMPENSATION FOR THE UPCOMING YEAR ALONG WITH MERIT CONSIDERATIONS. THE CEO'S COMPENSATION WAS LAST REVIEWED BY THE EXECUTIVE COMMITTEE IN 2022, ALTHOUGH AN ANALYSIS INCLUDING MARKET STUDIES WAS LAST COMPLETED IN 2016. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.