VIVENT HEALTH TEXAS INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- VIVENT HEALTH TEXAS INC (EIN 74-2440845)
- Tax period
- 2020-09-01 to 2021-08-31
- Filed
- 2022-07-12
- IRS object ID
- 202241939349300504
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-07-12T10:04:46-05:00 | ReturnTs |
| Tax Period End | 2021-08-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 E WISCONSIN AVENUE 32ND FLOOR | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-09-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742440845 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AIDS SERVICES OF AUSTIN INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AIDS | BusinessNameControlTxt |
| Phone | 5124582437 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 4874 | AddressLine1Txt |
| City | AUSTIN | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78765 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIMOTHY D DYER | PersonNm |
| Person Title | VICE PRESIDENT & CFO | PersonTitleTxt |
| Phone | 5124582437 | PhoneNum |
| Signature | 2022-05-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TIMOTHY | PersonFirstNm |
| Person Last | DYER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TROY MARINE CPA | PreparerPersonNm |
| PTIN | P00187863 | PTIN |
| Phone | 4147775500 | PhoneNum |
| Preparation | 2022-05-08 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL J GIFFORD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 648 N PLANKINTON AVE | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,862,435 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VIVENTHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | TO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITY AND PEOPLE AFFECTED BY HIV AND AIDS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 22 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 87 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,428,551 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,299,180 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $90,574 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $359 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,361 | CYInvestmentIncomeAmt |
| PY Other Revenue | $348,896 | PYOtherRevenueAmt |
| CY Other Revenue | $2,836,603 | CYOtherRevenueAmt |
| PY Total Revenue | $5,868,380 | PYTotalRevenueAmt |
| CY Total Revenue | $11,137,144 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,966,803 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,183,340 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,053,746 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $281,263 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,562,175 | PYOtherExpensesAmt |
| CY Other Expenses | $2,067,934 | CYOtherExpensesAmt |
| PY Total Expenses | $6,745,515 | PYTotalExpensesAmt |
| CY Total Expenses | $11,088,483 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$877,135 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $48,661 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,739,304 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,580,084 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,536,265 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,792,703 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,203,039 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,787,381 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO ENHANCE THE HEALTH AND WELL-BEING OF THE COMMUNITY AND PEOPLE AFFECTED BY HIV AND AIDS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,884,345 | ExpenseAmt |
| Grant | $1,632,883 | GrantAmt |
| Revenue | $356,374 | RevenueAmt |
| Desc | CASE MANAGEMENT - CASE MANAGEMENT IS AN APPROACH TO CLIENT SERVICES THAT SEEKS TO ENSURE CLIENTS HAVE ACCESS TO A RANGE OF COMPREHENSIVE SERVICES IN A TIMELY AND COORDINATED MANNER. IN CASE MANAGEMENT, THE CLIENT AND THE CASE MANAGER WORK TOGETHER TO FIND SOLUTIONS TO AS MANY OF THE CLIENT'S NEEDS AND QUESTIONS AS POSSIBLE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,930,081 | ExpenseAmt |
| Grant | $4,395 | GrantAmt |
| Revenue | $701,124 | RevenueAmt |
| Desc | HEALTH PROMOTION - THE HEALTH PROMOTION PROGRAM USES EVIDENCE-BASED INTERVENTIONS IN AN EFFORT TO PREVENT THE SPREAD OF HIV. THE INTERVENTIONS INCLUDE COUNSELING, TESTING, AND REFERRAL SERVICES; COMPREHENSIVE RISK COUNSELING AND SERVICES; AND THE IMPLEMENTATION OF PROVEN INDIVIDUAL, GROUP, AND COMMUNITY-LEVEL INTERVENTIONS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,762,918 | ExpenseAmt |
| Grant | $94,865 | GrantAmt |
| Revenue | $526,959 | RevenueAmt |
| Desc | ORAL HEALTH - ASA'S JACK SANSING DENTAL CLINIC PROVIDES COMPREHENSIVE ORAL HEALTH SERVICES TO PERSONS LIVING WITH HIV DISEASE IN CENTRAL TEXAS. THE DENTAL CLINIC PROVIDES SPECIALIZED AND GENERAL DENTAL SERVICES, INCLUDING TREATMENT OF ORAL CONDITIONS COMMONLY ASSOCIATED WITH HIV DISEASE, RESTORATIVE PROCEDURES AND ROUTINE ORAL HYGIENE SERVICES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,135,197 | ExpenseAmt |
| Grant | $234,660 | GrantAmt |
| Revenue | $1,007,694 | RevenueAmt |
