Civic Intelligence

People'S Health Center

EIN 41-2056863 • 501(c)3 • Lincoln, NE

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Profile

The people's health center provides affordable, comprehensive, accessible, culturally appropriate, cost effective primary health care. The center will serve people of the lincoln, nebraska area, especially those individuals/families with limited resources or with other barriers to health care to improve their overall health.

1248 O Street 400Lincoln, NE 68508

www.phclincoln.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

68th percentile

0.42x

Higher debt load relative to assets than 68% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

66th percentile

0.50x

Higher debt load relative to revenue than 66% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

25th percentile

-3.7%

Higher net margin than 25% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

74th percentile

$391,238

Higher top officer pay than 74% of similar nonprofits.

Top officer pay equals 1.6% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

13th percentile

-6.2%

Faster asset growth than 13% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

13th percentile

-16%

Faster revenue growth than 13% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets68th percentile

Assets

Down

$28,739,702

Down $1,883,896 (-6.2%) from 2023

Liabilities

Down

$12,206,284

Down $988,019 (-7.5%) from 2023

Net Assets

Down

$16,533,418

Down $895,877 (-5.1%) from 2023

Operations
Liabilities / Revenue66th percentileNet Margin25th percentile

Revenue

Down

$24,250,455

Down $4,489,532 (-16%) from 2023

Expenses

Up

$25,146,332

Up $2,033,785 (+8.8%) from 2023

Net Income

Down

-$895,877

Down $6,523,317 (-116%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth13th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$40M$30M$20M$10M$0Assets 2010: $2,494,132Liabilities 2010: $483,240Net Assets 2010: $2,010,8922010Assets 2011: $2,900,909Liabilities 2011: $473,782Net Assets 2011: $2,427,1272011Assets 2012: $3,283,271Liabilities 2012: $383,797Net Assets 2012: $2,899,4742012Assets 2013: $3,748,958Liabilities 2013: $362,026Net Assets 2013: $3,386,9322013Assets 2014: $3,851,223Liabilities 2014: $403,056Net Assets 2014: $3,448,1672014Assets 2015: $4,018,226Liabilities 2015: $456,502Net Assets 2015: $3,561,7242015Assets 2016: $4,162,986Liabilities 2016: $554,800Net Assets 2016: $3,608,1862016Assets 2017: $5,031,890Liabilities 2017: $864,471Net Assets 2017: $4,167,4192017Assets 2018: $5,258,287Liabilities 2018: $808,136Net Assets 2018: $4,450,1512018Assets 2019: $5,979,739Liabilities 2019: $1,255,876Net Assets 2019: $4,723,8632019Assets 2020: $9,768,873Liabilities 2020: $3,563,273Net Assets 2020: $6,205,6002020Assets 2021: $12,281,950Liabilities 2021: $2,448,152Net Assets 2021: $9,833,7982021Assets 2022: $21,288,790Liabilities 2022: $9,486,935Net Assets 2022: $11,801,8552022Assets 2023: $30,623,598Liabilities 2023: $13,194,303Net Assets 2023: $17,429,2952023Assets 2024: $28,739,702Liabilities 2024: $12,206,284Net Assets 2024: $16,533,4182024

