VALLEY FAMILY HEALTH CARE INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
VALLEY FAMILY HEALTH CARE INC (EIN 82-0371383)
Tax period
2014-02-01 to 2015-01-31
Filed
2015-07-30
IRS object ID
201522119349301277
Schema version
2014v5.0
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)
Return2015-07-30T16:21:03-05:00ReturnTs
Tax Period End2015-01-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN203147422PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BRIAN L RICHINS PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1966 W IDAHO AVEAddressLine1Txt
CityONTARIOCityNm
State AbbreviationORStateAbbreviationCd
ZIP979142111ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-02-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN820371383EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VALLEY FAMILY HEALTH CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVALLBusinessNameControlTxt
Phone2086429376PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11441 NE 10TH AVEAddressLine1Txt
CityPAYETTECityNm
State AbbreviationIDStateAbbreviationCd
ZIP83661ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDON NELSONPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone2086429376PhoneNum
Signature2015-06-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRIAN L RICHINSPreparerPersonNm
PTINP00545131PTIN
Phone5418895288PhoneNum
Preparation2015-06-30PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$8,620,472GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Legal Domicile StateIDLegalDomicileStateCd
Activity Or MissionCOMMUNITY HEALTH SERVICESActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee137TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$3,383,238PYContributionsGrantsAmt
CY Contributions Grants$3,502,938CYContributionsGrantsAmt
PY Program Service Revenue$4,565,305PYProgramServiceRevenueAmt
CY Program Service Revenue$5,114,906CYProgramServiceRevenueAmt
PY Investment Income$2,796PYInvestmentIncomeAmt
CY Investment Income$2,628CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$7,951,339PYTotalRevenueAmt
CY Total Revenue$8,620,472CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,088,472PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,119,314CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,146,276PYOtherExpensesAmt
CY Other Expenses$1,724,185CYOtherExpensesAmt
PY Total Expenses$8,234,748PYTotalExpensesAmt
CY Total Expenses$7,843,499CYTotalExpensesAmt
PY Revenues Less Expenses-$283,409PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$776,973CYRevenuesLessExpensesAmt
Total Assets BOY$7,906,318TotalAssetsBOYAmt
Total Assets EOY$8,360,864TotalAssetsEOYAmt
Total Liabilities BOY$455,759TotalLiabilitiesBOYAmt
Total Liabilities EOY$475,186TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,450,559NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,885,678NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCOMMUNITY HEALTH SERVICESMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
DescHEALTH CARE FOR MIGRANT WORKERS AND LOW INCOME PERSONS. ALSO, MENTAL HEALTH AND NUTRITION COUNSELING.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$6,764,125ExpenseAmt
DescHEALTH CARE FOR MIGRANT WORKERSDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$6,764,125TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$6,764,125TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document14IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee137EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRIGMOR WILSONPersonNm
Phone2086429376PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11441 NE 10TH AVEAddressLine1Txt
CityPAYETTECityNm
State AbbreviationIDStateAbbreviationCd
ZIP83661ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
ROBERT BAROWSKY
DIRECTOR1.00Yes (X)$0$0$0
JONI DELGADO
DIRECTOR1.00Yes (X)$0$0$0
KAREN SANDS
CHAIRPERSON1.00Yes (X)$0$0$0
CHELLE ROBINS
VICE CHAIR1.00Yes (X)$0$0$0
CARLOS HERNANDEZ
DIRECTOR1.00Yes (X)$0$0$0
LOGAN HAMILTON
DIRECTOR1.00Yes (X)$0$0$0
HENRY HIXSON
SEC/TREAS1.00Yes (X)$0$0$0
EPIFANIO RENDON
DIRECTOR1.00Yes (X)$0$0$0
GEOFFREY THOMAS
DOCTOR40.00$193,943$0$542Yes (X)
SHARMEEN NELSON
DOCTOR40.00$186,499$0$7,844Yes (X)
PAUL CONCIDINE
DOCTOR40.00$143,928$0$5,740Yes (X)
ROBIN SEBASTION
DOCTOR40.00$138,312$0$5,442Yes (X)
ROBERT DAVIS
DOCTOR40.00$133,763$0$5,204Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$796,445TotalReportableCompFromOrgAmt
Total Other Compensation$24,772TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$3,502,938GovernmentGrantsAmt
Total Contributions$3,502,938TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PRIVATE INSURANCE$730,131$730,131
