2017-08-15T14:30:04-06:00 2017-01-31 203147422 BRIAN L RICHINS PC 131 N WHITLEY DR FRUITLAND ID 836192430 990 2016-02-01 820371383 VALLEY FAMILY HEALTH CARE INC VALL 2086429376 1441 NE 10TH AVE PAYETTE ID 83661 DON NELSON CFO 2086429314 2017-06-12 true BRIAN L RICHINS P00545131 2084525625 2017-06-30 1583E04BB3EFF56ABAF5B4B7694F5BAB1370B795 1583E04BB3EFF56ABAF5B4B7694F5BAB1370B795 2016 2021-01-29 14:40:06Z DON NELSON 12028086 false X N/A X ID COMMUNITY HEALTH SERVICES 10 10 158 0 4161294 4774458 5803033 7248610 4596 5018 0 9968923 12028086 0 0 6668662 7107667 0 0 2138392 3669142 8807054 10776809 1161869 1251277 9270611 11706585 547516 791936 8723095 10914649 X COMMUNITY HEALTH SERVICES false false HEALTH CARE FOR MIGRANT WORKERS AND LOW INCOME PERSONS. ALSO, MENTAL HEALTH AND NUTRITION COUNSELING. 9368063 7248610 HEALTH CARE FOR MIGRANT WORKERS 9368063 7248610 9368063 true false false false false false false false false false true false false false false false false false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 22 0 false 158 true false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true false false OR X RIGMOR WILSON 2086429376 1441 NE 10TH AVE PAYETTE ID 83661 HENRY HIXSON PRESIDENT 1.00 X X 0 0 0 CAROL PERALTA VICE PRESIDE 1.00 X X 0 0 0 CARLOS HERNANDEZ SECRETARY 1.00 X X 0 0 0 ROBERT BAROWSKY TREASURER 1.00 X X 0 0 0 BONNIE BRASSEUR DIRECTOR 1.00 X 0 0 0 ANDY CREECH DIRECTOR 1.00 X 0 0 0 JONI DELGADO DIRECTOR 1.00 X 0 0 0 TED PETTET DIRECTOR 1.00 X 0 0 0 KAREN SANDS DIRECTOR 1.00 X 0 0 0 KERRI WENGER DIRECTOR 1.00 X 0 0 0 DON NELSON CFO 40.00 X 98535 0 3941 ROBIN SEBASTION DOCTOR 40.00 X 205646 0 2056 SHARMEEN NELSON DOCTOR 40.00 X 184553 0 7382 SHANNON SCHANTZ DOCTOR 40.00 X 179766 0 7191 PAUL CONCIDINE DOCTOR 40.00 X 153706 0 6148 ROBERT DAVIS DOCTOR 40.00 X 146072 0 5843 TIMOTHY HEINZE CEO 40.00 X 125165 0 1785 1093443 34346 6 true true false 4774458 4774458 430B PROGRAM INCOME 1059337 1059337 MEDICAID - IDAHO 1004832 1004832 MEDICARE 812761 812761 MEDICAID - OREGON 751602 751602 PRIVATE INSURANCE 738769 738769 2881309 2881309 7248610 5018 5018 12028086 7253628 X 5967429 5011405 956024 1140238 939543 200695 48251 17714 30537 CONSTRUCTION 693510 693510 340B PROGRAM 578472 578472 CAPITAL OUTLAY 517435 517435 340B CONSULTING FEES 260673 260673 1570801 1349311 221490 10776809 9368063 1408746 0 1159745 1895954 2306439 2937319 150492 816893 1096293 250 593 9398270 3622055 4835937 5776215 855 211 9270611 11706585 547516 791936 547516 791936 X 8723095 10914649 8723095 10914649 9270611 11706585 1251277 940277 X false false X 3166039 3383238 3502938 4161294 4774458 18987967 