NEW HEALTH PROGRAMS ASSOCIATION: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- NEW HEALTH PROGRAMS ASSOCIATION (EIN 91-1053847)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202213199349318621
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T14:31:32-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10700 NORTHUP WAY SUITE 200 | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | 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 | 911053847 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEW HEALTH PROGRAMS ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NEWH | BusinessNameControlTxt |
| Phone | 5099356001 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 808 | AddressLine1Txt |
| City | CHEWELAH | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99109 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DESIREE SWEENEY | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5099356001 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DESIREE | PersonFirstNm |
| Person Last | SWEENEY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KURT BENNION CPA | PreparerPersonNm |
| PTIN | P01469618 | PTIN |
| Phone | 4252506100 | PhoneNum |
| Preparation | 2022-11-14 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| 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 | DESIREE SWEENEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 808 | AddressLine1Txt |
| City | CHEWELAH | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,820,963 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NEWHP.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | PROMOTE HEALTH AND WELLNESS BY PROVIDING INTEGRATED, OPEN-ACCESS HEALTHCARE FOR ALL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 208 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,572,975 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,322,373 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,231,030 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,312,962 | CYProgramServiceRevenueAmt |
| PY Investment Income | $645,805 | PYInvestmentIncomeAmt |
| CY Investment Income | $14,311 | CYInvestmentIncomeAmt |
| PY Other Revenue | $406,964 | PYOtherRevenueAmt |
| CY Other Revenue | $171,317 | CYOtherRevenueAmt |
| PY Total Revenue | $17,856,774 | PYTotalRevenueAmt |
| CY Total Revenue | $22,820,963 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,944,570 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,329,227 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,740,229 | PYOtherExpensesAmt |
| CY Other Expenses | $5,806,164 | CYOtherExpensesAmt |
| PY Total Expenses | $15,684,799 | PYTotalExpensesAmt |
| CY Total Expenses | $18,135,391 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,171,975 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,685,572 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,189,517 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,761,942 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,035,321 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,922,174 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,154,196 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,839,768 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROMOTE HEALTH AND WELLNESS WITHIN OUR COMMUNITIES BY PROVIDING INTEGRATED, OPEN-ACCESS HEALTHCARE FOR ALL. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,341,026 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $14,312,962 | RevenueAmt |
| Desc | NEW HEALTH PROVIDES INTEGRATED MEDICAL, DENTAL, PHARMACY, AND BEHAVIORAL HEALTH SERVICES TARGETED TO SERVE RURAL RESIDENTS OF FERRY, STEVENS, AND PEND OREILLE COUNTIES. PRIMARY CARE SERVICES ARE PROVIDED BY PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, PHARMACISTS, DENTISTS AND COUNSELORS. IN 2021, NEW HEALTH'S 7 MEDICAL SITES AND 3 DENTAL SITES PROVIDED 34,885 MEDICAL ENCOUNTERS AND 19,346 DENTAL ENCOUNTERS FOR 15,935 TOTAL PATIENTS. NEW HEALTH RECEIVED FUNDING FROM THE AMERICAN RESCUE PLAN ACT TO DEVELOP A MOBILE CLINIC IN ORDER TO BETTER SERVE THEIR REMOTE RURAL COMMUNITIES. THE MOBILE UNIT HAS A MEDICAL EXAM ROOM, DENTAL OPERATORY, RECEPTION AREA, RESTROOM AND WHEELCHAIR LIFT. THE UNIT WILL MAKE MEDICAL AND DENAL CARE ACCESSBILE ACROSS THREE COUNTES ONCE IT IS IN OPERATION. 2021 BROUGHT LONG-AWAITED COVID-19 VACCINES INTO NEW HEALTH SERVICE COMMUNITIES. NEW HEALTH STAFF PROVIDED DRIVE-THRU CLINICS FOR BOTH COVID TESTING AND VACCINATIONS, INCLUDING AN INNOVATIVE 'DOUBLE SHOT' DRIVE-THRU CLINIC FOR COVID VACCINE AND A FLU SHOT. IN 2021, NEW HEALTH ADMINISTERED 11,905 COVID TESTS AND 4,532 COVID VACCINES. | Desc |
