COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH CENTERS INC (EIN 74-2412898)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-10-08
- IRS object ID
- 201222839349300167
- 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 | 2012-10-08T13:52:37-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WISAN SMITH RACKER & PRESCOTT LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 N 400 W STE 400 | AddressLine1 |
| City | SALT LAKE CITY | City |
| State | UT | State |
| ZIP Code | 84103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742412898 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTERS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 8014126920 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 WEST 7200 SOUTH SUITE A | AddressLine1 |
| City | MIDVALE | City |
| State | UT | State |
| ZIP Code | 84047 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DEXTER PEARCE | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 8014126920 | Phone |
| Date Signed | 2012-09-20 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DANIEL P RINEHART | Name |
| Phone | 8013282011 | Phone |
| Date Prepared | 2012-10-08 | 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) |
|---|---|---|
| Name Of Principal Officer Person | DEXTER PEARCE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 WEST 7200 SOUTH SUITE A | AddressLine1 |
| City | MIDVALE | City |
| State | UT | State |
| ZIP Code | 84047 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 16065816 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | HTTP://WWW.CHC-UT.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1979 | YearFormation |
| State Legal Domicile | UT | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE QUALITY, PATIENT-CENTERED PRIMARY HEALTH CARE, DENTAL AND OTHER SERVICES TO THE MEDICALLY UNDERSERVED IN UTAH REGARDLESS OF THEIR ABILITY TO PAY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 192 | TotalNbrEmployees |
| Total Nbr Volunteers | 9 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 7930152 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 8554196 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 6917861 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 7485810 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -11754 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2127 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 17522 | OtherRevenuePriorYear |
| Other Revenue Current Year | 23683 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 14853781 | TotalRevenuePriorYear |
| Total Revenue Current Year | 16065816 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8520222 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8594936 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 27002 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5773252 | OtherExpensePriorYear |
| Other Expenses Current Year | 5442408 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 14293474 | TotalExpensesPriorYear |
| Total Expenses Current Year | 14037344 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 560307 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2028472 | RevenuesLessExpensesCY |
| Total Assets BOY | 3775442 | TotalAssetsBOY |
| Total Assets EOY | 5931468 | TotalAssetsEOY |
| Total Liabilities BOY | 864562 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 992116 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2910880 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4939352 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE QUALITY, PATIENT-CENTERED PRIMARY HEALTH CARE, DENTAL AND OTHER SERVICES TO THE MEDICALLY UNDERSERVED IN UTAH REGARDLESS OF THEIR ABILITY TO PAY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 11944777 | Expense |
| Revenue | 7485810 | Revenue |
| Description | COMMUNITY HEALTH CENTERS PROVIDED PRIMARY MEDICAL CARE TO 23,000 PATIENTS WITH OVER 68,000 INDIVIDUAL VISITS, ORAL HEALTH CARE TO 3,000 PATIENTS WITH OVER 8,000 INDIVIDUAL VISITS AND BEHAVIORAL HEALTH CARE TO OVER 500 PATIENTS WITH OVER 800 INDIVIDUAL VISITS. THESE SERVICES ARE PROVIDED THROUGH DIRECT SERVICE HEALTH CLINICS TO LOW INCOME AND MEDICALLY UNDERSERVED POPULATIONS THROUGHOUT THE STATE OF UTAH. PRIMARY MEDICAL CARE INCLUDES A SPECIAL EMPHASIS ON PEDIATRIC MEDICINE, WITH OVER 12,000 WELL CHILD CHECKUPS AND 23,000 VACCINES GIVEN TO CHILDREN UNDER 18. ORAL HEALTH CARE INCLUDES AN EDUCATIONAL OUTREACH PROGRAM AND FLUORIDE TREATMENTS FOR CHILDREN IN LOCAL TITLE I ELEMENTARY SCHOOLS. | Description |
