IDAHO PRIMARY CARE ASSOCIATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
IDAHO PRIMARY CARE ASSOCIATION (EIN 82-0376764)
Tax period
2016-10-01 to 2017-09-30
Filed
2017-12-18
IRS object ID
201713529349300416
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

FieldValueIRS element (for citing)
Return2017-12-18T12:46:14-06:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN264022510PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HARRIS & CO PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12289 S BONITO WAY STE 100AddressLine1Txt
CityMERIDIANCityNm
State AbbreviationIDStateAbbreviationCd
ZIP83642ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN820376764EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IDAHO PRIMARY CARE ASSOCIATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlIDAHBusinessNameControlTxt
Phone2083452335PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11087 W RIVER STREET NO 160AddressLine1Txt
CityBOISECityNm
State AbbreviationIDStateAbbreviationCd
ZIP83702ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonYVONNE KETCHUM-WARDPersonNm
Person TitleCEOPersonTitleTxt
Phone2083452335PhoneNum
Signature2017-12-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHERYL GUIDDYPreparerPersonNm
PTINP00266294PTIN
Phone2083338965PhoneNum
Preparation2017-12-08PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address64.88.174.3IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-12-08IPDt
IP Tm09:02:47IPTm
IP TimezoneMSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id3352B34058CC283FC6D6514E2A8CF99177A91DEBAtSubmissionCreationDeviceId
At Submission Filing Device Id599292EFDCB504F47D60CE14AA4692BCCD11A5F5AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2018-03-14 21:41:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerYVONNE KETCHUM-WARDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11087 W RIVER STREET NO 160AddressLine1Txt
CityBOISECityNm
State AbbreviationIDStateAbbreviationCd
ZIP83702ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,149,326GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.IDAHOPCA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateIDLegalDomicileStateCd
Activity Or MissionIPCA SUPPORTS COMMUNITY HEALTH CENTERS IN PROVIDING ACCESSIBLE, AFFORDABLE AND HIGH-QUALITY PRIMARY CARE TO ALL IDAHOANS. IN 2016, IDAHO HEALTH CENTERS SERVED 170,361 PATIENTS - OR ONE IN TEN IDAHOANS.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee18TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,616,356PYContributionsGrantsAmt
CY Contributions Grants$1,810,141CYContributionsGrantsAmt
PY Program Service Revenue$265,172PYProgramServiceRevenueAmt
CY Program Service Revenue$338,590CYProgramServiceRevenueAmt
PY Investment Income$342PYInvestmentIncomeAmt
CY Investment Income$595CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,881,870PYTotalRevenueAmt
CY Total Revenue$2,149,326CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$918,115PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,068,787CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$899,565PYOtherExpensesAmt
CY Other Expenses$939,411CYOtherExpensesAmt
PY Total Expenses$1,817,680PYTotalExpensesAmt
CY Total Expenses$2,008,198CYTotalExpensesAmt
PY Revenues Less Expenses$64,190PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$141,128CYRevenuesLessExpensesAmt
Total Assets BOY$629,637TotalAssetsBOYAmt
Total Assets EOY$868,942TotalAssetsEOYAmt
Total Liabilities BOY$87,051TotalLiabilitiesBOYAmt
Total Liabilities EOY$185,228TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$542,586NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$683,714NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIPCA SUPPORTS COMMUNITY HEALTH CENTERS IN PROVIDING ACCESSIBLE, AFFORDABLE AND HIGH-QUALITY PRIMARY CARE TO ALL IDAHOANS THROUGH TRAINING AND TECHNICAL SUPPORT. IPCA KEEPS HEALTH CENTERS CURRENT ON ISSUES AND TRENDS AFFECTING THE CHANGING HEALTHCARE LANDSCAPE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$958,206ExpenseAmt
