FIRST NATIONS COMMUNITY HEALTH SOURCE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
FIRST NATIONS COMMUNITY HEALTH SOURCE INC (EIN 85-0336893)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-07-25
IRS object ID
201922069349301412
Schema version
2017v2.2
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)
Return2019-07-25T19:48:33-04:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN463916466PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Jaramillo Accounting Group LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14700 Lincoln Road NEAddressLine1Txt
CityAlbuquerqueCityNm
State AbbreviationNMStateAbbreviationCd
ZIP87109ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN850336893EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FIRST NATIONS COMMUNITY HEALTHSOURCEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFIRSBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15608 ZUNI ROAD SEAddressLine1Txt
CityALBUQUERQUECityNm
State AbbreviationNMStateAbbreviationCd
ZIP87108ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLINDA SON-STONEPersonNm
Person TitleCHIEF EXECUTIVEPersonTitleTxt
Phone5052622481PhoneNum
Signature2019-02-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAudrey J JaramilloPreparerPersonNm
PTINP01786993PTIN
Phone5053232035PhoneNum
Preparation2019-07-25PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address184.171.140.17IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-07-25IPDt
IP Tm19:51:43IPTm
Federal Original Submission Id8533572019206urv2da1FederalOriginalSubmissionId
Federal Original Submission Id2019-07-25FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA0F400332F0718701EA752E4022200BE34935E5AtSubmissionCreationDeviceId
At Submission Filing Device IdDA0F400332F0718701EA752E4022200BE34935E5AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$14,267,667GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FNCH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateNMLegalDomicileStateCd
Activity Or MissionTO PROVIDE A COMPREHENSIVE CULTURALLY COMPETENT HEALTH SYSTEM THAT ADDRESSES THE PHYSICAL, EMOTIONAL, SOCIAL, AND SPIRITUAL NEEDS OF THE UNDERSERVED.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee223TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,311,412PYContributionsGrantsAmt
CY Contributions Grants$10,414,182CYContributionsGrantsAmt
PY Program Service Revenue$3,437,239PYProgramServiceRevenueAmt
CY Program Service Revenue$3,733,413CYProgramServiceRevenueAmt
PY Investment Income$4,574PYInvestmentIncomeAmt
CY Investment Income$4,256CYInvestmentIncomeAmt
PY Other Revenue$47,561PYOtherRevenueAmt
CY Other Revenue$115,816CYOtherRevenueAmt
PY Total Revenue$12,800,786PYTotalRevenueAmt
CY Total Revenue$14,267,667CYTotalRevenueAmt
PY Grants And Similar Paid$389,387PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$438,648CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,283,700PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,976,770CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,764,855PYOtherExpensesAmt
CY Other Expenses$4,531,522CYOtherExpensesAmt
PY Total Expenses$11,437,942PYTotalExpensesAmt
CY Total Expenses$12,946,940CYTotalExpensesAmt
PY Revenues Less Expenses$1,362,844PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,320,727CYRevenuesLessExpensesAmt
Total Assets BOY$9,095,875TotalAssetsBOYAmt
Total Assets EOY$11,069,628TotalAssetsEOYAmt
Total Liabilities BOY$1,433,357TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,086,383TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,662,518NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,983,245NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE A COMPREHENSIVE CULTURALLY COMPETENT HEALTH SYSTEM THAT ADDRESSES THE PHYSICAL, EMOTIONAL, SOCIAL, AND SPIRITUAL NEEDS OF THE UNDERSERVED.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$11,502,433ExpenseAmt
Grant$438,648GrantAmt
Revenue$3,849,229RevenueAmt
DescPROVIDE PRIMARY HEALTH, DENTAL CARE, AND SOCIAL SERVICES TO UNDERSERVED POPULATIONS, PRIMARILY NATIVE AMERICANS, IN THE ALBUQUERQUE, NEW MEXICO METROPOLITAN AREA. THERE WERE 17,086 PATIENTS WITH 49,846 VISITS DURING THE YEAR FOR HEALTH AND DENTAL CARE.Desc
Total Program Service Expenses$11,502,433TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document33IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee223EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNMStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTHE ORGANIZATIONPersonNm
Phone5052622481PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15608 ZUNI ROAD SEAddressLine1Txt
CityALBUQUERQUECityNm
State AbbreviationNMStateAbbreviationCd
