FIRST NATIONS COMMUNITY HEALTH SOURCE INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- FIRST NATIONS COMMUNITY HEALTH SOURCE INC (EIN 85-0336893)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-02-15
- IRS object ID
- 201830469349300333
- Schema version
- 2016v3.0
- 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 | 2018-02-15T19:24:44-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 463916466 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jaramillo Accounting Group LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4700 Lincoln Road NE | AddressLine1Txt |
| City | Albuquerque | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87109 | 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 | 850336893 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIRST NATIONS COMMUNITY HEALTHSOURCE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FIRS | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5608 ZUNI ROAD SE | AddressLine1Txt |
| City | Albuquerque | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87108 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LINDA SON-STONE | PersonNm |
| Person Title | Chief Executive | PersonTitleTxt |
| Phone | 5052622481 | PhoneNum |
| Signature | 2018-02-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Audrey J Jaramillo | PreparerPersonNm |
| PTIN | P01786993 | PTIN |
| Phone | 5053232035 | PhoneNum |
| Preparation | 2018-02-15 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 50.59.27.196 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-02-15 | IPDt |
| IP Tm | 19:27:42 | IPTm |
| Federal Original Submission Id | 8533572018046zcpchuh | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2018-02-15 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 5767031460A8F7D7E77F75900C1206A6BEF53F1D | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 5767031460A8F7D7E77F75900C1206A6BEF53F1D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,800,786 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FNCH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | NM | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE A COMPREHENSIVE CULTURALLY COMPETENT HEALTH SYSTEM THAT ADDRESSES THE PHYSICAL, EMOTIONAL, SOCIAL, AND SPIRITUAL NEEDS OF THE UNDERSERVED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 183 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $11,033,300 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,311,412 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,893,008 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,437,239 | CYProgramServiceRevenueAmt |
| CY Investment Income | $4,574 | CYInvestmentIncomeAmt |
| PY Other Revenue | $54,982 | PYOtherRevenueAmt |
| CY Other Revenue | $47,561 | CYOtherRevenueAmt |
| PY Total Revenue | $13,981,290 | PYTotalRevenueAmt |
| CY Total Revenue | $12,800,786 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,137,676 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $389,387 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,479,427 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,283,700 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,491,277 | PYOtherExpensesAmt |
| CY Other Expenses | $3,764,855 | CYOtherExpensesAmt |
| PY Total Expenses | $12,108,380 | PYTotalExpensesAmt |
| CY Total Expenses | $11,437,942 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,872,910 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,362,844 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,971,931 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,095,875 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,672,257 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,433,357 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,299,674 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,662,518 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE A COMPREHENSIVE CULTURALLY COMPETENT HEALTH SYSTEM THAT ADDRESSES THE PHYSICAL, EMOTIONAL, SOCIAL, AND SPIRITUAL NEEDS OF THE UNDERSERVED. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $10,105,563 | ExpenseAmt |
| Grant | $389,387 | GrantAmt |
| Desc | PROVIDE PRIMARY HEALTH, DENTAL CARE, AND SOCIAL SERVICES TO UNDERSERVED POPULATIONS, PRIMARILY NATIVE AMERICANS, IN THE ALBUQUERQUE, NEW MEXICO METROPOLITAN AREA. THERE WERE 15,776 PATIENTS WITH 41,093 VISITS DURING THE YEAR FOR HEALTH AND DENTAL CARE. | Desc |
| Total Program Service Expenses | $10,105,563 | 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 | Yes (true) | 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 | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | 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 | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 30 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 183 | 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 |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | 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 | Yes (true) | 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 | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NM | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THE ORGANIZATION | PersonNm |
| Phone | 5052622481 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5608 ZUNI ROAD SE | AddressLine1Txt |
| City | Albuquerque | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87108 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| TASSY PARKER | ||||||||
| PRESIDENT | 0.75 | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ANGELITA BENALLY | ||||||||
| VICE PRESIDENT | 0.75 | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOYCE HUDSON | ||||||||
| SECRETARY | 0.75 | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JANET PACHECO-MORTON | ||||||||
| TREASURER | 0.75 | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MELISSA PARRA | ||||||||
| MEMBER | 0.75 | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| DONNA CHRISTENSEN | ||||||||
| HONORARY MEMBER | 0.75 | 0.25 | Yes (X) | $0 | $0 | $0 | ||
| LINDA SON-STONE | ||||||||
