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NORTHWEST HUMAN SERVICES INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
NORTHWEST HUMAN SERVICES INC (EIN 93-0605570)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-03-03
IRS object ID
202010639349301706
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-03-03T19:31:01-06:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110700 NORTHUP WAY SUITE 200AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN930605570EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST HUMAN SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone5035885828PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1681 CENTER STREET NEAddressLine1Txt
CitySALEMCityNm
State AbbreviationORStateAbbreviationCd
ZIP97301ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL LOGANPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone5035885828PhoneNum
Signature2020-02-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNION CPAPreparerPersonNm
PTINP01469618PTIN
Phone4252506100PhoneNum
Preparation2020-02-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-02-14IPDt
IP Tm17:39:49IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id0A137849BC389FB7B51D6FC2D6742665ACC5CBEDAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-22 18:59:49ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPAUL LOGANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1681 CENTER STREET NEAddressLine1Txt
CitySALEMCityNm
State AbbreviationORStateAbbreviationCd
ZIP97301ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$24,778,715GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NORTHWESTHUMANSERVICES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1970FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionCREATING A HEALTHY COMMUNITY WITH RESPECT, COMPASSION AND ACCEPTANCE FOR ALL.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee274TotalEmployeeCnt
Total Volunteers35TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,823,014PYContributionsGrantsAmt
CY Contributions Grants$4,664,220CYContributionsGrantsAmt
PY Program Service Revenue$17,994,382PYProgramServiceRevenueAmt
CY Program Service Revenue$18,183,416CYProgramServiceRevenueAmt
PY Investment Income$273,260PYInvestmentIncomeAmt
CY Investment Income$415,641CYInvestmentIncomeAmt
PY Other Revenue$1,830,555PYOtherRevenueAmt
CY Other Revenue$1,515,438CYOtherRevenueAmt
PY Total Revenue$24,921,211PYTotalRevenueAmt
CY Total Revenue$24,778,715CYTotalRevenueAmt
PY Grants And Similar Paid$620,011PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$371,692CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,881,433PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$15,757,127CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$36,317CYTotalFundraisingExpenseAmt
PY Other Expenses$4,112,449PYOtherExpensesAmt
CY Other Expenses$4,383,647CYOtherExpensesAmt
PY Total Expenses$18,613,893PYTotalExpensesAmt
CY Total Expenses$20,512,466CYTotalExpensesAmt
PY Revenues Less Expenses$6,307,318PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,266,249CYRevenuesLessExpensesAmt
Total Assets BOY$31,613,192TotalAssetsBOYAmt
Total Assets EOY$35,827,161TotalAssetsEOYAmt
Total Liabilities BOY$1,770,668TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,854,147TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$29,842,524NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$33,973,014NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMISSION: CREATING A HEALTHY COMMUNITY WITH RESPECT, COMPASSION AND ACCEPTANCE FOR ALL. VISION: WORKING TOGETHER TO EMPOWER INDIVIDUALS TO IMPROVE THEIR HEALTH, WELL-BEING AND SAFETY. CORE VALUES: COMMUNITY - THE SAFE, CARING, AND ENCLUSIVE ENVIRONMENT WE CREATE; COMPASSION - THE INSPIRATION THAT GUIDES OUR WORK; COMMITMENT - THE TEAMWORK WE EXEMPLIFY THROUGH OUR PASSION, MOTIVATION AND DEDICATION; AND INTEGRITY - THE FOUNDATION OF OUR WORK ETHIC.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$12,022,918ExpenseAmt
Grant$54,862GrantAmt
