NORTHERN VALLEY INDIAN HEALTH INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- NORTHERN VALLEY INDIAN HEALTH INC (EIN 94-1747220)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-09-06
- IRS object ID
- 202232499349300533
- Schema version
- 2021v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-09-06T09:24:29-07:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200276349 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MANN URRUTIA NELSON CPAs & ASSOC LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2901 Douglas Blvd Suite 290 | AddressLine1Txt |
| City | Roseville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95661 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941747220 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northern Valley Indian Health Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 5309344641 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 207 North Butte Street | AddressLine1Txt |
| City | Willows | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95988 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lenny Verser | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2022-09-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Lenny | PersonFirstNm |
| Person Last | Verser | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Justin J Williams CPA | PreparerPersonNm |
| PTIN | P00851793 | PTIN |
| Phone | 9167744208 | 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 |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Lenny Verser | PrincipalOfficerNm |
| Gross Receipts | $64,381,122 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NVIH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | To provide health services to eligible american indians in the service areas of Colusa, Glenn, and Yolo counties and portions of Butte and Tehama counties. Medical and dental services are provided to the general community as well. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 458 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $13,274,158 | PYContributionsGrantsAmt |
| CY Contributions Grants | $13,037,434 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $36,022,938 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $47,483,214 | CYProgramServiceRevenueAmt |
| PY Investment Income | $188,609 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,915 | CYInvestmentIncomeAmt |
| CY Other Revenue | $3,854,559 | CYOtherRevenueAmt |
| PY Total Revenue | $49,485,705 | PYTotalRevenueAmt |
| CY Total Revenue | $64,381,122 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $29,590,129 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $30,541,909 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,158,200 | PYOtherExpensesAmt |
| CY Other Expenses | $13,617,104 | CYOtherExpensesAmt |
| PY Total Expenses | $42,748,329 | PYTotalExpensesAmt |
| CY Total Expenses | $44,159,013 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,737,376 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $20,222,109 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $82,030,957 | TotalAssetsBOYAmt |
| Total Assets EOY | $103,339,249 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,590,983 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,677,166 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $74,439,974 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $94,662,083 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To provide health services to eligible american indians in the service areas of Glenn and Yolo counties and portions of Colusa, Butte and Tehama counties. Medical and dental services are provided to the general community as well. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $22,679,295 | ExpenseAmt |
| Desc | General Public - Northern Valley Indian Health provides medical, dental and behavioral helath services to the public and collects fees for these services from individuals and insurance payers, including commercial, Medi-Cal and Medicare. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,408,407 | ExpenseAmt |
| Desc | Department of Health and Human Services - Indian Health Services, Annual Funding Agreements Comprehensive health services are provided to the Native American population of Colusa, Glenn, Yolo and portions of Tehama and Butte counties including direct patient care, immunizations, health promotion and disease prevention. Total visits in 2021 exceeded 100,000. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $167,576 | ExpenseAmt |
| Desc | Department of Health and Human Services - Indian Health Services Special Diabetes Program InitiativeThis program provides diabetes detection and testing services to the Native-American population of Colusa, Glenn, Yolo, and portions of Tehama and Butte Counties. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $245,656 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $32,500,934 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | 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 | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 91 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 458 | 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 |
| 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| 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 | Lenny Verser | PersonNm |
| Phone | 5303614602 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 207 North Butte Street | AddressLine1Txt |
| City | Willows | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95988 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 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 |
|---|---|---|---|---|---|---|---|
| Inder Wadhwa | |||||||
| CEO | 40.00 | 0.00 | Yes (X) | $448,642 | $0 | $52,788 | |
| Chester Austin | |||||||
| Medical Director | 40.00 | 0.00 | $322,047 | $0 | $52,725 | ||
| Cafferata Lindsey | |||||||
| Lead Medical Provider | 36.00 | 0.00 | $308,452 | $0 | $39,856 | ||
| Brian Dudar | |||||||
| Dental Director | 40.00 | 0.00 | $235,098 | $0 | $51,656 | ||
| Reinking Celeste | |||||||
