VALLEY FAMILY HEALTH CARE INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY FAMILY HEALTH CARE INC (EIN 82-0371383)
- Tax period
- 2011-02-01 to 2012-01-31
- Filed
- 2012-08-15
- IRS object ID
- 201222289349301397
- Schema version
- 2011v1.2
- 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 | 2012-08-15T16:39:28-05:00 | Timestamp |
| Tax Period End Date | 2012-01-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIAN L RICHINS PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 966 W IDAHO AVE | AddressLine1 |
| City | ONTARIO | City |
| State | OR | State |
| ZIP Code | 979142111 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-02-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820371383 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY FAMILY HEALTH CARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | VALL | NameControl |
| Phone | 2086429376 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1441 NE 10TH AVE | AddressLine1 |
| City | PAYETTE | City |
| State | ID | State |
| ZIP Code | 83661 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | COOKIE ATKINS | Name |
| Title | DEPUTY DIRECTOR | Title |
| Phone | 2086429376 | Phone |
| Date Signed | 2012-06-04 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRIAN L RICHINS | Name |
| Phone | 5418895288 | Phone |
| Date Prepared | 2012-06-27 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 10031333 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| State Legal Domicile | ID | StateLegalDomicile |
| Activity Or Mission Description | COMMUNITY HEALTH SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 114 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 4058784 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6106897 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 3695128 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3921725 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3859 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2711 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7757771 | TotalRevenuePriorYear |
| Total Revenue Current Year | 10031333 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5239757 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5500850 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2033758 | OtherExpensePriorYear |
| Other Expenses Current Year | 4401850 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 7273515 | TotalExpensesPriorYear |
| Total Expenses Current Year | 9902700 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 484256 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 128633 | RevenuesLessExpensesCY |
| Total Assets BOY | 5020820 | TotalAssetsBOY |
| Total Assets EOY | 8068336 | TotalAssetsEOY |
| Total Liabilities BOY | 1083430 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1091916 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3937390 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6976420 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | COMMUNITY HEALTH SERVICES | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Description | HEALTH CARE FOR MIGRANT WORKERS AND LOW INCOME PERSONS. ALSO, MENTAL HEALTH AND NUTRITION COUNSELING. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 9025314 | Expense |
| Description | HEALTH CARE FOR MIGRANT WORKERS | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 9025314 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 9025314 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| 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 | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | 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 | false | 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 |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | false | ScheduleORequired |
| Number Forms Transmitted With1096 | 14 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | false | ComplianceWithBackupWitholding |
| Number Of Employees | 114 | 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 |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | 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 | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OR | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RIGMOR WILSON | NamePerson |
