INDEPENDENT HEALTH FOUNDATION: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- INDEPENDENT HEALTH FOUNDATION (EIN 16-1417199)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-12
- IRS object ID
- 202013179349306821
- Schema version
- 2019v5.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-12T14:40:09-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 RENAISSANCE CENTER SUITE 3900 | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 482431313 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161417199 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDEPENDENT HEALTH FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INDE | BusinessNameControlTxt |
| Phone | 7166313001 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 INTERNATIONAL DRIVE | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14221 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL W CROPP MD | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 7166313001 | PhoneNum |
| Signature | 2020-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ALICIA JANISCH | PreparerPersonNm |
| PTIN | P00741382 | PTIN |
| Phone | 3133963000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 23.117.53.176 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-10 | IPDt |
| IP Tm | 12:25:13 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 36349DFDC8A41F8514BA56231B42690B2223D4A6 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL W CROPP MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 INTERNATIONAL DRIVE | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14221 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,308,961 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.INDEPENDENTHEALTH.COM/FOUNDATION | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH AND WELL BEING OF WESTERN NEW YORK RESIDENTS THROUGH AWARENESS, PREVENTION, WELLNESS, AND OTHER EDUCATION PROGRAMS FOCUSED ON COMMUNITY HEALTH PRIORITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 16 | TotalEmployeeCnt |
| Total Volunteers | 467 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,057,823 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,658,594 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $58,801 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $76,431 | CYProgramServiceRevenueAmt |
| PY Investment Income | $72,807 | PYInvestmentIncomeAmt |
| CY Investment Income | $22,834 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,115 | PYOtherRevenueAmt |
| CY Other Revenue | $1,645 | CYOtherRevenueAmt |
| PY Total Revenue | $2,190,546 | PYTotalRevenueAmt |
| CY Total Revenue | $2,759,504 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $30,170 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $37,888 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $873,598 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,071,227 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $78,861 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,035,896 | PYOtherExpensesAmt |
| CY Other Expenses | $1,143,423 | CYOtherExpensesAmt |
| PY Total Expenses | $1,939,664 | PYTotalExpensesAmt |
| CY Total Expenses | $2,252,538 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $250,882 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $506,966 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,836,157 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,495,740 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $186,986 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $207,855 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,649,171 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,287,885 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE THE HEALTH AND WELL BEING OF WESTERN NEW YORK RESIDENTS THROUGH AWARENESS, PREVENTION, WELLNESS, AND OTHER EDUCATION PROGRAMS FOCUSED ON COMMUNITY HEALTH PRIORITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,951,967 | ExpenseAmt |
