DENVER INDIAN HEALTH AND FAMILY SERVICES INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- DENVER INDIAN HEALTH AND FAMILY SERVICES INC (EIN 84-0724261)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-08
- IRS object ID
- 201842209349301174
- Schema version
- 2016v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-08T13:35:27-06:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TAYLOR ROTH AND COMPANY | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 GRANT ST STE 205 | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 802032944 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840724261 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENVER INDIAN HEALTH AND FAMILY | BusinessNameLine1Txt |
| Business Name Line2 | SERVICES INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DENV | BusinessNameControlTxt |
| Phone | 3039536618 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2880 WHOLDEN PLACE | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80204 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ADRIANNE MADDUX | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 3039536618 | PhoneNum |
| Signature | 2018-08-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KEN ROTH | PreparerPersonNm |
| PTIN | P01389203 | PTIN |
| Phone | 3038308109 | PhoneNum |
| Preparation | 2018-08-08 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | ADRIANNE MADDUX | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1633 FILLMORE STREET | AddressLine1Txt |
| Address Line2 | GL1 | AddressLine2Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,748,804 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DIHFS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE CULTURALLY COMPETENT SERVICES THAT PROMOTE QUALITY HEALTH FOR AMERICAN INDIAN AND ALASKAN NATIVE FAMILIES AND INDIVIDUALS IN THE DENVER AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 31 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,399,726 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,143,360 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $365,918 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $605,053 | CYProgramServiceRevenueAmt |
| PY Investment Income | $159 | PYInvestmentIncomeAmt |
| CY Investment Income | $299 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,363 | PYOtherRevenueAmt |
| CY Other Revenue | $92 | CYOtherRevenueAmt |
| PY Total Revenue | $2,767,166 | PYTotalRevenueAmt |
| CY Total Revenue | $2,748,804 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $50,902 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $32,519 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,045,138 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,246,079 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $12,768 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $892,688 | PYOtherExpensesAmt |
| CY Other Expenses | $894,503 | CYOtherExpensesAmt |
| PY Total Expenses | $1,988,728 | PYTotalExpensesAmt |
| CY Total Expenses | $2,173,101 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $778,438 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $575,703 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,472,202 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,121,112 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $44,690 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $117,897 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,427,512 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,003,215 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE CULTURALLY COMPETENT SERVICES THAT PROMOTE QUALITY HEALTH FOR AMERICAN INDIAN AND ALASKAN NATIVE FAMILIES AND INDIVIDUALS IN THE DENVER AREA. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,930,045 | ExpenseAmt |
| Grant | $32,519 | GrantAmt |
| Revenue | $605,053 | RevenueAmt |
| Desc | HEALTHCARE SERVICES, INCLUDING IMMUNIZATIONS, MENTAL HEALTH, DISEASE PREVENTION, ALCOHOL AND SUBSTANCE ABUSE PREVENTION, HIV PREVENTION, AND CHILD WELFARE PROGRAMS. OUTREACH TO FIND INDIVIDUALS IN NEED OF THESE SERVICES. | Desc |
| Total Program Service Expenses | $1,930,045 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 31 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENVER INDIAN HEALTH AND FAMILY | BusinessNameLine1Txt |
| Business Name Line2 | SERVICES INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3039536618 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1633 FILLMORE STREET | AddressLine1Txt |
| Address Line2 | SUITE GL1 | AddressLine2Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80206 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| BETTY GRESS | ||||||
| CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| STEPHEN WHEELOCK | ||||||
| VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JAMES MORAN | ||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RACHEL SIMPSON | ||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CHARLENE HARJO IRANI | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CRYSTAL LOUDHAWK-HEDGEPETH | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ALLISON NESWOOD | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JEAN RUSSELL | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PATTY FREDERICKS | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ADRIANNE MADDUX | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $63,808 | $0 | $7,972 | |
| DEL NUTTER | ||||||
| EXECUTIVE DI | 20.00 | Yes (X) | $40,302 | $0 | $358 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $104,110 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $8,330 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $1,889,651 | GovernmentGrantsAmt |
| All Other Contributions | $253,709 | AllOtherContributionsAmt |
| Total Contributions | $2,143,360 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEES AND MEDICAID | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $605,053 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $605,053 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $605,053 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $299 | TotalRevenueColumnAmt |
| Exclusion | $299 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ALL OTHER | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $92 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $92 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $92 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,748,804 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $605,145 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $299 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,519 | TotalAmt |
| Program Services | $32,519 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,110 | TotalAmt |
| Program Services | $89,535 | ProgramServicesAmt |
| Management And General | $14,575 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $934,515 | TotalAmt |
| Program Services | $803,683 | ProgramServicesAmt |
| Management And General | $130,832 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,469 | TotalAmt |
| Program Services | $95,863 | ProgramServicesAmt |
| Management And General | $15,606 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,985 | TotalAmt |
| Program Services | $82,547 | ProgramServicesAmt |
| Management And General | $13,438 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,695 | TotalAmt |
