ANCHORAGE NEIGHBORHOOD HEALTH: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- ANCHORAGE NEIGHBORHOOD HEALTH (EIN 92-0047965)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-11
- IRS object ID
- 202211319349304246
- Schema version
- 2020v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-11T15:18:29-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 920138619 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOLITORDOREMUS AND COMPANY PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 307 EAST NORTHERN LIGHTS SUITE 202 | AddressLine1Txt |
| City | ANCHORAGE | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 995032729 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 920047965 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANCHORAGE NEIGHBORHOOD HEALTH CENTER | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ANCH | BusinessNameControlTxt |
| Phone | 9077437200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4951 BUSINESS PARK BLVD | AddressLine1Txt |
| City | ANCHORAGE | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99503 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VADETTE FOWLER | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 9077437200 | PhoneNum |
| Signature | 2022-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | VADETTE | PersonFirstNm |
| Person Last | FOWLER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL H MOLITOR | PreparerPersonNm |
| PTIN | P00024798 | PTIN |
| Phone | 9072797447 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | VADETTE FOWLER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4951 BUSINESS PARK BLVD | AddressLine1Txt |
| City | ANCHORAGE | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $27,786,191 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ANHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | AK | LegalDomicileStateCd |
| Activity Or Mission | THE ANCHORAGE NEIGHBORHOOD HEALTH CENTER IS A NONPROFIT CORPORATION ORGANIZED TO PROVIDE COMPREHENSIVE PRIMARY MEDICAL ,DENTAL AND ANCILLARY CARE SERVICES TO THE LOW INCOME, UNDER AND UNINSURED INDIVIDUALS WITHOUT REGARD TO THEIR ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 209 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,458,345 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,641,195 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,080,647 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,904,598 | CYProgramServiceRevenueAmt |
| PY Investment Income | $55,422 | PYInvestmentIncomeAmt |
| CY Investment Income | $59,196 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,273,858 | PYOtherRevenueAmt |
| CY Other Revenue | $3,206,630 | CYOtherRevenueAmt |
| PY Total Revenue | $19,868,272 | PYTotalRevenueAmt |
| CY Total Revenue | $21,811,619 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $14,134,112 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,635,723 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,147 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,958,947 | PYOtherExpensesAmt |
| CY Other Expenses | $6,585,714 | CYOtherExpensesAmt |
| PY Total Expenses | $20,093,059 | PYTotalExpensesAmt |
| CY Total Expenses | $21,221,437 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$224,787 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $590,182 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $35,954,414 | TotalAssetsBOYAmt |
| Total Assets EOY | $36,965,804 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,788,363 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,111,312 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $32,166,051 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $32,854,492 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE ANCHORAGE NEIGHBORHOOD HEALTH CENTER IS A NONPROFIT CORPORATION ORGANIZED TO PROVIDE COMPREHENSIVE PRIMARY MEDICAL ,DENTAL AND ANCILLARY CARE SERVICES TO THE LOW INCOME, UNDER AND UNINSURED INDIVIDUALS WITHOUT REGARD TO THEIR ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $18,024,613 | ExpenseAmt |
| Revenue | $14,115,459 | RevenueAmt |
| Desc | A COMMUNITY HEALTH CENTER THAT PROVIDES MEDICAL AND DENTAL SERVICES FOR APPROXIMATELY 9,399 LOW-INCOME RESIDENTS OF ANCHORAGE AND THE SURROUNDING AREA. APPROXIMATELY 41,806 VISITS OCCUR DURING THE YEAR. | Desc |
| Total Program Service Expenses | $18,024,613 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 23 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 209 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | 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 | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANCHORAGE NEIGHBORHOOD HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9077437321 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4951 BUSINESS PARK BLVD | AddressLine1Txt |
| City | ANCHORAGE | CityNm |
| State Abbreviation | AK | StateAbbreviationCd |
