SONOMA COUNTY INDIAN HEALTH PROJECT INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- SONOMA COUNTY INDIAN HEALTH PROJECT INC (EIN 94-1741896)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-13
- IRS object ID
- 202211339349309221
- 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 | 2022-05-13T16:46:05-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3655 NOBEL DRIVE SUITE 300 | AddressLine1Txt |
| City | SAN DIEGO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92122 | 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 | 941741896 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SONOMA COUNTY INDIAN HEALTH PROJECT INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SONO | BusinessNameControlTxt |
| Phone | 7075214545 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 STONY POINT ROAD | AddressLine1Txt |
| City | SANTA ROSA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95401 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BETTY ARTERBERRY | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7075214545 | PhoneNum |
| Signature | 2022-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | BETTY | PersonFirstNm |
| Person Last | ARTERBERRY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KATHLEEN SCHMIDT | PreparerPersonNm |
| PTIN | P01878863 | PTIN |
| Phone | 8585974100 | PhoneNum |
| Preparation | 2022-05-11 | PreparationDt |
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 | MARGIE MEJIA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 STONY POINT ROAD | AddressLine1Txt |
| City | SANTA ROSA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $28,702,626 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SCIHP.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO CONTINUALLY IMPROVE AND MAINTAIN A COMPREHENSIVE HEALTH CARE SYSTEM. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 185 | TotalEmployeeCnt |
| Total Volunteers | 7 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $12,468,052 | PYContributionsGrantsAmt |
| CY Contributions Grants | $14,683,178 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,897,304 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,992,249 | CYProgramServiceRevenueAmt |
| PY Investment Income | $327,616 | PYInvestmentIncomeAmt |
| CY Investment Income | $27,199 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $26,692,972 | PYTotalRevenueAmt |
| CY Total Revenue | $28,702,626 | 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 | $14,846,600 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,867,007 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,393,749 | PYOtherExpensesAmt |
| CY Other Expenses | $6,801,718 | CYOtherExpensesAmt |
| PY Total Expenses | $20,240,349 | PYTotalExpensesAmt |
| CY Total Expenses | $20,668,725 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,452,623 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,033,901 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $74,979,104 | TotalAssetsBOYAmt |
| Total Assets EOY | $90,950,573 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $17,689,594 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $25,627,162 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $57,289,510 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $65,323,411 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO CONTINUALLY IMPROVE AND MAINTAIN A COMPREHENSIVE HEALTH CARE SYSTEM TO SERVE THE NEEDS AND TRADITIONAL VALUES OF OUR AMERICAN INDIAN COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,716,261 | ExpenseAmt |
| Revenue | $13,992,249 | RevenueAmt |
| Desc | HEALTH CARE FACILITY, PROVIDING MEDICAL, DENTAL, NUTRITIONAL, BEHAVIORAL HEALTH, PHARMACY, AND HEALTH EDUCATION SERVICES. | Desc |
| Total Program Service Expenses | $13,716,261 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | 0 | 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 | 193 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 185 | 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7075214545 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 STONY POINT ROAD | AddressLine1Txt |
| City | SANTA ROSA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95401 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| MARGIE MEJIA | |||||||
| CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RENO FRANKLIN | |||||||
| VICE CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LYNN SILVA | |||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LISA ELGIN | |||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| VICKEY MACIAS | |||||||
| CLOVERDALE TRIBAL DELEGATE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SANDRA ROOPE | |||||||
| CLOVERDALE TRIBAL DELEGATE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| TIERANEY GIRON | |||||||
| DRY CREEK RANCHERIA TRIBAL | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SALVANA NORRIS | |||||||
| DRY CREEK TRIBAL DELEGATE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ELVIDA BANUELOS | |||||||
| KASHIA TRIBAL DELIGATE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL PATRICK | |||||||
| FIGR TRIBAL DELAGATE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL STEELE JR | |||||||
| LYTTON TRIBAL DELEGATE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| LINDA LAWSON | |||||||
| MANCHESTER TRIBAL DELEGATE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| BETTY ARTERBERRY | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $205,419 | $0 | $14,786 | ||
| SILVER GALLETO | |||||||
| CHIEF OPERATIONS OFFICER | 40.00 | Yes (X) | $132,705 | $0 | $12,741 | ||
| LISA VALENCIA | |||||||
| CHIEF FINANCE OFFICER | 40.00 | Yes (X) | $127,505 | $0 | $29,810 | ||
| JENNIFER DURST | |||||||
| COMPLIANCE OFFICER | 40.00 | Yes (X) | $107,478 | $0 | $30,958 | ||
| JOEL BERRYHILL | |||||||
| DENTAL DIRECTOR | 24.00 | Yes (X) | $149,312 | $0 | $4,479 | ||
| MARK GOODWIN | |||||||
| MEDICAL DIRECTOR | 40.00 | Yes (X) | $272,675 | $0 | $31,485 | ||
| JENNIFER REMMERS | |||||||
| NUTRITION SERVICES DIRECTO | 40.00 | Yes (X) | $102,241 | $0 | $22,446 | ||
| KIRT SCHWEIGMAN | |||||||
| BEHAVIORAL HEALTH DIRECTOR | 40.00 | Yes (X) | $107,915 | $0 | $12,000 | ||
| LAURA WONG | |||||||
| PHARMACY DIRECTOR | 40.00 | Yes (X) | $168,125 | $0 | $15,531 | ||
| DON CARLOS STEELE | |||||||
| PHYSICIAN | 40.00 | $225,340 | $0 | $34,494 | Yes (X) | ||
| MEREDITH COBLE | |||||||
| PHYSICIAN | 40.00 | $190,831 | $0 | $25,103 | Yes (X) | ||
| DAVID ALMOND | |||||||
| PHYSICIAN | 40.00 | $176,671 | $0 | $31,299 | Yes (X) | ||
| ASTERITA MACHADO | |||||||
| PHYSICIAN | 40.00 | $160,382 | $0 | $30,655 | Yes (X) | ||
| JOSEPH RUTKOWSKI | |||||||
| DENTIST | 40.00 | $158,284 | $0 | $32,482 | Yes (X) | ||
| PETER FONG | |||||||
| DENTIST | 40.00 | $135,493 | $0 | $122,156 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,420,376 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $450,425 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 21 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDICAL DOCTOR ASSOCIATES | |||||
| PO BOX 277185 | ATLANTA | GA | 30384 | BUILDING REPAIRS | $118,275 |
| VISTA STAFFING SOLUTIONS INC | |||||
| FILE 50834 | LOS ANGELES | CA | 90074 | TEMPORARY STAFFING | $115,826 |
| SABLE COMPUTER INC | |||||
| 48383 FREMONT BLVD 122 | FREMONT | CA | 94538 | SEVER MAINTENANCE | $101,200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $14,677,778 | GovernmentGrantsAmt |
| All Other Contributions | $5,400 | AllOtherContributionsAmt |
| Total Contributions | $14,683,178 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621400 | $13,573,083 | $13,573,083 |
| OTHER REVENUE | 621400 | $419,166 | $419,166 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,992,249 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,199 | TotalRevenueColumnAmt |
| Exclusion | $27,199 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,702,626 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,992,249 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $27,199 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,623,768 | TotalAmt |
| Program Services | $1,623,768 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,790,002 | TotalAmt |
| Program Services | $7,092,081 | ProgramServicesAmt |
| Management And General | $2,697,921 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,453,237 | TotalAmt |
| Program Services | $1,932,077 | ProgramServicesAmt |
| Management And General | $521,160 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,002 | TotalAmt |
| Program Services | $9,195 | ProgramServicesAmt |
| Management And General | $34,807 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $789,736 | TotalAmt |
| Management And General | $789,736 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $457,575 | TotalAmt |
| Program Services | $125,396 | ProgramServicesAmt |
| Management And General | $332,179 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL DEVICES & SUPPL | $1,461,931 | $1,401,751 | $60,180 |
| PURCHASED SERVICES | $1,030,221 | $580,211 | $450,010 |
| MISCELLANEOUS | $779,815 | $289,674 | $490,141 |
| COMPUTER, TELEPHONE & O | $476,442 | $194,961 | $281,481 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,761,996 | TotalAmt |
| Program Services | $467,147 | ProgramServicesAmt |
| Management And General | $1,294,849 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,668,725 | TotalAmt |
| Program Services | $13,716,261 | ProgramServicesAmt |
| Management And General | $6,952,464 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,782,652 | BOYAmt |
| EOY | $67,209,415 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,431,171 | BOYAmt |
| EOY | $2,479,724 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,164 | BOYAmt |
| EOY | $35,796 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $474,619 | BOYAmt |
| EOY | $266,192 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $31,089,660 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,176,735 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,238,050 | BOYAmt |
| EOY | $20,912,925 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,448 | BOYAmt |
| EOY | $46,521 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,979,104 | BOYAmt |
| EOY | $90,950,573 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,903,587 | BOYAmt |
| EOY | $1,354,946 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,786,007 | BOYAmt |
| EOY | $24,272,216 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,689,594 | BOYAmt |
