NATIVE PROJECT: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- NATIVE PROJECT (EIN 91-1462366)
- Tax period
- 2019-02-01 to 2020-01-31
- Filed
- 2020-11-25
- IRS object ID
- 202043309349300924
- Schema version
- 2019v5.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-25T13:51:06-06:00 | ReturnTs |
| Tax Period End | 2020-01-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200079326 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DINGUS ZARECOR & ASSOCIATES PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN AVE | AddressLine1Txt |
| City | SPOKANE VALLEY | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-02-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911462366 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE NATIVE PROJECT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NATI | BusinessNameControlTxt |
| Phone | 5093255502 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1803 WEST MAXWELL | AddressLine1Txt |
| City | SPOKANE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TONI LODGE | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5093255502 | PhoneNum |
| Signature | 2020-11-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS DINGUS | PreparerPersonNm |
| PTIN | P00951009 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2020-11-25 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TONI LODGE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1803 WEST MAXWELL | AddressLine1Txt |
| City | SPOKANE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,167,073 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NATIVEPROJECT.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE QUALITY SERVICES THAT PROMOTE WELLNESS AND BALANCE OF MIND, BODY AND SPIRIT FOR INDIVIDUALS, STAFF, FAMILIES AND COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 120 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,250,395 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,748,395 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,531,427 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,049,661 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,849 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,737 | CYInvestmentIncomeAmt |
| PY Other Revenue | $582,818 | PYOtherRevenueAmt |
| CY Other Revenue | $362,280 | CYOtherRevenueAmt |
| PY Total Revenue | $8,371,489 | PYTotalRevenueAmt |
| CY Total Revenue | $8,167,073 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,870,296 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,590,755 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $27,688 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,001,044 | PYOtherExpensesAmt |
| CY Other Expenses | $2,391,714 | CYOtherExpensesAmt |
| PY Total Expenses | $6,871,340 | PYTotalExpensesAmt |
| CY Total Expenses | $7,982,469 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,500,149 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $184,604 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,936,131 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,880,938 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,075,511 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,835,714 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,860,620 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,045,224 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE QUALITY SERVICES THAT PROMOTE WELLNESS AND BALANCE OF MIND, BODY AND SPIRIT FOR INDIVIDUALS, STAFF, FAMILIES AND COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $6,308,522 | ExpenseAmt |
| Revenue | $4,049,661 | RevenueAmt |
| Desc | THE NATIVE PROJECT PROVIDED ALCOHOL, DRUG, AND GANG/VIOLENCE PREVENTION, EDUCATION THROUGH LEADERSHIP CAMP, SUMMER PROGRAM, AND WELLNESS PROGRAM. OUT-PATIENT AND INTENSIVE OUT-PATIENT DRUG AND ALCOHOL TREATMENT, AND ADOLESCENT CHILDREN COUNSELING SERVICES WERE PROVIDED. THE NATIVE PROJECT PROVIDED PRIMARY MEDICAL CARE, ALONG WITH A DIABETES PROGRAM, LIMITED ADULT COUNSELING SERVICES, DENTAL SERVICES, AND PHARMACY SERVICES TO A PRIMARILY LOW INCOME/UNDER-SERVED POPULATION. SEE CONTINUATION ON SCHEDULE O. | Desc |
| Total Program Service Expenses | $6,308,522 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 120 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CINDY JEANNOTTE | PersonNm |
| Phone | 5093255502 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1803 W MAXWELL | AddressLine1Txt |
| City | SPOKANE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99201 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 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 |
|---|---|---|---|---|---|---|---|---|
| PAMELA AUSTIN | ||||||||
| CHAIR | 0.50 | Yes (X) | Yes (X) | $679 | $0 | $0 | ||
| HELEEN DEWEY | ||||||||