MEDICAID - IDAHO$617,759$617,759
MEDICARE$601,133$601,133
MEDICAID - OREGON$535,674$535,674
MISC INCOME$462,710$462,710

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,167,499TotalRevenueColumnAmt
Related Or Exempt Func Income$2,167,499RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,114,906TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,628TotalRevenueColumnAmt
Related Or Exempt Func Income$2,628RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,620,472TotalRevenueColumnAmt
Related Or Exempt Func Income$5,117,534RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,168,284TotalAmt
Program Services$4,392,934ProgramServicesAmt
Management And General$775,350ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$951,030TotalAmt
Program Services$816,903ProgramServicesAmt
Management And General$134,127ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$34,766TotalAmt
Program Services$18,449ProgramServicesAmt
Management And General$16,317ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
340B PROGRAM$309,444$309,444
340B CONSULTING FEES$181,833$181,833
SUPPLIES$91,756$91,756
COMPUTER FEES$69,562$66,409$3,153

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,036,824TotalAmt
Program Services$886,397ProgramServicesAmt
Management And General$150,427ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,843,499TotalAmt
Program Services$6,764,125ProgramServicesAmt
Management And General$1,079,374ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$184,306BOYAmt
EOY$223,223EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,487,595BOYAmt
EOY$2,114,959EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$822,898BOYAmt
EOY$861,443EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,401,542LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,241,158LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,411,519BOYAmt
EOY$5,160,384EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$855EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,906,318BOYAmt
EOY$8,360,864EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$455,759BOYAmt
EOY$475,186EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$455,759BOYAmt
EOY$475,186EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,450,559BOYAmt
EOY$7,885,678EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,450,559BOYAmt
EOY$7,885,678EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,906,318BOYAmt
EOY$8,360,864EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$776,973ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$341,854OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

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$4,058,784CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,106,897CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,166,039CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,383,238CurrentTaxYearMinus1YearAmt
Current Tax Year$3,502,938CurrentTaxYearAmt
Total$20,217,896TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,058,784CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,106,897CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,166,039CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,383,238CurrentTaxYearMinus1YearAmt
Current Tax Year$3,502,938CurrentTaxYearAmt
Total$20,217,896TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$20,217,896PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,858CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,711CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,025CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,796CurrentTaxYearMinus1YearAmt
Current Tax Year$2,627CurrentTaxYearAmt
Total$15,017TotalAmt
FieldValueIRS element (for citing)
Total Support$20,232,913TotalSupportAmt
Gross Receipts Rltd Activities$5,117,534GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99930PublicSupportCY170Pct
Public Support PY1700.99870PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$90,720OtherCostOrOtherBasisAmt
Book Value$90,720BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$9,310,822InvestmentCostOrOtherBasisAmt
Depreciation$4,241,158DepreciationAmt
Book Value$5,069,664BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,160,384TotalBookValueLandBuildingsAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
GEOFFREY THOMAS
DOCTOR$193,943$542$194,485
SHARMEEN NELSON
DOCTOR$186,499$7,844$194,343

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4DHEALTH CARE FOR MIGRANT WORKERS
FORM 990, PAGE 6, PART VI, LINE 11BPROVIDE COPY TO ORGANIZATION FOR BOARD MEMBERS TO REVIEW.
FORM 990, PAGE 6, PART VI, LINE 12CPOLICY OF ORGANIZATION IS TO REVIEW COMPLIANCE WITH NEW DIRECTORS, OFFICERS, AND KEY EMPLOYEES.
