HEALTHY COMMUNITIES OF THE CAPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HEALTHY COMMUNITIES OF THE CAPITAL (EIN 41-2097383)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-04-19
IRS object ID
202311099349301016
Schema version
2021v4.2
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

FieldValueIRS element (for citing)
Return2023-04-19T11:55:43-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN824812448PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PGM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1319 Main StreetAddressLine1Txt
CityBiddefordCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04005ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN412097383EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Healthly Communities of the Capital AreaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone2075885353PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111 Mechanic St Suite 101AddressLine1Txt
CityGardinerCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04345ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJodi BeckPersonNm
Person TitleChairPersonTitleTxt
Phone2075885353PhoneNum
Signature2022-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJodiPersonFirstNm
Person LastBeckPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
PTINP01200943PTIN
Phone2074155714PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJodi BeckPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line111 Mechanic St Suite 101AddressLine1Txt
CityGardinerCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04345ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,127,437GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.hccame.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionTo convene and support people, organizations and communities to collaborate on quality of life and public health issues.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,022,854PYContributionsGrantsAmt
CY Contributions Grants$1,122,193CYContributionsGrantsAmt
PY Program Service Revenue$75PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$283PYInvestmentIncomeAmt
CY Investment Income$744CYInvestmentIncomeAmt
PY Other Revenue$4,500PYOtherRevenueAmt
CY Other Revenue$4,500CYOtherRevenueAmt
PY Total Revenue$1,027,712PYTotalRevenueAmt
CY Total Revenue$1,127,437CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$727,956PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$750,180CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$235,618PYOtherExpensesAmt
CY Other Expenses$279,375CYOtherExpensesAmt
PY Total Expenses$963,574PYTotalExpensesAmt
CY Total Expenses$1,029,555CYTotalExpensesAmt
PY Revenues Less Expenses$64,138PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$97,882CYRevenuesLessExpensesAmt
Total Assets BOY$426,281TotalAssetsBOYAmt
Total Assets EOY$584,438TotalAssetsEOYAmt
Total Liabilities BOY$256,655TotalLiabilitiesBOYAmt
Total Liabilities EOY$144,537TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$169,626NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$439,901NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo convene and support people, organizations and communities to collaborate on quality of life and public health issues.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$425,720ExpenseAmt
DescReducing Substance Misuse:HCCA partners with over 75 individuals, organizations, and municipalities to reduce the impact of tobacco use and exposure and prevent other substance misuse through policy and environmental changes, education, interventions, and community engagement. Funding for primary prevention comes from federal and state government contracts (SAMHSA and Maine Prevention Services/UNE Substance Misuse Prevention).Programs are also supported for the YEsS program by Unity Way of Kennebec Valley and the Maine Cancer Foundation. However, these funds do not cover all needs. HCCA identifies gaps, creates strategic plans based on best practice and apply for additional resources to foundations/philanthropies.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$396,306ExpenseAmt
DescEating Healthy, Being Active:Healthy Eating and Being Active are key components for a lifetime of health. HCCA is funded through a mix of federal, state, and foundation grants and contracts to provide SNAP Nutrition Education, work with schools, worksites, and communities to integrate healthy food and activities into daily living that support students, families, and employees to practice healthier eating and activities. HCCA is a leader in organizing statewide Farm to School/Institution and partnering with diverse organizations to get local foods onto more food-serving institutional menus. (USDA, Maine Prevention Services/Let's Go!, Sewall Foundation, Kendall Foundation).Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$72,235ExpenseAmt
DescHighlighting Other Primary Prevention Efforts- Youth Engagement and Empowerment:Youth Engagement and Empowerment project, funded by Maine Prevention Services, works in three areas and is based on Social Emotional Learning (SEL) research, building community leadership and advocacy skills, and resilience. The three areas of work are: 1) developing youth advocates to change conditions youth are passionate about related to substance use prevention, anti-bullying and school climate primarily, 2) adding value to existing youth programming by applying SEL principles to potentially increase youth leadership, and 3) provide training and resources for adults who work with youth. (Maine Prevention Services)Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$552ExpenseAmt
DescVarious programs addressing individual and community health needs.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$552TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$894,813TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The OrganizationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2075885353PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111 Mechanic St Suite 101AddressLine1Txt
CityGardinerCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04345ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Salam Al-Omishi
Director0.50Yes (X)$0$0$0
Jodi Beck
Chair0.50Yes (X)$0$0$0Yes (X)
Benjamin Brown
Director0.50Yes (X)$0$0$0
Patrick Cheek
Director0.50Yes (X)$0$0$0
Patricia Clark
Director0.50Yes (X)$0$0$0
Cathleen Dunlap
Director0.50Yes (X)$0$0$0
Deborah Emery
Vice Chair0.50Yes (X)$0$0$0Yes (X)
Sara Grant
Director0.50Yes (X)$0$0$0
Patricia Hart
Director0.50Yes (X)$0$0$0
Patricia Hopkins
Director0.50Yes (X)$0$0$0
Ranae L'Italien
Director0.50Yes (X)$0$0$0
Lisa Miller
Director0.50Yes (X)$0$0$0
Sarah Miller
Director0.50Yes (X)$0$0$0
Merry St Pierre
Director0.50Yes (X)$0$0$0
Ashley Tetreault
Secretary0.50Yes (X)$0$0$0Yes (X)
Colin Webb
Director0.50Yes (X)$0$0$0
Courtney Yeager
Treasurer0.50Yes (X)$0$0$0Yes (X)
Renee Page
Executive Director40.00$64,580$0$43,593Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$64,580TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$43,593TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$930,310GovernmentGrantsAmt
All Other Contributions$191,883AllOtherContributionsAmt
Total Contributions$1,122,193TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$744TotalRevenueColumnAmt
Exclusion$744ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,500RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$4,500RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,500TotalRevenueColumnAmt
Related Or Exempt Func Income$4,500RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,127,437TotalRevenueColumnAmt
Related Or Exempt Func Income$4,500RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$744ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$108,173TotalAmt
Program Services$108,173ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$463,523TotalAmt
Program Services$463,523ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$178,484TotalAmt
Program Services$178,484ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$63,338TotalAmt
Management And General$63,338ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,995TotalAmt
Management And General$2,995ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$102,214TotalAmt
Program Services$99,094ProgramServicesAmt
Management And General$3,120ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$12,527TotalAmt
Program Services$3,527ProgramServicesAmt
Management And General$9,000ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$27,000TotalAmt
Management And General$27,000ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$16,415TotalAmt
Program Services$16,415ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,237TotalAmt
Management And General$4,237ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Program materials$20,180$20,180
Telephone/internet$7,430$7,430
Equipment lease & maint$7,298$7,298
Memberships$4,904$1,768$3,136

