2024-11-06T13:14:59-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2023-01-01 043634356 BOUNDARY REGIONAL HEALTH CENTER INC BOUN 2082678422 301 CEDAR STREET 206 SANDPOINT ID 83864 EMMA KEVERKAMP CFO 2082678422 2024-11-06 1 1 KURT BENNION CPA P01469618 4252506100 2024-11-01 2023 2024-10-15 13:58:12Z KANIKSU COMMUNITY HEALTH KEVIN KNEPPER 301 CEDAR STREET 206 SANDPOINT ID 83864 19031990 0 X WWW.KCHNORTHIDAHO.ORG X 2002 ID TO PROVIDE HIGH QUALITY, COST EFFECTIVE, CULTURALLY SENSITIVE HEALTH CARE SERVICES. 12 12 210 12 0 0 5536771 5454468 12094445 12911514 0 88478 761230 577530 18392446 19031990 4849 55000 0 0 11968619 12907855 540 32392 32392 5550834 6059208 17524842 19054455 867604 -22465 19145223 18288458 12836568 12002268 6308655 6286190 X THE MISSION OF KANIKSU COMMUNITY HEALTH IS TO PROVIDE HIGH QUALITY, COST EFFECTIVE, CULTURALLY SENSITIVE HEALTH CARE SERVICES. 1 0 6548079 55000 5582939 KANIKSU COMMUNITY HEALTH (CENTER) PROVIDED MEDICAL VISITS TO THE CITIZENS OF BOUNDARY AND BONNER COUNTIES. THESE SERVICES WERE PROVIDED TO ALL WHO NEEDED MEDICAL ATTENTION REGARDLESS OF A PERSONS ABILITY TO PAY. THE CENTER UTILIZES A SLIDING FEE SCHEDULE UP TO 200% OF THE FEDERAL POVERTY GUIDELINES. FOR APPLICANTS THAT QUALIFY BASED ON INCOME AND FAMILY SIZE, A PORTION OF OR ALL THEIR CHARGES MAY BE FORGONE FOR A NOMINAL FEE OR A PERCENTAGE OF CHARGES. 2722814 0 2321490 KANIKSU COMMUNITY HEALTH (CENTER) PROVIDED DENTAL VISITS TO THE CITIZENS OF BOUNDARY AND BONNER COUNTIES. THESE SERVICES WERE PROVIDED TO ALL WHO NEEDED DENTAL ATTENTION REGARDLESS OF A PERSONS ABILITY TO PAY. THE CENTER UTILIZES A SLIDING FEE SCHEDULE UP TO 200% OF THE FEDERAL POVERTY GUIDELINES. FOR APPLICANTS THAT QUALIFY BASED ON INCOME AND FAMILY SIZE, A PORTION OF OR ALL THEIR CHARGES MAY BE FORGONE FOR A NOMINAL FEE OR A PERCENTAGE OF CHARGES. 2210961 0 1885081 KANIKSU COMMUNITY HEALTH (CENTER) PROVIDED PEDIATRIC MEDICAL VISITS TO THE CITIZENS OF BOUNDARY AND BONNER COUNTIES. THESE SERVICES WERE PROVIDED TO ALL WHO NEEDED PEDIATRIC CARE REGARDLESS OF A PERSON'S ABILITY TO PAY. THE CENTER UTILIZES A SLIDING FEE SCHEDULE UP TO 200% OF THE FEDERAL POVERTY GUIDELINES. FOR APPLICANTS THAT QUALIFY BASED ON INCOME AND FAMILY SIZE, A PORTION OF OR ALL THEIR CHARGES MAY BE FORGONE FOR A NOMINAL FEE OR A PERCENTAGE OF CHARGES. 1531015 0 1305354 KANIKSU COMMUNITY HEALTH (CENTER) PROVIDED BEHAVIORAL HEALTH SERVICES TO THE CITIZENS OF BOUNDARY AND BONNER COUNTIES. THESE SERVICES WERE PROVIDED TO ALL WHO NEEDED BEHAVIORAL HEALTH ATTENTION REGARDLESS OF A PERSONS ABILITY TO PAY. THE CENTER UTILIZES A SLIDING FEE SCHEDULE UP TO 200% OF THE FEDERAL POVERTY GUIDELINES. FOR APPLICANTS THAT QUALIFY BASED ON INCOME AND FAMILY SIZE, A PORTION OF OR ALL THEIR CHARGES MAY BE FORGONE FOR A NOMINAL FEE OR A PERCENTAGE OF CHARGES. 2130699 0 1816650 KANIKSU COMMUNITY HEALTH (CENTER) OPERATED AN IN-HOUSE PHARMACY THAT WAS AVAILABLE TO ANY PATIENT IN BOUNDARY AND BONNER COUNTIES. THE PHARMACY UTILIZES A SLIDING FEE SCHEDULE UP TO 400% OF THE FEDERAL POVERTY GUIDELINES. FOR APPLICANTS THAT QUALIFY BASED ON INCOME AND FAMILY SIZE, A PORTION OF THEIR CHARGES MAY BE REDUCED TO A NOMINAL DISPENSING FEE PLUS COST OF MEDICATION. 