| ZIP | 99503 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| HAROLD JOHNSTON | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHELLE NESBETT | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MOLLY O'MALLEY | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LEAH VAN SANDT | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SARAH NASH | |||||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ROBERT ONDERS | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOSHUA HEMSATH | |||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| LEROY WILLIAMS | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRANDI ZEMAN | |||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| KAREN TURNER | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| TERRI LOMAX | |||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| TAMARA GREEN | |||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | $228,425 | $0 | $8,933 | Yes (X) | ||||
| VADETTE FOWLER | |||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $170,918 | $0 | $2,151 | Yes (X) | ||||
| GHAZAL RINGLER | |||||||||
| CHIEF DENTAL OFFICER | 40.00 | $248,878 | $0 | $16,798 | Yes (X) | ||||
| RACHEL SAMUELSON | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | $201,386 | $0 | $6,790 | Yes (X) | ||||
| RYAN RUGGLES | |||||||||
| PHARMACY DIRECTOR | 40.00 | $147,800 | $0 | $12,871 | Yes (X) | ||||
| SHARON SMITH | |||||||||
| PHYSICIAN | 23.00 | $157,649 | $0 | $7,590 | Yes (X) | ||||
| ELIZABETH FISHER | |||||||||
| PHYSICIAN | 40.00 | $195,786 | $0 | $17,206 | Yes (X) | ||||
| DENNIS LINDERMAN | |||||||||
| PHYSICIAN | 40.00 | $267,455 | $0 | $8,181 | Yes (X) | ||||
| BARBARA PIOMALLI | |||||||||
| PHYSICIAN | 34.00 | $196,958 | $0 | $1,685 | Yes (X) | ||||
| CHARLES PROCKNOW | |||||||||
| PHYSICIAN | 40.00 | $218,993 | $0 | $7,373 | Yes (X) | ||||
| PHILLIP MENDOZA | |||||||||
| FORMER CHIEF MEDICAL OFFICER | 40.00 | $294,208 | $0 | $9,312 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,328,456 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $98,890 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BKD LLP | |||||
| 910 E ST LOUIS STREET | SPRINGFIELD | MO | 65801 | AUDITING | $144,311 |
| RX FOR HEALTH LLC | |||||
| PO BOX 771793 | EAGLE RIVER | AK | 99577 | MEDICAL | $136,027 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $7,395,096 | GovernmentGrantsAmt |
| All Other Contributions | $246,099 | AllOtherContributionsAmt |
| Noncash Contributions | $170,748 | NoncashContributionsAmt |
| Total Contributions | $7,641,195 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL & DENTAL FEES | 621498 | $10,864,957 | $10,864,957 |
| CONTRACT & MISC OPERATING REVENUE | 621498 | $39,641 | $39,641 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,904,598 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $50,877 | TotalRevenueColumnAmt |
| Exclusion | $50,877 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,943,241 | SecuritiesAmt |
| Other | $4,238 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,939,153 | SecuritiesAmt |
| Other | $7 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,088 | SecuritiesAmt |
| Other | $4,231 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,319 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,231 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $4,088 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $6,242,042 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $3,035,412 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,206,630 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,206,630 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,811,619 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,115,459 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $54,965 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $997,407 | TotalAmt |
| Program Services | $598,064 | ProgramServicesAmt |
| Management And General | $399,343 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,208 | TotalAmt |
| Program Services | $294,208 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,652,754 | TotalAmt |
| Program Services | $9,185,708 | ProgramServicesAmt |
| Management And General | $1,466,748 | ManagementAndGeneralAmt |
| Fundraising | $298 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,780 | TotalAmt |
| Program Services | $180,878 | ProgramServicesAmt |
| Management And General | $34,898 | ManagementAndGeneralAmt |
| Fundraising | $4 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,613,703 | TotalAmt |
| Program Services | $1,378,969 | ProgramServicesAmt |
| Management And General | $234,676 | ManagementAndGeneralAmt |
| Fundraising | $58 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $861,871 | TotalAmt |
| Program Services | $729,777 | ProgramServicesAmt |
| Management And General | $132,071 | ManagementAndGeneralAmt |
| Fundraising | $23 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,109 | TotalAmt |
| Management And General | $24,109 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,664 | TotalAmt |
| Program Services | $30,022 | ProgramServicesAmt |
| Management And General | $112,642 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,592,144 | TotalAmt |
| Program Services | $1,470,659 | ProgramServicesAmt |
| Management And General | $121,339 | ManagementAndGeneralAmt |
| Fundraising | $146 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,412 | TotalAmt |
