IDAHO PRIMARY CARE ASSOCIATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
IDAHO PRIMARY CARE ASSOCIATION (EIN 82-0376764)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-01-15
IRS object ID
201630159349301178
Schema version
2014v6.0
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

FieldValueIRS element (for citing)
Return2016-01-15T15:47:03-06:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN264022510PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HARRIS & CO PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12289 S BONITO WAY STE 100AddressLine1Txt
CityMERIDIANCityNm
State AbbreviationIDStateAbbreviationCd
ZIP83642ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN820376764EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IDAHO PRIMARY CARE ASSOCIATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlIDAHBusinessNameControlTxt
Phone2083452335PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11087 W RIVER STREET NO 160AddressLine1Txt
CityBOISECityNm
State AbbreviationIDStateAbbreviationCd
ZIP83702ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonYVONNE KETCHUM-WARDPersonNm
Person TitleCEOPersonTitleTxt
Phone2083452335PhoneNum
Signature2016-01-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHERYL GUIDDYPreparerPersonNm
PTINP00266294PTIN
Phone2083338965PhoneNum
Preparation2016-01-11PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerYVONNE KETCHUM-WARDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11087 W RIVER STREET NO 160AddressLine1Txt
CityBOISECityNm
State AbbreviationIDStateAbbreviationCd
ZIP83702ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,080,324GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.IDAHOPCA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateIDLegalDomicileStateCd
Activity Or MissionTO 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 Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee16TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,274,239PYContributionsGrantsAmt
CY Contributions Grants$1,727,334CYContributionsGrantsAmt
PY Program Service Revenue$356,000PYProgramServiceRevenueAmt
CY Program Service Revenue$352,660CYProgramServiceRevenueAmt
PY Investment Income-$5,025PYInvestmentIncomeAmt
CY Investment Income$330CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,625,214PYTotalRevenueAmt
CY Total Revenue$2,080,324CYTotalRevenueAmt
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$814,482PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$955,313CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$806,021PYOtherExpensesAmt
CY Other Expenses$1,004,614CYOtherExpensesAmt
PY Total Expenses$1,620,503PYTotalExpensesAmt
CY Total Expenses$1,959,927CYTotalExpensesAmt
PY Revenues Less Expenses$4,711PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$120,397CYRevenuesLessExpensesAmt
Total Assets BOY$491,525TotalAssetsBOYAmt
Total Assets EOY$620,771TotalAssetsEOYAmt
Total Liabilities BOY$133,526TotalLiabilitiesBOYAmt
Total Liabilities EOY$142,375TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$357,999NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$478,396NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,029,522ExpenseAmt
DescCOOPERATIVE 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

FieldValueIRS element (for citing)
Expense$461,511ExpenseAmt
DescHEALTH 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

FieldValueIRS element (for citing)
Expense$230,234ExpenseAmt
Revenue$352,660RevenueAmt
DescYOUR 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 (3 entries)

ExpenseExpenseAmtDescDesc
$21,434IDAHO 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.
$37,886MANAGEMENT SERVICES AND MISCELLANEOUS PROJECTS.
$99,769PATIENT 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.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$159,089TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$1,880,356TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
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 Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
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 Required0ScheduleJRequiredInd
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 Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee16EmployeeCnt
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
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
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 Body0Form990ProvidedToGvrnBodyInd
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
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2083452335PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11087 W RIVER STREET NO 160AddressLine1Txt
CityBOISECityNm
State AbbreviationIDStateAbbreviationCd
ZIP83702ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
VICTORIA MCCLELLAN KING
PRESIDENT/DIRECTOR2.00Yes (X)$0$0$0
HEIDI HART-TRAYLOR
VICE PRESIDENT/DIRECTOR2.00Yes (X)$0$0$0
AARON WILSON
SEC/TREAS/DIRECTOR2.00Yes (X)$0$0$0
MIKE BAKER
IMMEDIATE PAST PRESIDENT2.00Yes (X)$0$0$0
DENISE LANGSTON-GROVES
DIRECTOR2.00Yes (X)$0$0$0
GARY LEVA
DIRECTOR2.00Yes (X)$0$0$0
BRIAN HADLOCK
DIRECTOR2.00Yes (X)$0$0$0
BILL MOORE
DIRECTOR2.00Yes (X)$0$0$0
LYNN HUDGENS
DIRECTOR2.00Yes (X)$0$0$0
DR TED EPPERLY
DIRECTOR2.00Yes (X)$0$0$0
LESLYN PHELPS
DIRECTOR2.00Yes (X)$0$0$0
MINDY BENEDETTI
DIRECTOR2.00Yes (X)$0$0$0
ARNOLD CANTU
DIRECTOR2.00Yes (X)$0$0$0
TOM FRONK
EXECUTIVE DIRECTOR45.00$99,707$0$15,495Yes (X)
YVONNE KETCHUM-WARD
CEO45.00$72,762$0$5,736Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$172,469TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$21,231TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1I2ISYSTEMS INCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line13663 N LAUGHLIN RD STE 200AddressLine1Txt
CitySANTA ROSACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95403ZIPCd
FieldValueIRS element (for citing)
ServicesCOMPUTER SUPPORT SERVICESServicesDesc
Compensation$275,000CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Membership Dues$53,554MembershipDuesAmt
Government Grants$1,533,286GovernmentGrantsAmt
All Other Contributions$140,494AllOtherContributionsAmt
Total Contributions$1,727,334TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescYOUR HEALTH IDAHODesc
Business621990BusinessCd
Total Revenue Column$352,660TotalRevenueColumnAmt
Related Or Exempt Func Income$352,660RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$352,660TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$330TotalRevenueColumnAmt
Exclusion$330ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,080,324TotalRevenueColumnAmt
Related Or Exempt Func Income$352,660RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$330ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$236,912TotalAmt
Program Services$236,023ProgramServicesAmt
Management And General$889ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$537,644TotalAmt
Program Services$523,965ProgramServicesAmt
Management And General$13,679ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$18,066TotalAmt
Program Services$17,463ProgramServicesAmt
Management And General$603ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$107,517TotalAmt
Program Services$104,383ProgramServicesAmt
Management And General$3,134ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$55,174TotalAmt
Program Services$54,088ProgramServicesAmt
Management And General$1,086ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,290TotalAmt
Program Services$7,970ProgramServicesAmt
Management And General$320ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,648TotalAmt
Program Services$7,632ProgramServicesAmt
Management And General$16ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$31,127TotalAmt
Management And General$31,127ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$148,595TotalAmt
Program Services$148,156ProgramServicesAmt
Management And General$439ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,175TotalAmt
Program Services$4,175ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$70,014TotalAmt
Program Services$69,782ProgramServicesAmt
Management And General$232ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$88,323TotalAmt
Program Services$87,653ProgramServicesAmt
Management And General$670ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,661TotalAmt
Program Services$13,643ProgramServicesAmt
Management And General$18ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,967TotalAmt
Program Services$2,967ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROGRAM EXPENSE$620,981$593,641$27,340
MISCELLANEOUS$6,469$6,452$17
TRAINING$1,844$1,844
EQUIPMENT$520$519$1