| Grant | $37,888 | GrantAmt |
| Revenue | $76,431 | RevenueAmt |
| Desc | IN SUPPORT OF INDEPENDENT HEALTH ASSOCIATION'S PRIORITIES, THE PURPOSE OF THE FOUNDATION IS TO IMPROVE THE HEALTH AND WELL BEING OF WNY RESIDENTS THROUGH HEALTH AWARENESS, PREVENTION, WELLNESS EDUCATION AND OTHER PROGRAMS FOCUSED ON COMMUNITY HEALTH PRIORITIES. SEE SCHEDULE O FOR ADDITIONAL DETAILS. | Desc |
| Total Program Service Expenses | $1,951,967 | 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 | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 32 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 16 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (1) | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANN PENTKOWSKI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7166313001 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 511 FARBER LAKES DRIVE | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14221 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| ANN MCCARTHY | |||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CASIMIRO RODRIQUEZ SR | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DAN GAGLIARDO | |||||||
| CHAIRPERSON (END 3/19) | 1.00 | 5.00 | Yes (X) | Yes (X) | $0 | $40,000 | $8,205 |
| JOHN ANTKOWIAK MD | |||||||
| VICE CHAIRPERSON | 1.00 | 12.00 | Yes (X) | Yes (X) | $0 | $100,000 | $8,205 |
| JOHN N WALSH III | |||||||
| BOARD MEMBER | 1.00 | 5.00 | Yes (X) | $0 | $47,000 | $0 | |
| JOHN REID RODGERS | |||||||
| BOARD MEMBER | 1.00 | 51.00 | Yes (X) | $0 | $1,009,183 | $550,828 | |
| KAREN BRIM | |||||||
| TREASURER | 1.00 | 38.00 | Yes (X) | Yes (X) | $0 | $137,807 | $66,103 |
| KHALID J QAZI MD | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL W CROPP | |||||||
| PRESIDENT | 1.00 | 52.00 | Yes (X) | Yes (X) | $0 | $3,122,947 | $426,307 |
| PASTOR RICHARD HAGUE | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| PATRICIA C CLABEAUX | |||||||
| BOARD MEMBER | 1.00 | 46.00 | Yes (X) | $0 | $557,161 | $332,311 | |
| R JAY TILLOTSON END 419 | |||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERTA D RIFKIN | |||||||
| BOARD MEMBER | 1.00 | 46.00 | Yes (X) | $0 | $408,031 | $173,384 | |
| STUART H ANGERT | |||||||
| CHAIRPERSON (START 4/19) | 5.00 | 5.00 | Yes (X) | $0 | $40,000 | $1,140 | |
| YVONNE S MINOR-RAGAN PHD | |||||||
| BOARD MEMBER | 1.00 | 5.00 | Yes (X) | $0 | $39,000 | $411 | |
| CARRIE MEYER | |||||||
| EXECUTIVE DIRECTOR | 38.00 | 0.00 | Yes (X) | $158,072 | $0 | $54,281 | |
| MICHAEL J FASO | |||||||
| DIR. OF FINANCE (END 6/19) | 1.00 | 38.00 | Yes (X) | $0 | $646,730 | $73,038 | |
| STEVEN TIMMEL | |||||||
| DIR OF FINANCE (START 6/19) | 1.00 | 37.00 | Yes (X) | $0 | $121,991 | $15,925 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $158,072 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,269,850 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,710,138 | 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 (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UNITED WAY OF BUFFALO AND ERIE COUNTY | |||||
| 742 DELAWARE AVE | BUFFALO | NY | 142092295 | COMM. PROGRAM SERVICE SUPPORT | $239,581 |
| DUAL PRINT & MAIL LLC | |||||
| 3235 GRAND ISLAND BLVD | GRAND ISLAND | NY | 14072 | PRINTING SERVICES | $136,028 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $31,029 | FundraisingAmt |
| Related Organizations | $1,972,400 | RelatedOrganizationsAmt |
| All Other Contributions | $655,165 | AllOtherContributionsAmt |
| Noncash Contributions | $58,158 | NoncashContributionsAmt |
| Total Contributions | $2,658,594 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ADMISSIONS - P.S. EVEN | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $76,431 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $76,431 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $76,431 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,844 | TotalRevenueColumnAmt |
