NATIVE AMERICAN HEALTH CENTER INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- NATIVE AMERICAN HEALTH CENTER INC (EIN 23-7135928)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-16
- IRS object ID
- 202231369349310403
- Schema version
- 2020v4.0
- 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 | 2022-05-16T12:18:45-07:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 270741376 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARSHWAL & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7677 OAKPORT ST STE 460 | AddressLine1Txt |
| City | OAKLAND | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94621 | 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 | 237135928 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Native American Health Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NATI | BusinessNameControlTxt |
| Phone | 5104855932 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2920 International Blvd | AddressLine1Txt |
| City | Oakland | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Martin Waukazoo | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2022-05-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Martin | PersonFirstNm |
| Person Last | Waukazoo | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Sanwar Harshwal CPA | PreparerPersonNm |
| PTIN | P01249746 | PTIN |
| Phone | 5104525051 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
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 |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| 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 | Martin Waukazoo | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2920 International Blvd | AddressLine1Txt |
| City | Oakland | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $40,674,833 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.nativehealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | The mission of the Native American Health Center, Inc. (NAHC) is to provide medical care, dental treatment, mental health, counseling & social services, & youth services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 318 | TotalEmployeeCnt |
| Total Volunteers | 3 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $10,445,145 | PYContributionsGrantsAmt |
| CY Contributions Grants | $21,074,244 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,702,538 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,016,206 | CYProgramServiceRevenueAmt |
| PY Investment Income | $83,354 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,108,234 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,904,215 | PYOtherRevenueAmt |
| CY Other Revenue | $81,626 | CYOtherRevenueAmt |
| PY Total Revenue | $29,135,252 | PYTotalRevenueAmt |
| CY Total Revenue | $39,280,310 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,100,816 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $21,791,504 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,017,641 | PYOtherExpensesAmt |
| CY Other Expenses | $10,356,108 | CYOtherExpensesAmt |
| PY Total Expenses | $29,118,457 | PYTotalExpensesAmt |
| CY Total Expenses | $32,147,612 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $16,795 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,132,698 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $40,729,745 | TotalAssetsBOYAmt |
| Total Assets EOY | $45,895,136 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,698,481 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,651,891 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $28,031,264 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $36,243,245 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of the Native American Health Center, Inc. (NAHC) is to provide medical care, dental treatment, mental health, counseling & social services, & youth services. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $9,436,658 | ExpenseAmt |
| Revenue | $8,398,550 | RevenueAmt |
| Desc | Medical Services: The Medical Department of NAHC provided medical services to children & adults. Services included acute & chronic medical problems, pediatrics, women's health, family planning & STI screening and treatment. Other programs included primary care psychiatry program offering training to staff, direct intakes for AIDS emergency fund for clients & AIDS drug assistance program. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,030,765 | ExpenseAmt |
| Revenue | $5,323,115 | RevenueAmt |
| Desc | Dental Services: NAHC contracts with various govenrmental agencies to provide dental care. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,396,754 | ExpenseAmt |
| Revenue | $1,388,673 | RevenueAmt |
| Desc | Community Wellness/Behavioral Health: Family & Child Guidance Department of NAHC provided services such as Behavioral Health services, violence prevention, community-based substance abuse counseling, HIV/AIDS prevention & care & community capacity building efforts. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,944,598 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $905,868 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $23,808,775 | 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 | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | 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 | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | 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 | 200 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 318 | 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 |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| 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 | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | 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 | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| 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 |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Alan Wong CFO | PersonNm |
| Phone | 5104855932 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2920 International Blvd | AddressLine1Txt |
| City | Oakland | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| Martin Waukazoo | |||||||
