Your Health Network Inc: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
Your Health Network Inc (EIN 46-1962771)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201633209349313333
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-15T17:19:38-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN202153727PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SB & COMPANY LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 INTERNATIONAL CIRCLE SUITE 5500AddressLine1Txt
CityHUNT VALLEYCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21030ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN461962771EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1YOUR HEALTH NETWORK INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlYOURBusinessNameControlTxt
Phone4434750990PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13000 FALLS ROAD SUITE 1AddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21211ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPETER L BEILENSONPersonNm
Person TitleMD MPH CHAIRMAN OF THE BOARDPersonTitleTxt
Phone4434750990PhoneNum
Signature2016-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHEILA EICHELBERGERPreparerPersonNm
PTINP00743897PTIN
Phone4105840060PhoneNum
Preparation2016-11-15PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1EVERGREEN HEALTH CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerELIZABETH BURGER MUNFAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13000 FALLS ROAD SUITE 1AddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21211ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,381,443GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressEVERGREENMD.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionTO PROVIDE PATIENT-CENTERED HIGH QUALITY HEALTH AND WELLNESS SERVICES THAT DEEPLY ENGAGE AND EMPOWER MARYLANDERS TO BE STEWARDS OF THEIR OWN HEALTH, WITH THE DESIRED IMPACT OF HEALTHIER COMMUNITIES AND THE REDUCTION OF HEALTH DISPARITIES.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee27TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$441,875PYContributionsGrantsAmt
CY Contributions Grants$79,375CYContributionsGrantsAmt
PY Program Service Revenue$537,264PYProgramServiceRevenueAmt
CY Program Service Revenue$2,237,075CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$200CYInvestmentIncomeAmt
PY Other Revenue$893PYOtherRevenueAmt
CY Other Revenue$64,793CYOtherRevenueAmt
PY Total Revenue$980,032PYTotalRevenueAmt
CY Total Revenue$2,381,443CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,396,692PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,485,247CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,650,574PYOtherExpensesAmt
CY Other Expenses$1,985,289CYOtherExpensesAmt
PY Total Expenses$4,047,266PYTotalExpensesAmt
CY Total Expenses$3,470,536CYTotalExpensesAmt
PY Revenues Less Expenses-$3,067,234PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,089,093CYRevenuesLessExpensesAmt
Total Assets BOY$2,055,084TotalAssetsBOYAmt
Total Assets EOY$1,256,950TotalAssetsEOYAmt
Total Liabilities BOY$6,234,922TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,525,881TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$4,179,838NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$5,268,931NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE PATIENT-CENTERED HIGH QUALITY HEALTH AND WELLNESS SERVICES THAT DEEPLY ENGAGE AND EMPOWER MARYLANDERS TO BE STEWARDS OF THEIR OWN HEALTH, WITH THE DESIRED IMPACT OF HEALTHIER COMMUNITIES AND THE REDUCTION OF HEALTH DISPARITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,141,410ExpenseAmt
Revenue$2,237,075RevenueAmt
DescIN THE 2015 TAX YEAR, THE STAFF OF THE ORGANIZATION CONDUCTED THE FOLLOWING CORE ACTIVITIES - PROVISION OF PATIENT CARE, WITH EXTREMELY POSITIVE INITIAL PATIENT FEEDBACK AND CLINICAL OUTCOMES THAT SUGGEST THAT THIS MODEL IS, INDEED, OUTPERFORMING PEER HEALTH CARE PROVIDERS. FOR EXAMPLE, INITIAL DATA SUGGESTS THAT THE ORGANIZATION HAS BEEN ABLE TO REDUCE UNNECESSARY EMERGENCY ROOM (ER) UTILIZATION RELATIVE TO OTHER COMMERCIALLY INSURED INDIVIDUALS - OUTREACH TO COMMUNITIES TO RAISE AWARENESS ABOUT THE NEW OFFERING-COLLABORATION WITH PUBLIC HEALTH OFFICIALS AND OTHER NON-PROFITS TO INFORM PLANS AND LAY THE GROUNDWORK FOR COLLABORATION-CONTRACTING WITH MEDICAID MANAGED CARE ORGANIZATIONS(MCOS) TO PROVIDE MEDICAL CARE TO MEDICAID PARTICIPANTS, INCLUDING THOSE WHO BENEFITED FROM MARYLAND'S EXPANSION OF THE MEDICAID PROGRAM-CONTRACTING WITH THE MARYLAND'S VETERAN'S ADMINISTRATION(VA) TO PROVIDE PRIMARY CARE SERVICES TO VETERANS WHO WOULD OTHERWISE EXPERIENCE LONG WAIT TIMES TO GET AN APPOINTMENT AT A VA FACILITY (BY TAKING ON THESE PATIENTS (AND DOING SO QUICKLY), WE ARE CERTAINLY PROVIDING A PUBLIC SERVICE TO OUR COUNTRY'S VETERANS, THUS RELIEVING FEDERAL BURDEN IN A WAY THAT HAS NO PRIVATE INTEREST AND IS CONSISTENT WITH OUR DESIRE TO SERVE INDIVIDUALS REGARDLESS OF ECONOMIC STRATA OR TYPE OF INSURANCE COVERAGE)-DEVELOPMENT OF PARTNERSHIP WITH THE HOWARD COUNTY LOCAL HEALTH IMPROVEMENT COALITIONS(LHICS) TO IMPROVE ACCESS TO HIGH QUALITY PRIMARY CARE FOR VULNERABLE HOWARD COUNTY RESIDENTS-EXPANSION OF OUR HEALTH COACHING PROGRAM TO INCLUDE FREE CRISIS INTERVENTION SERVICES FOR PATIENTS-ONGOING DEVELOPMENT/EXPANSION OF OUR MENTAL HEALTH SERVICES TO PROVIDE MORE INTENSIVE SERVICES(I.E. PSYCHOTHERAPY) TO PATIENTS WHOSE MENTAL HEALTH NEEDS EXTEND BEYOND THE INITIAL SCOPE OF SERVICES-OUTREACH TO PATIENTS WHO ARE NOT ACTIVELY ACCESSING PRIMARY CARE MEDICAL CARE SERVICES TO ENCOURAGE THEM TO SCHEDULE PREVENTIVE OFFICE VISITS-PARTICIPATION IN A GRANT PROGRAM BY THE HORIZON FOUNDATION THAT ENABLE US TO FUND A HEALTH COACH POSITION. THE HEALTH COACH PROVIDED FREE PREVENTIVE HEALTH COACHING AND BEHAVIORAL HEALTH SUPPORT TO PATIENTS OF THE HOWARD COUNTY-BASED OFFICE-EARLY PLANNING FOR SEVERAL INITIATIVES THAT WILL BE IMPLEMENTED IN 2015/16, INCLUDING BUT NOT LIMITED TO-GROUP HEALTH SUPPORT AND DISEASE EDUCATION ON HEALTH TOPICS SUCH AS SMOKING CESSATION, DIABETES MANAGEMENT, STRESS AND ANXIETY MANAGEMENT, PARENTING-MEDICATION ASSISTANCE PROGRAM TO HELP LOW-INCOME COMMERCIALLY INSURED PATIENTS WITH CHRONIC DISEASES AFFORD MEDICATION WHERE A FINANCIAL BARRIER(E.G.CO-INSURANCE, PRE-DEDUCTIBLE OUT OF POCKET REQUIREMENT) WOULD OTHERWISE PREVENT FILLING OF A PRESCRIPTION-PARTNERSHIP WITH PSYCHIATRISTS TO INCREASE ACCESS TO PSYCHIATRY FOR OUR PATIENTS VIA TELE-CONSULTATION.Desc
Total Program Service Expenses$2,141,410TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document19IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee27EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ELIZABETH MUNFABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4434513873PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13000 FALLS ROAD SUITE 1AddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21211ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
PETER L BEILENSON MD MPH
DIRECTOR, PRESIDENT, CHAIRMAN5.00Yes (X)Yes (X)$0$0$0
RICK BARTH PHD
DIRECTOR0.50Yes (X)$0$0$0
SETH BENSON
DIRECTOR1.00Yes (X)$0$0$0
GAIL DOERR
DIRECTOR0.50Yes (X)$0$0$0
NEAL FRIEDLANDER MD
DIRECTOR1.00Yes (X)$0$0$0
JIM MCGILL PHD
DIRECTOR1.00Yes (X)$0$0$0
WHITNEY REID
DIRECTOR0.50Yes (X)$0$0$0
LEN SHERMAN
TREASURER, SECRETARY1.00Yes (X)$0$0$0
ROBERT CLARK ESQ
GENERAL COUNSEL0.50Yes (X)$0$0$0
ELIZABETH BURGER
EXECUTIVE DIRECTOR2.00Yes (X)$108,102$0$16,000
JOY BALDWIN ASTLE
PHYSICIAN40.00$150,246$0$16,609Yes (X)
MELISSA AVIVA CLARK
PHYSICIAN40.00$111,964$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$370,312TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$32,609TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SHR & ASSOCIATES
130 ADMIRAL COCHRANE DRIVE SUITE 1ANNAPOLISMD21401MANAGEMENT AND BILLING SERVICES$172,869
COMPHEALTH
PO BOX 972651DALLASTX753972651PROVIDE DOCTORS WHO WORK AS TEMPORARY EM$108,427
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$79,375AllOtherContributionsAmt
Total Contributions$79,375TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICESDesc
Business900099BusinessCd
Total Revenue Column$2,237,075TotalRevenueColumnAmt
Related Or Exempt Func Income$2,237,075RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,237,075TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$200TotalRevenueColumnAmt
Exclusion$200ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMICELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$64,793TotalRevenueColumnAmt
Exclusion$64,793ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$64,793OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,381,443TotalRevenueColumnAmt
Related Or Exempt Func Income$2,237,075RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$64,993ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$290,957TotalAmt
Management And General$290,957ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$938,842TotalAmt
Program Services$938,842ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$33,001TotalAmt
Program Services$33,001ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$135,481TotalAmt
Program Services$135,481ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$86,966TotalAmt
Program Services$73,921ProgramServicesAmt
Management And General$13,045ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$248,303TotalAmt