| Desc | DIRECT ASSISTANCE - PROVIDE CLIENTS WITH DIRECT SERVICES INCLUDING THE HELPING HANDS FOOD PANTRY, NUTRITIONAL COUNSELING, LEGAL SERVICES, THE PAUL KIRBY FUND WHICH IS USED TO ASSIST ELIGIBLE CLIENTS WITH EMERGENCY FINANCIAL NEEDS THAT CANNOT BE MET THROUGH OTHER RESOURCES, THE HOPWA FUND, AND THE HEALTH INSURANCE ASSISTANCE FUND. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,135,197 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $234,660 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $1,007,694 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $8,712,541 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 147 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 22 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TIM DYER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4142251542 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 820 N PLANKINTON AVE | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53203 | 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 |
|---|---|---|---|---|---|---|---|
| MICHAEL J GIFFORD | |||||||
| PRESIDENT & CEO | 1.00 | 40.00 | Yes (X) | $0 | $568,262 | $108,955 | |
| DEBRA ENDEAN | |||||||
| EXECUTIVE VP & COO | 1.00 | 40.00 | Yes (X) | $0 | $338,691 | $65,117 | |
| TIMOTHY D DYER - SECRETARY | |||||||
| TREASURER - EXECUTIVE VP & CFO | 1.00 | 40.00 | Yes (X) | $0 | $325,243 | $58,179 | |
| MARGARET LIDSTONE | |||||||
| CHIEF DEVELOPMENT OFFICER | 1.00 | 40.00 | Yes (X) | $0 | $154,979 | $18,612 | |
| RON DUNN | |||||||
| BOARD CHAIR (THROUGH 12/20) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DAN KAPLAN | |||||||
| BOARD CHAIR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| ARVAN CHAN | |||||||
| VICE CHAIR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JANE APPLEBY | |||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| AIMEE BECKER MD | |||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| ERIC CONLEY | |||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| RYAN COX | |||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| NANCY FLAGG | |||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| BOOKER GATSON | |||||||
| BOARD MEMBER (THROUGH 10/21) | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| BOOKER GATSON II | |||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| ROBBIE HARRIFORD MD | |||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| KEVIN HAYNES | |||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| MIKE HUGHES | |||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| BRAD KALSCHEUR | |||||||
| BOARD MEMBER (THROUGH 12/20) | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| SUSSANN KOTARA MD | |||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| NOEL LANDUYT PHD MA | |||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| GEORGE MACKINNON III PHD MSRPH | |||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| JEROLD MCDONALD | |||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| GORDON MYERS | |||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| CHRIS PRICE | |||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| MIKE ROMANO | |||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| TAMIM SIFRI DDS | |||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| FRED SSEWAMALA PHD | |||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| LISA VANLERGERGHE | |||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| AISHA WHITE MD | |||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,387,175 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $250,863 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $244,894 | FundraisingAmt |
| Related Organizations | $407,500 | RelatedOrganizationsAmt |
| Government Grants | $6,201,721 | GovernmentGrantsAmt |
| All Other Contributions | $1,445,065 | AllOtherContributionsAmt |
| Total Contributions | $8,299,180 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,361 | TotalRevenueColumnAmt |
| Exclusion | $1,361 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $244,894 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $18,019 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$18,019 | TotalRevenueColumnAmt |
| Exclusion | -$18,019 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $6,299,423 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $3,707,272 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,592,151 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,592,151 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $262,471 | TotalRevenueColumnAmt |
| Exclusion | $262,471 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $262,471 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,137,144 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,592,151 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $245,813 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,966,803 | TotalAmt |
| Program Services | $1,966,803 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,601,270 | TotalAmt |
| Program Services | $4,219,785 | ProgramServicesAmt |
| Management And General | $1,181,018 | ManagementAndGeneralAmt |
| Fundraising | $200,467 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,046,345 | TotalAmt |
| Program Services | $863,926 | ProgramServicesAmt |