| Lead Medical Provider | 36.00 | 0.00 | $253,449 | $0 | $30,525 | ||
| Wilkins Andrea | |||||||
| Lead Dentist | 40.00 | 0.00 | $221,379 | $0 | $38,688 | ||
| Libao Maria Juvy | |||||||
| Dentist | 40.00 | 0.00 | $209,566 | $0 | $45,900 | ||
| Tedford Patrick | |||||||
| Lead Medical Provider | 32.00 | 0.00 | $231,968 | $0 | $8,924 | ||
| Madeline Marcus | |||||||
| Pediatrician | 32.00 | 0.00 | $191,529 | $0 | $46,176 | ||
| MAURO MORENO | |||||||
| PHYSICIAN ASSISTAN | 40.00 | 0.00 | $194,670 | $0 | $34,794 | ||
| Deanna Mcconnell | |||||||
| Family Nurse Pract | 40.00 | 0.00 | $196,177 | $0 | $32,814 | ||
| David Spector | |||||||
| Dentist | 40.00 | 0.00 | $195,628 | $0 | $31,781 | ||
| Kirk Bjella | |||||||
| Pediatrician | 36.00 | 0.00 | $191,072 | $0 | $32,311 | ||
| MICHAEL CLARKE | |||||||
| BEHAVIORAL HEALTH DIRECTOR | 40.00 | 0.00 | $161,639 | $0 | $35,198 | ||
| Larissa Tamble | |||||||
| CFO | 40.00 | 0.00 | $141,529 | $0 | $21,342 | ||
| Karen Dolce | |||||||
| CFO | 40.00 | 0.00 | $54,274 | $0 | $167 | ||
| Kenneth Swearinger | |||||||
| Chairperson | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Charlie Wright | |||||||
| Vice Chair | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Rebecca Pendergraph | |||||||
| Treasurer | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Regina Dock | |||||||
| Secretary | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Darrylene Swearinger | |||||||
| Board Member | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Connie Gomez | |||||||
| Board Member | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Julia Fred-Mota | |||||||
| Board Member | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Aimee Polit | |||||||
| Board Member | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Kyle Bill | |||||||
| Board Member | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Dennis Ramirez | |||||||
| Board Member | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Kyle McHenry | |||||||
| Board Member | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Paulita Hopper | |||||||
| Board Member | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Charlee Ganzer | |||||||
| Board member | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,557,119 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $555,645 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | 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 |
|---|---|---|---|---|---|
| Conover AVI | |||||
| PO Box 2528 | TriCities | WA | 99302 | Insurance | $229,677 |
| Eclinical Works | |||||
| PO Box 847950 | Boston | MA | 02284 | Health Information System | $250,984 |
| DT Trak Consulting | |||||
| 210 North Broadway | MILLER | SD | 57362 | Outsource/Staffing | $290,191 |
| Slater & Son Contractor Inc | |||||
| 3753 Morehead Ave | Chico | CA | 95928 | Consultant | $8,776,227 |
| Provider Healthcare LLC | |||||
| 2455 E Parleys Way Suite 130 | Salt Lake City | UT | 84109 | Staffing | $569,067 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $12,917,680 | GovernmentGrantsAmt |
| All Other Contributions | $119,754 | AllOtherContributionsAmt |
| Total Contributions | $13,037,434 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Health Services | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $47,483,214 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $47,483,214 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $47,483,214 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,915 | TotalRevenueColumnAmt |
| Exclusion | $5,915 | ExclusionAmt |
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 |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PPP Loan Forgiveness | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $3,854,559 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,854,559 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,854,559 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $64,381,122 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $51,337,773 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $5,915 | ExclusionAmt |
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 | $2,965,809 | TotalAmt |
| Program Services | $2,466,634 | ProgramServicesAmt |
| Management And General | $499,175 | 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 | $20,893,778 | TotalAmt |
| Program Services | $17,556,734 | ProgramServicesAmt |
| Management And General | $3,337,044 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,034,247 | TotalAmt |
| Program Services | $3,890,490 | ProgramServicesAmt |
| Management And General | $1,143,757 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,648,075 | TotalAmt |
| Program Services | $1,082,205 | ProgramServicesAmt |
| Management And General | $565,870 | 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 | $80,294 | TotalAmt |
| Management And General | $80,294 | ManagementAndGeneralAmt |
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 | $3,464,903 | TotalAmt |
| Program Services | $2,661,925 | ProgramServicesAmt |
| Management And General | $802,978 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,782 | TotalAmt |
| Program Services | $66,782 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $648,849 | TotalAmt |
| Program Services | $145,337 | ProgramServicesAmt |
| Management And General | $503,512 | 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 | $1,327,477 | TotalAmt |
| Program Services | $338,817 | ProgramServicesAmt |
| Management And General | $988,660 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,369 | TotalAmt |
| Program Services | $80,595 | ProgramServicesAmt |
| Management And General | $42,774 | ManagementAndGeneralAmt |
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 | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,842 | TotalAmt |
| Management And General | $11,842 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,453,093 | TotalAmt |
| Management And General | $1,453,093 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,710 | TotalAmt |
| Program Services | -$9,648 | ProgramServicesAmt |
