VALLEY FAMILY HEALTH CARE INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY FAMILY HEALTH CARE INC (EIN 82-0371383)
- Tax period
- 2010-02-01 to 2011-01-31
- Filed
- 2011-06-15
- IRS object ID
- 201111669349300806
- 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 | 2011-06-15T11:48:08-05:00 | Timestamp |
| Tax Period End Date | 2011-01-31 | 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 | 2010-02-01 | 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 | 2011-06-10 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BRIAN L RICHINS | Name |
| Phone | 5418895288 | Phone |
| Date Prepared | 2011-06-14 | DatePrepared |
| 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) |
|---|---|---|
| Gross Receipts | 7757771 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Activity Or Mission Description | COMMUNITY HEALTH SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 111 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 2958712 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4058784 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 3617611 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3695128 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 12507 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3859 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 6588830 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7757771 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4642682 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5239757 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1558720 | OtherExpensePriorYear |
| Other Expenses Current Year | 2033758 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6201402 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7273515 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 387428 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 484256 | RevenuesLessExpensesCY |
| Total Assets BOY | 4036684 | TotalAssetsBOY |
| Total Assets EOY | 5020820 | TotalAssetsEOY |
| Total Liabilities BOY | 1075297 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1083430 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2961387 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3937390 | 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 | 6476589 | Expense |
| Description | HEALTH CARE FOR MIGRANT WORKERS | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 6476589 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 6476589 | 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 | 6 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | false | ComplianceWithBackupWitholding |
| Number Of Employees | 111 | NumberOfEmployees |
| Employment Tax Returns Filed | false | 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 |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | 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 | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | false | 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) |
|---|---|---|
| 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 | |
| EDDIE RODRIQUEZ-LOPEZ MD | ||||||
| DOCTOR | 40.00 | 165783 | 0 | 0 | X | |
| BRYAN STONE | ||||||
| DOCTOR | 40.00 | 160291 | 0 | 0 | X | |
| ROBIN SEBASTION | ||||||
| DOCTOR | 40.00 | 157971 | 0 | 0 | X | |
| SHARMEEN SARKER | ||||||
| DOCTOR | 40.00 | 153491 | 0 | 0 | X | |
| MARNI HANSILL | ||||||
| DOCTOR | 40.00 | 118440 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 755976 | TotalReportableCompFromOrg |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Government Grants | 4058784 | GovernmentGrants |
| Total Contributions | 4058784 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| MEDICARE | 567899 | 567899 |
| PATIENT FEES | 513352 | 513352 |
| MEDICAID - IDAHO | 487298 | 487298 |
| PRIVATE INSURANCE | 377303 | 377303 |
| INSURANCE | 152271 | 152271 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1597005 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1597005 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3695128 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3859 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3859 | RelatedOrExemptFunctionIncome |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7757771 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3698987 | RelatedOrExemptFunctionIncome |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4473259 | Total |
| Program Services | 3938375 | ProgramServices |