0 0 0 KANIKSU COMMUNITY HEALTH CONTINUED AS A KEY PLAYER IN THE FIGHT AGAINST THE CORONAVIRUS PANDEMIC IN 2023. WE CONTINUED TO WORK WITH LOCAL GOVERNMENT AGENCIES AND COMMUNITY PARTNERS TO PLAN AND IMPLEMENT COMMUNITY WIDE PREVENTION STRATEGIES AND TACTICS. WE WERE ONE OF A FEW ORGANIZATIONS WITHIN OUR AREA TO OFFER COVID-19 VACCINATIONS. WE WORKED WITH COMMUNITY PARTNERS TO IMPLEMENT VACCINE CLINICS FOR OUR COMMUNITY IN THE FIGHT AGAINST COVID. 3661714 0 3122004 15143568 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 19 0 210 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X EMMA KEVERKAMP 2082637101 301 CEDAR STREET 206 SANDPOINT ID 83864 NICOLE RUSSELL MEDICAL DIRECTOR 40.00 X 218388 0 30240 KEVIN KNEPPER CEO 40.00 X 205437 0 30000 NICK MILLER DENTAL DIRECTOR 40.00 X 203771 0 15930 BEN STOCKTON FAMILY PRACTICE PHYSICIAN 40.00 X 198210 0 21268 HAILEY ROSE PEDIATRICIAN 40.00 X 177500 0 17890 ADAM WEAVER DENTIST 36.00 X 169926 0 12547 GEORGE DELAND PEDIATRICIAN 36.00 X 165058 0 10653 DANIEL JEFFRIES DENTIST 40.00 X 151320 0 16139 AMBER VILLELLI COO 40.00 X 149993 0 12058 EMMA KEVERKAMP CFO 40.00 X 104866 0 6292 SHEILA FARMIN-AUMICK CHAIR 2.00 X X 0 0 0 JOY JANSEN PHD VICE CHAIR 2.00 X X 0 0 0 ASHLEY WENDLAND SECRETARY 2.00 X X 0 0 0 MATTHEW WILLIAMS TREASURER 2.00 X X 0 0 0 JOE ENGLISH DIRECTOR 2.00 X 0 0 0 DEBORAH KERR DIRECTOR 2.00 X 0 0 0 JOSH LEONARD DIRECTOR 2.00 X 0 0 0 KATE MCALLISTER DIRECTOR 2.00 X 0 0 0 MARY READER DIRECTOR 2.00 X 0 0 0 PEGGY SHERBON DIRECTOR 2.00 X 0 0 0 KARI SNYDER DIRECTOR 2.00 X 0 0 0 RON STULTZ DIRECTOR 2.00 X 0 0 0 1744469 0 173017 27 0 1 0 NORTH IDAHO FAMILY PHYSICIANS 8836 N HESS STREET STE B HAYDEN ID 83835 BILLING SERVICES 750829 RAISE THE BAR CONSTRUCTION 41 AMOTH ROAD BONNERS FERRY ID 83805 CONSTRUCTION 210556 KOOTENAI HEATLH 2003 KOOTENAI HEATH WAY COEUR DALENE ID 83814 SOFTWARE SUPPORT 177098 VILLELLI INVESTMENTS INC PO BOX 1785 SANDPOINT ID 83864 PROPERTY MANAGEMENT SERVICES 101941 4 5399441 55027 496091 5454468 PATIENT REVENUE, NET 621110 9873635 9873635 340B PHARMACY REVENUE 621110 3037879 3037879 12911514 88478 88478 MISCELLANEOUS REVENUE 561499 577530 577530 577530 19031990 12911514 0 666008 55000 55000 979975 424196 555779 8632193 7159929 1472264 192955 185992 6963 2288413 1798966 489447 814319 640751 173568 204698 160927 43771 -826 -826 32392 32392 1130630 419530 711100 129929 87767 42162 135924 82728 53196 225121 176983 48138 507039 373426 133613 33627 22202 11425 44549 29413 15136 264266 264266 579119 579119 68302 43992 24310 MEDICAL SUPPLIES 2215174 2215174 BAD DEBT 150950 150950 DUES & SUBSCRIPTIONS 127396 100155 27241 EQUIP. MAINT. & REPAIRS 94334 84695 9639 148976 87407 61569 19054455 15143568 3878495 32392 3583796 3506969 824302 471661 1587647 1287888 15960 43818 174778 238994 15112743 2836294 12352601 12276449 606139 462679 19145223 18288458 1689495 1274004 3211 10533162 