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INDIAN FAMILY HEALTH CLINIC OF GREAT FALLS INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
INDIAN FAMILY HEALTH CLINIC OF GREAT FALLS INC (EIN 81-0542869)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-11
IRS object ID
202342239349301124
Schema version
2021v4.2
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

FieldValueIRS element (for citing)
Return2023-08-11T10:04:44-05:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1614 PARK DRIVE SOUTHAddressLine1Txt
CityGREAT FALLSCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59405ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810542869EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INDIAN FAMILY HEALTH CLINIC OF GREATBusinessNameLine1Txt
Business Name Line2FALLS INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlINDIBusinessNameControlTxt
Phone4062681510PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11220 CENTRAL AVEAddressLine1Txt
CityGREAT FALLSCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKIM GAGNONPersonNm
Person TitleBOARD CHAIRPersonTitleTxt
Phone4062681510PhoneNum
Signature2023-08-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKIMPersonFirstNm
Person LastGAGNONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKARI YOUNGPreparerPersonNm
PTINP01625181PTIN
Phone4067271798PhoneNum
Preparation2023-08-09PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKIM GAGNONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11220 CENTRAL AVEAddressLine1Txt
CityGREAT FALLSCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,616,345GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1990FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or MissionOPERATION OF HEALTH CLINIC FOR NATIVE AMERICANS RESIDING IN GREAT FALLS, MT AREA. THE CLINIC PROVIDES MEDICAL SERVICES, MENTAL HEALTH AND ALCOHOL COUNSELING, IMMUNIZATIONS, DIABETES COUNSELING AND COMMUNITY SERVICES. THE CLINIC IS ALSO OPEN TO NON-NATIVE AMERICANS IN NEED OF MEDICAL ASSISTANCE.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee28TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,935,642PYContributionsGrantsAmt
CY Contributions Grants$4,157,377CYContributionsGrantsAmt
PY Program Service Revenue$135,366PYProgramServiceRevenueAmt
CY Program Service Revenue$305,352CYProgramServiceRevenueAmt
PY Investment Income$57PYInvestmentIncomeAmt
CY Investment Income$5CYInvestmentIncomeAmt
PY Other Revenue$1,484PYOtherRevenueAmt
CY Other Revenue$153,611CYOtherRevenueAmt
PY Total Revenue$3,072,549PYTotalRevenueAmt
CY Total Revenue$4,616,345CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,112,537PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,786,320CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,743,462PYOtherExpensesAmt
CY Other Expenses$1,879,237CYOtherExpensesAmt
PY Total Expenses$2,855,999PYTotalExpensesAmt
CY Total Expenses$3,665,557CYTotalExpensesAmt
PY Revenues Less Expenses$216,550PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$950,788CYRevenuesLessExpensesAmt
Total Assets BOY$5,731,980TotalAssetsBOYAmt
Total Assets EOY$4,937,414TotalAssetsEOYAmt
Total Liabilities BOY$4,305,650TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,560,296TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,426,330NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,377,118NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOPERATION OF A CLINIC FOR NATIVE AMERICANS RESIDING IN THE GREAT FALLS, MT AREA. CLINIC PROVIDES MEDICAL SERVICES, MENTAL HEALTH AND ALCOHOL COUNSELING, IMMUNIZATIONS, DIABETES COUNSELING AND COMMUNITY SERVICES. CLINIC IS ALSO OPEN TO NON-NATIVE AMERICANS WHO ARE IN NEED OF MEDICAL ASSISTANCE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,541,082ExpenseAmt
Revenue$458,963RevenueAmt
DescPROVIDE MEDICAL SERVICES, MENTAL HEALTH AND ALCOHOL COUNSELING, IMMUNIZATIONS, DIABETES COUNSELING AND COMMUNITY SERVICES TO NATIVE AND NON-NATIVE AMERICANS IN NEED OF MEDICAL ASSISTANCE.Desc
Total Program Service Expenses$3,541,082TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee28EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KIM GAGNONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4062681510PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11220 CENTRAL AVEAddressLine1Txt
CityGREAT FALLSCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59401ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOE GERVAIS
MEMBER1.00Yes (X)$0$0$500
DR WILLIAM MCGREGOR
MEMBER1.00Yes (X)$0$0$500
CHERI KICKINGWOMAN
MEMBER1.00Yes (X)$0$0$500
SHAWNA JARVEY
MEMBER1.00Yes (X)$0$0$500
KIM GAGNON
CHAIRMAN5.00$0$0$500Yes (X)
WES OLD COYOTE
EXECUTIVE DIRECTOR40.00$146,640$0$0Yes (X)
RACHEL ARTHUR
CHIEF EXECUTIVE OFFICER40.00$77,624$0$0Yes (X)
JOSEPH MARTIN
PROVIDER40.00$128,322$0$0Yes (X)
MARY LYYNNE OLD COYOTE
CHIEF OPERATING OFFICER40.00$108,774$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$461,360TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$2,500TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SLETTEN CONSTRUCTION
1000 25TH ST NGREAT FALLSMT59401CONSTRUCTION$701,484
LOCUM TENENSCOM LLC
PO BOX 405547ATLANTAGA30384CONTRACTED MEDICAL SERVICES$350,718
BARTON & ASSOCIATES
PO BOX 417844BOSTONMA022417844CONTRACTED MEDICAL SERVICES$257,690
DEEPTREE INC
600 CENTRAL AVENUE 316GREAT FALLSMT59401IT SUPPORT$103,679
FACILITY IMPROVEMENT CORPORATION
1211 NW BYPASSGREAT FALLSMT59404SECURITY SYSTEMS, REPAIRS$101,776
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Government Grants$4,156,877GovernmentGrantsAmt
All Other Contributions$500AllOtherContributionsAmt
Total Contributions$4,157,377TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT FEESDesc
Business624100BusinessCd
Total Revenue Column$305,352TotalRevenueColumnAmt
Related Or Exempt Func Income$305,352RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$305,352TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5TotalRevenueColumnAmt
Exclusion$5ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$153,611TotalRevenueColumnAmt
Related Or Exempt Func Income$153,611RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$153,611OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,616,345TotalRevenueColumnAmt
