SONOMA COUNTY INDIAN HEALTH PROJECT INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- SONOMA COUNTY INDIAN HEALTH PROJECT INC (EIN 94-1741896)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-13
- IRS object ID
- 201901339349307130
- Schema version
- 2017v2.3
- 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 | 2019-05-13T16:44:08-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 330835986 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SQUAR MILNER LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3655 NOBEL DRIVE STE 300 | AddressLine1Txt |
| City | SAN DIEGO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 921221050 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941741896 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SONOMA COUNTY INDIAN HEALTH PROJECT INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SONO | BusinessNameControlTxt |
| Phone | 7075214545 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 STONY POINT ROAD | AddressLine1Txt |
| City | SANTA ROSA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95401 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BETTY ARTERBERRY | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7075214545 | PhoneNum |
| Signature | 2019-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KATHLEEN SCHMIDT | PreparerPersonNm |
| PTIN | P01878863 | PTIN |
| Phone | 8585974100 | PhoneNum |
| Preparation | 2019-05-13 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 207.38.18.164 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-13 | IPDt |
| IP Tm | 14:00:25 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 6687ABF6308D680C7443E76F45D6F0800A1D8AAF | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | C70043EE03C326502374859E3A1A849028DF3C27 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARGIE MEJIA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 STONY POINT ROAD | AddressLine1Txt |
| City | SANTA ROSA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $27,539,137 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SCIHP.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO CONTINUALLY IMPROVE AND MAINTAIN A COMPREHENSIVE HEALTH CARE SYSTEM. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 191 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $12,200,152 | PYContributionsGrantsAmt |
| CY Contributions Grants | $13,534,170 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,727,185 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,944,428 | CYProgramServiceRevenueAmt |
| PY Investment Income | $50,877 | PYInvestmentIncomeAmt |
| CY Investment Income | $60,539 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $23,978,214 | PYTotalRevenueAmt |
| CY Total Revenue | $27,539,137 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,686,621 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,884,708 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,927,593 | PYOtherExpensesAmt |
| CY Other Expenses | $5,336,911 | CYOtherExpensesAmt |
| PY Total Expenses | $17,614,214 | PYTotalExpensesAmt |
| CY Total Expenses | $18,221,619 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,364,000 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $9,317,518 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $50,350,239 | TotalAssetsBOYAmt |
| Total Assets EOY | $58,310,571 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,352,389 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,132,916 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $33,997,850 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $45,177,655 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO CONTINUALLY IMPROVE AND MAINTAIN A COMPREHENSIVE HEALTH CARE SYSTEM TO SERVE THE NEEDS AND TRADITIONAL VALUES OF OUR AMERICAN INDIAN COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,628,932 | ExpenseAmt |
| Revenue | $13,944,428 | RevenueAmt |
| Desc | HEALTH CARE FACILITY, PROVIDING MEDICAL, DENTAL, NUTRITIONAL, BEHAVIORAL HEALTH, PHARMACY, AND HEALTH EDUCATION SERVICES. | Desc |
| Total Program Service Expenses | $12,628,932 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 193 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 191 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7075214545 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 STONY POINT ROAD | AddressLine1Txt |
| City | SANTA ROSA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95401 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| MARGIE MEJIA | ||||||||
| CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RENO FRANKLIN | ||||||||
| VICE CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LYNN SILVA | ||||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LISA ELGIN | ||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DEAN HOAGLIN | ||||||||
| MEMBER AT LARGE | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CRUZ MARTINEZ | ||||||||
| MEMBER AT LARGE | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| SALVINA NORRIS | ||||||||
| MEMBER AT LARGE | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| VICKEY MACIAS | ||||||||
| CLOVERDALE TRIBAL DELEGATE | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| TIERANEY GIRON | ||||||||
