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SAN DIEGO AMERICAN INDIAN HEALTH CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
SAN DIEGO AMERICAN INDIAN HEALTH CENTER (EIN 95-3397369)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-05-04
IRS object ID
202031259349300103
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)
Return2020-05-04T06:59:53-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11502 LONDON ROAD SUITE 200AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55812ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN953397369EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAN DIEGO AMERICAN INDIAN HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSANDBusinessNameControlTxt
Phone6192342158PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12602 FIRST AVENUE NO 105AddressLine1Txt
CitySAN DIEGOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92103ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN M LACHAPELLEPersonNm
Person TitleCEOPersonTitleTxt
Phone6192342158PhoneNum
Signature2020-04-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J PETERSON CPAPreparerPersonNm
PTINP01833529PTIN
Phone2187224705PhoneNum
Preparation2020-04-29PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address71.13.38.61IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-04-29IPDt
IP Tm11:52:31IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id9747BB8E0DC0E78824B7C9EDF76D609BB7F00C05AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-22 18:59:49ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEVIN M LACHAPELLEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12602 FIRST AVENUE NO 105AddressLine1Txt
CitySAN DIEGOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92103ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,279,130GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SDAIHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROMOTE EXCELLENCE IN HEALTH CARE, WITH RESPECT FOR CUSTOM AND TRADITION TO SAN DIEGO'S URBAN AMERICAN INDIAN POPULATION.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee122TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,737,924PYContributionsGrantsAmt
CY Contributions Grants$4,441,663CYContributionsGrantsAmt
PY Program Service Revenue$2,320,666PYProgramServiceRevenueAmt
CY Program Service Revenue$2,578,925CYProgramServiceRevenueAmt
PY Investment Income$694PYInvestmentIncomeAmt
CY Investment Income$344CYInvestmentIncomeAmt
PY Other Revenue$502,295PYOtherRevenueAmt
CY Other Revenue$92,290CYOtherRevenueAmt
PY Total Revenue$6,561,579PYTotalRevenueAmt
CY Total Revenue$7,113,222CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,452,672PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,148,519CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$70,992CYTotalFundraisingExpenseAmt
PY Other Expenses$1,724,901PYOtherExpensesAmt
CY Other Expenses$2,017,889CYOtherExpensesAmt
PY Total Expenses$6,177,573PYTotalExpensesAmt
CY Total Expenses$7,166,408CYTotalExpensesAmt
PY Revenues Less Expenses$384,006PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$53,186CYRevenuesLessExpensesAmt
Total Assets BOY$9,565,943TotalAssetsBOYAmt
Total Assets EOY$9,539,644TotalAssetsEOYAmt
Total Liabilities BOY$5,327,657TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,354,544TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,238,286NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,185,100NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO REDUCE THE SIGNIFICANT HEALTH DISPARITIES IN THE SAN DIEGO URBAN AMERICAN INDIAN POPULATION BY INCREASING ACCESS TO CARE AND IMPROVING THE QUALITY OF CARE, RESULTING IN INCREASED LIFE EXPECTANCY AND IMPROVED QUALITY OF LIFE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,450,336ExpenseAmt
Grant$0GrantAmt
Revenue$2,578,925RevenueAmt
DescTHE HEALTH CENTER IS ORGANIZED AS AN URBAN INDIAN HEALTH ORGANIZATION (UIHO) UNDER TITLE V OF THE INDIAN HEALTH CARE IMPROVEMENT ACT, AND WE PROVIDE SERVICES WITHOUT CHARGE TO URBAN AIAN POPULATIONS WHO MEET THE ELIGIBILITY REQUIREMENTS ESTABLISHED BY THE INDIAN HEALTH SERVICES (IHS), AS WELL AS OTHER INSURED INDIVIDUALS REGARDLESS OF RACE, COLOR, GENDER, AGE, OR NATIONAL ORIGIN. THE ORGANIZATION PROVIDES A RANGE OF HEALTH RELATED SERVICES TO THE NATIVE AMERICAN POPULATION IN THE SAN DIEGO AREA. PROVIDERS INCLUDE PHYSICIANS, DENTISTS, PSYCHIATRISTS, AND NURSES WITH AN UNDERSTANDING AND APPRECIATION FOR THE UNIQUE CULTURAL NEEDS OF NATIVE AMERICANS. DUE TO INCREASED FUNDING FROM VARIOUS SOURCES, INCLUDING 330 FUNDING, THE CENTER WAS ABLE TO ADD STAFFING AND EXPAND SERVICE AREAS SUCH AS TALKING CIRCLES, CULTURAL ARTS WORKSHOPS, COMMUNITY HEALTH EDUCATION CLASSES DESIGNED TO PROMOTE HEALTHY EATING AND ACTIVE LIVING (HEAL), YOUTH SUBSTANCE ABUSE PREVENTION COUNSELING AND EARLY INTERVENTION PROGRAMMING. OTHER COMMUNITY ENGAGEMENT ACTIVITIES INCLUDE PARTICIPATING IN HEALTH FAIRS, POW WOWS, OUTREACH EVENTS AND HOSTING REGULAR FAMILY & COMMUNITY EVENTS INTENDED TO STRENGTHEN THE CULTURAL COLLABORATION BETWEEN THE HEALTH CENTER AND THE LOCAL URBAN INDIAN COMMUNITY. THESE PROGRAMS ARE AS FOLLOWS 1. URBAN INDIAN YOUTH CENTER, A PREVENTION AND EARLY INTERVENTION PROGRAM FOR NATIVE YOUTH BETWEEN THE AGES OF 10-24, OFFERING A VARIETY OF THERAPEUTIC, CULTURAL EDUCATION, AND ACADEMIC SUPPORT ACTIVITIES WHICH INCLUDE DRUG AND ALCOHOL PREVENTION, HEALTH AND FITNESS EDUCATION, CURRENT EVENTS DISCUSSION, HEALTHY COOKING CLASSES, ACADEMIC TUTORING AND INDIVIDUAL COUNSELING. 2. SPIRITUAL SOLUTIONS TALKING CIRCLE, A TRADITIONAL NATIVE AMERICAN TALKING CIRCLE THAT MEETS WEEKLY AS IS FACILITATED BY A NAVAJO HEALER, OFFERING PRAYER, DRUMMING, AND TRADITIONAL CEREMONY AND HEALING PRACTICES TO PROMOTE COMMUNITY WELLNESS AND LONG-TERM RECOVERY. 3. WELLBRIETY SUPPORT GROUP, WEEKLY PEER-LED SOBRIETY SUPPORT GROUPS BASED ON THE WHITE BISON RED ROAD TO RECOVERY MODEL AND DESIGNED TO SUPPORT INDIVIDUALS IN RECOVERY FROM ALCOHOL AND SUBSTANCE ABUSE. 4. ELDERS TALKING CIRCLE, A WEEKLY INTERGENERATIONAL GROUP EMPHASIZING THE TRADITIONAL ROLE OF ELDERS WITHIN THE COMMUNITY, FACILITATED BY A CHEROKEE HEALER, USING TRADITIONAL CULTURAL PRACTICES DESIGNED TO PROMOTE COMMUNITY WELLNESS.Desc
Total Program Service Expenses$4,450,336TotalProgramServiceExpensesAmt
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 Counseling0CreditCounselingInd
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 Footnote0IncludeFIN48FootnoteInd
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 Individuals0GrantsToIndividualsInd
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 Contri0DeductibleNonCashContriInd
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 Document30IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee122EmployeeCnt
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
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 OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TIM NGUYENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6192342158PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12602 FIRST AVENUE NO 105AddressLine1Txt
CitySAN DIEGOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92103ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ELKE CHENEVY
BOARD MEMBER1.00Yes (X)$0$0$0
EVANS CRAIG
BOARD MEMBER1.00Yes (X)$0$0$0
DARIN CRAW
BOARD MEMBER1.00Yes (X)$0$0$0
DAVID GLORIA
BOARD MEMBER1.00Yes (X)$0$0$0
KEREN HILGER MD
BOARD MEMBER1.00Yes (X)$0$0$0
RUBEN LEYVA
BOARD MEMBER1.00Yes (X)$0$0$0
VARENE MARTIN
BOARD MEMBER1.00Yes (X)$0$0$0
PAULA BRIM
CHAIR1.00Yes (X)$0$0$0Yes (X)
DALE SQUIRES
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
MIKE VANDER GRIEND
TREASURER (THRU JUNE)1.00Yes (X)$0$0$0Yes (X)
JILL SHEMAN-WARNE
SECRETARY1.00Yes (X)$0$0$0Yes (X)
JOE BULFER
CEO (THRU AUGUST)40.00$175,301$0$9,293Yes (X)
LAURA DOWELL
CFO (THRU JULY)40.00$98,086$0$7,099Yes (X)
TIM NGUYEN
CFO40.00$75,861$0$2,094Yes (X)
DONA JAMES
CAO, INTERIM CEO40.00$111,230$0$4,671Yes (X)
MELISSA DEER
MEDICAL DIRECTOR40.00$234,825$0$5,830Yes (X)
CHELSEA RICHARDSON
DENTAL DIRECTOR40.00$152,405$0$5,923Yes (X)
SEAN AYERSMAN
IT DIRECTOR40.00$111,205$0$5,310Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$958,913TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$40,220TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DT TRAK CONSULTING
210 NORTH BROADWAYMILLERSD57362PATIENT BILLING AND COLLECTION VENDOR$188,444
HENRY SCHEIN INC
PO BOX 7156PASADENACA91109DENTAL SUPPLIES AND SERVICES$138,685
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$4,434,481GovernmentGrantsAmt
All Other Contributions$7,182AllOtherContributionsAmt
Total Contributions$4,441,663TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES REVEN621400$2,360,993$2,360,993
CAPITATION REVENUE621400$186,340$186,340

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,592TotalRevenueColumnAmt
Related Or Exempt Func Income$31,592RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,578,925TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$344TotalRevenueColumnAmt
Exclusion$344ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$258,198RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$165,908RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$92,290RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$92,290TotalRevenueColumnAmt
Exclusion$92,290ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,113,222TotalRevenueColumnAmt
Related Or Exempt Func Income$2,578,925RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$92,634ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$452,411TotalAmt
Management And General$452,411ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,841,080TotalAmt
Program Services$2,651,877ProgramServicesAmt
Management And General$1,189,203ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$381,205TotalAmt
Program Services$251,109ProgramServicesAmt
Management And General$130,096ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$473,823TotalAmt
Program Services$294,244ProgramServicesAmt
Management And General$179,579ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$20,328TotalAmt
Program Services$12,624ProgramServicesAmt
Management And General$7,704ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$27,563TotalAmt
Program Services$17,117ProgramServicesAmt
Management And General$10,446ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$698,087TotalAmt
Program Services$433,512ProgramServicesAmt
Management And General$193,583ManagementAndGeneralAmt
Fundraising$70,992FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$469TotalAmt
Program Services$291ProgramServicesAmt
Management And General$178ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$180,982TotalAmt
Program Services$112,390ProgramServicesAmt
Management And General$68,592ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$51,874TotalAmt
Program Services$32,214ProgramServicesAmt
Management And General$19,660ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$100,006TotalAmt
Program Services$62,104ProgramServicesAmt
Management And General$37,902ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$50,321TotalAmt
Program Services$31,249ProgramServicesAmt
Management And General$19,072ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$10,982TotalAmt
Program Services$6,820ProgramServicesAmt
Management And General$4,162ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$182,427TotalAmt
Program Services$113,287ProgramServicesAmt
Management And General$69,140ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$139,542TotalAmt
Program Services$86,656ProgramServicesAmt
Management And General$52,886ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$43,136TotalAmt
Program Services$26,787ProgramServicesAmt
Management And General$16,349ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL AND OTHER SUPPL$213,756$132,742$81,014
EQUIP, PARKING, STORAGE$86,212$53,538$32,674
REPAIRS AND MAINTENANCE$38,785$24,085$14,700
DUES AND SUBSCRIPTIONS$20,117$12,493$7,624

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$153,302TotalAmt
Program Services$95,197ProgramServicesAmt
Management And General$58,105ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,166,408TotalAmt
Program Services$4,450,336ProgramServicesAmt
Management And General$2,645,080ManagementAndGeneralAmt
Fundraising$70,992FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,574,020BOYAmt
EOY$1,469,664EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$438,251BOYAmt
EOY$564,684EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$718,081BOYAmt
EOY$484,507EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$223,117BOYAmt
EOY$317,309EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$217,000BOYAmt
EOY$200,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,744BOYAmt
EOY$12,580EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$22,280BOYAmt
EOY$56,721EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,205,454LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$771,275LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,362,450BOYAmt
EOY$6,434,179EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,565,943BOYAmt
EOY$9,539,644EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$632,958BOYAmt
EOY$790,321EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$119,365BOYAmt
EOY$146,460EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,575,334BOYAmt
EOY$4,417,763EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,327,657BOYAmt
EOY$5,354,544EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,238,286BOYAmt
EOY$4,185,100EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,238,286BOYAmt
EOY$4,185,100EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,565,943BOYAmt