| Management And General | 534884 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 766498 | Total |
| Program Services | 676126 | ProgramServices |
| Management And General | 90372 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39918 | Total |
| Program Services | 29368 | ProgramServices |
| Management And General | 10550 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| CAPITAL OUTLAY - PAYETTE | 262108 | 262108 |
| TRANSFER FMHA RESERVE | 206881 | 206881 |
| CAPITAL OUTLAY - NEW PLYM | 165328 | 165328 |
| SUPPLIES | 115688 | 115688 |
| PATIENT SERVICES | 105761 | 105761 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1138074 | Total |
| Program Services | 976954 | ProgramServices |
| Management And General | 161120 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7273515 | Total |
| Program Services | 6476589 | ProgramServices |
| Management And General | 796926 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80760 | BOY |
| EOY | 228747 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 912023 | BOY |
| EOY | 1141346 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 168469 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 398340 | BOY |
| EOY | 392383 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 194 | BOY |
| EOY | 200 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 6027437 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2937762 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2645367 | BOY |
| EOY | 3089675 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4036684 | BOY |
| EOY | 5020820 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 332467 | BOY |
| EOY | 388037 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 742830 | BOY |
| EOY | 695393 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1075297 | BOY |
| EOY | 1083430 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2913535 | BOY |
| EOY | 3685106 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47849 | BOY |
| EOY | 252284 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2961384 | BOY |
| EOY | 3937390 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4036681 | BOY |
| EOY | 5020820 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 484256 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 491750 | 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 | 2433511 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2461600 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2451853 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2958712 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4058784 | CurrentTaxYear |
| Total | 14364460 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2433511 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2461600 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2451853 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2958712 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4058784 | CurrentTaxYear |
| Total | 14364460 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 14364460 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 29743 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 46047 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 22298 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12507 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3858 | CurrentTaxYear |
| Total | 114453 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 14478913 | TotalSupport |
| Gross Receipts From Admissions Etc | 3698987 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99210 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99040 | 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 | 6027437 | InvestmentCostOrOtherBasis |
| Depreciation | 2937762 | Depreciation |
| Book Value | 3089675 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3089675 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MORTGAGES | Description |
| Amount | $695,393 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 695393 | 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 (4 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|
| EDDIE RODRIQUEZ-LOPEZ MD | |
| 165783 | 165783 |
| BRYAN STONE | |
| 160291 | 160291 |
| ROBIN SEBASTION | |
| 157971 | 157971 |
| SHARMEEN SARKER | |
| 153491 | 153491 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ALL OTHER ACHIEVEMENTS 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 |