ZIP87108ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
TASSY PARKER
PRESIDENT0.750.25Yes (X)Yes (X)$0$0$0
ANGELITA BENALLY
VICE PRESIDENT0.750.25Yes (X)Yes (X)$0$0$0
JOYCE HUDSON
SECRETARY0.750.25Yes (X)Yes (X)$0$0$0
JANET PACHECO-MORTON
TREASURER0.750.25Yes (X)Yes (X)$0$0$0
MELISSA PARRA
MEMBER0.750.25Yes (X)$0$0$0
DONNA CHRISTENSEN
HONORARY MEMBER0.750.25Yes (X)$0$0$0
LINDA SON-STONE
CHIEF EXECUTIVE OFFICER39.001.00Yes (X)$182,245$0$18,500
LEON PABOUCEK
CHIEF FINANCIAL OFFICER39.001.00Yes (X)$60,030$0$8,259
LANAEDA SANDOVAL
CHIEF OPERATIONS OFFICER39.001.00Yes (X)$79,647$0$16,263
TRAM NGUYEN
DENTIST40.000.00$175,766$0$10,664Yes (X)
BO TRAN
DENTIST40.000.00$169,296$0$8,894Yes (X)
ALEXANDRA KAZARAS
PHYSICIAN40.000.00$162,110$0$10,000Yes (X)
SEO YOUNG KIM
DENTIST40.000.00$143,029$0$8,971Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$972,123TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$81,551TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LUZIUS RX INC
4208 CAMELBACK RD NWALBUQUERQUENM87114PSYCHIATRIST$130,590
NMPCA
4206 LOUISIANA BLVD NEALBUQUERQUENM87109ECW HOSTING AND IT$108,000
NADINE TAFOYA
PO BOX 1407ESPANOLANM87532SUB ABUSE PREVENT$155,000
DHHS
4101 INDIAN SCHOOL RD STE 225ALBUQUERQUENM87110MEDICAL DIRECTOR$239,827
MICHELLE PENT
13300 PINE FOREST PLACEALBUQUERQUENM87111PSYCHIATRIST$147,648
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$8,429,768GovernmentGrantsAmt
All Other Contributions$1,984,414AllOtherContributionsAmt
Total Contributions$10,414,182TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICESDesc
Business621400BusinessCd
Total Revenue Column$3,733,413TotalRevenueColumnAmt
Related Or Exempt Func Income$3,733,413RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,733,413TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,256TotalRevenueColumnAmt
Exclusion$4,256ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$28,493RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$28,493RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,493TotalRevenueColumnAmt
Related Or Exempt Func Income$28,493RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER REVENUE900099$19,989$19,989
IN-KIND900099$67,334$67,334
FieldValueIRS element (for citing)
Other Revenue Total$87,323OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,267,667TotalRevenueColumnAmt
Related Or Exempt Func Income$3,849,229RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,256ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$438,648TotalAmt
Program Services$438,648ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,053,675TotalAmt
Program Services$1,053,675ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,517,558TotalAmt
Program Services$4,731,928ProgramServicesAmt
Management And General$785,630ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$667,604TotalAmt
Program Services$653,571ProgramServicesAmt
Management And General$14,033ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$737,933TotalAmt
Program Services$666,490ProgramServicesAmt
Management And General$71,443ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,227TotalAmt
Program Services$8,227ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$36,357TotalAmt
Program Services$36,357ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,764,957TotalAmt
Program Services$1,723,854ProgramServicesAmt
Management And General$41,103ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$40,217TotalAmt
Program Services$20,692ProgramServicesAmt
Management And General$19,525ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$152,273TotalAmt
Program Services$91,158ProgramServicesAmt
Management And General$61,115ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$169,108TotalAmt
Program Services$169,108ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$53,471TotalAmt
Program Services$28,393ProgramServicesAmt
Management And General$25,078ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$90,551TotalAmt
Program Services$65,334ProgramServicesAmt
Management And General$25,217ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$28,847TotalAmt
Program Services$23,682ProgramServicesAmt
Management And General$5,165ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$200,843TotalAmt
Program Services$186,306ProgramServicesAmt
Management And General$14,537ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$89,140TotalAmt
Program Services$83,605ProgramServicesAmt
Management And General$5,535ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
REPAIRS AND MAINTENANCE$539,192$514,854$24,338
EQUIPMENT LEASES$116,093$65,227$50,866
SUPPLIES$486,345$368,249$118,096
CLIENT ASSISTANCE$80,096$80,096

