STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

FAMILY HEALTH CENTERS OMAK: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
FAMILY HEALTH CENTERS OMAK (EIN 46-4018587)
Tax period
2019-04-01 to 2020-03-31
Filed
2020-11-05
IRS object ID
202013109349302856
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-05T16:04:09-06:00ReturnTs
Tax Period End2020-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN200079326PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DINGUS ZARECOR & ASSOCIATES PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line112015 E MAIN AVEAddressLine1Txt
CitySPOKANE VALLEYCityNm
State AbbreviationWAStateAbbreviationCd
ZIP99206ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN464018587EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FAMILY HEALTH CENTERS OMAKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFAMIBusinessNameControlTxt
Phone5094225700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1340AddressLine1Txt
CityOKANOGANCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98840ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJESUS HERNANDEZPersonNm
Person TitleCEOPersonTitleTxt
Phone5094225700PhoneNum
Signature2020-11-04SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS DINGUSPreparerPersonNm
PTINP00951009PTIN
Phone5092420874PhoneNum
Preparation2020-11-05PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address104.209.44.114IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-05IPDt
IP Tm16:04:09IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id88E8E3E4BAC69E0C9162358B3AA4114E53627D17AtSubmissionCreationDeviceId
At Submission Filing Device IdBDB558D2839154CBA244025868728B30AD18FBA5AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJESUS HERNANDEZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1340AddressLine1Txt
CityOKANOGANCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98840ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$495,504GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION SUPPORTS THE ACTIVITIES OF FAMILY HEALTH CENTERS TO PROVIDE COMMUNITY HEALTH CARE THROUGH A DEDICATED FACILITY IN NORTH CENTRAL WASHINGTON.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$501,279PYProgramServiceRevenueAmt
CY Program Service Revenue$495,354CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$10,000PYOtherRevenueAmt
CY Other Revenue$150CYOtherRevenueAmt
PY Total Revenue$511,279PYTotalRevenueAmt
CY Total Revenue$495,504CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$661,516PYOtherExpensesAmt
CY Other Expenses$609,902CYOtherExpensesAmt
PY Total Expenses$661,516PYTotalExpensesAmt
CY Total Expenses$609,902CYTotalExpensesAmt
PY Revenues Less Expenses-$150,237PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$114,398CYRevenuesLessExpensesAmt
Total Assets BOY$6,159,166TotalAssetsBOYAmt
Total Assets EOY$5,803,362TotalAssetsEOYAmt
Total Liabilities BOY$5,570,850TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,329,444TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$588,316NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$473,918NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION SUPPORTS THE ACTIVITIES OF FAMILY HEALTH CENTERS TO PROVIDE COMMUNITY HEALTH CARE THROUGH A DEDICATED FACILITY IN NORTH CENTRAL WASHINGTON.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$605,789ExpenseAmt
Revenue$495,354RevenueAmt
DescTO PROVIDE A HEALTH CLINIC WHICH ALLOWS FAMILY HEALTH CENTERS (FHC) TO EXPAND MEDICAL AND PHARMACY SERVICES AND PROVIDE COMMUNITY HEALTH CARE IN NORTH CENTRAL WASHINGTON.Desc
Total Program Service Expenses$605,789TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRODGER MATLOCKPersonNm
Phone5094227650PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1716 S 1ST AVENUEAddressLine1Txt
CityOKANOGANCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98840ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
PETER MORGAN
CHAIR2.002.00Yes (X)Yes (X)$0$0$0
CHARLES ROOT JR
VICE CHAIR2.002.00Yes (X)Yes (X)$0$0$0
GEORGE THORNTON
SECRETARY2.002.00Yes (X)Yes (X)$0$0$0
PARKER PARSONS
TREASURER2.002.00Yes (X)Yes (X)$0$0$0
RONI HOLDER-DIEFENBACH
AT LARGE2.002.00Yes (X)$0$0$0
JESUS HERNANDEZ
CEO10.0040.00Yes (X)$0$175,657$17,202
RODGER MATLOCK
CFO10.0040.00Yes (X)$0$124,537$9,450
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$300,194TotReportableCompRltdOrgAmt
Total Other Compensation$26,652TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRENTAL INCOMEDesc
Business621110BusinessCd
Total Revenue Column$495,354TotalRevenueColumnAmt
Related Or Exempt Func Income$495,354RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$495,354TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$150TotalRevenueColumnAmt
Related Or Exempt Func Income$150RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$150OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$495,504TotalRevenueColumnAmt
Related Or Exempt Func Income$495,504RelatedOrExemptFuncIncomeAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$249,381TotalAmt
Program Services$249,381ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$356,408TotalAmt
Program Services$356,408ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescOTHERDesc
Total$4,113TotalAmt
Management And General$4,113ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$609,902TotalAmt
Program Services$605,789ProgramServicesAmt