| CEO | 40.00 | 0.00 | Yes (X) | $312,592 | $0 | $39,021 | |
| Zaina El-Isa | |||||||
| Physician | 40.00 | 0.00 | $246,900 | $0 | $17,862 | ||
| Gerard Jenkins | |||||||
| Dir of Medical | 40.00 | 0.00 | Yes (X) | $246,863 | $0 | $13,049 | |
| Natalie Aguilera | |||||||
| CAO | 40.00 | 0.00 | Yes (X) | $207,176 | $0 | $39,223 | |
| Alfonso Galindo | |||||||
| Dental Director | 40.00 | 0.00 | Yes (X) | $211,121 | $0 | $14,370 | |
| Benjamin Lee | |||||||
| Dental Director | 40.00 | 0.00 | $203,428 | $0 | $20,184 | ||
| Bonita Trinclisti | |||||||
| Dir Medical Adm | 40.00 | 0.00 | Yes (X) | $189,835 | $0 | $31,619 | |
| Yogesh Jagridar | |||||||
| Physician | 40.00 | 0.00 | $202,598 | $0 | $13,807 | ||
| Amber Curley | |||||||
| CFO | 40.00 | 0.00 | Yes (X) | $196,553 | $0 | $14,937 | |
| Gregory Gareett | |||||||
| COO | 40.00 | 0.00 | Yes (X) | $198,655 | $0 | $10,249 | |
| Utaka Springer | |||||||
| Dir. Behv. Hlth | 40.00 | 0.00 | Yes (X) | $160,813 | $0 | $36,128 | |
| Mayuri Jagirdar | |||||||
| Physician | 40.00 | 0.00 | $177,619 | $0 | $6,344 | ||
| Eric D Smith | |||||||
| Dentist | 40.00 | 0.00 | $158,682 | $0 | $18,324 | ||
| Ruel Empleo | |||||||
| IT Director | 40.00 | 0.00 | Yes (X) | $139,438 | $0 | $18,120 | |
| Ana Noriega | |||||||
| Site Director | 40.00 | 0.00 | Yes (X) | $131,205 | $0 | $25,731 | |
| Chirag Patel | |||||||
| Dir Comnty Well | 40.00 | 0.00 | Yes (X) | $125,135 | $0 | $19,912 | |
| Charlene Harrison | |||||||
| Site Director | 40.00 | 0.00 | Yes (X) | $122,751 | $0 | $21,795 | |
| Atziri Rodriguez | |||||||
| SBC Director | 40.00 | 0.00 | Yes (X) | $97,587 | $0 | $21,747 | |
| Anthony Guzman | |||||||
| Dir of Com.Well | 40.00 | 0.00 | Yes (X) | $25,576 | $0 | $0 | |
| Carmen Foghorn | |||||||
| Treasurer | 1.00 | 0.00 | $2,650 | $0 | $0 | Yes (X) | |
| Cindi Adams | |||||||
| Chairperson | 1.00 | 0.00 | $2,500 | $0 | $0 | Yes (X) | |
| Nathan Blacksmith | |||||||
| Board Member | 1.00 | 0.00 | $2,450 | $0 | $0 | Yes (X) | |
| Victoria Partida-Young | |||||||
| Board Member | 1.00 | 0.00 | $2,450 | $0 | $0 | Yes (X) | |
| Lee Davenport | |||||||
| V. Chairperson | 1.00 | 0.00 | $2,250 | $0 | $0 | Yes (X) | |
| Jessica Rich | |||||||
| Board Member | 1.00 | 0.00 | $2,250 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,369,077 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $382,422 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 36 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AMI Network | |||||
| 401 Wilshire Blvd 1200 | Santa Monica | CA | 90401 | Temp Agency | $447,383 |
| Direct Urgent Care | |||||
| 300 California St SF | San Francisco | CA | 94104 | Temp Agency | $233,154 |
| California Dental Arts | |||||
| 20421 Pacifica Dr | Cupertino | CA | 95014 | Dental Labs | $164,378 |
| Blaisdells | |||||
| 880 Harbour Way S 600 | Richmond | CA | 94804 | Office Supplies | $158,463 |
| Quill Corp | |||||
| PO Box 37600 | Philadelphia | PA | 19101 | Office Supplies | $126,424 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $20,294,962 | GovernmentGrantsAmt |
| All Other Contributions | $779,282 | AllOtherContributionsAmt |
| Total Contributions | $21,074,244 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Dental Services | 621110 | $5,323,115 | $5,323,115 |
| Medical Services | 621110 | $8,398,550 | $8,398,550 |
| Mental Health Services | 621110 | $1,388,673 | $1,388,673 |
| School Based Services | 621110 | $905,868 | $905,868 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,016,206 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $72,757 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $72,757 | RelatedOrExemptFuncIncomeAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,430,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,394,523 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,035,477 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,035,477 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,035,477 | RelatedOrExemptFuncIncomeAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Meaningful Use Incentive | 621110 | $34,000 | $34,000 |
| Miscellaneous Income | 621110 | $24,755 | $24,755 |
| Other Income | 621110 | $22,871 | $22,871 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $81,626 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,280,310 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,206,066 | RelatedOrExemptFuncIncomeAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,738,651 | TotalAmt |
| Program Services | $2,124,154 | ProgramServicesAmt |
| Management And General | $614,497 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,360,202 | TotalAmt |
| Program Services | $11,145,177 | ProgramServicesAmt |
| Management And General | $3,215,025 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449,769 | TotalAmt |
| Program Services | $349,073 | ProgramServicesAmt |
| Management And General | $100,696 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,945,730 | TotalAmt |
| Program Services | $2,267,083 | ProgramServicesAmt |
| Management And General | $678,647 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,297,152 | TotalAmt |
| Program Services | $1,006,740 | ProgramServicesAmt |
| Management And General | $290,412 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,988,702 | TotalAmt |
| Program Services | $1,593,678 | ProgramServicesAmt |
| Management And General | $395,024 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,792,844 | TotalAmt |
| Program Services | $1,434,369 | ProgramServicesAmt |
| Management And General | $358,475 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $870,745 | TotalAmt |
| Program Services | $728,747 | ProgramServicesAmt |
| Management And General | $141,998 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,372 | TotalAmt |
| Program Services | $109,980 | ProgramServicesAmt |
| Management And General | $93,392 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,568 | TotalAmt |
| Program Services | $175,693 | ProgramServicesAmt |
| Management And General | $8,875 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $900,891 | TotalAmt |
| Program Services | $683,694 | ProgramServicesAmt |
