VALLEY FAMILY HEALTH CARE INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY FAMILY HEALTH CARE INC (EIN 82-0371383)
- Tax period
- 2015-02-01 to 2016-01-31
- Filed
- 2016-07-22
- IRS object ID
- 201632049349300148
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-07-22T15:02:42-05:00 | ReturnTs |
| Tax Period End | 2016-01-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 203147422 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIAN L RICHINS PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 966 W IDAHO AVE | AddressLine1Txt |
| City | ONTARIO | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 979142111 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-02-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820371383 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY FAMILY HEALTH CARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VALL | BusinessNameControlTxt |
| Phone | 2086429376 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1441 NE 10TH AVE | AddressLine1Txt |
| City | PAYETTE | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83661 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DON NELSON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2086429314 | PhoneNum |
| Signature | 2016-06-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRIAN L RICHINS | PreparerPersonNm |
| PTIN | P00545131 | PTIN |
| Phone | 2084525625 | PhoneNum |
| Preparation | 2016-07-22 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DON NELSON | PrincipalOfficerNm |
| Gross Receipts | $9,968,923 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Activity Or Mission | COMMUNITY HEALTH SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 141 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,502,938 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,161,294 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,114,906 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,803,033 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,628 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,596 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $8,620,472 | PYTotalRevenueAmt |
| CY Total Revenue | $9,968,923 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,119,314 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,668,662 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,724,185 | PYOtherExpensesAmt |
| CY Other Expenses | $2,138,392 | CYOtherExpensesAmt |
| PY Total Expenses | $7,843,499 | PYTotalExpensesAmt |
| CY Total Expenses | $8,807,054 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $776,973 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,161,869 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,360,864 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,270,611 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $475,186 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $547,516 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,885,678 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,723,095 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | COMMUNITY HEALTH SERVICES | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Desc | HEALTH CARE FOR MIGRANT WORKERS AND LOW INCOME PERSONS. ALSO, MENTAL HEALTH AND NUTRITION COUNSELING. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,510,697 | ExpenseAmt |
| Revenue | $5,803,033 | RevenueAmt |
| Desc | HEALTH CARE FOR MIGRANT WORKERS | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $7,510,697 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $5,803,033 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $7,510,697 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 21 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 141 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RIGMOR WILSON | PersonNm |
