IDAHO PRIMARY CARE ASSOCIATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
IDAHO PRIMARY CARE ASSOCIATION (EIN 82-0376764)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-01-13
IRS object ID
201530139349301448
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-01-13T18:43:35-06:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN264022510PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HARRIS & CO PLLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12289 S BONITO WAY STE 100AddressLine1
CityMERIDIANCity
StateIDState
ZIP Code83642ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN820376764EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IDAHO PRIMARY CARE ASSOCIATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlIDAHBusinessNameControlTxt
Phone2083452335PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11087 W RIVER STREET NO 160AddressLine1
CityBOISECity
StateIDState
ZIP Code83702ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTOM FRONKPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2083452335PhoneNum
Signature2014-12-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHERYL GUIDDYPreparerPersonNm
PTINP00266294PTIN
Phone2083338965PhoneNum
Preparation2014-12-22PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTOM FRONKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11087 W RIVER STREET NO 160AddressLine1
CityBOISECity
StateIDState
ZIP Code83702ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,630,544GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.IDAHOPCA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateIDLegalDomicileStateCd
Activity Or MissionTO CREATE A MEANS BY WHICH THOSE WHO ARE INVOLVED IN PRIMARY HEALTH CARE DELIVERY CAN WORK TOGETHER TO ENSURE THE CONTINUED PROVISION OF ACCESSIBLE, COST EFFECTIVE, AND HIGH QUALITY AMBULATORY HEALTH CARE SERVICES.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee13TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$923,135PYContributionsGrantsAmt
CY Contributions Grants$1,274,239CYContributionsGrantsAmt
PY Program Service Revenue$101,193PYProgramServiceRevenueAmt
CY Program Service Revenue$356,000CYProgramServiceRevenueAmt
PY Investment Income$306PYInvestmentIncomeAmt
CY Investment Income-$5,025CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,024,634PYTotalRevenueAmt
CY Total Revenue$1,625,214CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$568,730PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$814,482CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$479,608PYOtherExpensesAmt
CY Other Expenses$806,021CYOtherExpensesAmt
PY Total Expenses$1,048,338PYTotalExpensesAmt
CY Total Expenses$1,620,503CYTotalExpensesAmt
PY Revenues Less Expenses-$23,704PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,711CYRevenuesLessExpensesAmt
Total Assets BOY$491,131TotalAssetsBOYAmt
Total Assets EOY$491,525TotalAssetsEOYAmt
Total Liabilities BOY$137,843TotalLiabilitiesBOYAmt