Revenue$14,186,079RevenueAmt
DescNORTHWEST HUMAN SERVICES, INC. (THE ORGANIZATION), IS A NONPROFIT FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER, AND RECEIVES FUNDING UNDER SECTION 330 OF THE PUBLIC HEALTH SERVICES ACT FOR SERVICES, INCLUDING SERVICES FOR THE HOMELESS POPULATION, FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). HRSA IS AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, BUREAU OF PRIMARY HEALTH CARE, THE PRIMARY FEDERAL AGENCY DEDICATED TO IMPROVING ACCESS TO HEALTH CARE FOR PEOPLE WHO ARE GEOGRAPHICALLY ISOLATED; ECONOMICALLY, OR MEDICALLY VULNERABLE. THE ORGANIZATION'S MISSION IS TO CREATE A HEALTHY COMMUNITY WITH RESPECT AND ACCEPTANCE FOR ALL. THE ORGANIZATION IS ACCREDITED BY THE JOINT COMMISSIONFOR AMBULATOR AND BEHAVIORAL HEALTHCARE, AND IS CERTIFIED BY THE STATE OF OREGON AS A TIER V PATIENT-CENTERED PRIMARY CARE HOME FOR WEST SALEM CLINIC AND FOR TOTAL HEALTH CLINIC.THE ORGANIZATION PROVIDES COMPREHENSIVE CARE - MEDICAL, DENTAL, MENTAL HEALTH, AND SOCIAL SERVICES. THE MAJORITY OF PATIENTS ARE INSURED THROUGH THE OREGON HEALTH PLAN (MEDICAID), MEDICARE, OR ARE UNINSURED. THE ORGANIZATION PROVIDES A SIDING FEE DISCOUNT PROGRAM; BASED ON FAMILY SIZE AND INCOME. NO ONE IS DENIED SERVICES DUE TO THEIR INABILITY TO PAY.THE WEST SALEM CLINIC (SALEM, OREGON) AND TOTAL HEALTH COMMUNITY CLINIC (MONMOUTH, OREGON) PROVIDE FULL SERVICE PRIMARY AND PREVENTATIVE CARE, AND SERVE AS PATIENT-CENTERED MEDICAL HOMES. PATIENT SELF-MANAGEMENT, EDUCATION SERVICES, AND ACCESS TO INTEGRATED BEHAVIORAL SERVICES ARE ALSO AVAILABLE.THE QUICKCARE CLINIC, LOCATED ON THE WEST SALEM CAMPUS, PROVIDES SAME-DAY HEALTH CARE SERVICES.FOR THE FISCAL YEAR ENDING JUNE 30, 2019, THE CLINICS SERVED 12,285 PATIENTS TOTALING OVER 66,770 VISITS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,483,499ExpenseAmt
Grant$79,486GrantAmt
Revenue$3,237,290RevenueAmt
DescTHE MENTAL HEALTH CLINIC, LOCATED ON THE WEST SALEM CLINIC CAMPUS, PROVIDES PSYCHIATRIC SERVICES, PSYCHOTHERAPY, COUNSELING, AND CASE MANAGEMENT SERVICES IN AN INTEGRATED SETTING. THE CONNECTION PROGRAM, PART OF THE WEST SALEM MENTAL HEALTH CLINIC, PROVIDES COUNSELING, ADVOCACY, CASE MANAGEMENT, CRIME VICTIM'S SERVICES, INFORMATION AND REFERRAL FOR INDIVIDUALS WHO ARE DEAF AND HARD OF HEARING.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,022,109ExpenseAmt
Grant$237,344GrantAmt
Revenue$35,638RevenueAmt
DescOUR TRANSITIONAL SERVICES PROGRAMS CONTINUE TO BECOME FURTHER INTEGRATED IN OUR HEALTHCARE MODEL.THE HOMELESS OUTREACH & ADVOCACY PROGRAM (HOAP) OFFERS AN ARRAY OF SERVICES DESIGNED TO GET AND KEEP INDIVIDUALS, MANY OF THEM MENTALLY ILL, WHO ARE HOMELESS OR AT RISK OF HOMELESSNESS, OFF THE STREETS AND INTO HOUSING. OUR HEALTH CARE FOR THE HOMELESS BUS PICKS UP HOMELESS INDIVIDUALS FROM VARIOUS POINTS IN THE COMMUNITY AND TRANSPORTS THEM TO OUR WEST SALEM CAMPUS FOR NEEDED CARE AND SERVICES. AT HOAP, CASE MANAGERS, STAFF, AND VOLUNTEERS PROVIDE OUTREACH, CRISIS INTERVENTION, EDUCATION, SKILLS TRAINING, CASE MANAGEMENT AND THERAPEUTIC SUPPORT TO INTEGRATE THESE INDIVIDUALS INTO THE COMMUNITY AND IMPROVE THEIR QUALITY OF LIFE. THE PROGRAM OPERATES A PEER-RUN DAY CENTER THAT PROVIDES MANY SERVICES TO PEOPLE WHO ARE HOMELESS, INCLUDING FOOD, LAUNDRY AND SHOWER FACILITIES, AND A CHANCE TO SOCIALIZE. DURING THE FISCAL YEAR ENDING JUNE 30, 2019, HOAP PROVIDED SERVICES TO 3,691 AT-RISK INDIVIDUALS TOTALLING 23,037 VISITS. SERVICES AND GOODS INCLUDED 2,400 RIDES FROM AGENCY TRANSPORTATION AND BUS PASSES, 24,864 PERSONAL SUPPLIES (HYGIENE, CLOTHES, HOUSEHOLD), 30,173 MEALS, AND 7,260 PERSONAL VISITS.THE EMERGENCY AND INFORMATION HOTLINE PROGRAM (HOTLINE) PROVIDES 24/7/365 SUICIDE PREVENTION, CRISIS COUNSELING, EMERGENCY FINANCIAL ASSISTANCE, RESOURCES AND INFORMATION, AND OTHER SERVICES TO INDIVIDUALS AND FAMILIES IN THE SERVICE AREA. THE PROGRAM IS ACCREDITED BY THE AMERICAN ASSOCIATION OF SUICIDOLOGY. HOTLINE MAKES OVER 300 MONTHLY CALLS TO OUR PATIENTS AND CLIENTS TO OFFER FOLLOW-UP CARE AND SUPPORT. DURING THE FISCAL YEAR ENDED JUNE 30, 2019, HOTLINE ANSWERED OR MADE 19,272 CALLS. 591 INDIVIDUALS AND FAMILIES RECEIVED EMERGENCY FINANCIAL ASSISTANCE. 265 INDIVIDUALS RECEIVED SUICIDE INTERVENTION SUPPORT.THE HEALTH, OUTREACH, SHELTER, TRANSITIONS (HOST) PROGRAM PROVIDES STREET OUTREACH, A DROP-IN AND RESOURCE CENTER, EMERGENCY SHELTER AND CARE TO RUNAWAY AND HOMELESS YOUTH AND YOUNG ADULTS. OTHER AREAS OF SERVICE INCLUDE CRISIS INTERVENTION, CASE MANAGEMENT, SKILLS DEVELOPMENT AND INFORMATION, AND REFERRAL SERVICES. A TRANSITIONAL LIVING PROGRAM COMPONENT PROVIDES HOUSING AND SUPPORT TO YOUTH, ASSISTING THEM TO ACHIEVE INDEPENDENCE. DURING THE FISCAL YEAR ENDED JUNE 30, 2019, HOST MADE CONTACT WITH 341 AT-RISK YOUTH AND YOUNG ADULTS TOTALING 8,666 VISITS. SERVICES AND GOODS INCLUDED 1,611 RIDES FROM AGENCY TRANSPORTATION AND BUS PASSES, 5,742 PERSONAL SUPPLIES (HYGIENE, CLOTHES, HOUSEHOLD), 19,921 MEALS, AND 2,982 PERSONAL SERVICES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$671,181ExpenseAmt
Grant$0GrantAmt
Revenue$724,409RevenueAmt
DescTHE DENTAL CLINIC, LOCATED ON THE WEST SALEM CLINIC CAMPUS, PROVIDES EMERGENT AND RESTORATIVE DENTAL SERVICES.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$671,181TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$724,409TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$17,199,707TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document33IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee274EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROBERT T EDWARDSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5035885828PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1681 CENTER STREET NEAddressLine1Txt
CitySALEMCityNm
State AbbreviationORStateAbbreviationCd
ZIP97301ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
LARRY GOODREAU
CHAIR1.00Yes (X)Yes (X)$0$0$0
JAN MARGOSIAN
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
SUSAN SCOTT
SECRETARY1.00Yes (X)Yes (X)$0$0$0
WILLIAM WILLIAMS
TREASURER1.00Yes (X)Yes (X)$0$0$0
MICHAEL WISE
PAST CHAIR1.00Yes (X)Yes (X)$0$0$0
SEAN COOPER
DIRECTOR1.00Yes (X)$0$0$0
WILLIAM DETTWYLER
DIRECTOR1.00Yes (X)$0$0$0
BETH FUSCO
DIRECTOR1.00Yes (X)$0$0$0
PAULINE MATHER
DIRECTOR1.00Yes (X)$0$0$0
MICHELLE PECORA
DIRECTOR1.00Yes (X)$0$0$0
ROBERT STEPHENS
DIRECTOR1.00Yes (X)$0$0$0
PHIL SWOGGER
DIRECTOR1.00Yes (X)$0$0$0
ERIC TWEED
DIRECTOR1.00Yes (X)$0$0$0
PAUL LOGAN
CHIEF EXECUTIVE OFFICER50.00Yes (X)$228,971$0$33,543
ROBERT EDWARDS
CHIEF FINANCIAL OFFICER50.00Yes (X)$149,706$0$23,847
CYNTHIA NOCEK
PROVIDER13.00$417,507$0$0Yes (X)
ERIC CHEN
PROVIDER40.00$267,812$0$29,114Yes (X)
TIMOTHY TRUSCHEL
PROVIDER40.00$263,058$0$28,062Yes (X)
YURIYA MANABE
PROVIDER40.00$158,108$0$16,959Yes (X)
JOSHUA SANDEMAN
PROVIDER40.00$140,500$0$19,437Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,625,662TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$150,962TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K21IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NEXTGEN HEALTHCARE INC
PO BOX 511449LOS ANGELESCA90051SOFTWARE SUPPORT$157,818
COMPHEALTH
PO BOX 972670DALLASTX753972670TEMPORARY STAFFING$113,417
LENITY ARCHITECTURE
3150 KETTLE COURT SESALEMOR97301ARCHITECTURE$108,559
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Federated Campaigns$726FederatedCampaignsAmt
Government Grants$4,440,313GovernmentGrantsAmt
All Other Contributions$223,181AllOtherContributionsAmt
Noncash Contributions$295,645NoncashContributionsAmt
Total Contributions$4,664,220TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAL CLINICS621111$14,186,079$14,186,079
MENTAL HEALTH621112$3,237,290$3,237,290
DENTAL CLINIC621210$724,409$724,409
HOMELESS OUTREACH624100$35,638$35,638
FieldValueIRS element (for citing)
Total Program Service Revenue$18,183,416TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$415,641TotalRevenueColumnAmt
Exclusion$415,641ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CCO INCENTIVES900099$1,428,639$1,428,639
MISCELLANEOUS900099$86,799$86,799
FieldValueIRS element (for citing)
Other Revenue Total$1,515,438OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,778,715TotalRevenueColumnAmt
Related Or Exempt Func Income$18,183,416RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,931,079ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$371,692TotalAmt
Program Services$371,692ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$477,497TotalAmt
Management And General$477,497ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,952,880TotalAmt
Program Services$9,808,938ProgramServicesAmt
Management And General$2,110,493ManagementAndGeneralAmt
Fundraising$33,449FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$258,230TotalAmt
Program Services$221,968ProgramServicesAmt
Management And General$36,027ManagementAndGeneralAmt
Fundraising$235FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,026,805TotalAmt
Program Services$1,644,244ProgramServicesAmt
Management And General$382,561ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,041,715TotalAmt
Program Services$843,034ProgramServicesAmt
Management And General$196,048ManagementAndGeneralAmt
Fundraising$2,633FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,936TotalAmt
Management And General$6,936ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$38,852TotalAmt
Management And General$38,852ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$320,348TotalAmt
Program Services$278,877ProgramServicesAmt
Management And General$41,471ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$20,606TotalAmt
Program Services$16,045ProgramServicesAmt
Management And General$4,561ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$225,357TotalAmt
Program Services$178,977ProgramServicesAmt
Management And General$46,380ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$275,124TotalAmt
Program Services$207,077ProgramServicesAmt
Management And General$68,047ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,908TotalAmt
Program Services$5,908ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$365,266TotalAmt
Program Services$249,993ProgramServicesAmt
Management And General$115,273ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$88,669TotalAmt
Program Services$60,611ProgramServicesAmt
Management And General$28,058ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,905,470$1,899,638$5,832
REPAIRS AND MAINTENANCE$389,499$223,576$165,923
BAD DEBTS$267,276$267,276
TRAINING EXPENSE$196,618$146,844$49,774

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$277,718TotalAmt
Program Services$775,009ProgramServicesAmt
Management And General-$497,291ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,512,466TotalAmt
Program Services$17,199,707ProgramServicesAmt
Management And General$3,276,442ManagementAndGeneralAmt
Fundraising$36,317FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,851,188BOYAmt
EOY$12,724,203EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$614,807BOYAmt
EOY$626,398EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,373,041BOYAmt
EOY$4,905,972EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$89,729BOYAmt
EOY$11,068EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$157,140BOYAmt
EOY$133,540EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,722,701LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,854,596LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,820,139BOYAmt
EOY$6,868,105EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,391,180BOYAmt
EOY$10,226,216EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$272,728BOYAmt
EOY$272,728EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$43,240BOYAmt
EOY$58,931EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$31,613,192BOYAmt
EOY$35,827,161EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,382,224BOYAmt
EOY$1,544,167EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$13,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$8,400BOYAmt
EOY$2,100EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$380,044BOYAmt
EOY$294,880EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,770,668BOYAmt
EOY$1,854,147EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,842,524BOYAmt
EOY$33,973,014EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,842,524BOYAmt
EOY$33,973,014EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,613,192BOYAmt
EOY$35,827,161EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,266,249ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$135,759NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,095,233CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,163,316CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,426,218CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,823,014CurrentTaxYearMinus1YearAmt
Current Tax Year$4,664,220CurrentTaxYearAmt
Total$23,172,001TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,095,233CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,163,316CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,426,218CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,823,014CurrentTaxYearMinus1YearAmt
Current Tax Year$4,664,220CurrentTaxYearAmt
Total$23,172,001TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$23,172,001PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$137,609CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$155,148CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$163,263CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$273,260CurrentTaxYearMinus1YearAmt
Current Tax Year$415,641CurrentTaxYearAmt
Total$1,144,921TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$788,834CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,779,072CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,803,651CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,830,555CurrentTaxYearMinus1YearAmt
Current Tax Year$1,515,438CurrentTaxYearAmt
Total$9,717,550TotalAmt
FieldValueIRS element (for citing)
Total Support$34,034,472TotalSupportAmt
Gross Receipts Rltd Activities$71,841,372GrossReceiptsRltdActivitiesAmt
Public Support CY1700.68080PublicSupportCY170Pct
Public Support PY1700.70320PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS CCO INCENTIVESExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,210,619OtherCostOrOtherBasisAmt
Book Value$1,210,619BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,430,442OtherCostOrOtherBasisAmt
Depreciation$3,921,542DepreciationAmt
Book Value$3,508,900BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,767,929OtherCostOrOtherBasisAmt
Depreciation$933,054DepreciationAmt
Book Value$834,875BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,313,711OtherCostOrOtherBasisAmt
Book Value$1,313,711BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,868,105TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$24,363,074TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$24,363,074RevenueSubtotalAmt
Other Revenues Not Included$415,641OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$415,641RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$24,778,715TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$20,512,466TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$20,512,466ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$20,512,466TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE ORGANIZATION HOLDS SECURITY DEPOSITS FOR TENANTS. THE FUNDS ARE HELD IN A NON-INTEREST BEARING CHECKING ACCOUNT. TENANTS RECEIVE REFUNDS, LESS ANY DAMAGE FEES, UPON TERMINATION OF THE LEASE.
PART X, LINE 2:NO PROVISION FOR INCOME TAXES IS REPORTED IN THE FINANCIAL STATEMENTS BECAUSE THE ORGANIZATION IS A NONPROFIT ORGANIZATION, EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 INCOME TAXES OF THE ACCOUNTING STANDARDS CODIFICATION.
PART XI, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT INCOME 415,641.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (7 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
UTILITIES ASSISTANCE240$13,662
PHARMACY ASSISTANCE142$124,620FMVPHARMACY SUPPLIES AND VOUCHERS
TRANSPORTATION ASSISTANCE - BUS PASSES6651$15,122
