VALLEY-WIDE HEALTH SYSTEMS INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY-WIDE HEALTH SYSTEMS INC (EIN 84-0706945)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-02-03
- IRS object ID
- 201510349349301451
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-02-03T16:13:07-06:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STOCKMAN KAST RYAN & CO LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 102 N CASCADE AVENUE SUITE 400 | AddressLine1 |
| City | COLORADO SPRINGS | City |
| State | CO | State |
| ZIP Code | 80903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840706945 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Valley-Wide Health Systems Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JEANNE DARRICADES | InCareOfNm |
| Business Name Control | VALL | BusinessNameControlTxt |
| Phone | 7195895161 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 128 Market Street | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Alamosa | City |
| State | CO | State |
| ZIP Code | 81101 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEANNE DARRICADES | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 7195895161 | PhoneNum |
| Signature | 2015-02-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Doreen B Merz | PreparerPersonNm |
| PTIN | P00841439 | PTIN |
| Phone | 7195895161 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Jeanne Darricades | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 128 Market Street | AddressLine1 |
| City | Alamosa | City |
| State | CO | State |
| ZIP Code | 81101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $29,534,853 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.vwhs.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1976 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | VALLEY-WIDE IS COMMITTED TO PROVIDING HIGH-QUALITY, SAFE, EFFECTIVE AND INTEGRATED HEALTH CARE SERVICES IN A RESPECTFUL MANNER FOR MEDICALLY UNDERSERVED POPULATIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 444 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $11,786,861 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,114,397 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,156,674 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,147,971 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$1,941 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,857 | CYInvestmentIncomeAmt |
| PY Other Revenue | $195,400 | PYOtherRevenueAmt |
| CY Other Revenue | $269,628 | CYOtherRevenueAmt |
| PY Total Revenue | $32,136,994 | PYTotalRevenueAmt |
| CY Total Revenue | $29,534,853 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $35,300 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $83,845 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $17,766,610 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,332,035 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $243,825 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,433,373 | PYOtherExpensesAmt |
| CY Other Expenses | $9,949,400 | CYOtherExpensesAmt |
| PY Total Expenses | $28,235,283 | PYTotalExpensesAmt |
| CY Total Expenses | $29,365,280 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,901,711 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $169,573 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,760,723 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,640,838 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,700,815 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,411,357 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,059,908 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,229,481 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | VALLEY-WIDE HEALTH SYSTEMS IS COMMITTED TO PROVIDING HIGH-QUALITY, SAFE, EFFECTIVE AND INTEGRATED HEALTH CARE SERVICES IN A RESPECTFUL AND INCLUSIVE MANNER FOR ALL WITH SPECIAL CONSIDERATION FOR MEDICALLY UNDERSERVED POPULATIONS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $23,683,070 | ExpenseAmt |
| Revenue | $20,274,251 | RevenueAmt |
| Desc | VALLEY-WIDE HEALTH SYSTEMS, INC. IS A PRIVATE, NON-PROFIT, COMMUNITY HEALTH CENTER, SERVING 17 COUNTIES IN SOUTHERN RURAL COLORADO SINCE 1976, WITH FULL JOINT COMMISSION ACCREDITATION SINCE 1997. SEE SCHEDULE O FOR CONTINUATION | Desc |
| Total Program Service Expenses | $23,683,070 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | 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 | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | 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 | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | 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 | Yes (true) | 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 | 59 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 444 | 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 |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | 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 | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEANNE DARRICADES | PersonNm |
| Phone | 7195895161 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 128 MARKET STREET | AddressLine1 |
| City | ALAMOSA | City |
| State | CO | State |
| ZIP Code | 81101 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| Vivian Gallegos | |||||||
| Chair | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Frances Valdez | |||||||
| Vice Chair | 2.0 | Yes (X) | Yes (X) | ||||
| Tressesa Martinez | |||||||
| Treasurer as of 6/25/14 | 2.0 | Yes (X) | Yes (X) | ||||
| Kevin Ditmore | |||||||
| Treasurer Resigned 6/25/14 | 2.0 | Yes (X) | Yes (X) | ||||
| John Taylor | |||||||
| Secretary | 2.0 | Yes (X) | Yes (X) | ||||
| Aurora Martinez | |||||||
| Member Resigned 11/19/14 | 1.0 | Yes (X) | |||||
| Julio Paez | |||||||
| Member | 1.0 | Yes (X) | |||||
| Richard Ritter | |||||||
| Member | 1.0 | Yes (X) | |||||
| Mitch Garcia | |||||||
| Member | 1.0 | Yes (X) | |||||
| Lucy Cordova | |||||||
| Member | 1.0 | Yes (X) | |||||
| Rick Manzanares | |||||||
| Member as of 12/17/14 | 1.0 | Yes (X) | |||||
| Nancy Goodare | |||||||
| Dental Director | 40.0 | Yes (X) | $183,484 | $17,638 | |||
| Ricardo Velasquez | |||||||
| Medical Director resigned 1/14 | 40.0 | Yes (X) | $195,351 | $6,704 | |||
| Amanda Weed | |||||||
| CFO resigned 4/2014 | 40.0 | Yes (X) | $119,534 | $17,574 | |||
| Christine Hettinger-Hunt | |||||||
| Programs Director | 40.0 | Yes (X) | $105,129 | $17,238 | |||
| Larry Helms | |||||||
| IT Director | 40.0 | Yes (X) | $86,279 | $14,832 | |||
| Jeanne Darricades | |||||||
| CEO | 40.0 | Yes (X) | $166,967 | $3,731 | |||
| Benjamin Duarte | |||||||
| HR Director | 40.0 | Yes (X) | $100,947 | $15,022 | |||
| Alonzo Payne | |||||||
| Admin Director | 40.0 | Yes (X) | $90,380 | $16,000 | |||
| Phillip Mendoza | |||||||
| Medical Director as of 1/14 | 40.0 | Yes (X) | $128,755 | $4,559 | |||
| Angela K Fryer | |||||||
| Physician | 40.0 | $239,526 | $22,801 | Yes (X) | |||
| Michael Gruber | |||||||
| Physician | 40.0 | $194,458 | $19,620 | Yes (X) | |||
| Megan Lykke | |||||||
| Physician | 40.0 | $150,626 | $9,237 | Yes (X) | |||
| Marc Rosenthal | |||||||
| Dentist | 40.0 | $175,819 | $4,982 | Yes (X) | |||
| Janice Wiexleman | |||||||
| Locum Physician | 40.0 | $183,010 | $1,054 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,120,265 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $170,992 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 34 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Clean as a Whistle | |||||
| 8211 US Highway 285 South | ALAMOSA | CO | 81101 | Janitorial Service | $271,571 |
| Vista Staffing Solutions | |||||
| 275 East 200 South | SALT LAKE CITY | UT | 84111 | Contract Physicians | $112,278 |
| Onyx Healthcare INC | |||||
| 324 west blueridge ave | ORANGE | CA | 92865 | contract Physicians | $109,723 |
| Compuhealth Inc | |||||
| 6440 South Millrock Dr Ste 175 | SALT LAKE CITY | UT | 84121 | contract physicians | $222,330 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $53,600 | FundraisingAmt |
| Government Grants | $9,060,797 | GovernmentGrantsAmt |
| Noncash Contributions | $1,475,790 | NoncashContributionsAmt |
| Total Contributions | $9,114,397 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT REVENUE | 621400 | $16,743,041 | $16,743,041 |
| CONTRACT SERVICES | 621400 | $3,277,430 | $3,277,430 |
| MEANINGFUL USE REVENUE | 621400 | $127,500 | $127,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,147,971 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,857 | TotalRevenueColumnAmt |
| Exclusion | $2,857 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $18,280 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $18,280 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,280 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,280 | RelatedOrExemptFuncIncomeAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $53,600 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| ICHP DISTRIBUTION | 900099 | $108,000 | $108,000 | |
| OTHER REVENUE | 900099 | $143,348 | $143,348 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $251,348 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,534,853 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,274,251 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $146,205 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,845 | TotalAmt |
| Program Services | $83,845 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,330,875 | TotalAmt |
| Program Services | $229,232 | ProgramServicesAmt |
| Management And General | $952,467 | ManagementAndGeneralAmt |
| Fundraising | $149,176 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,386,159 | TotalAmt |
| Program Services | $12,982,792 | ProgramServicesAmt |
| Management And General | $2,367,226 | ManagementAndGeneralAmt |
| Fundraising | $36,141 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,615,001 | TotalAmt |
| Program Services | $2,076,096 | ProgramServicesAmt |
| Management And General | $523,633 | ManagementAndGeneralAmt |
| Fundraising | $15,272 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,207 | TotalAmt |
| Management And General | $3,207 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,246 | TotalAmt |
| Management And General | $44,246 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,000 | TotalAmt |
| Management And General | $25,000 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,996,526 | TotalAmt |
| Program Services | $2,591,553 | ProgramServicesAmt |
| Management And General | $404,973 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,259 | TotalAmt |
| Program Services | $78,118 | ProgramServicesAmt |
| Management And General | $32,141 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $583,665 | TotalAmt |
| Program Services | $460,416 | ProgramServicesAmt |
| Management And General | $80,013 | ManagementAndGeneralAmt |
| Fundraising | $43,236 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $482,343 | TotalAmt |
| Program Services | $379,062 | ProgramServicesAmt |