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,959,927TotalAmt
Program Services$1,880,356ProgramServicesAmt
Management And General$79,571ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$25,075BOYAmt
EOY$70,964EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$274,793BOYAmt
EOY$225,882EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$89,833BOYAmt
EOY$138,182EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$44,356BOYAmt
EOY$118,203EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,517BOYAmt
EOY$13,027EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$113,740LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$72,133LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$46,951BOYAmt
EOY$41,607EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$12,906EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$491,525BOYAmt
EOY$620,771EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$79,792BOYAmt
EOY$101,163EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$53,734BOYAmt
EOY$41,212EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$133,526BOYAmt
EOY$142,375EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$357,999BOYAmt
EOY$478,396EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$357,999BOYAmt
EOY$478,396EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$491,525BOYAmt
EOY$620,771EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$120,397ReconcilationRevenueExpnssAmt
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 RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$827,057CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$775,319CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$923,135CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,274,239CurrentTaxYearMinus1YearAmt
Current Tax Year$1,727,334CurrentTaxYearAmt
Total$5,527,084TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$827,057CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$775,319CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$923,135CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,274,239CurrentTaxYearMinus1YearAmt
Current Tax Year$1,727,334CurrentTaxYearAmt
Total$5,527,084TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$5,527,084PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$320CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$197CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$306CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$305CurrentTaxYearMinus1YearAmt
Current Tax Year$330CurrentTaxYearAmt
Total$1,458TotalAmt
FieldValueIRS element (for citing)
Total Support$5,528,542TotalSupportAmt
Gross Receipts Rltd Activities$1,557,882GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99970PublicSupportCY170Pct
Public Support PY1700.99970PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$34,177DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$34,177TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1(G), LOBBYING ACTIVITIES:FormAndLineReferenceDesc
ExplanationSERVE 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

FieldValueIRS element (for citing)
Other Cost Or Other Basis$113,740OtherCostOrOtherBasisAmt
Depreciation$72,133DepreciationAmt
Book Value$41,607BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$41,607TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,080,324TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$2,080,324RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,080,324TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,959,927TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,959,927ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,959,927TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationUNCERTAIN 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 2015 OR 2014. 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 2011.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4THE ORGANIZATION CHANGED THE MANAGEMENT POSITION FROM EXECUTIVE DIRECTOR TO CHIEF EXECUTIVE OFFICER.
FORM 990, PART VI, SECTION A, LINE 6MEMBERS OF THE ORGANIZATION CONSIST OF COMMUNITY HEALTH CENTERS IN IDAHO.
FORM 990, PART VI, SECTION B, LINE 11FINANCE ADMINISTRATOR AND EXECUTIVE DIRECTOR 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 12CCOMPLIANCE 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 15ATHE 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 18FILED 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 19GOVERNING 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

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CENTER NETWORK OF IDAHO LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11087 W RIVER STREET SUITE 160AddressLine1Txt
CityBOISECityNm
State AbbreviationIDStateAbbreviationCd
ZIP83702ZIPCd
FieldValueIRS element (for citing)
EIN460729951EIN
Primary ActivitiesADMINISTRATIVE SERVICESPrimaryActivitiesTxt
Legal Domicile StateIDLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income-$7,042ShareOfTotalIncomeAmt
Share Of EOY Assets$12,906ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.07690OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CENTER NETWORK OF IDAHO LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeLTransactionTypeTxt
Involved$36,000InvolvedAmt
Method Of Amount DeterminationCONTRACTMethodOfAmountDeterminationTxt

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