DENVER INDIAN HEALTH AND FAMILY SERVICES INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- DENVER INDIAN HEALTH AND FAMILY SERVICES INC (EIN 84-0724261)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-14
- IRS object ID
- 202332269349302398
- Schema version
- 2021v4.0
- 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 | 2023-08-14T16:54:12-04:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 203746583 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAYLOR ROTH AND COMPANY | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 GRANT ST STE 205 | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 802032944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | 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 WHOLDEN 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 | 3039536618 | PhoneNum |
| Signature | 2023-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ADRIANNE | PersonFirstNm |
| Person Last | MADDUX | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DIANE GRANGER | PreparerPersonNm |
| PTIN | P01388919 | PTIN |
| Phone | 3038308109 | PhoneNum |
| Preparation | 2023-08-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | 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 | $6,109,279 | 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 ALASKAN NATIVE FAMILIES AND INDIVIDUALS IN THE DENVER AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 57 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,824,401 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,673,168 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $745,482 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,372,757 | CYProgramServiceRevenueAmt |
| PY Investment Income | $93 | PYInvestmentIncomeAmt |
| CY Investment Income | $918 | CYInvestmentIncomeAmt |
| CY Other Revenue | $62,436 | CYOtherRevenueAmt |
| PY Total Revenue | $4,569,976 | PYTotalRevenueAmt |
| CY Total Revenue | $6,109,279 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,022,464 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,523,713 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $102,607 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,179,956 | PYOtherExpensesAmt |
| CY Other Expenses | $2,556,251 | CYOtherExpensesAmt |
| PY Total Expenses | $4,202,420 | PYTotalExpensesAmt |
| CY Total Expenses | $5,079,964 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $367,556 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,029,315 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,386,567 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,596,101 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,973,255 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,061,066 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,413,312 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,535,035 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE CULTURALLY COMPETENT SERVICES THAT PROMOTE QUALITY HEALTH FOR AMERICAN INDIAN AND ALASKAN NATIVE FAMILIES AND INDIVIDUALS IN THE DENVER AREA. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,549,905 | ExpenseAmt |
| Revenue | $1,372,757 | 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 | $4,549,905 | 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 | Yes (true) | 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 | 1 | 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 |
| 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 | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
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) |
|---|---|---|
| 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 (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| ADRIANNE MADDUX | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $116,033 | $0 | $15,009 | |
| JENN RUSSELL | ||||||
| CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| ALLISON NESWOOD | ||||||
| VICE CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| RACHEL SIMPSON | ||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JAMES MORAN | ||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| STEPHEN WHEELOCK | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CRYSTAL LOUDHAWK-HEDGEPETH | ||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| MONIQUE TERPSTRA | ||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| DEBBIE HOWELL | ||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| BETTY GRESS | ||||||
| SPECIAL ADVI | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $116,033 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $15,009 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $4,336,180 | GovernmentGrantsAmt |
| All Other Contributions | $336,988 | AllOtherContributionsAmt |
| Noncash Contributions | $35,473 | NoncashContributionsAmt |
| Total Contributions | $4,673,168 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEES AND MEDICAID | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $1,372,757 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,372,757 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,372,757 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $918 | TotalRevenueColumnAmt |
| Exclusion | $918 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ALL OTHER | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $62,436 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $62,436 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $62,436 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,109,279 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,435,193 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $918 | 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 | $131,042 | TotalAmt |
| Program Services | $112,696 | ProgramServicesAmt |
| Management And General | $13,104 | ManagementAndGeneralAmt |
| Fundraising | $5,242 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,941,899 | TotalAmt |
| Program Services | $1,670,033 | ProgramServicesAmt |
| Management And General | $194,190 | ManagementAndGeneralAmt |
| Fundraising | $77,676 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,035 | TotalAmt |
| Program Services | $37,010 | ProgramServicesAmt |
| Management And General | $4,304 | ManagementAndGeneralAmt |
| Fundraising | $1,721 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,833 | TotalAmt |
| Program Services | $189,917 | ProgramServicesAmt |
| Management And General | $22,083 | ManagementAndGeneralAmt |
| Fundraising | $8,833 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186,904 | TotalAmt |
| Program Services | $160,738 | ProgramServicesAmt |
| Management And General | $18,690 | ManagementAndGeneralAmt |
| Fundraising | $7,476 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,613 | TotalAmt |
| Management And General | $31,613 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $781,968 | TotalAmt |
| Program Services | $744,931 | ProgramServicesAmt |
| Management And General | $37,037 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,949 | TotalAmt |
| Program Services | $43,949 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,427 | TotalAmt |