| DRY CREEK TRIBAL DELEGATE | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| ELVIDA BANUELOS | ||||||||
| KASHIA TRIBAL DELEGATE | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA HERMOSILLO | ||||||||
| TRIBAL DELEGATE | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MATTHEW SMITH | ||||||||
| FIGR TRIBAL DELEGATE | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL STEELE JR | ||||||||
| LYTTON TRIBAL DELEGATE | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CRUZ MARTINEZ | ||||||||
| VLANCHESTER TRIBAL DELEGATE | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| SALVINA NORRIS | ||||||||
| DRY CREEK TRIBAL DELEGATE | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| SILVER GALLETO | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | Yes (X) | $47,989 | $0 | $1,928 | |||
| BETTY ARTERBERRY | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $192,437 | $0 | $12,527 | |||
| LISA VALENCIA | ||||||||
| CHIEF FINANCE OFFICER | 40.00 | Yes (X) | $123,878 | $0 | $24,633 | |||
| JOEL BERRYHILL | ||||||||
| DENTAL DIRECTOR | 24.00 | Yes (X) | $140,106 | $0 | $4,038 | |||
| ANALICIA BURNETT | ||||||||
| COMPLIANCE & PRIVACY OFFICER | 40.00 | Yes (X) | $63,722 | $0 | $15,709 | |||
| JENNIFER DURST | ||||||||
| QUALITY IMPROVEMENT DIRECTOR | 40.00 | Yes (X) | $33,252 | $0 | $2,034 | |||
| JENNIFER REMMERS | ||||||||
| NUTRITION DIRECTOR | 40.00 | Yes (X) | $96,751 | $0 | $18,923 | |||
| LAURA WONG | ||||||||
| PHARMACY DIRECTOR | 40.00 | Yes (X) | $163,514 | $0 | $12,231 | |||
| DON CARLOS STEELE | ||||||||
| PHYSICIAN | 40.00 | $223,333 | $0 | $0 | Yes (X) | |||
| NISHA MONEY | ||||||||
| PHYSICIAN | 40.00 | $201,498 | $0 | $0 | Yes (X) | |||
| MEREDITH COBLE | ||||||||
| PHYSICIAN | 40.00 | $190,622 | $0 | $0 | Yes (X) | |||
| LAMBERT DANIEL | ||||||||
| PHYSICIAN | 40.00 | $160,900 | $0 | $0 | Yes (X) | |||
| ASTERITA MACHADO | ||||||||
| DENTIST | 40.00 | $156,245 | $0 | $0 | Yes (X) | |||
| SELAMAWIT GEBRESLASSIE | ||||||||
| FORMER NURSING DIRECOR | 40.00 | $104,284 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,898,531 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $92,023 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 16 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| SABLE COMPUTER INC | |||||
| 48383 FREMONT BLVD 122 | FREMONT | CA | 94538 | SEVER MAINTENANCE | $139,188 |
| VISTA STAFFING SOLUTIONS INC | |||||
| FILE 50834 | LOS ANGELES | CA | 90074 | TEMPORARY STAFFING | $108,001 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $13,448,030 | GovernmentGrantsAmt |
| All Other Contributions | $86,140 | AllOtherContributionsAmt |
| Total Contributions | $13,534,170 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621400 | $13,601,095 | $13,601,095 |
| OTHER REVENUE | 621400 | $343,333 | $343,333 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,944,428 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60,539 | TotalRevenueColumnAmt |
| Exclusion | $60,539 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,539,137 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,944,428 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $60,539 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,154,543 | TotalAmt |
| Program Services | $1,154,543 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,019,651 | TotalAmt |
| Program Services | $6,654,835 | ProgramServicesAmt |
| Management And General | $2,364,816 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,710,514 | TotalAmt |
| Program Services | $1,918,346 | ProgramServicesAmt |
| Management And General | $792,168 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,961 | TotalAmt |
| Program Services | $52,110 | ProgramServicesAmt |
| Management And General | $35,851 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $761,289 | TotalAmt |
| Management And General | $761,289 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,858 | TotalAmt |
| Program Services | $149,669 | ProgramServicesAmt |
| Management And General | $149,189 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL DEVICES & SUPPL | $1,485,428 | $1,450,984 | $34,444 |
| PURCHASED SERVICES | $1,029,200 | $707,185 | $322,015 |
| REPAIRS & MAINTENANCE | $342,004 | $78,904 | $263,100 |
| COMPUTER, TELEPHONE & O | $287,325 | $160,210 | $127,115 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,044,846 | TotalAmt |
| Program Services | $302,146 | ProgramServicesAmt |
| Management And General | $742,700 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,221,619 | TotalAmt |
| Program Services | $12,628,932 | ProgramServicesAmt |
| Management And General | $5,592,687 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,951,662 | BOYAmt |
| EOY | $49,111,160 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,630,173 | BOYAmt |
| EOY | $1,911,206 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,580 | BOYAmt |
| EOY | $48,525 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,307 | BOYAmt |
| EOY | $331,293 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,755,627 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,861,283 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,569,809 | BOYAmt |