| Total Program Service Expenses | $12,341,026 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 208 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DESIREE SWEENEY | PersonNm |
| Phone | 5099356001 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 509 E MAIN STREET | AddressLine1Txt |
| City | CHEWELAH | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99109 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Key EmployeeKeyEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| MAJA ZUGEC | ||||||||
| CHIEF MEDICAL EXECUTIVE | 40.00 | Yes (X) | $265,317 | $0 | $15,431 | |||
| ROBBY RIDDLE | ||||||||
| PHYSICIAN | 40.00 | $251,548 | $0 | $26,667 | Yes (X) | |||
| DESIREE SWEENEY | ||||||||
| CEO | 50.00 | $226,536 | $0 | $42,414 | Yes (X) | |||
| TODD GARCIA | ||||||||
| CHIEF DENTAL OFFICER | 40.00 | Yes (X) | $220,953 | $0 | $21,278 | |||
| KEVIN NELSON | ||||||||
| DENTIST | 40.00 | $188,025 | $0 | $40,777 | Yes (X) | |||
| ANMARIE GIDDINGS | ||||||||
| DENTIST | 40.00 | $198,171 | $0 | $17,856 | Yes (X) | |||
| JAEHEE WILLIAMSON | ||||||||
| DENTIST | 40.00 | $193,207 | $0 | $13,685 | Yes (X) | |||
| BENJAMIN HAWTHORNE | ||||||||
| PHYSICIAN | 40.00 | $167,344 | $0 | $29,673 | Yes (X) | |||
| BARB MIDDLETON | ||||||||
| COO | 50.00 | $144,473 | $0 | $32,185 | Yes (X) | |||
| ADAM JONES | ||||||||
| CFO (THRU AUGUST 2021) | 50.00 | $106,923 | $0 | $25,298 | Yes (X) | |||
| ALISON MCGRANE | ||||||||
| CHAIR | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| ELLEN BALLANCE | ||||||||
| VICE CHAIR | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| KEITH BALLANCE | ||||||||
| SECRETARY | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| TRACY AYNES | ||||||||
| TREASURER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| CARMEN DEAL | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| DELORIS HENRY | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| RUSS PELLEBERG | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| JAEL REGIS | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| CAROLYN RENZ | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| DON RENZ | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| KEN ROZELLE | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| DALE STORER | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| SONNY WILSON | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,962,497 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $265,264 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 24 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BAKER CONSTRUCTION & DEVELOPMENT | |||||
| 2711 E SPRAGUE AVENUE | SPOKANE | WA | 99202 | GENERAL CONTRACTING SERVICES | $1,784,283 |
| ALSC ARCHITECTS | |||||
| 203 N WASHINGTON STREET SUITE 400 | SPOKANE | WA | 99201 | ARCHITECTURAL SERVICES | $679,447 |
| MEDICAL PRACTICE MANAGEMENT SERVICES | |||||
| PO BOX 3312 | HAYDEN | ID | 83835 | BILLING SERVICES | $400,518 |
| ALLSCRIPTS | |||||
| 222 MERCHANDISE MART PLAZA SUITE 2 | CHICAGO | IL | 60654 | BILLING SERVICES | $110,223 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $8,322,373 | GovernmentGrantsAmt |
| Noncash Contributions | $327,874 | NoncashContributionsAmt |
| Total Contributions | $8,322,373 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT REVENUE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $14,312,962 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,312,962 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,312,962 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,243 | TotalRevenueColumnAmt |
| Exclusion | $7,243 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,243 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,243 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,243 | TotalRevenueColumnAmt |
| Exclusion | $22,243 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $7,068 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $7,068 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,068 | TotalRevenueColumnAmt |
| Exclusion | $7,068 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $149,074 | TotalRevenueColumnAmt |