| VICE CHAIR | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LAWRENCE VANDENBURG | ||||||||
| SECRETARY/TR | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TOM TREMAINE | ||||||||
| MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| JASON CAMPBELL | ||||||||
| MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| TONI LODGE | ||||||||
| CEO | 40.00 | Yes (X) | $168,582 | $0 | $14,598 | |||
| CINDY JEANNOTTE | ||||||||
| CFO | 40.00 | Yes (X) | $147,549 | $0 | $10,975 | |||
| JOHN MCCARTHY | ||||||||
| CMO | 30.00 | $221,613 | $0 | $0 | Yes (X) | |||
| DOUGLAS TANNER | ||||||||
| PHYSICIAN | 42.00 | $231,901 | $0 | $24,132 | Yes (X) | |||
| NEILL MEARS | ||||||||
| DENTIST | 40.00 | $160,507 | $0 | $11,025 | Yes (X) | |||
| GEOFFREY MWANGI | ||||||||
| DNP | 40.00 | $143,126 | $0 | $21,702 | Yes (X) | |||
| JON MACKAY | ||||||||
| PHARMACIST | 40.00 | $123,845 | $0 | $21,703 | Yes (X) | |||
| MAUREEN ROSETTE | ||||||||
| COO | 36.00 | $130,303 | $0 | $16,607 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,328,105 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $120,742 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Business Name Line2ContractorName/BusinessName/BusinessNameLine2Txt | Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| ZCR | ||||||
| CHAD ZIEGWIED | 3923 E WOOLARD CT | COLBERT | WA | 99005 | CONSTRUCTION | $331,903 |
| GREENWAY HEALTH | ||||||
| LIGHTNING INTERMEDIATE HOLDINGS LLC | 4301 W BOY SCOUT BLVD SUITE 800 | TAMPA | FL | 33607 | EHR SUPPORT | $204,797 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,722,784 | GovernmentGrantsAmt |
| All Other Contributions | $25,611 | AllOtherContributionsAmt |
| Noncash Contributions | $63,899 | NoncashContributionsAmt |
| Total Contributions | $3,748,395 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE, NET | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $4,049,661 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,049,661 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,049,661 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,737 | TotalRevenueColumnAmt |
| Exclusion | $6,737 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MEDICAID TRANSFORMATION | 900099 | $337,780 | $337,780 |
| MEDICAL RECORDS & OTHER | 900099 | $24,500 | $24,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $362,280 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,167,073 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,049,661 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $369,017 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $564,856 | TotalAmt |
| Program Services | $223,153 | ProgramServicesAmt |
| Management And General | $341,703 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,946,493 | TotalAmt |
| Program Services | $3,358,818 | ProgramServicesAmt |
| Management And General | $587,675 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $697,351 | TotalAmt |
| Program Services | $615,699 | ProgramServicesAmt |
| Management And General | $81,652 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $382,055 | TotalAmt |
| Program Services | $308,798 | ProgramServicesAmt |
| Management And General | $73,257 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,548 | TotalAmt |
| Management And General | $9,548 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,075 | TotalAmt |
| Management And General | $43,075 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,734 | TotalAmt |
| Program Services | $209,734 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,795 | TotalAmt |
| Management And General | $1,795 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $379,735 | TotalAmt |
| Program Services | $304,309 | ProgramServicesAmt |
| Management And General | $68,032 | ManagementAndGeneralAmt |
| Fundraising | $7,394 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $312,952 | TotalAmt |
| Program Services | $162,020 | ProgramServicesAmt |
| Management And General | $150,932 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $261,130 | TotalAmt |
| Program Services | $153,777 | ProgramServicesAmt |
| Management And General | $107,353 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,821 | TotalAmt |
| Program Services | $78,230 | ProgramServicesAmt |
| Management And General | $4,591 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,799 | TotalAmt |
| Program Services | $6,471 | ProgramServicesAmt |
| Management And General | $8,328 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $365 | TotalAmt |
| Management And General | $365 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,509 | TotalAmt |
| Program Services | $141,756 | ProgramServicesAmt |
| Management And General | $53,753 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,867 | TotalAmt |