3166039 3383238 3502938 4161294 4774458 18987967 18987967 3025 2796 2627 8448 18996415 7253628 0.99960 0.99950 X 90720 90720 9307550 3622055 5685495 5776215 false false false false false false false false false ROBIN SEBASTION DOCTOR 205646 2056 207702 SHARMEEN NELSON DOCTOR 184553 7382 191935 SHANNON SCHANTZ DOCTOR 179766 7191 186957 PAUL CONCIDINE DOCTOR 153706 6148 159854 ROBERT DAVIS DOCTOR 146072 5843 151915 TIMOTHY HEINZE CEO 125165 1785 126950 FORM 990, PAGE 2, PART III, LINE 4D HEALTH CARE FOR MIGRANT WORKERS FORM 990, PAGE 6, PART VI, LINE 11B PROVIDE COPY TO ORGANIZATION FOR BOARD MEMBERS TO REVIEW. FORM 990, PAGE 6, PART VI, LINE 12C POLICY OF ORGANIZATION IS TO REVIEW COMPLIANCE WITH NEW DIRECTORS, OFFICERS, AND KEY EMPLOYEES. FORM 990, PAGE 6, PART VI, LINE 15A BOARD OF DIRECTORS PERFORM EVALUATIONS AND DETERMINE COMPENSATION. FORM 990, PAGE 6, PART VI, LINE 19 COPIES AVAILABLE FOR PUBLIC AND PAYETTE, ID ADMINISTRITIVE OFFICES. FORM 990, PART IX, LINE 24E SUPPLIES 100,088 0 0 COMPUTER FEES 66,704 4,830 0 PATIENT STATEMENT FEES 57,921 0 0 SUPPLIES - MEDICAL 57,372 0 0 INJECTIBLES - MEDICAL 47,963 0 0 TELEPHONE - FACILITY 47,133 0 0 SUPPLIES - LAB 46,503 0 0 EQUIPMENT - FEDERAL FUNDS 44,255 0 0 OFFICE PRODUCTS 44,114 0 0 UTILITIES 29,183 10,223 0 TELEPHONE 24,113 13,531 0 AUDIT - ADMIN 0 37,564 0 MAINT/REPAIRS - FACILITY 33,486 0 0 INJECTIBLES - VALE 31,562 0 0 OFFICE SUPPLIES - ADMIN 0 30,026 0 FACILITY REPAIRS/MAINT - 29,486 0 0 PROFESSIONAL DUES/FEES/SU 28,432 0 0 UTILITIES - FACILITY 26,652 0 0 MAINTENANCE AGREEMENTS - 24,325 0 0 COMPUTER/IT SUPPORT 17,752 5,759 0 340B PROCESSING COSTS 23,165 0 0 UTILITIES - FACILITIY 21,958 0 0 LEGAL FEES 0 20,000 0 SUPPLIES - INJECTABLES 19,234 0 0 INSURANCE - FACILITY 19,032 0 0 PAYROLL PROCESSING FEES 0 18,919 0 MAINT/REPAIR - ADMIN FAC 0 18,715 0 CONTRACT MEDICAL 18,534 0 0 MEDICAL SUPPLIES - VALE 17,767 0 0 FACILITY - REPAIRS AND MA 17,427 0 0 CME 15,935 0 0 TELEPHONE - TOTAL 15,612 0 0 MAINTENANCE/REPAIRS - FAC 14,951 0 0 OFFICE PRODUCTS - VALE 14,399 0 0 OFFICE SUPPLIES 14,268 0 0 PRINTING/COPYING - MEDICA 14,069 0 0 ORGANIZATIONAL DUES 0 13,342 0 BANK FEES 13,189 55 0 SUPPLIES - FACILITY 12,823 0 0 OFFICE PRODUCTS - TOTAL 12,750 0 0 EQUIPMENT - MEDICAL 12,681 0 0 TELEPHONE - NYSSA 12,359 0 0 UTILITIES - VALE 11,245 0 0 OTHER - COMMUNITY SERVICE 11,046 0 0 UTILITIES - TOTAL 10,903 0 0 LAB EXPENSES - DENTAL 10,669 0 0 EQUIPMENT 10,639 0 0 TELEPHONE - VALE 10,498 0 0 LAB SUPPLIES - VALE 10,165 0 0 UTILITIES - NYSSA 10,029 0 0 MAINTENANCE & REPAIRS 9,958 0 0 POSTAGE 7,035 2,215 0 INJECTIBLES - NYSSA 9,165 0 0 NON CONSUMABLE OFFICE SUP 8,688 0 