Related Or Exempt Func Income$458,963RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,406,274TotalAmt
Program Services$1,406,274ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$23,781TotalAmt
Program Services$23,781ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$239,211TotalAmt
Program Services$239,211ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$117,054TotalAmt
Program Services$117,054ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$25,169TotalAmt
Program Services$8,100ProgramServicesAmt
Management And General$17,069ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,035,411TotalAmt
Program Services$1,035,411ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$15,411TotalAmt
Program Services$15,411ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$17,125TotalAmt
Program Services$16,738ProgramServicesAmt
Management And General$387ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$300,399TotalAmt
Program Services$298,709ProgramServicesAmt
Management And General$1,690ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$62,864TotalAmt
Program Services$62,864ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$60,315TotalAmt
Management And General$60,315ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$45,559TotalAmt
Program Services$45,559ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SMALL EQUIPMENT$79,708$73,635$6,073
CLINIC$67,939$54,443$13,496
LABORATORY COST$34,322$32,620$1,702
BEHAVIORAL/MENTAL HEALT$27,574$27,474$100

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$107,441TotalAmt
Program Services$83,798ProgramServicesAmt
Management And General$23,643ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,665,557TotalAmt
Program Services$3,541,082ProgramServicesAmt
Management And General$124,475ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,665,862BOYAmt
EOY$3,366,817EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$11,580BOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$225,416BOYAmt
EOY$350EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$39,343BOYAmt
EOY$51,156EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,443BOYAmt
EOY$10,977EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$35,579BOYAmt
EOY$48,702EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,826,729LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$367,317LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$744,757BOYAmt
EOY$1,459,412EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,731,980BOYAmt
EOY$4,937,414EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$187,192BOYAmt
EOY$116,840EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,118,458BOYAmt
EOY$2,443,456EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,305,650BOYAmt
EOY$2,560,296EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,426,330BOYAmt
EOY$2,377,118EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,426,330BOYAmt
EOY$2,377,118EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,731,980BOYAmt
EOY$4,937,414EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$950,788ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,301,856CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,587,124CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,195,678CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,935,842CurrentTaxYearMinus1YearAmt
Current Tax Year$4,156,877CurrentTaxYearAmt
Total$13,177,377TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,301,856CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,587,124CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,195,678CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,935,842CurrentTaxYearMinus1YearAmt
Current Tax Year$4,156,877CurrentTaxYearAmt
Total$13,177,377TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$13,177,377PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$380CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$772CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$150CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$57CurrentTaxYearMinus1YearAmt
Current Tax Year$5CurrentTaxYearAmt
Total$1,364TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$66,940CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,029CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,484CurrentTaxYearMinus1YearAmt
Current Tax Year$153,611CurrentTaxYearAmt
Total$255,064TotalAmt
FieldValueIRS element (for citing)
Total Support$13,433,805TotalSupportAmt
Gross Receipts Rltd Activities$305,352GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98090PublicSupportCY170Pct
Public Support PY1700.98720PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOME - 2018 AMOUNT: $ 66,940. 2019 AMOUNT: $ 33,029. 2020 AMOUNT: $ 1,484. 2021 AMOUNT: $ 153,611.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,000OtherCostOrOtherBasisAmt
Book Value$50,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,395,376OtherCostOrOtherBasisAmt
Depreciation$185,274DepreciationAmt
Book Value$1,210,102BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$381,353OtherCostOrOtherBasisAmt
Depreciation$182,043DepreciationAmt
Book Value$199,310BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,459,412TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
COMPENSATED ABSENCES$63,269
REFUNDABLE ALLOWANCES$2,380,187
FieldValueIRS element (for citing)
Total Liability$2,443,456TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$4,616,345TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$4,616,345RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,616,345TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,665,557TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$3,665,557ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$3,665,557TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
FORM 990, PART VI, SECTION C, LINE 18ANNUAL AUDIT IS AVAILABLE TO FUNDING AGENCY AND PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GCONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,035,411. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,035,411.