| Program Services | $7,664 | ProgramServicesAmt |
| Management And General | $37,203 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| DRUGS & MEDICAL SUPPLIES | $641,067 | $641,067 |
| PROGRAM SERVICES | $62,689 | $62,689 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,628 | TotalAmt |
| Program Services | $34,337 | ProgramServicesAmt |
| Management And General | $76,997 | ManagementAndGeneralAmt |
| Fundraising | $20,294 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,982,469 | TotalAmt |
| Program Services | $6,308,522 | ProgramServicesAmt |
| Management And General | $1,646,259 | ManagementAndGeneralAmt |
| Fundraising | $27,688 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $828,108 | BOYAmt |
| EOY | $534,425 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,038,929 | BOYAmt |
| EOY | $1,545,604 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $823,215 | BOYAmt |
| EOY | $1,078,212 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $361,725 | BOYAmt |
| EOY | $340,444 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,060 | BOYAmt |
| EOY | $35,324 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,008 | BOYAmt |
| EOY | $147,135 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,457,669 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,275,986 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,744,400 | BOYAmt |
| EOY | $4,181,683 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,686 | BOYAmt |
| EOY | $18,111 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,936,131 | BOYAmt |
| EOY | $7,880,938 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $408,038 | BOYAmt |
| EOY | $316,717 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,321 | BOYAmt |
| EOY | $2,540 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $741,813 | BOYAmt |
| EOY | $621,018 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $922,339 | BOYAmt |
| EOY | $895,439 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,075,511 | BOYAmt |
| EOY | $1,835,714 | 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 | $5,860,620 | BOYAmt |
| EOY | $6,045,224 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,860,620 | BOYAmt |
| EOY | $6,045,224 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,936,131 | BOYAmt |
| EOY | $7,880,938 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $184,604 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
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 | $3,553,665 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,008,529 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,014,276 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,250,395 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,748,395 | CurrentTaxYearAmt |
| Total | $17,575,260 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,553,665 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,008,529 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,014,276 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,250,395 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,748,395 | CurrentTaxYearAmt |
| Total | $17,575,260 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $17,575,260 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $76 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $632 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,294 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,849 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,737 | CurrentTaxYearAmt |
| Total | $17,588 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $70,828 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,818 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,510 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $582,818 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $362,280 | CurrentTaxYearAmt |
| Total | $1,067,254 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $18,660,102 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $17,100,379 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.94190 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95710 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | FUNDRAISING & OTHER INCOME 171,956 MEDICAID TRANSFORMATION 895,298 | ExplanationTxt |
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 | $350,715 | OtherCostOrOtherBasisAmt |
| Book Value | $350,715 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,730,169 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,789,446 | DepreciationAmt |
| Book Value | $2,940,723 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,205,480 | OtherCostOrOtherBasisAmt |
| Depreciation | $486,540 | DepreciationAmt |