Management And General$4,113ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$79,111BOYAmt
EOY$49,254EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,048,057LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,293,949LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,080,055BOYAmt
EOY$5,754,108EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,159,166BOYAmt
EOY$5,803,362EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$5,570,850BOYAmt
EOY$5,329,444EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,570,850BOYAmt
EOY$5,329,444EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$588,316BOYAmt
EOY$473,918EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$588,316BOYAmt
EOY$473,918EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,159,166BOYAmt
EOY$5,803,362EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$114,398ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$318,812CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$434,119CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$500,878CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$511,279CurrentTaxYearMinus1YearAmt
Current Tax Year$495,354CurrentTaxYearAmt
Total$2,260,442TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$318,812CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$434,119CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$500,878CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$511,279CurrentTaxYearMinus1YearAmt
Current Tax Year$495,354CurrentTaxYearAmt
Total$2,260,442TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,260,442PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$51CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21CurrentTaxYearMinus3YearsAmt
Total$72TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$51CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21CurrentTaxYearMinus3YearsAmt
Total$72TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$150CurrentTaxYearAmt
Total$150TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$318,863CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$434,140CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$500,878CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$511,279CurrentTaxYearMinus1YearAmt
Current Tax Year$495,504CurrentTaxYearAmt
Total$2,260,664TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99990PublicSupportCY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART III, LINE 12FormAndLineReferenceDesc
Explanation150ExplanationTxt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,014,403OtherCostOrOtherBasisAmt
Depreciation$1,707,970DepreciationAmt
Book Value$5,306,433BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,033,654OtherCostOrOtherBasisAmt
Depreciation$585,979DepreciationAmt
Book Value$447,675BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,754,108TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 5019(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF MARCH 31, 2020 AND 2019, THE ORGANIZATION HAD NO UNCERTIAN TAX POSITIONS REQUIRING ACCRUAL.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonJESUS HERNANDEZPersonNm
TitleCEOTitleTxt
Compensation Based On Rltd Orgs$175,657CompensationBasedOnRltdOrgsAmt
Nontaxable Benefits Rltd Orgs$17,202NontaxableBenefitsRltdOrgsAmt
Total Compensation Rltd Orgs$192,859TotalCompensationRltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BA COPY OF THE 990 IS PROVIDED TO THE CFO WHO REVIEWS THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE FINANCE COMMITTEE AND A COMPLETE COPY PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN.
FORM 990, PAGE 6, PART VI, LINE 12CDIRECTORS AND OFFICERS ARE TO AVOID PLACING THEMSELVES IN A POSITION THAT MAY CREATE OR LEAD TO A CONFLICT OF INTEREST OR THE APPEARANCE OF ONE. EMPLOYEES ARE PROHIBITED FROM ENGAGING IN ANY OUTSIDE BUSINESS ACTIVITY, FINANCIAL RELATIONSHIP, OR INVESTMENT THAT CONFLICTS WITH FAMILY HEALTH CENTERS OMAK (FHCO) INTERESTS, COMPETES WITH FHCO, OR MAY INTERFERE WITH THE EMPLOYEE'S RESPONSIBILITIES TO FHCO, OR HAS THE APPEARANCE OF INFLUENCING THE EMPLOYEE TO ACT OR MAKE DECISIONS IN A BIASED MANNER OR CONTRARY TO THE BEST INTERESTS OF FHCO.
FORM 990, PAGE 6, PART VI, LINE 15ATHE CEO AND CFO ARE EMPLOYEES OF FAMILY HEALTH CENTERS (FHC) AND SPLIT THEIR TIME BETWEEN FHCO AND FHC DUTIES. THE CEO AND CFO WORK 10 AND 40 HOURS ON FHCO AND FHC DUTIES, RESPECTIVELY. AN EXTERNAL COMPENSATION SURVEY PROCESS (CURRENTLY PERFORMED BY MERCES CONSULTING) COMPARES EACH FHC POSITION TO EXTERNAL MARKET DATA. MERCES HELPED TO IMPLEMENT A GOVERNANCE PROGRAM FOR THE COMPENSATION OF THE ORGANIZATION'S CEO. THE BOARD APPROVES THE COMPENSATION STRUCTURE AND ANY SIGNIFICANT CHANGES.
FORM 990, PAGE 6, PART VI, LINE 15BSEE 990, PART VI, LINE 15A.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1FAMILY HEALTH CENTERSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1340AddressLine1Txt
CityOKANOGANCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98840ZIPCd
FieldValueIRS element (for citing)
EIN911275011EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd
Exempt Code Section501C3ExemptCodeSectionTxt
Public Charity Status7PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1FAMILY HEALTH CENTERSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeJTransactionTypeTxt
Involved$495,354InvolvedAmt
Method Of Amount DeterminationFAIR MARKET VALUEMethodOfAmountDeterminationTxt