REDWOODS RURAL HEALTH CENTER INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- REDWOODS RURAL HEALTH CENTER INC (EIN 94-2337367)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-15
- IRS object ID
- 201211369349304036
- Schema version
- 2010v3.2
- 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 | 2012-05-15T11:03:32-07:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KATHY L WALKER CPA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9747 SINNARD AVENUE | AddressLine1 |
| City | LIVE OAK | City |
| State | CA | State |
| ZIP Code | 95953 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942337367 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REDWOODS RURAL HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | REDW | NameControl |
| Phone | 7079232783 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 769 | AddressLine1 |
| City | REDWAY | City |
| State | CA | State |
| ZIP Code | 95560 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEANIE ELDRIDGE | Name |
| Title | CFO | Title |
| Phone | 7079232783 | Phone |
| Date Signed | 2012-05-14 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KATHY L WALKER | Name |
| Date Prepared | 2012-05-15 | DatePrepared |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JEANIE ELDRIDGE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 769 | AddressLine1 |
| City | REDWAY | City |
| State | CA | State |
| ZIP Code | 95560 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2964308 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1976 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | Redwoods Rural Health Center is a Federally Qualified Health Center (FQHC) that provides primary, preventative healthcare services to all people without regard to social or economic status. Each year we serve more than 3,900 patients through 12,300 medical, acupuncture, dental and behavioral health visits. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 44 | TotalNbrEmployees |
| Total Nbr Volunteers | 16 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 1174477 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1175013 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1499825 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1777816 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3266 | InvestmentIncomePriorYear |
| Investment Income Current Year | 6682 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 8225 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4797 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2685793 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2964308 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1469226 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1741325 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 636900 | OtherExpensePriorYear |
| Other Expenses Current Year | 842369 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2106126 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2583694 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 579667 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 380614 | RevenuesLessExpensesCY |
| Total Assets BOY | 2338948 | TotalAssetsBOY |
| Total Assets EOY | 2543612 | TotalAssetsEOY |
| Total Liabilities BOY | 915817 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 739867 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1423131 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1803745 | NetAssetsOrFundBalancesEOY |
| Mission Description | Redwoods Rural Health Center is a Federally Qualified | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 1469751 | Expense |
| Revenue | 1789295 | Revenue |
| Description | THE PURPOSE OF REDWOODS RURAL HEALTH CENTER IS TO PROVIDE RESPONSIVE, PREVENTATIVE, HIGH QUALITY PRIMARY HEALTH CARE SERVICES, THROUGH A VARIETY OF HEALING DISCIPLINES, TO ALL PEOPLE WITHUT REGARD TO SOCAIL OR ECONOMIC STATUS. WE EMPHASIZE THE CLIENT'S RIGHT AND RESPONSIBILITY TO PARTICIPATE IN HIS OR HER OWN HEALTH CARE DECISIONS. IT IS OUR HOPE THAT THE CLINIC BECOME A PLACE WHERE THE NEEDS OF THE WHOLE PERSON ARE MET - BODY, MIND AND SPIRIT. | Description |
| Total Program Service Expense | 1469751 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 10 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 44 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | REDWOODS RURAL HEALTH CENTER | NamePerson |
| Telephone Number | 7079232783 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 769 | AddressLine1 |
| City | REDWAY | City |
| State | CA | State |
| ZIP Code | 95560 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | OfficerOfficer | Key EmployeeKeyEmployee | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Individual Trustee Or DirectorIndividualTrusteeOrDirector | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| ANNE STUANTON | ||||||||
| Executive Director | 40.00 | X | X | 108670 | 0 | 0 | ||
| JEANIE ELDRIDGE | ||||||||
| Cheif Financial Officer | 40.00 | X | X | 62218 | 0 | 0 | ||
| WENDI JOINER MD | ||||||||
| Medical Director | 40.00 | X | X | 141089 | 0 | 0 | ||
| THEODORE W HORNER | ||||||||
| President | 1.00 | X | 0 | 0 | 0 | X | ||
| NANCY SHELBY | ||||||||
| Vice President | 1.00 | X | 0 | 0 | 0 | X | ||
| SHON WELLBORN | ||||||||
| Board Member | 1.00 | 0 | 0 | 0 | X | |||
| KATHY EPLING | ||||||||
| Secretary | 1.00 | X | 0 | 0 | 0 | X | ||
| JANET FITZGERALD | ||||||||
| Treasurer | 1.00 | X | 0 | 0 | 0 | X | ||
| SYDNEY KING | ||||||||
| Board Member | 1.00 | 0 | 0 | 0 | X | |||
| CAROL LEE | ||||||||
| Board Member | 1.00 | 0 | 0 | 0 | X | |||
| PAMELA MOORE | ||||||||
| Board Member | 1.00 | 0 | 0 | 0 | X | |||
| RICK SILVA | ||||||||
| Board Member | 1.00 | 0 | 0 | 0 | X | |||
| CAROLYN HINO-BOURASSA | ||||||||
| Board Member | 1.00 | 0 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 311977 | TotalReportableCompFromOrg |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Government Grants | 955656 | GovernmentGrants |
| All Other Contributions | 219357 | AllOtherContributions |
| Noncash Contributions | 76919 | NoncashContributions |
| Total Contributions | 1175013 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Patient Revenue, Net | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 1777816 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1777816 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6682 | TotalRevenueColumn |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4797 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4797 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4797 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2964308 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1789295 | RelatedOrExemptFunctionIncome |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 261994 | Total |
| Program Services | 147925 | ProgramServices |
| Management And General | 114069 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1082858 | Total |
| Program Services | 655043 | ProgramServices |
| Management And General | 427815 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 284373 | Total |
| Program Services | 167621 | ProgramServices |
| Management And General | 116752 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112100 | Total |
| Program Services | 68671 | ProgramServices |
| Management And General | 43429 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17000 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 17000 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 148785 | Total |
| Program Services | 88238 | ProgramServices |
| Management And General | 60547 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 899 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 899 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25119 | Total |
| Program Services | 8826 | ProgramServices |
| Management And General | 16293 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45925 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 45925 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33342 | Total |
| Program Services | -2871 | ProgramServices |
| Management And General | 36213 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15622 | Total |
| Program Services | 9148 | ProgramServices |
| Management And General | 6474 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32200 | Total |
| Program Services | 4388 | ProgramServices |
| Management And General | 27812 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41824 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 41824 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123325 | Total |
| Program Services | 52775 | ProgramServices |
| Management And General | 70550 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25823 | Total |
| Program Services | 6414 | ProgramServices |
| Management And General | 19409 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Supplies | 126683 | 109618 | 17065 | 0 |
| Professional Fees | 8165 | 3358 | 4807 | 0 |
| Bad Debt | 105603 | 105603 | 0 | 0 |
| Postage & Shipping | 5533 | 19 | 5514 | 0 |
| Equipment rental & Maint | 35771 | 4107 | 31664 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50750 | Total |
| Program Services | 40868 | ProgramServices |
| Management And General | 9882 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2583694 | Total |
| Program Services | 1469751 | ProgramServices |
| Management And General | 1113943 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 577421 | BOY |
| EOY | 960522 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 334883 | BOY |
| EOY | 175890 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 132885 | BOY |
| EOY | 134605 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 121183 | BOY |
| EOY | 33076 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2865119 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1625600 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1172576 | BOY |
| EOY | 1239519 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2338948 | BOY |
| EOY | 2543612 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 230817 | BOY |
| EOY | 237860 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 685000 | BOY |
| EOY | 502007 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 915817 | BOY |
| EOY | 739867 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1423131 | BOY |
| EOY | 1803745 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1423131 | BOY |
| EOY | 1803745 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2338948 | BOY |
| EOY | 2543612 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 380614 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | 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 | 1066386 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1227254 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1076744 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1174477 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1175013 | CurrentTaxYear |
| Total | 5719874 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1066386 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1227254 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1076744 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1174477 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1175013 | CurrentTaxYear |
| Total | 5719874 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 5719874 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8126 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13468 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4122 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3266 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6682 | CurrentTaxYear |
| Total | 35664 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 5755538 | TotalSupport |
| Public Support Pertcentage170 | 0.99380 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99460 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| Public Support Total509 | 0 | PublicSupportTotal509 |
| Public Support Percentage509 | 0 | PublicSupportPercentage509 |
| Investment Income Percentage | 0 | InvestmentIncomePercentage |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 130431 | OtherCostOrOtherBasis |
| Book Value | 130431 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1802791 | OtherCostOrOtherBasis |
| Depreciation | 1151782 | Depreciation |
| Book Value | 651009 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 922717 | OtherCostOrOtherBasis |
| Depreciation | 473818 | Depreciation |
| Book Value | 448899 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9180 | OtherCostOrOtherBasis |
| Book Value | 9180 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1239519 | TotalOfBookValueLandBuildings |
| Total Revenue | 2964308 | TotalRevenue |
| Total Expenses | 2583694 | TotalExpenses |
| Excess Or Deficit For Year | 380614 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 380614 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 2964308 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 2964308 | RevenueSubtotal |
| Total Revenue Per Form990 | 2964308 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2583694 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 2583694 | ExpensesSubtotal |
| Total Expenses Per Form990 | 2583694 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 62290 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | Lab Services | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 14628 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 1 | NumberOf8283Received |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt VI-B, Line 11a | The 990 is approved by the Board of Directors |
| Pt VI-B, Line 12c | The board of directors regularly reviews policies, procedures and compliance |
| with them, including compliance with conflict of interest policy | |
| Pt VI-B, Line 15 | Use California Primary Care Association's salary scale as a basis |
| Pt VI-C, Line 19 | Upon Request |
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