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10,837TotalAmt
Program Services$3,649ProgramServicesAmt
Management And General$7,188ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,029,555TotalAmt
Program Services$894,813ProgramServicesAmt
Management And General$134,742ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$245,122BOYAmt
EOY$394,078EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$24,117BOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$153,602BOYAmt
EOY$189,490EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,190BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,250BOYAmt
EOY$870EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$426,281BOYAmt
EOY$584,438EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$86,278BOYAmt
EOY$114,519EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$170,377BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$30,018EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$256,655BOYAmt
EOY$144,537EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$169,626BOYAmt
EOY$216,911EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$222,990EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$169,626BOYAmt
EOY$439,901EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$426,281BOYAmt
EOY$584,438EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$97,882ReconcilationRevenueExpnssAmt
Prior Period Adjustments$172,393PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$847,509CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$870,939CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$954,626CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,022,854CurrentTaxYearMinus1YearAmt
Current Tax Year$1,122,193CurrentTaxYearAmt
Total$4,818,121TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$847,509CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$870,939CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$954,626CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,022,854CurrentTaxYearMinus1YearAmt
Current Tax Year$1,122,193CurrentTaxYearAmt
Total$4,818,121TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$4,818,121PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,442CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,962CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,054CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,783CurrentTaxYearMinus1YearAmt
Current Tax Year$5,244CurrentTaxYearAmt
Total$25,485TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$346CurrentTaxYearMinus4YearsAmt
Total$346TotalAmt
FieldValueIRS element (for citing)
Total Support$4,843,952TotalSupportAmt
Gross Receipts Rltd Activities$53,344GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99470PublicSupportCY170Pct
Public Support PY1700.99530PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDue to management service providerDesc
Amt$30,018Amt
FieldValueIRS element (for citing)
Total Liability$30,018TotalLiabilityAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonPatricia HartPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionBoard MemberRelationshipDescriptionTxt
Transaction$12,600TransactionAmt
TransactionConsulting servicesTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3Medical Care Development, Inc. (MCD) provides administrative, human resource, and technology support for HCCA.
Form 990, Part VI, Section A, line 6Any individual who lives,works, worships, or goes to school within the HCCA service area, and who supports the mission of HCCA, and completes a membership enrollment form is an HCCA member.
Form 990, Part VI, Section A, line 7aElection of the Officers is conducted at the first meeting of the Board of Directors following the Annual Meeting, in which the members approved the slate of Directors. The Directors elect the Officers. The Board of Directors is responsible for filling vacancies on the board between elections.
Form 990, Part VI, Section A, line 7bMembers approve the slate of Directors at the Annual Meeting of the membership.
Form 990, Part VI, Section B, line 11bCompleted 990 is distributed to Board members and Executive Director for review and approval. Return is filed upon approval.
Form 990, Part VI, Section B, line 12cCOI policy is reviewed annually by key management and Board of Directors, any conflicts disclosed are reviewed.
Form 990, Part VI, Section B, line 15The Executive Director is evaluated by the Board of Directors and a service management organization (MCD) which uses a salary range that has been established at the senior program director level. Form 990, Part VI, Section B, Line 15b: Other key employees are subject to the same salary scale as the Executive Director.
Form 990, Part VI, Section C, line 19The Organization maintains files at their office that contain Form 1023, the most current Form 990, most current set of financial statements, bylaws, and the conflict of interest policy that can be reviewed upon request.

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