Total Liabilities EOY$133,526TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$353,288NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$357,999NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO CREATE A MEANS BY WHICH THOSE WHO ARE INVOLVED IN PRIMARY HEALTH CARE DELIVERY CAN WORK TOGERTHER TO ENSURE THE CONTINUED PROVISION OF ACCESSIBLE, COST EFFECTIVE, AND HIGH QUALITY AMBULATORY HEALTH CARE SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$657,326ExpenseAmt
DescCOOPERATIVE AGREEMENT - TO PROVIDE ASSISTANCE AND RESOURCES TO MEMBER COMMUNITY/MIGRANT HEALTH CENTERS TO STRENGTHEN AND EXPAND THEIR CAPACITY TO PROVIDE PRIMARY CARE SERVICES TO THEIR COMMUNITIES. PROVIDED TRAINING TO COMMUNITY HEALTH CENTER STAFF IN QUALITY MANAGEMENT, WORKFORCE RECRUITMENT AND RETENTION, CUSTOMER SERVICE, ADVOCACY AND BOARD DEVELOPMENT. ENHANCED THE COMMUNITY HEALTH CENTER WORKFORCE DEVELOPMENT.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$412,983ExpenseAmt
DescHEALTH CENTER CONTROLLED NETWORKIDAHO'S HEALTH CENTER CONTROLLED NETWORK (HCCN) INCLUDES OUR MEMBERS/SAFETY NET PROVIDERS AND THE PURPOSE OF THE GRANT ACTIVITIES IS TO COLLABORATE HORIZONTALLY AND FACILITATE VERTICAL COLLABORATION TO IMPROVE CARE. THE GRANT ACTIVITIES AND CONTRACTS ARE TO IMPROVE ACCESS TO CARE, ENHANCE QUALITY OF CARE, AND ACHIEVE COST EFFICIENCIES THROUGH THE REDESIGN OF PRACTICES TO INTEGRATE SERVICES, OPTIMIZE PATIENT OUTCOMES, AND NEGOTIATE FUTURE MANAGED CARE CONTRACTS ON BEHALF OF THE PARTICIPATING MEMBERS. THE GRANT ALSO INCLUDES CONTRACTS TO IMPLEMENT ELECTRONIC HEALTH RECORD (EHRS) SYSTEMS AND OPTIMIZE EXISTING EHRS AND IMPROVE WORKFLOWS TO INCREASE CLINICAL EFFICIENCIES. THE HCCN GRANT ALLOWS MEMBERS TO COME TOGETHER TO EXCHANGE INFORMATION AND ESTABLISH COLLABORATIVE MECHANISMS TO MEET ADMINISTRATIVE, IT AND CLINICAL QUALITY OBJECTIVES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$351,191ExpenseAmt
Revenue$356,000RevenueAmt
DescYOUR HEALTH IDAHOTHE IDAHO PRIMARY CARE ASSOCIATION IS A KEY PARTNER IN THE YOUR HEALTH IDAHO PROJECT TO PROVIDE AN ONLINE MARKETPLACE WHERE IDAHO FAMILIES AND SMALL BUSINESSES CAN GO TO COMPARE AND PURCHASE HEALTH INSURANCE. THROUGH THIS PROJECT, IDAHO PRIMARY CARE ASSOCIATION WILL ASSIST IN EDUCATING IDAHOANS ABOUT THEIR OPTIONS FOR PURCHASING HEALTH INSURANCE.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmtDescDesc
$95,083IDAHO PATIENT CENTER MEDICAL HOME IDAHO PRIMARY CARE ASSOCIATION WILL BUILD UPON A SUCCESSFUL SMALL-SCALE PILOT PROJECT TO ASSIST UP TO 20 ADDITIONAL PRIMARY CARE CLINICS THROUGHOUT IDAHO TO TRANSFORM THEIR HEALTH CARE SERVICE DELIVERY TO AN EVIDENCE-BASED PRIMARY CARE MEDICAL HOME (PCMH) MODEL. AN INTEGRAL PART OF BUILDING A PATIENT-CENTERED MEDICAL HOME MODEL IS TO IMPROVE AND ENHANCE THE USE OF DATA TO DRIVE QUALITY IMPROVEMENT. THROUGH THIS PROJECT, IDAHO PRIMARY CARE ASSOCIATION WILL PROVIDE TECHNICAL ASSISTANCE TO ASSIST CLINICS IN ENHANCING THEIR DATA UTILIZATION TO DRIVE DECISIONS FOR IMPROVED PATIENT OUTCOMES.
$43,749MANAGEMENT SERVICES AND MISCELLANEOUS PROJECTS.