Program Services$64,751ProgramServicesAmt
Management And General$183,552ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$14,628TotalAmt
Management And General$14,628ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$51,950TotalAmt
Management And General$51,950ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$437,681TotalAmt
Program Services$175,500ProgramServicesAmt
Management And General$262,181ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,408TotalAmt
Program Services$4,408ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$120TotalAmt
Management And General$120ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$514,386TotalAmt
Program Services$514,386ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,317TotalAmt
Program Services$6,317ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,158TotalAmt
Program Services$4,158ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$211,756TotalAmt
Management And General$211,756ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$107,807TotalAmt
Management And General$107,807ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$80,920TotalAmt
Program Services$77,727ProgramServicesAmt
Management And General$3,193ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
LOAN ACQUISITION COSTS$123,831$123,831
CLINICAL SUPPLIES$112,918$112,918
HR/PAYROLL$2,931$2,931

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$63,175TotalAmt
Management And General$63,175ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,470,536TotalAmt
Program Services$2,141,410ProgramServicesAmt
Management And General$1,329,126ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$699,297BOYAmt
EOY$90,061EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$200,578EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$104,925BOYAmt
EOY$23,321EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$33,537BOYAmt
EOY$64,909EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$157,381BOYAmt
EOY$42,002EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$890,208LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$221,339LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$764,254BOYAmt
EOY$668,869EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$43,500EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$295,690BOYAmt
EOY$123,710EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,055,084BOYAmt
EOY$1,256,950EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$326,197BOYAmt
EOY$231,783EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,908,725BOYAmt
EOY$6,294,098EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,234,922BOYAmt
EOY$6,525,881EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$4,432,806BOYAmt
EOY-$5,277,056EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$252,968BOYAmt
EOY$8,125EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$4,179,838BOYAmt
EOY-$5,268,931EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,055,084BOYAmt
EOY$1,256,950EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,089,093ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$75,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$441,875CurrentTaxYearMinus1YearAmt
Current Tax Year$79,375CurrentTaxYearAmt
Total$596,250TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$537,264CurrentTaxYearMinus1YearAmt
Current Tax Year$2,237,075CurrentTaxYearAmt
Total$2,774,339TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$75,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$979,139CurrentTaxYearMinus1YearAmt
Current Tax Year$2,316,450CurrentTaxYearAmt
Total$3,370,589TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$75,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$235,000CurrentTaxYearMinus1YearAmt
Current Tax Year$52,500CurrentTaxYearAmt
Total$362,500TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$75,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$235,000CurrentTaxYearMinus1YearAmt
Current Tax Year$52,500CurrentTaxYearAmt
Total$362,500TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$3,008,089PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$200CurrentTaxYearAmt
Total$200TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year$200CurrentTaxYearAmt
Total$200TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$893CurrentTaxYearMinus1YearAmt
Current Tax Year$64,793CurrentTaxYearAmt
Total$65,686TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$75,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$980,032CurrentTaxYearMinus1YearAmt
Current Tax Year$2,381,443CurrentTaxYearAmt
Total$3,436,475TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$447,043OtherCostOrOtherBasisAmt
Depreciation$92,071DepreciationAmt