| Exclusion | $27,844 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $540,479 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $545,489 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$5,010 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,010 | TotalRevenueColumnAmt |
| Exclusion | -$5,010 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $5,613 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $31,029 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $3,968 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,645 | TotalRevenueColumnAmt |
| Exclusion | $1,645 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,759,504 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $76,431 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $24,479 | 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 | $37,888 | TotalAmt |
| Program Services | $37,888 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,353 | TotalAmt |
| Program Services | $57,335 | ProgramServicesAmt |
| Management And General | $146,524 | ManagementAndGeneralAmt |
| Fundraising | $8,494 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $679,757 | TotalAmt |
| Program Services | $590,000 | ProgramServicesAmt |
| Management And General | $38,638 | ManagementAndGeneralAmt |
| Fundraising | $51,119 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,929 | TotalAmt |
| Program Services | $17,992 | ProgramServicesAmt |
| Management And General | $4,275 | ManagementAndGeneralAmt |
| Fundraising | $1,662 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,807 | TotalAmt |
| Program Services | $96,991 | ProgramServicesAmt |
| Management And General | -$11,216 | ManagementAndGeneralAmt |
| Fundraising | $8,032 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,381 | TotalAmt |
| Program Services | $46,224 | ProgramServicesAmt |
| Management And General | $10,913 | ManagementAndGeneralAmt |
| Fundraising | $4,244 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,000 | TotalAmt |
| Program Services | $15,000 | ProgramServicesAmt |
| Management And General | $3,600 | ManagementAndGeneralAmt |
| Fundraising | $1,400 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,158 | TotalAmt |
| Management And General | $8,158 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $399,776 | TotalAmt |
| Program Services | $399,489 | ProgramServicesAmt |
| Management And General | $206 | ManagementAndGeneralAmt |
| Fundraising | $81 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,462 | TotalAmt |
| Program Services | $193,552 | ProgramServicesAmt |
| Management And General | $1,375 | ManagementAndGeneralAmt |
| Fundraising | $535 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $309,360 | TotalAmt |
| Program Services | $295,908 | ProgramServicesAmt |
| Management And General | $11,533 | ManagementAndGeneralAmt |
| Fundraising | $1,919 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,097 | TotalAmt |
| Program Services | $27,277 | ProgramServicesAmt |
| Management And General | $1,310 | ManagementAndGeneralAmt |
| Fundraising | $510 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,907 | TotalAmt |
| Program Services | $29,236 | ProgramServicesAmt |
| Management And General | $483 | ManagementAndGeneralAmt |
| Fundraising | $188 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,805 | TotalAmt |
| Program Services | $7,870 | ProgramServicesAmt |
| Management And General | $673 | ManagementAndGeneralAmt |
| Fundraising | $262 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,018 | TotalAmt |
| Program Services | $13,266 | ProgramServicesAmt |
| Management And General | $542 | ManagementAndGeneralAmt |
| Fundraising | $210 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|---|
| RENTAL EXPENSES | $86,506 | $86,506 | $0 | |
| ARTISTS & SPEAKERS | $29,064 | $29,064 | $0 | |
| OTHER EXPENSES | $9,103 | $8,369 | $205 | $529 |