FORM 990, PAGE 6, PART VI, LINE 15ABOARD OF DIRECTORS PERFORM EVALUATIONS AND DETERMINE COMPENSATION.
FORM 990, PAGE 6, PART VI, LINE 19COPIES AVAILABLE FOR PUBLIC AND PAYETTE, ID ADMINISTRITIVE OFFICES.
FORM 990, PART IX, LINE 24EPATIENT STATEMENT FEES 61,042 0 0 SUPPLIES - MEDICAL 55,922 0 0 SUPPLIES - LAB 52,791 0 0 INJECTIBLES - MEDICAL 42,596 0 0 UTILITIES 24,262 6,473 0 MAINTENANCE AGREEMENTS - 27,810 0 0 TELEPHONE 15,778 8,740 0 PROFESSIONAL DUES/FEES/SU 24,416 0 0 UTILITIES - FACILITIY 23,916 0 0 AUDIT - ADMIN 0 23,445 0 CME 23,428 0 0 TELEPHONE - FACILITY 22,492 0 0 OFFICE PRODUCTS 21,395 0 0 MAINT/REPAIR - ADMIN FAC 0 19,973 0 MAINTENANCE & REPAIRS 19,915 0 0 OFFICE SUPPLIES - ADMIN 0 19,394 0 UTILITIES - FACILITY 19,176 0 0 INSURANCE - FACILITY 16,411 0 0 LAB 16,145 0 0 BANK FEES 15,931 0 0 FACILITY REPAIRS/MAINT - 15,466 0 0 340B PROCESSING COSTS 14,987 0 0 FACILITY - REPAIRS AND MA 14,772 0 0 INJECTIBLES - VALE 13,810 0 0 CME - MEDICAL 13,681 0 0 MAINTENANCE/REPAIRS - FAC 13,110 0 0 SUPPLIES - INJECTABLES 12,759 0 0 PAYROLL PROCESSING FEES 0 12,600 0 POSTAGE 9,966 2,531 0 OFFICE SUPPLIES 12,303 0 0 LAB SUPPLIES - VALE 12,014 0 0 ORGANIZATIONAL DUES 0 11,733 0 EQUIPMENT - FACILITY 560 10,472 0 UTILITIES - TOTAL 10,934 0 0 PRINTING/COPYING - MEDICA 10,920 0 0 INJECTIBLES 10,307 0 0 UTILITIES - VALE 9,640 0 0 MEDICAL SUPPLIES - VALE 9,550 0 0 CONTRACT MEDICAL 9,375 0 0 OFFICE PRODUCTS - TOTAL 8,990 0 0 TELEPHONE - NYSSA 8,868 0 0 INJECTIBLES - NYSSA 8,716 0 0 MEDICAL SUPPLIES - NYSSA 8,693 0 0 COMPUTER FEES - DENTAL 8,156 0 0 UTILITIES - NYSSA 7,942 0 0 CAPITAL OUTLAY 7,623 0 0 LAB SUPPLIES - NYSSA 7,436 0 0 EQUIP - ADMIN 0 7,231 0 INS/BOARD BONDING 0 7,217 0 EQUIPMENT - ADMIN - NYSSA 7,108 0 0 OFFICE PRODUCTS - NYSSA 7,090 0 0 CONTINUING MEDICAL EDUCAT 7,033 0 0 OFFICE PRODUCTS - VALE 6,603 0 0 PROFESSIONAL FEES/DUES/SU 6,366 0 0 SUPPLIES - FACILITY 6,275 0 0 CONTINUING EDUCATION - VA 6,198 0 0 TELEPHONE - VALE 6,064 0 0 UTILITIES - DENTAL FACILI 5,151 0 0 EQUIPMENT - ADMIN 4,446 0 0 EQUIPMENT - ADMINISTRATIO 4,446 0 0 AUTO MAINT. ADMIN 0 4,386 0 MAINT/REPAIR - FACILITY 4,353 