GREAT PLAINS TRIBAL LEADERS HEALTH BOARD: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- GREAT PLAINS TRIBAL LEADERS HEALTH BOARD (EIN 46-0420063)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-16
- IRS object ID
- 202112289349303336
- Schema version
- 2019v5.2
- 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 | 2021-08-16T16:42:55-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 460403496 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CASEY PETERSON LTD | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 909 ST JOSEPH ST STE 101 | AddressLine1Txt |
| City | RAPID CITY | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460420063 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH | BusinessNameLine1Txt |
| Business Name Line2 | BOARD DBA OYATE HEALTH CENTER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GREA | BusinessNameControlTxt |
| Phone | 6053552500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2611 ELDERBERRY BOULEVARD | AddressLine1Txt |
| City | RAPID CITY | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57703 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JERILYN CHURCH | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6057211922 | PhoneNum |
| Signature | 2021-08-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KEVIN R EGGEBRAATEN CPA | PreparerPersonNm |
| PTIN | P00044268 | PTIN |
| Phone | 6053481930 | PhoneNum |
| Preparation | 2021-08-16 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OYATE HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JERILYN CHURCH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2611 ELDERBERRY BOULEVARD | AddressLine1Txt |
| City | RAPID CITY | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57703 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $51,147,977 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GPTCHB.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | SD | LegalDomicileStateCd |
| Activity Or Mission | OUR MISSION IS TO PROVIDE QUALITY PUBLIC HEALTH SUPPORT AND HEALTH CARE ADVOCACY TO THE TRIBAL NATIONS OF THE GREAT PLAINS BY UTILIZING EFFECTIVE AND CULTURALLY CREDIBLE APPROACHES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 20 | VotingMembersIndependentCnt |
| Total Employee | 164 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,975,782 | PYContributionsGrantsAmt |
| CY Contributions Grants | $18,860,066 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,819,381 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $32,112,952 | CYProgramServiceRevenueAmt |
| PY Investment Income | $85,321 | PYInvestmentIncomeAmt |
| CY Investment Income | $174,959 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $19,880,484 | PYTotalRevenueAmt |
| CY Total Revenue | $51,147,977 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,108,134 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,339,472 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,632,156 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,624,400 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,967,530 | PYOtherExpensesAmt |
| CY Other Expenses | $16,599,900 | CYOtherExpensesAmt |
| PY Total Expenses | $14,707,820 | PYTotalExpensesAmt |
| CY Total Expenses | $36,563,772 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,172,664 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $14,584,205 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,576,830 | TotalAssetsBOYAmt |
| Total Assets EOY | $20,805,239 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,269,749 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,452,232 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,307,081 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $18,353,007 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OUR MISSION IS TO PROVIDE QUALITY PUBLIC HEALTH SUPPORT AND HEALTH CARE ADVOCACY TO THE TRIBAL NATIONS OF THE GREAT PLAINS BY UTILIZING EFFECTIVE AND CULTURALLY CREDIBLE APPROACHES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,229,467 | ExpenseAmt |
| Grant | $1,339,472 | GrantAmt |
| Revenue | $26,950 | RevenueAmt |