| Management And General | $1,412 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,032 | TotalAmt |
| Program Services | $140,121 | ProgramServicesAmt |
| Management And General | $68,903 | ManagementAndGeneralAmt |
| Fundraising | $8 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $382,794 | TotalAmt |
| Program Services | $339,377 | ProgramServicesAmt |
| Management And General | $42,979 | ManagementAndGeneralAmt |
| Fundraising | $438 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,052 | TotalAmt |
| Program Services | $3,956 | ProgramServicesAmt |
| Management And General | $95 | ManagementAndGeneralAmt |
| Fundraising | $1 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,596 | TotalAmt |
| Program Services | $34,268 | ProgramServicesAmt |
| Management And General | $60,328 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,080,693 | TotalAmt |
| Program Services | $979,779 | ProgramServicesAmt |
| Management And General | $100,049 | ManagementAndGeneralAmt |
| Fundraising | $865 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,042 | TotalAmt |
| Management And General | $100,042 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| OTHER SUPPLIES | $1,020,338 | $981,654 | $38,592 | $92 |
| SOFTWARE LICENSING & MA | $603,263 | $516,799 | $86,464 | |
| OTHER EXPENSES | $591,771 | $436,759 | $154,967 | $45 |
| BAD DEBT | $583,880 | $583,880 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,924 | TotalAmt |
| Program Services | $139,735 | ProgramServicesAmt |
| Management And General | $15,020 | ManagementAndGeneralAmt |
| Fundraising | $169 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,221,437 | TotalAmt |
| Program Services | $18,024,613 | ProgramServicesAmt |
| Management And General | $3,194,677 | ManagementAndGeneralAmt |
| Fundraising | $2,147 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,532,542 | BOYAmt |
| EOY | $3,961,651 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,036 | BOYAmt |
| EOY | $497,826 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,000 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,009,146 | BOYAmt |
| EOY | $2,771,522 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $561,265 | BOYAmt |
| EOY | $461,445 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,985 | BOYAmt |
| EOY | $239,748 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $32,051,539 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,578,191 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,812,329 | BOYAmt |
| EOY | $22,473,348 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,436,111 | BOYAmt |
| EOY | $6,560,264 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,954,414 | BOYAmt |
| EOY | $36,965,804 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,261,022 | BOYAmt |
| EOY | $4,111,312 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,527,341 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,788,363 | BOYAmt |
| EOY | $4,111,312 | 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 | $31,910,961 | BOYAmt |
| EOY | $32,635,578 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $255,090 | BOYAmt |
| EOY | $218,914 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,166,051 | BOYAmt |
| EOY | $32,854,492 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,954,414 | BOYAmt |
| EOY | $36,965,804 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $590,182 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $105,758 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$7,499 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | 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 | $4,773,366 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,790,639 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,664,642 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,458,345 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,641,195 | CurrentTaxYearAmt |
| Total | $27,328,187 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,773,366 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,790,639 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,664,642 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,458,345 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,641,195 | CurrentTaxYearAmt |
| Total | $27,328,187 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $27,328,187 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,840 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $27,765 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $74,895 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $72,293 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $54,965 | CurrentTaxYearAmt |
| Total | $240,758 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $27,568,945 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $66,592,297 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99130 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99220 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,956,581 | OtherCostOrOtherBasisAmt |
| Book Value | $4,956,581 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,543,002 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,659,612 | DepreciationAmt |