| IMPAIRMENT | $4,167 | $4,167 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,252,538 | TotalAmt |
| Program Services | $1,951,967 | ProgramServicesAmt |
| Management And General | $221,710 | ManagementAndGeneralAmt |
| Fundraising | $78,861 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $421,214 | BOYAmt |
| EOY | $487,519 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,645,882 | BOYAmt |
| EOY | $1,943,900 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $147,245 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,275 | BOYAmt |
| EOY | $27,482 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $740,786 | BOYAmt |
| EOY | $889,594 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,836,157 | BOYAmt |
| EOY | $3,495,740 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,084 | BOYAmt |
| EOY | $193,455 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,902 | BOYAmt |
| EOY | $14,400 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $186,986 | BOYAmt |
| EOY | $207,855 | 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 | $556,986 | BOYAmt |
| EOY | $687,546 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,092,185 | BOYAmt |
| EOY | $2,600,339 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,649,171 | BOYAmt |
| EOY | $3,287,885 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,836,157 | BOYAmt |
| EOY | $3,495,740 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $506,966 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $131,748 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDEPENDENT HEALTH ASSOCIATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161080163 | EIN |
| Organization Type | 10 | OrganizationTypeCd |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Support | $0 | SupportAmt |
| Other Support | $1,951,967 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $1,951,967 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | Yes (1) | SupportedOrgSectionC456Ind |
| Supported Org Qualified | Yes (1) | SupportedOrgQualifiedInd |
| Suprt Exclusively Sec170c2 B | Yes (1) | SuprtExclusivelySec170c2BInd |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | Yes (1) | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE A, PART IV, SECTION A, LINE 3B: | INDEPENDENT HEALTH FOUNDATION KEEPS A COPY OF THE INDEPENDENT HEALTH ASSOCIATION, INC.'S IRS DETERMINATION LETTER ON FILE. IN ADDITION, INDEPENDENT HEALTH FOUNDATION REQUESTED THAT INDEPENDENT HEALTH ASSOCIATION, INC. PROVIDE A COMPLETED PUBLIC SUPPORT TEST FOR SCHEDULE A, PART III ON AN ANNUAL BASIS SHOWING THAT THE 509(A)(2) PUBLIC SUPPORT TEST HAS BEEN PASSED. |
| PART I, SCHEDULE A, LINE 12G, COLUMN VI | IN SUPPORT OF INDEPENDENT HEALTH ASSOCIATION, INC'S. MISSION TO PROVIDE HEALTH-RELATED PRODUCTS AND SERVICES THAT ENABLE AFFORDABLE ACCESS TO QUALITY HEALTH CARE INDEPENDENT HEALTH FOUNDATION HAS SUPPORTED PROGRAMS TOTALING $1,951,967 DURING 2019. SEE SCHEDULE O (PART III) FOR ADDITIONAL DETAIL REGARDING THE PROGRAMS THAT WERE FUNDED. |
| SCHEDULE A, PART IV, SECTION A, LINE 3C: | INDEPENDENT HEALTH FOUNDATION DOES NOT PROVIDE ANY DIRECT SUPPORT/GRANTS TO ITS SUPPORTED ORGANIZATION; THEREFORE, NO CONTROLS ARE REQUIRED. |
| SCHEDULE A, PART IV, SECTION A, LINE 6: | GRANTS PROVIDED TO OTHER ORGANIZATIONS MUST ALIGN WITH INDEPENDENT HEALTH FOUNDATION AND INDEPENDENT HEALTH ASSOCIATION, INC.'S MISSIONS. GRANTS ARE MONITORED BY CONDUCTING MONTHLY/QUARTERLY MEETINGS AND/OR REQUESTING UPDATED REPORTS FROM THE GRANTEES TO ENSURE THE FUNDS ARE USED CONSISTENT WITH THE 501(C)(3) PURPOSES AS DESCRIBED IN SECTION 170(C)(2)(B). |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTERCOMPANY PAYABLE - INDEPENDENT HEALTH ASSOCIATION, INC | Desc |
| Amt | $14,400 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $14,400 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $5,458,160 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $131,749 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $549,900 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $2,027,794 | OtherRevenueAmt |