| Desc | THE GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD (GPTCHB) IS AN ORGANIZATION DEDICATED TO REDUCING PUBLIC HEALTH DISPARITIES AND IMPROVING THE HEALTH AND WELLNESS OF AMERICAN INDIAN PEOPLE WHO ARE MEMBERS OF THE 18 GREAT PLAINS TRIBAL NATIONS AND COMMUNITIES. THROUGH ITS NUMEROUS PROGRAMS AND PARTNERSHIPS, THE GPTCHB PROVIDES CRITICAL HEALTH PROMOTION AND EDUCATION SERVICES AND SERVES AS A GATEKEEPER FOR TRIBAL RESEARCH AND ACADEMIC DEVELOPMENT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $20,704,415 | ExpenseAmt |
| Revenue | $32,086,002 | RevenueAmt |
| Desc | THE OYATE HEALTH CENTER IS A TRIBALLY OWNED AND OPERATED WALK-IN PRIMARY CARE CLINIC LOCATED IN RAPID CITY, SOUTH DAKOTA. ON JULY 21, 2019 THE GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD TOOK OVER MANAGEMENT RESPONSIBILITIES OF THE RAPID CITY SERVICE UNIT ON BEHALF OF THE OGLALA SIOUX AND CHEYENNE RIVER SIOUX TRIBES THROUGH PUBLIC LAW 93-638 (THE INDIAN SELF-DETERMINATION ACT); IT WAS BOTH AN EXPRESSION OF SOVEREIGNTY AND THE DEPLOYMENT OF A PROVEN STRATEGY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $27,933,882 | 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 | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | 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 | Yes (1) | 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 | 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 | 69 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 164 | 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 | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 20 | 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 | 0 | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | 0 | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6053552500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2611 ELDERBERRY BOULEVARD | AddressLine1Txt |
| City | RAPID CITY | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57703 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| HAROLD FRAZIER | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RODNEY BORDEAUX | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LESTER THOMPSON JR | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RUDY PAPAKEE | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ANTHONY REIDER | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RODGER TRUDELL | ||||||
| PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| BOYD L GOURNEAU | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| VERLYN BEAUDREAU | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JULIAN BEAR RUNNER | ||||||
| VICE PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| PEGGY CAVANAUGH | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ISAAC SHERMAN JR | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MIKE FAITH | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARK FOX | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SHANE MORAN | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| WILLIAM FALCON | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JAMIE AZURE | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| NATHAN DAVIS | ||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| COLY BROWN | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT FLYING HAWK | ||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| LARRY WRIGHT JR | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JERILYN CHURCH | ||||||
| CEO | 40.00 | $140,000 | $0 | $10,612 | Yes (X) | |
| SUNNY COLOMBE | ||||||
| CFO | 40.00 | $121,967 | $0 | $15,401 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $261,967 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $26,013 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SONOSKYCHAMBERSSACHSE ENDRESON&PERRY | |||||
| 1425 K STREET SUITE 600 | WASHINGTON | DC | 20005 | LEGAL SERVICES | $1,056,370 |
| ACET INC | |||||
| 10700 NORMANDALE BLVD SUITE 201 | MINNEAPOLIS | MN | 55437 | EVALUATIONS | $364,254 |
| REDW LLC | |||||
| 7425 JEFFERSON STREET | ALBUQUERQUE | NM | 87109 | INFORMATION TECHNOLOGY | $349,263 |
| DEEPTREE INC | |||||
| 550 S ALASKA ST STE 208 | PALMER | AK | 99645 | INFORMATION TECHNOLOGY | $195,727 |
| PERSONAL GROUP | |||||
| 21 PHILADELPHIA | RAPID CITY | SD | 57701 | MEDICAL CODING | $167,178 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $18,295,569 | GovernmentGrantsAmt |
| All Other Contributions | $564,497 | AllOtherContributionsAmt |
| Total Contributions | $18,860,066 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CONTRACT REVENUE | 621110 | $30,099,374 | $30,099,374 |
| PHARMACY REVENUE | 446110 | $1,986,628 | $1,986,628 |