| Book Value | $718,940 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $171,305 | OtherCostOrOtherBasisAmt |
| Book Value | $171,305 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,181,683 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THIRD PARTY SETTLEMENTS | Desc |
| Amt | $895,439 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $895,439 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $8,167,073 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $8,167,073 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $8,167,073 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,982,469 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $7,982,469 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $7,982,469 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLE TO ESTIMATE. AS OF JANUARY 31, 2020 AND 2019, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| TONI LODGE | |||||
| CEO | $160,909 | $6,723 | $950 | $14,598 | $183,180 |
| CINDY JEANNOTTE | |||||
| CFO | $141,503 | $5,606 | $440 | $10,975 | $158,524 |
| JOHN MCCARTHY | |||||
| CMO | $221,613 | $221,613 | |||
| DOUGLAS TANNER | |||||
| PHYSICIAN | $231,425 | $205 | $271 | $24,132 | $256,033 |
| NEILL MEARS | |||||
| DENTIST | $159,600 | $304 | $603 | $11,025 | $171,532 |
| GEOFFREY MWANGI | |||||
| DNP | $142,259 | $867 | $21,702 | $164,828 | |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WASHINGTON HEALTH CARE FACILITIES | BusinessNameLine1Txt |
| Business Name Line2 | WASHINGTON HEALTH CARE FACILITY | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issued | 2006-12-27 | BondIssuedDt |
| Issue Price | $1,717,500 | IssuePriceAmt |
| Purpose | RESTORATION & EXPANSION OF THE FACILITY. | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,080,414 | RetiredAmt |
| Total Proceeds | $1,717,500 | TotalProceedsAmt |
| Capital Expenditures | $1,717,500 | CapitalExpendituresAmt |
| Substantial Completion | 2007 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | false | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PURPOSE OF ISSUE DESCRIPTION | FormAndLineReferenceDesc |
| Explanation | WASHINGTON HEALTH CARE FACILITIES RESTORATION & EXPANSION OF THE FACILITY. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| TONI LODGE | |||
| FAMILY MEMBER | $168,581 | EMPLOYMENT | false |
| CINDY JEANNOTTE | |||
| FAMILY MEMBER | $147,549 | EMPLOYMENT | false |
| MAUREEN ROSETTE | |||
| FAMILY MEMBER | $130,303 | EMPLOYMENT | false |
| DYLAN DRESSLER | |||
| FAMILY MEMBER | $106,109 | EMPLOYMENT | false |
| JOE DRESSLER | |||
| FAMILY MEMBER | $98,896 | EMPLOYMENT | false |
| TAYLOR BIRDTAIL | |||
| FAMILY MEMBER | $45,643 | EMPLOYMENT | false |
| HAILEE BIRDTAIL | |||
| FAMILY MEMBER | $16,221 | EMPLOYMENT | false |
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 | $63,899 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III | LINE 4A - FIRST ACCOMPLISHMENT THE NATIVE PROJECT PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO CLINIC PATIENTS DURING THE FISCAL YEAR WAS 194,339 FOR CHARITY CARE. THE NATIVE PROJECT HAD 9,719 MEDICAL VISITS, 4,108 MENTAL HEALTH VISITS, AND 1,904 SUBSTANCE ABUSE VISITS, 1,856 DENTAL VISITS, 139 LEADERSHIP CAMP PARTICIPANTS, 58 SUMMER PROGRAM PARTICIPANTS AND 1,191 WELLNESS PROGRAM PARTICIPANTS DURING THE FISCAL YEAR. |
| FORM 990, PAGE 6, PART VI, LINE 2 | TONI LODGE CINDY JEANNOTTE CEO CFO FAMILY RELATIONSHIP MAUREEN ROSETTE PAMELA AUSTIN COO CHAIR FAMILY RELATIONSHIP |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 IS PROVIDED TO THE CFO WHO REVIEWS THE FORM, SCHEDULES AND RELATED ATTACHMENTS. THE BOARD OF DIRECTORS IS INCLUDED IN THE REVIEW PROCESS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM AND 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN. |
| FORM 990, PAGE 6, PART VI, LINE 12C | A CONFLICT OF INTEREST STATEMENT IS COMPLETED ANNUALLY BY THE BOARD OF DIRECTORS AND SELF DISCLOSURE IN THE INTERIM DISCLOSING ANY POSSIBLE CONFLICTS OF INTEREST. ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE ARE CONSIDERED DURING THE DECISION-MAKING PROCESS FOR ALL TRANSACTIONS. ANY DIRECTOR INVOLVED IN A POTENTIAL CONFLICT OF INTEREST IS EXCLUDED FROM DISCUSSION AND VOTING ON THAT DECISION. ALL EMPLOYEES ARE REQUIRED TO REPORT TO THEIR SUPERVISOR ANY POTENTIAL INSTANCES THAT CREATE A CONFLICT OF INTEREST SITUATION. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE PROCESS OF DETERMINING COMPENSATION IS BASED ON PAYSCALE AND REGIONAL LABOR AND INDUSTRIES POSTINGS/SURVEYS AS PROVIDED BY HUMAN RESOURCES WHICH ARE REVIEWED BY THE BOARD OF DIRECTORS IN APPROVING OFFICERS WAGES. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE FORM 990, PART VI, LINE 15A. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE NATIVE PROJECT MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |