UNITED METHODIST WESTERN KANSAS MEXICAN-AMERICAN MINISTRIES INC: Form 990, tax year 2020
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- Organization
- UNITED METHODIST WESTERN KANSAS MEXICAN-AMERICAN MINISTRIES INC (EIN 48-1049519)
- Tax period
- 2020-05-01 to 2021-04-30
- Filed
- 2022-03-15
- IRS object ID
- 202210749349300411
- Schema version
- 2020v4.2
- 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) |
|---|---|---|
| Return | 2022-03-15T08:00:32-05:00 | ReturnTs |
| Tax Period End | 2021-04-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 221478099 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14 SYLVAN WAY | AddressLine1Txt |
| City | PARSIPPANY | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 070543801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-05-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481049519 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNITED METHODIST WESTERN KANSAS MEXICAN- | BusinessNameLine1Txt |
| Business Name Line2 | AMERICAN MINISTRIES INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UNIT | BusinessNameControlTxt |
| Phone | 6202717400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 766 | AddressLine1Txt |
| City | GARDEN CITY | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67846 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JULIE WRIGHT | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6202717400 | PhoneNum |
| Signature | 2022-03-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JULIE | PersonFirstNm |
| Person Last | WRIGHT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI ROTHE YOKOBOSKY CPA | PreparerPersonNm |
| PTIN | P01273422 | PTIN |
| Phone | 9732283500 | PhoneNum |
| Preparation | 2022-03-10 | PreparationDt |
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 | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENESIS FAMILY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JULIE WRIGHT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 766 | AddressLine1Txt |
| City | GARDEN CITY | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67846 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,483,000 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GENESISFAMILYHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | GENESIS FAMILY HEALTH IS STRENGTHENING COMMUNITIES BY PROVIDING HIGH QUALITY, COMPREHENSIVE HEALTH AND WELLNESS SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 166 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,831,100 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,579,890 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,525,675 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,867,826 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,304 | PYInvestmentIncomeAmt |
| CY Investment Income | $13,543 | CYInvestmentIncomeAmt |
| PY Other Revenue | $16,009 | PYOtherRevenueAmt |
| CY Other Revenue | $21,741 | CYOtherRevenueAmt |
| PY Total Revenue | $7,378,088 | PYTotalRevenueAmt |
| CY Total Revenue | $11,483,000 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $17,255 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $52,596 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,554,015 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,311,794 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,278,621 | PYOtherExpensesAmt |
| CY Other Expenses | $2,994,819 | CYOtherExpensesAmt |
| PY Total Expenses | $7,849,891 | PYTotalExpensesAmt |
| CY Total Expenses | $9,359,209 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$471,803 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,123,791 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,495,423 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,963,397 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,204,526 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,522,338 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $290,897 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,441,059 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | GENESIS FAMILY HEALTH IS STRENGTHENING COMMUNITIES BY PROVIDING HIGH QUALITY, COMPREHENSIVE HEALTH AND WELLNESS SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,152,785 | ExpenseAmt |
| Grant | $52,596 | GrantAmt |
| Revenue | $4,886,967 | RevenueAmt |
| Desc | GENESIS FAMILY HEALTH (GHF) STRIVE TO PROVIDE ACCESS TO QUALITY CARE FOR EVERYONE THROUGH THE OPERATION OF FEDERALLY QUALIFED HEALTH CENTERS AND CARE CENTERS ACCROSS SOUTHWEST KANSA. OVER 8,300 PATIENTS RECEIVED CARE THROUGH NEARLYY 24,000 CLINICAL AND/OR ENABLING SERVICE ENCOUNTERS IN 2021. SITES LOCATED IN GARDEN CITY, DODGE CITY, LIBERAL AND ULYSSES, KANSAS OFFER COMPREHENSIVE PRIMARY CARE, INCLUDING TREATMENT OF ILLNESS AND INJURY; WELLNESS AND PREVENTIVE CARE; IMMUNIZATION; PRENATAL, OB DELIVERY AND POSTPARTUM CARE; HEALTH EUCATION; ROUTINE LABORATPRY; BEHAVIORAL HEALTH; AND SUBSTANCE ABUSE TREATMENT, INCLUDING SUBOXONE THERAPY FOR OPIOD USE DISORDER. GENESIS FAMILY HEALTH ALSO OPERATES DENTAL CLINICS IN GARDEN CITY, DODGE CITY AND ULYSSES OFFERING PREVENTIVE, RESTORATIVE, REHABILITATIVE, EMERGENCY AND COMMUNITY OUTREACH/EDUCATION SERVICES. CARE CENTERS IN EACH OF OUR FOUR HEALTH CENTER COMMUNITIES PROVIDE LINKAGE TO SOCIAL AND ENABLING SERVICE RESOURCES IN-HOUSE AND THROUGH COMMUNITY PARTNERSHIPS, INCLUDING EARLY DETECTION WORKS (BREAST AND CERVICAL CANCER PRORGAM COVERING 31 COUNTIES); DIABETES CASE MANAGEMENT, OUTREACH AND EDUCATION, RYAN WHITE CASE MANAGEMENT; PROMOTERS DE SALUD PEER SUPPORT; PRESCRIPTION ASSISTANCE; FOOD PANTRY; CLOTHING CLOSET; SCHOOL SUPPLIES; AND EMERGENCY FINANCIAL ASSISTANCE. | Desc |