| Telephone Number | 2086429376 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1441 NE 10TH AVE | AddressLine1 |
| City | PAYETTE | City |
| State | ID | State |
| ZIP Code | 83661 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|
| ROBERT BAROWSKY | ||||||
| CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | |
| JONI DELGADO | ||||||
| VICE CHAIR | 1.00 | X | 0 | 0 | 0 | |
| KAREN SANDS | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| LARRY GRANT | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| CARLOS HERNANDEZ | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| LOGAN HAMILTON | ||||||
| SEC/TREAS | 1.00 | X | 0 | 0 | 0 | |
| ROGER VAN ZELF | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JENNIFER MORGAN | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| HENRY HIXSON | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| SHANNON SCHANTZ | ||||||
| DOCTOR | 40.00 | 183139 | 0 | 0 | X | |
| EDDIE RODRIQUEZ-LOPEZ MD | ||||||
| DOCTOR | 40.00 | 172488 | 0 | 0 | X | |
| ROBIN SEBASTION | ||||||
| DOCTOR | 40.00 | 166370 | 0 | 0 | X | |
| SHARMEEN SARKER | ||||||
| DOCTOR | 40.00 | 165870 | 0 | 0 | X | |
| BRYAN STONE | ||||||
| DOCTOR | 40.00 | 165469 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 853336 | TotalReportableCompFromOrg |
| Number Individuals GT100 K | 7 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Government Grants | 6106897 | GovernmentGrants |
| Total Contributions | 6106897 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| MEDICAID - IDAHO | 788541 | 788541 |
| MEDICARE | 560200 | 560200 |
| PRIVATE INSURANCE | 380901 | 380901 |
| PATIENT FEES | 356812 | 356812 |
| INSURANCE | 160571 | 160571 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1674700 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1674700 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3921725 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2711 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2711 | RelatedOrExemptFunctionIncome |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10031333 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3924436 | RelatedOrExemptFunctionIncome |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4756813 | Total |
| Program Services | 4162841 | ProgramServices |
| Management And General | 593972 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 744037 | Total |
| Program Services | 672489 | ProgramServices |
| Management And General | 71548 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36527 | Total |
| Program Services | 21280 | ProgramServices |
| Management And General | 15247 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| CONSTRUCTION | 1829136 | 1829136 |
| EQUIPMENT - DENTAL | 323831 | 323831 |
| EQUIPMENT - MEDICAL | 184481 | 184481 |
| FMHA MORTGAGE - PRINCIPAL | 157038 | 157038 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1870837 | Total |
| Program Services | 1674218 | ProgramServices |
| Management And General | 196619 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9902700 | Total |
| Program Services | 9025314 | ProgramServices |
| Management And General | 877386 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 228747 | BOY |
| EOY | 204256 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1141346 | BOY |
| EOY | 1543826 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 168469 | BOY |
| EOY | 89447 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 392383 | BOY |
| EOY | 407315 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 200 | BOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 8972083 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3148591 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3089675 | BOY |
| EOY | 5823492 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5020820 | BOY |
| EOY | 8068336 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 388037 | BOY |
| EOY | 573102 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 695393 | BOY |