Revenue$84,221RevenueAmt
DescCOOPERATIVE AGREEMENT - IPCA PROVIDES ASSISTANCE AND RESOURCES TO COMMUNITY HEALTH CENTERS TO SUPPORT AND STRENGTHEN THEIR CAPACITY TO PROVIDE COMPREHENSIVE, HIGH-QUALITY PRIMARY CARE TO IDAHOANS. IPCA ASSESSES NATIONAL TRENDS TO ASSIST HEALTH CENTERS IN ADDRESSING EMERGENT ISSUES. IPCA PROVIDES TECHNICAL SUPPORT AND TRAINING IN QUALITY IMPROVEMENT, SUCH AS PATIENT-CENTERED MEDICAL HOME MODEL OF CARE, ORAL HEALTH AND BEHAVIORAL HEALTH INTEGRATION; EMERGENCY PREPAREDNESS, MANAGING SPECIAL POPULATIONS AND HEALTH CENTER ADMINISTRATION (FINANCIAL MANAGEMENT AND HEALTH INFORMATION TECHNOLOGY). IPCA PROVIDED TRAINING AND TECHNICAL ASSISTANCE TO HEALTH CENTERS TO MEET THEIR FEDERAL PROGRAM EXPECTATIONS, ENHANCE PATIENT QUALITY OF CARE, PROVIDE CULTURALLY COMPETENT CARE, AND BECOME THE PROVIDER OF CHOICE AND EMPLOYER OF CHOICE. IPCA SUPPORTED COMMUNITY HEALTH CENTERS IN THEIR EFFORTS TO INCREASE IDAHOANS' ACCESS TO AFFORDABLE, HIGH-QUALITY HEALTHCARE THROUGH HEALTH CENTER GROWTH IN NEW COMMUNITIES AND/OR EXPANSION OF SERVICES OFFERED AT HEALTH CENTERS. IPCA FOSTERED COLLABORATION AND SHARING OF BEST PRACTICES AMONG COMMUNITY HEALTH CENTERS AND COLLABORATED WITH OTHER ORGANIZATIONS INVOLVED IN PUBLIC HEALTH.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$611,556ExpenseAmt
DescHEALTH CENTER CONTROLLED NETWORK (HCCN) - IPCA WORKS WITH IDAHO'S COMMUNITY HEALTH CENTERS TO IMPROVE HEALTH OUTCOMES AND DECREASE COSTS BY LEADING AND FACILITATING COLLABORATION TO EXCHANGE INFORMATION AND ESTABLISH MECHANISMS TO IMPROVE ACCESS TO CARE, BY PROVIDING TRAINING AND TECHNICAL ASSISTANCE TO ENHANCE QUALITY OF CARE, IMPROVE PERFORMANCE MEASUREMENT AND REPORTING CAPABILITY AND ACHIEVE COST EFFICIENCIES. IPCA SUPPORTED IDAHO'S HEALTH CENTERS IN CLOSING GAPS IN CARE AND IMPROVING QUALITY MEASURES THROUGH IMPLEMENTATION AND UTILIZATION OF DATA REPORTING TOOLS AND TRAINING AND TECHNICAL ASSISTANCE IN HEALTH INFORMATION TECHNOLOGY. IDAHO HEALTH CENTERS CONTINUE TO IMPROVE HEALTH OUTCOMES FOR THEIR PATIENTS INCLUDING CLINICAL OUTCOMES FOR: ACCESS TO PRENATAL CARE, BLOOD PRESSURE CONTROL, CERVICAL CANCER SCREENING, CHILDHOOD IMMUNIZATIONS, COLORECTAL CANCER SCREENINGS, DIABETES CONTROL, DENTAL SEALANTS AND IMPROVEMENTS IN LOW BIRTH WEIGHT. IDAHO HEALTH CENTERS ARE LEADERS IN PATIENT-CENTERED MEDICAL HOME (PCMH) MODEL OF CARE. CURRENTLY 42 OF 59 ELIGIBLE CLINIC SITES HAVE EARNED ACCREDITATION FOR PCMH.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$174,916ExpenseAmt
Revenue$252,869RevenueAmt
DescYOUR HEALTH IDAHO - IPCA IS A KEY PARTNER IN THE YOUR HEALTH IDAHO PROJECT TO PROVIDE AN ONLINE MARKETPLACE WHERE IDAHO FAMILIES AND SMALL BUSINESSES CAN COMPARE AND PURCHASE HEALTH INSURANCE. THROUGH THIS COLLABORATION, IPCA HELPS EDUCATE IDAHOANS ABOUT THEIR OPTIONS FOR PURCHASING HEALTH INSURANCE. IPCA SUPPORTED IDAHO HEALTH CENTERS IN PROVIDING ENROLLMENT ASSISTANCE TO COMMUNITY MEMBERS AND RAISING AWARENESS ABOUT THE IMPORTANCE OF HAVING HEALTH INSURANCE. THIS COLLABORATION RESULTED IN ONGOING TRAINING AND TECHNICAL ASSISTANCE TO HEALTH CENTER STAFF ON BEST PRACTICES FOR IDENTIFYING AND ENROLLING UNINSURED OR UNDERINSURED INDIVIDUALS INTO QUALIFIED HEALTH PLANS OR MEDICAID (INCLUDING THE CHILDREN'S HEALTH INSURANCE PROGRAM). IPCA PROVIDES MONTHLY WEBINARS WITH HEALTH CENTER STAFF AND THE OPPORTUNITY TO SHARE BEST PRACTICES AND ENGAGE IN PRESENTATIONS WITH LOCAL AND NATIONAL EXPERTS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtDescDescRevenueRevenueAmt
$136,660CAMBIA FOUNDATION - IPCA PARTNERS WITH THE CAMBIA FOUNDATION TO IMPROVE IDAHOAN'S ACCESS TO ORAL HEALTHCARE BY SUPPORTING THE INTEGRATION OF ORAL HEALTHCARE AND MEDICAL CARE AT COMMUNITY HEALTH CENTERS IN IDAHO. THIS COLLABORATION RESULTED IN THE LAUNCH OF A PILOT PROGRAM INVOLVING FOUR HEALTH CENTERS WITH DIVERSE GEOGRAPHIC PRESENCE AND PATIENT POPULATIONS. IPCA SUPPORTS THE COHORT THROUGH ONGOING TRAINING AND TECHNICAL ASSISTANCE AS WELL AS MONTHLY MEETINGS TO SHARE BEST PRACTICES AND FACILITATE PEER LEARNING. ALL IDAHO HEALTH CENTERS ARE BENEFITING FROM THIS COLLABORATION AND LESSONS LEARNED INFORM OTHER ORAL HEALTHCARE STAKEHOLDERS.