Book Value$354,972BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$74,484OtherCostOrOtherBasisAmt
Depreciation$19,736DepreciationAmt
Book Value$54,748BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$368,681OtherCostOrOtherBasisAmt
Depreciation$109,532DepreciationAmt
Book Value$259,149BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$668,869TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDEPOSITSDesc
Book Value$123,710BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$123,710TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
LINE OF CREDIT$6,050,000
DEFERRED RENT$196,320
DUE TO EVERGREEN HEALTH CARE$47,778
FieldValueIRS element (for citing)
Total Liability$6,294,098TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,384,571TotalRevEtcAuditedFinclStmtAmt
Other Revenue$3,128OtherRevenueAmt
Revenue Not Reported$3,128RevenueNotReportedAmt
Revenue Subtotal$2,381,443RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,381,443TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,473,664TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$3,128OtherExpensesIncludedAmt
Expenses Not Reported$3,128ExpensesNotReportedAmt
Expenses Subtotal$3,470,536ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$3,470,536TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE COMPANY IS A NOT-FOR-PROFIT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND IS RECOGNIZED AS SUCH BY THE INTERNAL REVENUE SERVICE. ACCOUNTING PRINCIPLES ACCEPTED IN THE UNITED STATES OF AMERICA PROVIDES CONSISTENT GUIDANCE FOR THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBE A THRESHOLD OF "MORE LIKELY THAN NOT" FOR RECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE COMPANY PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2015, AND DETERMINED THAT THERE WERE NO MATTERS THAT WOULD REQUIRE RECOGNITION IN THE ACCOMPANYING FINANCIAL STATEMENTS OR WHICH MAY HAVE ANY EFFECT ON ITS TAX-EXEMPT STATUS. AS OF DECEMBER 31, 2015, THE STATUTE OF LIMITATIONS FOR FISCAL YEAR 2013, THE YEAR OF INCEPTION, THROUGH 2015 REMAINS OPEN WITH THE U.S. FEDERAL JURISDICTION AND THE VARIOUS STATES AND LOCAL JURISDICTIONS IN WHICH THE COMPANY FILES TAX RETURNS. IT IS THE COMPANY'S POLICY TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IF ANY, IN INCOME TAX EXPENSE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:ALLOWANCE FOR BAD DEBT 3,128.
PART XII, LINE 2D - OTHER ADJUSTMENTS:ALLOWANCE FOR BAD DEBTS 3,128.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonJOY BALDWIN ASTLEPersonNm
TitlePHYSICIANTitleTxt
Base Compensation Filing Org$150,246BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$16,609DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$166,855TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonPETER L BEILENSONPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionTHE OFFICER LISTED IS ALSO OFFICER OF EVERGREEN HEALTH COOPERATIVE, INC.RelationshipDescriptionTxt
Transaction$253,035TransactionAmt
TransactionYHN AND EVERGREEN HAVE AN ADMINISTRATIVE SERVICES AGREEMENT WHERE EVERGREEN PERFORMS CERTAIN SERVICES ON BEHALF OF YHN. THESE SERVICES INCLUDE, BUT ARE NOT LIMITED TO CORPORATE MANAGEMENT SUPPORT, ACCOUNTING AND FINANCE, OCCUPANCY, INFORMATION TECHNOLOGY CONSULTING AND SUPPORT, DATA COLLECTION AND REPORTING, HUMAN RESOURCES, AND MARKETING AND LEGAL SERVICES.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS REVIEWED BY THE CEO BY THE CEO AND THE COO. THE FORM IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CEACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT IF AN INTERESTED PERSON HAS AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE PERSON MUST DISCLOSE THE EXTENSION AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS.
FORM 990, PART VI, SECTION B, LINE 15AIN 2015, THE COMPENSATION OF THE EXECUTIVE DIRECTOR WAS DETERMINED BY THE INDEPENDENT BOARD OF DIRECTORS. MARKET SURVEYS WERE USED TO DETERMINE REASONABLE COMPENSATION. THE APPROVAL OF THE EMPLOYMENT CONTRACT WAS DOCUMENTED IN THE BOARD MINUTES.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS, CONFLICT OF INTERESTS POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).
FORM 990, PART IX, LINE 11GOTHERE PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 175,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 175,500. LAB : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 90,484. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,484. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 171,697. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 171,697.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.

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