| Exclusion | $149,074 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $149,074 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,820,963 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,312,962 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $185,628 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,100,808 | TotalAmt |
| Program Services | $522,979 | ProgramServicesAmt |
| Management And General | $577,829 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,982,890 | TotalAmt |
| Program Services | $6,850,729 | ProgramServicesAmt |
| Management And General | $2,132,161 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,064 | TotalAmt |
| Program Services | $195,050 | ProgramServicesAmt |
| Management And General | $10,014 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,238,890 | TotalAmt |
| Program Services | $935,109 | ProgramServicesAmt |
| Management And General | $303,781 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $801,575 | TotalAmt |
| Program Services | $591,773 | ProgramServicesAmt |
| Management And General | $209,802 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $612,398 | TotalAmt |
| Program Services | $235,725 | ProgramServicesAmt |
| Management And General | $376,673 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,594 | TotalAmt |
| Program Services | $63,933 | ProgramServicesAmt |
| Management And General | $56,661 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,214,964 | TotalAmt |
| Program Services | $644,118 | ProgramServicesAmt |
| Management And General | $570,846 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $814,697 | TotalAmt |
| Program Services | $431,915 | ProgramServicesAmt |
| Management And General | $382,782 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284,817 | TotalAmt |
| Program Services | $159,258 | ProgramServicesAmt |
| Management And General | $125,559 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,361 | TotalAmt |
| Program Services | $32,750 | ProgramServicesAmt |
| Management And General | $11,611 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,423 | TotalAmt |
| Program Services | $20,245 | ProgramServicesAmt |
| Management And General | $7,178 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,810 | TotalAmt |
| Program Services | $3,278 | ProgramServicesAmt |
| Management And General | $532 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $563,812 | TotalAmt |
| Program Services | $496,657 | ProgramServicesAmt |
| Management And General | $67,155 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,256 | TotalAmt |
| Program Services | $23,463 | ProgramServicesAmt |
| Management And General | $20,793 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,759,638 | $987,413 | $772,225 |
| REPAIRS & MAINTENANCE | $108,113 | $57,317 | $50,796 |
| MISCELLANEOUS EXPENSES | $102,863 | $0 | $102,863 |
| LICENSES & FEES | $57,707 | $42,603 | $15,104 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,711 | TotalAmt |
| Program Services | $46,711 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,135,391 | TotalAmt |
| Program Services | $12,341,026 | ProgramServicesAmt |
| Management And General | $5,794,365 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,288,008 | BOYAmt |
| EOY | $718,293 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,823,223 | BOYAmt |
| EOY | $2,080,042 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,804 | BOYAmt |
| EOY | $210,278 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $917,208 | BOYAmt |
| EOY | $818,048 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,099 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $556,814 | BOYAmt |
| EOY | $418,294 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,480 | BOYAmt |
| EOY | $240,470 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $15,957,511 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,680,994 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,338,881 | BOYAmt |
| EOY | $11,276,517 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,189,517 | BOYAmt |
| EOY | $15,761,942 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,613,835 | BOYAmt |
| EOY | $1,298,976 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,327,893 | BOYAmt |
| EOY | $1,623,198 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $869,341 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $268,621 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,955,631 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,035,321 | BOYAmt |