| EOY | $25,627,162 | 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 | $47,289,510 | BOYAmt |
| EOY | $55,323,411 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000,000 | BOYAmt |
| EOY | $10,000,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,289,510 | BOYAmt |
| EOY | $65,323,411 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,979,104 | BOYAmt |
| EOY | $90,950,573 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $8,033,901 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | $12,200,152 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,534,170 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,966,513 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,468,052 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,683,178 | CurrentTaxYearAmt |
| Total | $63,852,065 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,200,152 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,534,170 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,966,513 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,468,052 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,683,178 | CurrentTaxYearAmt |
| Total | $63,852,065 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $63,852,065 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $50,877 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $60,539 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $319,214 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $327,616 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $27,199 | CurrentTaxYearAmt |
| Total | $785,445 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $64,637,510 | TotalSupportAmt |
| Public Support CY170 | 0.98780 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98640 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,498,126 | OtherCostOrOtherBasisAmt |
| Book Value | $15,498,126 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,347,188 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,363,968 | DepreciationAmt |
| Book Value | $3,983,220 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,706,299 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,396,415 | DepreciationAmt |
| Book Value | $309,884 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,612,211 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,198,312 | DepreciationAmt |
| Book Value | $413,899 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $925,836 | OtherCostOrOtherBasisAmt |
| Depreciation | $218,040 | DepreciationAmt |
| Book Value | $707,796 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $20,912,925 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $28,702,626 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $28,702,626 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $28,702,626 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $20,668,725 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $20,668,725 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $20,668,725 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARK GOODWIN | ||||||||||||||
| MEDICAL DIRECTOR | $272,675 | $0 | $0 | $0 | $0 | $0 | $31,485 | $0 | $0 | $0 | $304,160 | $0 | $0 | $0 |
| DON CARLOS STEELE | ||||||||||||||
| PHYSICIAN | $225,340 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $34,494 | $0 | $259,834 | $0 | $0 | $0 |
| PETER FONG | ||||||||||||||
| DENTIST | $135,493 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $122,156 | $0 | $257,649 | $0 | $0 | $0 |
| BETTY ARTERBERRY | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $205,419 | $0 | $0 | $0 | $0 | $0 | $14,786 | $0 | $0 | $0 | $220,205 | $0 | $0 | $0 |
| MEREDITH COBLE | ||||||||||||||
| PHYSICIAN | $190,831 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $25,103 | $0 | $215,934 | $0 | $0 | $0 |
| DAVID ALMOND | ||||||||||||||
| PHYSICIAN | $176,671 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $31,299 | $0 | $207,970 | $0 | $0 | $0 |
| ASTERITA MACHADO | ||||||||||||||
| PHYSICIAN | $160,382 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $30,655 | $0 | $191,037 | $0 | $0 | $0 |
| JOSEPH RUTKOWSKI | ||||||||||||||
| DENTIST | $158,284 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $32,482 | $0 | $190,766 | $0 | $0 | $0 |
| LAURA WONG | ||||||||||||||
| PHARMACY DIRECTOR | $168,125 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $15,531 | $0 | $183,656 | $0 | $0 | $0 |
| LISA VALENCIA | ||||||||||||||
| CHIEF FINANCE OFFICER | $127,505 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $29,810 | $0 | $157,315 | $0 | $0 | $0 |
| JOEL BERRYHILL | ||||||||||||||
| DENTAL DIRECTOR | $149,312 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $4,479 | $0 | $153,791 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | PRESENTED TO AND REVIEWED BY THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORED DURING THE COURSE OF BUSINESS THROUGH PROPER APPROVAL OF PURCHASE REQUISITIONS, OTHER EXPENDITURES AND TRAVEL REQUESTS. |
| FORM 990, PART VI, SECTION B, LINE 15 | CONDUCT A COMPENSATION AND BENEFITS STUDY FOR MARKET AVERAGES. REVIEW AND APPROVAL OF THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED. |
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