| Management And General | $217,197 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,050 | TotalAmt |
| Program Services | $150,514 | ProgramServicesAmt |
| Management And General | $28,536 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| Donation | $1,789,793 | $1,789,793 | |
| Medical & Dental Supplies | $978,001 | $899 | $977,102 |
| Software Lics/Internet support | $638,161 | $241,588 | $396,573 |
| Taxes, dues & misc. exp | $433,842 | $110,600 | $323,242 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $396,139 | TotalAmt |
| Program Services | $342,956 | ProgramServicesAmt |
| Management And General | $53,183 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,147,612 | TotalAmt |
| Program Services | $23,808,775 | ProgramServicesAmt |
| Management And General | $8,338,837 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,747,401 | BOYAmt |
| EOY | $3,467,000 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,338,434 | BOYAmt |
| EOY | $8,505,053 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,759,096 | BOYAmt |
| EOY | $8,266,706 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $400,986 | BOYAmt |
| EOY | $527,114 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $21,553,794 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,704,522 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,855,107 | BOYAmt |
| EOY | $10,849,272 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,176,366 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,628,721 | BOYAmt |
| EOY | $13,103,625 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,729,745 | BOYAmt |
| EOY | $45,895,136 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $581,236 | BOYAmt |
| EOY | $533,816 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,609,784 | BOYAmt |
| EOY | $1,537,578 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,060,931 | BOYAmt |
| EOY | $5,716,182 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,446,530 | BOYAmt |
| EOY | $1,864,315 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,698,481 | BOYAmt |
| EOY | $9,651,891 | 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 | $27,895,551 | BOYAmt |
| EOY | $36,127,456 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,713 | BOYAmt |
| EOY | $115,789 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,031,264 | BOYAmt |
| EOY | $36,243,245 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,729,745 | BOYAmt |
| EOY | $45,895,136 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $7,132,698 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,079,283 | NetUnrlzdGainsLossesInvstAmt |
| 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 | $10,931,153 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,716,366 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,894,170 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,445,145 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,074,244 | CurrentTaxYearAmt |
| Total | $63,061,078 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,931,153 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,716,366 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,894,170 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,445,145 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,074,244 | CurrentTaxYearAmt |
| Total | $63,061,078 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $63,061,078 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $90,258 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $35,570 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $70,832 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $83,354 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $72,757 | CurrentTaxYearAmt |
| Total | $352,771 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $769,208 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,451,377 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,241,860 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,857,055 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $81,626 | CurrentTaxYearAmt |
| Total | $6,401,126 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $69,814,975 | TotalSupportAmt |
| Public Support CY170 | 0.90330 | PublicSupportCY170Pct |
| Public Support PY170 | 0.87710 | 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,827,294 | BeginningYearBalanceAmt |
| End Year Balance | $3,827,294 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,827,294 | BeginningYearBalanceAmt |
| End Year Balance | $3,827,294 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,827,294 | BeginningYearBalanceAmt |
| End Year Balance | $3,827,294 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,827,294 | BeginningYearBalanceAmt |
| End Year Balance | $3,827,294 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,827,294 | BeginningYearBalanceAmt |
| End Year Balance | $3,827,294 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | false | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $869,199 | OtherCostOrOtherBasisAmt |
| Book Value | $869,199 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,385,631 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,404,831 | DepreciationAmt |
| Book Value | $8,980,800 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,133,307 | OtherCostOrOtherBasisAmt |
| Depreciation | $994,320 | DepreciationAmt |
| Book Value | $138,987 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,165,657 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,305,371 | DepreciationAmt |
| Book Value | $860,286 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,849,272 | TotalBookValueLandBuildingsAmt |
| Total Book Value Securities | $13,103,625 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued personal time off | $1,354,048 |
| Accrued Salaries & Fringe Benefits | $510,267 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,864,315 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $40,359,593 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,079,283 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $1,079,283 | RevenueNotReportedAmt |
| Revenue Subtotal | $39,280,310 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $39,280,310 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $32,147,612 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $32,147,612 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $32,147,612 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X : FIN48 Footnote | FormAndLineReferenceDesc |
| Explanation | NAHC is exempt from income taxes under Section 501(C)(3) of the Internal Revenue Code and 23701(d) of the State of California Code. Therefore, no provision for income taxes has been provided.NAHC has adopted the accounting guidance related to uncertain tax positions, and has evaluated its tax positions and believes that all of the positions taken by NAHC in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. NAHCs returns are subject to examination by federal and state taxing authorities, generally for three years and four years respectively after they are filed. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| Alfonso Galindo | |||||
| Dental Director | $211,071 | $50 | $13,412 | $958 | $225,491 |
| Amber Curley | |||||
| CFO | $196,522 | $31 | $6,046 | $8,891 | $211,490 |
| Ana Noriega | |||||
| Site Director | $131,155 | $50 | $8,691 | $17,040 | $156,936 |
| Benjamin Lee | |||||
| Dental Director | $203,397 | $31 | $11,485 | $8,699 | $223,612 |
| Bonita Trinclisti | |||||
| Dir Medical Adm | $189,785 | $50 | $13,274 | $18,345 | $221,454 |
| Eric D Smith | |||||
| Dentist | $158,650 | $32 | $11,012 | $7,312 | $177,006 |
| Gerard Jenkins | |||||
| Dir of Medical | $246,823 | $40 | $13,049 | $259,912 | |
| Gregory Gareett | |||||
| COO | $198,625 | $30 | $1,550 | $8,699 | $208,904 |
| Martin Waukazoo | |||||
| CEO | $304,885 | $7,707 | $21,008 | $18,013 | $351,613 |
| Mayuri Jagirdar | |||||
| Physician | $177,590 | $29 | $6,344 | $183,963 | |
| Natalie Aguilera | |||||
| CAO | $207,126 | $50 | $14,016 | $25,207 | $246,399 |
| Ruel Empleo | |||||
| IT Director | $139,407 | $31 | $9,229 | $8,891 | $157,558 |
| Utaka Springer | |||||
| Dir. Behv. Hlth | $160,763 | $50 | $11,046 | $25,082 | $196,941 |
| Yogesh Jagridar | |||||
| Physician | $202,567 | $31 | $13,807 | $216,405 | |
| Zaina El-Isa | |||||
| Physician | $246,878 | $22 | $16,904 | $958 | $264,762 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: Other Program Services: WIC: The Women, Infants, and Children (WIC) program at NAHC is a Federally funded through State Grants Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and provides supplemental foods, health care referrals, and nutrition education for low-income pregnant, breastfeeding, and non-breastfeeding postpartum women, and to infants and children up to age five who are found to be at nutritional risk.School Based Health Centers: the School-based health centers (SBHCs) at NAHC are primary care clinics located at 9 middle and High school campuses in Alameda County. SBHCs provide a combination of primary care, mental health care, substance abuse counseling, case management, dental health, nutrition education, health education and health promotion. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | The Form 990 will be reviewed by the Chief Financial Officer before it is presented to the Audit Committee and Board of Directors for their review and approval. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | Conflicts of Interest are monitored on a regular basis by the responsible officers. When a conflict is identified, it as addressed on a case by case basis. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | The Human Resources Department has a study of CEO's salaries in the Bay Area Health Centers which is used to determine the compensation for the CEO. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | The Human Resources Department has a study of other officers' salaries in the Bay Area Health Centers which is used to determine the compensation for other officers. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | NAHC makes its governing documents, conflict of interest policy and financial statements available to the public upon request. |
| Form 990, Part VIII, Line 6a - Gross Rent | NAHC has income generated from rental activities which is used to support other programs of the clinic. NAHC keeps track of what should be charged to the programs for rent. |
| Form 990, Part VIII, Line 7a (ii)- Gross amount from sale of assets. | On October 14, 2020, NAHC closed on the sale of real properties at 1815 39th Avenue & 1818 38th Avenue, Oakland, CA 94601, and 80 Julian Avenue, San Francisco, CA 94103, comprised of land and building. Out of the total fair value of the building at the transaction date, NAHC donated $1,789,793 to a not-for-profit organization. There was no mortgage on the property, and net proceeds after transaction relatedexpenses and donation totaled $1,640,511 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Health Center Network | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 Callan Avenue 3rd Floor | AddressLine1Txt |
| City | San Leandro | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94577 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 943253662 | EIN |
| Primary Activities | To provide health care related services | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501 c 3 | ExemptCodeSectionTxt |
| Public Charity Status | 11e, Type 1 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Seven Directions Management LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1825 San Pablo Ave | AddressLine1Txt |
| City | Oakland | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 870803882 | EIN |
| Primary Activities | Medical and Dental Services | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Share Of Total Income | -$2,010 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $1,139 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.50000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Health Center Network | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | l | TransactionTypeTxt |
| Involved | $1,645,374 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |
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