Highlighted filing

2024

Assets$28,739,702
Liabilities$12,206,284
Net Assets$16,533,418
Open 2024 Filing

Operations Trend

Revenue Growth13th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30M$20M$10M$0-$10MExpenses 2010: $5,515,8032010Revenue 2011: $5,215,211Expenses 2011: $4,798,976Net Income 2011: $416,2352011Revenue 2012: $5,717,629Expenses 2012: $5,245,282Net Income 2012: $472,3472012Revenue 2013: $5,634,399Expenses 2013: $5,146,941Net Income 2013: $487,4582013Revenue 2014: $5,825,508Expenses 2014: $5,764,273Net Income 2014: $61,2352014Revenue 2015: $6,848,112Expenses 2015: $6,734,555Net Income 2015: $113,5572015Revenue 2016: $7,474,460Expenses 2016: $7,427,998Net Income 2016: $46,4622016Revenue 2017: $10,304,527Expenses 2017: $9,745,294Net Income 2017: $559,2332017Revenue 2018: $11,027,473Expenses 2018: $10,744,741Net Income 2018: $282,7322018Revenue 2019: $14,192,659Expenses 2019: $13,918,947Net Income 2019: $273,7122019Revenue 2020: $18,625,664Expenses 2020: $17,143,927Net Income 2020: $1,481,7372020Revenue 2021: $22,863,216Expenses 2021: $19,235,018Net Income 2021: $3,628,1982021Revenue 2022: $23,709,333Expenses 2022: $21,741,276Net Income 2022: $1,968,0572022Revenue 2023: $28,739,987Expenses 2023: $23,112,547Net Income 2023: $5,627,4402023Revenue 2024: $24,250,455Expenses 2024: $25,146,332Net Income 2024: -$895,8772024

Highlighted filing

2024

Revenue$24,250,455
Expenses$25,146,332
Net Income-$895,877
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$28,739,702
Liabilities
$12,206,284
Net assets
$16,533,418
Revenue
$24,250,455
Expenses
$25,146,332
Net income
-$895,877
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$28.7$12.2$16.5$24.3$25.1$0.90
2023Detailed filing. Detailed filing data is available for this year.$30.6$13.2$17.4$28.7$23.1$5.63
2022Detailed filing. Detailed filing data is available for this year.$21.3$9.49$11.8$23.7$21.7$1.97
2021Detailed filing. Detailed filing data is available for this year.$12.3$2.45$9.83$22.9$19.2$3.63
2020Detailed filing. Detailed filing data is available for this year.$9.77$3.56$6.21$18.6$17.1$1.48
2019Detailed filing. Detailed filing data is available for this year.$5.98$1.26$4.72$14.2$13.9$0.27
2018Detailed filing. Detailed filing data is available for this year.$5.26$0.81$4.45$11.0$10.7$0.28
2017Detailed filing. Detailed filing data is available for this year.$5.03$0.86$4.17$10.3$9.75$0.56
2016Detailed filing. Detailed filing data is available for this year.$4.16$0.55$3.61$7.47$7.43$0.05
2015Detailed filing. Detailed filing data is available for this year.$4.02$0.46$3.56$6.85$6.73$0.11
2014Detailed filing. Detailed filing data is available for this year.$3.85$0.40$3.45$5.83$5.76$0.06
2013Detailed filing. Detailed filing data is available for this year.$3.75$0.36$3.39$5.63$5.15$0.49
2012Summary only. Only limited summary data is available for this year.$3.28$0.38$2.90$5.72$5.25$0.47
2011Summary only. Only limited summary data is available for this year.$2.90$0.47$2.43$5.22$4.80$0.42
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.49$0.48$2.01$5.52
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 28, 2025
Return Version
2024v5.2
Gross Receipts
$24,409,004
Mission and Program Overview

Mission

To be a trusted resource for excellent medical, dental and behavioral health services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$12,716,141$6,194,413▼ $6,521,728
Land, Buildings, and Equipment, Net$3,621,011$3,447,666▼ $173,345
Accounts Receivable$2,202,524$2,001,777▼ $200,747
Inventories for Sale or Use$818,007$667,164▼ $150,843
Prepaid Expenses and Deferred Charges$341,518$309,029▼ $32,489
Intangible Assets$166,809$139,017▼ $27,792
Other Notes and Loans Receivable, Net$80,000$80,000→ $0
Pledges and Grants Receivable$9,688$32,076▲ $22,388
Cash and Non-Interest-Bearing Accounts$4,600$4,600→ $0
Total Assets$30,623,598$28,739,702▼ $1,883,896
Other Assets Total$10,663,300$15,863,960▲ $5,200,660
Liabilities
Other Liabilities$10,802,457$9,677,968▼ $1,124,489
Accounts Payable and Accrued Expenses$2,391,846$2,448,313▲ $56,467
Deferred Revenue-$80,003-
Total Liabilities$13,194,303$12,206,284▼ $988,019
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$17,429,295$16,533,418▼ $895,877
Total Net Assets Fund Balance$17,429,295$16,533,418▼ $895,877
Total Liabilities and Net Assets / Fund Balance$30,623,598$28,739,702▼ $1,883,896

