UTAH NAVAJO HEALTH SYSTEM INCORPORATED: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- UTAH NAVAJO HEALTH SYSTEM INCORPORATED (EIN 87-0560763)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-08
- IRS object ID
- 201731289349301698
- 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 | 2017-05-08T13:49:29-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7601 FRANCE AVENUE SOUTH SUITE 400 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55435 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 870560763 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UTAH NAVAJO HEALTH SYSTEM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UTAH | BusinessNameControlTxt |
| Phone | 4356513291 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 130 | AddressLine1Txt |
| City | MONTEZUMA CREEK | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84534 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM HARRISON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4356513291 | PhoneNum |
| Signature | 2017-05-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TIM A RITTER CPA | PreparerPersonNm |
| PTIN | P00732856 | PTIN |
| Phone | 9525483400 | PhoneNum |
| Preparation | 2017-05-02 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL JENSEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 130 | AddressLine1Txt |
| City | MONTEZUMA CREEK | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $40,603,214 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UNHSINC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | UT | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE QUALITY OF LIFE THROUGH COMPREHENSIVE, SELF-EMPOWERED, CULTURALLY-SENSITIVE HEALTHCARE AND AMAZING CUSTOMER SERVICE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 297 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $17,889,231 | PYContributionsGrantsAmt |
| CY Contributions Grants | $18,003,990 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,554,287 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,170,607 | CYProgramServiceRevenueAmt |
| PY Investment Income | $37,702 | PYInvestmentIncomeAmt |
| CY Investment Income | $58,063 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $294,296 | CYOtherRevenueAmt |
| PY Total Revenue | $37,481,220 | PYTotalRevenueAmt |
| CY Total Revenue | $40,526,956 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $17,445 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $18,515,476 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,408,996 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $119,994 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,923,165 | PYOtherExpensesAmt |
| CY Other Expenses | $12,998,199 | CYOtherExpensesAmt |
| PY Total Expenses | $30,438,641 | PYTotalExpensesAmt |
| CY Total Expenses | $33,424,640 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,042,579 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,102,316 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $39,829,206 | TotalAssetsBOYAmt |
| Total Assets EOY | $46,393,760 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,300,923 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,881,570 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $34,528,283 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $41,512,190 | NetAssetsOrFundBalancesEOYAmt |
| Mission | WE EXIST TO IMPROVE QUALITY OF LIFE THROUGH COMPREHENSIVE, SELF-EMPOWERED, CULTURALLY-SENSITIVE HEALTHCARE AND AMAZING CUSTOMER SERVICE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $23,709,819 | ExpenseAmt |
| Grant | $17,445 | GrantAmt |
| Revenue | $22,170,607 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE ON A SLIDING FEE SCALE FOR PATIENTS. A SLIDING SCALE IS IN PLACE TO ADDRESS THE NEEDS OF THE UNINSURED AND UNDERINSURED, PROVIDING REDUCED COSTS ON ALL MEDICAL SERVICES FOR THOSE WHO QUALIFY. QUALIFYING FOR THE PROGRAM IS BASED UPON ANNUAL HOUSEHOLD INCOME. MEDICAL ENCOUNTERS CAN BE SCALED DOWN TO AS LOW AS $15. | Desc |
| Total Program Service Expenses | $23,709,819 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 200 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 297 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | UT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM HARRISON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4356513291 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 130 | AddressLine1Txt |
| City | MONTEZUMA CREEK | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84534 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| CASSANDRA BELETSO | |||||||
| DIRECTOR | 1.00 | Yes (X) | $4,756 | $0 | $0 | ||
| LORISSA JACKSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $9,620 | $0 | $0 | ||
| HARRIETT LANSING | |||||||
| DIRECTOR | 1.00 | Yes (X) | $6,395 | $0 | $0 | ||
| KENNETH MILES | |||||||
| DIRECTOR | 1.00 | Yes (X) | $4,800 | $0 | $0 | ||
| EDWARD TAPAHA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $4,950 | $0 | $0 | ||
| ROBERT WHITEHORSE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $8,543 | $0 | $0 | ||
| JAMIE HARVEY | |||||||
| CHAIR | 1.00 | Yes (X) | $4,800 | $0 | $0 | Yes (X) | |
| MELINDA FARLEY | |||||||
| VICE CHAIR | 1.00 | Yes (X) | $5,100 | $0 | $0 | Yes (X) | |
| GLORIA BEGAYE | |||||||
| SECRETARY | 1.00 | Yes (X) | $6,300 | $0 | $0 | Yes (X) | |
| WILFRED JONES | |||||||
| TREASURER | 1.00 | Yes (X) | $6,839 | $0 | $0 | Yes (X) | |
| MICHAEL JENSEN | |||||||
| CHIEF EXECUTIVE OFFICER | 50.00 | $213,961 | $0 | $21,821 | Yes (X) | ||
| WILLIAM HARRISON | |||||||
| CHIEF FINANCIAL OFFICER | 50.00 | $118,505 | $0 | $7,667 | Yes (X) | ||
| JAMES W BONDS | |||||||
| DOCTOR | 40.00 | $368,652 | $0 | $14,864 | Yes (X) | ||
| MAHANA FISHER | |||||||
| DOCTOR | 40.00 | $432,876 | $0 | $14,564 | Yes (X) | ||
| L VAL JONES | |||||||
| DOCTOR | 40.00 | $506,184 | $0 | $21,821 | Yes (X) | ||
| CASEY MCCULLOUGH | |||||||
| DOCTOR | 40.00 | $332,697 | $0 | $21,821 | Yes (X) | ||
| BRIAN F OLSEN | |||||||
| DENTIST | 40.00 | $211,823 | $0 | $21,821 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,246,801 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $124,379 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PRECISION REHABILITATION INC | |||||
| PO BOX 745 | BLANDING | UT | 84511 | PHYSICAL THERAPY | $435,737 |
| UNIVERSITY OF UTAH HOSPITALS AND CLINICS | |||||
| PO BOX 511258 | LOS ANGELES | CA | 90051 | MEDICAL SERVICES | $417,712 |
| SAN JUAN REGIONAL MEDICAL CENTER | |||||
| 801 W MAPLE ST | FARMINGTON | NM | 87401 | MEDICAL SERVICES | $290,689 |
| SOUTHWEST MEMORIAL HOSPITAL | |||||
| 1311 N MILDRED RD | CORTEZ | CO | 81321 | MEDICAL SERVICES | $260,023 |
| CEDAR DIAGNOSTICS LLC | |||||
| PO BOX 876 | CORTEZ | CO | 81321 | LABORATORY SERVICES | $219,320 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $18,003,990 | GovernmentGrantsAmt |
| Total Contributions | $18,003,990 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT FEES FOR SERVICE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $22,170,607 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,170,607 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,170,607 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $103,444 | TotalRevenueColumnAmt |
| Exclusion | $103,444 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $30,877 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $23,689 | SecuritiesAmt |
| Other | $52,569 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,188 | SecuritiesAmt |
| Other | -$52,569 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$45,381 | TotalRevenueColumnAmt |
| Exclusion | -$45,381 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LITIGATION SETTLMENT | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $230,830 | TotalRevenueColumnAmt |
| Exclusion | $230,830 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $63,466 | TotalRevenueColumnAmt |
| Exclusion | $63,466 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $294,296 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40,526,956 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,170,607 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $352,359 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,445 | TotalAmt |
| Program Services | $17,445 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $393,296 | TotalAmt |
| Management And General | $393,296 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,407,427 | TotalAmt |
| Program Services | $9,971,359 | ProgramServicesAmt |
| Management And General | $3,329,663 | ManagementAndGeneralAmt |
| Fundraising | $106,405 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $645,539 | TotalAmt |
| Program Services | $382,677 | ProgramServicesAmt |
| Management And General | $257,638 | ManagementAndGeneralAmt |
| Fundraising | $5,224 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,915,265 | TotalAmt |
| Program Services | $2,899,228 | ProgramServicesAmt |
| Management And General | $2,016,028 | ManagementAndGeneralAmt |
| Fundraising | $9 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,047,469 | TotalAmt |
| Program Services | $757,789 | ProgramServicesAmt |
| Management And General | $281,324 | ManagementAndGeneralAmt |
| Fundraising | $8,356 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,456 | TotalAmt |
| Management And General | $42,456 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,033 | TotalAmt |
| Management And General | $67,033 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,701 | TotalAmt |
| Program Services | $38,701 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,298,677 | TotalAmt |
| Program Services | $3,903,540 | ProgramServicesAmt |
| Management And General | $395,137 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,506 | TotalAmt |
| Program Services | $32,506 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $340,704 | TotalAmt |
| Program Services | $108,639 | ProgramServicesAmt |
| Management And General | $232,065 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $563,312 | TotalAmt |
| Program Services | $438,618 | ProgramServicesAmt |
| Management And General | $124,694 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $427,210 | TotalAmt |
| Management And General | $427,210 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $665,284 | TotalAmt |
| Program Services | $408,778 | ProgramServicesAmt |
| Management And General | $256,506 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,196 | TotalAmt |
| Program Services | $179,196 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166 | TotalAmt |
| Program Services | $166 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,111,173 | TotalAmt |
| Program Services | $709,484 | ProgramServicesAmt |
| Management And General | $401,689 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,291 | TotalAmt |
| Program Services | $121,385 | ProgramServicesAmt |
| Management And General | $134,906 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES - MEDICAL & DE | $3,260,434 | $2,983,370 | $277,064 |
| EQUIPMENT | $838,604 | $146,967 | $691,637 |
| PROVISION FOR DOUBTFUL | $366,269 | $366,269 | |
| REPAIR AND MAINTENANCE | $205,011 | $127,524 | $77,487 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305,172 | TotalAmt |
| Program Services | $116,178 | ProgramServicesAmt |
| Management And General | $188,994 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,424,640 | TotalAmt |
| Program Services | $23,709,819 | ProgramServicesAmt |
| Management And General | $9,594,827 | ManagementAndGeneralAmt |
| Fundraising | $119,994 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,025,598 | BOYAmt |
| EOY | $4,498,678 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,268,542 | BOYAmt |
| EOY | $24,529,750 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,493 | BOYAmt |
| EOY | $379,643 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,308,388 | BOYAmt |
| EOY | $1,717,793 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,717,136 | BOYAmt |
| EOY | $3,717,136 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,994 | BOYAmt |
| EOY | $58,213 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,604,166 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,686,510 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,794,282 | BOYAmt |
| EOY | $6,917,656 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,155,773 | BOYAmt |
| EOY | $3,074,891 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,500,000 | BOYAmt |
| EOY | $1,500,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,829,206 | BOYAmt |
| EOY | $46,393,760 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,124,350 | BOYAmt |
| EOY | $2,184,156 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,176,573 | BOYAmt |
| EOY | $2,697,414 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,300,923 | BOYAmt |
| EOY | $4,881,570 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,528,283 | BOYAmt |
| EOY | $41,512,190 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,528,283 | BOYAmt |
| EOY | $41,512,190 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,829,206 | BOYAmt |
| EOY | $46,393,760 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $7,102,316 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$118,409 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | 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 | $14,017,586 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,698,693 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,884,288 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,889,231 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,003,990 | CurrentTaxYearAmt |
| Total | $77,493,788 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,017,586 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,698,693 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,884,288 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,889,231 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $18,003,990 | CurrentTaxYearAmt |
| Total | $77,493,788 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $77,493,788 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $45,077 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,740 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,098 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,176 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $103,444 | CurrentTaxYearAmt |
| Total | $232,535 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $230,830 | CurrentTaxYearAmt |
| Total | $230,830 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $77,957,153 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $91,848,089 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99410 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99790 | 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 | $837,454 | OtherCostOrOtherBasisAmt |
| Book Value | $837,454 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,140,401 | OtherCostOrOtherBasisAmt |
| Depreciation | $774,264 | DepreciationAmt |
| Book Value | $2,366,137 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $855,945 | OtherCostOrOtherBasisAmt |
| Depreciation | $358,418 | DepreciationAmt |
| Book Value | $497,527 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,962,683 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,257,286 | DepreciationAmt |
| Book Value | $2,705,397 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,807,683 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,296,542 | DepreciationAmt |
| Book Value | $511,141 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,917,656 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $40,094,847 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$118,409 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$366,269 | OtherRevenueAmt |
| Revenue Not Reported | -$484,678 | RevenueNotReportedAmt |
| Revenue Subtotal | $40,579,525 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$52,569 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$52,569 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $40,526,956 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $33,110,940 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $52,569 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $52,569 | ExpensesNotReportedAmt |
| Expenses Subtotal | $33,058,371 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $366,269 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $366,269 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $33,424,640 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE -366,269. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | LOSS ON FIXED ASSET DISPOSAL -52,569. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON FIXED ASSET DISPOSAL 52,569. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 366,269. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
| Total501c3 Org | 0 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION MONITORS WHO THEY MAKE CHARITABLE CONTRIBUTIONS TO CLOSELY. THERE WERE NO ORGANIZATIONS THAT RECEIVED MORE THAN $5,000 IN TAX YEAR 2015. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL JENSEN | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $213,961 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $21,821 | $0 | $235,782 | $0 | $0 | $0 |
| JAMES W BONDS | ||||||||||||||
| DOCTOR | $368,652 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $14,864 | $0 | $383,516 | $0 | $0 | $0 |
| MAHANA FISHER | ||||||||||||||
| DOCTOR | $432,876 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $14,564 | $0 | $447,440 | $0 | $0 | $0 |
| L VAL JONES | ||||||||||||||
| DOCTOR | $506,184 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $21,821 | $0 | $528,005 | $0 | $0 | $0 |
| CASEY MCCULLOUGH | ||||||||||||||
| DOCTOR | $332,697 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $21,821 | $0 | $354,518 | $0 | $0 | $0 |
| BRIAN F OLSEN | ||||||||||||||
| DENTIST | $211,823 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $21,821 | $0 | $233,644 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS REVIEWED BY CEO, CFO, AND COO AND THEN PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD REVIEWS THEIR CONFLICT OF INTEREST POLICIES ANNUALLY. THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT DEFINES WHAT A CONFLICT OF INTEREST IS AND THE RESTRICTIONS THAT APPLY TO ALL BOARD MEMBERS. WHEN A CONFLICT ARISES, THE MEMBER THAT IS CONFLICTED HAS A DUTY TO DISCLOSE IN WRITING TO THE CHAIR OF THE BOARD. THE CHAIR OF THE BOARD THEN PRESENTS TO THE FULL BOARD. THE CONFLICTED MEMBER SHALL HAVE THE OPPORTUNITY TO ADDRESS THE BOARD AND PRESENT ANY NECESSARY ITEMS AND RESPOND TO ANY QUESTIONS. AFTER SUCH PRESENTATION THE CONFLICTED MEMBER SHALL ABSTAIN FROM FURTHER DISCUSSION WITH THE ENTIRE BOARD AND FOR THE VOTE ON THE MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | NATIONAL AND STATE COMPENSATION STUDY FOR ORGANIZATIONS OF SIMILAR SIZE AND STRUCTURE TO DETERMINE A RANGE OF COMPENSATION. THE CEO'S PERFORMANCE AND COMPENSATION EVALUATION IS HANDLED BY THE BOARD OF DIRECTORS AND THE IS REVIEWED ANNUAL BY ALL MEMBERS OF THE BOARD OF DIRECTORS. THE CEO REVIEWS AND EVALUATES THE CFO, COO, CMO COMPENSATIONS AT THE END OF THE FISCAL YEAR AND THE NEW RATE IS SET ON THE START OF THE NEXT FISCAL YEAR IF ONE IS WARRANTED. REVIEWS ARE DONE ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | ORGANIZING DOCUMENTS ARE AVAILABLE UPON REQUEST, JUST AS THE FORM 990. |
| FORM 990, PART IX, LINE 11G | OTHER MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 1,411,317. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,411,317. INPATIENT/OUTPATIENT SERVICES: PROGRAM SERVICE EXPENSES 686,620. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 686,620. RADIOLOGY/X-RAY/IMAGING/LAB: PROGRAM SERVICE EXPENSES 578,057. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 578,057. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 52,594. MANAGEMENT AND GENERAL EXPENSES 395,137. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 447,731. PHYSICAL THERAPY: PROGRAM SERVICE EXPENSES 419,268. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 419,268. DENTAL CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 379,704. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 379,704. EMERGENCY ROOM SERVICES: PROGRAM SERVICE EXPENSES 375,980. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 375,980. |
Comments