| Phone | 2086429376 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1441 NE 10TH AVE | AddressLine1Txt |
| City | PAYETTE | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83661 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| ROBERT BAROWSKY | ||||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | ||||
| JONI DELGADO | ||||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | ||||
| KAREN SANDS | ||||||||
| CHAIRPERSON | Yes (X) | $0 | $0 | $0 | ||||
| ERIC ARNAULT | ||||||||
| VICE CHAIR | Yes (X) | $0 | $0 | $0 | ||||
| CARLOS HERNANDEZ | ||||||||
| SECRETARY | Yes (X) | $0 | $0 | $0 | ||||
| CAROL PERALTA | ||||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | ||||
| HENRY HIXSON | ||||||||
| TREASURER | Yes (X) | $0 | $0 | $0 | ||||
| EPIFANIO RENDON | ||||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | ||||
| MIKE HANIGAN | ||||||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 | ||||
| DON NELSON | ||||||||
| CFO | $90,602 | $0 | $0 | 40.00 | Yes (X) | |||
| GEOFFREY THOMAS | ||||||||
| DOCTOR | $193,943 | $0 | $542 | 40.00 | Yes (X) | |||
| SHARMEEN NELSON | ||||||||
| DOCTOR | $186,499 | $0 | $7,844 | 40.00 | Yes (X) | |||
| PAUL CONCIDINE | ||||||||
| DOCTOR | $143,928 | $0 | $5,740 | 40.00 | Yes (X) | |||
| ROBIN SEBASTION | ||||||||
| DOCTOR | $138,312 | $0 | $5,442 | 40.00 | Yes (X) | |||
| ROBERT DAVIS | ||||||||
| DOCTOR | $133,763 | $0 | $5,204 | 40.00 | Yes (X) | |||
| BILL MOORE | ||||||||
| EXECUTIVE DI | $138,519 | $0 | $0 | 40.00 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,025,566 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $24,772 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $4,161,294 | GovernmentGrantsAmt |
| Total Contributions | $4,161,294 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| MEDICARE | $768,769 | $768,769 |
| PRIVATE INSURANCE | $740,286 | $740,286 |
| MISC INCOME | $739,446 | $739,446 |
| 430B PROGRAM INCOME | $723,446 | $723,446 |
| MEDICAID - OREGON | $558,324 | $558,324 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,272,762 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,272,762 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,803,033 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,596 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,596 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,968,923 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,807,629 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,637,087 | TotalAmt |
| Program Services | $4,755,066 | ProgramServicesAmt |
| Management And General | $882,021 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,031,575 | TotalAmt |
| Program Services | $871,654 | ProgramServicesAmt |
| Management And General | $159,921 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,045 | TotalAmt |
| Program Services | $21,535 | ProgramServicesAmt |
| Management And General | $25,510 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| 340B PROGRAM | $348,525 | $348,525 |
| 340B CONSULTING FEES | $230,558 | $230,558 |
| SUPPLIES | $89,055 | $89,055 |
| INJECTIBLES - MEDICAL | $69,846 | $69,846 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,353,363 | TotalAmt |
| Program Services | $1,124,458 | ProgramServicesAmt |
| Management And General | $228,905 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,807,054 | TotalAmt |
| Program Services | $7,510,697 | ProgramServicesAmt |
| Management And General | $1,296,357 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $223,223 | BOYAmt |
| EOY | $1,159,745 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,114,959 | BOYAmt |
| EOY | $2,306,439 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $150,492 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $861,443 | BOYAmt |
