NEBRASKA URBAN INDIAN HEALTH COALITION INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- NEBRASKA URBAN INDIAN HEALTH COALITION INC (EIN 47-0697260)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-12-14
- IRS object ID
- 201733489349300123
- Schema version
- 2015v3.0
- 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 | 2017-12-14T10:48:01-06:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 460393458 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WOHLENBERG RITZMAN & CO LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1018 | AddressLine1Txt |
| City | YANKTON | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57078 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470697260 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEBRASKA URBAN INDIAN HEALTH | BusinessNameLine1Txt |
| Business Name Line2 | COALITION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NEBR | BusinessNameControlTxt |
| Phone | 4023640902 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2240 LANDON COURT | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68102 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELLEN ROGERS | PersonNm |
| Person Title | CONTROLLER | PersonTitleTxt |
| Phone | 4023640902 | PhoneNum |
| Signature | 2017-12-10 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KATHLEEN DOYLE | PreparerPersonNm |
| PTIN | P01322431 | PTIN |
| Phone | 6056654401 | PhoneNum |
| Preparation | 2017-12-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DONNA L POLK | PrincipalOfficerNm |
| Gross Receipts | $3,084,117 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NUIHC.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1986 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | THE COALITION PROVIDES PROGRAMS FOR THE BENEFIT OF NATIVE AMERICANS AND OTHERS IN NEED OF MEDICAL ASSISTANCE | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 50 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,427,752 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,153,900 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $621,865 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $921,386 | CYProgramServiceRevenueAmt |
| PY Investment Income | $230 | PYInvestmentIncomeAmt |
| CY Investment Income | $331 | CYInvestmentIncomeAmt |
| CY Other Revenue | $8,500 | CYOtherRevenueAmt |
| PY Total Revenue | $3,049,847 | PYTotalRevenueAmt |
| CY Total Revenue | $3,084,117 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,043,210 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,128,615 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $42,357 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,176,318 | PYOtherExpensesAmt |
| CY Other Expenses | $970,728 | CYOtherExpensesAmt |
| PY Total Expenses | $3,219,528 | PYTotalExpensesAmt |
| CY Total Expenses | $3,099,343 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$169,681 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$15,226 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,433,741 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,345,512 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $535,601 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $462,598 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $898,140 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $882,914 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE COALITION PROVIDES PROGRAMS FOR THE BENEFIT OF NATIVE AMERICANS AND OTHERS IN NEED OF MEDICAL ASSISTANCE | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $156,496 | ExpenseAmt |
| Desc | INTERTRIBAL-INPATIENT SUBSTANCE ABUSE TREATMENT PROGRAM. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $450,830 | ExpenseAmt |
| Revenue | $4,203 | RevenueAmt |
| Desc | CLINIC-AMBULATORY MEDICAL CARE SERVICES PROVIDED BY AN MD AND MID-LEVEL PRACTITIONERS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $441,644 | ExpenseAmt |
| Revenue | $27,062 | RevenueAmt |
| Desc | URBAN-FEDERAL FUNDS PRIMARILY USED TO SUBSIDIZE THE MEDICAL CLINIC. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,595,479 | ExpenseAmt |
| Revenue | $890,121 | RevenueAmt |
| Desc | OTHER SERVICES INCLUDING DIABETES EDUCATIONAL AND PREVENTATIVE PROGRAMS TO TREAT DIABETIC PATIENTS AT THE CLINIC AND COMMUNITY OUTREACH TO RAISE AWARENESS ABOUT SUICIDE AMONG NATIVE AMERICAN YOUTH. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,595,479 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $890,121 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $2,644,449 | 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 | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | 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 | 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 | 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 | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 50 | EmployeeCnt |
| Employment Tax Returns Filed | false | 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 |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ORGANIZATION | PersonNm |
| Phone | 4023640902 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2240 LANDON COURT | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68102 | 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JAMES BOLLINGER | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RENEE GELLER | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TRACY HARTMAN-BRADLEY | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LANCE MORGAN | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PATRIK JOHANSSON MD | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JUNE NOONAN BEAR | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| FRED LAMERE | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DONNA L POLK | |||||||