| Book Value | $15,883,390 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,551,956 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,918,579 | DepreciationAmt |
| Book Value | $1,633,377 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $22,473,348 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $24,232,632 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $3,064,089 | OtherRevenueAmt |
| Revenue Not Reported | $3,064,089 | RevenueNotReportedAmt |
| Revenue Subtotal | $21,168,543 | RevenueSubtotalAmt |
| Other Revenues Not Included | $643,076 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $643,076 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $21,811,619 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $23,668,738 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $3,031,181 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $3,031,181 | ExpensesNotReportedAmt |
| Expenses Subtotal | $20,637,557 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $583,880 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $583,880 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $21,221,437 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD ADJUSTMENT 3,035,412. NET ASSETS RELEASED FROM RESTRICTIONS 28,677. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | INTEREST,DIVIDENDS AND CAPITAL GAIN DISTRIBUTIONS 50,877. BAD DEBT EXPENSE REDUCED INCOME ON THE FINANCIAL STATEMENTS 583,880. GAIN ON THE DISPOSAL OF FIXED ASSETS 4,231. NET REALIZED GAIN ON INVESTMENTS 4,088. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD ADJUSTMENT 3,035,412. GAIN ON THE DISPOSAL OF FIXED ASSETS -4,231. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE REDUCED INCOME ON THE FINANCIAL STATEMENTS 583,880. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHILLIP MENDOZA | ||||||||||||||
| FORMER CHIEF MEDICAL OFFICER | $293,447 | $0 | $541 | $0 | $220 | $0 | $8,550 | $0 | $762 | $0 | $303,520 | $0 | $0 | $0 |
| DENNIS LINDERMAN | ||||||||||||||
| PHYSICIAN | $261,294 | $0 | $5,941 | $0 | $220 | $0 | $7,419 | $0 | $762 | $0 | $275,636 | $0 | $0 | $0 |
| GHAZAL RINGLER | ||||||||||||||
| CHIEF DENTAL OFFICER | $247,557 | $0 | $1,041 | $0 | $280 | $0 | $7,581 | $0 | $9,217 | $0 | $265,676 | $0 | $0 | $0 |
| TAMARA GREEN | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $214,185 | $0 | $13,098 | $0 | $1,142 | $0 | $6,826 | $0 | $2,107 | $0 | $237,358 | $0 | $0 | $0 |
| CHARLES PROCKNOW | ||||||||||||||
| PHYSICIAN | $192,778 | $0 | $26,041 | $0 | $174 | $0 | $0 | $0 | $7,373 | $0 | $226,366 | $0 | $0 | $0 |
| ELIZABETH FISHER | ||||||||||||||
| PHYSICIAN | $195,056 | $0 | $541 | $0 | $189 | $0 | $488 | $0 | $16,718 | $0 | $212,992 | $0 | $0 | $0 |
| RACHEL SAMUELSON | ||||||||||||||
| CHIEF MEDICAL OFFICER | $200,522 | $0 | $406 | $0 | $458 | $0 | $6,028 | $0 | $762 | $0 | $208,176 | $0 | $0 | $0 |
| BARBARA PIOMALLI | ||||||||||||||
| PHYSICIAN | $196,278 | $0 | $460 | $0 | $220 | $0 | $923 | $0 | $762 | $0 | $198,643 | $0 | $0 | $0 |
| VADETTE FOWLER | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $170,001 | $0 | $541 | $0 | $376 | $0 | $1,389 | $0 | $762 | $0 | $173,069 | $0 | $0 | $0 |
| SHARON SMITH | ||||||||||||||
| PHYSICIAN | $155,148 | $0 | $1,709 | $0 | $792 | $0 | $4,719 | $0 | $2,871 | $0 | $165,239 | $0 | $0 | $0 |
| RYAN RUGGLES | ||||||||||||||
| PHARMACY DIRECTOR | $146,830 | $0 | $791 | $0 | $179 | $0 | $4,502 | $0 | $8,369 | $0 | $160,671 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 5 | ContributionCnt |
| Noncash Contributions Rpt F990 | $168,917 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | ESTIMATED FAIR VALUE | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | OFFICE SUP | 1 | $1,251 | ESTIMATED FAIR VALUE |
| Yes (X) | ARCHITECT SVS | 1 | $580 | ESTIMATED FAIR VALUE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER REVIEW THE ENTIRE 990 IN DRAFT FORM PROVIDED BY THE CPA. ANY CHANGES ARE DISCUSSED AND INCORPORATED INTO THE FINAL RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | OFFICER, DIRECTORS, OR TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY CONFLICTS OF INTEREST EACH YEAR IN OCTOBER. SENIOR LEVEL MANAGEMENT REGULARLY MONITORS CONTRACTS FOR AFFILIATIONS THAT MAY POSE A CONFLICT THROUGHOUT THE YEAR. CONFLICTS ARE DECLARED EITHER ANNUALLY VOLUNTARILY OR THROUGHOUT THE YEAR BY CONTRACT REVIEW WHERE IT IS POSSIBLE OR PROBABLE A CONFLICT MAY ARISE FROM A MEMBER OF THE BOARD OR KEY EMPLOYEES. |
| FORM 990, PART VI, SECTION B, LINE 15 | LINE 15A- COMPENSATION PROCESS FOR THE CHIEF EXECUTIVE OFFICER'S SALARY IS DETERMINED BY THE INDEPENDENT BOARD OF DIRECTORS WHICH RELIES ON THE HUMAN RESOURCE DEPARTMENT'S COMPENSATION RANGE METHODOLOGY SUPPORTED BY INDEPENDENT SOURCES. LINE 15B-COMPENSATION PROCESS FOR OFFICERS OR KEY EMPLOYEES SALARIES ARE DETERMINED BY WAGE STUDIES PERFORMED BY INDEPENDENT SOURCES IN COLLABORATION WITH THE HUMAN RESOURCES DEPARTMENT. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS OF ANHC ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | RESTRICTED CONTRIBUTION WRITE-OFF -7,499. |