| Management And General | $103,281 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,833 | TotalAmt |
| Program Services | $133,035 | ProgramServicesAmt |
| Management And General | $81,798 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $813,562 | TotalAmt |
| Program Services | $508,737 | ProgramServicesAmt |
| Management And General | $304,825 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $1,834,166 | $1,724,494 | $109,672 |
| BAD DEBT EXPENSE | $838,869 | $838,869 | |
| SUPPLEMENTAL NUTRITION | $1,066,540 | $1,066,540 | |
| TELEPHONE | $333,462 | $239,079 | $94,383 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $602,722 | TotalAmt |
| Program Services | $291,202 | ProgramServicesAmt |
| Management And General | $311,520 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,365,280 | TotalAmt |
| Program Services | $23,683,070 | ProgramServicesAmt |
| Management And General | $5,438,385 | ManagementAndGeneralAmt |
| Fundraising | $243,825 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,816 | BOYAmt |
| EOY | $83,382 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $953,864 | BOYAmt |
| EOY | $1,147,144 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $632,019 | BOYAmt |
| EOY | $589,001 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $991,778 | BOYAmt |
| EOY | $1,156,598 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $324,893 | BOYAmt |
| EOY | $365,158 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $434,150 | BOYAmt |
| EOY | $484,880 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $22,506,222 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,741,260 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,560,479 | BOYAmt |
| EOY | $16,764,962 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $790,724 | BOYAmt |
| EOY | $1,049,713 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,760,723 | BOYAmt |
| EOY | $21,640,838 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,730,260 | BOYAmt |
| EOY | $1,910,228 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $341,524 | BOYAmt |
| EOY | $158,249 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,629,031 | BOYAmt |
| EOY | $3,342,880 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,700,815 | BOYAmt |
| EOY | $5,411,357 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,059,908 | BOYAmt |
| EOY | $16,229,481 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,059,908 | BOYAmt |
| EOY | $16,229,481 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,760,723 | BOYAmt |
| EOY | $21,640,838 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $169,573 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,235,072 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,805,070 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,591,798 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,751,561 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,114,397 | CurrentTaxYearAmt |
| Total | $41,497,898 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,235,072 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,805,070 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,591,798 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,751,561 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,114,397 | CurrentTaxYearAmt |
| Total | $41,497,898 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $41,497,898 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $69,663 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $64,205 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $59,032 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,435 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,857 | CurrentTaxYearAmt |
| Total | $200,192 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $198,772 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $318,879 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $180,950 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $166,410 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $251,348 | CurrentTaxYearAmt |
| Total | $1,116,359 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $42,814,449 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $99,183,863 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.96925 | PublicSupportCY170Pct |
| Public Support PY170 | 0.96396 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $101,852 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $101,852 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $23,581,217 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $23,683,069 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $75,882 | CurrentYearMinus3Amt |
| Current Year Minus2 | $105,335 | CurrentYearMinus2Amt |
| Current Year Minus1 | $116,703 | CurrentYearMinus1Amt |
| Current Year | $101,852 | CurrentYearAmt |
| Total | $399,772 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $653,736 | OtherCostOrOtherBasisAmt |
| Book Value | $653,736 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,056,310 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,357,675 | DepreciationAmt |
| Book Value | $14,698,635 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $72,933 | OtherCostOrOtherBasisAmt |
| Depreciation | $62,945 | DepreciationAmt |
| Book Value | $9,988 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,723,243 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,320,640 | DepreciationAmt |
| Book Value | $1,402,603 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $16,764,962 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