| Total Program Service Expense | 11944777 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | 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 | 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 | true | 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 |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 192 | 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 | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | 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 | UT | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTERS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8014126920 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 WEST 7200 SOUTH SUITE A | AddressLine1 |
| City | MIDVALE | City |
| State | UT | State |
| ZIP Code | 84047 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JOSE MANUEL GAYTAN | |||||||
| DIRECTOR | 1.50 | X | 325 | 0 | 0 | ||
| GERRY MARTY | |||||||
| DIRECTOR | 1.50 | X | 325 | 0 | 0 | ||
| JOAQUIN CHAVEZ | |||||||
| DIRECTOR | 1.50 | X | 325 | 0 | 0 | ||
| BONNIE HORROCKS | |||||||
| DIRECTOR | 1.50 | X | 325 | 0 | 0 | ||
| LIDIA PEREZ | |||||||
| DIRECTOR | 1.50 | X | 325 | 0 | 0 | ||
| SUZANNE DRAPER | |||||||
| PRESIDENT | 1.50 | X | 0 | 0 | 0 | X | |
| BOB BUNNELL | |||||||
| TREASURER | 1.50 | X | 0 | 0 | 0 | X | |
| CINDY WHITE | |||||||
| SECRETARY | 1.50 | X | 0 | 0 | 0 | X | |
| MIKE WEILER | |||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | ||
| SUSAN JOHNSTON | |||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | ||
| MARK BRUNSON | |||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | ||
| WESLEY THOMPSON | |||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | ||
| RACHAEL HOOLEY | |||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | ||
| ROCIO GUZMAN | |||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | ||
| JOHN LEWIS | |||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | ||
| DEXTER PEARCE | |||||||
| EXEC. DIRECT | 40.00 | 119788 | 0 | 13197 | X | ||
| CARL WHITTAKER | |||||||
| PHYSICIAN | 40.00 | 186271 | 0 | 21632 | X | ||
| KEITH HORWOOD | |||||||
| MED. DIR/PHY | 40.00 | 172635 | 0 | 21096 | X | ||
| DAVID TUROK | |||||||
| PHYSICIAN | 32.00 | 140698 | 0 | 19110 | X | ||
| DAVID GONTRUM | |||||||
| PHYSICIAN | 40.00 | 138748 | 0 | 23835 | X | ||
| DAVID ROBINSON | |||||||
| PHYSICIAN | 40.00 | 124895 | 0 | 15181 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 884660 | TotalReportableCompFromOrg |
| Total Other Compensation | 114051 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| LABORATORY CORP OF AMERICA | |||||
| PO BOX 12140 | BURLINGTON | NC | 27216 | LAB TESTING | 479043 |
| ECLINICAL WORKS | |||||
| TWO TECHNOLOGY DRIVE | WESTBOROUGH | MA | 01581 | WEB/IT SUPPORT | 137484 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Federated Campaigns | 140960 | FederatedCampaigns |
| Government Grants | 6202591 | GovernmentGrants |
| All Other Contributions | 2210645 | AllOtherContributions |
| Noncash Contributions | 1442147 | NoncashContributions |
| Total Contributions | 8554196 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT REVENUE | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 7485810 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7485810 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 7485810 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2127 | TotalRevenueColumn |
| Exclusion | $2,127 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MEDICAL RECORD RECEIPTS | Description |
| Business Code | 624110 | BusinessCode |
| Total Revenue Column | 23683 | TotalRevenueColumn |
| Exclusion | $23,683 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 23683 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16065816 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7485810 | RelatedOrExemptFunctionIncome |
| Exclusion | $25,810 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 134610 | Total |
| Management And General | 134610 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6346812 | Total |
| Program Services | 5552162 | ProgramServices |
| Management And General | 785331 | ManagementAndGeneral |
| Fundraising | 9319 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 501081 | Total |
| Program Services | 425356 | ProgramServices |
| Management And General | 74938 | ManagementAndGeneral |
| Fundraising | 787 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1124300 | Total |
| Program Services | 1002976 | ProgramServices |
| Management And General | 119598 | ManagementAndGeneral |
| Fundraising | 1726 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 488133 | Total |
| Program Services | 404690 | ProgramServices |
| Management And General | 82694 | ManagementAndGeneral |
| Fundraising | 749 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25453 | Total |
| Management And General | 25453 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39105 | Total |
| Management And General | 39105 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1583661 | Total |
| Program Services | 1225409 | ProgramServices |
| Management And General | 344311 | ManagementAndGeneral |
| Fundraising | 13941 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 387923 | Total |
| Program Services | 251738 | ProgramServices |
| Management And General | 136185 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 734601 | Total |
| Program Services | 626119 | ProgramServices |
| Management And General | 108482 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68218 | Total |
| Program Services | 36978 | ProgramServices |
| Management And General | 31240 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39230 | Total |
| Program Services | 39230 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 194004 | Total |
| Program Services | 91400 | ProgramServices |
| Management And General | 102604 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13643 | Total |
| Program Services | 3164 | ProgramServices |
| Management And General | 10479 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES | 2082252 | 2082252 | ||
| SMALL EQUIPMENT/SUPPLIES | 82865 | 82865 | ||
| DUES & FEES | 63954 | 34565 | 28909 | 480 |
| RECRUITMENT | 41511 | 26887 | 14624 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85988 | Total |
| Program Services | 58986 | ProgramServices |
| Management And General | 27002 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14037344 | Total |
| Program Services | 11944777 | ProgramServices |
| Management And General | 2065565 | ManagementAndGeneral |
| Fundraising | 27002 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 832656 | BOY |
| EOY | 875190 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 504543 | BOY |
| EOY | 2313825 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 821078 | BOY |
| EOY | 544590 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 625123 | BOY |
| EOY | 484691 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 103909 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16000 | BOY |
| EOY | 29566 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3320519 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1752819 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 971017 | BOY |
| EOY | 1567700 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5025 | BOY |
| EOY | 11997 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3775442 | BOY |
| EOY | 5931468 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 708562 | BOY |
| EOY | 648927 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 179481 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 156000 | BOY |
| EOY | 163708 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 864562 | BOY |
| EOY | 992116 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2734201 | BOY |
| EOY | 4666385 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 176679 | BOY |
| EOY | 272967 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2910880 | BOY |
| EOY | 4939352 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3775442 | BOY |
| EOY | 5931468 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 2028472 | 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 | 10230378 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10021326 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11326568 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7930152 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8554196 | CurrentTaxYear |
| Total | 48062620 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10230378 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10021326 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11326568 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7930152 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8554196 | CurrentTaxYear |
| Total | 48062620 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 4172675 | AmountsSubstContributorsTotal |
| Public Support Total170 | 43889945 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 30022 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 21717 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9170 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 27 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2127 | CurrentTaxYear |
| Total | 63063 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 24065 | CurrentTaxYearMinus1Year |
| Current Tax Year | 23683 | CurrentTaxYear |
| Total | 47748 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 48173431 | TotalSupport |
