DENVER INDIAN HEALTH AND FAMILY SERVICES INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- DENVER INDIAN HEALTH AND FAMILY SERVICES INC (EIN 84-0724261)
- Tax period
- 2022-10-01 to 2023-09-30
- Filed
- 2024-08-08
- IRS object ID
- 202432219349301458
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-08-08T13:13:04-04:00 | ReturnTs |
| Tax Period End | 2023-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 841255164 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KUNDINGER CORDER & MONTOYA PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 475 LINCOLN STREET SUITE 200 | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840724261 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENVER INDIAN HEALTH AND FAMILY | BusinessNameLine1Txt |
| Business Name Line2 | SERVICES INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DENV | BusinessNameControlTxt |
| Phone | 3039536618 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2880 W HOLDEN PLACE | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80204 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ADRIANNE MADDUX | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 7205102073 | PhoneNum |
| Signature | 2024-08-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STEVEN CORDER | PreparerPersonNm |
| PTIN | P01363943 | PTIN |
| Phone | 3035345953 | PhoneNum |
| Preparation | 2024-08-08 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2024-08-08 14:25:15Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ADRIANNE MADDUX | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2880 W HOLDEN PLACE | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,798,021 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DIHFS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE CULTURALLY COMPETENT SERVICES THAT PROMOTE QUALITY HEALTH FOR AMERICAN INDIAN AND ALASKA NATIVE FAMILIES AND INDIVIDUALS IN THE DENVER AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 57 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $4,673,168 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,516,346 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,372,757 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,228,861 | CYProgramServiceRevenueAmt |
| PY Investment Income | $918 | PYInvestmentIncomeAmt |
| CY Investment Income | $51,740 | CYInvestmentIncomeAmt |
| PY Other Revenue | $62,436 | PYOtherRevenueAmt |
| CY Other Revenue | $1,074 | CYOtherRevenueAmt |
| PY Total Revenue | $6,109,279 | PYTotalRevenueAmt |
| CY Total Revenue | $6,798,021 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,523,713 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,320,038 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $4,660 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,556,251 | PYOtherExpensesAmt |
| CY Other Expenses | $2,915,537 | CYOtherExpensesAmt |
| PY Total Expenses | $5,079,964 | PYTotalExpensesAmt |
| CY Total Expenses | $6,235,575 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,029,315 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $562,446 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,596,101 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,831,961 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,061,066 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,734,480 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,535,035 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,097,481 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE CULTURALLY COMPETENT SERVICES THAT PROMOTE QUALITY HEALTH FOR AMERICAN INDIAN AND ALASKA NATIVE FAMILIES AND INDIVIDUALS IN THE DENVER AREA. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,914,751 | ExpenseAmt |
| Revenue | $1,228,861 | RevenueAmt |
| Desc | HEALTHCARE SERVICES, INCLUDING IMMUNIZATIONS, MENTAL HEALTH, DISEASE PREVENTION, ALCOHOL AND SUBSTANCE ABUSE PREVENTION, HIV PREVENTION, AND CHILD WELFARE PROGRAMS. OUTREACH TO FIND INDIVIDUALS IN NEED OF THESE SERVICES. | Desc |
| Total Program Service Expenses | $5,914,751 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 57 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ADRIANNE MADDUX | PersonNm |
| Phone | 3039536618 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2880 W HOLDEN PLACE | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80204 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| ADRIANA MARISOL ZUNIGA PAGUIO | |||||||
| DIR. OF DENT | 40.00 | Yes (X) | $133,066 | $0 | $10,846 | ||
| ADRIANNE MADDUX | |||||||
| EXECUTIVE DI | 40.00 | $116,246 | $0 | $11,755 | Yes (X) | ||
| KIMBERLY BLACKHORSE | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| PHIL GOVER | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| BETTY GRESS | |||||||
| SPECIAL ADVI | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| CRYSTAL LOUDHAWK HEDGEPETH | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| DEBBIE HOWELL | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JAMES MORAN | |||||||
| TREASURER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| ALLISON NESWOOD | |||||||
| VICE-CHAIRPE | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| JENN RUSSELL | |||||||
| BOARD CHAIRP | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| RACHEL SIMSPON | |||||||
| SECRETARY | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| MONIQUE TERPSTRA | |||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| STEPHEN WHEELOCK | |||||||
| VICE-MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $249,312 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $22,601 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY OF COLORADO | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12850 E MONTVIEW BLVD | AddressLine1Txt |
| Address Line2 | C238 | AddressLine2Txt |
| City | AURORA | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80045 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | PHARMICISTS | ServicesDesc |
| Compensation | $195,268 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,741,008 | GovernmentGrantsAmt |
| All Other Contributions | $775,338 | AllOtherContributionsAmt |
| Total Contributions | $5,516,346 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEES AND MEDICAID | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $1,228,861 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,228,861 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,228,861 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51,740 | TotalRevenueColumnAmt |
| Exclusion | $51,740 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,074 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,074 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,074 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,798,021 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,229,935 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $51,740 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,624 | TotalAmt |
| Program Services | $123,340 | ProgramServicesAmt |
| Management And General | $1,284 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,660,751 | TotalAmt |
| Program Services | $2,633,337 | ProgramServicesAmt |
| Management And General | $27,414 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,840 | TotalAmt |
| Program Services | $72,090 | ProgramServicesAmt |
| Management And General | $750 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,323 | TotalAmt |
| Program Services | $220,032 | ProgramServicesAmt |
| Management And General | $2,291 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,500 | TotalAmt |
| Program Services | $237,032 | ProgramServicesAmt |
| Management And General | $2,468 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,317 | TotalAmt |
| Management And General | $5,317 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,982 | TotalAmt |
| Management And General | $29,982 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $983,753 | TotalAmt |
| Program Services | $965,969 | ProgramServicesAmt |
| Management And General | $17,784 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,390 | TotalAmt |
| Program Services | $41,390 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,989 | TotalAmt |
| Program Services | $133,140 | ProgramServicesAmt |
| Management And General | $306 | ManagementAndGeneralAmt |
| Fundraising | $543 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,296 | TotalAmt |
| Program Services | $316,629 | ProgramServicesAmt |
| Management And General | $6,667 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,074 | TotalAmt |
| Program Services | $297,860 | ProgramServicesAmt |
| Management And General | $214 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,065 | TotalAmt |
| Program Services | $113,438 | ProgramServicesAmt |
| Management And General | $1,215 | ManagementAndGeneralAmt |
| Fundraising | $1,412 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,497 | TotalAmt |
| Program Services | $45,445 | ProgramServicesAmt |
| Management And General | $487 | ManagementAndGeneralAmt |
| Fundraising | $565 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,792 | TotalAmt |
| Management And General | $169,792 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,541 | TotalAmt |
| Program Services | $30,450 | ProgramServicesAmt |
| Management And General | $1,091 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|---|
| CLINIC SUPPLIES | $433,051 | $430,911 | $2,140 | |
| CLINICAL SERVICE COSTS | $135,232 | $123,993 | $11,239 | |
| MAINTENANCE AND REPAIRS | $50,644 | $50,644 | ||
| MEMBERSHIP DUES | $36,096 | $34,764 | $1,332 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,818 | TotalAmt |
| Program Services | $44,287 | ProgramServicesAmt |
| Management And General | $36,531 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,235,575 | TotalAmt |
| Program Services | $5,914,751 | ProgramServicesAmt |
| Management And General | $316,164 | ManagementAndGeneralAmt |
| Fundraising | $4,660 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,305 | BOYAmt |
| EOY | $89,183 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,585,060 | BOYAmt |
| EOY | $15,231,639 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,594,769 | BOYAmt |
| EOY | $851,181 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,334 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,602 | BOYAmt |
| EOY | $34,374 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,445,836 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $820,252 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,025,921 | BOYAmt |
| EOY | $1,625,584 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,110 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,596,101 | BOYAmt |
| EOY | $17,831,961 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $275,681 | BOYAmt |
| EOY | $429,266 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,746,044 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,341 | BOYAmt |
| EOY | $12,305,214 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,061,066 | BOYAmt |
| EOY | $12,734,480 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,535,035 | BOYAmt |
| EOY | $5,097,481 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,535,035 | BOYAmt |
| EOY | $5,097,481 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,596,101 | BOYAmt |
| EOY | $17,831,961 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $562,446 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,338,045 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,336,902 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,824,401 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,673,168 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,516,346 | CurrentTaxYearAmt |
| Total | $19,688,862 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,338,045 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,336,902 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,824,401 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,673,168 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,516,346 | CurrentTaxYearAmt |
| Total | $19,688,862 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $19,688,862 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $543 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $334 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $93 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $918 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $51,740 | CurrentTaxYearAmt |
| Total | $53,628 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,105 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $11,213 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $62,436 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,074 | CurrentTaxYearAmt |
| Total | $94,828 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $19,837,318 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $4,351,252 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99250 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99320 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | 94,828 | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $998,365 | OtherCostOrOtherBasisAmt |
| Depreciation | $278,517 | DepreciationAmt |
| Book Value | $719,848 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $832,662 | OtherCostOrOtherBasisAmt |
| Depreciation | $503,103 | DepreciationAmt |
| Book Value | $329,559 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $614,809 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,632 | DepreciationAmt |
| Book Value | $576,177 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,625,584 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| REFUNDABLE ADVANCES | $12,257,205 |
| COPIER LEASE | $48,009 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,305,214 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $6,798,021 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $6,798,021 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $6,798,021 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,235,575 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $6,235,575 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $6,235,575 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE FORM 990 IS PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO BEING SUBMITTED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ENFORCEMENT OF CONFLICTS POLICY ALL BOARD MEMBERS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST AS THEY ARISE. MEMBERS ARE ASKED TO RECUSE THEMSELVES ON MATTERS OF POTENTIAL CONFLICT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION PROCESS FOR TOP OFFICIAL THE EXECUTIVE DIRECTOR IS HIRED BY THE BOARD, WHICH SETS HIS/HER SALARY BASED ON COMPARABLE SALARY INFORMATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | COMPENSATION PROCESS FOR OFFICERS KEY EMPLOYEES ARE HIRED BY THE EXECUTIVE DIRECTOR, AND PAID BASED ON LOCAL SALARY CONDITIONS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT ITS MAIN CORPORATE OFFICE. |
| FORM 990, PART IX, LINE 11G | PAYROLL SERVICES 43,265 2,377 0 OTHER PROFESSIONAL SERVICES 922,704 15,407 0 TOTAL 965,969 17,784 0 |
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