| Total Program Service Expenses | $7,152,785 | 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 | Yes (1) | 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 | 21 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 166 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JULIE WRIGHT CEO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6202717400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 226 NORTH TAYLOR STREET | AddressLine1Txt |
| City | GARDEN CITY | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67846 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 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 |
|---|---|---|---|---|---|---|---|---|
| CALLIE DYER | ||||||||
| TREASURER | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DEBRA BROCK | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ELIZABETH SCHEOPNER | ||||||||
| INTERIM CHAIR | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HORTENCIA TORRES | ||||||||
| SECRETARY | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| IRENE VELASQUEZ | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| JORGE ESTRELLA | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| REV DONALD HASTY | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| RYAN AUSMUS | ||||||||
| INTERIM VICE CHAIR | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SONIA HERNANDEZ | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| VERONICA CONTRERAS | ||||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| JULIE WRIGHT | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $124,136 | $0 | $6,759 | |||
| MELBA DOWNEY | ||||||||
| CFO | 40.00 | Yes (X) | $96,074 | $0 | $21,919 | |||
| HAROLD PERKINS | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | $250,375 | $0 | $7,759 | Yes (X) | |||
| RICHARD POTTS | ||||||||
| CHIEF DENTAL OFFICER | 40.00 | $190,025 | $0 | $0 | Yes (X) | |||
| BETHANY GOETSCHIUS | ||||||||
| PHARMACIST | 40.00 | $105,621 | $0 | $0 | Yes (X) | |||
| EMMANUEL OKEKE | ||||||||
| PSYCHIATRIST | 40.00 | $143,926 | $0 | $4,846 | Yes (X) | |||
| KANDI ARWINE | ||||||||
| NURSE PRACTIONER | 40.00 | $113,652 | $0 | $0 | Yes (X) | |||
| RACQUEL STUCKY | ||||||||
| PHYSICIAN | 40.00 | $191,005 | $0 | $1,000 | Yes (X) | |||
| SAMUEL GOETSCHIUS | ||||||||
| NURSE PRACTITIONER | 40.00 | $129,085 | $0 | $20,497 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,343,899 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $62,780 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ECLINICALWORKS LLC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 847950 | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02284 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | EMR SYSTEM | ServicesDesc |
| Compensation | $162,104 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,383,694 | GovernmentGrantsAmt |
| All Other Contributions | $196,196 | AllOtherContributionsAmt |
| Noncash Contributions | $115,883 | NoncashContributionsAmt |
| Total Contributions | $6,579,890 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 621400 | $1,853,837 | $1,853,837 |
| SELF-PAY | 621400 | $1,190,529 | $1,190,529 |
| OTHER THIRD-PARTY PAYORS | 621400 | $1,081,344 | $1,081,344 |
| 340B PHARMACY | 621400 | $512,667 | $512,667 |
| MEDICARE | 621400 | $229,449 | $229,449 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,867,826 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,462 | TotalRevenueColumnAmt |
| Exclusion | $1,462 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,600 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,600 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,600 | TotalRevenueColumnAmt |
| Exclusion | $2,600 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,081 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,081 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,081 | TotalRevenueColumnAmt |
| Exclusion | $12,081 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $19,141 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $19,141 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $19,141 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,483,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,886,967 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $16,143 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,596 | TotalAmt |
| Program Services | $52,596 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $674,126 | TotalAmt |
| Program Services | $431,906 | ProgramServicesAmt |
| Management And General | $242,220 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,819,558 | TotalAmt |
| Program Services | $3,809,651 | ProgramServicesAmt |
| Management And General | $1,009,907 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,049 | TotalAmt |
| Management And General | $4,049 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $404,654 | TotalAmt |
| Program Services | $286,543 | ProgramServicesAmt |
| Management And General | $118,111 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $409,407 | TotalAmt |
| Program Services | $300,804 | ProgramServicesAmt |
| Management And General | $108,603 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,894 | TotalAmt |