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,848,860$1,505,791$3,354,651
Leasehold Improvements$1,531,530$1,456,481$2,988,011
Other Land Buildings$67,276-$67,276
Other Assets Org$6,500,000--
Compensation and Service Providers
Top Officer Pay74th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr Michael IsraelCMOFT$221,149$170,089$391,238
Dr Heather KleemanPhysicianFT$220,616$113,371$333,987
Dr Andrew ShahanDeputy Medical DirectorFT$219,902$96,413$316,315
Dr Charles KreshelPhysicianFT$211,475$70,289$281,764
Dr Horacio Alvarez RamirezPhysicianFT$209,068$55,055$264,123
Dr Adam RasmussenPhysicianFT$191,968$55,711$247,679
Brad MeyerCEOFT$219,602$20,257$239,859
Jacque FanningCFOFT$147,627$69,063$216,690
Shane LudwigCOOFT$158,177$25,946$184,123

Board Members and Trustees

NameTitle
Tyler StrongDirector & Vice Chair
Andrew SchillVice Chair & Chair
Bob BleicherDirector
Derek BlumenstockDirector
Doyle KarstDirector
Jack Kramer PhdDirector
Kerry KemenDirector
Michelle RobertsDirector
Nasir Ahmad FarahmandDirector
Romeo GuerraDirector
Tammy Fikar-burtonDirector
Than Htut WinDirector
Lecia Ann VitoshDirector (through January 2024)
Lucy FlorezSecretary
Kevin BagleyTreasurer
Beth WhitakerTreasurer (through August 2024)

Highest Paid Contractors

ContractorServicesLocationCompensation
Rph Innovations LLC340(b) Program Management Services1900 GLADES ROAD SUITE 350, Boca Raton, FL 33431$448,829
Cyracom International INCInterpretation Services2650 E ELVIRA ROAD SUITE 132, Tucson, AZ 85756$182,567
Engooden HealthChronic Care Services320 CONGRESS STREET THIRD FLOOR, Boston, MA 02210$164,480
Cleaning Stars LLCCleaning Services7613 RUTLEDGE AVENUE, Lincoln, NE 68504$156,985
Eleanor Creative LLCMarketing Services701 P STREET, Lincoln, NE 68508$139,000
Revenue and Support

Revenue Composition

Contributions and Grants
$2,892,358
Program Service Revenue
$21,047,873
Investment Income
$283,458
Other Revenue
$26,766
All Other Contributions
$8,119
Change in Net Assets
$-895,877

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies11,116$840,818Invoice Price
Total Noncash Contributions11,116$840,818-

Audited Revenue Reconciliation

Revenue per Audited Statements
$23,557,804
Revenue Not Reported on Financial Statements
$692,651
Revenue Not Reported on Form 990
$301,024
Other Revenue Adjustments
$692,651
Total Revenue per Audited Statements
$23,858,828
Total Revenue per Form 990
$24,250,455
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$14,852,678
Other Expenses$10,276,418
Grants and Similar Amounts Paid$17,236
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$8,196,732$2,950,579-$11,147,311
Fees for Services Other$893,287$2,127,703-$3,020,990
Other Employee Benefits$493,786$1,047,949-$1,541,735
Occupancy$1,272,157$93,709-$1,365,866
Current Officers, Directors, Trustees, and Key Employees-$1,031,910-$1,031,910
Payroll Taxes$247,902$593,720-$841,622
Depreciation Depletion$251,096$309,872-$560,968
All Other Expenses$400,333$29,489-$429,822
Office Expenses$364,231$26,830-$391,061
Pension Plan Contributions$95,576$194,524-$290,100
Other Expenses$250,644$17,784-$250,644
Advertising$170,868$12,586-$183,454
Fees for Services Accounting-$158,001-$158,001
Insurance$107,805$7,941-$115,746
Fees for Services Legal-$21,392-$21,392
Grants to Domestic Orgs$17,236--$17,236
Travel$4,544$335-$4,879
Total Functional Expenses$15,792,428$9,353,904$0$25,146,332