| Program Services | $18,419 | ProgramServicesAmt |
| Management And General | $2,173 | ManagementAndGeneralAmt |
| Fundraising | $103 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $316,752 | TotalAmt |
| Program Services | $292,791 | ProgramServicesAmt |
| Management And General | $11,980 | ManagementAndGeneralAmt |
| Fundraising | $11,981 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,038 | TotalAmt |
| Program Services | $1,038 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,636 | TotalAmt |
| Program Services | $69,551 | ProgramServicesAmt |
| Management And General | $7,715 | ManagementAndGeneralAmt |
| Fundraising | $370 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,748 | TotalAmt |
| Program Services | $17,748 | ProgramServicesAmt |
| Management And General | $1,831 | ManagementAndGeneralAmt |
| Fundraising | $169 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,795 | TotalAmt |
| Program Services | $102,954 | ProgramServicesAmt |
| Management And General | $8,841 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,874 | TotalAmt |
| Program Services | $36,359 | ProgramServicesAmt |
| Management And General | $1,515 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,136 | TotalAmt |
| Program Services | $4,803 | ProgramServicesAmt |
| Management And General | $333 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,625 | TotalAmt |
| Program Services | $32,500 | ProgramServicesAmt |
| Management And General | $8,125 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,509 | TotalAmt |
| Program Services | $12,913 | ProgramServicesAmt |
| Management And General | $1,451 | ManagementAndGeneralAmt |
| Fundraising | $145 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DIRECT PROGRAM COSTS | $205,307 | $205,307 | |
| PROFESSIONAL DUES | $13,053 | $13,053 | |
| TRAINING AND DEVELOPMENT | $8,301 | $5,396 | $2,905 |
| TRAINING PROGRAMS | $6,841 | $6,088 | $753 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,193 | TotalAmt |
| Program Services | $6,978 | ProgramServicesAmt |
| Management And General | $8,215 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,173,101 | TotalAmt |
| Program Services | $1,930,045 | ProgramServicesAmt |
| Management And General | $230,288 | ManagementAndGeneralAmt |
| Fundraising | $12,768 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,366 | BOYAmt |
| EOY | $41,362 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $872,782 | BOYAmt |
| EOY | $854,629 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $450,876 | BOYAmt |
| EOY | $653,462 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $20,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,868 | BOYAmt |
| EOY | $10,110 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,141 | BOYAmt |
| EOY | $35,803 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $681,739 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $175,993 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,169 | BOYAmt |
| EOY | $505,746 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,472,202 | BOYAmt |
| EOY | $2,121,112 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,355 | BOYAmt |
| EOY | $72,570 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,335 | BOYAmt |
| EOY | $45,327 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,690 | BOYAmt |
| EOY | $117,897 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $775,058 | BOYAmt |
| EOY | $1,820,927 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $652,454 | BOYAmt |
| EOY | $182,288 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,427,512 | BOYAmt |
| EOY | $2,003,215 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,472,202 | BOYAmt |
| EOY | $2,121,112 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $575,703 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,567,371 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,585,730 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,630,590 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,399,726 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,143,360 | CurrentTaxYearAmt |
| Total | $9,326,777 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,567,371 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,585,730 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,630,590 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,399,726 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,143,360 | CurrentTaxYearAmt |
| Total | $9,326,777 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $9,326,777 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $101 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $86 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $159 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $299 | CurrentTaxYearAmt |
| Total | $645 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $9,327,422 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $1,582,604 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99990 | PublicSupportCY170Pct |
| Public Support PY170 | 1.00000 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $432,732 | OtherCostOrOtherBasisAmt |
| Book Value | $432,732 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $249,007 | OtherCostOrOtherBasisAmt |
| Depreciation | $175,993 | DepreciationAmt |
| Book Value | $73,014 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $505,746 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | COPIER LEASE | Desc |
| Amt | $45,327 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $45,327 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $2,865,404 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $116,600 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $116,600 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,748,804 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $2,748,804 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,289,701 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $116,600 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $116,600 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,173,101 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $2,173,101 | TotalExpensesPerForm990Amt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | UTILITY ASSISTANCE | GrantTypeTxt |
| Recipient | 92 | RecipientCnt |
| Cash Grant | $32,519 | CashGrantAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS PROVIDED TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO BEING SUBMITTED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ALL BOARD MEMBERS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST AS THEY ARISE. MEMBERS ARE ASKED TO RECUSE THEMSELVES ON MATTERS OF POTENTIAL CONFLICT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EXECUTIVE DIRECTOR IS HIRED BY THE BOARD, WHICH SETS HIS/HER SALARY BASED ON COMPARABLE SALARY INFORMATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | KEY EMPLOYEES ARE HIRED BY THE EXECUTIVE DIRECTOR, AND PAID BASED ON LOCAL SALARY CONDITIONS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT ITS MAIN CORPORATE OFFICE. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR 215,646 11,980 11,981 DOCTORS & LOCUMS 77,145 0 0 TOTAL 292,791 11,980 11,981 |
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