| EOY | $2,922,174 | 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 | $7,907,235 | BOYAmt |
| EOY | $12,825,474 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,961 | BOYAmt |
| EOY | $14,294 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,154,196 | BOYAmt |
| EOY | $12,839,768 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,189,517 | BOYAmt |
| EOY | $15,761,942 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,685,572 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,717,858 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,690,180 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,214,086 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,572,975 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,322,373 | CurrentTaxYearAmt |
| Total | $20,517,472 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,717,858 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,690,180 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,214,086 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,572,975 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,322,373 | CurrentTaxYearAmt |
| Total | $20,517,472 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $20,517,472 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $107,892 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $51,399 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,250 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $207,635 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,486 | CurrentTaxYearAmt |
| Total | $408,662 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $69,214 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,092 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $905 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $226,056 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $149,074 | CurrentTaxYearAmt |
| Total | $467,341 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $21,393,475 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $54,654,236 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95910 | PublicSupportCY170Pct |
| Public Support PY170 | 0.94880 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | OTHER REVENUE |
| PART II, COLUMN C: | THE INFORMATION REPORTED IN PART II, COLUMN C IS FOR A SHORT PERIOD THAT BEGAN ON OCTOBER 1, 2019 AND ENDED ON DECEMBER 31, 2019. |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Total Lobbying Expenditures | $0 | TotalLobbyingExpendituresAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | DURING 2021, THE ORGANIZATION PAID DUES OF $25,000 TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH, DUES OF $2,198 TO THE NORTHWEST REGIONAL PRIMARY CARE ASSOCATION, AND DUES OF $10,457 TO THE WASHINGTON ASSOCIATION FOR COMMUNITY HEALTH. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,056,385 | OtherCostOrOtherBasisAmt |
| Book Value | $2,056,385 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,315,844 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,156,640 | DepreciationAmt |
| Book Value | $4,159,204 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,125,659 | OtherCostOrOtherBasisAmt |
| Depreciation | $520,485 | DepreciationAmt |
| Book Value | $2,605,174 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,229,699 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,003,869 | DepreciationAmt |
| Book Value | $1,225,830 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,229,924 | OtherCostOrOtherBasisAmt |
| Book Value | $1,229,924 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,276,517 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $22,767,009 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $22,767,009 | RevenueSubtotalAmt |
