UTAH NAVAJO HEALTH SYSTEM INCORPORATED: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
UTAH NAVAJO HEALTH SYSTEM INCORPORATED (EIN 87-0560763)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-15
IRS object ID
202041979349302704
Schema version
2018v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-15T10:02:09-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11502 LONDON ROAD SUITE 200AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55812ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN870560763EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UTAH NAVAJO HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUTAHBusinessNameControlTxt
Phone4356513713PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 130 1478 HIGHWAY 162AddressLine1Txt
CityMONTEZUMA CREEKCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84534ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL JENSONPersonNm
Person TitleCEOPersonTitleTxt
Phone4356513713PhoneNum
Signature2020-07-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J PETERSON CPAPreparerPersonNm
PTINP01833529PTIN
Phone2187224705PhoneNum
Preparation2020-06-30PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.54.158.12IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-13IPDt
IP Tm13:45:46IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id9747BB8E0DC0E78824B7C9EDF76D609BB7F00C05AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerMICHAEL JENSENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 130 1478 HIGHWAY 162AddressLine1Txt
CityMONTEZUMA CREEKCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84534ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$45,501,225GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UNHSINC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateUTLegalDomicileStateCd
Activity Or MissionTO IMPROVE QUALITY OF LIFE THROUGH COMPREHENSIVE, SELF-EMPOWERED, CULTURALLY-SENSITIVE HEALTHCARE AND AMAZING CUSTOMER SERVICE.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee380TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$17,822,489PYContributionsGrantsAmt
CY Contributions Grants$19,218,756CYContributionsGrantsAmt
PY Program Service Revenue$23,701,326PYProgramServiceRevenueAmt
CY Program Service Revenue$25,999,496CYProgramServiceRevenueAmt
PY Investment Income$371,683PYInvestmentIncomeAmt
CY Investment Income$239,231CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$43,742CYOtherRevenueAmt
PY Total Revenue$41,895,498PYTotalRevenueAmt
CY Total Revenue$45,501,225CYTotalRevenueAmt
PY Grants And Similar Paid$33,360PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$39,919CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$25,303,084PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$27,581,240CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$147,324CYTotalFundraisingExpenseAmt
PY Other Expenses$15,167,690PYOtherExpensesAmt
CY Other Expenses$19,148,804CYOtherExpensesAmt
PY Total Expenses$40,504,134PYTotalExpensesAmt
CY Total Expenses$46,769,963CYTotalExpensesAmt
PY Revenues Less Expenses$1,391,364PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,268,738CYRevenuesLessExpensesAmt
Total Assets BOY$71,962,096TotalAssetsBOYAmt
Total Assets EOY$69,088,589TotalAssetsEOYAmt
Total Liabilities BOY$8,105,139TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,328,630TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$63,856,957NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$62,759,959NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE QUALITY OF LIFE THROUGH COMPREHENSIVE, SELF-EMPOWERED, CULTURALLY-SENSITIVE HEALTHCARE AND AMAZING CUSTOMER SERVICE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$18,941,294ExpenseAmt
Grant$39,919GrantAmt
Revenue$15,812,964RevenueAmt
DescTHE ORGANIZATION PROVIDES MEDICAL CARE ON A SLIDING FEE SCALE FOR PATIENTS. A SLIDING SCALE IS IN PLACE TO ADDRESS THE NEEDS OF THE UNINSURED AND UNDERINSURED, PROVIDING REDUCED COSTS ON ALL MEDICAL SERVICES FOR THOSE WHO QUALIFY. QUALIFYING FOR THE PROGRAM IS BASED ON ANNUAL HOUSEHOLD INCOME. THE HEALTH SYSTEM SERVED OVER 14,900 PATIENTS IN THEIR 4 CLINICS IN TAX YEAR 2018.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$9,407,086ExpenseAmt
Grant$0GrantAmt
Revenue$7,853,418RevenueAmt
DescTHE ORGANIZATION PROVIDES DENTAL CARE ON A SLIDING FEE SCALE FOR PATIENTS. A SLIDING SCALE IS IN PLACE TO ADDRESS THE NEEDS OF THE UNINSURED AND UNDERINSURED, PROVIDING REDUCED COSTS ON ALL MEDICAL SERVICES FOR THOSE WHO QUALIFY. QUALIFYING FOR THE PROGRAM IS BASED ON ANNUAL HOUSEHOLD INCOME. THE HEALTH SYSTEM SERVED OVER 7,400 PATIENTS IN THEIR 4 CLINICS IN TAX YEAR 2018.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,504,319ExpenseAmt