$102,386OTHER PROGRAMS THAT ICPA ADMINISTERS INCLUDE: STATE OF IDAHO COLORECTAL CANCER SCREENING REPORTING PROJECT AND DENTAQUEST ORAL HEALTH INNOVATION AND INTEGRATION PROJECT.$1,500
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$239,046TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$1,500TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,983,724TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related PersonYes (1)GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee18EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2083452335PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11087 W RIVER STREET NO 160AddressLine1Txt
CityBOISECityNm
State AbbreviationIDStateAbbreviationCd
ZIP83702ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
HEIDI HART
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
DR TED EPPERLY
VICE PRESIDENT2.00Yes (X)Yes (X)$0$0$0
MARY FERGUSON
SECRETARY/TREASURER2.00Yes (X)Yes (X)$0$0$0
VICTORIA MCCLELLAN KING
IMMEDIATE PAST PRESIDENT2.00Yes (X)$0$0$0
KIM SMITH
DIRECTOR2.00Yes (X)$0$0$0
HELO HANCOCK
DIRECTOR2.00Yes (X)$0$0$0
AARON WILSON
DIRECTOR2.00Yes (X)$0$0$0
ARNOLD CANTU
DIRECTOR2.00Yes (X)$0$0$0
AARON HOUSTON
DIRECTOR2.00Yes (X)$0$0$0
BRIAN HADLOCK
DIRECTOR2.00Yes (X)$0$0$0
MINDY STOSICH-BENEDETTI
DIRECTOR2.00Yes (X)$0$0$0
MIKE BAKER
DIRECTOR2.00Yes (X)$0$0$0
TIM HEINZE
DIRECTOR2.00Yes (X)$0$0$0
YVONNE KETCHUM-WARD
CEO50.00Yes (X)Yes (X)$131,653$0$15,265
FieldValueIRS element (for citing)
Total Reportable Comp From Org$131,653TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$15,265TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Membership Dues$76,866MembershipDuesAmt
Government Grants$1,685,326GovernmentGrantsAmt
All Other Contributions$47,949AllOtherContributionsAmt
Total Contributions$1,810,141TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
YOUR HEALTH IDAHO621990$254,369$254,369
TRAINING621990$84,221$84,221
FieldValueIRS element (for citing)
Total Program Service Revenue$338,590TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$595TotalRevenueColumnAmt
Exclusion$595ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,149,326TotalRevenueColumnAmt
Related Or Exempt Func Income$338,590RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$595ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$155,548TotalAmt
Program Services$152,733ProgramServicesAmt
Management And General$2,815ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$713,908TotalAmt
Program Services$703,976ProgramServicesAmt
Management And General$9,932ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$24,179TotalAmt
Program Services$24,179ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$113,272TotalAmt
Program Services$111,446ProgramServicesAmt
Management And General$1,826ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$61,880TotalAmt
Program Services$60,699ProgramServicesAmt
Management And General$1,181ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,150TotalAmt
Program Services$3,396ProgramServicesAmt
Management And General$754ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,950TotalAmt
Program Services$5,688ProgramServicesAmt
Management And General$1,262ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$69,436TotalAmt
Program Services$69,294ProgramServicesAmt
Management And General$142ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,638TotalAmt
Program Services$9,638ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$82,945TotalAmt
Program Services$82,841ProgramServicesAmt
Management And General$104ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$72,812TotalAmt
Program Services$70,300ProgramServicesAmt
Management And General$2,512ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$18,709TotalAmt
Program Services$18,686ProgramServicesAmt
Management And General$23ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,100TotalAmt
Program Services$2,100ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROGRAM EXPENSE$553,002$550,196$2,806
TRAINING$113,175$113,175
MISCELLANEOUS$6,208$5,091$1,117
EQUIPMENT$286$286

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,008,198TotalAmt
Program Services$1,983,724ProgramServicesAmt
Management And General$24,474ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$178,256BOYAmt
EOY$446,328EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$226,134BOYAmt
EOY$226,428EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$103,960BOYAmt
EOY$86,154EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$51,739BOYAmt
EOY$50,584EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,279BOYAmt
EOY$12,432EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$131,842LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$97,732LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$46,363BOYAmt
EOY$34,110EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$12,906BOYAmt
EOY$12,906EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$629,637BOYAmt
EOY$868,942EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$69,491BOYAmt
EOY$119,676EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$17,560BOYAmt
EOY$65,552EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$87,051BOYAmt
EOY$185,228EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$542,586BOYAmt
EOY$683,714EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$542,586BOYAmt
EOY$683,714EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$629,637BOYAmt
EOY$868,942EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$141,128ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)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$923,135CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,274,239CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,727,334CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,616,356CurrentTaxYearMinus1YearAmt
Current Tax Year$1,810,141CurrentTaxYearAmt
Total$7,351,205TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$923,135CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,274,239CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,727,334CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,616,356CurrentTaxYearMinus1YearAmt
Current Tax Year$1,810,141CurrentTaxYearAmt
Total$7,351,205TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$129,980SubstantialContributorsTotAmt
Public Support Total170$7,221,225PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$306CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$305CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$330CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$342CurrentTaxYearMinus1YearAmt
Current Tax Year$595CurrentTaxYearAmt
Total$1,878TotalAmt
FieldValueIRS element (for citing)
Total Support$7,353,083TotalSupportAmt
Gross Receipts Rltd Activities$1,408,285GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98210PublicSupportCY170Pct
Public Support PY1700.99980PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$18,921DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$18,921TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1(G), LOBBYING ACTIVITIES:FormAndLineReferenceDesc
ExplanationSERVE AS LIASON TO STATE AND FEDERAL AGENCIES AND REPRESENT THE INTERESTS OF THE COMMUNITY CENTERS TO THOSE AGENCIES AND THE FEDERAL AND STATE LEGISLATURE.ExplanationTxt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$131,842OtherCostOrOtherBasisAmt
Depreciation$97,732DepreciationAmt
Book Value$34,110BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$34,110TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,149,326TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$2,149,326RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,149,326TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,008,198TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,008,198ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,008,198TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationUNCERTAIN TAX POSITIONS THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THAT GUIDANCE, THE ASSOCIATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES FOR FISCAL YEARS 2017 OR 2016. THE ASSOCIATION FILES FORM 990 IN THE U.S. FEDERAL JURISDICTION. THE ASSOCIATION IS GENERALLY NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR YEARS BEFORE 2013.ExplanationTxt