| Other Revenues Not Included | $53,954 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $53,954 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $22,820,963 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $18,088,680 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $18,088,680 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $46,711 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $46,711 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $18,135,391 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE HEALTH CENTER HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE HEALTH CENTER IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE HEALTH CENTER FILES TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. WITH A FEW EXCEPTIONS, THE HEALTH CENTER IS NO LONGER SUBJECT TO U.S. FEDERAL EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2018. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 46,711. INTEREST INCOME 7,243. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 46,711. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MAJA ZUGEC | ||||||||||||||
| CHIEF MEDICAL EXECUTIVE | $265,317 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $15,431 | $0 | $280,748 | $0 | $0 | $0 |
| ROBBY RIDDLE | ||||||||||||||
| PHYSICIAN | $251,548 | $0 | $0 | $0 | $0 | $0 | $26,000 | $0 | $667 | $0 | $278,215 | $0 | $0 | $0 |
| DESIREE SWEENEY | ||||||||||||||
| CEO | $226,536 | $0 | $0 | $0 | $0 | $0 | $21,137 | $0 | $21,277 | $0 | $268,950 | $0 | $0 | $0 |
| TODD GARCIA | ||||||||||||||
| CHIEF DENTAL OFFICER | $220,953 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $21,278 | $0 | $242,231 | $0 | $0 | $0 |
| KEVIN NELSON | ||||||||||||||
| DENTIST | $188,025 | $0 | $0 | $0 | $0 | $0 | $19,500 | $0 | $21,277 | $0 | $228,802 | $0 | $0 | $0 |
| ANMARIE GIDDINGS | ||||||||||||||
| DENTIST | $198,171 | $0 | $0 | $0 | $0 | $0 | $10,044 | $0 | $7,812 | $0 | $216,027 | $0 | $0 | $0 |
| JAEHEE WILLIAMSON | ||||||||||||||
| DENTIST | $193,207 | $0 | $0 | $0 | $0 | $0 | $5,873 | $0 | $7,812 | $0 | $206,892 | $0 | $0 | $0 |
| BENJAMIN HAWTHORNE | ||||||||||||||
| PHYSICIAN | $167,344 | $0 | $0 | $0 | $0 | $0 | $8,395 | $0 | $21,278 | $0 | $197,017 | $0 | $0 | $0 |
| BARB MIDDLETON | ||||||||||||||
| COO | $144,473 | $0 | $0 | $0 | $0 | $0 | $26,000 | $0 | $6,185 | $0 | $176,658 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 56 | ContributionCnt |
| Noncash Contributions Rpt F990 | $327,874 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | INVOICE PRICE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE BOARD. THE EXECUTIVE COMMITTEE HAS ALL AUTHORITY OF THE BOARD WHEN THE BOARD IS NOT IN SESSION. THE EXECUTIVE COMMITTEE DOES NOT HAVE AUTHORITY, WITHOUT APPROVAL OF THE BOARD, TO (1) AMEND THE ARTICLES OF INCORPORATION OR THE BY-LAWS; (2) ADOPT A PLAN OF MERGER OR CONSOLIDATION; (3) RECOMMEND OR APPROVE THE SALE, LIEN, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S PROPERTY AND ASSETS; (4) RECOMMEND OR PURSUE A VOLUNTARY CORPORATE DISSOLUTION; (5) OBLIGATE OR COMMIT TO THE DONATION OF FUNDS; (6) APPROVE EXPENDITURES NOT IN THE ORDINARY COURSE OF BUSINESS; OR (7) TAKE ANY ACTION CONTRARY TO THE POLICIES ESTABLISHED BY THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 2 | DON RENZ AND CAROLYN RENZ HAVE A FAMILY RELATIONSHIP. KEITH BALLANCE AND ELLEN BALLANCE HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE CEO AND CFO OF NEW HEALTH AND WAS THEN DISTRIBUTED TO THE BOARD MEMBERS FOR REVIEW AND COMMENTS. IT WILL BE FORMALLY APPROVED BY THE BOARD AT THEIR NEXT SCHEDULED MEETING AFTER THE RETURN IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL PROSPECTIVE OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE VETTED BY CORPORATE COUNSEL PRIOR TO BEING FORMALLY OFFERED THEIR RESPECTIVE POSITIONS. ALL BOARD MEMBERS WILL DISCLOSE A CONFLICT OF INTEREST ANNUALLY OR AS CIRCUMSTANCE CHANGES. |
| FORM 990, PART VI, SECTION B, LINE 15A | IN 2018 THE BOARD REVIEWED THE CEO'S COMPENSATION BASED ON VARIOUS INDUSTRY BENCHMARKS AS PREPARED BY THE CFO AND CORPORATE COMPLIANCE OFFICER. THE BOARD TOOK THIS DATA ALONG WITH THEIR PERFORMANCE REVIEW OF THE CEO TO ADJUST THE CEO'S COMPENSATION AS THEY DEEMED FIT. ADDITIONALLY, THE CEO AND CFO REVIEWED EXECUTIVE STAFF BASED ON INDUSTRY BENCHMARKS ALONG WITH THEIR ANNUAL PERFORMANCE REVIEW. MEDICAL & DENTAL PROVIDERS WERE REVIEWED BASED ON PRODUCTIVITY, MARKET DATA, AND QUALITY. ALL OTHER POTENTIAL KEY EMPLOYEES HAD THEIR WAGES ADJUSTED IN ACCORDANCE WITH NEW HEALTH'S WAGE SCALE WHICH IS ADJUSTED ANNUALLY FOR MARKET TRENDS AND INDUSTRY-SPECIFIC DATA. THE MOST RECENT COMPENSATION REVIEWS WERE CONDUCTED IN 2021. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ADMINISTRATIVE OFFICES OF NEW HEALTH AS SHOWN IN FORM 990, PART VI, SECTION C, LINE 20. |
| FORM 990, PART XII, LINE 2C | THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. |