0 0 COMPUTER/IT SUPPORT 0 4,004 0 MAINT/REPAIR - DENTAL FAC 3,693 0 0 MAINTENANCE/REPAIR - ONT 3,500 0 0 CONTINUING EDUCATION - NY 3,420 0 0 FACILITY INSURANCE - ADMI 0 3,400 0 OFFICE SUPPLIES - DENTAL 3,076 0 0 TELEPHONE - DENTAL FACILI 3,060 0 0 LEGAL FEES 0 2,904 0 INSURANCE-DENTAL ACTIVITY 2,810 0 0 DUES/FEES/SUBSCRIPTIONS 2,519 0 0 INSURANCE FACILITY - VALE 2,504 0 0 CONFERENCES/WORKSHOPS 0 2,285 0 OTHER - COMMUNITY SERVICE 2,121 0 0 CME - DENTAL 2,048 0 0 POSTAGE - VALE 2,040 0 0 LAB EXPENSES - DENTAL 2,036 0 0 FACILITY SUPPLIES - NYSSA 1,959 0 0 R & R 1,898 0 0 POSTAGE - NYSSA 1,800 0 0 INSURANCE FACILITY - NYSS 1,793 0 0 FACILITY SUPPLIES 1,712 0 0 MEDICAL - PRINTING/COPYIN 1,712 0 0 FACILITY SUPPLIES - VALE 1,667 0 0 DUES/FEES/SUB - DENTAL 1,559 0 0 PROF DUES/SUBSCRIPTIONS 1,501 0 0 EQUIPMENT - ADMIN - VALE 1,482 0 0 EQUIPMENT 1,482 0 0 BANK S/C 1,476 0 0 PRINTING & COPYING 1,328 0 0 COMMUNITY SERVICE PROMOTI 1,242 0 0 CONTRACT - MEDICAL 1,210 0 0 AUTO MAINT/REPAIRS/INS 1,187 0 0 OTHER - ADMIN 0 1,183 0 POSTAGE - TOTAL 1,160 0 0 PRINT/COPYING - ADMIN 0 1,085 0 ANSWERING SERVICE 1,076 0 0 SUPPLIES - COMMUNITY SERV 1,007 0 0 JOB ANNOUNCEMENTS 675 157 0 MAINTENANCE AGREE - ADMIN 813 0 0 CONTRACT-MEDICAL-NYSSA 746 0 0 CONTRACT - DENTAL 742 0 0 CONFERENCE/WORKSHOPS 732 0 0 PRINTING/COPYING 652 0 0 MAINT AGREE - ADMIN 0 644 0 MAINT/REPAIRS - FACILITY 636 0 0 PRINTING/COPYING - DENTAL 635 0 0 REFERRALS - XRAY - VALE 560 0 0 MAINTENANCE CONTRACTS 552 0 0 REFERRALS - LAB 492 0 0 SUPPLIES - DENTAL FACILIT 433 0 0 FAC SUPPLIES - ADMIN 0 320 0 CONFERENCE WORKSHOPS 300 0 0 ANSWERING SERVICE - NYSSA 269 0 0 ANSWERING SERVICE - VALE 269 0 0 COMMUNITY PROMOTIONS 0 250 0 FACILITY EQUIPMENT 240 0 0 SUPPLIES - PHARMACEUTICAL 220 0 0 OTHER - LAB 219 0 0 OTHER - MEDICAL 207 0 0 MAINTENANCE CONTRACT 198 0 0 PHARMACEUTICALS - VALE 176 0 0 TAXES - PROPERTY 136 0 0 MAINTENANCE AGREEMENT - M 120 0 0 COMMUNITY SERVICE 98 0 0 PHARMACEUTICALS 90 0 0 INSURANCE/STAFF BONDING - -28 0 0
FORM 990, PART XI, LINE 9CHANGE IN FIXED ASSETS 341,855 ROUNDING -1

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.