KLAMATH HEALTH PARTNERS INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- KLAMATH HEALTH PARTNERS INC (EIN 93-1230223)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-14
- IRS object ID
- 202343189349311124
- Schema version
- 2022v5.0
- 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) |
|---|---|---|
| Return | 2023-11-14T14:10:05-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 930743240 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOFFMAN STEWART & SCHMIDT PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3 CENTERPOINTE DRIVE SUITE 300 | AddressLine1Txt |
| City | LAKE OSWEGO | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 970358663 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 931230223 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KLAMATH HEALTH PARTNERSHIP INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KLAM | BusinessNameControlTxt |
| Phone | 5418518110 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2074 S 6TH STREET | AddressLine1Txt |
| City | KLAMATH FALLS | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SIGNE PORTER | PersonNm |
| Person Title | CEO/CFO | PersonTitleTxt |
| Phone | 5418518110 | PhoneNum |
| Signature | 2023-11-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SIGNE | PersonFirstNm |
| Person Last | PORTER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TODD D MASSINGER | PreparerPersonNm |
| PTIN | P00075883 | PTIN |
| Phone | 5032205900 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KLAMATH OPEN DOOR FAMILY PRACTICE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SIGNE PORTER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2074 S 6TH STREET | AddressLine1Txt |
| City | KLAMATH FALLS | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $16,726,361 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.KLAMATHOPENDOOR.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE ACCESSIBLE, CULTURALLY SENSITIVE, AFFORDABLE, QUALITY DRIVEN PATIENT CENTERED HEALTH SERVICE, WITH AN EMPHASIS ON THE UNDERSERVED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 183 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,322,632 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,218,195 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,464,687 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,191,515 | CYProgramServiceRevenueAmt |
| PY Investment Income | $30,199 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,239 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,708,514 | PYOtherRevenueAmt |
| CY Other Revenue | $4,898,069 | CYOtherRevenueAmt |
| PY Total Revenue | $13,526,032 | PYTotalRevenueAmt |
| CY Total Revenue | $15,310,018 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $65,692 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $25,778 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,433,464 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,630,610 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,760,379 | PYOtherExpensesAmt |
| CY Other Expenses | $4,632,678 | CYOtherExpensesAmt |
| PY Total Expenses | $13,259,535 | PYTotalExpensesAmt |
| CY Total Expenses | $16,289,066 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $266,497 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$979,048 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,658,615 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,913,005 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $639,968 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $873,406 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,018,647 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,039,599 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE ACCESSIBLE, CULTURALLY SENSITIVE, AFFORDABLE, QUALITY DRIVEN PATIENT CENTERED HEALTH SERVICES, WITH AN EMPHASIS ON THE UNDERSERVED. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $14,255,177 | ExpenseAmt |
| Grant | $25,778 | GrantAmt |
| Revenue | $11,089,584 | RevenueAmt |
| Desc | KLAMATH HEALTH PARTNERSHIP DELIVERS ESSENTIAL AND PREVENTATIVE PRIMARY CARE, PHARMACY, DENTAL, AND MENTAL HEALTH SERVICES TO THE UNDERSERVED, UNISURED, AND UNDERINSURED INDIVIDUALS AND FAMILIES IN KLAMATH COUNTY, OREGON. DURING 2022, THE ORGANIZATION SERVED APPROXIMATELY 9,600 INDIVIDUALS THROUGH 44,000 VISITS. | Desc |
| Total Program Service Expenses | $14,255,177 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 36 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 183 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIGNE PORTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5418518110 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2074 S 6TH STREET | AddressLine1Txt |
| City | KLAMATH FALLS | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| EDWARD HORVATH | ||||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAN BOS | ||||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL RIVERA | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LIZ MADDALENA | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| EDITH BROWN-VIEYRA | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CONNIE CATTERALL | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID HEDELMAN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD LONG | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LAURA PULLEY CPA | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BETTY PURCELL | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TAMARA ROSE PHD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SIGNE PORTER | ||||||||
| CEO/CFO | 40.00 | Yes (X) | $131,730 | $0 | $20,870 | |||
| FLOR MOUNTS | ||||||||
| MEDICAL DIRECTOR | 40.00 | $274,628 | $0 | $27,606 | Yes (X) | |||
| MARCUS COX | ||||||||
| CHIEF PHARMACY OFFICER | 40.00 | $259,089 | $0 | $23,296 | Yes (X) | |||
| AARON DAVIS | ||||||||
| DENTAL DIRECTOR | 40.00 | $168,392 | $0 | $31,109 | Yes (X) | |||
| ASHLEY BRYSON | ||||||||
| MD | 40.00 | $242,902 | $0 | $22,847 | Yes (X) | |||
| JAN HALLOCK | ||||||||
| DO | 40.00 | $225,436 | $0 | $22,847 | Yes (X) | |||
| JONATHAN NEAL | ||||||||
| PA | 40.00 | $169,074 | $0 | $31,197 | Yes (X) | |||