| Management And General | $11,894 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,463 | TotalAmt |
| Management And General | $98,463 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $417,686 | TotalAmt |
| Program Services | $375,456 | ProgramServicesAmt |
| Management And General | $42,230 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,720 | TotalAmt |
| Program Services | $5,579 | ProgramServicesAmt |
| Management And General | $22,141 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $297,736 | TotalAmt |
| Program Services | $146,417 | ProgramServicesAmt |
| Management And General | $151,319 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,917 | TotalAmt |
| Program Services | $28,735 | ProgramServicesAmt |
| Management And General | $82,182 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,725 | TotalAmt |
| Program Services | $283,546 | ProgramServicesAmt |
| Management And General | $8,179 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,180 | TotalAmt |
| Program Services | $42,648 | ProgramServicesAmt |
| Management And General | $4,532 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,005 | TotalAmt |
| Program Services | $27,226 | ProgramServicesAmt |
| Management And General | $10,779 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,216 | TotalAmt |
| Program Services | $33 | ProgramServicesAmt |
| Management And General | $32,183 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,627 | TotalAmt |
| Management And General | $88,627 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,050 | TotalAmt |
| Management And General | $27,050 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIED & DRUG | $975,197 | $974,334 | $863 |
| REAPAIRS & MAINTENANCE | $217,034 | $175,490 | $41,544 |
| BAD DEBT | $139,605 | $139,605 | |
| LICENSES, DUES, SUBSCRI | $137,265 | $48,109 | $89,156 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,499 | TotalAmt |
| Program Services | $24,107 | ProgramServicesAmt |
| Management And General | $12,392 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,359,209 | TotalAmt |
| Program Services | $7,152,785 | ProgramServicesAmt |
| Management And General | $2,206,424 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $912,713 | BOYAmt |
| EOY | $343,259 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,734 | BOYAmt |
| EOY | $201,735 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,590 | BOYAmt |
| EOY | $368,912 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $267,552 | BOYAmt |
| EOY | $1,156,243 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,902 | BOYAmt |
| EOY | $22,933 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,296 | BOYAmt |
| EOY | $118,515 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,758,404 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,286,096 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $860,038 | BOYAmt |
| EOY | $1,472,308 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,178 | BOYAmt |
| EOY | $169,092 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,420 | BOYAmt |
| EOY | $110,400 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,495,423 | BOYAmt |
| EOY | $3,963,397 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $684,338 | BOYAmt |
| EOY | $1,026,227 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,091,787 | BOYAmt |
| EOY | $176,282 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $428,401 | BOYAmt |
| EOY | $319,829 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,204,526 | BOYAmt |
| EOY | $1,522,338 | 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 | $211,192 | BOYAmt |
| EOY | $2,332,155 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,705 | BOYAmt |
| EOY | $108,904 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $290,897 | BOYAmt |
| EOY | $2,441,059 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,495,423 | BOYAmt |
| EOY | $3,963,397 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,123,791 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $26,371 | NetUnrlzdGainsLossesInvstAmt |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,313,226 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,491,654 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,475,111 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,831,100 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,579,890 | CurrentTaxYearAmt |
| Total | $20,690,981 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,313,226 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,491,654 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,475,111 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,831,100 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,579,890 | CurrentTaxYearAmt |
| Total | $20,690,981 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $20,690,981 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,338 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,705 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,621 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,021 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,062 | CurrentTaxYearAmt |
| Total | $63,747 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $19,141 | CurrentTaxYearAmt |
