FULL CIRCLE HEALTH INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- FULL CIRCLE HEALTH INC (EIN 20-5934739)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-13
- IRS object ID
- 202131339349304973
- Schema version
- 2019v5.0
- 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 | 2021-05-13T16:06:32-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200079326 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DINGUS ZARECOR & ASSOCIATES PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN AVE | AddressLine1Txt |
| City | SPOKANE VALLEY | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205934739 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAMILY MEDICINE RESIDENCY OF IDAHO | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FAMI | BusinessNameControlTxt |
| Phone | 2083676071 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 N RAYMOND STREET | AddressLine1Txt |
| City | BOISE | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRENT HINES | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2089548680 | PhoneNum |
| Signature | 2021-04-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS DINGUS | PreparerPersonNm |
| PTIN | P00951009 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2021-05-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TED EPPERLY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 N RAYMOND ST | AddressLine1Txt |
| City | BOISE | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83704 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $53,143,531 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FMRIDAHO.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Activity Or Mission | FAMILY MEDICINE RESIDENCY OF IDAHO MAINTAINS A PROGRAM DESIGNED TO FURTHER THE EDUCATION OF GRADUATE PHYSICIANS IN THE MEDICAL SPECIALTY OF FAMILY MEDICINE AND FAMILY PRACTICE, PROVIDES CLINICAL TRAINING IN FAMILY PRACTICE THROUGH THE ESTABLISHMENT AND OPERATION OF A MODEL CLINIC, CONDUCTS A MEDICAL EDUCATION PROGRAM INCLUDING OPERATION OF THE MODEL CLINIC, PROMOTES A PROFESSIONALLY ATTRACTIVE ENVIRONMENT FOR THE RECRUITMENT AND RETENTION OF MEDICAL MANPOWER AND SUPPORTS HEALTH EDUCATION ACTIVITIES AND PROGRAMS FOR THE GENERAL PUBLIC WHILE SERVING THE UNDER-SERVED CITIZENS OF IDAHO. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 385 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $10,694,873 | PYContributionsGrantsAmt |
| CY Contributions Grants | $14,103,988 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $34,893,152 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $37,462,212 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$16,984 | PYInvestmentIncomeAmt |
| CY Investment Income | $19,336 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,682,312 | PYOtherRevenueAmt |
| CY Other Revenue | $1,557,995 | CYOtherRevenueAmt |
| PY Total Revenue | $47,253,353 | PYTotalRevenueAmt |
| CY Total Revenue | $53,143,531 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $25,325,857 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $27,460,313 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $3,500 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $21,753,278 | PYOtherExpensesAmt |
| CY Other Expenses | $23,989,950 | CYOtherExpensesAmt |
| PY Total Expenses | $47,079,135 | PYTotalExpensesAmt |
| CY Total Expenses | $51,450,263 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $174,218 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,693,268 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,979,324 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,994,554 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,969,176 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,300,537 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,010,148 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,694,017 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | FAMILY MEDICINE RESIDENCY OF IDAHO MAINTAINS A PROGRAM DESIGNED TO FURTHER THE EDUCATION OF GRADUATE PHYSICIANS IN THE MEDICAL SPECIALTY OF FAMILY MEDICINE AND FAMILY PRACTICE, PROVIDES CLINICAL TRAINING IN FAMILY PRACTICE THROUGH THE ESTABLISHMENT AND OPERATION OF A MODEL CLINIC, CONDUCTS A MEDICAL EDUCATION PROGRAM INCLUDING OPERATION OF THE MODEL CLINIC, PROMOTES A PROFESSIONALLY ATTRACTIVE ENVIRONMENT FOR THE RECRUITMENT AND RETENTION OF MEDICAL MANPOWER AND SUPPORTS HEALTH EDUCATION ACTIVITIES AND PROGRAMS FOR THE GENERAL PUBLIC WHILE SERVING THE UNDER-SERVED CITIZENS OF IDAHO. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $32,983,786 | ExpenseAmt |