10259799 610700 468465 12836568 12002268 X 6308655 6286190 6308655 6286190 19145223 18288458 -22465 0 X 0 1 X 1 1 1 X 3969709 7476731 6046045 5536771 5454468 28483724 3969709 7476731 6046045 5536771 5454468 28483724 28483724 88478 88478 297098 352639 457449 761230 577530 2445946 31018148 57659256 0.91830 0.92300 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1027334 1027334 10321119 413347 9907772 1086477 1086477 2021950 2422947 -400997 655863 655863 12276449 RIGHT-OF-USE LEASE LIABILITIES 468465 468465 X 18881040 0 18881040 150950 150950 19031990 18903505 0 18903505 150950 150950 19054455 PART X, LINE 2: THE CENTER 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. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS SHOWN IN THE FINANCIAL STATEMENTS. MANAGEMENT EVALUATED THE CENTER'S TAX POSITIONS AND CONCLUDED THAT THE CENTER 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 (ASC). PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 150,950. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 150,950. X 1 HEALTH CENTER SOLUTIONS 2804 IOWA DRIVE BELLINGHAM WA 98229 GRANT WRITING 0 4000000 32392 3967608 4000000 32392 3967608 ID 1 AMBROSIANI PASTORE FOUNDATION 1075 W ODEN BAY ROAD SANDPOINT ID 83864 820510166 501(C)(3) 25000 0 PURCHASE OF A POINT-OF-CARE ULTRASOUND UNIT HULBERT FAMILY TRUST 1084 GLENGARY ROAD SAGLE ID 83860 TRUST 25000 0 PURCHASE OF A POINT-OF-CARE ULTRASOUND UNIT 1 1 PART I, LINE 2: CONTRIBUTIONS ARE MADE TO LOCAL CHARITIES AND GOVERNMENT AGENCIES. CONTRIBUTIONS ARE MADE TO OTHER ORGANIZATIONS WHOSE MISSION AND ACTIVITIES ARE CONSISTENT WITH OUR MISSION. ASIDE FROM CONFIRMING CHARITABLE OR GOVERNMENTAL STATUS OF THE RECIPIENT, WE DO NOT MONITOR HOW THE FUNDS ARE USED. X X 0 0 X X X 0 0 0 0 0 0 0 0 0 NICOLE RUSSELL MEDICAL DIRECTOR 218388 0 0 0 0 0 22500 0 7740 0 248628 0 0 0 KEVIN KNEPPER CEO 205437 0 0 0 0 0 30000 0 0 0 235437 0 0 0 NICK MILLER DENTAL DIRECTOR 203771 0 0 0 0 0 8790 0 7140 0 219701 0 0 0 BEN STOCKTON FAMILY PRACTICE PHYSICIAN 198210 0 0 0 0 0 13518 0 7750 0 219478 0 0 0 HAILEY ROSE PEDIATRICIAN 177500 0 0 0 0 0 10140 0 7750 0 195390 0 0 0 ADAM WEAVER DENTIST 169926 0 0 0 0 0 12547 0 0 0 182473 0 0 0 GEORGE DELAND PEDIATRICIAN 165058 0 0 0 0 0 10653 0 0 0 175711 0 0 0 DANIEL JEFFRIES DENTIST 151320 0 0 0 0 0 8389 0 7750 0 167459 0 0 0 AMBER VILLELLI COO 149993 0 0 0 0 0 12058 0 0 0 162051 0 0 0 PART I, LINE 1A THE ORGANIZATION RENTS A CONDOMINIUM FROM GEORGE DELAND FOR A PEDIATRIC RESIDENT TO STAY AT. THE MONTHLY RENT PAYMENTS OF $1,150 ARE BELOW FAIR MARKET VALUE. THE ORGANIZATION OFFERS TO PAY $10 PER MONTH FOR ANY EMPLOYEE WITH A GYM MEMBERSHIP. VILLELLI INVESTMENTS INC VILLELLI INVESTMENTS IS OWNED BY THE COO'S SPOUSE AND IN-LAWS 101941 PROPERTY MANAGEMENT SERVICES 0 X 4849 496901 INVOICE PRICE 0 0 0 0 PART I, COLUMN (B): AMOUNTS REPORTED IN PART I, COLUMN B REPRESENT THE NUMBER OF DONATED ITEMS RECEIVED DURING THE YEAR. FORM 990, PART III, LINE 2 IN SEPTEMBER 2023 KANIKSU COMMUNITY HEALTH WAS AWARDED A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER (CCBHC) GRANT THROUGH THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA). THE CCBHC WILL PROVIDE COMPREHENSIVE, COORDINATED MENTAL HEALTH AND SUBSTANCE SERVICES APPROPRIATE FOR INDIVIDUALS ACROSS THE LIFE SPAN OF THIS GRANT. THE PURPOSE OF THIS GRANT IS TO INCREASE ACCESS TO THE HIGH-QUALITY COMMUNITY MENTAL HEALTH AND SUBSTANCE USE CARE, INCLUDING CRISIS CARE KANIKSU OFFERS. THE CCBHC WILL OFFER INTEGRATED PERSONAL AND FAMILY CENTERED SERVICES, DRIVEN BY THE NEEDS AND PREFERENCES OF THE INDIVIDUAL RECEIVING SERVICES ALONG WITH THEIR FAMILY. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE IS CHAIRED BY THE BOARD CHAIR AND IS RESPONSIBLE FOR MAKING RECOMMENDATIONS ON PROGRAMMATIC AND POLICY ISSUES AT TIMES WHEN THE BOARD IS UNABLE TO MEET. ALL SUCH DECISIONS MUST BE RATIFIED BY THE FULL BOARD AT ITS NEXT MEETING. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE CFO AND CEO, THEN PRESENTED TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE COMPLETED AND REVIEWED ANNUALLY FOR THE BOARD OF DIRECTORS AND KEY EMPLOYEEES. EACH INDIVIDUAL IS REQUIRED TO DISCLOSE ANY PERSONAL INTEREST WHICH THEY MAY HAVE IN ANY MATTER PENDING BEFORE THE ORGANIZATION AND REFRAINS FROM PARTICIPATION IN ANY DECISION ON SUCH MATTER. SUCH REFRAINING MAY TAKE THE FORM OF SIMPLE DISCLOSURE, LEAVING THE ROOM DURING DISCUSSION, NOT PARTICIPATING IN THE DISCUSSION, OR RECUSING ONESELF FROM THE ISSUE ALTOGETHER. FORM 990, PART VI, SECTION B, LINE 15 THE KANIKSU COMMUNITY HEALTH COMPENSATION MODEL - AS APPROVED BY THE BOARD OF DIRECTORS (BOD) - IS A COMPENSATION SCHEDULE BASED ON THE MOST RECENT NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER (NACHC) REGION 10 (WASHINGTON, OREGON, IDAHO) COMPENSATION SURVEY BASED ON SIZE OF THE ORGANIZATION - ANNUAL REVENUES, SCOPE OF RESPONSIBILITY, YEARS OF EXPERIENCE AND EDUCATIONAL DEGREES, CERTIFICATIONS, ETC. ALL JOB CATEGORIES (INCLUDING CEO, OTHER OFFICERS AND KEY EMPLOYEES, ALL CLINICAL PROVIDERS AND ALL STAFF) HAVE AN ASSOCIATED COMPENSATION MODEL - THIS APPROACH HAS BEEN APPROVED BY THE BOD. THIS IS USED FOR ALL NEW HIRES AND IS EVALUATED ANNUALLY TO BE SURE THAT THERE IS INTERNAL EQUITY AMONG EMPLOYEES, ETC. THIS COMPENSATION MODEL IS ADJUSTED ANNUALLY BASED ON THE MOST RECENT NACHC DATA - RANGES OF SALARY ARE REVIEWED. IT IS THE GOAL OF KCH TO BE IN THE MEDIAN RANGE OF THE COMPENSATION MODEL - THIS APPROACH HAS BEEN APPROVED BY THE BOD. ANY ADJUSTMENTS MADE TO CURRENT EMPLOYEES ARE BASED ON AVAILABILITY OF BUDGET AS APPROVED BY THE BOD AND ARE DETERMINED BY "RANGE MOVEMENT" FOR STAFF POSITIONS AND FOR MAINTAINING COMPETITIVE RECRUITMENT AND RETENTION FOR PROVIDERS AS COMPARED TO THE OTHER COMMUNITY HEALTH CENTERS IN IDAHO AND IN REGION 10. DECISIONS ARE MADE BY THOSE WITHOUT CONFLICT AND THE DECISIONS ARE DOCUMENTED. THIS PROCESS WAS LAST COMPLETED IN 2022. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THE CONFLICT OF INTEREST POLICY OR GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE ON THE FEDERAL AUDIT CLEARINGHOUSE WEBSITE.