| Program Services | $159,706 | ProgramServicesAmt |
| Management And General | $19,309 | ManagementAndGeneralAmt |
| Fundraising | $1,412 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,893 | TotalAmt |
| Program Services | $307,832 | ProgramServicesAmt |
| Management And General | $15,061 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,583 | TotalAmt |
| Program Services | $230,137 | ProgramServicesAmt |
| Management And General | $24,446 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,029 | TotalAmt |
| Program Services | $24,028 | ProgramServicesAmt |
| Management And General | $1,001 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,068 | TotalAmt |
| Program Services | $8,593 | ProgramServicesAmt |
| Management And General | $475 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,204 | TotalAmt |
| Management And General | $2,204 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $186,615 | TotalAmt |
| Program Services | $149,292 | ProgramServicesAmt |
| Management And General | $37,323 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,738 | TotalAmt |
| Program Services | $22,017 | ProgramServicesAmt |
| Management And General | $2,474 | ManagementAndGeneralAmt |
| Fundraising | $247 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CLINIC SUPPLIES | $478,747 | $478,747 | |
| CLINIC SERVICE COSTS | $119,159 | $119,159 | |
| PROFESSIONAL DUES | $45,979 | $45,979 | |
| TRAINING PROGRAMS | $30,062 | $26,755 | $3,307 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,217 | TotalAmt |
| Program Services | $18,386 | ProgramServicesAmt |
| Management And General | $831 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,079,964 | TotalAmt |
| Program Services | $4,549,905 | ProgramServicesAmt |
| Management And General | $427,452 | ManagementAndGeneralAmt |
| Fundraising | $102,607 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,765,329 | BOYAmt |
| EOY | $56,305 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $743,271 | BOYAmt |
| EOY | $12,585,060 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,880,661 | BOYAmt |
| EOY | $3,594,769 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,861 | BOYAmt |
| EOY | $46,334 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,122 | BOYAmt |
| EOY | $31,602 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,676,382 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $650,461 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $964,323 | BOYAmt |
| EOY | $1,025,921 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $256,110 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,386,567 | BOYAmt |
| EOY | $17,596,101 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $207,524 | BOYAmt |
| EOY | $275,681 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,757,842 | BOYAmt |
| EOY | $12,746,044 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,889 | BOYAmt |
| EOY | $39,341 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,973,255 | BOYAmt |
| EOY | $13,061,066 | 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 | $3,413,312 | BOYAmt |
| EOY | $4,535,035 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,413,312 | BOYAmt |
| EOY | $4,535,035 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,386,567 | BOYAmt |
| EOY | $17,596,101 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,029,315 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $92,408 | PriorPeriodAdjustmentsAmt |
| 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 | $2,250,620 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,338,045 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,336,902 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,824,401 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,673,168 | CurrentTaxYearAmt |
| Total | $16,423,136 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,250,620 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,338,045 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,336,902 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,824,401 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,673,168 | CurrentTaxYearAmt |
| Total | $16,423,136 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $16,423,136 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $277 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $543 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $334 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $93 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $918 | CurrentTaxYearAmt |
| Total | $2,165 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,164 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,105 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $11,213 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $62,436 | CurrentTaxYearAmt |
| Total | $110,918 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $16,536,219 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $3,566,930 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99320 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99090 | 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 | OTHER INCOME 110,918 | 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
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $834,728 | OtherCostOrOtherBasisAmt |
| Depreciation | $215,829 | DepreciationAmt |
| Book Value | $618,899 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $841,654 | OtherCostOrOtherBasisAmt |
| Depreciation | $434,632 | DepreciationAmt |
| Book Value | $407,022 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,025,921 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | COPIER LEASE | Desc |
| Amt | $39,341 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $39,341 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $6,109,279 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $6,109,279 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $6,109,279 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,079,964 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $5,079,964 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $5,079,964 | TotalExpensesPerForm990Amt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $35,473 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO BEING SUBMITTED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | 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 | 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 | 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 | PHARMACY/TECH SUPPORT 703,707 37,037 0 DOCTORS & LOCUMS 41,224 0 0 TOTAL 744,931 37,037 0 |
| FORM 990, PART XI, LINE 9 | IN THE PRIOR YEAR, AN AUDIT ADJUSTMENT WAS MADE TO ACCRUE EXPENSES TO ACCOUNTS PAYABLE. DURING THE CURRENT TAX YEAR, IT WAS NOTED THAT THE EXPENSES HAD BEEN PAID IN THE PRIOR YEAR AND THE ACCRUAL TO ACCOUNTS PAYABLE WAS UNNECESSARY. AN AUDIT ADJUSTMENT WAS MADE TO REVERSE THAT ACCRUAL, RESULTING IN A 92,408 INCREASE TO UNDESIGNATED NET ASSETS. |
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