| Total Liability | $0 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $28,837,756 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $195,372 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $195,372 | RevenueNotReportedAmt |
| Revenue Subtotal | $28,642,384 | RevenueSubtotalAmt |
| Other Revenues Not Included | $892,469 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $892,469 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $29,534,853 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $28,668,183 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $195,372 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $195,372 | ExpensesNotReportedAmt |
| Expenses Subtotal | $28,472,811 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $892,469 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $892,469 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $29,365,280 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, LINE 4 | The Health System is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code and a similar provision of state law. The Health System believes that it does not have any uncertain tax positions that are material to the financial statements. The Health Systems income tax returns for 2011 through the current period remain open to examination by the Internal Revenue Service and relevant state authorities. |
| PART XI, LINE 4B | BAD DEBT Reclassed TO EXPENSES FOR 990 REPORTING: $838,869 PASS THROUGH GRANT INCOME NOT REPORTED ON AUDIT: $ 53,600 |
| PART XII, LINE 4B | BAD DEBT Reclassed TO EXPENSES FOR 990 REPORTING: $838,869 PASS THROUGH GRANT INCOME NOT REPORTED ON AUDIT: $ 53,600 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | EVENING THEATRE | NameOfEvent1Amt |
| Gross Receipts Event1 | $53,600 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $53,600 | CharitableContriEvent1Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $53,600 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $53,600 | CharitableContributionsTotAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| LA PUENTE HOUSING CORPORATION | |||||||
| 911 STATE AVENUE | ALAMOSA | CO | 81101 | 840799121 | 501(C)(2) | $53,600 | GENERAL SUPPORT |
| Rural Medical Fellowship Fund | |||||||
| 12631 East 17th Ave | Aurora | CO | 80045 | 846049811 | $20,000 | GENERAL SUPPORT | |
| Adams State Foundation | |||||||
| 208 Edgemont Blvd | Alamosa | CO | 81102 | 846027518 | $5,185 | General Support | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I line 2 | FormAndLineReferenceDesc |
| Explanation | Annual fundraiser proceeds are given to specified organization. No other grants are approved. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|
| Nancy Goodare | |||||||||
| Dental Director | $183,484 | $0 | $0 | $17,638 | $201,122 | $0 | |||
| Ricardo Velasquez | |||||||||
| Medical Director resigned 1/14 | $195,351 | $0 | $0 | $6,704 | $202,055 | $0 | |||
| Jeanne Darricades | |||||||||
| CEO | $166,967 | $0 | $0 | $3,731 | $170,698 | $0 | |||
| Angela K Fryer | |||||||||
| Physician | $230,826 | $0 | $22,801 | $262,327 | $0 | $8,700 | $0 | ||
| Michael Gruber | |||||||||
| Physician | $185,379 | $0 | $0 | $19,620 | $214,078 | $0 | $9,079 | ||
| Megan Lykke | |||||||||
| Physician | $150,626 | $0 | $0 | $9,237 | $159,863 | $0 | |||
| Marc Rosenthal | |||||||||
| Dentist | $175,819 | $0 | $0 | $4,982 | $180,801 | $0 | |||
| Janice Wiexleman | |||||||||
| Locum Physician | $0 | $0 | $1,054 | $184,064 | $0 | $183,010 | |||
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $409,250 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | stated value | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | Program Vouchers | Desc |
| Contribution | 0 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,066,540 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | STATED VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 4A | CONTINUED: THE MISSION OF THE ORGANIZATION DIRECTS VALLEY-WIDE'S SCOPE OF SERVICES WHICH IS TO PROVIDE QUALITY, COMPREHENSIVE HEALTH CARE SERVICES IN A RESPECTFUL AND INCLUSIVE MANNER, WITH SPECIAL CONSIDERATION FOR MEDICALLY UNDERSERVED POPULATIONS. THIS SPECIFICALLY INCLUDES PATIENTS WHO ARE UNINSURED, UNDERINSURED, OR WHO HAVE LIMITED ACCESS TO PRIMARY HEALTH AND DENTAL CARE SERVICES. VALLEY WIDE PROVIDES SAFE AND EFFECTIVE COMPREHENSIVE PRIMARY AND ORAL HEALTH CARE SERVICES, IN ADDITION TO A FARMWORKER HEALTH SERVICE PROGRAM THAT PROVIDES SERVICES THROUGH VOUCHERS IN AREAS OF THE STATE THAT DO NOT HOUSE C/MHCS AND TO IMPROVE THE HEALTH STATUS OF UNDERSERVED AND VULNERABLE POPULATIONS. FOR THE Fiscal YEAR 2013/2014, VALLEY WIDE SERVED 33,757 PATIENTS THROUGH 131,017 VISITS AND OUTREACH SERVICES. Part VI, Section A, Line 2 The Dental Director (Officer) is married to one of the 5 highest compensated employees who receive reportable compensation of more than $150,000. |
| PART VI, SECTION B, LINE 11B | THE 990 IS REVIEWED AT THE MONTHLY BOARD OF DIRECTORS MEETING PRIOR TO THE SUBMISSION OF THE 990 TO THE INTERNAL REVENUE SERVICE. |
| PART VI, SECTION B, LINE 12C | REVIEWED ANNUALLY, CONFLICTS ARE DECLARED AT THE BEGINNING OF EACH BOARD OF DIRECTORS MEETING. EMPLOYEES ARE REQUIRED TO UPDATE ON AN ANNUAL BASIS. |
| PART VI, SECTION B, LINE 15 | MARKET SURVEY FROM NUMEROUS SOURCES, INCLUDING CCHN, BOFL AND MOUNTAIN STATE EMPLOYERS. |
| PART VI, SECTION C, LINE 19 | AVAILABALE UPON REQUEST |
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