| OTHER EXPENSES | FORM 990, PART IX, LINE 24F | TRANSCRIPTION 52,794 COMPUTER/IT SUPPORT 50,970 SUPPLIES - LAB 50,489 SUPPLIES - MEDICAL 43,646 PATIENT STATEMENT FEES 36,063 FMHA MORTGAGE - INTEREST 35,653 EQUIPMENT - MEDICAL 35,445 ARCHITECURAL AND ENGINEER 30,576 FMHA MORTGAGE - PRINCIPAL 29,173 MD CALL COVERAGE 27,991 CAPITAL OUTLAY - EMMETT 27,927 PRINTING/COPYING - MEDICA 26,041 RECRUITMENT & RETENTION 23,016 AUDIT - ADMIN 22,468 UTILITIES 21,155 TELEPHONE 20,515 EQUIPMENT - ADMIN 19,963 PHYSICIAN CALL COVERAGE 19,888 MAINTENANCE & REPAIRS 18,544 PROFESSIONAL DUES/FEES/SU 18,443 COMPUTER FEES 18,223 CAPITAL OUTLAY - VALE 17,996 INJECTIBLES - MEDICAL 17,802 CME - MEDICAL 16,538 CME 15,657 LAB EXPENSES - DENTAL 14,361 LAB 14,293 OFFICE PRODUCTS 13,642 OR SAFETY NET AGENCY OVER 13,579 EQUIPMENT 13,368 EQUIPMENT - PAYETTE DENTA 13,143 MAINTENANCE/REPAIRS - FAC 13,110 R & R - ALL 12,775 UTILITIES - FACILITY 12,698 MEDICAL SUPPLIES - VALE 12,271 MAINTENANCE AGREEMENTS - 11,956 CAPITAL OUTLAY - NYSSA ME 11,764 ORGANIZATIONAL DUES 11,745 FACILITY REPAIRS/MAINT - 11,737 TELEPHONE - FACILITY 11,634 CAPITAL OUTLAY - ONTARIO 11,531 INSURANCE - FACILITY 11,307 LAB SUPPLIES - VALE 11,091 CONTINUING MEDICAL EDUCAT 10,767 OFFICE SUPPLIES - ADMIN 10,750 UTILITIES - FACILITIY 10,631 PAYROLL PROCESSING FEES 10,383 COMMUNITY PROMOTIONS 10,248 R & R - OTHER 10,000 POSTAGE 9,849 340B PROGRAM 9,757 OTHER ARCHITECURAL AND EN 9,562 BANK FEES 9,213 FACILITY - REPAIRS AND MA 8,832 SUPPLIES - FACILITY 8,461 CONTINUING EDUCATION - NY 7,958 MEDICAL SUPPLIES - NYSSA 7,900 CONFERENCES/WORKSHOPS 7,634 FACILITY SUPPLIES 7,552 UTILITIES - NYSSA 7,413 UTILITIES - VALE 7,394 CME - DENTAL 7,367 UTILITIES - TOTAL 7,357 OFFICE SUPPLIES 6,810 LAB SUPPLIES - NYSSA 6,748 TELEPHONE - NYSSA 6,697 EQUIP - ADMIN 6,445 INJECTIBLES - VALE 6,401 CONTINUING EDUCATION - VA 6,287 TELEPHONE - TOTAL 6,107 SUPPLIES - INJECTABLES 6,057 PROFESSIONAL FEES/DUES/SU 5,833 INS/BOARD BONDING 5,775 SUPPLIES - SUSAN KOMAN 5,771 OFFICE PRODUCTS - TOTAL 5,690 MEDICAL - PRINTING/COPYIN 5,615 MAINT/REPAIR - FACILITY 5,547 TELEPHONE - VALE 5,396 SUPPLIES - NON CONSUMABLE 5,370 CAPITAL OUTLAY - NYSSA DE 5,157 MOVING EXPENSE - MEDICAL 4,952 OFFICE PRODUCTS - VALE 4,896 DUES/FEES/SUBSCRIPTIONS 4,767 INSURANCE FACILITY - VALE 4,694 VEHICLE PAYMENTS 4,464 CONTRACT MEDICAL 4,420 SUPPLIES - PAYETTE MEDICA 4,391 COMMUNITY SERVICE PROMOTI 4,268 OTHER - COMMUNITY SERVICE 4,224 EQUIPMENT - ADMINISTRATIO 4,128 INJECTIBLES - NYSSA 3,626 PRINTING & COPYING 3,429 TAXES 3,389 INJECTIBLES 3,201 NON CONSUMABLE OFFICE SUP 3,186 PROF DUES/SUBSCRIPTIONS 3,140 UTILITIES - DENTAL FACILI 3,116 OFFICE PRODUCTS - NYSSA 2,996 MAINT/REPAIR - DENTAL FAC 2,463 ADMIN/ACCOUNTING 2,432 CONTRACT - MEDICAL 2,430 DISASTER PREPAREDNES SUPP 2,413 TELEPHONE - DENTAL FACILI 2,409 POSTAGE - VALE 2,297 COMPUTER FEES - DENTAL 2,278 MOVING EXPENSES 2,273 DUES/FEES/SUB - DENTAL 2,059 POSTAGE - NYSSA 2,034 INSURANCE FACILITY - NYSS 2,030 EQUIPMENT - PAYETTE MEDIC 2,000 MAINT/REPAIR - ADMIN FAC 1,858 SUPPLIES - NEW PLYMOUTH 1,848 FACILITY SUPPLIES - VALE 1,833 EQUIPMENT - ONTARIO MEDIC 1,769 EQUIPMENT - EMMETT 1,769 MISCELLANEOUS 1,640 EQUIPMENT - ADMIN - NYSSA 1,376 EQUIPMENT - ADMIN - VALE 1,376 POSTAGE - TOTAL 1,300 PHARMACEUTICALS 1,295 EQUIPMENT - ONTARIO DENTA 1,185 EQUIPMENT - NYSSA DENTAL 1,185 OFFICE SUPPLIES - DENTAL 1,179 ANSWERING SERVICE 1,155 FACILITY INSURANCE - ADMI 1,105 INSURANCE-DENTAL ACTIVITY 1,059 FACILITY SUPPLIES - NYSSA 1,049 LAB EQUIPMENT - VALE 1,011 EQUIPMENT - LAB 864 LEGAL FEES 815 JOB ANNOUNCEMENTS 768 PRINTING/COPYING 716 CONTRACT-MEDICAL-NYSSA 700 MAINTENANCE CONTRACTS 695 ADMINISTRATION AND LEGAL 678 COMMUNITY SERVICE 606 MAINTENANCE AGREE - ADMIN 605 EQUIPMENT - NYSSA MEDICAL 600 EQUIPMENT - VALE 600 EQUIPMENT - NEW PLYMOUTH 600 BANK S/C 586 PRINTING/COPYING - DENTAL 579 MAINTENANCE CONTRACT 571 PRINTING/PROMO - SUSAN KO 537 SUPPLIES - PHARMACEUTICAL 505 SUPPLIES - DENTAL FACILIT 503 PRINT/COPYING - ADMIN 491 FAC SUPPLIES - ADMIN 485 PHARMACEUTICALS - VALE 469 SUPPLIES - VALE 410 CONFERENCE WORKSHOPS 406 SUPPLIES - ONTARIO MEDICA 389 SUPPLIES - NYSSA DENTAL 366 SUPPLIES - PAYETTE DENTAL 340 MAINT AGREE - ADMIN 304 EQUIP MAINT & REPAIR - DE 300 PROJECT INSPECTION FEES 300 TAXES - PROPERTY 289 ANSWERING SERVICE - NYSSA 277 ANSWERING SERVICE - VALE 277 REFERRALS - LAB 230 OTHER - LAB 222 REFERRALS - XRAY - VALE 198 CONTRACT - DENTAL 145 MAINTENANCE AGREEMENT - M 105 H1 N1 SUPPLIES 83 NON CONSUMABLE SUPPLIES 55 AUTO MAINT. ADMIN 53 ORG. DUES ADMIN 50 OTHER - MEDICAL 39 SUPPLIES - COMMUNITY SERV 21 REFFERRALS - LAB 11 TRANSFERS IN FROM PHS FM -206,881 |
Comments