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$675,805TotalAmt
Program Services$492,979ProgramServicesAmt
Management And General$182,826ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,946,940TotalAmt
Program Services$11,502,433ProgramServicesAmt
Management And General$1,444,507ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,708,807BOYAmt
EOY$3,381,134EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,068BOYAmt
EOY$5,070EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,202,982BOYAmt
EOY$1,903,020EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,610,804BOYAmt
EOY$1,788,272EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$20,745BOYAmt
EOY$42,001EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,224,485LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,288,052LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,529,482BOYAmt
EOY$3,936,433EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$17,987BOYAmt
EOY$13,698EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,095,875BOYAmt
EOY$11,069,628EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$871,208BOYAmt
EOY$1,408,638EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$11,415BOYAmt
EOY$14,334EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$494,215BOYAmt
EOY$445,201EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$56,519BOYAmt
EOY$218,210EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,433,357BOYAmt
EOY$2,086,383EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,662,518BOYAmt
EOY$8,983,245EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,662,518BOYAmt
EOY$8,983,245EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,095,875BOYAmt
EOY$11,069,628EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,320,727ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

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$5,597,486CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,940,274CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,033,403CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,311,412CurrentTaxYearMinus1YearAmt
Current Tax Year$10,414,182CurrentTaxYearAmt
Total$44,296,757TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,597,486CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,940,274CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,033,403CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,311,412CurrentTaxYearMinus1YearAmt
Current Tax Year$10,414,182CurrentTaxYearAmt
Total$44,296,757TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$12,358,554SubstantialContributorsTotAmt
Public Support Total170$31,938,203PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$252CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$463CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$908CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,574CurrentTaxYearMinus1YearAmt
Current Tax Year$4,257CurrentTaxYearAmt
Total$10,454TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,254CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,565CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$54,074CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$47,563CurrentTaxYearMinus1YearAmt
Current Tax Year$19,988CurrentTaxYearAmt
Total$153,444TotalAmt
FieldValueIRS element (for citing)
Total Support$44,460,655TotalSupportAmt
Public Support CY1700.71830PublicSupportCY170Pct
Public Support PY1700.82020PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$465,453OtherCostOrOtherBasisAmt
Book Value$465,453BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,137,342OtherCostOrOtherBasisAmt
Depreciation$964,667DepreciationAmt
Book Value$1,172,675BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$863,977OtherCostOrOtherBasisAmt
Depreciation$201,477DepreciationAmt
Book Value$662,500BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,040,726OtherCostOrOtherBasisAmt
Depreciation$838,960DepreciationAmt
Book Value$201,766BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,716,987OtherCostOrOtherBasisAmt
Depreciation$282,948DepreciationAmt
Book Value$1,434,039BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,936,433TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
FUNDS HELD FOR OTHERS$31,265
DUE TO PHARMACY$186,945
FieldValueIRS element (for citing)
Total Liability$218,210TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$14,267,667TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$14,267,667RevenueSubtotalAmt
Total Revenue Per Form990$14,267,667TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,946,940TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$12,946,940ExpensesSubtotalAmt
Total Expenses Per Form990$12,946,940TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFootnote for uncertain tax position under FIN 48 (Part X)FormAndLineReferenceDesc
ExplanationWHEN FNCH FILES FORM 990 AND FORM 990-T AND FNCH PHARMACY FILES FOR FORM 990, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION THAT WOULD ULTIMATELYBE SUSTAINED. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED IN ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELI THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANYExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
NATIVE AMERICAN COMMUNITY ACADEMY
1000 INDIAN SCHOOL RD NWALBUQUERQUENM87104272193660$170,338COMMUNITY MENTAL HEALTH SERVICES
PUEBLO DE COCHITI
255 COCHITI STREETCOCHITI PUEBLONM87072850216637$144,146COMMUNITY MENTAL HEALTH SERVICES
PUEBLO OF ZUNI
1203B STATE HWY 53ZUNINM87327850156092$124,164COMMUNITY MENTAL HEALTH SERVICES

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceMonitoring procedures (Part I, line 2)FormAndLineReferenceDesc
ExplanationFNCH COLLECTS AND MAINTAINS RECORDS TO SUBSTANTIATE THE SELECTION CRITERIA, GRANTEES ELIGIBILITY, AND AMOUNT OF GRANTS OR ASSISTANCE AWARDS TO GRANTEES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt
LINDA SON-STONE
CHIEF EXECUTIVE OFFICER$182,245$18,500$200,745
TRAM NGUYEN
DENTIST$175,766$7,457$186,430$3,207
BO TRAN
DENTIST$169,296$7,128$178,190$1,766
ALEXANDRA KAZARAS
PHYSICIAN$162,110$10,000$172,110
SEO YOUNG KIM
DENTIST$143,029$7,015$152,000$1,956

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 governing body review Part VI line 11THE GOVERNING BODY REVIEWS THE FORM 990 PRIOR TO SUBMISSION TO THE IRS.
Conflict of interest policy compliance Part VI line 12cAT EACH MEETING HELD BY THE BOARD OF DIRECTORS, THE MEMBERS ARE REQUIRED TO DISCLOSE ALL INTERESTS THAT COULD GIVE RISE TO CONFLICT.
CEO executive director top management comp Part VI line 15aTHE ORGANIZATION USES COMPARABILITY DATA FROM COMMUNITY HEALTH CENTERS IN ESTABLISHING THE SALARIES THEY PAY TO ALL EMPLOYEES, INCLUDING OFFICERS AND TOP MANAGEMENT OFFICIALS.
Governing documents etc available to public Part VI line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
List of other fees for services expenses Part IX line 11gPROFESSIONAL SERVICES: $14,267,667PROGRAM SERVICES EXPENSES: $11,502,433MANAGEMENT AND GENERAL EXPENSES: $1,444,507TOTAL EXPENSES: $12,946,940

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1FNCH PHARMACYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15608 ZUNI ROAD NEAddressLine1Txt
CityALBUQUERQUECityNm
State AbbreviationNMStateAbbreviationCd
ZIP87108ZIPCd
FieldValueIRS element (for citing)
EIN473791968EIN
Primary ActivitiesPHARMACYPrimaryActivitiesTxt
Legal Domicile StateNMLegalDomicileStateCd
Exempt Code Section501C3ExemptCodeSectionTxt
Public Charity StatusPFPublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1FNCH PHARMACYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeDTransactionTypeTxt
Involved$186,945InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.