| EOY | $816,893 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $250 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,121,246 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,285,309 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,160,384 | BOYAmt |
| EOY | $4,835,937 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $855 | BOYAmt |
| EOY | $855 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,360,864 | BOYAmt |
| EOY | $9,270,611 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $475,186 | BOYAmt |
| EOY | $547,516 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $475,186 | BOYAmt |
| EOY | $547,516 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,885,678 | BOYAmt |
| EOY | $8,723,095 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,885,678 | BOYAmt |
| EOY | $8,723,095 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,360,864 | BOYAmt |
| EOY | $9,270,611 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,161,869 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$324,452 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
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 | $6,106,897 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,166,039 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,383,238 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,502,938 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,161,294 | CurrentTaxYearAmt |
| Total | $20,320,406 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,106,897 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,166,039 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,383,238 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,502,938 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,161,294 | CurrentTaxYearAmt |
| Total | $20,320,406 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $20,320,406 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,711 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,025 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,796 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,627 | CurrentTaxYearMinus1YearAmt |
| Total | $11,159 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $20,331,565 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $5,807,629 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99950 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99930 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $90,720 | OtherCostOrOtherBasisAmt |
| Book Value | $90,720 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $8,030,526 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $3,285,309 | DepreciationAmt |
| Book Value | $4,745,217 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,835,937 | TotalBookValueLandBuildingsAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| GEOFFREY THOMAS | |||
| DOCTOR | $193,943 | $542 | $194,485 |
| SHARMEEN NELSON | |||
| DOCTOR | $186,499 | $7,844 | $194,343 |
| BILL MOORE | |||
| EXECUTIVE DIRECTOR | $138,519 | $138,519 | |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4D | HEALTH CARE FOR MIGRANT WORKERS |
| FORM 990, PAGE 6, PART VI, LINE 11B | PROVIDE COPY TO ORGANIZATION FOR BOARD MEMBERS TO REVIEW. |
| FORM 990, PAGE 6, PART VI, LINE 12C | POLICY OF ORGANIZATION IS TO REVIEW COMPLIANCE WITH NEW DIRECTORS, OFFICERS, AND KEY EMPLOYEES. |
| FORM 990, PAGE 6, PART VI, LINE 15A | BOARD OF DIRECTORS PERFORM EVALUATIONS AND DETERMINE COMPENSATION. |
| FORM 990, PAGE 6, PART VI, LINE 19 | COPIES AVAILABLE FOR PUBLIC AND PAYETTE, ID ADMINISTRITIVE OFFICES. |