| Revenue Not Reported | $2,709,443 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,748,717 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $14,755 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$3,968 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $10,787 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,759,504 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,787,486 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $549,902 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | -$14,755 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $535,147 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,252,339 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $4,167 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | -$3,968 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $199 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,252,538 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | IMPAIRMENT LOSS -4,167. RESTRICTED ASSETS RELEASED FROM RESTRICTION 2,031,961. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES -3,968. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | BANK FEES -14,755. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES -3,968. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | TAPS & APPS | Event1Nm |
| Gross Receipts Event1 | $36,642 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $31,029 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $5,613 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $6 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $415 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $20 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $3,527 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $36,642 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $31,029 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $5,613 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $6 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $415 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $20 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $3,527 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $3,968 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $1,645 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BUFFALO MEDICAL GROUP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8000 DEPT 316 | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 142670002 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 161000580 | RecipientEIN |
| Cash Grant | $5,100 | CashGrantAmt |
| Purpose Of Grant | PHYSICIAN GROUP TRAINING | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 0 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | DONATIONS/CONTRIBUTIONS: ONLY REMIT TO COLLABORATING COMMUNITY PARTNERS WHO ALIGN WITH OUR MISSION TO IMPROVE THE HEALTH AND WELL-BEING OF THE WNY COMMUNITY. THE GRANTS OR SPONSORSHIPS ARE RECORDED TO THE SAME ACCOUNT NUMBER ON THE GENERAL LEDGER SYSTEM UNDER "COMMUNITY PROGRAMS AND COPIES OF ALL PAYMENTS ARE KEPT ON FILE (PAPER & ELECTRONICALLY). | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN REID RODGERS | ||||||||||||||
| BOARD MEMBER | $0 | $550,561 | $0 | $422,613 | $0 | $36,009 | $0 | $521,592 | $0 | $29,236 | $0 | $1,560,011 | $0 | $129,109 |
| KAREN BRIM | ||||||||||||||
| TREASURER | $0 | $130,184 | $0 | $5,983 | $0 | $1,640 | $0 | $44,791 | $0 | $21,312 | $0 | $203,910 | $0 | $0 |
| MICHAEL W CROPP | ||||||||||||||
| PRESIDENT | $0 | $1,005,652 | $0 | $2,068,109 | $0 | $49,186 | $0 | $407,675 | $0 | $18,632 | $0 | $3,549,254 | $0 | $1,409,047 |
| PATRICIA C CLABEAUX | ||||||||||||||
| BOARD MEMBER | $0 | $356,177 | $0 | $194,772 | $0 | $6,212 | $0 | $290,125 | $0 | $42,186 | $0 | $889,472 | $0 | $53,796 |
| ROBERTA D RIFKIN | ||||||||||||||
| BOARD MEMBER | $0 | $257,868 | $0 | $142,442 | $0 | $7,721 | $0 | $148,970 | $0 | $24,414 | $0 | $581,415 | $0 | $48,939 |
| CARRIE MEYER | ||||||||||||||
| EXECUTIVE DIRECTOR | $133,265 | $0 | $24,018 | $0 | $789 | $0 | $32,194 | $0 | $22,087 | $0 | $212,353 | $0 | $0 | $0 |
| MICHAEL J FASO | ||||||||||||||
| DIR. OF FINANCE (END 6/19) | $0 | $368,242 | $0 | $243,620 | $0 | $34,868 | $0 | $58,418 | $0 | $14,620 | $0 | $719,768 | $0 | $129,949 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | INDPENDENT HEALTH ASSOCIATION, INC., A RELATED TAX-EXEMPT ORGANIZATION OF INDEPENDENT HEALTH FOUNDATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION SURVEY OR STUDY |
| PART I, LINES 4A-B | PART I, LINES 4A THE FOLLOWING LISTED PERSON FROM PART VII, SECTION A RECEIVED SEVERANCE PAYMENTS AS PART OF A SEPARATION AGREEMENT WITH INDEPENDENT HEALTH DURING 2019: MICHAEL FASO - $199,833 PART I, LINES 4B ELIGIBLE EMPLOYEES PARTICIPATE IN VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F), 457A, AND 409A. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EMPLOYEE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. SUPPLEMENTAL NON-QUALIFIED PLAN PAYMENTS WERE MADE DURING THE YEAR TO THE FOLLOWING LISTED PERSONS IN PART VII: MICHAEL CROPP $1,409,047 JOHN REID RODGERS - $129,109 PATRICIA CLABEAUX - $53,796 MICHAEL FASO - $129,949 ROBERTA RIFKIN - $48,939 |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt |
|---|---|---|---|
| Yes (X) | EQUIPMENT | 7550 | $39,386 |
| Yes (X) | GIFT BASKET | 1026 | $15,572 |
| Yes (X) | TICKETS | 16 | $3,200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: | THE FITNESS FOR KIDS CHALLENGE THE FITNESS FOR KIDS CHALLENGE WAS CREATED TO FIGHT THE SIGNIFICANT INCREASE IN CHILDHOOD OBESITY AND TYPE 2 DIABETES. THE CHALLENGE ENCOURAGES CHILDREN TO COMPLETE HEALTH AND FITNESS ACTIVITIES AND ADOPT HABITS TO ENSURE HEALTHY FUTURES. THE PROGRAM INCLUDES REWARDS, INCENTIVES, A SCHOOL COMPETITION, AND COMMUNITY-WIDE EVENTS. THIS INITIATIVE HAS REACHED OVER 10,000 YOUTH TO DATE WORKING DIRECTLY WITH OVER 60 ELEMENTARY SCHOOLS. FITNESS FOR KIDS CHALLENGE IS A YEAR-LONG EVENT FUNDED BY MULTIPLE SOURCES. FITNESS FOR KIDS CHALLENGE - BUFFALO BILLS YOUTH FOUNDATION THIS IS A RESTRICTED GRANT IN SUPPORT OF THE FITNESS FOR KIDS CHALLENGE PROGRAM TOTALING $6,000. KIDS RUN KIDS RUN WAS CREATED TO ENCOURAGE FAMILIES TO EXERCISE AND STAY ACTIVE TOGETHER. THIS FREE EVENT HAS GROWN CONTINUALLY EACH YEAR. TROPHIES ARE AWARDED TO TOP RUNNERS, AND ALL PARTICIPANTS RECEIVE A MEDAL. THE EVENT SERVED OVER 5,600 UNDERSERVED FAMILIES THAT ARE OFTEN LACKING THE OPPORTUNITY TO PARTICIPATE IN PHYSICAL ACTIVITIES. KIDS RUN DEMONSTRATES THE IMPORTANCE OF LIVING A HEALTHY LIFESTYLE. 77 VOLUNTEERS ASSISTED WITH THIS INITIATIVE IN 2018. FIRST NIGHT BUFFALO FIRST NIGHT BUFFALO HAS BEEN A COMMUNITY-WIDE TRADITION IN WESTERN NEW YORK FOR MORE THAN 20 YEARS. THIS DRUG AND ALCOHOL-FREE, FAMILY FRIENDLY EVENT ATTRACTS THOUSANDS OF PEOPLE TO DOWNTOWN BUFFALO. FIRST NIGHT BUFFALO FEATURES A VARIETY OF LOCAL AND MULTI-CULTURAL ENTERTAINMENT AT AN AFFORDABLE COST. IT HAS SERVED APPROXIMATELY 5,000 PEOPLE. 43 VOLUNTEERS ASSISTED WITH THIS INITIATIVE IN 2018. THE VOLUNTEERS ARE ASKED TO MONITOR CROWDS, DISTRIBUTE BROCHURES, ASSIST WITH GAMES, EVENT SET UP OR TAKE-DOWN, COMMUNICATIONS OR WEAR A CHARACTER COSTUME. SOCCER FOR SUCCESS SOCCER FOR SUCCESS IS A FREE AFTERSCHOOL SOCCER PROGRAM THAT IS PROVIDED IN THE WESTERN NEW YORK REGION TO STUDENTS IN GRADES K-8. THE PROGRAM FOCUSES ON THE ESSENTIALS OF SOCCER, NUTRITION EDUCATION, AND COACH MENTORSHIP TO THE STUDENTS. IT IS A CURRICULUM DEVELOPED BY THE U.S. SOCCER FOUNDATION. IT SERVED APPROXIMATELY 2,250 KIDS THROUGHOUT THE ACADEMIC YEAR. GOOD FOR THE NEIGHBORHOOD GOOD FOR THE NEIGHBORHOOD IS A COMMUNITY-BASED WELLNESS INITIATIVE THAT BRINGS HEALTHY LIVING TRAINING AND LEARNING TOOLS TO AT-RISK NEIGHBORHOODS WHERE ACCESS TO HEALTHCARE IS LIMITED DUE TO SOCIAL AND ECONOMIC BARRIERS. OUR CURRENT AREAS OF FOCUS INCLUDE THE EAST AND WEST SIDES OF BUFFALO, AND NIAGARA FALLS AND HAS RECENTLY EXPANDED INTO LACKAWANNA AND AKRON. THIS PROGRAM ENCOURAGES FAMILIES TO MANAGE AND IMPROVE THEIR HEALTH MORE EFFECTIVELY. THIS PROGRAM SERVED APPROXIMATELY 2,500 PEOPLE. 124 VOLUNTEERS CONTRIBUTED TO THIS INITIATIVE. THE VOLUNTEERS ARE ASKED TO DISTRIBUTE FOOD SAMPLES, ASSIST WITH CRAFTS, REGISTRATION OR SIGN UP PEOPLE FOR HEALTH SCREENINGS RESILIENCY LIT2 "GROWING UP STRONG" IN COLLABORATION WITH WESTERN NEW YORK UNITED AGAINST DRUG & ALCOHOL ABUSE, INC., THE FOUNDATION WAS AWARDED $40,000 FROM THE OISHEI FOUNDATION. THIS IS A MULTI-PHASED PROGRAM, WHICH WILL WORK TO REDUCE THE IMPACT OF ADVERSE CHILDHOOD EXPERIENCES (ACES) ON THE YOUTH OF WNY. THE FIRST PHASE OF THE PROJECT IS THE CREATION OF LEADERS INTO TOMORROW (LIT2), AN EXTENSION OF THE LEADERS IN TRAINING PROGRAM, WHICH CREATES A HEALTH ADVOCATE/MENTORSHIP PROGRAM IN THE BUFFALO PUBLIC HIGH SCHOOLS. THE SECOND PHASE OF THIS PROJECT IS GROWING UP STRONG, WHICH WILL PARTNER WITH WESTERN NEW YORK PEDIATRIC AND OBSTETRICIAN HEALTH CARE PROVIDERS TO BETTER SUPPORT CHILDREN AGES 0-5 AND PROVIDE THESE CHILDREN AND THEIR FAMILIES THE APPROPRIATE TOOLS AND RESOURCES TO FULLY THRIVE. THIS PROJECT WILL FOCUS ON 3 KEY COMPONENTS TO ENSURE NO CHILD FALLS THROUGH THE CRACKS AND MISSES OUT ON NEEDED SERVICES. PAIN MANAGEMENT CME THE PAIN MANAGEMENT CME IS AN EDUCATIONAL SEMINAR ENTITLED "PAIN MEDICINE FOR NON-PAIN SPECIALISTS." THIS FORUM HAD 120 ATTENDEES AND WAS ORGANIZED TO PROVIDE A COMPREHENSIVE REVIEW OF THE BASIC SCIENCE OF OPIOIDS AND ADDICTION, CLINICAL ASPECTS OF OPIOID PRESCRIBING AND THE LEGAL IMPLICATIONS IN EVERYDAY PRACTICE. BY THE END OF THIS PROGRAM PARTICIPANTS WERE ABLE TO: 1. OUTLINE THE BASIC SCIENCE AND CLINICAL APPLICATION RELEVANT TO THE PRACTICE OF PAIN MANAGEMENT MEDICINE. 2. USE THE RESOURCES AND TOOLS PROVIDED TO OBJECTIVELY PRESCRIBE OPIOIDS FOR CHRONIC PAIN. 3. DISCUSS THE LEGAL IMPLICATIONS IN OPIOIDS PRESCRIBING. WELLNESS PROGRAMS HEALTHY OPTIONS: THE HEALTHY OPTIONS PROGRAM WORKS WITH OVER 250 LOCAL RESTAURANTS AND FOOD TRUCKS TO ANALYZE AND MODIFY MENU ITEMS INTO HEALTHY ALTERNATIVES. THROUGH THIS, THE PROGRAM AIMS TO EDUCATE OUR COMMUNITY TO MAKE MORE INFORMED DECISIONS WHEN DINING OUT AND WHILE COOKING AT HOME. HEALTHY OPTIONS PARTNERS WITH FOOD FESTIVALS AROUND WNY TO SHOWCASE GREAT-TASTING, HEALTHY OPTIONS ITEMS AS WELL AS LOCAL RESTAURANT CHEFS TO HOST HEALTHY COOKING CLASSES FOR THE COMMUNITY. 52 VOLUNTEERS CONTRIBUTED TO THIS INITIATIVE. COLON CANCER ALLIANCE GRANT THE COLON CANCER PROGRAM IS AN ONGOING EDUCATION AND SCREENING PROGRAM. THIS PROGRAM IS FUNDED THROUGH GRANTS FROM THE COLON CANCER ALLIANCE AND IS AN ONGOING EDUCATION AND SCREENING PROGRAM. NOTE: FUNDS ARE NOT REQUIRED TO BE USED BY A CERTAIN DATE-THIS APPLIES TO PAST GRANTS AS WELL. HEALTHY FUN CHALLENGE THE FOUNDATION RECEIVED FUNDS FROM ARTS SERVICES INITIATIVE (ASI) AND ERIE COUNTY HARBOR DEVELOPMENT CORPORATION (ECHDC) TO FUND HEALTH AND WELLNESS ACTIVITIES TO BE INSTALLED AT THE BUFFALO OUTER HARBOR. THE FOUNDATION USED THIS FUNDING TO INSTALL HEALTH AND WELLNESS SIGNAGE ENCOURAGING FAMILIES TO BE MORE ACTIVE. WELLNESS INITIATIVES THE PROGRAM INCLUDES VARIOUS PROJECTS THROUGHOUT WNY THAT THE FOUNDATION IS ASKED TO ASSIST WITH THROUGHOUT THE YEAR. THESE MAY RANGE FROM EDUCATION CLASSES TO SCREENING EVENTS AND MORE. KABOOM! FFKC THE FOUNDATION WAS AWARDED $28,000 IN COLLABORATION WITH GROVER L PREISS ELEMENTARY SCHOOL (EDEN CENTRAL SCHOOLS) TO BUILD AN INDOOR PLAY SPACE, WHICH WILL BE ACCESSIBLE TO STUDENTS AND THE EDEN COMMUNITY. TAPS & APPS A FUNDRAISER THAT FEATURES HEALTHY OPTIONS RESTAURANTS, WINERIES, BREWERIES AND DRINKERIES. ALL PROCEEDS FROM THE EVENT SUPPORT THE FOUNDATION'S CHILDHOOD OBESITY INITIATIVES. THIS EVENT HAD 300 ATTENDEES AND 30 VOLUNTEERS CONTRIBUTED TO THIS INITIATIVE. |
| FORM 990, PART VI, SECTION A, LINE 2 | MICHAEL W. CROPP, MD AND STUART H. ANGERT HAVE A BUSINESS RELATIONSHIP (BOARD MEMBERS OF AN AFFILIATED TAXABLE ENTITY). |
| FORM 990, PART VI, SECTION A, LINE 6 | INDEPENDENT HEALTH ASSOCIATION, INC. IS THE SOLE CORPORATE MEMBER OF INDEPENDENT HEALTH FOUNDATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | INDEPENDENT HEALTH ASSOCIATION, INC. IS THE SOLE CORPORATE MEMBER OF INDEPENDENT HEALTH FOUNDATION AND APPOINTS THE BOARD OF DIRECTORS OF THE FOUNDATION. |
| FORM 990, PART VI, SECTION A, LINE 8B | INDEPENDENT HEALTH FOUNDATION DOES NOT HAVE COMMITTEES THAT HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. AS SUCH, THERE ARE NO MEETINGS OR WRITTEN ACTIONS TO DOCUMENT. |
| FORM 990, PART VI, SECTION B, LINE 11B | A FINAL FORM 990 WAS MADE AVAILABLE TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE RETURN FOR COMMENT AND REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C | INDEPENDENT HEALTH FOUNDATION (IHF) FOLLOWS INDEPENDENT HEALTH ASSOCIATION, INC.'S (A RELATED TAX-EXEMPT ORGANIZATION OF INDEPENDENT HEALTH FOUNDATION) CORPORATE CONFLICT OF INTEREST REPORTING POLICY. THIS POLICY ENCOMPASSES ALL CURRENT IHF OFFICERS/EMPLOYEES (INCLUDING KEY EMPLOYEES) OF THE ORGANIZATION. EMPLOYEES ARE REQUIRED AS PART OF THEIR EMPLOYMENT WITH IHF TO IMMEDIATELY REPORT CONFLICTS OF INTEREST THAT THEY ARE PARTY TO OR THAT THEY OBSERVED, TO THE MANAGEMENT OR INDEPENDENT HEALTH'S CORPORATE COMPLIANCE OFFICER FOR REVIEW BY THE CONFLICT OF INTEREST COMMITTEE OF INDEPENDENT HEALTH. CONFLICTS ARE ALSO IDENTIFIED ANNUALLY WHEN THE SIGNED EMPLOYEE ATTESTATIONS, CONFIDENTIAL QUESTIONNAIRES & PLEDGE OF CONFIDENTIALITY AND CONTINUING DISCLOSURE FORM (FOR BOD MEMBERS) ARE RECEIVED. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE INDIVIDUAL IS PROHIBITED FROM PARTICIPATING IN THE DELIBERATIONS OR DECISIONS RELATED TO THIS TRANSACTION. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE: A COPY OF ITS 990, ITS AUDITED FINANCIAL STATEMENTS, AND ANY OTHER DOCUMENTS AS REQUIRED. |
| FORM 990, PART VI, SECTION A, LINE 9: | MICHAEL FASO - 9187 BEECH MEADOW CT. CLARENCE CENTER, NY 14032 |
| FORM 990, PART IX, LINE 11G | OTHER: PROGRAM SERVICE EXPENSES 399,489. MANAGEMENT AND GENERAL EXPENSES 206. FUNDRAISING EXPENSES 81. TOTAL EXPENSES 399,776. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDEPENDENT HEALTH ASSOCIATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 511 FARBER LAKES DRIVE | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14221 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161080163 | EIN |
| Primary Activities | SEE SUPPLEMENTAL | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(4) | ExemptCodeSectionTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| INDEPENDENT HEALTH CORPORATION AND SUBSIDIARY | |||||||||||||
| 511 FARBER LAKES DRIVE | BUFFALO | NY | 14221 | 161237733 | THIRD PARTY CLAIMS ADMINISTRATION | NY | N/A | C | Yes (1) | ||||
| INDEPENDENT HEALTH BENEFITS CORPORATION | |||||||||||||
| 511 FARBER LAKES DRIVE | BUFFALO | NY | 14221 | 161483784 | POS AND INDEMNITY PRODUCT ADMINISTRATION | NY | N/A | C | Yes (1) | ||||
| MASON INSURANCE COMPANY LTD | |||||||||||||
| REINSURANCE | N/A | C | Yes (1) | FB FERRY BUILDING 40 CHURCH STRE | PO BOX HM HAMILTON HNHX | BD | BD | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| INDEPENDENT HEALTH ASSOCIATION | ||
| C | $1,972,400 | FMV |
| INDEPENDENT HEALTH ASSOCIATION | ||
| M | $70,275 | FMV |
| INDEPENDENT HEALTH ASSOCIATION | ||
| Q | $197,595 | FMV |
| INDEPENDENT HEALTH ASSOCIATION | ||
| P | $211,097 | FMV |
| INDEPENDENT HEALTH ASSOCIATION | ||
| S | $1,593,360 | FMV |
| INDEPENDENT HEALTH ASSOCIATION | ||
| O | $315,446 | FMV |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | PRIMARY ACTIVITY PROVIDE HEALTH RELATED PRODUCTS AND SERVICES THAT ENABLE AFFORDABLE ACCESS TO QUALITY HEALTH CARE. | ExplanationTxt |