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$25,146,332
Total Expenses per Audited Statements$25,038,163
Expenses per Audited Statements$24,895,688
Expenses Not Reported on Financial Statements$250,644
Other Expense Adjustments$250,644
Expenses Not Reported on Form 990$142,475
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Spouse of Shane Ludwig, COOEmployee CompensationNo$50,120
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liability$9,677,968
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1A

“The board of directors has an executive committee consisting of the officers of the board. The executive committee has all of the powers of the board when the board is not in session and may generally perform such duties and exercise such powers as are delegated by the board. Such actions are reported to the board at the next regularly scheduled board meeting. The executive committee also annually evaluates the performance of the ceo and reports to the full board the results of that performance evaluation.”

Form 990, Part VI, Section B, Line 11B

“Prior to filing, the form 990 was reviewed by the cfo, the finance committee and the board of directors.”

Form 990, Part VI, Section B, Line 12C

“The conflict of interest policy is reviewed annually by responsible persons and each responsible individual must annually complete a disclosure form identifying any possible conflicts of interest. The conflict of interest statements are reviewed and updated at the annual meeting each year. A responsible person who has a conflict of interest with respect to a transaction may not vote on the transaction and may not be present in the room when a vote is taken.”

Form 990, Part VI, Section B, Line 15

“The board of directors of bluestem health sets the compensation for the ceo and other executives. The board regularly utilizes a compensation consultant or national salary surveys to obtain comparability data for each position. Decisions for compensation are based on a person's experience, skills and education level. The salaries are approved by a majority vote of the board of directors. The process described here was last completed in 2024.”

Form 990, Part VI, Section C, Line 19

“Bluestem health makes its governing documents, conflict of interest policy and financial statements avaialble to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Bluestem Health
EIN
41-2056863
Phone
4024761455
Address
1248 O STREET 400, LINCOLN, NE 68508

Signing Officer

Name
Brad Meyer
Title
CEO
Phone
4024761455
Signed
2025-10-28
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Brad Meyer
Formed
2002
Legal Domicile
Ne
Voting Board Members
14
Independent Board Members
14
Employees
239
Volunteers
16

Preparer

Firm
Cliftonlarsonallen Llp
Address
10700 NORTHUP WAY SUITE 200, BELLEVUE, WA 98004
Preparer
Kurt Bennion CPA
Phone
4252506100
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Other professional fees: program service expenses 893,287. Management and general expenses 2,127,703. Fundraising expenses 0. Total expenses 3,020,990.”

FORM 990, PART XII, LINE 2C:

“The board of directors of bluestem health assumes responsibility for oversight of the audit of its financial statements and selection of an independent accountant. This process has not changed from the prior year.”

Financial Statement Notes

PART X, LINE 2:

“The health center is a nonprofit corporation as described in section 501(c)(3) of the internal revenue code and is exempt from federal income taxes on related income pursuant to section 501(a) of the code. The health center accounts for uncertainties in accounting for income tax assets and liabilities using guidance included in fasb asc 740, income taxes. The health center recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. At december 31, 2024 and 2023, the health center had no uncertain tax positions.”

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Loss on disposals of assets 158,549.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Investment income 442,007. Bad debt expense 250,644.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Bad debt expense 250,644.”

Raw XML AppendixShowing 400 of 828 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0MEDICAL 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.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0CMO
IRS990/Form990PartVIISectionAGrp/TitleTxt1PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt2DEPUTY MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt4PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt5PHYSICIAN
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IRS990/Form990PartVIISectionAGrp/TitleTxt9VICE CHAIR & CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR & VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt11SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt12TREASURER (THROUGH AUGUST 2024)
IRS990/Form990PartVIISectionAGrp/TitleTxt13TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
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