EOY$9,539,644EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$53,186ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
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$2,011,034CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,693,739CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,343,851CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,737,924CurrentTaxYearMinus1YearAmt
Current Tax Year$4,441,663CurrentTaxYearAmt
Total$17,228,211TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,011,034CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,693,739CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,343,851CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,737,924CurrentTaxYearMinus1YearAmt
Current Tax Year$4,441,663CurrentTaxYearAmt
Total$17,228,211TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$17,228,211PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$84CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$244CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,230CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$192,538CurrentTaxYearMinus1YearAmt
Current Tax Year$258,542CurrentTaxYearAmt
Total$452,638TotalAmt
FieldValueIRS element (for citing)
Total Support$17,680,849TotalSupportAmt
Gross Receipts Rltd Activities$13,258,253GrossReceiptsRltdActivitiesAmt
Public Support CY1700.97440PublicSupportCY170Pct
Public Support PY1700.88390PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,400,000OtherCostOrOtherBasisAmt
Book Value$3,400,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,245,610OtherCostOrOtherBasisAmt
Depreciation$462,029DepreciationAmt
Book Value$2,783,581BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$559,844OtherCostOrOtherBasisAmt
Depreciation$309,246DepreciationAmt
Book Value$250,598BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,434,179TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$7,254,230TotalRevEtcAuditedFinclStmtAmt
Other Revenue$165,908OtherRevenueAmt
Revenue Not Reported$165,908RevenueNotReportedAmt
Revenue Subtotal$7,088,322RevenueSubtotalAmt
Other Revenues Not Included$24,900OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$24,900RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,113,222TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,307,416TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$165,908OtherExpensesIncludedAmt
Expenses Not Reported$165,908ExpensesNotReportedAmt
Expenses Subtotal$7,141,508ExpensesSubtotalAmt
Other Expenses Not Included$24,900OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$24,900ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,166,408TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 165,908.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 24,900.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 165,908.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSES 24,900.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (3 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
JOE BULFER
CEO (THRU AUGUST)$175,301$0$0$0$0$0$0$0$9,293$0$184,594$0$0$0
MELISSA DEER
MEDICAL DIRECTOR$234,825$0$0$0$0$0$0$0$5,830$0$240,655$0$0$0
CHELSEA RICHARDSON
DENTAL DIRECTOR$152,405$0$0$0$0$0$0$0$5,923$0$158,328$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS DISTRIBUTED TO BOARD MEMBERS AND REVIEWED DURING A MONTHLY BOARD MEETING, WHICH TAKES PLACE AFTER RECEIVING DRAFT COPIES FROM OUR INDEPENDENT AUDITOR/CPA FIRM.
FORM 990, PART VI, SECTION B, LINE 12CALL BOARD MEMBERS, WHEN ELECTED, ARE REQUIRED TO FILE WRITTEN DECLARATIONS OF POTENTIAL CONFLICTS OF INTEREST WITH THE CHAIR OF THE BOARD. ALL SUBMITTED DECLARATIONS ARE SWORN FOR TRUTH AND ACCURACY FOR THE PRECEDING CALENDAR YEAR. IF IN DOUBT, ALL POTENTIAL CONFLICTS SHALL BE DISCLOSED. FOLLOWING THE DISCLOSURE THE OTHER BOARD MEMBERS SHALL VOTE ON WHETHER TO ALLOW THE MEMBER IN QUESTION TO PARTICIPATE IN THE PROPOSED BOARD ACTIVITIES. ALL BOARD MEMBERS ARE PROHIBITED FROM DELIBERATIONS, VOTING, OR ATTEMPTING TO INFLUENCE OTHER BOARD MEMBERS ON ACTIVITIES IN WHICH THEY HAVE A POSSIBLE CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION OF OFFICERS AND KEY EMPLOYEES IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS, AND IS KEPT CONSISTENT WITH COMPENSATION FOR SIMILAR POSITIONS IN THE HEALTH CARE INDUSTRY. THE CEO'S SALARY IS DETERMINED BY THE BOARD OF DIRECTORS, WHILE THE CEO IS RESPONSIBLE FOR REVIEW AND APPROVAL OF ALL OTHER REQUESTS FOR WAGES IN CONJUNCTION WITH OTHER MEMBERS OF THE KEY STAFF.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.