INTER VALLEY HEALTH PLAN INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- INTER VALLEY HEALTH PLAN INC (EIN 95-3258674)
- Tax period
- 2010-04-01 to 2011-03-31
- Filed
- 2011-11-01
- IRS object ID
- 201103059349300325
- 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 | 2011-11-01T10:09:17-07:00 | Timestamp |
| Tax Period End Date | 2011-03-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INTER VALLEY HEALTH PLAN INC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 S PARK AVE SUITE 300 PO BOX 600 | AddressLine1 |
| City | POMONA | City |
| State | CA | State |
| ZIP Code | 917696002 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-04-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953258674 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INTER VALLEY HEALTH PLAN INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | INTE | NameControl |
| Phone | 9096236333 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 S PARK AVE PO BOX 6002 | AddressLine1 |
| City | POMONA | City |
| State | CA | State |
| ZIP Code | 917696002 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DONALD D MCCAIN | Name |
| Title | CFP | Title |
| Phone | 9096236333 | Phone |
| Date Signed | 2011-11-01 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DOROTHY BRUNELL | Name |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RONALD BOLDING | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 S PARK AVE SUITE 300 | AddressLine1 |
| City | POMONA | City |
| State | CA | State |
| ZIP Code | 91766 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 169979554 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.ivhp.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1979 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | Inter Valley Health Plan, Inc. is a federally qualified Health Maintenance Organization. It provides a full range of medical services to eligible Medicare participants. At March 31, 2011 there were 16,558 participating members. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 112 | TotalNbrEmployees |
| Total Nbr Volunteers | 15 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 143355221 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 169890343 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 81085 | InvestmentIncomePriorYear |
| Investment Income Current Year | 88935 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 276 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 143436306 | TotalRevenuePriorYear |
| Total Revenue Current Year | 169979554 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 124536897 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 7707912 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8550552 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 9014744 | OtherExpensePriorYear |
| Other Expenses Current Year | 160842328 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 141259553 | TotalExpensesPriorYear |
| Total Expenses Current Year | 169392880 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2176753 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 586674 | RevenuesLessExpensesCY |
| Total Assets BOY | 24633250 | TotalAssetsBOY |
| Total Assets EOY | 25808263 | TotalAssetsEOY |
| Total Liabilities BOY | 6500236 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7092486 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 18133014 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 18715777 | NetAssetsOrFundBalancesEOY |
| Mission Description | Inter Valley Health Plan, Inc. is a federally qualified | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 151594661 | Expense |
| Revenue | 169890343 | Revenue |
| Description | INTER VALLEY HEALTH PLAN, INC., IS A FEDERALLY QUALIFIED HEALTH MAINTENANCE ORGANIZATION. IT PROVIDES A FULL RANGE OF MEDICAL SERVICES TO ELIGIBLE MEDICARE PARTICIPANTS. AT MARCH 31, 2011 THERE WERE 16,558 PARTICIPATING MEMBERS. | Description |
| Total Program Service Expense | 151594661 | TotalProgramServiceExpense |
| Described In501 C3 | false | 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 | 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 | 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 |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 581 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 112 | 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 | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | 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 |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DONALD D MCCAIN | NamePerson |
| Telephone Number | 9096236333 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 S PARK AVE | AddressLine1 |
| City | POMONA | City |
| State | CA | State |
| ZIP Code | 917696002 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| MICHAEL NELSON | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| PAUL ORR MD | ||||||||
| Director | 1.00 | X | 5810 | 0 | 0 | |||
| JAN PAULSON | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| JEEREDDI PRASAD MD | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| SUNIL SHIVARAM MD | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| RICHARD YOCHUM | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| CURTIS W MORRIS | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| FREDERICK A LAUPPE MD | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| DUANE STYLES MD | ||||||||
| Director | 1.00 | X | 7610 | 0 | 0 | |||
| NORM BORTSCHELLER | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| JAN BROWN | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| TOM DENO | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| RICHARD FASS | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| RICHARD KIRKENDALL PHD | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| JAMES KOSTOFF | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| RONALD BOLDING | ||||||||