Grant$0GrantAmt
Revenue$2,090,707RevenueAmt
DescTHE ORGANIZATION PROVIDES BEHAVIORAL HEALTH CARE ON A SLIDING FEE SCALE FOR PATIENTS. A SLIDING SCALE IS IN PLACE TO ADDRESS THE NEEDS OF THE UNINSURED AND UNDERINSURED, PROVIDING REDUCED COSTS ON ALL MEDICAL SERVICES FOR THOSE WHO QUALIFY. QUALIFYING FOR THE PROGRAM IS BASED ON ANNUAL HOUSEHOLD INCOME. THE HEALTH SYSTEM SERVED OVER 1,970 PATIENTS IN THEIR 4 CLINICS IN TAX YEAR 2018.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$30,852,699TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document296IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee380EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldUTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANDREW EVANSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4356513713PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 130 1478 HIGHWAY 162AddressLine1Txt
CityMONTEZUMA CREEKCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84534ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CASSANDRA BELETSO
DIRECTOR1.00Yes (X)$6,288$0$0
GORDON FOLGHERAITOR
DIRECTOR1.00Yes (X)$0$0$0
JAMIE HARVEY
DIRECTOR1.00Yes (X)$8,192$0$0
LORISSA JACKSON
DIRECTOR1.00Yes (X)$14,274$0$0
WILFRED JONES
DIRECTOR1.00Yes (X)$10,044$0$0
EDWARD TAPAHA
DIRECTOR1.00Yes (X)$6,600$0$0
ROBERT WHITEHORSE
DIRECTOR1.00Yes (X)$9,092$0$0
HARRIETT LANSING
CHAIR1.00Yes (X)$9,779$0$0Yes (X)
MELINDA FARLEY
VICE CHAIR1.00Yes (X)$9,282$0$0Yes (X)
GLORIA BEGAYE
SECRETARY1.00Yes (X)$9,440$0$0Yes (X)
MICHAEL JENSEN
CHIEF EXECUTIVE OFFICER50.00$261,792$0$35,164Yes (X)
ANDREW EVANS
CHIEF FINANCIAL OFFICER50.00$0$0$0Yes (X)
WILLIAM HARRISON
CHIEF FINANCIAL OFFICER (THRU DEC)50.00$171,450$0$16,653Yes (X)
A BYRON CLARKE IV
CHIEF OPERATING OFFICER50.00$188,753$0$24,685Yes (X)
L VAL JONES
CHIEF MEDICAL OFFICER40.00$519,118$0$37,127Yes (X)
WENDELL KEY
PHYSICIAN40.00$336,711$0$33,306Yes (X)
CASEY MCCULLOUGH
DOCTOR40.00$381,925$0$31,775Yes (X)
JOSH NIELSON
PHYSICIAN40.00$221,520$0$30,784Yes (X)
PATRICIA SPENCER
DOCTOR40.00$239,158$0$20,357Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,403,418TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$229,851TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K43IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
THE KORTE COMPANY
PO BOX 146HIGHLANDIL62249CONSTRUCTION SERVICES$19,022,051
PRECISION REHABILITATION
PO BOX 745BLANDINGUT84511PHYSICAL THERAPY SERVICES$621,902
SENTINEL TECHNOLOGIES
PO BOX 85080CHICAGOIL606800851ELECTRONIC SECURITY SYSTEM$540,490
UNIVERSITY OF UTAH HOSPITALS AND CLINICS
PO BOX 511258LOS ANGELESCA90051MEDICAL SERVICES$454,845
ATHENA HEALTHCARE COMPANY
PO BOX 415615BOSTONMA022415615ELECTRONIC MEDICAL RECORD & BILLING$433,391
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K27CntrctRcvdGreaterThan100KCnt
Government Grants$19,133,170GovernmentGrantsAmt
All Other Contributions$85,586AllOtherContributionsAmt
Total Contributions$19,218,756TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
PATIENT FEES FOR SERVICE624100$25,757,090$25,757,090
CAFETERIA722514$242,406$242,406
FieldValueIRS element (for citing)
Total Program Service Revenue$25,999,496TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$213,211TotalRevenueColumnAmt
Exclusion$213,211ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$26,020OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$26,020OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,020TotalRevenueColumnAmt
Exclusion$26,020ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,742TotalRevenueColumnAmt
Exclusion$43,742ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$43,742OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,501,225TotalRevenueColumnAmt
Related Or Exempt Func Income$25,757,090RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$525,379ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$37,665TotalAmt
Program Services$37,665ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$2,254TotalAmt
Program Services$2,254ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$864,479TotalAmt
Management And General$864,479ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,765,462TotalAmt
Program Services$13,687,714ProgramServicesAmt
Management And General$3,945,941ManagementAndGeneralAmt
Fundraising$131,807FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$778,584TotalAmt
Program Services$379,592ProgramServicesAmt
Management And General$393,175ManagementAndGeneralAmt
Fundraising$5,817FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,823,508TotalAmt
Program Services$4,213,378ProgramServicesAmt
Management And General$2,610,130ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,349,207TotalAmt
Program Services$943,908ProgramServicesAmt
Management And General$395,599ManagementAndGeneralAmt
Fundraising$9,700FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$46,900TotalAmt
Management And General$46,900ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$108,791TotalAmt
Management And General$108,791ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$44,087TotalAmt
Program Services$44,087ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,061,112TotalAmt
Program Services$4,653,894ProgramServicesAmt
Management And General$407,218ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$21,102TotalAmt
Program Services$21,102ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$531,322TotalAmt
Program Services$205,293ProgramServicesAmt
Management And General$326,029ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,261,098TotalAmt
Program Services$1,172,415ProgramServicesAmt
Management And General$88,683ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$683,451TotalAmt
Management And General$683,451ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$889,222TotalAmt
Program Services$382,421ProgramServicesAmt
Management And General$506,801ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$244,406TotalAmt
Program Services$244,406ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,449TotalAmt
Management And General$7,449ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,727,126TotalAmt
Management And General$3,727,126ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES - MEDICAL & DE$4,410,572$3,951,267$459,305
EQUIPMENT$819,023$189,024$629,999
PROVISION FOR DOUBTFUL$417,263$417,263
DUES AND SUBSCRIPTIONS$205,794$205,794

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$670,086TotalAmt
Program Services$101,222ProgramServicesAmt
Management And General$568,864ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$46,769,963TotalAmt
Program Services$30,852,699ProgramServicesAmt
Management And General$15,769,940ManagementAndGeneralAmt
Fundraising$147,324FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$74,324BOYAmt
EOY$44,732EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$28,480,566BOYAmt
EOY$9,311,241EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$437,479BOYAmt
EOY$1,064,207EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,708,534BOYAmt
EOY$2,273,176EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,905,285BOYAmt
EOY$2,458,445EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$181,331BOYAmt
EOY$88,286EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$60,340,798LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,377,170LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$32,415,426BOYAmt
EOY$47,963,628EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,692,406BOYAmt
EOY$3,818,129EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,500,000BOYAmt
EOY$1,500,000EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$566,745BOYAmt
EOY$566,745EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$71,962,096BOYAmt
EOY$69,088,589EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,455,848BOYAmt
EOY$3,012,529EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,649,291BOYAmt
EOY$3,316,101EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,105,139BOYAmt
EOY$6,328,630EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$63,856,957BOYAmt
EOY$62,759,959EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$63,856,957BOYAmt
EOY$62,759,959EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$71,962,096BOYAmt
EOY$69,088,589EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,268,738ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$169,785NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$1,955PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,889,231CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,003,990CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,823,928CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,822,489CurrentTaxYearMinus1YearAmt
Current Tax Year$19,218,756CurrentTaxYearAmt
Total$90,758,394TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,889,231CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,003,990CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,823,928CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,822,489CurrentTaxYearMinus1YearAmt