FOOD ASSISTANCE50603$65$115,903FMVDONATED FOOD FROM LOCAL MERCHANTS
MEDICAL ASSISTANCE10$1,767
OTHER PERSONAL ASSISTANCE39234$6,665$55,123FMVDONATED CLOTHING AND PERSONAL ITEMS FOR PEOPLE IN NEED AND SOFTWARE
RENT ASSISTANCE130$38,765

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationINDIVIDUAL ASSISTANCE IS MONITORED MONTHLY BY THE COMPLIANCE DIRECTOR AND THROUGH RECEIVABLES AND DRAW-DOWN RECONCILIATIONS. THE CFO SIGNS OFF ON DRAW-DOWNS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PAUL LOGAN
CHIEF EXECUTIVE OFFICER$208,971$0$20,000$0$0$0$14,106$0$19,437$0$262,514$0$0$0
ROBERT EDWARDS
CHIEF FINANCIAL OFFICER$149,706$0$0$0$0$0$9,274$0$14,573$0$173,553$0$0$0
CYNTHIA NOCEK
PROVIDER$81,784$0$10,000$0$325,723$0$0$0$0$0$417,507$0$0$0
ERIC CHEN
PROVIDER$255,503$0$12,309$0$0$0$11,095$0$18,019$0$296,926$0$0$0
TIMOTHY TRUSCHEL
PROVIDER$253,330$0$9,728$0$0$0$9,140$0$18,922$0$291,120$0$0$0
YURIYA MANABE
PROVIDER$157,772$0$0$0$336$0$9,590$0$7,369$0$175,067$0$0$0
JOSHUA SANDEMAN
PROVIDER$122,867$0$15,000$0$2,633$0$0$0$19,437$0$159,937$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 1AFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION GAVE BONUSES OF $100 PER EMPLOYEE AND THOSE ARE GROSSED UP IN THE INDIVIDUAL'S TAXABLE COMPENSATION. THIS BENEFIT IS INCLUDED IN THE EMPLOYEE'S TAXABLE COMPENSATION. THE ORGANIZATION PAYS UP TO $500 PER PERSON PER YEAR TO USE A FITNESS FACILITY. TO QUALIFY FOR THE BENEFIT, THE INDIVIDUAL MUST SHOW IMPROVEMENTS IN PHYSICAL HEALTH OR CONSISTENT USE OF THE FITNESS FACILITY. THIS BENEFIT IS INCLUDED IN THE EMPLOYEE'S TAXABLE COMPENSATION.ExplanationTxt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$55,123NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution50603ContributionCnt
Noncash Contributions Rpt F990$115,903NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$124,620NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE BOARD HAS AN EXECUTIVE COMMITTEE, TO ACT IN THE PLACE OF THE BOARD OF DIRECTORS DURING THE INTERIM PERIODS BETWEEN BOARD MEETINGS OR WHEN IT IS IMPRACTICABLE TO CALL A MEETING OF THE ENTIRE BOARD OF DIRECTORS IN THE EVENT OF AN EMERGENCY OR OTHER MATTER REQUIRING THE IMMEDIATE ACTION OF THE BOARD OF DIRECTORS. THE DIRECTORS WHO ARE ALSO OFFICERS SERVE AS THE EXECUTIVE COMMITTEE. THE CEO SERVES AS A NON-VOTING EX-OFFICIO MEMBER OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE OPERATES WITHIN THE ESTABLISHED PARAMETERS OF BOARD POLICIES AND REPORTS ALL ACTIONS TAKEN TO THE FULL BOARD FOR RATIFICATION AND RECORDING IN BOARD MINUTES.
FORM 990, PART VI, SECTION A, LINE 6MEMBERSHIP IN THE CORPORATION IS OPEN TO ANY INDIVIDUAL FROM THE COMMUNITY WHO (A) HAS DEMONSTRATED INTEREST AND SUPPORT OF THE CORPORATION THROUGH A MONETARY CONTRIBUTION OF AT LEAST FIVE-HUNDRED DOLLARS ($500.00) IN THE 12 MONTHS PRECEDING THE ANNUAL MEETING; OR (B) IS A CURRENT MEMBER OF THE BOARD, SALARIED STAFF, PROGRAM VOLUNTEER, OR A NATIONAL HEALTH SERVICE CORPS PROVIDER ASSIGNED TO NWHS PROGRAMS.
FORM 990, PART VI, SECTION A, LINE 7ATHE ELECTION OF THE MEMBERS OF THE BOARD OF DIRECTORS ARE RATIFIED EACH YEAR BY A MAJORITY VOTE OF THE MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BPRIOR TO FILING, A DRAFT OF THE FORM 990 WAS REVIEWED BY THE AUDIT AND FINANCE COMMITTEE'S THE FINANCE COMMITTEE MADE A RECOMMENDATION TO THE BOARD OF DIRECTORS TO ACCEPT THE FORM 990, WHICH WAS THEN SIGNED BY THE CHIEF EXECUTIVE OFFICER AND ELECTONICALLY FILED BY THE PREPARER.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH ANNUAL EVALUATION AND UPDATING. OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES WOULD NOT BE ABLE TO DISCUSS OR VOTE ON AN ISSUE WHERE A CONFLICT OF INTEREST EXISTS.
FORM 990, PART VI, SECTION B, LINE 15AANNUAL EVALUATION AND COMPENSATION OF THE CEO IS DETERMINED BY THE BOARD. ANNUAL EVALUATION AND COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES IS DETERMINED BY THE CEO. THESE PROCESSES WERE LAST CONDUCTED IN 2019.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.