| Management And General | $167,358 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Program Services | $1,354,277 | $1,097,561 | $256,716 |
| program supplies | $1,295,643 | $1,288,169 | $7,474 |
| Equipment purchases | $946,689 | $526,308 | $420,381 |
| REPAIRS & MAINTENANCE | $628,078 | $368,104 | $259,974 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,058,098 | TotalAmt |
| Program Services | $940,921 | ProgramServicesAmt |
| Management And General | $1,117,177 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,159,013 | TotalAmt |
| Program Services | $32,500,934 | ProgramServicesAmt |
| Management And General | $11,658,079 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,258,914 | BOYAmt |
| EOY | $4,648,334 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,886,641 | BOYAmt |
| EOY | $55,279,578 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $582,126 | BOYAmt |
| EOY | $180,982 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,594,325 | BOYAmt |
| EOY | $4,790,807 | 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 | $215,314 | BOYAmt |
| EOY | $190,609 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $49,403,268 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,154,329 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,228,819 | BOYAmt |
| EOY | $38,248,939 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $264,818 | BOYAmt |
| EOY | $0 | 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 | $82,030,957 | BOYAmt |
| EOY | $103,339,249 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,119,769 | BOYAmt |
| EOY | $3,237,725 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,397 | BOYAmt |
| EOY | $5,439,441 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,318,817 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,590,983 | BOYAmt |
| EOY | $8,677,166 | 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 | $71,053,041 | BOYAmt |
| EOY | $94,662,083 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,386,933 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,439,974 | BOYAmt |
| EOY | $94,662,083 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,030,957 | BOYAmt |
| EOY | $103,339,249 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $20,222,109 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,033,322 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,107,811 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,147,761 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,274,158 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,037,434 | CurrentTaxYearAmt |
| Total | $45,600,486 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $34,987,728 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $38,752,958 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $39,313,447 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $36,022,938 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,483,214 | CurrentTaxYearAmt |
| Total | $196,560,285 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $41,021,050 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $44,860,769 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $46,461,208 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $49,297,096 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $60,520,648 | CurrentTaxYearAmt |
| Total | $242,160,771 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $242,160,771 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,140 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $398,236 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $666,624 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $188,609 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,915 | CurrentTaxYearAmt |
| Total | $1,288,524 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,140 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $398,236 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $666,624 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $188,609 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,915 | CurrentTaxYearAmt |
| Total | $1,288,524 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $3,854,559 | CurrentTaxYearAmt |
| Total | $3,854,559 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $41,050,190 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $45,259,005 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $47,127,832 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $49,485,705 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $64,381,122 | CurrentTaxYearAmt |
| Total | $247,303,854 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97920 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99390 | PublicSupportPY509Pct |
| Investment Income CY | 0.00520 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00610 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 | $6,622,789 | OtherCostOrOtherBasisAmt |
| Book Value | $6,622,789 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,588,077 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,931,487 | DepreciationAmt |
| Book Value | $21,656,590 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $496,242 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,477,668 | DepreciationAmt |
| Book Value | -$3,981,426 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,267,441 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,745,174 | DepreciationAmt |
| Book Value | $1,522,267 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,428,719 | OtherCostOrOtherBasisAmt |
| Book Value | $12,428,719 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $38,248,939 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $64,381,122 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $64,381,122 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $64,381,122 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $44,159,013 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $44,159,013 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $44,159,013 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X : FIN48 Footnote | FormAndLineReferenceDesc |