$8,361PATIENT CENTERED MEDICAL HOME INITIATIVETHIS PROGRAM IS FUNDED THROUGH A GRANT FROM QUALIS HEALTH AND IS FOCUSED ON DEVELOPING THE PATIENT CENTERED MEDICAL HOME MODEL IN SAFETY NET CLINICS ACROSS THE STATE AND ON IMPROVING THE REIMBURSEMENT MODEL FOR MEDICAL HOME SERVICES. THE IDAHO PRIMARY CARE ASSOCIATION IS PROVIDING STAFF TIME THROUGH THE DIRECTOR OF CLINICAL SERVICES TO MANAGE THIS INITIATIVE. GRANT FUNDS FROM QUALIS HEALTH ARE USED TO SUPPORT A HALF TIME PROGRAM SPECIALIST AND TO PROVIDE TRAINING AND TECHNICAL ASSISTANCE TO PARTICIPATING CLINICS.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$147,193TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$1,568,693TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee13EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Phone2083452335PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11087 W RIVER STREET NO 160AddressLine1
CityBOISECity
StateIDState
ZIP Code83702ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
VICTORIA MCCLELLAN KING
PRESIDENT/DIRECTOR2.00Yes (X)$0$0$0
HEIDI HART-TRAYLOR
VICE PRESIDENT/DIRECTOR2.00Yes (X)$0$0$0
AARON WILSON
SEC/TREAS/DIRECTOR2.00Yes (X)$0$0$0
MIKE BAKER
IMMEDIATE PAST PRESIDENT2.00Yes (X)$0$0$0
DENISE LANGSTON-GROVES
DIRECTOR2.00Yes (X)$0$0$0
GARY LEVA
DIRECTOR2.00Yes (X)$0$0$0
BRIAN HADLOCK
DIRECTOR2.00Yes (X)$0$0$0
BILL MOORE
DIRECTOR2.00Yes (X)$0$0$0
LYNN HUDGENS
DIRECTOR2.00Yes (X)$0$0$0
DR TED EPPERLY
DIRECTOR2.00Yes (X)$0$0$0
LESLYN PHELPS
DIRECTOR2.00Yes (X)$0$0$0
ARNOLD CANTU
DIRECTOR2.00Yes (X)$0$0$0
BETH MAHONEY
DIRECTOR2.00Yes (X)$0$0$0
TOM FRONK
EXECUTIVE DIRECTOR45.00$94,332$0$13,348Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$94,332TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$13,348TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Membership Dues$55,015MembershipDuesAmt
Government Grants$1,173,343GovernmentGrantsAmt
All Other Contributions$45,881AllOtherContributionsAmt
Total Contributions$1,274,239TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescYOUR HEALTH IDAHODesc
Business621990BusinessCd
Total Revenue Column$356,000TotalRevenueColumnAmt
Related Or Exempt Func Income$356,000RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$356,000TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$305TotalRevenueColumnAmt
Exclusion$305ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$5,330OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$5,330OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$5,330TotalRevenueColumnAmt
Exclusion-$5,330ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,625,214TotalRevenueColumnAmt
Related Or Exempt Func Income$356,000RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$5,025ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$91,662TotalAmt
Program Services$91,328ProgramServicesAmt
Management And General$334ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$549,635TotalAmt
Program Services$547,474ProgramServicesAmt
Management And General$2,161ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,265TotalAmt
Program Services$12,239ProgramServicesAmt
Management And General$26ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$114,529TotalAmt
Program Services$114,334ProgramServicesAmt
Management And General$195ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$46,391TotalAmt
Program Services$46,211ProgramServicesAmt
Management And General$180ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,903TotalAmt
Program Services$9,899ProgramServicesAmt
Management And General$4ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,800TotalAmt
Program Services$6,788ProgramServicesAmt
Management And General$12ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$37,197TotalAmt
Management And General$37,197ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$83,459TotalAmt
Program Services$82,762ProgramServicesAmt
Management And General$697ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,966TotalAmt
Program Services$6,966ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$73,540TotalAmt
Program Services$72,966ProgramServicesAmt
Management And General$574ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$81,302TotalAmt
Program Services$80,858ProgramServicesAmt
Management And General$444ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,784TotalAmt
Program Services$14,765ProgramServicesAmt
Management And General$19ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,925TotalAmt
Program Services$2,925ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROGRAM EXPENSE$465,581$456,716$8,865
MISCELLANEOUS$13,908$12,807$1,101
EQUIPMENT$5,831$5,830$1
TRAINING$3,825$3,825

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,620,503TotalAmt
Program Services$1,568,693ProgramServicesAmt
Management And General$51,810ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$108,443BOYAmt
EOY$25,075EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$200,352BOYAmt
EOY$274,793EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$124,248BOYAmt
EOY$89,833EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,453BOYAmt
EOY$44,356EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,455BOYAmt
EOY$10,517EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$105,423LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$58,472LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$39,180BOYAmt
EOY$46,951EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$491,131BOYAmt
EOY$491,525EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$80,664BOYAmt
EOY$79,792EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$57,179BOYAmt
EOY$53,734EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$137,843BOYAmt
EOY$133,526EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$351,704BOYAmt
EOY$357,999EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,584BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$353,288BOYAmt
EOY$357,999EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$491,131BOYAmt
EOY$491,525EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,711ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$695,428CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$827,057CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$775,319CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$923,135CurrentTaxYearMinus1YearAmt
Current Tax Year$1,274,239CurrentTaxYearAmt
Total$4,495,178TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$695,428CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$827,057CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$775,319CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$923,135CurrentTaxYearMinus1YearAmt
Current Tax Year$1,274,239CurrentTaxYearAmt
Total$4,495,178TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$4,495,178PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$169CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$320CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$197CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$306CurrentTaxYearMinus1YearAmt
Current Tax Year$305CurrentTaxYearAmt
Total$1,297TotalAmt
FieldValueIRS element (for citing)
Total Support$4,496,475TotalSupportAmt
Gross Receipts Rltd Activities$1,457,751GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99970PublicSupportCY170Pct
Public Support PY1700.99960PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$37,197DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$37,197TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1(G), LOBBYING ACTIVITIES:FormAndLineReferenceDesc
ExplanationSERVE AS LIASON TO STATE AND FEDERAL AGENCIES AND REPRESENT THE INTERESTS OF THE COMMUNITY/MIGRANT HEALTH CENTERS TO THOSE AGENCIES AND THE FEDERAL AND STATE LEGISLATURE.ExplanationTxt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$105,423OtherCostOrOtherBasisAmt
Depreciation$58,472DepreciationAmt
Book Value$46,951BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$46,951TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,625,214TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$1,625,214RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,625,214TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,620,503TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,620,503ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,620,503TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationUNCERTAIN TAX POSITIONS THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THAT GUIDANCE, THE ASSOCIATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES FOR FISCAL YEARS 2014 OR 2013. THE ASSOCIATION FILES FORM 990 IN THE U.S. FEDERAL JURISDICTION. THE ASSOCIATION IS GENERALLY NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR YEARS BEFORE 2010.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6MEMBERS OF THE ORGANIZATION CONSIST OF COMMUNITY HEALTH CENTERS IN IDAHO.
FORM 990, PART VI, SECTION B, LINE 11FINANCE ADMINISTRATOR AND EXECUTIVE DIRECTOR CONDUCT A REVIEW OF FORM 990 AND APPROVE IT FOR FILING. A COPY OF THE FILED RETURN IS MAINTAINED AT THE ORGANIZATION'S PLACE OF BUSINESS FOR REVIEW BY MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CCOMPLIANCE OFFICER CONDUCTS AN ANNUAL REVIEW TO DETERMINE THAT CONFLICT OF INTEREST POLICIES ARE CURRENT AND INQUIRES IF ANY REPORTABLE EVENTS OCCURRED DURING THE YEAR.
FORM 990, PART VI, SECTION B, LINE 15ATHE EXECUTIVE DIRECTOR'S SALARY AND PERFORMANCE IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. CHANGES IN COMPENSATION ARE APPROVED BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 18FILED TAX RETURNS ARE MAINTAINED AT THE ORGANIZATION'S PLACE OF BUSINESS AND ARE AVAILABLE FOR PUBLIC VIEWING DURING NORMAL OFFICE HOURS UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE MAINTAINED AT THE ORGANIZATION'S PLACE OF BUSINESS AND ARE AVAILABLE FOR PUBLIC VIEWING DURING NORMAL OFFICE HOURS UPON REQUEST.
FORM 990, PART XII, LINE 2C:AUDITOR SELECTION AND OVERSIGHT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CENTER NETWORK OF IDAHO LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11087 W RIVER STREET SUITE 160AddressLine1
CityBOISECity
StateIDState
ZIP Code83702ZIPCode
FieldValueIRS element (for citing)
EIN460729951EIN
Primary ActivitiesADMINISTRATIVE SERVICESPrimaryActivitiesTxt
Legal Domicile StateIDLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeN/APredominantIncomeTypeTxt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CENTER NETWORK OF IDAHO LLCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeLTransactionTypeTxt
Involved$36,631InvolvedAmt
Method Of Amount DeterminationCOST REIMBURSEMENTMethodOfAmountDeterminationTxt

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