| Total | $19,141 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $20,773,869 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $20,416,164 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99600 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99310 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $83,229 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $29,108 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $112,337 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $85,445 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,146 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $30 | OtherExpendituresAmt |
| Administrative Expenses | $1,040 | AdministrativeExpensesAmt |
| End Year Balance | $83,229 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $82,824 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,776 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $94 | OtherExpendituresAmt |
| Administrative Expenses | $1,061 | AdministrativeExpensesAmt |
| End Year Balance | $85,445 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $169,961 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $15,107 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $100,080 | OtherExpendituresAmt |
| Administrative Expenses | $2,164 | AdministrativeExpensesAmt |
| End Year Balance | $82,824 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $154,279 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $17,792 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $68 | OtherExpendituresAmt |
| Administrative Expenses | $2,042 | AdministrativeExpensesAmt |
| End Year Balance | $169,961 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.91930 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.08070 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,500 | OtherCostOrOtherBasisAmt |
| Book Value | $23,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,746,205 | OtherCostOrOtherBasisAmt |
| Depreciation | $761,723 | DepreciationAmt |
| Book Value | $984,482 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $894,422 | OtherCostOrOtherBasisAmt |
| Depreciation | $515,674 | DepreciationAmt |
| Book Value | $378,748 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $94,277 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,699 | DepreciationAmt |
| Book Value | $85,578 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,472,308 | TotalBookValueLandBuildingsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | GFH HAS ENDOWMENT FUNDS MANAGED BY THE KANSAS AREA UNITED METHODIST FOUNDATION. THESE FUNDS RANGE FROM NON-RESTRICTED TO PERMANENTLY RESTRICTED AND MAY BE USED AS DIRECTED/APPROVED BY THE BOARD OF DIRECTORS TO SUPPORT THE ORGANIZATION'S MISSION AND OPERATIONS. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (6 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| UTILITY | 452 | $30,363 |
| LODGING | 53 | $1,945 |
| TRANSPORTATION | 61 | $1,605 |
| OTHER | 7 | $5,088 |
| PRESCRIPTION | 27 | $1,423 |
| FOOD BANK | $12,172 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE COMMUNITY DEVELOPERS OF THE HELPING HANDS PROGRAM CONDUCT IN-PERSON INTERVIEWS WITH APPLICANTS FOR EMERGENCY FINANCIAL ASSISTANCE. COPIES OF BILLS AND OTHER DOCUMENTATION OF INCOME AND NEEDS ARE REVIEWED BEFORE ASSISTANCE IS PROVIDED. THE ORGANIZATION TYPICALLY REMITS PAYMENTS DIRECTLY TO THE HOTEL, LANDLORD, PHARMACY OR OTHER VENDORS WHO PROVIDE THE ULTIMATE GOODS OR SERVICES TO THE INDIVIDUALS. IN THE RARE CASE THAT PAYMENTS ARE MADE DIRECTLY TO AN INDIVIDUAL, THE REQUEST IS REVIEWED AND APPROVED IN ADVANCE BY THE SOCIAL SERVICES PRACTICE MANAGER. THE FOOD PANTRY ACCEPTS DONATIONS OF FOOD WHICH ARE THEN DIRECTLY DISTRIBUTED TO THE RECIPIENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HAROLD PERKINS | ||||||||||||||
| CHIEF MEDICAL OFFICER | $250,375 | $0 | $0 | $0 | $0 | $0 | $1,000 | $0 | $6,759 | $0 | $258,134 | $0 | $0 | $0 |
| RACQUEL STUCKY | ||||||||||||||
| PHYSICIAN | $191,005 | $0 | $0 | $0 | $0 | $0 | $1,000 | $0 | $0 | $0 | $192,005 | $0 | $0 | $0 |
| RICHARD POTTS | ||||||||||||||
| CHIEF DENTAL OFFICER | $190,025 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $190,025 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $115,883 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | 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 | COLUMN B REPRESENTS NUMBER OF CONTRIBUTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS, AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A DRAFT OF THE RETURN IS REVIEWED BY THE FINANCE COMMITTEE BEFORE BEING FLNALIZED. THE 990 IS ALSO EMAILED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND OFFICERS. BOARD MEMBERS AND OFFICERS ANNUALLY SIGN STATEMENTS ACKNOWLEDGING THAT THEY HAVE READ THE POLICY AND AGREEING THAT IF ANY POTENTIAL CONFLICTS ARISE, THEY WILL REPORT THE POTENTIAL CONFLICT TO THE CHAIRMAN OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15A | SALARY SURVEYS FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH AND THE STATE PRIMARY CARE ASSOCIATION (KAMU) ARE TAKEN INTO CONSIDERATION AS WELL AS THE CURRENT BUDGET DURING THE SALARY DETERMINATION PROCESS. THE BOARD APPROVES THE CEO'S COMPENSATION. THE BOARD DOES NOT DIRECTLY APPROVE THE SALARY OF THE CFO, BUT DOES APPROVE THE ANNUAL SALARY SCALE FOR ALL EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. ALL BOARD MEETINGS ARE OPEN TO THE PUBLIC. |
| FORM 990, PART IV, LINE 12A: | AS OF THE DATE OF FILING THE AUDIT HAS NOT YET BEEN COMPLETED. FORM 990 HAS BEEN PREPARED BASED ON THE BEST INFORMATION AVAILABLE. SHOULD INFORMATION SUBSTANTIALLY CHANGE UPON COMPLETION OF THE AUDIT, THE FORM WILL BE AMENDED TO REFLECT THOSE CHANGES. |