DENVER INDIAN HEALTH AND FAMILY SERVICES INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- DENVER INDIAN HEALTH AND FAMILY SERVICES INC (EIN 84-0724261)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-10
- IRS object ID
- 202242229349301809
- Schema version
- 2020v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-10T13:52:57-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAYLOR ROTH AND COMPANY | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 GRANT ST STE 205 | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 802032944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840724261 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENVER INDIAN HEALTH AND FAMILY | BusinessNameLine1Txt |
| Business Name Line2 | SERVICES INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DENV | BusinessNameControlTxt |
| Phone | 3039536618 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2880 WHOLDEN PLACE | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80204 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ADRIANNE MADDUX | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 3039536618 | PhoneNum |
| Signature | 2022-08-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ADRIANNE | PersonFirstNm |
| Person Last | MADDUX | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KEN ROTH | PreparerPersonNm |
| PTIN | P01389203 | PTIN |
| Phone | 3035790513 | PhoneNum |
| Preparation | 2022-08-08 | PreparationDt |
| 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 | ADRIANNE MADDUX | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2880 W HOLDEN PLACE | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,569,976 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DIHFS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE CULTURALLY COMPETENT SERVICES THAT PROMOTE QUALITY HEALTH FOR AMERICAN INDIAN AND ALASKAN NATIVE FAMILIES AND INDIVIDUALS IN THE DENVER AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 37 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,336,902 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,824,401 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $511,754 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $745,482 | CYProgramServiceRevenueAmt |
| PY Investment Income | $334 | PYInvestmentIncomeAmt |
| CY Investment Income | $93 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $3,848,990 | PYTotalRevenueAmt |
| CY Total Revenue | $4,569,976 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $386 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,509,301 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,022,464 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $82,244 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,406,761 | PYOtherExpensesAmt |
| CY Other Expenses | $2,179,956 | CYOtherExpensesAmt |
| PY Total Expenses | $2,916,448 | PYTotalExpensesAmt |
| CY Total Expenses | $4,202,420 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $932,542 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $367,556 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,167,905 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,386,567 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $122,149 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,973,255 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,045,756 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,413,312 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE CULTURALLY COMPETENT SERVICES THAT PROMOTE QUALITY HEALTH FOR AMERICAN INDIAN AND ALASKAN NATIVE FAMILIES AND INDIVIDUALS IN THE DENVER AREA. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,772,685 | ExpenseAmt |
| Revenue | $745,482 | RevenueAmt |
| Desc | HEALTHCARE SERVICES, INCLUDING IMMUNIZATIONS, MENTAL HEALTH, DISEASE PREVENTION, ALCOHOL AND SUBSTANCE ABUSE PREVENTION, HIV PREVENTION, AND CHILD WELFARE PROGRAMS. OUTREACH TO FIND INDIVIDUALS IN NEED OF THESE SERVICES. | Desc |
| Total Program Service Expenses | $3,772,685 | 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 | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | 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 | false | 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 | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 37 | 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 |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | 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 |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENVER INDIAN HEALTH AND FAMILY | BusinessNameLine1Txt |
| Business Name Line2 | SERVICES INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3039536618 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2880 W HOLDEN PLACE | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80204 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| BETTY GRESS | ||||||
| CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| STEPHEN WHEELOCK | ||||||
| VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JENN RUSSELL | ||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RACHEL SIMPSON | ||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CHARLENE HARJO IRANI | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CRYSTAL LOUDHAWK-HEDGEPETH | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ALLISON NESWOOD | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JAMES MORAN | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PATTY FREDERICKS | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ADRIANNE MADDUX | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $105,553 | $0 | $10,384 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $105,553 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $10,384 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $3,303,092 | GovernmentGrantsAmt |
| All Other Contributions | $521,309 | AllOtherContributionsAmt |
| Total Contributions | $3,824,401 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEES AND MEDICAID | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $745,482 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $745,482 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $745,482 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $93 | TotalRevenueColumnAmt |
| Exclusion | $93 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,569,976 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $745,482 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $93 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,849 | TotalAmt |
| Program Services | $98,769 | ProgramServicesAmt |
| Management And General | $11,485 | ManagementAndGeneralAmt |
| Fundraising | $4,595 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,591,072 | TotalAmt |
| Program Services | $1,368,322 | ProgramServicesAmt |
| Management And General | $159,108 | ManagementAndGeneralAmt |
| Fundraising | $63,642 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,762 | TotalAmt |
| Program Services | $19,576 | ProgramServicesAmt |
| Management And General | $2,276 | ManagementAndGeneralAmt |
| Fundraising | $910 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,208 | TotalAmt |
| Program Services | $133,479 | ProgramServicesAmt |
| Management And General | $15,521 | ManagementAndGeneralAmt |
| Fundraising | $6,208 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,573 | TotalAmt |
| Program Services | $119,173 | ProgramServicesAmt |
| Management And General | $13,857 | ManagementAndGeneralAmt |
| Fundraising | $5,543 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,470 | TotalAmt |
| Management And General | $26,470 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $720,361 | TotalAmt |
| Program Services | $688,118 | ProgramServicesAmt |
| Management And General | $32,243 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,677 | TotalAmt |
| Program Services | $32,677 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,821 | TotalAmt |
| Program Services | $133,213 | ProgramServicesAmt |
| Management And General | $15,476 | ManagementAndGeneralAmt |
| Fundraising | $1,132 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,359 | TotalAmt |
| Program Services | $153,459 | ProgramServicesAmt |
| Management And General | $6,900 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,623 | TotalAmt |
| Program Services | $229,342 | ProgramServicesAmt |
| Management And General | $25,281 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,014 | TotalAmt |
| Program Services | $16,333 | ProgramServicesAmt |
| Management And General | $681 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,229 | TotalAmt |
| Program Services | $5,906 | ProgramServicesAmt |
| Management And General | $323 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $624 | TotalAmt |
| Management And General | $624 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,581 | TotalAmt |
| Program Services | $122,065 | ProgramServicesAmt |
| Management And General | $30,516 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,429 | TotalAmt |
| Program Services | $19,072 | ProgramServicesAmt |
| Management And General | $2,143 | ManagementAndGeneralAmt |
| Fundraising | $214 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CLINIC SERVICE COSTS | $328,354 | $328,354 | |
| CLINIC SUPPLIES | $260,222 | $260,222 | |
| PROFESSIONAL DUES | $27,430 | $27,430 | |
| TRAINING PROGRAMS | $8,176 | $7,277 | $899 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,586 | TotalAmt |
| Program Services | $9,898 | ProgramServicesAmt |
| Management And General | $3,688 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,202,420 | TotalAmt |
| Program Services | $3,772,685 | ProgramServicesAmt |
| Management And General | $347,491 | ManagementAndGeneralAmt |
| Fundraising | $82,244 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,557 | BOYAmt |
| EOY | $2,765,329 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,024,895 | BOYAmt |
| EOY | $743,271 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,243,067 | BOYAmt |
| EOY | $1,880,661 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,946 | BOYAmt |
| EOY | $10,861 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,632 | BOYAmt |
| EOY | $22,122 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,534,241 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $569,918 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $851,808 | BOYAmt |
| EOY | $964,323 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,167,905 | BOYAmt |
| EOY | $6,386,567 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,108 | BOYAmt |
| EOY | $207,524 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,757,842 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,041 | BOYAmt |
| EOY | $7,889 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,149 | BOYAmt |
| EOY | $2,973,255 | 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 | $3,012,421 | BOYAmt |
| EOY | $3,413,312 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,335 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,045,756 | BOYAmt |
| EOY | $3,413,312 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,167,905 | BOYAmt |
| EOY | $6,386,567 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $367,556 | 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,143,360 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,250,620 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,338,045 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,336,902 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,824,401 | CurrentTaxYearAmt |
| Total | $13,893,328 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,143,360 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,250,620 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,338,045 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,336,902 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,824,401 | CurrentTaxYearAmt |
| Total | $13,893,328 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $88,392 | SubstantialContributorsTotAmt |
| Public Support Total170 | $13,804,936 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $299 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $277 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $543 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $334 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $93 | CurrentTaxYearAmt |
| Total | $1,546 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $92 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,164 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,105 | CurrentTaxYearMinus2YearsAmt |
| Total | $37,361 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $13,932,235 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $2,799,226 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99090 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97480 | 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 | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME 37,361 | 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
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $663,088 | OtherCostOrOtherBasisAmt |
| Depreciation | $171,624 | DepreciationAmt |
| Book Value | $491,464 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $739,871 | OtherCostOrOtherBasisAmt |
| Depreciation | $367,662 | DepreciationAmt |
| Book Value | $372,209 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $131,282 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,632 | DepreciationAmt |
| Book Value | $100,650 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $964,323 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | COPIER LEASE | Desc |
| Amt | $7,889 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,889 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $4,569,976 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $4,569,976 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $4,569,976 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,202,420 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $4,202,420 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $4,202,420 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO BEING SUBMITTED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ALL BOARD MEMBERS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST AS THEY ARISE. MEMBERS ARE ASKED TO RECUSE THEMSELVES ON MATTERS OF POTENTIAL CONFLICT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EXECUTIVE DIRECTOR IS HIRED BY THE BOARD, WHICH SETS HIS/HER SALARY BASED ON COMPARABLE SALARY INFORMATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | KEY EMPLOYEES ARE HIRED BY THE EXECUTIVE DIRECTOR, AND PAID BASED ON LOCAL SALARY CONDITIONS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT ITS MAIN CORPORATE OFFICE. |
| FORM 990, PART IX, LINE 11G | PHARMACY/TECH SUPPORT 612,608 32,243 0 DOCTORS & LOCUMS 75,510 0 0 TOTAL 688,118 32,243 0 |
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