| EDWARD TROBAUGH | ||||||||
| MD | 30.00 | $208,419 | $0 | $29,903 | Yes (X) | |||
| SARAH WILLIAMS | ||||||||
| MD | 34.00 | $226,461 | $0 | $17,609 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,906,131 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $227,284 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 21 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MODOC CONTRACTING | |||||
| 4027 OR-39 | KLAMATH FALLS | OR | 97603 | REMODELING | $1,334,019 |
| STACY & DENNIS | |||||
| 3815 S 6TH STREET | KLAMATH FALLS | OR | 97603 | IT SUPPORT | $572,631 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | LOCUM TENENS RECRUITING | $273,513 |
| ALLCARE EHEALTH SERVICE | |||||
| 1701 NE 7TH STREET | GRANTS PASS | OR | 97526 | EMR SUPPORT | $129,926 |
| ERIN WELCH | |||||
| 1808 HARMONY LANE | KLAMATH FALLS | OR | 97601 | PHARMACIST | $100,388 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,759,826 | GovernmentGrantsAmt |
| All Other Contributions | $458,369 | AllOtherContributionsAmt |
| Noncash Contributions | $138,000 | NoncashContributionsAmt |
| Total Contributions | $4,218,195 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CAPITATION REVENUE | 621110 | $2,714,244 | $2,714,244 |
| PATIENT SERVICE REVENUE | 621110 | $1,919,752 | $1,919,752 |
| PREMIUM AND INCENTIVES REVENUE | 621110 | $1,557,519 | $1,557,519 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,191,515 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,239 | TotalRevenueColumnAmt |
| Exclusion | $2,239 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $6,289,792 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $1,416,343 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,873,449 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,873,449 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $24,620 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $24,620 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $24,620 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,310,018 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,089,584 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,239 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,778 | TotalAmt |
| Program Services | $25,778 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $936,720 | TotalAmt |
| Program Services | $542,457 | ProgramServicesAmt |
| Management And General | $394,263 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,282,726 | TotalAmt |
| Program Services | $7,711,354 | ProgramServicesAmt |
| Management And General | $571,372 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,033 | TotalAmt |
| Program Services | $123,841 | ProgramServicesAmt |
| Management And General | $1,192 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,575,636 | TotalAmt |
| Program Services | $1,438,028 | ProgramServicesAmt |
| Management And General | $137,608 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $710,495 | TotalAmt |
| Program Services | $638,637 | ProgramServicesAmt |
| Management And General | $71,858 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,547,231 | TotalAmt |
| Program Services | $956,394 | ProgramServicesAmt |
| Management And General | $590,837 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,402 | TotalAmt |
| Program Services | $7,552 | ProgramServicesAmt |
| Management And General | $850 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,269,143 | TotalAmt |
| Program Services | $1,195,812 | ProgramServicesAmt |
| Management And General | $73,331 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $251,304 | TotalAmt |
| Program Services | $225,888 | ProgramServicesAmt |
| Management And General | $25,416 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,057 | TotalAmt |
| Program Services | $94,249 | ProgramServicesAmt |
| Management And General | $15,808 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $481,733 | TotalAmt |
| Program Services | $433,012 | ProgramServicesAmt |
| Management And General | $48,721 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,957 | TotalAmt |
| Program Services | $75,466 | ProgramServicesAmt |
| Management And General | $8,491 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACTUAL SERVICES | $333,852 | $288,454 | $45,398 |
| EQUIPMENT, REPAIRS, AND | $290,757 | $261,351 | $29,406 |
| RECRUITMENT | $104,765 | $100,747 | $4,018 |
| DUES, LICENSES, AND PUB | $86,533 | $77,781 | $8,752 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,944 | TotalAmt |
| Program Services | $58,376 | ProgramServicesAmt |
| Management And General | $6,568 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,289,066 | TotalAmt |
| Program Services | $14,255,177 | ProgramServicesAmt |
| Management And General | $2,033,889 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,490,967 | BOYAmt |
| EOY | $3,854,712 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,954,370 | BOYAmt |
| EOY | $185,727 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $545,191 | BOYAmt |
| EOY | $582,785 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,018,117 | BOYAmt |
| EOY | $2,215,516 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,283 | BOYAmt |
| EOY | $141,487 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $267,433 | BOYAmt |
| EOY | $323,528 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,120,011 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,510,761 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,303,254 | BOYAmt |
| EOY | $7,609,250 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,658,615 | BOYAmt |
| EOY | $14,913,005 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $639,968 | BOYAmt |
| EOY | $873,406 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $639,968 | BOYAmt |
| EOY | $873,406 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,018,647 | BOYAmt |
| EOY | $14,039,599 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,018,647 | BOYAmt |
| EOY | $14,039,599 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,658,615 | BOYAmt |
| EOY | $14,913,005 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$979,048 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,808,157 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,288,091 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,634,466 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,322,632 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,218,195 | CurrentTaxYearAmt |
| Total | $19,271,541 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,146,443 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,056,708 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,665,397 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,743,498 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,481,307 | CurrentTaxYearAmt |
| Total | $54,093,353 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,954,600 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,344,799 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,299,863 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,066,130 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,699,502 | CurrentTaxYearAmt |
| Total | $73,364,894 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $73,364,894 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $47,255 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $68,967 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $49,738 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $30,199 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,239 | CurrentTaxYearAmt |
| Total | $198,398 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $47,255 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $68,967 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $49,738 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $30,199 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,239 | CurrentTaxYearAmt |
| Total | $198,398 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,979 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $32,907 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,136 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,576 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,620 | CurrentTaxYearAmt |
| Total | $116,218 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,012,834 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,446,673 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,364,737 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,128,905 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,726,361 | CurrentTaxYearAmt |
| Total | $73,679,510 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99570 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99650 | PublicSupportPY509Pct |
| Investment Income CY | 0.00270 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00340 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $377,489 | OtherCostOrOtherBasisAmt |
| Book Value | $377,489 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,769,788 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,426,642 | DepreciationAmt |
| Book Value | $6,343,146 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,972,734 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,084,119 | DepreciationAmt |
| Book Value | $888,615 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,609,250 | TotalBookValueLandBuildingsAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | PATIENT ASSISTANCE | GrantTypeTxt |
| Recipient | 565 | RecipientCnt |
| Cash Grant | $25,778 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | ALL INDIVIDUAL ASSISTANCE WAS GIVEN DIRECTLY TO THE THIRD-PARTY PROVIDER (LANDLORD, HOTEL, CREDITOR, ETC.). INDIVIDUALS WERE NEVER GIVEN CASH AND LEFT TO THEIR OWN DISCRETION ABOUT SPENDING IT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FLOR MOUNTS | ||||||||||||||
| MEDICAL DIRECTOR | $274,628 | $0 | $0 | $0 | $0 | $0 | $7,433 | $0 | $20,173 | $0 | $302,234 | $0 | $0 | $0 |
| MARCUS COX | ||||||||||||||
| CHIEF PHARMACY OFFICER | $259,089 | $0 | $0 | $0 | $0 | $0 | $476 | $0 | $22,820 | $0 | $282,385 | $0 | $0 | $0 |
| ASHLEY BRYSON | ||||||||||||||
| MD | $242,902 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $22,847 | $0 | $265,749 | $0 | $0 | $0 |
| JAN HALLOCK | ||||||||||||||
| DO | $225,436 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $22,847 | $0 | $248,283 | $0 | $0 | $0 |
| SARAH WILLIAMS | ||||||||||||||
| MD | $226,461 | $0 | $0 | $0 | $0 | $0 | $5,222 | $0 | $12,387 | $0 | $244,070 | $0 | $0 | $0 |
| EDWARD TROBAUGH | ||||||||||||||
| MD | $208,419 | $0 | $0 | $0 | $0 | $0 | $13,344 | $0 | $16,559 | $0 | $238,322 | $0 | $0 | $0 |
| JONATHAN NEAL | ||||||||||||||
| PA | $169,074 | $0 | $0 | $0 | $0 | $0 | $8,832 | $0 | $22,365 | $0 | $200,271 | $0 | $0 | $0 |
| AARON DAVIS | ||||||||||||||
| DENTAL DIRECTOR | $168,392 | $0 | $0 | $0 | $0 | $0 | $11,610 | $0 | $19,499 | $0 | $199,501 | $0 | $0 | $0 |
| SIGNE PORTER | ||||||||||||||
| CEO/CFO | $131,730 | $0 | $0 | $0 | $0 | $0 | $9,380 | $0 | $11,490 | $0 | $152,600 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1171 | ContributionCnt |
| Noncash Contributions Rpt F990 | $138,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | GLOVES, MASKS, AND VACCCINES FOR KIDS | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WAS REVIEWED BY THE CEO/CFO, THEN PRESENTED AT A BOARD MEETING OR SENT TO BOARD MEMBERS VIA EMAIL AND APPROVED BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE EACH YEAR. THE BOARD HAS ADOPTED A CONFLICT OF INTEREST POLICY THAT IS REVIEWED ANNUALLY BY THE BOARD AND CEO. THE QUESTION OF CONFLICT OF INTEREST IS ASKED BEFORE ANY VOTE. IF A CONFLICT IS PRESENT, THE INDIVIDUAL DECLINES VOTING AND IT IS RECORDED IN MEETING MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 15 | BIANNUAL SURVEYS ARE DONE TO COLLECT INFORMATION FROM SIMILAR ORGANIZATIONS THROUGH THE OREGON PRIMARY CARE ASSOCIATION, NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION, AND OTHER RELEVANT WAGE AND SALARY RESOURCES. THE BOARD OF DIRECTORS REVIEWS WAGES AND SALARIES EACH YEAR AS A FUNCTION OF ITS FIDUCIARY RESPONSIBILITY TO APPROVE AN ANNUAL OPERATIONS BUDGET. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |