DENVER INDIAN HEALTH AND FAMILY SERVICES INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- DENVER INDIAN HEALTH AND FAMILY SERVICES INC (EIN 84-0724261)
- Tax period
- 2019-10-01 to 2020-09-30
- Filed
- 2021-08-13
- IRS object ID
- 202142259349301709
- 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 | 2021-08-13T11:56:15-05:00 | ReturnTs |
| Tax Period End | 2020-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 203746583 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAYLOR ROTH AND COMPANY | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 GRANT ST STE 205 | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 802032944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840724261 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENVER INDIAN HEALTH AND FAMILY | BusinessNameLine1Txt |
| Business Name Line2 | SERVICES INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DENV | BusinessNameControlTxt |
| Phone | 3039536618 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2880 WHOLDEN PLACE | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80204 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ADRIANNE MADDUX | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 3039536618 | PhoneNum |
| Signature | 2020-08-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DIANE K GRANGER | PreparerPersonNm |
| PTIN | P01388919 | PTIN |
| Phone | 3038308109 | PhoneNum |
| Preparation | 2021-08-13 | 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 | ADRIANNE MADDUX | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2880 W HOLDEN PLACE | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,848,990 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DIHFS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE CULTURALLY COMPETENT SERVICES THAT PROMOTE QUALITY HEALTH FOR AMERICAN INDIAN AND ALASKAN NATIVE FAMILIES AND INDIVIDUALS IN THE DENVER AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 28 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,338,045 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,336,902 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $514,973 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $511,754 | CYProgramServiceRevenueAmt |
| PY Investment Income | $543 | PYInvestmentIncomeAmt |
| CY Investment Income | $334 | CYInvestmentIncomeAmt |
| PY Other Revenue | $20,105 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,873,666 | PYTotalRevenueAmt |
| CY Total Revenue | $3,848,990 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,748 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $386 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,645,890 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,509,301 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $61,607 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,338,627 | PYOtherExpensesAmt |
| CY Other Expenses | $1,406,761 | CYOtherExpensesAmt |
| PY Total Expenses | $2,986,265 | PYTotalExpensesAmt |
| CY Total Expenses | $2,916,448 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$112,599 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $932,542 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,290,914 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,167,905 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $177,700 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $122,149 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,113,214 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,045,756 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE CULTURALLY COMPETENT SERVICES THAT PROMOTE QUALITY HEALTH FOR AMERICAN INDIAN AND ALASKAN NATIVE FAMILIES AND INDIVIDUALS IN THE DENVER AREA. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,593,391 | ExpenseAmt |
| Grant | $386 | GrantAmt |
| Revenue | $511,754 | RevenueAmt |
| Desc | HEALTHCARE SERVICES, INCLUDING IMMUNIZATIONS, MENTAL HEALTH, DISEASE PREVENTION, ALCOHOL AND SUBSTANCE ABUSE PREVENTION, HIV PREVENTION, AND CHILD WELFARE PROGRAMS. OUTREACH TO FIND INDIVIDUALS IN NEED OF THESE SERVICES. | Desc |
| Total Program Service Expenses | $2,593,391 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 28 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENVER INDIAN HEALTH AND FAMILY | BusinessNameLine1Txt |
| Business Name Line2 | SERVICES INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3039536618 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2880 W HOLDEN PLACE | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80204 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| ADRIANNE MADDUX | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $35,521 | $0 | $1,742 | |
| PATTY FREDERICKS | ||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| BETTY GRESS | ||||||
| CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CHARLENE HARJO IRANI | ||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| CRYSTAL LOUDHAWK-HEDGEPETH | ||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| JAMES MORAN | ||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| ALLISON NESWOOD | ||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| JENN RUSSELL | ||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| RACHEL SIMPSON | ||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| STEPHEN WHEELOCK | ||||||
| VICE CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $35,521 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $1,742 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $2,938,931 | GovernmentGrantsAmt |
| All Other Contributions | $397,971 | AllOtherContributionsAmt |
| Total Contributions | $3,336,902 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEES AND MEDICAID | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $511,754 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $511,754 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $511,754 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $334 | TotalRevenueColumnAmt |
| Exclusion | $334 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,848,990 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $511,754 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $334 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $386 | TotalAmt |
| Program Services | $386 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,360 | TotalAmt |
| Program Services | $89,749 | ProgramServicesAmt |
| Management And General | $10,436 | ManagementAndGeneralAmt |
| Fundraising | $4,175 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,176,997 | TotalAmt |
| Program Services | $1,012,218 | ProgramServicesAmt |
| Management And General | $117,700 | ManagementAndGeneralAmt |
| Fundraising | $47,079 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,376 | TotalAmt |
| Program Services | $17,523 | ProgramServicesAmt |
| Management And General | $2,038 | ManagementAndGeneralAmt |
| Fundraising | $815 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,149 | TotalAmt |
| Program Services | $78,388 | ProgramServicesAmt |
| Management And General | $9,115 | ManagementAndGeneralAmt |
| Fundraising | $3,646 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,419 | TotalAmt |
| Program Services | $100,121 | ProgramServicesAmt |
| Management And General | $11,641 | ManagementAndGeneralAmt |
| Fundraising | $4,657 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,568 | TotalAmt |
| Program Services | $11,775 | ProgramServicesAmt |
| Management And General | $13,793 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $461,558 | TotalAmt |
| Program Services | $441,468 | ProgramServicesAmt |
| Management And General | $20,090 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,770 | TotalAmt |
| Program Services | $14,770 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,300 | TotalAmt |
| Program Services | $128,148 | ProgramServicesAmt |
| Management And General | $15,369 | ManagementAndGeneralAmt |
| Fundraising | $783 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,887 | TotalAmt |
| Program Services | $96,793 | ProgramServicesAmt |
| Management And General | $5,094 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,157 | TotalAmt |
| Program Services | $157,993 | ProgramServicesAmt |
| Management And General | $25,164 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,972 | TotalAmt |
| Program Services | $13,413 | ProgramServicesAmt |
| Management And General | $559 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,692 | TotalAmt |
| Program Services | $6,275 | ProgramServicesAmt |
| Management And General | $417 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,117 | TotalAmt |
| Management And General | $1,117 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,652 | TotalAmt |
| Program Services | $85,322 | ProgramServicesAmt |
| Management And General | $21,330 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,662 | TotalAmt |
| Program Services | $17,499 | ProgramServicesAmt |
| Management And General | $1,966 | ManagementAndGeneralAmt |
| Fundraising | $197 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CLINIC SUPPLIES | $130,657 | $130,657 | |
| CLINIC SERVICE COSTS | $130,405 | $130,405 | |
| TRAINING PROGRAMS | $19,636 | $17,476 | $2,160 |
| UNCOLLECTIBLE ACCOUNTS | $17,864 | $17,864 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,864 | TotalAmt |
| Program Services | $25,148 | ProgramServicesAmt |
| Management And General | $3,461 | ManagementAndGeneralAmt |
| Fundraising | $255 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,916,448 | TotalAmt |
| Program Services | $2,593,391 | ProgramServicesAmt |
| Management And General | $261,450 | ManagementAndGeneralAmt |
| Fundraising | $61,607 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,698 | BOYAmt |
| EOY | $15,557 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,177,373 | BOYAmt |
| EOY | $1,024,895 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $221,030 | BOYAmt |
| EOY | $1,243,067 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,861 | BOYAmt |
| EOY | $9,946 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,522 | BOYAmt |
| EOY | $22,632 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,269,145 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $417,337 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $678,430 | BOYAmt |
| EOY | $851,808 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,290,914 | BOYAmt |
| EOY | $3,167,905 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,036 | BOYAmt |
| EOY | $104,108 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,664 | BOYAmt |
| EOY | $18,041 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,700 | BOYAmt |
| EOY | $122,149 | 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 | $2,113,214 | BOYAmt |
| EOY | $3,012,421 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $33,335 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,113,214 | BOYAmt |
| EOY | $3,045,756 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,290,914 | BOYAmt |
| EOY | $3,167,905 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $932,542 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,399,726 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,143,360 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,250,620 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,338,045 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,336,902 | CurrentTaxYearAmt |
| Total | $12,468,653 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,399,726 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,143,360 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,250,620 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,338,045 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,336,902 | CurrentTaxYearAmt |
| Total | $12,468,653 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $274,807 | SubstantialContributorsTotAmt |
| Public Support Total170 | $12,193,846 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $159 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $299 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $277 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $543 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $334 | CurrentTaxYearAmt |
| Total | $1,612 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,363 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $92 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,164 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,105 | CurrentTaxYearMinus1YearAmt |
| Total | $38,724 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $12,508,989 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $2,419,662 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97480 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97360 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME 38,724 | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $663,088 | OtherCostOrOtherBasisAmt |
| Depreciation | $127,417 | DepreciationAmt |
| Book Value | $535,671 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $474,775 | OtherCostOrOtherBasisAmt |
| Depreciation | $285,544 | DepreciationAmt |
| Book Value | $189,231 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $131,282 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,376 | DepreciationAmt |
| Book Value | $126,906 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $851,808 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | COPIER LEASE | Desc |
| Amt | $18,041 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $18,041 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $3,969,416 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $120,426 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $120,426 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,848,990 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $3,848,990 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,036,874 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $120,426 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $120,426 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,916,448 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $2,916,448 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO BEING SUBMITTED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ALL BOARD MEMBERS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST AS THEY ARISE. MEMBERS ARE ASKED TO RECUSE THEMSELVES ON MATTERS OF POTENTIAL CONFLICT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EXECUTIVE DIRECTOR IS HIRED BY THE BOARD, WHICH SETS HIS/HER SALARY BASED ON COMPARABLE SALARY INFORMATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | KEY EMPLOYEES ARE HIRED BY THE EXECUTIVE DIRECTOR, AND PAID BASED ON LOCAL SALARY CONDITIONS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT ITS MAIN CORPORATE OFFICE. |
| FORM 990, PART IX, LINE 11G | PHARMACY/TECH SUPPORT 381,708 20,090 0 DOCTORS & LOCUMS 59,760 0 0 TOTAL 441,468 20,090 0 |
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