| EOY | $6,894,344 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,708 | BOYAmt |
| EOY | $14,043 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,350,239 | BOYAmt |
| EOY | $58,310,571 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,262,988 | BOYAmt |
| EOY | $1,174,447 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,068,901 | BOYAmt |
| EOY | $11,958,469 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,500 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,352,389 | BOYAmt |
| EOY | $13,132,916 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,832,975 | BOYAmt |
| EOY | $35,177,655 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,164,875 | BOYAmt |
| EOY | $10,000,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,997,850 | BOYAmt |
| EOY | $45,177,655 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,350,239 | BOYAmt |
| EOY | $58,310,571 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $9,317,518 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $1,862,287 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | 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 | $9,672,366 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,040,520 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,815,351 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,200,152 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,534,170 | CurrentTaxYearAmt |
| Total | $54,262,559 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,672,366 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,040,520 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,815,351 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,200,152 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,534,170 | CurrentTaxYearAmt |
| Total | $54,262,559 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $54,262,559 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,320 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $35,360 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,809 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $50,877 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $60,539 | CurrentTaxYearAmt |
| Total | $216,905 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $54,479,464 | TotalSupportAmt |
| Public Support CY170 | 0.99600 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99600 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $876,985 | OtherCostOrOtherBasisAmt |
| Book Value | $876,985 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,751,416 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,385,118 | DepreciationAmt |
| Book Value | $4,366,298 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,690,049 | OtherCostOrOtherBasisAmt |
| Depreciation | $954,324 | DepreciationAmt |
| Book Value | $735,725 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,347,534 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,475,622 | DepreciationAmt |
| Book Value | $871,912 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $89,643 | OtherCostOrOtherBasisAmt |
| Depreciation | $46,219 | DepreciationAmt |
| Book Value | $43,424 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,894,344 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $27,539,137 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $27,539,137 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $27,539,137 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $18,221,619 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $18,221,619 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $18,221,619 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BETTY ARTERBERRY | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $192,437 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $12,527 | $0 | $204,964 | $0 | $0 | $0 |
| LAURA WONG | ||||||||||||||
| PHARMACY DIRECTOR | $163,514 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $12,231 | $0 | $175,745 | $0 | $0 | $0 |
| DON CARLOS STEELE | ||||||||||||||
| PHYSICIAN | $223,333 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $223,333 | $0 | $0 | $0 |
| NISHA MONEY | ||||||||||||||
| PHYSICIAN | $201,498 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $201,498 | $0 | $0 | $0 |
| MEREDITH COBLE | ||||||||||||||
| PHYSICIAN | $190,622 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $190,622 | $0 | $0 | $0 |
| LAMBERT DANIEL | ||||||||||||||
| PHYSICIAN | $160,900 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $160,900 | $0 | $0 | $0 |
| ASTERITA MACHADO | ||||||||||||||
| DENTIST | $156,245 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $156,245 | $0 | $0 | $0 |
| SELAMAWIT GEBRESLASSIE | ||||||||||||||
| FORMER NURSING DIRECOR | $104,284 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $104,284 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | PRESENTED TO AND REVIEWED BY THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORED DURING THE COURSE OF BUSINESS THROUGH PROPER APPROVAL OF PURCHASE REQUISITIONS, OTHER EXPENDITURES AND TRAVEL REQUESTS. |
| FORM 990, PART VI, SECTION B, LINE 15 | CONDUCT A COMPENSATION AND BENEFITS STUDY FOR MARKET AVERAGES. REVIEW AND APPROVAL OF THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED. |
Comments