IDAHO PRIMARY CARE ASSOCIATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- IDAHO PRIMARY CARE ASSOCIATION (EIN 82-0376764)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2013-12-20
- IRS object ID
- 201303549349300945
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-12-20T16:20:21-06:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 264022510 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARRIS & CO PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2289 S BONITO WAY STE 100 | AddressLine1 |
| City | MERIDIAN | City |
| State | ID | State |
| ZIP Code | 83642 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820376764 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IDAHO PRIMARY CARE ASSOCIATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | IDAH | NameControl |
| Phone | 2083452335 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1087 W RIVER STREET NO 160 | AddressLine1 |
| City | BOISE | City |
| State | ID | State |
| ZIP Code | 83702 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TOM FRONK | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 2083452335 | Phone |
| Date Signed | 2013-12-02 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHERYL GUIDDY | Name |
| PTIN | P00266294 | PTIN |
| Phone | 2083338965 | Phone |
| Date Prepared | 2013-12-02 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | TOM FRONK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1087 W RIVER STREET NO 160 | AddressLine1 |
| City | BOISE | City |
| State | ID | State |
| ZIP Code | 83702 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1024634 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.IDAHOPCA.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | ID | StateLegalDomicile |
| Activity Or Mission Description | TO 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 12 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 775319 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 923135 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 321739 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 101193 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 197 | InvestmentIncomePriorYear |
| Investment Income Current Year | 306 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1097255 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1024634 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 642077 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 568730 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 407826 | OtherExpensePriorYear |
| Other Expenses Current Year | 479608 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1049903 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1048338 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 47352 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -23704 | RevenuesLessExpensesCY |
| Total Assets BOY | 438860 | TotalAssetsBOY |
| Total Assets EOY | 491131 | TotalAssetsEOY |
| Total Liabilities BOY | 61868 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 137843 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 376992 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 353288 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 658458 | Expense |
| Revenue | 6047 | Revenue |
| Description | COOPERATIVE 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 97579 | Expense |
| Revenue | 95146 | Revenue |
| Description | PATIENT CENTERED MEDICAL HOME INITIATIVE - PROGRAM 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 ASSOCIATION IS PROVIDING STAFF TIME THROUGH THE DIRECTOR OF CLINICAL SERVICES TO MANAGE THIS INITIATIVE. GRANT FUNDS ARE USED TO SUPPORT A PROGRAM SPECIALIST AND TO PROVIDE TRAINING AND TECHNICAL ASSISTANCE TO PARTICIPATING CLINICS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2274 | Expense |
| Revenue | 0 | Revenue |
| Description | SEARCH CONTRACT - TO HELP PRODCUE COMPETENT HEALTH PROFESSIONALS WITH A DEEP UNDERSTANDING OF THE CULTURE OF THE MEDICALLY UNDERSERVED POPULATIONS IN IDAHO. | Description |
Activity Other ActivityOther (6 entries)
| ExpenseExpense | DescriptionDescription |
|---|---|
| 22469 | LICENSE PLATE PROJECT - THE IDAHO STATE LEGISLATURE HAS ENACTED A SPECIALTY LICENSE PLATE PROGRAM TO PROMOTE BREAST CANCER AWARENESS. FUNDS RAISED BY THE PROGRAM HELP LOW-INCOME, UNINSURED WOMEN RECEIVE BREAST CANCER SCREENING THROUGH IDAHOS COMMUNITY HEALTH CENTERS. |
| 6159 | COMMUNITY CARE PLAN OF IDAHO (CCPI) - CCPI IS INCORPORATED BY THE STATE OF IDAHO AS THE MANAGED HEALTH CARE ENTITY THAT SERVES IDAHOS COMMUNITY AND MIGRANT HEALTH CENTERS. |
| 80962 | HEALTH CENTER CONTROLLED NETWORK (HCCN) - HCCN INCLUDES MEMBER/SAFETY NET PROVIDERS WHO COLLABORATE HORIZONTALLY AND FACILITATE VERTICAL COLLABORATION TO IMPROVE CARE. THE ACTIVITIES 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. |
| 47192 | CHILDRENS HEALTH INSURANCE PROGRAM REAUTHORIZATION(CHIPRA) - THE CHIPRA PROJECT IS TO ENROLL AN ANTICIPATED 1,200 CHILDREN IN MEDICAID/CHIP, WITH A TARGETED 55% HISPANIC ORIGIN. |
| 64985 | IDAHO PATIENT CENTER MEDICAL HOME - 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 MODEL. |
| 16503 | MISCELLANEOUS PROJECTS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 238270 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 996581 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 27 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 12 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2083452335 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1087 W RIVER STREET NO 160 | AddressLine1 |
| City | BOISE | City |
| State | ID | State |
| ZIP Code | 83702 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| MIKE BAKER | ||||||
| PRESIDENT/DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| ARNOLD CANTU | ||||||
| VICE PRESIDENT/DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| BILL MOORE | ||||||
| SEC/TREAS/DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| DENISE LANGSTON-GROVES | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| GARY LEVA | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| BRIAN HADLOCK | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| AARON WILSON | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| LYNN HUDGENS | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| DR TED EPPERLY | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| LESLYN PHELPS | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| VICTORIA MCCLELLAN KING | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| BETH MAHONEY | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| HEIDI HART-TRAYLOR | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| DENISE CHUCKOVICH | ||||||
| FORMER EXECUTIVE DIRECTOR | 45.00 | 75180 | 0 | 22563 | X | |
| TOM FRONK | ||||||
| EXECUTIVE DIRECTOR | 45.00 | 16031 | 0 | 2134 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 91211 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 24697 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Membership Dues | 48557 | MembershipDues |
| Government Grants | 855852 | GovernmentGrants |
| All Other Contributions | 18726 | AllOtherContributions |
| Total Contributions | 923135 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT INITIATIVE CON | 621990 | 84148 | 84148 |
| COMMUNITY HEALTH CENTE | 621990 | 10998 | 10998 |
| WORKSHOP REGISTRATIONS | 611430 | 6047 | 6047 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 101193 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 306 | TotalRevenueColumn |
| Exclusion | $306 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1024634 | TotalRevenueColumn |