Schedule L IRS990ScheduleL

Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp (3 entries)

Relationship With OrgRelationshipWithOrgTxtCash GrantCashGrantAmtType Of AssistanceTypeOfAssistanceTxtAssistance PurposeAssistancePurposeTxt
TERRY REILLY HEALTH SERVICES
CEO OF ENTITY IS A DIRECTOR$36,000CASH GRANTREIMBURSE FUNDS SPENT FOR PILOT PROGRAM AROUND DENTAL INTEGRATION
BENEWAH MEDICAL CENTER
CEO OF ENTITY IS A DIRECTOR$30,000CASH GRANTREIMBURSE FUNDS SPENT FOR PILOT PROGRAM AROUND DENTAL INTEGRATION
COMMUNITY HEALTH ASSOC - SPOKANE
CEO OF ENTITY IS A DIRECTOR$25,675CASH GRANTREIMBURSE FUNDS SPENT FOR PILOT PROGRAM AROUND DENTAL INTEGRATION

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IIIFormAndLineReferenceDesc
ExplanationAS PART OF THE CAMBIA GRANT, COMMUNITY HEALTH CENTERS (CHCS) SET UP PILOT PROGRAMS AROUND DENTAL INTEGRATION. THE ORGANIZATION REIMBURSED THE CHCS FOR THE COSTS TO SETUP THE PROGRAMS UNDER THE GRANT. THE CEOS OF THE CHCS ARE MEMBERS OF THE ORGANIZATION'S BOARD.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE GOVERNING BODY OF THE ORGANIZATION DELEGATES BROAD AUTHORITY TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE CONSISTS OF THE PRESIDENT, VICE-PRESIDENT, SECRETARY/TREASURER, AND ONE AT-LARGE MEMBER OF THE BOARD. EXECUTIVE COMMITTEE DECISIONS ARE SUBJECT TO RATIFICATION BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 6MEMBERS OF IDAHO PRIMARY CARE ASSOCIATION, INC. CONSIST OF COMMUNITY HEALTH CENTERS IN IDAHO. THE ORGANIZATION HAS THREE TYPES OF MEMBERSHIP, ORGANIZATIONAL MEMBERS, ASSOCIATE MEMBERS AND SUPPORTING MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ADIRECTORS OF THE ORGANIZATION ARE ELECTED AT THE ANNUAL MEMBERSHIP MEETING BY A 2/3 MAJORITY VOTE OF VOTING POWER PRESENT IN QUORUM. A MAJORITY OF THE VOTING MEMBERS SHALL CONSTITUTE A QUORUM AT ANY MEETING.
FORM 990, PART VI, SECTION B, LINE 11BTHE FINANCE ADMINISTRATOR AND CEO CONDUCT A REVIEW OF THE FORM 990 AND APPROVE IT FOR FILING. A COPY OF THE FILED RETURN IS MAINTAINED AT THE ORGANIZATION'S PLACE OF BUSINESS FOR REVIEW BY MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CTHE COMPLIANCE OFFICER CONDUCTS AN ANNUAL REVIEW TO DETERMINE THAT CONFLICT OF INTEREST POLICIES ARE CURRENT AND INQUIRES IF ANY REPORTABLE EVENTS OCCURRED DURING THE YEAR.
FORM 990, PART VI, SECTION B, LINE 15ATHE CEO'S SALARY AND PERFORMANCE IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. CHANGES IN COMPENSATION ARE APPROVED BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FILED TAX RETURNS AND AUDITED FINANCIAL STATEMENTS ARE MAINTAINED AT THE ORGANIZATION'S PLACE OF BUSINESS AND ARE AVAILABLE FOR PUBLIC VIEWING DURING NORMAL OFFICE HOURS UPON REQUEST.
FORM 990, PART XII, LINE 2C:NO CHANGE IN THE OVERSIGHT PROCESS OR SELECTION PROCESS FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CENTER NETWORK OF IDAHO LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11087 W RIVER STREET SUITE 160AddressLine1Txt
CityBOISECityNm
State AbbreviationIDStateAbbreviationCd
ZIP83702ZIPCd
FieldValueIRS element (for citing)
EIN460729951EIN
Primary ActivitiesADMINISTRATIVE SERVICESPrimaryActivitiesTxt
Legal Domicile StateIDLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income-$1,918ShareOfTotalIncomeAmt
Share Of EOY Assets$7,696ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.07140OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CENTER NETWORK OF IDAHO LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeLTransactionTypeTxt
Involved$36,000InvolvedAmt
Method Of Amount DeterminationCONTRACTMethodOfAmountDeterminationTxt

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