| EOY | 518814 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1083430 | BOY |
| EOY | 1091916 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3685106 | BOY |
| EOY | 6569537 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 252284 | BOY |
| EOY | 406883 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3937390 | BOY |
| EOY | 6976420 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5020820 | BOY |
| EOY | 8068336 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 128633 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 2910397 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| 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 | 2461600 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2451853 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2958712 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4058784 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6106897 | CurrentTaxYear |
| Total | 18037846 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2461600 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2451853 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2958712 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4058784 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6106897 | CurrentTaxYear |
| Total | 18037846 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 18037846 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 46047 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 22298 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12507 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3858 | CurrentTaxYearMinus1Year |
| Total | 84710 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 18122556 | TotalSupport |
| Gross Receipts From Admissions Etc | 3924436 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99530 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99210 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 8972083 | InvestmentCostOrOtherBasis |
| Depreciation | 3148591 | Depreciation |
| Book Value | 5823492 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5823492 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MORTGAGES | Description |
| Amount | $518,814 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 518814 | TotalOfAmounts |
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 |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|
| SHANNON SCHANTZ | |
| 183139 | 183139 |
| EDDIE RODRIQUEZ-LOPEZ MD | |
| 172488 | 172488 |
| ROBIN SEBASTION | |
| 166370 | 166370 |
| SHARMEEN SARKER | |
| 165870 | 165870 |
| BRYAN STONE | |
| 165469 | 165469 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ALL OTHER ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4D | HEALTH CARE FOR MIGRANT WORKERS |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | NO REVIEW WAS OR WILL BE CONDUCTED. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | POLICY OF ORGANIZATION IS TO REVIEW COMPLIANCE WITH NEW DIRECTORS, OFFICERS, AND KEY EMPLOYEES. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | BOARD OF DIRECTORS PERFORM EVALUATIONS AND DETERMINE COMPENSATION. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |
| GROUP RETURN METHOD | FORM 990, PAGE 7, PART VII | PARENT ORGANIZATION HAS FILED A SEPARATE RETURN |
| OTHER EXPENSES | FORM 990, PART IX, LINE 24E | TRANSFER FMHA RESERVE 154,354 ARCHITECURAL AND ENGINEER 130,195 SUPPLIES 77,615 FMHA MORTGAGE - INTEREST 70,099 COMPUTER/IT SUPPORT 66,144 TRANSCRIPTION 59,693 MISCELLANEOUS 58,820 COMPUTER FEES 58,804 EQUIPMENT - IT 58,660 SUPPLIES - MEDICAL 57,832 SUPPLIES - LAB 54,452 CONSUMABLE EQUIPMENT - ME 49,077 EQUIPMENT - ADMINISTRATIO 43,570 EQUIP - ADMIN 37,801 CONSUMABLE EQUIPMENT - DE 37,424 PATIENT STATEMENT FEES 34,859 EQUIPMENT - FACILITY 34,288 MD CALL COVERAGE 33,679 PROFESSIONAL DUES/FEES/SU 27,142 PRINTING/COPYING - MEDICA 23,460 AUDIT - ADMIN 22,918 340B PROGRAM 22,323 PHYSICIAN CALL COVERAGE 21,344 INJECTIBLES - MEDICAL 21,277 CAPITAL OUTLAY - NYSSA ME 21,180 TELEPHONE 20,739 CAPITAL OUTLAY - PAYETTE 20,406 UTILITIES 20,300 EQUIPMENT 19,118 R AND R 18,000 EQUIPMENT - ADMIN 17,495 CME 17,203 FACILITY - REPAIRS AND MA 16,192 EQUIPMENT - ADMIN - VALE 16,183 CME - MEDICAL 15,163 TELEPHONE - FACILITY 14,161 EQUIPMENT - ADMIN - NYSSA 13,230 UTILITIES - FACILITY 13,191 LAB SUPPLIES - VALE 12,275 FACILITY REPAIRS/MAINT - 11,432 MEDICAL SUPPLIES - VALE 11,348 CONFERENCES/WORKSHOPS 11,180 INSURANCE - FACILITY 11,168 UTILITIES - FACILITIY 11,119 MAINTENANCE AGREEMENTS - 11,062 CONTRACT MEDICAL 10,712 PAYROLL PROCESSING FEES 10,710 BANK FEES 10,657 LAB 10,238 MOVING EXPENSE - MEDICAL 10,165 OFFICE PRODUCTS 9,986 CONSUMABLE EQUIPMENT - FA 9,762 CAPITAL OUTLAY 9,578 EQUIPMENT - PAYETTE MEDIC 9,496 POSTAGE 9,387 CONTINUING MEDICAL EDUCAT 9,386 ORGANIZATIONAL DUES 8,910 MAINTENANCE/REPAIRS - FAC 8,433 OFFICE SUPPLIES - ADMIN 8,031 MAINTENANCE & REPAIRS 8,018 UTILITIES - VALE 7,911 TELEPHONE - NYSSA 7,690 LAB EXPENSES - DENTAL 7,562 UTILITIES - NYSSA 7,526 UTILITIES - TOTAL 7,319 SUPPLIES - FACILITY 7,133 INJECTIBLES - VALE 7,039 SUPPLIES - INJECTABLES 6,997 MEDICAL SUPPLIES - NYSSA 6,963 LAB SUPPLIES - NYSSA 6,706 PROFESSIONAL FEES/DUES/SU 6,673 CONSUMABLE EQUIPMENT - IT 6,593 EQUIPMENT - MENTAL HEALTH 6,277 TELEPHONE - TOTAL 6,233 COMPUTER FEES - DENTAL 5,620 CONTINUING EDUCATION - VA 5,614 TELEPHONE - VALE 5,613 INS/BOARD BONDING 5,211 OFFICE PRODUCTS - TOTAL 5,183 EQUIPMENT - ONTARIO DENTA 5,029 MEDICAL - PRINTING/COPYIN 5,014 CONTINUING EDUCATION - NY 4,914 OTHER - COMMUNITY SERVICE 4,746 OFFICE SUPPLIES 4,659 SUPPLIES - PAYETTE MEDICA 4,538 VEHICLE PAYMENTS 4,464 OFFICE PRODUCTS - VALE 4,181 INJECTIBLES - NYSSA 4,173 MAINT/REPAIR - FACILITY 4,131 FACILITY INSURANCE - ADMI 4,119 INSURANCE FACILITY - VALE 4,007 EQUIPMENT - PAYETTE DENTA 3,956 SUPPLIES - SUSAN KOMAN 3,797 UTILITIES - DENTAL FACILI 3,634 R & R - ALL 3,415 PRINTING & COPYING 3,407 JOB ANNOUNCEMENTS 3,406 EQUIPMENT - LAB 3,359 CAPITAL OUTLAY - NYSSA DE 3,314 CME - DENTAL 3,185 INJECTIBLES 3,179 EQUIPMENT - SOCIAL SERVIC 3,138 COMMUNITY SERVICE PROMOTI 2,915 TAXES 2,891 ADMINISTRATION AND LEGAL 2,718 PRINTING/PROMO - SUSAN KO 2,654 DUES/FEES/SUB - DENTAL 2,559 SUPPLIES - EMMETT 2,540 ADMIN/ACCOUNTING 2,532 OFFICE PRODUCTS - NYSSA 2,495 CAPITAL OUTLAY - NEW PLYM 2,404 TELEPHONE - DENTAL FACILI 2,347 PROF DUES/SUBSCRIPTIONS 2,318 EQUIPMENT - NYSSA DENTAL 2,309 FACILITY SUPPLIES 2,290 POSTAGE - VALE 2,244 CONTRACT - MEDICAL 2,190 SUPPLIES - VALE 2,159 PATIENT SERVICES 1,986 POSTAGE - NYSSA 1,980 SUPPLIES - NYSSA DENTAL 1,807 FACILITY SUPPLIES - VALE 1,776 CAPITAL OUTLAY - EMMETT 1,731 CAPITAL OUTLAY - VALE 1,662 AUTO MAINT. ADMIN 1,565 CONSUMABLE EQUIPMENT - SO 1,475 BANK S/C 1,457 ADMINSTRATION AND LEGAL 1,421 EQUIPMENT - NEW PLYMOUTH 1,293 POSTAGE - TOTAL 1,267 PRINT/COPYING - ADMIN 1,249 DUES/FEES/SUBSCRIPTIONS 1,202 FACILITY SUPPLIES - NYSSA 1,096 SUPPLIES - ONTARIO MEDICA 1,086 ANSWERING SERVICE 988 MAINT/REPAIR - DENTAL FAC 951 INSURANCE FACILITY - NYSS 948 OFFICE SUPPLIES - DENTAL 931 PRINTING/COPYING 921 CONTRACT - DENTAL 914 INSURANCE-DENTAL ACTIVITY 874 MEDICAL EQUIPMENT - NYSSA 859 MEDICAL EQUIPMENT - VALE 853 PHARMACEUTICALS - VALE 843 EQUIPMENT - ONTARIO MEDIC 830 PRINTING/COPYING - DENTAL 821 CONTRACT-MEDICAL-NYSSA 792 SUPPLIES - PAYETTE DENTAL 788 SUPPLIES - NYSSA MEDICAL 781 MAINTENANCE CONTRACTS 767 CONSUMABLE EQUIPMENT - LA 758 MAINTENANCE AGREE - ADMIN 732 CONSUMABLE EQUIPMENT - OF 698 CAPITAL OUTLAY - ONTARIO 643 COMMUNITY PROMOTIONS 638 PHARMACEUTICALS 626 SUPPLIES - ONTARIO DENTAL 592 PROJECT INSPECTION FEES 563 EQUIPMENT - NYSSA MEDICAL 557 SUPPLIES - DENTAL FACILIT 386 MAINT AGREE - ADMIN 369 COMMUNITY SERVICE 331 FAC SUPPLIES - ADMIN 328 EQUIPMENT - EMMETT 285 PRINTING/COPYING - ADMINI 257 TAXES - PROPERTY 251 ANSWERING SERVICE - NYSSA 247 ANSWERING SERVICE - VALE 247 SUPPLIES - PHARMACEUTICAL 231 SUPPLIES - NEW PLYMOUTH 219 JOB ANNOUCEMENTS 158 REFERRALS - LAB 133 LEGAL FEES 113 MAINTENANCE AGREEMENT - M 110 REFFERRALS - LAB 104 AUTO MAINT/REPAIRS/INS 86 SUPPLIES - COMMUNITY SERV 84 PHARMACEUTICALS - NYSSA 62 REFERRALS - XRAY - VALE 60 OTHER - LAB 50 CONFERENCE/WORKSHOPS 35 PRINTING/COPYING - ADMIN 24 OR SAFETY NET AGENCY OVER 17 ROUNDING 2 DISASTER PREPAREDNES SUPP -1,356 TRANSFERS IN FROM PHS FM -154,354 |
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