| Related Or Exempt Function Income | 101193 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $306 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93520 | Total |
| Program Services | 93520 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 338490 | Total |
| Program Services | 332507 | ProgramServices |
| Management And General | 5983 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15323 | Total |
| Program Services | 15198 | ProgramServices |
| Management And General | 125 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89682 | Total |
| Program Services | 89248 | ProgramServices |
| Management And General | 434 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31715 | Total |
| Program Services | 31261 | ProgramServices |
| Management And General | 454 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3282 | Total |
| Program Services | 3256 | ProgramServices |
| Management And General | 26 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6800 | Total |
| Program Services | 6280 | ProgramServices |
| Management And General | 520 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36896 | Total |
| Management And General | 36896 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83538 | Total |
| Program Services | 82552 | ProgramServices |
| Management And General | 986 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8061 | Total |
| Program Services | 8061 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78678 | Total |
| Program Services | 76290 | ProgramServices |
| Management And General | 2388 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44865 | Total |
| Program Services | 44204 | ProgramServices |
| Management And General | 661 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4248 | Total |
| Program Services | 1305 | ProgramServices |
| Management And General | 2943 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17098 | Total |
| Program Services | 17051 | ProgramServices |
| Management And General | 47 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2581 | Total |
| Program Services | 2581 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACT SERVICES | 123464 | 123464 | |
| PROGRAM EXPENSE | 32570 | 32512 | 58 |
| TRAINING | 20770 | 20770 | |
| MISCELLANEOUS | 8108 | 7932 | 176 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8649 | Total |
| Program Services | 8589 | ProgramServices |
| Management And General | 60 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1048338 | Total |
| Program Services | 996581 | ProgramServices |
| Management And General | 51757 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65495 | BOY |
| EOY | 108443 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 200046 | BOY |
| EOY | 200352 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112891 | BOY |
| EOY | 124248 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8507 | BOY |
| EOY | 10453 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7850 | BOY |
| EOY | 8455 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 101139 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 61959 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44071 | BOY |
| EOY | 39180 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 438860 | BOY |
| EOY | 491131 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51888 | BOY |
| EOY | 80664 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9980 | BOY |
| EOY | 57179 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61868 | BOY |
| EOY | 137843 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 346220 | BOY |
| EOY | 351704 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30772 | BOY |
| EOY | 1584 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 376992 | BOY |
| EOY | 353288 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 438860 | BOY |
| EOY | 491131 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -23704 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 751868 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 695428 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 827057 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 775319 | CurrentTaxYearMinus1Year |
| Current Tax Year | 923135 | CurrentTaxYear |
| Total | 3972807 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 751868 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 695428 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 827057 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 775319 | CurrentTaxYearMinus1Year |
| Current Tax Year | 923135 | CurrentTaxYear |
| Total | 3972807 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 3972807 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 485 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 169 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 320 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 197 | CurrentTaxYearMinus1Year |
| Current Tax Year | 306 | CurrentTaxYear |
| Total | 1477 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 3974284 | TotalSupport |
| Gross Receipts From Admissions Etc | 1153974 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99960 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99860 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $36,896 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 36896 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART IV, SUPPLEMENTAL INFORMATION: | Identifier |
| Explanation | PART II-B, LINE 1(G), LOBBYING ACTIVITIES: SERVE 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. | Explanation |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 101139 | OtherCostOrOtherBasis |
| Depreciation | 61959 | Depreciation |
| Book Value | 39180 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 39180 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 1024634 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 1024634 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1024634 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1048338 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1048338 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1048338 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | UNCERTAIN 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 2013 OR 2012. 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 2009. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS OF THE ORGANIZATION CONSIST OF COMMUNITY HEALTH CENTERS IN IDAHO. |
| FORM 990, PART VI, SECTION B, LINE 11 | FINANCE 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 12C | COMPLIANCE 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 15A | THE 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 18 | FILED 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 19 | GOVERNING 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 PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTER NETWORK OF IDAHO LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1087 W RIVER STREET SUITE 160 | AddressLine1 |
| City | BOISE | City |
| State | ID | State |
| ZIP Code | 83702 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460729951 | EIN |
| Primary Activity | ADMINISTRATIVE SERVICES | PrimaryActivity |
| Legal Domicile State | ID | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | N/A | PredominantIncomeType |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTER NETWORK OF IDAHO LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | L | TransactionType |
| Amount Involved | 10998 | AmountInvolved |
| Method Of Amt Determination | COST REIMBURSEMENT | MethodOfAmtDetermination |
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