| CEO | 40.00 | Yes (X) | $116,268 | $0 | $14,300 | ||
| DEBORAH CASS | |||||||
| CFO | 40.00 | Yes (X) | $19,792 | $0 | $0 | ||
| ELLEN ROGERS | |||||||
| CONTROLLER | Yes (X) | $0 | $0 | $0 | |||
| DR LINDA GARCIA-DORTA | |||||||
| MEDICAL DIRE | 40.00 | $161,617 | $0 | $8,000 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $297,677 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $22,300 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CUSTOM COMPUTING | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11135 MILL VALLEY RD | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68184 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | BILLING | ServicesDesc |
| Compensation | $141,805 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $24,650 | FederatedCampaignsAmt |
| Government Grants | $1,867,708 | GovernmentGrantsAmt |
| All Other Contributions | $261,542 | AllOtherContributionsAmt |
| Total Contributions | $2,153,900 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621400 | $539,440 | $539,440 |
| SERVICES | 621400 | $133,726 | $133,726 |
| REIMBURSED EXPENSES | 621400 | $100,550 | $100,550 |
| OUTPATIENT | 621400 | $68,545 | $68,545 |
| ATR CONTRACT REVENUE | 621400 | $58,984 | $58,984 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,141 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,141 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $921,386 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $331 | TotalRevenueColumnAmt |
| Exclusion | $331 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $8,500 | FundraisingGrossIncomeAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,500 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,084,117 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $921,386 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $331 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,604 | TotalAmt |
| Management And General | $161,866 | ManagementAndGeneralAmt |
| Fundraising | $8,738 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,449,761 | TotalAmt |
| Program Services | $1,358,276 | ProgramServicesAmt |
| Management And General | $67,875 | ManagementAndGeneralAmt |
| Fundraising | $23,610 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,816 | TotalAmt |
| Program Services | $14,063 | ProgramServicesAmt |
| Management And General | $12,753 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,591 | TotalAmt |
| Program Services | $175,817 | ProgramServicesAmt |
| Management And General | $33,112 | ManagementAndGeneralAmt |
| Fundraising | $4,662 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $267,843 | TotalAmt |
| Program Services | $224,521 | ProgramServicesAmt |
| Management And General | $37,975 | ManagementAndGeneralAmt |
| Fundraising | $5,347 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,075 | TotalAmt |
| Program Services | $51,075 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,082 | TotalAmt |
| Program Services | $167,082 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,016 | TotalAmt |
| Program Services | $8,016 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,342 | TotalAmt |
| Program Services | $102,854 | ProgramServicesAmt |
| Management And General | $4,488 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $335,668 | TotalAmt |
| Program Services | $281,839 | ProgramServicesAmt |
| Management And General | $53,829 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,757 | TotalAmt |
| Program Services | $46,184 | ProgramServicesAmt |
| Management And General | $8,573 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,395 | TotalAmt |
| Program Services | $2,395 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,167 | TotalAmt |
| Program Services | $49,442 | ProgramServicesAmt |
| Management And General | $8,725 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,621 | TotalAmt |
| Program Services | $30,621 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SUPPLIES | Desc |
| Total | $155,605 | TotalAmt |
| Program Services | $132,264 | ProgramServicesAmt |
| Management And General | $23,341 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,099,343 | TotalAmt |
| Program Services | $2,644,449 | ProgramServicesAmt |
| Management And General | $412,537 | ManagementAndGeneralAmt |
| Fundraising | $42,357 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $612,605 | BOYAmt |
| EOY | $303,390 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $221,311 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,959 | BOYAmt |
| EOY | $100,026 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,186 | BOYAmt |
| EOY | $66,402 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $37,917 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,619 | BOYAmt |
| EOY | $12,974 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,105,116 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $501,624 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $633,372 | BOYAmt |
| EOY | $603,492 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,433,741 | BOYAmt |
| EOY | $1,345,512 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $319,259 | BOYAmt |
| EOY | $260,350 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $216,342 | BOYAmt |
| EOY | $202,248 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $535,601 | BOYAmt |
| EOY | $462,598 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $886,908 | BOYAmt |
| EOY | $747,661 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,232 | BOYAmt |
| EOY | $135,253 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $898,140 | BOYAmt |