0 COMPUTER FEES - DENTAL 8,685 0 0 INJECTIBLES 8,107 0 0 MOVING EXPENSES 8,000 0 0 COMMUNITY SERVICE PROMOTI 7,043 0 0 MEDICAL SUPPLIES - NYSSA 6,972 0 0 CME - MEDICAL 6,804 0 0 INS/BOARD BONDING 0 6,616 0 R & R - OTHER 0 6,475 0 UTILITIES - DENTAL FACILI 6,384 0 0 LAB 6,348 0 0 LAB SUPPLIES - NYSSA 6,239 0 0 MAINT/REPAIR - DENTAL FAC 6,195 0 0 CLEANING COSTS - ADMIN 0 6,000 0 CONTINUING EDUCATION - VA 6,000 0 0 OFFICE PRODUCTS - NYSSA 5,909 0 0 CONFERENCES/WORKSHOPS 0 5,643 0 TELEPHONE - DENTAL FACILI 5,415 0 0 FACILITY INSURANCE - ADMI 0 5,242 0 PROFESSIONAL FEES/DUES/SU 5,099 0 0 MAINT/REPAIR - FACILITY 4,945 0 0 CONTINUING MEDICAL EDUCAT 4,685 0 0 JOB ANNOUNCEMENTS 2,658 1,915 0 EQUIPMENT - ADMINISTRATIO 4,482 0 0 SUPPLIES - COMMUNITY SERV 4,444 0 0 DUES/FEES/SUBSCRIPTIONS 4,382 0 0 EQUIPMENT - ADMIN 4,359 0 0 CONTINUING EDUCATION - NY 4,277 0 0 PRINT/COPYING - ADMIN 0 3,618 0 AUTO MAINT. ADMIN 0 3,038 0 OFFICE SUPPLIES - DENTAL 3,006 0 0 FAC SUPPLIES - ADMIN 0 2,689 0 PROF DUES/SUBSCRIPTIONS 2,681 0 0 INSURANCE-DENTAL ACTIVITY 2,676 0 0 INSURANCE FACILITY - VALE 2,630 0 0 MEDICAL - PRINTING/COPYIN 2,319 0 0 FACILITY SUPPLIES - VALE 2,225 0 0 FACILITY SUPPLIES - NYSSA 2,191 0 0 CONFERENCE/WORKSHOPS 2,184 0 0 OTHER - ADMIN 0 2,173 0 PRINTING & COPYING 2,102 0 0 FACILITY SUPPLIES 1,999 0 0 INSURANCE FACILITY - NYSS 1,919 0 0 CONTRACT - DENTAL 1,838 0 0 ANSWERING SERVICE 1,636 0 0 POSTAGE - VALE 1,632 0 0 DUES/FEES/SUB - DENTAL 1,613 0 0 CONFERENCE WORKSHOPS 1,594 0 0 EQUIPMENT - ADMIN - VALE 1,494 0 0 EQUIP - ADMIN 0 1,494 0 POSTAGE - NYSSA 1,440 0 0 R & R 1,429 0 0 EQUIPMENT - ADMIN - NYSSA 1,359 0 0 R AND R 1,287 0 0 BANK S/C 1,265 0 0 COMMUNITY SERVICE 1,149 0 0 SUPPLIES - DENTAL FACILIT 1,147 0 0 FACILITY EQUIPMENT 1,100 0 0 MAINT AGREE - ADMIN 0 1,088 0 POSTAGE - TOTAL 928 0 0 PRINTING/COPYING 858 0 0 MAINTENANCE AGREE - ADMIN 751 0 0 CONTRACT - MEDICAL 691 0 0 MAINTENANCE CONTRACTS 674 0 0 AUTO MAINT/REPAIRS/INS 661 0 0 REFFERRALS - LAB 600 0 0 PRINTING/COPYING - DENTAL 476 0 0 ANSWERING SERVICE - VALE 409 0 0 ANSWERING SERVICE - NYSSA 409 0 0 MAINTENANCE CONTRACT 337 0 0 CONTRACT-MEDICAL-NYSSA 322 0 0 COMMUNITY PROMOTIONS 0 320 0 R & R - ALL 302 0 0 REFERRALS - LAB 246 0 0 REFERRALS - XRAY - VALE 217 0 0 JOB ANNOUCEMENTS 205 0 0 PRINTING/COPYING - OUTREA 165 0 0 OTHER - DENTAL 140 0 0 MAINTENANCE AGREEMENT - M 120 0 0 OTHER - LAB 113 0 0 OTHER - MEDICAL 92 0 0 REFERRAL/CONTRACT - DENTA 73 0 0 TAXES - PROPERTY 72 0 0 SUPPLIES - OUTREACH 38 0 0 INSURANCE/STAFF BONDING - -172 0 0 TOTAL 1,349,311 221,490 0 FORM 990, PART XI, LINE 9 CHANGE IN FIXED ASSETS 940,280 ROUNDING -3 TOTAL 940,277