| Explanation | NVIH, pursuant to a determination letter from the Internal Revenue Service, is exempt from Federal and State income taxes under Section 501(c)(3) of the Internal Revenue code and Section 23701(d) of the California Revenue and Taxation Code. Therefore, no provision for income taxes has been made. The accounting standard on accounting for uncertainty in income taxes addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under that guidance, the Organization may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Organization and various positions related to the potential sources of unrelated business taxable income (UBIT). The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. There were no unrecognized tax benefits identified or recorded as liabilities at December 31, 2021. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| Brian Dudar | ||||
| Dental Director | $235,098 | $26,000 | $25,656 | $286,754 |
| Cafferata Lindsey | ||||
| Lead Medical Provider | $308,452 | $19,500 | $20,356 | $348,308 |
| Chester Austin | ||||
| Medical Director | $322,047 | $26,000 | $26,725 | $374,772 |
| David Spector | ||||
| Dentist | $195,628 | $20,756 | $11,025 | $227,409 |
| Deanna Mcconnell | ||||
| Family Nurse Pract | $196,177 | $11,627 | $21,187 | $228,991 |
| Inder Wadhwa | ||||
| CEO | $448,642 | $26,000 | $26,788 | $501,430 |
| Karen Dolce | ||||
| CFO | $54,274 | $167 | $54,441 | |
| Kirk Bjella | ||||
| Pediatrician | $191,072 | $11,292 | $21,019 | $223,383 |
| Larissa Tamble | ||||
| CFO | $141,529 | $6,000 | $15,342 | $162,871 |
| Libao Maria Juvy | ||||
| Dentist | $209,566 | $25,544 | $20,356 | $255,466 |
| Madeline Marcus | ||||
| Pediatrician | $191,529 | $20,089 | $26,087 | $237,705 |
| MAURO MORENO | ||||
| PHYSICIAN ASSISTAN | $194,670 | $7,721 | $27,073 | $229,464 |
| MICHAEL CLARKE | ||||
| BEHAVIORAL HEALTH DIRECTOR | $161,639 | $26,000 | $9,198 | $196,837 |
| Reinking Celeste | ||||
| Lead Medical Provider | $253,449 | $19,500 | $11,025 | $283,974 |
| Tedford Patrick | ||||
| Lead Medical Provider | $231,968 | $2,789 | $6,135 | $240,892 |
| Wilkins Andrea | ||||
| Lead Dentist | $221,379 | $11,900 | $26,788 | $260,067 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: FEMA/EFSP - Federal Emergency Management Agency (Emergency Food and Shelter Program) - Provides assistance to supplement and expand ongoing efforts to provide food and supportive services for needy families and individuals. OTHER PROGRAM SERVICES 5: CA CDSS CALWORKS - State of California, Department of Social Services, Work Opportunity and Responsibility to Kids (CalWORKS Program) - Provides mental health and substance abuse services to the Native-American population of Glenn County. OTHER PROGRAM SERVICES 6: CRIHB ACORNS - Advancing California Opportunities to Renew Native Health System - A CDC Good Health and Wellness in Indian Country funded project. The overall project approach is comprised of two phases which allow tribal health programs an opportunity to conduct community health assessments (CHA) and create corresponding Community Action Plans (CAP). OTHER PROGRAM SERVICES 7: UC Davis Cancer Center Support Grant - The focus of this program is to collaborate with UC Davis in developing, implementing, and evaluating a human papillomavirus (HPV) vaccination program aimed at accelerating vaccine uptake among rural and Native American adolescents. OTHER PROGRAM SERVICES 8: CRIHB TLOC/TMAT - The California Rural Indian Health Board, Tribal Local Opioid Coalitions/Tribal Medication Assisted Treatment program's major focus is designed to meet the specific MAT needs of California's Native American communities by increasing access to treatment, reducing unmet treatments needs, and reducing opioid overdose-related deaths through the provision of prevention, treatment, and recovery support activities for opioid use disorder. OTHER PROGRAM SERVICES 9: AAA Child Passenger Safety Program - This program supports the distribution of car seats and the promotion of car seat safety and education events. OTHER PROGRAM SERVICES 10: Yocha Dehe Grant The Yocha Dehe Wintum Nation partner with NVIH to grow and expand services in the new Woodland, CA location. The grant supports operating expenses that will be incurred do to the expansion of site and services. OTHER PROGRAM SERVICES 11: CDC Purchase and establish mobile isolation exam rooms to perform testing and effectively contain potential communicable diseases. OTHER PROGRAM SERVICES 12: Partnership - grant funds to improve vaccine access to disadvantage community that have a large share of Medi-Cal beneficiary population. OTHER PROGRAM SERVICES 13: ACE grant- Provider received ACEs screening certification training, attended meetings with Glenn County staff, and worked on building a referral structure. |
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | A board member and the chairperson are related. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | Upon completion of the 990, the Federal Form 990 is presented to the Board of Directors for review and approval. Once the 990 is approved by the Board, the Chairperson signs the Federal Form 990, State form 199 and other associated documents for subsequent delivery. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | The Organization adheres to a conflict of interest policy. The policy is reviewed and updated on an annual basis. In addition the officers, directors, and key employees communicate any conflicts of interest annually to management. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | The Board reviews comparability studies and deliberates on performance to determine salary of officers and employees. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | The Board reviews comparability studies and deliberates on performance to determine salary of officers and employees. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Governing documents, policies and financial statements are available upon request at the Organization's office. |