| Revenue | $21,953,928 | RevenueAmt |
| Desc | THE CLINIC PROVIDES MEDICAL AND BEHAVIORAL HEALTH SERVICES TO NON-INSURED AND UNDER-INSURED AT-RISK PATIENT POPULATIONS, AS WELL AS MEDICAL SERVICES WITH TRANSLATION PROVIDED FOR NON-ENGLISH SPEAKING POPULATIONS. THE CLINIC PROVIDES CARE TO PATIENTS WHILE PROVIDING AN EDUCATIONAL SETTING WHICH FURTHERS THE MEDICAL TRAINING OF RESIDENTS. THE CLINIC HAD 89,966 FQHC AND AN ADDITIONAL 13,903 HOSPITAL OR OFFSITE ENCOUNTERS DURING THE YEAR. FAMILY MEDICINE RESIDENCY OF IDAHO PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. UNREIMBURSED CHARGES FOR SLIDING FEE DISCOUNTS AND CHARITY CARE WAS 1,213,898 FOR THE YEAR. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,589,414 | ExpenseAmt |
| Revenue | $5,650 | RevenueAmt |
| Desc | THE RESIDENCY PROVIDES EDUCATIONAL TRAINING EXPERIENCE FOR PRIMARY CARE RESIDENTS AND FELLOWS. DURING THE YEAR THE RESIDENCY HAD 62 RESIDENTS AND 4 FELLOWS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,436,274 | ExpenseAmt |
| Revenue | $15,502,634 | RevenueAmt |
| Desc | THE RYAN WHITE CLINIC PROVIDES EARLY INTERVENTION MEDICAL SERVICES AND CARE TO PATIENTS WITH OR AT RISK FOR HIV DISEASE. THE CLINIC HAD 2,661 ENCOUNTERS DURING THE YEAR. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $46,009,474 | 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 | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | 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 | 78 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 385 | 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 | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| 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 | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRENT HINES | PersonNm |
| Phone | 2085142500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 N RAYMOND ST | AddressLine1Txt |
| City | BOISE | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83704 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DENISE CHUCKOVICH | ||||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JIM MONTGOMERY | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RUSSELL CENTANNI | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HAROLD WARD | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LES BOCK | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SUE CHEW | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LINDA CLARK | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KATHY HOLLEY | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TONY HOWARD | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BESSIE KATSILOMETES | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK MERING | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LISA NELSON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ALAN PURCELL | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CAROL RAINS | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| HEIDI THOMPSON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JIM TROUNSON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| OFELIA VILLERO | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BRENDEN WARWICK | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TED EPPERLY | ||||||||
| CEO | 40.00 | Yes (X) | $448,868 | $0 | $18,627 | |||
| BRENT HINES | ||||||||
| CFO | 40.00 | Yes (X) | $152,469 | $0 | $18,762 | |||
| KEVIN RICH | ||||||||
| VP MEDICAL A | 40.00 | $267,990 | $0 | $40,770 | Yes (X) | |||
| JUSTIN GLASS | ||||||||
| PROGRAM DIRE | 40.00 | $251,021 | $0 | $17,014 | Yes (X) | |||
| KIM STUTZMAN | ||||||||
| PROGRAM DIRE | 40.00 | $248,380 | $0 | $40,199 | Yes (X) | |||
| PENNY BEACH | ||||||||
| CMO | 40.00 | $232,543 | $0 | $36,385 | Yes (X) | |||
| ABBY DAVIDS | ||||||||
| FM FACULTY | 40.00 | $239,153 | $0 | $24,209 | Yes (X) | |||
| DANIELLE DAVIES | ||||||||
| FM FACULTY | 40.00 | $218,865 | $0 | $22,996 | Yes (X) | |||
| JUSTIN BAILEY | ||||||||
| FM FACULTY | 40.00 | $218,663 | $0 | $38,649 | Yes (X) | |||
| ELIZABETH ATNIP | ||||||||
| FM FACULTY | 40.00 | $222,640 | $0 | $14,631 | Yes (X) | |||
| MARVIN ALVISO | ||||||||
| FM FACULTY | 40.00 | $209,976 | $0 | $29,532 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,710,568 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $301,774 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 50 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SALTZER MEDICAL GROUP PA | |||||
| 215 E HAWAII AVE | NAMPA | ID | 83686 | PEDIATRICIANS | $1,325,603 |
| STABILITY NETWORKS | |||||
| 2404 BANK DRIVE SUITE 100 | BOISE | ID | 83705 | IT SERVICES | $314,100 |
| INDEMAND INTERPRETING | |||||
| PO BOX 67 | DETROIT | MI | 48267 | INTERPRETING | $199,176 |
| CHANGE HEALTHCARE | |||||
| PO BOX 1236 | BUTLER | PA | 16003 | NURSING | $197,236 |
| INTERPATH LABORATORY | |||||
| PO BOX 1208 | PENDLETON | OR | 97801 | DIAGNOSTIC/LAB | $116,459 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $9,810,007 | GovernmentGrantsAmt |
| All Other Contributions | $4,293,981 | AllOtherContributionsAmt |
| Noncash Contributions | $55,906 | NoncashContributionsAmt |
| Total Contributions | $14,103,988 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICES | 624100 | $37,456,562 | $37,456,562 |
| TRAINING COURSES | 611430 | $5,650 | $5,650 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $37,462,212 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,336 | TotalRevenueColumnAmt |
| Exclusion | $19,336 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CASE MANAGEMENT | 624100 | $1,496,245 | $1,496,245 |
| OTHER REVENUE | 900099 | $61,750 | $61,750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,557,995 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,143,531 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $37,462,212 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,577,331 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,653,654 | TotalAmt |
| Program Services | $1,075,021 | ProgramServicesAmt |
| Management And General | $578,633 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,788,719 | TotalAmt |
| Program Services | $18,632,680 | ProgramServicesAmt |
| Management And General | $3,156,039 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,307 | TotalAmt |
| Program Services | $234,183 | ProgramServicesAmt |
| Management And General | $56,124 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,100,917 | TotalAmt |
| Program Services | $1,682,917 | ProgramServicesAmt |
| Management And General | $418,000 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,626,716 | TotalAmt |
| Program Services | $1,301,353 | ProgramServicesAmt |
| Management And General | $325,363 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,646 | TotalAmt |
| Program Services | $2,677 | ProgramServicesAmt |
| Management And General | $21,969 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,387 | TotalAmt |
| Management And General | $51,387 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,840 | TotalAmt |
| Management And General | $5,840 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,095,236 | TotalAmt |
| Program Services | $3,978,294 | ProgramServicesAmt |
| Management And General | $116,942 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,384 | TotalAmt |
| Program Services | $6,384 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $998,046 | TotalAmt |
| Program Services | $841,954 | ProgramServicesAmt |
| Management And General | $156,092 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,045,460 | TotalAmt |
| Program Services | $805,661 | ProgramServicesAmt |
| Management And General | $239,799 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $896,779 | TotalAmt |
| Program Services | $791,387 | ProgramServicesAmt |
| Management And General | $105,392 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,947 | TotalAmt |
| Program Services | $110,894 | ProgramServicesAmt |
| Management And General | $23,053 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $341,656 | TotalAmt |
| Program Services | $260,436 | ProgramServicesAmt |
| Management And General | $81,220 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,700 | TotalAmt |
| Program Services | $264,017 | ProgramServicesAmt |
| Management And General | $29,683 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249,188 | TotalAmt |
| Program Services | $235,173 | ProgramServicesAmt |
| Management And General | $14,015 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $15,333,842 | $15,333,842 | |
| LICENSES, DUES & SUBSCRIP | $352,240 | $318,553 | $33,687 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,599 | TotalAmt |
| Program Services | $134,048 | ProgramServicesAmt |
| Management And General | $24,051 | ManagementAndGeneralAmt |
| Fundraising | $3,500 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,450,263 | TotalAmt |
| Program Services | $46,009,474 | ProgramServicesAmt |
| Management And General | $5,437,289 | ManagementAndGeneralAmt |
| Fundraising | $3,500 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,272,411 | BOYAmt |
| EOY | $2,448,211 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,066,468 | BOYAmt |
| EOY | $6,047,908 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $727,048 | BOYAmt |
| EOY | $2,040,848 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,617,442 | BOYAmt |
| EOY | $3,067,381 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $573,884 | BOYAmt |
| EOY | $782,805 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,273,609 | BOYAmt |
| EOY | $1,052,644 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,439,074 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,325,104 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,076,881 | BOYAmt |
| EOY | $1,113,970 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $371,581 | BOYAmt |
| EOY | $440,787 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,979,324 | BOYAmt |
| EOY | $16,994,554 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,956,846 | BOYAmt |
| EOY | $3,339,746 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,330 | BOYAmt |
| EOY | $3,960,791 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,969,176 | BOYAmt |
| EOY | $7,300,537 | 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 | $6,900,697 | BOYAmt |
| EOY | $8,593,016 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,109,451 | BOYAmt |
| EOY | $1,101,001 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,010,148 | BOYAmt |
| EOY | $9,694,017 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,979,324 | BOYAmt |
| EOY | $16,994,554 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,693,268 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$9,399 | NetUnrlzdGainsLossesInvstAmt |
| 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $983,301 | BeginningYearBalanceAmt |
| Contributions | $1,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$8,398 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | -$5,840 | AdministrativeExpensesAmt |
| End Year Balance | $969,063 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $946,967 | BeginningYearBalanceAmt |
| Contributions | $500 | ContributionsAmt |
| Investment Earnings Or Losses | $41,169 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | -$5,335 | AdministrativeExpensesAmt |
| End Year Balance | $983,301 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $866,135 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $85,705 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | -$4,873 | AdministrativeExpensesAmt |
| End Year Balance | $946,967 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $750,735 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $119,654 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | -$4,254 | AdministrativeExpensesAmt |
| End Year Balance | $866,135 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $761,283 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$6,704 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | -$3,844 | AdministrativeExpensesAmt |
| End Year Balance | $750,735 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,164,411 | OtherCostOrOtherBasisAmt |
| Depreciation | $614,722 | DepreciationAmt |
| Book Value | $549,689 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,274,663 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,710,382 | DepreciationAmt |
| Book Value | $564,281 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,113,970 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $53,886,634 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$9,399 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $758,342 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $748,943 | RevenueNotReportedAmt |
| Revenue Subtotal | $53,137,691 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $5,840 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $5,840 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $53,143,531 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $52,202,765 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $758,342 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $758,342 | ExpensesNotReportedAmt |
| Expenses Subtotal | $51,444,423 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $5,840 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $5,840 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $51,450,263 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE RESIDENCY IS QUALIFIED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE RESIDENCY EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF JUNE 30, 2020 AND 2019, THE RESIDENCY HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|
| TED EPPERLY | ||||||
| CEO | $383,408 | $65,460 | $16,600 | $2,027 | $467,495 | |
| BRENT HINES | ||||||
| CFO | $152,469 | $8,682 | $10,080 | $171,231 | ||
| KEVIN RICH | ||||||
| VP MEDICAL AFFAIRS | $238,961 | $27,925 | $16,600 | $24,170 | $308,760 | $1,104 |
| JUSTIN GLASS | ||||||
| PROGRAM DIRECTOR | $225,546 | $25,475 | $15,248 | $1,766 | $268,035 | |
| KIM STUTZMAN | ||||||
| PROGRAM DIRECTOR | $219,035 | $29,345 | $15,316 | $24,883 | $288,579 | |
| PENNY BEACH | ||||||
| CMO | $213,118 | $19,425 | $14,865 | $21,520 | $268,928 | |
| ABBY DAVIDS | ||||||
| FM FACULTY | $207,503 | $31,650 | $14,202 | $10,007 | $263,362 | |
| DANIELLE DAVIES | ||||||
| FM FACULTY | $197,360 | $21,505 | $13,003 | $9,993 | $241,861 | |
| JUSTIN BAILEY | ||||||
| FM FACULTY | $198,948 | $19,715 | $14,146 | $24,503 | $257,312 | |
| ELIZABETH ATNIP | ||||||
| FM FACULTY | $194,465 | $15,675 | $6,666 | $7,965 | $237,271 | $12,500 |
| MARVIN ALVISO | ||||||
| FM FACULTY | $184,876 | $25,100 | $9,965 | $19,567 | $239,508 | |
Schedule M IRS990ScheduleM
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $55,660 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $246 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | FAMILY MEDICINE RESIDENCY OF IDAHO MAINTAINS A PROGRAM DESIGNED TO FURTHER THE EDUCATION OF GRADUATE PHYSICIANS IN THE MEDICAL SPECIALTY OF FAMILY MEDICINE AND FAMILY PRACTICE, PROVIDES CLINICAL TRAINING IN FAMILY PRACTICE THROUGH THE ESTABLISHMENT AND OPERATION OF A MODEL CLINIC, CONDUCTS A MEDICAL EDUCATION PROGRAM INCLUDING OPERATION OF THE MODEL CLINIC, PROMOTES A PROFESSIONALLY ATTRACTIVE ENVIRONMENT FOR THE RECRUITMENT AND RETENTION OF MEDICAL MANPOWER AND SUPPORTS HEALTH EDUCATION ACTIVITIES AND PROGRAMS FOR THE GENERAL PUBLIC WHILE SERVING THE UNDER-SERVED CITIZENS OF IDAHO. |
| FORM 990, PART III | AS OF JUNE 30, 2007, FAMILY PRACTICE RESIDENCY OF IDAHO, INC (THE PRACTICE) DEVELOPED AND MAINTAINED A PROGRAM DESIGNED TO FURTHER THE EDUCATION OF GRADUATE PHYSICIANS IN THE MEDICAL SPECIALTY OF FAMILY MEDICINE AND FAMILY PRACTICE, PROVIDED CLINICAL TRAINING IN FAMILY PRACTICE THROUGH THE ESTABLISHMENT AND OPERATION OF A MODEL CLINIC, CONDUCTED A MEDICAL EDUCATION PROGRAM INCLUDING OPERATION OF A MODEL CLINIC, PROMOTED A PROFESSIONALLY ATTRACTIVE ENVIRONMENT FOR THE RECRUITMENT AND RETENTION OF MEDICAL MANPOWER AND SUPPORTED HEALTH EDUCATION ACTIVITIES AND PROGRAMS FOR THE GENERAL PUBLIC WHILE SERVING THE UNDER-SERVED CITIZENS OF IDAHO. ON JULY 1, 2007, THE PRACTICE TRANSFERRED ITS ASSETS AND LIABILITIES TO FAMILY MEDICINE RESIDENCY OF IDAHO, INC. (FAMILY MEDICINE) IN ORDER TO FURTHER ITS EXEMPT PURPOSE. FAMILY MEDICINE WAS APPROVED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AS A FEDERALLY-QUALIFIED HEALTH CENTER LOOK-A-LIKE FACILITY (FQHC-LA) IN JUNE 2007. FAMILY MEDICINE CURRENTLY OPERATES THE RESIDENCY PROGRAM PREVIOUSLY OPERATED UNDER THE PRACTICE. IN OCTOBER 2013, THE RESIDENCY WAS AWARDED A CONSOLIDATED HEALTH CENTERS GRANT FROM THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR ADDITIONAL SITES AND INCREASED CAPACITY. THE RESIDENCY OPERATES AS A DUAL STATUS ORGANIZATION, WITH ONE SITE BEING AN FQHC-LA CLINIC AND OTHER SITES BEING CONSOLIDATED HEALTH CENTER GRANT SITES. THE FQHC-LA CLINIC BECAME A CONSOLIDATED HEALTH CENTER GRANT SITE EFFECTIVE AUGUST 23, 2015. SHOULD FAMILY MEDICINE CEASE TO QUALIFY FOR FQHC-LA OR SIMILAR STATUS, ALL ASSETS AND LIABILITIES OF FAMILY MEDICINE WILL THEN BE TRANSFERRED BACK TO THE PRACTICE IN ORDER TO CONTINUE ITS EXEMPT PURPOSE. |
| FORM 990, PAGE 6, PART VI, LINE 2 | TED EPPERLY JIM TROUNSON CEO BOARD MEMBER BUSINESS RELATIONSHIP |
| FORM 990, PAGE 6, PART VI, LINE 7A | ONE POSITION ON THE BOARD IS FILLED BY A PERSON WHO IS A SENIOR EXECUTIVE OF ST. ALPHONSUS REGIONAL MEDICAL CENTER AND ONE FILLED BY A PERSON WHO IS A SENIOR EXECUTIVE OF ST. LUKE'S REGIONAL MEDICAL CENTER. THESE SUPPORTING HOSPITALS NOMINATE INDIVIDUALS WHO ARE WILLING TO SERVE ON THE BOARD OF THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 7B | ONE SENIOR EXECUTIVE FROM EACH SUPPORTING HOSPITAL SERVE ON THE BOARD OF DIRECTORS AND HAS VOTING RIGHTS. THESE INDIVIDUALS ARE NOMINATED BY THE HOSPITALS, IMPACTING THE DECISIONS OF THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE CEO, CFO, AND THE FINANCE COMMITTEE WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER. ONCE MANAGEMENT IS SATISFIED WITH THE 990, A COPY IS SUBMITTED TO THE ENTIRE BOARD FOR APPROVAL. WHEN THE BOARD AND MANAGEMENT AGREE THE RETURN IS COMPLETE AND ACCURATE, FINAL APPROVAL IS GIVEN TO THE PREPARER BEFORE FINALIZING THE RETURN. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE CONFLICT OF INTEREST POLICY IS CURRENTLY ENFORCED THROUGH SELF DISCLOSURE, SUBMITTED TO THE HUMAN RESOURCE DEPARTMENT IMMEDIATELY. IF CONFLICTS ARE REPORTED OR DISCOVERED, FMRI ADDRESSES THE SITUATION ACCORDINGLY. FMRI HAS A FORMAL CONFLICT OF INTEREST STATEMENT AND MANDATES THE BOARD, OFFICERS, AND KEY EMPLOYEES TO READ AND SIGN ON AN ANNUAL BASIS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS APPROVE MANAGEMENT COMPENSATION EACH YEAR BASED ON RECOMMENDATIONS FROM THE BOARD PRESIDENT FOR CEO COMPENSATION AND THE FINANCE COMMITTEE FOR OTHER TOP MANAGEMENT OFFICIALS. THE BOARD SETS THE CEO'S SALARY BASED ON MARKET CONDITIONS, LONGEVITY, KEY ACCOMPLISHMENTS, AND HOW THE RESIDENCY HAS BEEN ADVANCED OVER THE EVALUATION PERIOD BECAUSE OF INDIVIDUAL ACCOMPLISHMENTS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE FORM 990, PART VI, LINE 15A |
| FORM 990, PAGE 6, PART VI, LINE 19 | FMRI MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAMILY PRACTICE RESIDENCY OF IDAHO | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 N RAYMOND ST | AddressLine1Txt |
| City | BOISE | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83704 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820315641 | EIN |
| Primary Activities | MEDICAL ED | PrimaryActivitiesTxt |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Exempt Code Section | 501C | ExemptCodeSectionTxt |
| Public Charity Status | 7 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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