Current Tax Year$19,218,756CurrentTaxYearAmt
Total$90,758,394TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$90,758,394PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,176CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$103,444CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$134,261CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$282,318CurrentTaxYearMinus1YearAmt
Current Tax Year$213,211CurrentTaxYearAmt
Total$765,410TotalAmt
FieldValueIRS element (for citing)
Total Support$91,523,804TotalSupportAmt
Gross Receipts Rltd Activities$132,904,245GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99160PublicSupportCY170Pct
Public Support PY1700.99330PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$969,064OtherCostOrOtherBasisAmt
Book Value$969,064BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,253,885OtherCostOrOtherBasisAmt
Depreciation$1,484,968DepreciationAmt
Book Value$2,768,917BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$926,106OtherCostOrOtherBasisAmt
Depreciation$628,466DepreciationAmt
Book Value$297,640BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,464,184OtherCostOrOtherBasisAmt
Depreciation$7,325,060DepreciationAmt
Book Value$4,139,124BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$42,727,559OtherCostOrOtherBasisAmt
Depreciation$2,938,676DepreciationAmt
Book Value$39,788,883BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$47,963,628TotalBookValueLandBuildingsAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL JENSEN
CHIEF EXECUTIVE OFFICER$261,792$0$0$0$0$0$13,090$0$22,074$0$296,956$0$0$0
WILLIAM HARRISON
CHIEF FINANCIAL OFFICER (THRU DEC)$171,450$0$0$0$0$0$8,572$0$8,081$0$188,103$0$0$0
A BYRON CLARKE IV
CHIEF OPERATING OFFICER$188,753$0$0$0$0$0$9,438$0$15,247$0$213,438$0$0$0
L VAL JONES
CHIEF MEDICAL OFFICER$519,118$0$0$0$0$0$15,053$0$22,074$0$556,245$0$0$0
WENDELL KEY
PHYSICIAN$336,711$0$0$0$0$0$11,232$0$22,074$0$370,017$0$0$0
CASEY MCCULLOUGH
DOCTOR$381,925$0$0$0$0$0$9,701$0$22,074$0$413,700$0$0$0
JOSH NIELSON
PHYSICIAN$221,520$0$0$0$0$0$8,710$0$22,074$0$252,304$0$0$0
PATRICIA SPENCER
DOCTOR$239,158$0$0$0$0$0$6,955$0$13,402$0$259,515$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY CEO, CFO, AND COO AND THEN PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD REVIEWS THEIR CONFLICT OF INTEREST POLICIES ANNUALLY. THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT DEFINES WHAT A CONFLICT OF INTEREST IS AND THE RESTRICTIONS THAT APPLY TO ALL BOARD MEMBERS. WHEN A CONFLICT ARISES, THE MEMBER THAT IS CONFLICTED HAS A DUTY TO DISCLOSE IN WRITING TO THE CHAIR OF THE BOARD. THE CHAIR OF THE BOARD THEN PRESENTS TO THE FULL BOARD. THE CONFLICTED MEMBER SHALL HAVE THE OPPORTUNITY TO ADDRESS THE BOARD AND PRESENT ANY NECESSARY ITEMS AND RESPOND TO ANY QUESTIONS. AFTER SUCH PRESENTATION THE CONFLICTED MEMBER SHALL ABSTAIN FROM FURTHER DISCUSSION WITH THE ENTIRE BOARD AND FOR THE VOTE ON THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION COMPARES A NATIONAL AND STATE COMPENSATION STUDY FOR ORGANIZATIONS OF SIMILAR SIZE AND STRUCTURE TO DETERMINE A RANGE OF COMPENSATION. THE CEO'S PERFORMANCE AND COMPENSATION EVALUATION IS HANDLED BY THE BOARD OF DIRECTORS AND THEN IS REVIEWED ANNUALLY BY ALL MEMBERS OF THE BOARD OF DIRECTORS. THE CEO REVIEWS AND EVALUATES THE CFO, COO AND CMO'S COMPENSATIONS AT THE END OF THE FISCAL YEAR. A NEW RATE IS SET ON THE START OF THE NEXT FISCAL YEAR IF ONE IS WARRANTED. REVIEWS ARE DONE ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19ORGANIZING DOCUMENTS ARE AVAILABLE UPON REQUEST, SAME AS THE FORM 990.
FORM 990, PART IX, LINE 11GOTHER MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 1,372,907. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,372,907. INPATIENT/OUTPATIENT SERVICES: PROGRAM SERVICE EXPENSES 820,101. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 820,101. RADIOLOGY/X-RAY/IMAGING/LAB: PROGRAM SERVICE EXPENSES 620,268. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 620,268. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 375,135. MANAGEMENT AND GENERAL EXPENSES 407,218. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 782,353. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 588,936. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 588,936. DENTAL CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 397,115. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 397,115. EMERGENCY ROOM SERVICES: PROGRAM SERVICE EXPENSES 479,432. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 479,432.

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