| CHIEF EXECUTIVE OFFICER | 39.00 | 1.00 | Yes (X) | $157,000 | $0 | $18,000 | ||
| LEON PABOUCEK | ||||||||
| CHIEF FINANCIAL OFFICER | 39.00 | 1.00 | Yes (X) | $65,414 | $0 | $2,875 | ||
| LANAEDA SANDOVAL | ||||||||
| CHIEF OPERATIONS OFFICER | 39.00 | 1.00 | Yes (X) | $85,639 | $0 | $10,271 | ||
| TRAM NGUYEN | ||||||||
| DENTIST | 40.00 | 0.00 | $175,620 | $0 | $10,810 | Yes (X) | ||
| BO TRAN | ||||||||
| DENTIST | 40.00 | 0.00 | $169,126 | $0 | $9,064 | Yes (X) | ||
| ALEXANDRA KAZARAS | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $142,654 | $0 | $24,789 | Yes (X) | ||
| SEO YOUNG KIM | ||||||||
| DENTIST | 40.00 | 0.00 | $135,751 | $0 | $16,249 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $931,204 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $92,058 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NEW MEXICO PRIMARY CARE ASSOCIATION | |||||
| 4206 LOUISIANA | Albuquerque | NM | 87109 | SUBST ABUSE PREV | $108,000 |
| NADINE TAFOYA | |||||
| PO BOX 1407 | Espanola | NM | 87532 | SUB ABUSE PREVENT | $115,000 |
| DHHS | |||||
| 5300 HOMESTEAD ROAD NE | Albuquerque | NM | 87110 | MEDICAL DIRECTOR | $234,641 |
| MICHELLE PENT | |||||
| 13300 PINE FOREST PLACE | Albuquerque | NM | 87111 | PSYCHIATRIST | $155,533 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $7,726,580 | GovernmentGrantsAmt |
| All Other Contributions | $1,584,832 | AllOtherContributionsAmt |
| Total Contributions | $9,311,412 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $3,437,239 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,437,239 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,437,239 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,574 | TotalRevenueColumnAmt |
| Exclusion | $4,574 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $35,455 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $35,455 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,455 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $35,455 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $12,106 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,106 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $12,106 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,800,786 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,484,800 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,574 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $389,387 | TotalAmt |
| Program Services | $389,387 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,199 | TotalAmt |
| Program Services | $297,988 | ProgramServicesAmt |
| Management And General | $41,211 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,717,939 | TotalAmt |
| Program Services | $4,963,186 | ProgramServicesAmt |
| Management And General | $754,753 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $666,201 | TotalAmt |
| Program Services | $649,037 | ProgramServicesAmt |
| Management And General | $17,164 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $560,361 | TotalAmt |
| Program Services | $488,545 | ProgramServicesAmt |
| Management And General | $71,816 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,559 | TotalAmt |
| Program Services | $11,559 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,000 | TotalAmt |
| Program Services | $36,000 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,078,551 | TotalAmt |
| Program Services | $1,050,071 | ProgramServicesAmt |
| Management And General | $28,480 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,131 | TotalAmt |
| Program Services | $18,998 | ProgramServicesAmt |
| Management And General | $30,133 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,568 | TotalAmt |
| Program Services | $89,031 | ProgramServicesAmt |
| Management And General | $24,537 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,484 | TotalAmt |
| Program Services | $55,819 | ProgramServicesAmt |
| Management And General | $24,665 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,298 | TotalAmt |
| Program Services | $56,447 | ProgramServicesAmt |
| Management And General | $20,851 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,758 | TotalAmt |
| Program Services | $114,758 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,529 | TotalAmt |
| Program Services | $167,459 | ProgramServicesAmt |
| Management And General | $13,070 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,381 | TotalAmt |
| Program Services | $88,681 | ProgramServicesAmt |
| Management And General | $44,700 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| REPAIRS AND MAINTENANCE | $585,967 | $550,124 | $35,843 |
| EQUIPMENT LEASES | $75,822 | $15,949 | $59,873 |
| SUPPLIES | $828,985 | $713,932 | $115,053 |
| CLIENT ASSISTANCE | $72,905 | $66,199 | $6,706 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $325,917 | TotalAmt |
| Program Services | $282,393 | ProgramServicesAmt |
| Management And General | $43,524 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,437,942 | TotalAmt |
| Program Services | $10,105,563 | ProgramServicesAmt |
| Management And General | $1,332,379 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,509,390 | BOYAmt |
| EOY | $3,708,807 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,066 | BOYAmt |
| EOY | $5,068 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,073,090 | BOYAmt |
| EOY | $1,202,982 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $884,599 | BOYAmt |
| EOY | $1,610,804 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,906 | BOYAmt |
| EOY | $20,745 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,617,383 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,087,901 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,462,199 | BOYAmt |
| EOY | $2,529,482 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,681 | BOYAmt |
| EOY | $17,987 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,971,931 | BOYAmt |
| EOY | $9,095,875 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,097,468 | BOYAmt |
| EOY | $871,208 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,032 | BOYAmt |
| EOY | $11,415 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $540,834 | BOYAmt |
| EOY | $494,215 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,923 | BOYAmt |
| EOY | $56,519 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,672,257 | BOYAmt |
| EOY | $1,433,357 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,299,674 | BOYAmt |
| EOY | $7,662,518 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,299,674 | BOYAmt |
| EOY | $7,662,518 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,971,931 | BOYAmt |
| EOY | $9,095,875 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,362,844 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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 | $5,775,574 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,597,486 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,940,274 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,033,403 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,311,412 | CurrentTaxYearAmt |
| Total | $39,658,149 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,775,574 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,597,486 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,940,274 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,033,403 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,311,412 | CurrentTaxYearAmt |
| Total | $39,658,149 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $7,010,036 | SubstantialContributorsTotAmt |
| Public Support Total170 | $32,648,113 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $203 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $252 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $463 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $908 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,574 | CurrentTaxYearAmt |
| Total | $6,400 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,434 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,254 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,565 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,074 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,563 | CurrentTaxYearAmt |
| Total | $140,890 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $39,805,439 | TotalSupportAmt |
| Public Support CY170 | 0.82020 | PublicSupportCY170Pct |
| Public Support PY170 | 0.93530 | 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $465,453 | OtherCostOrOtherBasisAmt |
| Book Value | $465,453 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,137,340 | OtherCostOrOtherBasisAmt |
| Depreciation | $883,939 | DepreciationAmt |
| Book Value | $1,253,401 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $798,001 | OtherCostOrOtherBasisAmt |
| Depreciation | $152,530 | DepreciationAmt |
| Book Value | $645,471 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $913,710 | OtherCostOrOtherBasisAmt |
| Depreciation | $788,789 | DepreciationAmt |
| Book Value | $124,921 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $302,879 | OtherCostOrOtherBasisAmt |
| Depreciation | $262,643 | DepreciationAmt |
| Book Value | $40,236 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,529,482 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| FUNDS HELD FOR OTHERS | $20,820 |
| DUE TO PHARMACY | $35,699 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $56,519 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $12,800,786 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $12,800,786 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $12,800,786 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,437,942 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $11,437,942 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $11,437,942 | TotalExpensesPerForm990Amt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| NATIVE AMERICAN COMMUNITY ACADEMY | |||||||
| 1000 INDIAN SCHOOL ROAD NW | Albuquerque | NM | 87104 | 272193660 | 501C3 | $134,768 | COMMUNITY MENTAL HEALTH SERVICES |
| PUEBLO OF ZUNI | |||||||
| 1203B STATE HIGHWAY 53 | Zuni | NM | 87327 | 850156092 | $74,727 | COMMUNITY MENTAL HEALTH SERVICES | |
| PUEBLO DE COCHITI | |||||||
| 255 COCHITI STREET | Cochiti Pueblo | NM | 87072 | 850216637 | $121,957 | COMMUNITY MENTAL HEALTH SERVICES | |
| LAGUNA PUEBLO | |||||||
| PO BOX 194 | Laguna | NM | 87026 | 850138325 | $57,934 | COMMUNITY MENTAL HEALTH SERVICES | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Monitoring procedures (Part I, line 2) | FormAndLineReferenceDesc |
| Explanation | FNCH COLLECTS AND MAINTAINS RECORDS TO SUBSTANTIATE THE SELECTION CRITERIA, GRANTEES ELIGIBILITY, AND AMOUNT OF GRANTS OR ASSISTANCE AWARDS TO GRANTEES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt |
|---|---|---|---|---|
| LINDA SON-STONE | ||||
| CHIEF EXECUTIVE OFFICER | $157,000 | $18,000 | $175,000 | |
| TRAM NGUYEN | ||||
| DENTIST | $175,620 | $7,449 | $186,430 | $3,361 |
| BO TRAN | ||||
| DENTIST | $169,126 | $7,120 | $178,190 | $1,944 |
| ALEXANDRA KAZARAS | ||||
| PHYSICIAN | $142,654 | $10,000 | $167,443 | $14,789 |
| SEO YOUNG KIM | ||||
| DENTIST | $135,751 | $152,000 | $16,249 | |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 governing body review Part VI line 11 | THE GOVERNING BODY REVIEWS THE FORM 990 PRIOR TO SUBMISSION TO THE IRS. |
| Conflict of interest policy compliance Part VI line 12c | AT 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 15a | THE 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 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FNCH PHARMACY | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5608 ZUNI ROAD NE | AddressLine1Txt |
| City | Albuquerque | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87108 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 473791968 | EIN |
| Primary Activities | PHARMACY | PrimaryActivitiesTxt |
| Legal Domicile State | NM | LegalDomicileStateCd |
| Exempt Code Section | 501C3 | ExemptCodeSectionTxt |
| Public Charity Status | PF | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |