IDAHO PRIMARY CARE ASSOCIATION: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- IDAHO PRIMARY CARE ASSOCIATION (EIN 82-0376764)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-01-13
- IRS object ID
- 201740139349301814
- 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 | 2017-01-13T17:07:16-06:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 264022510 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARRIS & CO PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2289 S BONITO WAY STE 100 | AddressLine1Txt |
| City | MERIDIAN | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83642 | 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 | 820376764 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IDAHO PRIMARY CARE ASSOCIATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | IDAH | BusinessNameControlTxt |
| Phone | 2083452335 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1087 W RIVER STREET NO 160 | AddressLine1Txt |
| City | BOISE | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83702 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | YVONNE KETCHUM-WARD | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2083452335 | PhoneNum |
| Signature | 2017-01-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHERYL GUIDDY | PreparerPersonNm |
| PTIN | P00266294 | PTIN |
| Phone | 2083338965 | PhoneNum |
| Preparation | 2017-01-12 | 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 | YVONNE KETCHUM-WARD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1087 W RIVER STREET NO 160 | AddressLine1Txt |
| City | BOISE | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83702 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,881,870 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.IDAHOPCA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Activity Or Mission | TO CREATE A MEANS BY WHICH THOSE WHO ARE INVOLVED IN PRIMARY HEALTH CARE DELIVERY CAN WORK TOGETHER TO ENSURE THE CONTINUED PROVISION OF ACCESSIBLE, COST EFFECTIVE, AND HIGH QUALITY AMBULATORY HEALTH CARE SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 16 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,727,334 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,616,356 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $352,660 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $265,172 | CYProgramServiceRevenueAmt |
| PY Investment Income | $330 | PYInvestmentIncomeAmt |
| CY Investment Income | $342 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,080,324 | PYTotalRevenueAmt |
| CY Total Revenue | $1,881,870 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $955,313 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $918,115 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,004,614 | PYOtherExpensesAmt |
| CY Other Expenses | $899,565 | CYOtherExpensesAmt |
| PY Total Expenses | $1,959,927 | PYTotalExpensesAmt |
| CY Total Expenses | $1,817,680 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $120,397 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $64,190 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $620,771 | TotalAssetsBOYAmt |
| Total Assets EOY | $629,637 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $142,375 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $87,051 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $478,396 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $542,586 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO CREATE A MEANS BY WHICH THOSE WHO ARE INVOLVED IN PRIMARY HEALTH CARE DELIVERY CAN WORK TOGERTHER TO ENSURE THE CONTINUED PROVISION OF ACCESSIBLE, COST EFFECTIVE, AND HIGH QUALITY AMBULATORY HEALTH CARE SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $791,401 | ExpenseAmt |
| Desc | COOPERATIVE AGREEMENT - TO PROVIDE ASSISTANCE AND RESOURCES TO MEMBER COMMUNITY/MIGRANT HEALTH CENTERS TO STRENGTHEN AND EXPAND THEIR CAPACITY TO PROVIDE PRIMARY CARE SERVICES TO THEIR COMMUNITIES. PROVIDED TRAINING TO COMMUNITY HEALTH CENTER STAFF IN QUALITY MANAGEMENT, WORKFORCE RECRUITMENT AND RETENTION, CUSTOMER SERVICE, ADVOCACY AND BOARD DEVELOPMENT. ENHANCED THE COMMUNITY HEALTH CENTER WORKFORCE DEVELOPMENT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $607,615 | ExpenseAmt |
| Desc | HEALTH CENTER CONTROLLED NETWORKIDAHO'S HEALTH CENTER CONTROLLED NETWORK (HCCN) INCLUDES OUR MEMBERS/SAFETY NET PROVIDERS AND THE PURPOSE OF THE GRANT ACTIVITIES IS TO COLLABORATE HORIZONTALLY AND FACILITATE VERTICAL COLLABORATION TO IMPROVE CARE. THE GRANT ACTIVITIES AND CONTRACTS ARE TO IMPROVE ACCESS TO CARE, ENHANCE QUALITY OF CARE, AND ACHIEVE COST EFFICIENCIES THROUGH THE REDESIGN OF PRACTICES TO INTEGRATE SERVICES, OPTIMIZE PATIENT OUTCOMES, AND NEGOTIATE FUTURE MANAGED CARE CONTRACTS ON BEHALF OF THE PARTICIPATING MEMBERS. THE GRANT ALSO INCLUDES CONTRACTS TO IMPLEMENT ELECTRONIC HEALTH RECORD (EHRS) SYSTEMS AND OPTIMIZE EXISTING EHRS AND IMPROVE WORKFLOWS TO INCREASE CLINICAL EFFICIENCIES. THE HCCN GRANT ALLOWS MEMBERS TO COME TOGETHER TO EXCHANGE INFORMATION AND ESTABLISH COLLABORATIVE MECHANISMS TO MEET ADMINISTRATIVE, IT AND CLINICAL QUALITY OBJECTIVES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $223,502 | ExpenseAmt |
| Revenue | $265,172 | RevenueAmt |
| Desc | YOUR HEALTH IDAHOTHE IDAHO PRIMARY CARE ASSOCIATION IS A KEY PARTNER IN THE YOUR HEALTH IDAHO PROJECT TO PROVIDE AN ONLINE MARKETPLACE WHERE IDAHO FAMILIES AND SMALL BUSINESSES CAN GO TO COMPARE AND PURCHASE HEALTH INSURANCE. THROUGH THIS PROJECT, IDAHO PRIMARY CARE ASSOCIATION WILL ASSIST IN EDUCATING IDAHOANS ABOUT THEIR OPTIONS FOR PURCHASING HEALTH INSURANCE. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)
| ExpenseExpenseAmt | DescDesc |
|---|---|
| $16,152 | IDAHO PATIENT CENTER MEDICAL HOME IDAHO PRIMARY CARE ASSOCIATION WILL BUILD UPON A SUCCESSFUL SMALL-SCALE PILOT PROJECT TO ASSIST UP TO 20 ADDITIONAL PRIMARY CARE CLINICS THROUGHOUT IDAHO TO TRANSFORM THEIR HEALTH CARE SERVICE DELIVERY TO AN EVIDENCE-BASED PRIMARY CARE MEDICAL HOME (PCMH) MODEL. AN INTEGRAL PART OF BUILDING A PATIENT-CENTERED MEDICAL HOME MODEL IS TO IMPROVE AND ENHANCE THE USE OF DATA TO DRIVE QUALITY IMPROVEMENT. THROUGH THIS PROJECT, IDAHO PRIMARY CARE ASSOCIATION WILL PROVIDE TECHNICAL ASSISTANCE TO ASSIST CLINICS IN ENHANCING THEIR DATA UTILIZATION TO DRIVE DECISIONS FOR IMPROVED PATIENT OUTCOMES. |
| $101,884 | MANAGEMENT SERVICES AND MESCELLANEOUS PROJECTS. |
| $41,212 | PATIENT CENTERED MEDICAL HOME INITIATIVETHIS PROGRAM IS FUNDED THROUGH A GRANT FROM CAMBIA FOUNDATION AND IS FOCUSED ON DEVELOPING THE PATIENT CENTERED MEDICAL HOME MODEL IN SAFETY NET CLINICS ACROSS THE STATE AND ON IMPROVING THE REIMBURSEMENT MODEL FOR MEDICAL HOME SERVICES. THE IDAHO PRIMARY CARE ASSOCIATION IS PROVIDING STAFF TIME THROUGH THE MEDICAL HOME/MEANINGFUL USE PROGRAM MANAGER TO MANAGE THIS INITIATIVE. GRANT FUNDS FROM CAMBIA FOUNDATION ARE USED TO SUPPORT A HALF TIME PROGRAM SPECIALIST AND TO PROVIDE TRAINING AND TECHNICAL ASSISTANCE TO PARTICIPATING CLINICS. |
| $3,642 | ORAL HEALTH PROGRAM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $162,890 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $1,785,408 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | Yes (1) | 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 | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | 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 | Yes (1) | 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 | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 16 | 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | Yes (1) | 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 | 0 | 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 | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2083452335 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1087 W RIVER STREET NO 160 | AddressLine1Txt |
| City | BOISE | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83702 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| VICTORIA MCCLELLAN KING | ||||||
| PRESIDENT/DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| HEIDI HART-TRAYLOR | ||||||
| VICE PRESIDENT/DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| AARON WILSON | ||||||
| SEC/TREAS/DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MIKE BAKER | ||||||
| IMMEDIATE PAST PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | |
| KIM SMITH | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MARQUETTE HENDRICKX | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| BRIAN HADLOCK | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| AARON HOUSTON | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MARY FERGUSON | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DR TED EPPERLY | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| TIM HEINZE | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MINDY BENEDETTI | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ARNOLD CANTU | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| YVONNE KETCHUM-WARD | ||||||
| CEO | 45.00 | $111,485 | $0 | $11,440 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $111,485 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $11,440 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $68,445 | MembershipDuesAmt |
| Government Grants | $1,469,711 | GovernmentGrantsAmt |
| All Other Contributions | $78,200 | AllOtherContributionsAmt |
| Total Contributions | $1,616,356 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | YOUR HEALTH IDAHO | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $265,172 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $265,172 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $265,172 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $342 | TotalRevenueColumnAmt |
| Exclusion | $342 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,881,870 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $265,172 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $342 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,914 | TotalAmt |
| Program Services | $196,633 | ProgramServicesAmt |
| Management And General | $4,281 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $549,081 | TotalAmt |
| Program Services | $537,528 | ProgramServicesAmt |
| Management And General | $11,553 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,481 | TotalAmt |
| Program Services | $21,481 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,404 | TotalAmt |
| Program Services | $89,867 | ProgramServicesAmt |
| Management And General | $2,537 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,235 | TotalAmt |
| Program Services | $53,094 | ProgramServicesAmt |
| Management And General | $1,141 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,133 | TotalAmt |
| Program Services | $1,133 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,800 | TotalAmt |
| Program Services | $6,786 | ProgramServicesAmt |
| Management And General | $14 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,412 | TotalAmt |
| Program Services | $94,251 | ProgramServicesAmt |
| Management And General | $161 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,943 | TotalAmt |
| Program Services | $8,943 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,402 | TotalAmt |
| Program Services | $74,295 | ProgramServicesAmt |
| Management And General | $107 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,758 | TotalAmt |
| Program Services | $78,972 | ProgramServicesAmt |
| Management And General | $4,786 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,484 | TotalAmt |
| Program Services | $14,471 | ProgramServicesAmt |
| Management And General | $13 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,054 | TotalAmt |
| Program Services | $3,054 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROGRAM EXPENSE | $594,006 | $588,129 | $5,877 |
| MISCELLANEOUS | $12,174 | $10,376 | $1,798 |
| TRAINING | $4,448 | $4,448 | |
| EQUIPMENT | $1,951 | $1,947 | $4 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,817,680 | TotalAmt |
| Program Services | $1,785,408 | ProgramServicesAmt |
| Management And General | $32,272 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,964 | BOYAmt |
| EOY | $178,256 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225,882 | BOYAmt |
| EOY | $226,134 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,182 | BOYAmt |
| EOY | $103,960 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,203 | BOYAmt |
| EOY | $51,739 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,027 | BOYAmt |
| EOY | $10,279 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $125,386 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $79,023 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,607 | BOYAmt |
| EOY | $46,363 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,906 | BOYAmt |
| EOY | $12,906 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $620,771 | BOYAmt |
| EOY | $629,637 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,163 | BOYAmt |
| EOY | $69,491 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,212 | BOYAmt |
| EOY | $17,560 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,375 | BOYAmt |
| EOY | $87,051 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $478,396 | BOYAmt |
| EOY | $542,586 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $478,396 | BOYAmt |
| EOY | $542,586 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $620,771 | BOYAmt |
| EOY | $629,637 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $64,190 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | $775,319 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $923,135 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,274,239 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,727,334 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,616,356 | CurrentTaxYearAmt |
| Total | $6,316,383 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $775,319 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $923,135 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,274,239 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,727,334 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,616,356 | CurrentTaxYearAmt |
| Total | $6,316,383 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $6,316,383 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $197 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $306 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $305 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $330 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $342 | CurrentTaxYearAmt |
| Total | $1,480 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $6,317,863 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $1,463,179 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99980 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99970 | 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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $21,621 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $21,621 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1(G), LOBBYING ACTIVITIES: | FormAndLineReferenceDesc |
| Explanation | SERVE AS LIASON TO STATE AND FEDERAL AGENCIES AND REPRESENT THE INTERESTS OF THE COMMUNITY/MIGRANT HEALTH CENTERS TO THOSE AGENCIES AND THE FEDERAL AND STATE LEGISLATURE. | ExplanationTxt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $125,386 | OtherCostOrOtherBasisAmt |
| Depreciation | $79,023 | DepreciationAmt |
| Book Value | $46,363 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $46,363 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,881,870 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,881,870 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,881,870 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,817,680 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,817,680 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,817,680 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | UNCERTAIN 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 2016 OR 2015. 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 2012. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS OF THE ORGANIZATION CONSIST OF COMMUNITY HEALTH CENTERS IN IDAHO. |
| FORM 990, PART VI, SECTION B, LINE 11 | FINANCE ADMINISTRATOR AND CEO CONDUCT A REVIEW OF 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 12C | 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 15A | THE 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 18 | FILED TAX RETURNS ARE MAINTAINED AT THE ORGANIZATION'S PLACE OF BUSINESS AND ARE AVAILABLE FOR PUBLIC VIEWING DURING NORMAL OFFICE HOURS UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, 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: | AUDITOR SELECTION AND OVERSIGHT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTER NETWORK OF IDAHO LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1087 W RIVER STREET SUITE 160 | AddressLine1Txt |
| City | BOISE | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83702 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460729951 | EIN |
| Primary Activities | ADMINISTRATIVE SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of EOY Assets | $12,906 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.07690 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTER NETWORK OF IDAHO LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | L | TransactionTypeTxt |
| Involved | $36,000 | InvolvedAmt |
| Method Of Amount Determination | CONTRACT | MethodOfAmountDeterminationTxt |
Comments