| TRAINING AND CONSULTING | 624100 | $26,950 | $26,950 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $32,112,952 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $174,959 | TotalRevenueColumnAmt |
| Exclusion | $174,959 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51,147,977 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $32,112,952 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $174,959 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,248,639 | TotalAmt |
| Program Services | $1,248,639 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,833 | TotalAmt |
| Program Services | $90,833 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $224,161 | TotalAmt |
| Management And General | $224,161 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,345,343 | TotalAmt |
| Program Services | $9,012,156 | ProgramServicesAmt |
| Management And General | $5,333,187 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,918 | TotalAmt |
| Program Services | $182,907 | ProgramServicesAmt |
| Management And General | $112,011 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,996,706 | TotalAmt |
| Program Services | $1,858,548 | ProgramServicesAmt |
| Management And General | $1,138,158 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $763,272 | TotalAmt |
| Program Services | $473,379 | ProgramServicesAmt |
| Management And General | $289,893 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $324,602 | TotalAmt |
| Management And General | $324,602 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,550 | TotalAmt |
| Management And General | $5,550 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,187,068 | TotalAmt |
| Program Services | $9,979,268 | ProgramServicesAmt |
| Management And General | $207,800 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,007 | TotalAmt |
| Program Services | $5,333 | ProgramServicesAmt |
| Management And General | $16,674 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $853,211 | TotalAmt |
| Program Services | $682,570 | ProgramServicesAmt |
| Management And General | $170,641 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,970 | TotalAmt |
| Management And General | $115,970 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $736,270 | TotalAmt |
| Program Services | $589,016 | ProgramServicesAmt |
| Management And General | $147,254 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,604 | TotalAmt |
| Program Services | $142,883 | ProgramServicesAmt |
| Management And General | $35,721 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $385,274 | TotalAmt |
| Program Services | $308,219 | ProgramServicesAmt |
| Management And General | $77,055 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,318 | TotalAmt |
| Management And General | $45,318 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,796 | TotalAmt |
| Program Services | $198,796 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,183 | TotalAmt |
| Management And General | $52,183 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROGRAM SUPPLIES | $2,159,723 | $2,159,723 | |
| RENTAL EXPENSES | $601,839 | $536,714 | $65,125 |
| MINOR EQUIPMENT | $396,846 | $263,478 | $133,368 |
| REPAIRS AND MAINTENANCE | $336,639 | $201,420 | $135,219 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,563,772 | TotalAmt |
| Program Services | $27,933,882 | ProgramServicesAmt |
| Management And General | $8,629,890 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,555,579 | BOYAmt |
| EOY | $16,018,334 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,210,697 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,341 | BOYAmt |
| EOY | $7,885 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,236 | BOYAmt |
| EOY | $707,199 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,076 | BOYAmt |
| EOY | $2,494,353 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,946,822 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $369,354 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $618,119 | BOYAmt |
| EOY | $1,577,468 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,782 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,576,830 | BOYAmt |
| EOY | $20,805,239 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,076,778 | BOYAmt |