| EOY | $882,914 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,433,741 | BOYAmt |
| EOY | $1,345,512 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$15,226 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,960,371 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,880,736 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,154,205 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,427,752 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,153,900 | CurrentTaxYearAmt |
| Total | $10,576,964 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $929,886 | CurrentTaxYearAmt |
| Total | $929,886 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,788 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,002 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,936 | CurrentTaxYearMinus2YearsAmt |
| Total | $33,726 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,974,159 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,892,738 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,162,141 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,427,752 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,083,786 | CurrentTaxYearAmt |
| Total | $11,540,576 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $11,540,576 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,434 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,646 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $943 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $230 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $331 | CurrentTaxYearAmt |
| Total | $9,584 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,434 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,646 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $943 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $230 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $331 | CurrentTaxYearAmt |
| Total | $9,584 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,978,593 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,896,384 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,163,084 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,427,982 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,084,117 | CurrentTaxYearAmt |
| Total | $11,550,160 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99920 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99930 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 | $31,000 | OtherCostOrOtherBasisAmt |
| Book Value | $31,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $354,873 | OtherCostOrOtherBasisAmt |
| Depreciation | $56,166 | DepreciationAmt |
| Book Value | $298,707 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $232,529 | OtherCostOrOtherBasisAmt |
| Depreciation | $61,849 | DepreciationAmt |
| Book Value | $170,680 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $360,151 | OtherCostOrOtherBasisAmt |
| Depreciation | $286,043 | DepreciationAmt |
| Book Value | $74,108 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $126,563 | OtherCostOrOtherBasisAmt |
| Depreciation | $97,566 | DepreciationAmt |
| Book Value | $28,997 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $603,492 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $3,084,117 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $3,084,117 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $3,084,117 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,099,343 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $3,099,343 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $3,099,343 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE COALITION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501 (A) OF THE CODE. THE COALITION ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 740, INCOME TAXES. THE COALITION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT SEPTEMBER 30, 2016, THE COALITION HAD NO UNCERTAIN TAX POSITIONS ACCRUED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR LINDA GARCIA-DORTA | PersonNm |
| Title | MEDICAL DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $161,617 | BaseCompensationFilingOrgAmt |
| Nontaxable Benefits Filing Org | $8,000 | NontaxableBenefitsFilingOrgAmt |
| Total Compensation Filing Org | $169,617 | TotalCompensationFilingOrgAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1, PART I, LINE 6 | ONE VOLUNTEER PROVIDES COUNSELING SERVICES BOARD SERVES WITHOUT COMPENSATION |
| FORM 990, PAGE 2, PART III, LINE 4D | OTHER SERVICES INCLUDING DIABETES EDUCATIONAL AND PREVENTATIVE PROGRAMS TO TREAT DIABETIC PATIENTS AT THE CLINIC AND COMMUNITY OUTREACH TO RAISE AWARENESS ABOUT SUICIDE AMONG NATIVE AMERICAN YOUTH. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE FORM 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS. THE CEO AND CFO REVIEW THE FORM 990 AND RELATED SCHEDULES. ANY CHANGES ARE DISCUSSED WITH THE TAX PREPARER. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | WITH THE BOARD'S APPROVAL, NUIHC USES THREE SURVEYS TO DETERMINE APPROPRIATE SALARY LEVELS FOR THE CEO: NONPROFIT ASSOCIATION OF THE MIDLANDS, COLORADO NONPROFIT ASSOCIATION, AND PROVIDER SERVICES ASSOCIATION. THIS REVIEW IS COMPLETED ANNUALLY AT THE BEGINNING OF THE FISCAL YEAR. |
| FORM 990, PAGE 6, PART VI, LINE 15B | WITH THE BOARD'S APPROVAL, NUIHC USES THREE SURVEYS TO DETERMINE APPROPRIATE SALARY LEVELS FOR KEY EMPLOYEES: NONPROFIT ASSOCIATION OF THE MIDLANDS, COLORADO NONPROFIT ASSOCIATION, AND PROVIDER SERVICES ASSOCIATION. THIS REVIEW IS COMPLETED ANNUALLY AT THE BEGINNING OF THE FISCAL YEAR. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABE TO THE PUBLIC ON REQUEST. |
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