| Gross Receipts From Admissions Etc | 34247966 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.91110 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99600 | 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 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 |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 89635 | InvestmentCostOrOtherBasis |
| Book Value | 89635 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 465365 | InvestmentCostOrOtherBasis |
| Depreciation | 139609 | Depreciation |
| Book Value | 325756 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1633797 | InvestmentCostOrOtherBasis |
| Depreciation | 1028501 | Depreciation |
| Book Value | 605296 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1000747 | InvestmentCostOrOtherBasis |
| Depreciation | 536610 | Depreciation |
| Book Value | 464137 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 130975 | InvestmentCostOrOtherBasis |
| Depreciation | 48099 | Depreciation |
| Book Value | 82876 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1567700 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | GOVERNMENT CONTRACT LIABILITY | Description |
| Amount | $163,708 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 163708 | TotalOfAmounts |
| Total Revenue | 16065816 | TotalRevenue |
| Total Expenses | 14037344 | TotalExpenses |
| Excess Or Deficit For Year | 2028472 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 2028472 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 18925124 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 2859308 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 2859308 | RevenueNotRptdF990 |
| Revenue Subtotal | 16065816 | RevenueSubtotal |
| Total Revenue Per Form990 | 16065816 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 16896652 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 2859308 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 2859308 | ExpensesNotRptdF990 |
| Expenses Subtotal | 14037344 | ExpensesSubtotal |
| Total Expenses Per Form990 | 14037344 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| 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 (4 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|
| CARL WHITTAKER | ||||
| 73486 | 112785 | 18627 | 3005 | 207903 |
| KEITH HORWOOD | ||||
| 116729 | 55906 | 17264 | 3832 | 193731 |
| DAVID TUROK | ||||
| 135999 | 4699 | 14070 | 5040 | 159808 |
| DAVID GONTRUM | ||||
| 82212 | 56536 | 13875 | 9960 | 162583 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INTERMOUNTAIN HEALTHCARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | DIREC / OFFICER | Relationship |
| Amount Of Transaction | 2093649 | AmountOfTransaction |
| Description Of Transaction | IN-KIND DONATIONS | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE L PART V | ReturnReference |
| Explanation | 1RELATIONSHIP BETWEEN INTERESTED PERSONS AND ORGANIZATION SUZANNE DRAPER THE PRESIDENT OF THE BOARD OF COMMUNITY HEALTH CENTERS INC IS EMPLOYED BY AND IS AN OFFICER OF INTERMOUNTAIN HEALTHCARE INTERMOUNTAIN HEALTHCARE PROVIDES DONATED SERVICES IN THE FORM OF MEDICAL SERVICES 701046 AND XRAY SERVICES 1392603 | Explanation |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 984 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 1442147 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE FINANCE DIRECTOR COMPARES THE FORM 990 TO THE AUDITED FINANCIAL STATEMENTS AND REVIEWS THE VARIOUS OTHER DISCLOSURES WITH THE EXECUTIVE DIRECTOR. A COPY OF THE FORM 990 IS ALSO PRESENTED, DISCUSSED AND APPROVED BY THE BOARD OF GOVERNORS. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | HUMAN RESOURCES REQUIRES ALL NEW EMPLOYEES AND BOARD MEMBERS TO COMPLETE AND SIGN A CONFLICT OF INTEREST STATEMENT. OUR COMPLIANCE OFFICER REVIEWS ALL CONFLICT OF INTEREST STATEMENTS AND INVESTIGATES ANY POTENTIAL CONFLICTS. BOARD MEMBERS DO NOT VOTE ON ISSUES FOR WHICH THEY MAY HAVE A CONFLICT OF INTEREST. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | HUMAN RESOURCES CONDUCTS A COMPENSATION STUDY AND MAKE RECOMMENDATIONS TO A COMMITTEE OF THE BOARD CHARGED WITH EVALUATING THE EXECUTIVE DIRECTOR'S JOB PERFORMANCE. THE COMMITTEE THEN APPROVES THE EXECUTIVE DIRECTOR'S COMPENSATION AND RENEWAL OF EMPLOYMENT AGREEMENT. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | THE ORGANIZATION'S OFFICERS' AND KEY EMPLOYEES' COMPENSATION IS DETERMINED BY ANNUAL REVIEW AND APPROVAL BY THE ORGANIZATION'S BOARD OF DIRECTORS. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND COMPANY POLICIES CAN BE OBTAINED BY CONTACTING PHIL WEIMER EITHER BY PHONE AT 801-412-6920 OR BY MAIL AT 220 WEST 7200 SOUTH, SUITE A, MIDVALE UT 84047. |