| EOY | $1,900,542 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,522 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,449 | BOYAmt |
| EOY | $551,690 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,269,749 | BOYAmt |
| EOY | $2,452,232 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,307,081 | BOYAmt |
| EOY | $18,353,007 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,307,081 | BOYAmt |
| EOY | $18,353,007 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,576,830 | BOYAmt |
| EOY | $20,805,239 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $14,584,205 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$2,538,279 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | $7,185,768 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,966,147 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,271,437 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,975,782 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,860,066 | CurrentTaxYearAmt |
| Total | $47,259,200 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,185,768 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,966,147 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,271,437 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,975,782 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,860,066 | CurrentTaxYearAmt |
| Total | $47,259,200 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $499,460 | SubstantialContributorsTotAmt |
| Public Support Total170 | $46,759,740 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $7,498 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $85,321 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $174,959 | CurrentTaxYearAmt |
| Total | $267,778 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $47,526,978 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $45,092,597 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.98390 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97460 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $76,860 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,484 | DepreciationAmt |
| Book Value | $73,376 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,869,962 | OtherCostOrOtherBasisAmt |
| Depreciation | $365,870 | DepreciationAmt |
| Book Value | $1,504,092 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,577,468 | TotalBookValueLandBuildingsAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (26 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | IRC SectionIRCSectionDesc |
|---|---|---|---|---|---|---|---|
| CARL T CURTIS HEALTH EDUCATION CENTER | |||||||
| PO BOX 250 | MACY | NE | 68039 | 470459805 | $8,500 | TRIBAL HEALTH | |
| CAROL ANNE HEART CANCER COALITION | |||||||
| PO BOX 3274 | RAPID CITY | SD | 57709 | 454601164 | $8,500 | TRIBAL HEALTH | 501(C)3 |
| CHEYENNE RIVER SIOUX TRIBE | |||||||
| PO BOX 590 | EAGLE BUTTE | SD | 57625 | 460217757 | $8,500 | TRIBAL HEALTH | GOV |
| CUSTER HEALTH COALITION | |||||||
| 403 BURLINGTON ST SE | MANDAN | ND | 58554 | 456004343 | $8,489 | TRIBAL HEALTH | |
| ELBOWOODS MEMORIAL HEALTH CENTER | |||||||
| 1058 COLLEGE DRIVE | NEW TOWN | ND | 58763 | 263475281 | $8,500 | TRIBAL HEALTH | |
| FLANDREAU SANTEE SIOUX TRIBE | |||||||
| PO BOX 283 | FLANDREAU | SD | 57028 | 237000301 | $18,500 | TRIBAL HEALTH | GOV |
| MASSACHUSETTS GENERAL HOSPITAL | |||||||
| PO BOX 3829 | BOSTON | MA | 00241 | 042697983 | $12,084 | TRIBAL HEALTH | 501(C)3 |
| NEBRASKA INDIAN MEDICAL CENTER | |||||||
| 2331 FAIRFIELD ST STE 1 | LINCOLN | NE | 68521 | 470697260 | $8,500 | TRIBAL HEALTH | 501(C)3 |
| PONCA TRIBE OF NEBRASKA | |||||||
| 2602 J STREET | OMAHA | NE | 68107 | 470744117 | $35,880 | TRIBAL HEALTH | |
| ROSEBUD SIOUX TRIBE | |||||||
| PO BOX 430 | ROSEBUD | SD | 57570 | 460248724 | $176,853 | TRIBAL HEALTH | GOV |
| SAC AND FOX TRIBE OF THE MISSISSIPPI IN IOWA | |||||||
| 1646 305TH STREET | TAMA | IA | 52339 | 416053373 | $8,500 | TRIBAL HEALTH | 501(C)3 |
| SANTEE SIOUX NATION HEALTH AND WELLNESS CENTER | |||||||
| 110 S VISITING EAGLE | NIOBRARA | NE | 68760 | 470533471 | $148,969 | TRIBAL HEALTH | |
| SISSETON WAHPETON OYATE | |||||||
| PO BOX 509 | SISSETON | SD | 57262 | 460308226 | $61,517 | TRIBAL HEALTH | GOV |
| SPIRIT LAKE TRIBAL HEALTH | |||||||
| PO BOX 480 | FT TOTTEN | ND | 58335 | 450314494 | $182,500 | TRIBAL HEALTH | 501(C)3 |
| STANDING ROCK TRIBAL HEALTH ADMISTRATION | |||||||
| PO BOX D | FT YATES | ND | 58538 | 450220519 | $63,500 | TRIBAL HEALTH | |
| TIWAHE GLU KINI PI | |||||||
| PO BOX 105 | MISSION | SD | 57555 | 460312209 | $28,389 | TRIBAL HEALTH | |
| TRENTON INDIAN SERVICE AREA | |||||||
| PO BOX 210 | TRENTON | ND | 58853 | 450324907 | $25,602 | TRIBAL HEALTH | GOV |
| TURTLE MOUNTAIN BAND OF CHIPPEWA | |||||||
| PO BOX 900 | BELCOURT | ND | 58316 | 450223071 | $8,500 | TRIBAL HEALTH | GOV |
| WINNEBAGO TRIBE OF NEBRASKA | |||||||
| 225 S BLUFF STREET | WINNEBAGO | NE | 68071 | 470489118 | $132,573 | TRIBAL HEALTH | GOV |
| YANKTON SIOUX TRIBE | |||||||
| PO BOX 1153 | WAGNER | SD | 57380 | 460373220 | $54,954 | TRIBAL HEALTH | GOV |
| MISSOURI BREAKS INDUSTRIES RESEARCH INC | |||||||
| PO BOX 1824 | EAGLE BUTTE | SD | 57625 | 460438471 | $75,651 | TRIBAL HEALTH | |
| NATIVE WOMENS HEALTH CENTER | |||||||
| 3200 CANYON LAKE DR | RAPID CITY | SD | 57702 | 460217222 | $10,000 | TRIBAL HEALTH | |
| OYATE NETWORKING PROJECT INC | |||||||
| PO BOX 316 | KYLE | SD | 57752 | 460438929 | $50,352 | TRIBAL HEALTH | 501(C)3 |
| RAPID CITY POLICE DEPARTMENT | |||||||
| 300 KANSAS CITY STREET | RAPID CITY | SD | 57701 | 466000380 | $40,702 | TRIBAL HEALTH | GOV |
| THUNDER VALLEY COMMUNITY DEVELOPMENT CORPORATION | |||||||
| PO BOX 290 | PORCUPINE | SD | 57772 | 208090454 | $10,000 | TRIBAL HEALTH | 501(C)3 |
| TRIBAL NATIONS RESEARCH GROUP | |||||||
| PO BOX 1906 | BELCOURT | ND | 58316 | 465453270 | $10,000 | TRIBAL HEALTH | 501(C)3 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 17 | Total501c3OrgCnt |
| Total Other Org | 9 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| SCHOLARSHIPS | 50 | $79,267 |
| TRIBAL HEALTH GRANT | 1 | $11,566 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANTS ARE PROVIDED TO ENTITIES THAT PROVIDE TRIBAL HEALTH PROGRAMS TO NATIVE AMERICANS IN THE GREAT PLAINS REGION. PROGRAM DIRECTORS CONSISTENTLY MONITOR THE SUCCESS OF THE VARIOUS PROGRAMS THROUGH SITE VISITS AND PROGRAM REPORTS. SCHOLARSHIPS ARE PROVIDED TO HELP STUDENTS DEFRAY THE COSTS OF PURSUING A HIGH-DEMAND HEALTHCARE TRAINING PROGRAM OR POST-SECONDARY HEALTHCARE EDUCATION IN A QUALIFIED HEALTHCARE TRAINING PROGRAM. STUDENTS MUST DEMONSTRATE ACADEMIC MERIT AND FINANCIAL NEED. VERIFICATION OF ENROLLMENT IN A QUALIFIED PROGRAM IS REQUIRED PRIOR TO PAYMENT OF THE SCHOLARSHIP. STUDENTS ALSO PARTICIPATE IN MENTORSHIP MEETINGS, CAREER SUCCESS CLASSES, AND SURVEYS AS A FORM OF CONTINUAL MONITORING. HONORARIUMS ARE PROVIDED TO DRUMMERS, DANCERS, OR SPECIAL PRESENTERS AT ORGANIZATION MEETINGS OR CONFERENCES. THE HONARIUM IS DISTRIBUTED AT THE EVENT, SO NO ADDITIONAL MONITORING IS NEEDED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JERILYN CHURCH | PersonNm |
| Title | CEO | TitleTxt |
| Base Compensation Filing Org | $140,000 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $4,200 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $6,412 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $150,612 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | AN INDEPENDENT CONTRACTOR PERFORMS AN INITIAL COMPENSATION EVALUATION AND OTHER COMPENSATION DATA IS GATHERED FROM VARIOUS SOURCES AND ANALYZED. RAISES ARE CONSIDERED ANNUALLY BASED ON COST OF LIVING INCREASES. PERFORMANCE COMPENSATION IS BASED UPON THE EMPLOYEE'S EVALUATION AND APPROVED BY THE BOARD. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | AN EXTERNAL CPA FIRM PREPARES THE 990. THE CFO, SENIOR ACCOUNTANT, AND CEO REVIEW THE RETURN BEFORE FILING |
| FORM 990, PART VI, SECTION B, LINE 15 | AN INDEPENDENT CONTRACTOR PERFORMS AN INITIAL COMPENSATION EVALUATION AND OTHER COMPENSATION DATA IS GATHERED FROM VARIOUS SOURCES AND ANALYZED. RAISES ARE CONSIDERED ANNUALLY BASED ON COST OF LIVING INCREASES. PERFORMANCE COMPENSATION IS BASED UPON EACH INDIVIDUAL EMPLOYEE'S EVALUATION AND APPROVED BY THE APPROPRIATE ADMINISTRATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | STAFFING SERVICES: PROGRAM SERVICE EXPENSES 767,017. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 767,017. CONSULTANTS/CONTRACTUAL: PROGRAM SERVICE EXPENSES 8,883,213. MANAGEMENT AND GENERAL EXPENSES 207,800. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,091,013. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 329,038. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 329,038. |
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