| FORM 990, PART IX, LINE 24E | COMPUTER FEES 64,570 2,734 0 EQUIPMENT - ADMINISTRATIO 62,436 0 0 PATIENT STATEMENT FEES 54,992 0 0 SUPPLIES - MEDICAL 47,838 0 0 SUPPLIES - LAB 40,503 0 0 TELEPHONE - FACILITY 38,411 0 0 EQUIP - ADMIN 0 38,140 0 PROFESSIONAL DUES/FEES/SU 36,777 0 0 SUPPLIES - INJECTABLES 35,928 0 0 UTILITIES 25,036 9,105 0 AUDIT - ADMIN 0 33,368 0 CAPITAL OUTLAY 33,031 0 0 OFFICE PRODUCTS 32,854 0 0 TELEPHONE 20,015 12,603 0 INJECTIBLES - VALE 29,509 0 0 MAINT/REPAIR - ADMIN FAC 0 24,097 0 UTILITIES - FACILITIY 23,016 0 0 MAINTENANCE AGREEMENTS - 22,304 0 0 MAINTENANCE & REPAIRS 20,905 0 0 UTILITIES - FACILITY 19,598 0 0 FACILITY REPAIRS/MAINT - 19,312 0 0 INSURANCE - FACILITY 19,199 0 0 OFFICE SUPPLIES - ADMIN 0 18,801 0 CME 18,592 0 0 OFFICE SUPPLIES 17,049 0 0 340B PROCESSING COSTS 16,743 0 0 MEDICAL SUPPLIES - VALE 16,009 0 0 ORGANIZATIONAL DUES 0 14,550 0 FACILITY - REPAIRS AND MA 14,138 0 0 BANK FEES 14,005 79 0 PAYROLL PROCESSING FEES 0 13,646 0 OTHER - ADMIN 0 13,533 0 TELEPHONE - TOTAL 13,293 0 0 PRINTING/COPYING - MEDICA 13,225 0 0 LAB SUPPLIES - VALE 12,557 0 0 CONTRACT MEDICAL 12,518 0 0 OFFICE PRODUCTS - TOTAL 12,178 0 0 OFFICE PRODUCTS - VALE 12,018 0 0 R AND R 11,293 0 0 UTILITIES - TOTAL 11,229 0 0 POSTAGE 8,154 2,476 0 INJECTIBLES - NYSSA 10,593 0 0 TELEPHONE - VALE 10,509 0 0 TELEPHONE - NYSSA 10,272 0 0 CME - MEDICAL 10,248 0 0 MAINTENANCE/REPAIRS - FAC 10,226 0 0 MEDICAL SUPPLIES - NYSSA 9,867 0 0 SUPPLIES - FACILITY 9,689 0 0 LAB EXPENSES - DENTAL 9,568 0 0 CONFERENCES/WORKSHOPS 0 9,538 0 LAB 9,015 0 0 UTILITIES - NYSSA 8,943 0 0 UTILITIES - VALE 8,897 0 0 OFFICE PRODUCTS - NYSSA 8,882 0 0 INJECTIBLES 8,714 0 0 MAINT/REPAIR - DENTAL FAC 8,469 0 0 COMPUTER FEES - DENTAL 8,210 0 0 R & R 8,177 0 0 CONTINUING MEDICAL EDUCAT 7,806 0 0 LAB SUPPLIES - NYSSA 7,631 0 0 LEGAL FEES 17 7,563 0 INS/BOARD BONDING 0 6,525 0 MOVING EXPENSE - MEDICAL 6,092 0 0 OFFICE SUPPLIES - DENTAL 5,854 0 0 MAINT/REPAIR - FACILITY 5,627 0 0 UTILITIES - DENTAL FACILI 5,405 0 0 CONTINUING EDUCATION - VA 5,364 0 0 CLEANING COSTS - ADMIN 0 4,625 0 CONTINUING EDUCATION - NY 4,500 0 0 EQUIPMENT - ADMIN 4,446 0 0 TELEPHONE - DENTAL FACILI 4,336 0 0 TAXES 4,285 0 0 EQUIPMENT - FACILITY 0 4,196 0 CONFERENCE/WORKSHOPS 3,960 0 0 DUES/FEES/SUBSCRIPTIONS 3,929 0 0 FACILITY INSURANCE - ADMI 0 3,927 0 PROFESSIONAL FEES/DUES/SU 3,455 0 0 CME - DENTAL 3,000 0 0 FACILITY SUPPLIES 2,728 0 0 INSURANCE FACILITY - VALE 2,504 0 0 OTHER - COMMUNITY SERVICE 2,248 0 0 AUTO MAINT. ADMIN 0 2,241 0 PROF DUES/SUBSCRIPTIONS 2,236 0 0 INSURANCE-DENTAL ACTIVITY 2,187 0 0 POSTAGE - VALE 2,142 0 0 PRINT/COPYING - ADMIN 0 2,126 0 MEDICAL - PRINTING/COPYIN 2,124 0 0 CONTRACT - DENTAL 2,111 0 0 PRINTING & COPYING 1,905 0 0 POSTAGE - NYSSA 1,890 0 0 FACILITY SUPPLIES - VALE 1,844 0 0 INSURANCE FACILITY - NYSS 1,793 0 0 COMMUNITY SERVICE PROMOTI 1,584 0 0 FACILITY SUPPLIES - NYSSA 1,530 0 0 EQUIPMENT 1,482 0 0 EQUIPMENT - ADMIN - NYSSA 1,482 0 0 EQUIPMENT - ADMIN - VALE 1,482 0 0 ANSWERING SERVICE 1,401 0 0 FAC SUPPLIES - ADMIN 0 1,298 0 COMPUTER/IT SUPPORT 0 1,257 0 POSTAGE - TOTAL 1,218 0 0 CONTRACT - MEDICAL 1,139 0 0 PRINTING/COPYING 1,095 0 0 R & R - OTHER 0 1,031 0 BANK S/C 1,013 0 0 SUPPLIES - COMMUNITY SERV 1,005 0 0 MAINT AGREE - ADMIN 0 949 0 DUES/FEES/SUB - DENTAL 810 0 0 PRINTING/COPYING - DENTAL 770 0 0 MAINTENANCE CONTRACTS 683 0 0 MAINTENANCE AGREE - ADMIN 664 0 0 OTHER - MEDICAL 656 0 0 MAINT/REPAIRS - FACILITY 622 0 0 SUPPLIES - DENTAL FACILIT 593 0 0 CONFERENCE WORKSHOPS 550 0 0 OTHER - DENTAL 495 0 0 CONTRACT-MEDICAL-NYSSA 495 0 0 JOB ANNOUNCEMENTS 86 397 0 REFERRAL/CONTRACT - DENTA 385 0 0 COMMUNITY SERVICE 383 0 0 ANSWERING SERVICE - VALE 336 0 0 ANSWERING SERVICE - NYSSA 336 0 0 MAINTENANCE CONTRACT 284 0 0 OTHER - LAB 216 0 0 AUTO MAINT/REPAIRS/INS 172 0 0 REFFERRALS - LAB 166 0 0 MAINTENANCE AGREEMENT - M 115 0 0 REFERRALS - XRAY - VALE 101 0 0 COMMUNITY PROMOTIONS 0 100 0 TAXES - PROPERTY 72 0 0 PHARMACEUTICALS - VALE 56 0 0 PHARMACEUTICALS 48 0 0 |
| FORM 990, PART XI, LINE 9 | CHANGE IN FIXED ASSETS -324,447 ROUNDING -5 TOTAL -324,452 |
Comments