| Director & CEO | 40.00 | X | 418166 | 0 | 25291 | X | ||
| DONALD MCCAIN | ||||||||
| Treasurer & CFO | 40.00 | 318541 | 0 | 25470 | X | |||
| SUSAN TENORIO | ||||||||
| V.P. Health Service | 40 | 263648 | 24252 | X | ||||
| PATRICIA JACOBSON | ||||||||
| V P Human Resource | 40 | 253348 | 29624 | X | ||||
| BILL CHEN | ||||||||
| Director IT | 40 | 202385 | 23806 | X | ||||
| CYNDIE O'BRIEN | ||||||||
| V.P. Marketing & Sales | 40 | 193104 | 22137 | X | ||||
| LARRY BACA | ||||||||
| Director of Sales | 40 | 171420 | 25291 | X | ||||
| THANG LE | ||||||||
| Program/Operational Manager | 40 | 143225 | 17999 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1977257 | TotalReportableCompFromOrg |
| Total Other Compensation | 193870 | TotalOtherCompensation |
| Number Individuals GT100 K | 15 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| POMONA VALLEY HOSPITAL MEDICAL CENTER | |||||
| 1798 N GAREY AVE | POMONA | CA | 91767 | Medical Service for Membership | 32831985 |
| PROMED HEALTH NETWORK | |||||
| 4150 E CONCOUSE ST 100 | ONTARIO | CA | 91764 | Medical Service for Membership | 28940367 |
| HERITAGE PROVIDER NETWORK(DPC) | |||||
| 275 N EL CIELO | PALM SPRINGS | CA | 92262 | Medical Service for Membership | 21787019 |
| NATIONAL PHARMACEUTICAL SERVICES | |||||
| 10050 REGENCY CIRCLE | OMAHA | NE | 68114 | Pharmacy Services for Membership | 18919390 |
| CHOICE PHYSICIANS NETWORK | |||||
| 18564 HWY 18 105 | APPLE VALLEY | CA | 92307 | Medical Service for Membership | 7058567 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 43 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Provider Services | Description |
| Business Code | 524114 | BusinessCode |
| Total Revenue Column | 169890343 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 169890343 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 88935 | TotalRevenueColumn |
| Exclusion | $88,935 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Other Income | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 276 | TotalRevenueColumn |
| Exclusion | $276 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 276 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 169979554 | TotalRevenueColumn |
| Related Or Exempt Function Income | 169890343 | RelatedOrExemptFunctionIncome |
| Exclusion | $89,211 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 947755 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 947755 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6224952 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 6224952 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170860 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 170860 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 712980 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 712980 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 494005 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 494005 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 227665 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 227665 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32961 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 32961 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 295889 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 295889 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5685 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 5685 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 151594661 | Total |
| Program Services | 151594661 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1884129 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 1884129 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 615914 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 615914 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 570329 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 570329 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 647235 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 647235 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 89376 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 89376 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 195274 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 195274 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 329686 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 329686 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188368 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 188368 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Community Outreach | 340747 | 0 | 340747 | 0 |
| Outside Services | 2385442 | 0 | 2385442 | 0 |
| Printed Material | 483604 | 0 | 483604 | 0 |
| Tax & License | 210686 | 0 | 210686 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 744677 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 744677 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169392880 | Total |
| Program Services | 151594661 | ProgramServices |
| Management And General | 17798219 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3604860 | BOY |
| EOY | 1762907 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18347534 | BOY |
| EOY | 15652229 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 134386 | BOY |
| EOY | 97810 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1762006 | BOY |
| EOY | 1549400 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 13847339 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 13054184 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 784464 | BOY |
| EOY | 793155 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 5952762 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24633250 | BOY |
| EOY | 25808263 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6500236 | BOY |