| Management And General | $125,449 | ManagementAndGeneralAmt |
| Fundraising | $56,970 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $406,131 | TotalAmt |
| Program Services | $331,186 | ProgramServicesAmt |
| Management And General | $59,590 | ManagementAndGeneralAmt |
| Fundraising | $15,355 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,720 | TotalAmt |
| Program Services | $10,452 | ProgramServicesAmt |
| Management And General | $167,768 | ManagementAndGeneralAmt |
| Fundraising | $1,500 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,075 | TotalAmt |
| Program Services | $77,684 | ProgramServicesAmt |
| Management And General | $12,095 | ManagementAndGeneralAmt |
| Fundraising | $1,296 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,384 | TotalAmt |
| Program Services | $53,881 | ProgramServicesAmt |
| Management And General | $121,762 | ManagementAndGeneralAmt |
| Fundraising | $1,741 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,007 | TotalAmt |
| Program Services | $10,742 | ProgramServicesAmt |
| Management And General | $20,321 | ManagementAndGeneralAmt |
| Fundraising | $1,944 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $511,043 | TotalAmt |
| Program Services | $131,104 | ProgramServicesAmt |
| Management And General | $379,939 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,772 | TotalAmt |
| Program Services | $60,659 | ProgramServicesAmt |
| Management And General | $2,518 | ManagementAndGeneralAmt |
| Fundraising | $1,595 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,068 | TotalAmt |
| Program Services | $8,424 | ProgramServicesAmt |
| Management And General | $644 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,961 | TotalAmt |
| Management And General | $17,961 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,968 | TotalAmt |
| Program Services | $4,815 | ProgramServicesAmt |
| Management And General | $3,153 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PROGRAM MATERIALS | $524,966 | $524,966 | ||
| CONTRACTED SERVICES | $439,126 | $439,126 | ||
| LICENSE AND DUES | $11,682 | $8,988 | $2,299 | $395 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162 | TotalAmt |
| Management And General | $162 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,088,483 | TotalAmt |
| Program Services | $8,712,541 | ProgramServicesAmt |
| Management And General | $2,094,679 | ManagementAndGeneralAmt |
| Fundraising | $281,263 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,019,064 | BOYAmt |
| EOY | $7,799,547 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $563,830 | BOYAmt |
| EOY | $563,941 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,670,137 | BOYAmt |
| EOY | $1,359,891 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $207,587 | BOYAmt |
| EOY | $1,344,885 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,040 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $256,748 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,782 | BOYAmt |
| EOY | $2,238 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,478,125 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,533,506 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,159,864 | BOYAmt |
| EOY | $2,944,619 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,308,215 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,739,304 | BOYAmt |
| EOY | $15,580,084 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $511,738 | BOYAmt |
| EOY | $66,903 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,024,527 | BOYAmt |
| EOY | $11,725,800 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,536,265 | BOYAmt |
| EOY | $11,792,703 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,878,871 | BOYAmt |
| EOY | $655,588 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,324,168 | BOYAmt |
| EOY | $3,131,793 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,203,039 | BOYAmt |
| EOY | $3,787,381 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,739,304 | BOYAmt |
| EOY | $15,580,084 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $48,661 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1,464,319 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,269,678 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,011,011 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,688,511 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,178,684 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,299,180 | CurrentTaxYearAmt |
| Total | $35,447,064 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,269,678 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,011,011 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,688,511 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,178,684 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,299,180 | CurrentTaxYearAmt |
| Total | $35,447,064 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $3,399,091 | SubstantialContributorsTotAmt |
| Public Support Total170 | $32,047,973 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,586 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $709 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,822 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,166 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,361 | CurrentTaxYearAmt |
