CHIRICAHUA COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CHIRICAHUA COMMUNITY HEALTH CENTERS INC (EIN 86-0814898)
Tax period
2011-05-01 to 2012-04-30
Filed
2013-01-30
IRS object ID
201310309349300166
Schema version
2011v1.5
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)
Timestamp2013-01-30T12:12:38-06:00Timestamp
Tax Period End Date2012-04-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FESTER & CHAPMAN PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18283 N HAYDEN RD STE 200AddressLine1
CitySCOTTSDALECity
StateAZState
ZIP Code852582456ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-05-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN860814898EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHIRICAHUA COMMUNITY HEALTH CENTERSBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHIRNameControl
Phone5203646851Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11205 F AVENUEAddressLine1
CityDOUGLASCity
StateAZState
ZIP Code85607ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBETTY PIPERName
TitlePRESIDENTTitle
Phone5203646851Phone
Date Signed2013-01-24DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameRACHEL LOCKEName
Phone6022643077Phone
Date Prepared2013-01-30DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGARY MCPHERRANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11205 F AVENUEAddressLine1
CityDOUGLASCity
StateAZState
ZIP Code85607ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11896101GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CCHCI.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileAZStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE QUALITY, EFFICIENT PRIMARY HEALTH CARE TO ALL IN COCHISE COUNTY, REGARDLESS OF ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees206TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year6187248ContributionsGrantsPriorYear
Contributions Grants Current Year5083126ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5413543ProgramServiceRevenuePriorYear
Program Service Revenue CY6758658ProgramServiceRevenueCY
Investment Income Prior Year146InvestmentIncomePriorYear
Investment Income Current Year1InvestmentIncomeCurrentYear
Other Revenue Prior Year36384OtherRevenuePriorYear
Other Revenue Current Year54316OtherRevenueCurrentYear
Total Revenue Prior Year11637321TotalRevenuePriorYear
Total Revenue Current Year11896101TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6793432SalariesEtcPriorYear
Salaries Etc Current Year7907656SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3412885OtherExpensePriorYear
Other Expenses Current Year3873616OtherExpensesCurrentYear
Total Expenses Prior Year10206317TotalExpensesPriorYear
Total Expenses Current Year11781272TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1431004RevenuesLessExpensesPriorYear
Revenues Less Expenses CY114829RevenuesLessExpensesCY
Total Assets BOY8040421TotalAssetsBOY
Total Assets EOY8471509TotalAssetsEOY
Total Liabilities BOY1951797TotalLiabilitiesBOY
Total Liabilities EOY2268056TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6088624NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6203453NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE QUALITY, EFFICIENT PRIMARY HEALTH CARE TO ALL IN COCHISE COUNTY, REGARDLESS OF ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8367087Expense
DescriptionCCHC PROVIDES PRIMARY HEALTH CARE SERVICES TO SPECIALIZED GROUPS IN SOUTHEASTERN ARIZONA. THE SERVICE AREA IS DESIGNATED AS AN UNDERSERVED AND HEALTH PROVIDER SHORTAGE AREA.Description
Total Program Service Expense8367087TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees206NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEANNE BUTLERNamePerson
Telephone Number5203646851TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110566 HIGHWAY 191AddressLine1
Address Line2PO BOX 263AddressLine2
CityEL FRIDACity
StateAZState
ZIP Code85610ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
MANNY ALVAREZ
DIRECTOR1.00X000
VICKIE BRAND
VICE-PRESIDE1.00X000
MICHAEL HOLLAND
DIRECTOR1.00X000
ELIZABETH STONER
DIRECTOR1.00X000
ELISA DE LA CRUZ
DIRECTOR1.00X000
PHILIP KOOP
DIRECTOR1.00X000
CARRIE GUSTAVSON
TREASURER1.00X000
IRENE CORNEJO
DIRECTOR1.00X000
LOURDEZ FERNANDEZ
DIRECTOR1.00X000
BETTY PIPER
PRESIDENT1.00X000
JENNIFER RYAN
CEO40.0014088500X
GARY MCPHERRAN
CFO40.008604100X
STEPHEN LINDSTROM MD
MEDICAL DIRE40.0017902300X
JONATHAN LEE-MELK MD
MEDICAL DIRE40.0016659900X
JACK HOFFMAN MD
PHYSICIAN36.0015194800X
SHAHEDUL ISLAM MD
PHYSICIAN40.0014758800X
APRIL ALVAREZ-CORONA MD
PHYSICIAN40.0014196400X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1014048TotalReportableCompFromOrg
Number Individuals GT100 K8NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants4365224GovernmentGrants
All Other Contributions717902AllOtherContributions
Noncash Contributions714070NoncashContributions
Total Contributions5083126TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
PATIENT REVENUE67553586755358
RENTAL INCOME3300$3,300
FieldValueIRS element (for citing)
Total Program Service Revenue6758658TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1TotalRevenueColumn
Exclusion$1ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHERDescription
Total Revenue Column54316TotalRevenueColumn
Related Or Exempt Function Income54316RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue54316TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11896101TotalRevenueColumn
Related Or Exempt Function Income6809674RelatedOrExemptFunctionIncome
Exclusion$3,301ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total319568Total
Program Services230089ProgramServices
Management And General89479ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6535606Total
Program Services4705636ProgramServices
Management And General1829970ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1052482Total
Program Services789362ProgramServices
Management And General263120ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1571Total
Management And General1571ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total91883Total
Management And General91883ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total139505Total
Program Services139505ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total161503Total
Management And General161503ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total247489Total
Program Services123744ProgramServices
Management And General123745ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total225915Total
Program Services112958ProgramServices
Management And General112957ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total53811Total
Management And General53811ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total380932Total
Program Services190466ProgramServices
Management And General190466ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total71002Total
Program Services35501ProgramServices
Management And General35501ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES1292637123155061087
CONTRACTUAL SERVICES721075576860144215
TELEPHONE1609338046780466
REPAIR & MAINTENANCE818954094740948

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total243465Total
Program Services110002ProgramServices
Management And General133463ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11781272Total
Program Services8367087ProgramServices
Management And General3414185ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY643700BOY
EOY637278EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1577187BOY
EOY1848184EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY449224BOY
EOY422693EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY34670BOY
EOY66974EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY126060BOY
EOY122629EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7848687LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2554290LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2629964BOY
EOY5294397EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2579616BOY
EOY79354EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8040421BOY
EOY8471509EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY790283BOY
EOY746962EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY468855BOY
EOY920904EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY692659BOY
EOY600190EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1951797BOY
EOY2268056EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6088624BOY
EOY6203453EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6088624BOY
EOY6203453EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8040421BOY
EOY8471509EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses114829ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3655149CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3552621CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4553925CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6187248CurrentTaxYearMinus1Year
Current Tax Year5083126CurrentTaxYear
Total23032069Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3655149CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3552621CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4553925CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6187248CurrentTaxYearMinus1Year
Current Tax Year5083126CurrentTaxYear
Total23032069Total
FieldValueIRS element (for citing)
Public Support Total17023032069PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years85CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years135CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year146CurrentTaxYearMinus1Year
Current Tax Year3301CurrentTaxYear
Total3667Total
FieldValueIRS element (for citing)
Total Support23035736TotalSupport
Gross Receipts From Admissions Etc6809674GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99980PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99990PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis35323OtherCostOrOtherBasis
Book Value35323BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4828518OtherCostOrOtherBasis
Depreciation1578505Depreciation
Book Value3250013BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2115153OtherCostOrOtherBasis
Depreciation691471Depreciation
Book Value1423682BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis869693OtherCostOrOtherBasis
Depreciation284314Depreciation
Book Value585379BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5294397TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
LINE OF CREDIT$350,000
OTHER NONCURRENT LIABILITY$244,718
CAPITAL LEASES$5,472
FieldValueIRS element (for citing)
Total Of Amounts600190TotalOfAmounts
Total Revenue11896101TotalRevenue
Total Expenses11781272TotalExpenses
Excess Or Deficit For Year114829ExcessOrDeficitForYear
Excess Or Deficit Per FS114829ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11896101TotRevenueEtcAuditedFinclStmt
Revenue Subtotal11896101RevenueSubtotal
Total Revenue Per Form99011896101TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11781272TotExpensesEtcAuditedFinclStmt
Expenses Subtotal11781272ExpensesSubtotal
Total Expenses Per Form99011781272TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
STEPHEN LINDSTROM MD
1775171506179023
JONATHAN LEE-MELK MD
1625634036166599
JACK HOFFMAN MD
151948151948

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990714070NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE CFO REVIEWS THE 990 AND THEN PRESENTS TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR REVIEW. THE FINANCE COMMITTEE PRESENTS TO THE BOARD OF DIRECTORS FOR REVIEW.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE CONFLICT OF INTEREST POLICY IS REVIEWED, APPROVED AND SIGNED ANNUALLY.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION FOR KEY EMPLOYEES IS REVIEWED AND APPROVED BY BOTH HR AND FINANCE. RATES OF COMPARABLE HEALTH CENTERS IS REVIEWED AND RANGES ARE APPROVED BY THE BOD.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BCOMPENSATION FOR KEY EMPLOYEES IS REVIEWED AND APPROVED BY BOTH HR AND FINANCE. RATES OF COMPARABLE HEALTH CENTERS IS REVIEWED AND RANGES ARE APPROVED BY THE BOD. OFFICERS AND BOD MEMBERS ARE NOT COMPENSATED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC MONTHLY AT EACH BOARD OF DIRECTORS MEETING AND UPON REQUEST.

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