| EOY | 7092486 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6500236 | BOY |
| EOY | 7092486 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5647 | BOY |
| EOY | 5647 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18127367 | BOY |
| EOY | 18710130 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18133014 | BOY |
| EOY | 18715777 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24633250 | BOY |
| EOY | 25808263 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 586674 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -3911 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2405472 | OtherCostOrOtherBasis |
| Depreciation | 2203536 | Depreciation |
| Book Value | 201936 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11441867 | OtherCostOrOtherBasis |
| Depreciation | 10850648 | Depreciation |
| Book Value | 591219 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 793155 | TotalOfBookValueLandBuildings |
| Total Revenue | 169979554 | TotalRevenue |
| Total Expenses | 169392880 | TotalExpenses |
| Excess Or Deficit For Year | 586674 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -3911 | NetUnrealizedGLOnInvestments |
| Total Adjustments | -3911 | TotalAdjustments |
| Excess Or Deficit Per FS | 582763 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 169969958 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -3911 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -3911 | RevenueNotRptdF990 |
| Revenue Subtotal | 169973869 | RevenueSubtotal |
| Investment Expenses Not Included | 5685 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 5685 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 169979554 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 169387195 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 169387195 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 5685 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 5685 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 169392880 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| 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 (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|---|
| RONALD BOLDING | |||||
| 317780 | 75000 | 25386 | 7362 | 17929 | 443457 |
| DONALD MCCAIN | |||||
| 243932 | 54703 | 19906 | 6432 | 19039 | 344012 |
| SUSAN TENORIO | |||||
| 210358 | 45646 | 7644 | 6270 | 17982 | 287900 |
| PATRICIA JACOBSON | |||||
| 196932 | 43338 | 13078 | 4987 | 24637 | 282972 |
| BILL CHEN | |||||
| 149839 | 35096 | 17450 | 5183 | 18623 | 226191 |
| CYNDIE O'BRIEN | |||||
| 157936 | 35152 | 16 | 4559 | 17578 | 215241 |
| LARRY BACA | |||||
| 114210 | 57210 | 1826 | 23465 | 196711 | |
| THANG LE | |||||
| 125731 | 5000 | 12494 | 3826 | 14173 | 161224 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (50 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt VI-A, Line 2 | Director Richard Yochum and Director Michael Nelson Business Relationship. |
| Pt VI-B, Line 15 | Annually, the Compensation Committee, an independent committee of the Board of Directors, |
| reviews the compensation of the CEO | |
| and all other employees that are reported individually on the 990 return. | |
| The committee meets with outside consultants and | |
| uses compensation surveys and other information | |
| to test the reasonableness of the compensation of all the positions. | |
| Contemporaneous minutes of the debate and decisions | |
| are kept of the meetings. | |
| Pt VI-C, Line 19 | Upon Request |
| Pt VI-B, Line 11a | The final Form 990 was reviewed prior to filing it |
| with the IRS, by the Executive Committee of the Board | |
| at its October 25, 2011 meeting. For remaining Board Members | |
| not on the committee, a copy was sent to them for review. | |
| Pt VI-B, Line 12c | In accordance with IVHP Conflict of Interest Policy. |
| All members of the Board, committees, officers, | |
| executive staff, directors and medical directors, | |
| independent contractors and consultants who are requested | |
| to do so by the Board, and other management not previously | |
| mentioned, shall disclose any potential conflicts | |
| of interest through the Plan's Conflict of Interest | |
| Disclosure Statement. This disclosure should occur | |
| in a timely manner as soon as practicable whenever | |
| any matter covered under this policy arises, but will | |
| Form 990, Part IX, Line 24f | OTHER EXPENSES |
| be required upon taking office and at least annually. | |
| The Board, with the assistance of a Board Committe | |
| and/or the CEO, will evaluate the disclosures of | |
| Board Members and Officers as appropriate and will | |
| determine on a case-by-case basis whether the | |
| activities disclosed constitute a potential conflict | |
| and, if so, how to resolve the conflict. | |
| Each director, officer, member of management, key | |
| employee and member of a committee with Board-delegated | |
| powers shall upon appointment and at least annually | |
| thereafter sign a copy of the attached "Statement | |
| Pertaining to the Conflict of Interest Policy." | |
| If a director, officer, key employee or committee | |
| member becomes aware that a potential or apparent | |
| conflict may exist which is not disclosed on such | |
| a statement, it shall be the responsibility of the | |
| interested person to disclose the potential conflict | |
| to the President and to the Board and/or committee, | |
| as appropriate, as set forth above, prior to any Board | |
| or committee discussions or action with respect to | |
| the relevant transaction or arrangement, and if | |
| relevant, to leave the meeting during the discussion | |
| and vote on the transaction or arrangement. | |
| Pt XI | Line 5 - This represents the unrealized loss on our |
| Investments |
Comments