| Total | $7,644 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,390 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,199 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,740 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,571 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $262,471 | CurrentTaxYearAmt |
| Total | $323,371 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $35,778,079 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $7,905,364 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.89570 | PublicSupportCY170Pct |
| Public Support PY170 | 0.94530 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2016 AMOUNT: $ 20,390. 2017 AMOUNT: $ 17,199. 2018 AMOUNT: $ 21,740. 2019 AMOUNT: $ 1,571. 2020 AMOUNT: $ 262,471. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $120,001 | OtherCostOrOtherBasisAmt |
| Book Value | $120,001 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,698,179 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,377,397 | DepreciationAmt |
| Book Value | $2,320,782 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $338,454 | OtherCostOrOtherBasisAmt |
| Depreciation | $137,702 | DepreciationAmt |
| Book Value | $200,752 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,321,491 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,018,407 | DepreciationAmt |
| Book Value | $303,084 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,944,619 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM VIVENT HEALTH | Desc |
| Book Value | $1,308,215 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,308,215 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO VIVENT HEALTH | Desc |
| Amt | $11,725,800 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,725,800 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $14,861,404 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $16,988 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $16,988 | RevenueNotReportedAmt |
| Revenue Subtotal | $14,844,416 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$3,707,272 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$3,707,272 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $11,137,144 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $14,812,743 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $16,988 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $16,988 | ExpensesNotReportedAmt |
| Expenses Subtotal | $14,795,755 | ExpensesSubtotalAmt |
| Other Expenses Not Included | -$3,707,272 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$3,707,272 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,088,483 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | VIVENT HEALTH, MAHC, ASA AND THE ENDOWMENT ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, VIVENT HEALTH, ASA, MAHC AND THE ENDOWMENT QUALIFY FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAVE BEEN CLASSIFIED AS ORGANIZATIONS THAT ARE NOT PRIVATE FOUNDATIONS UNDER SECTION 509(A)(2). VIVENT HEALTH, ASA, MAHC AND THE ENDOWMENT ARE ALSO EXEMPT FROM STATE INCOME TAXES. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | COST OF GOOD SOLD -3,707,272. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | COST OF GOOD SOLD -3,707,272. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | HILL COUNTRY RIDE FOR AIDS | Event1Nm |
| Gross Receipts Event1 | $110,172 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $110,172 | CharitableContriEvent1Amt |
| Other Direct Expenses Event1 | $1,011 | OtherDirectExpensesEvent1Amt |
| Event2 | AIDS WALK AUSTIN | Event2Nm |
| Gross Receipts Event2 | $115,724 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $115,724 | CharitableContriEvent2Amt |
| Other Direct Expenses Event2 | $17,008 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $18,998 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $18,998 | CharitableContriOtherEventsAmt |
| Gross Receipts Total | $244,894 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $244,894 | CharitableContributionsTotAmt |
| Oth Direct Expnss Total Events | $18,019 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $18,019 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$18,019 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | PATIENT FINANCIAL ASSISTANCE | GrantTypeTxt |
| Recipient | 1653 | RecipientCnt |
| Cash Grant | $1,966,803 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | AIDS SERVICES OF AUSTIN PROVIDES FINANCIAL ASSISTANCE TO QUALIFYING CLIENTS FOR HOUSING (RENT, MORTGAGE, HOTEL), INSURANCE, OR UTILITY PAYMENTS. CLIENT ASSISTANCE REQUESTS ARE PROCESSED ACCORDING TO FUNDER REQUIREMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL J GIFFORD | ||||||||||||||
| PRESIDENT & CEO | $0 | $392,488 | $0 | $78,285 | $0 | $97,489 | $0 | $81,870 | $0 | $27,085 | $0 | $677,217 | $0 | $25,432 |
| DEBRA ENDEAN | ||||||||||||||
| EXECUTIVE VP & COO | $0 | $284,024 | $0 | $37,110 | $0 | $17,557 | $0 | $41,945 | $0 | $23,172 | $0 | $403,808 | $0 | $11,380 |
| TIMOTHY D DYER - SECRETARY | ||||||||||||||
| TREASURER - EXECUTIVE VP & CFO | $0 | $272,567 | $0 | $35,832 | $0 | $16,844 | $0 | $40,134 | $0 | $18,045 | $0 | $383,422 | $0 | $10,935 |
| MARGARET LIDSTONE | ||||||||||||||
| CHIEF DEVELOPMENT OFFICER | $0 | $154,979 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18,612 | $0 | $173,591 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | THE PRESIDENT & CEO, MICHAEL J. GIFFORD, CHIEF OPERATING OFFICER, DEBRA ENDEAN, AND CHIEF FINANCIAL OFFICER, TIMOTHY DYER PARTICIPATE IN A 457(F) PLAN SPONSORED BY VIVENT HEALTH, A RELATED ORGANIZATION. IN FY 2021 MICHAEL J. GIFFORD WAS PAID $56,155. THERE WERE NO AMOUNTS PAID OUT TO THE OTHER PARTICIPANTS. |
| PART I, LINE 6 | ALL STAFF HAVE PAY FOR PERFORMANCE GOALS EACH YEAR, AND AS PART OF THOSE GOALS, SOME SENIOR STAFF HAVE A NET EARNINGS TARGET AS ONE OF THEIR GOALS. HOWEVER, COMPENSATION IS NOT CALCULATED BASED ON THE NET EARNINGS, BUT ON THE ACHIEVEMENT OF THE NET EARNINGS GOAL ITSELF. |
| FORM 990, LINE 3: | ALL EMPLOYEES ARE PAID OUT OF VIVENT HEALTH ("VH") A RELATED ORGANIZATION. VIVENT HEALTH USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE PRESIDENT & CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINES 2A AND 2B: | ALL EMPLOYEES ARE LEGAL EMPLOYEES OF VIVENT HEALTH (FEIN: 39-1534049), WHICH FILES ALL REQUIRED FEDERAL EMPLOYMENT FORMS EACH YEAR. |
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE SHALL ACT ON BEHALF OF THE FULL BOARD BETWEEN REGULAR MEETINGS OF THE BOARD OF DIRECTORS; PROVIDED, HOWEVER, THAT THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE POWER TO ELECT OR REMOVE DIRECTORS OR OFFICERS OF THE CORPORATION, INCLUDING THE PRESIDENT & CHIEF EXECUTIVE OFFICER, FILL VACANCIES ON THE BOARD OF DIRECTORS OR ON ANY BOARD COMMITTEE, OR APPROVE ANY CORPORATE ACQUISITION OR MERGER. THE EXECUTIVE COMMITTEE SHALL OVERSEE THE ORGANIZATIONAL EXPANSION OF THE CORPORATION, INCLUDING THE IMPLEMENTATION AND EXECUTION OF MERGERS AND ACQUISITIONS. ANY ACTIONS TAKEN BY EXECUTIVE COMMITTEE SHALL BE RATIFIED BY THE FULL BOARD AT ITS NEXT REGULARLY SCHEDULED MEETING. THE EXECUTIVE COMMITTEE SHALL ALSO ANALYZE AND ASSURE IMPLEMENTATION OF GOVERNANCE BEST PRACTICES. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD OF DIRECTORS HAS DESIGNATED THE FINANCE COMMITTEE OF THE BOARD TO ACT AS THE AUDIT COMMITTEE. AS PART OF THAT ROLE, THE COMMITTEE CONDUCTS A DETAILED REVIEW OF THE 990 PRIOR TO ITS FILING. THE COMMITTEE PROVIDES A REPORT OF THE RESULTS OF THAT REVIEW ALONG WITH A COPY OF THE 990 TO THE FULL BOARD OF DIRECTORS PRIOR TO FILING THE FORM. |
| FORM 990, PART VI, SECTION B, LINE 12C | ON AN ANNUAL BASIS, THE FINANCE AND PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE CURRENT WRITTEN CONFLICT OF INTEREST POLICY AND MAKES RECOMMENDATIONS FOR ANY NECESSARY CHANGE TO THE FULL BOARD OF DIRECTORS FOR ADOPTION. THE CORPORATE SECRETARY DISTRIBUTES AND COLLECTS THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE TO OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES. THE QUESTIONNAIRES ARE THEN REVIEWED BY EXECUTIVE MANAGEMENT FOR POSSIBLE CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC IN TWO WAYS, ELECTRONICALLY THROUGH GUIDESTAR.ORG AND ON ITS OWN WEBSITE. THE EXECUTIVE VICE PRESIDENT & CFO MAINTAINS BOTH ELECTRONIC AND HARDCOPY FILES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, AUDITS, AND FORMS 990 AND 1023. THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | TRANSFERS TO VIVENT HEALTH -1,464,319. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS USED BY THE FINANCE COMMITTEE TO SELECT AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AIDS SERVICES OF AUSTIN PHARMACY LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7215 CAMERON RD STE B | AddressLine1Txt |
| City | AUSTIN | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78752 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 851345739 | EIN |
| Primary Activities | PHARMACY | PrimaryActivitiesTxt |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Total Income | $5,659,697 | TotalIncomeAmt |
| End Of Year Assets | $5,457,372 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AIDS SERVICES OF AUSTIN | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| VIVENT HEALTH | |||||||||||
| 648 N PLANKINTON AVE STE 200 | MILWAUKEE | WI | 53203 | 391534049 | HIV PREVENTION, CARE AND TREATMENT | WI | 501(C)(3) | LINE 7 | N/A | 0 | |
| MILWAUKEE AIDS HOUSING CORPORATION | |||||||||||
| PO BOX 510498 | MILWAUKEE | WI | 53203 | 391779442 | HOUSING FOR HIV POSITIVE INDIVIDUALS | WI | 501(C)(3) | LINE 7 | 0 | VIVENT HEALTH | |
| ARCW ENDOWMENT FUND INC | |||||||||||
| PO BOX 510498 | MILWAUKEE | WI | 53203 | 391963731 | RAISING FUNDS FOR VH'S EXEMPT PURPOSE | WI | 501(C)(3) | LINE 7 | 0 | VIVENT HEALTH | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCALES PHARMACY LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1999 PENNSYLVANIA ST | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 463313808 | EIN |
| Primary Activities | PHARMACY - DISSOLVED 10/2020 | PrimaryActivitiesTxt |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| VIVENT HEALTH | ||
| C | $407,500 | FMV |
| VIVENT HEALTH | ||
| R | $1,464,319 | FMV |
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