COMMUNITY HEALTH CLINICS INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH CLINICS INC (EIN 82-0300537)
- Tax period
- 2017-04-01 to 2018-03-31
- Filed
- 2018-08-13
- IRS object ID
- 201832259349301348
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule D
- Schedule I
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-13T16:09:41-05:00 | ReturnTs |
| Tax Period End | 2018-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 264022510 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARRIS & CO PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2289 S BONITO WAY STE 100 | AddressLine1Txt |
| City | MERIDIAN | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83642 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820300537 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CLINICS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 2084674431 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 16TH AVE NORTH PO BOX 9 | AddressLine1Txt |
| City | NAMPA | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 836530009 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HEIDI HART | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 2084674431 | PhoneNum |
| Signature | 2018-08-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOSH TYREE | PreparerPersonNm |
| PTIN | P01431021 | PTIN |
| Phone | 2083338965 | PhoneNum |
| Preparation | 2018-08-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TERRY REILLY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | HEIDI HART | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 16TH AVE NORTH PO BOX 9 | AddressLine1Txt |
| City | NAMPA | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 836530009 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $34,089,300 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | TRHS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Activity Or Mission | TERRY REILLY, IN THE TRADITION OF OUR FOUNDERS, IS A COMMUNITY HEALTH CENTER DEDICATED TO PROVIDING AFFORDABLE, COMPREHENSIVE HEALTH CARE TO EVERYONE IN OUR COMMUNITY TO IMPROVE HEALTH AND QUALITY OF LIFE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 402 | TotalEmployeeCnt |
| Total Volunteers | 7 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $13,071,073 | PYContributionsGrantsAmt |
| CY Contributions Grants | $15,378,654 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,952,740 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $18,669,093 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,652 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,895 | CYInvestmentIncomeAmt |
| PY Other Revenue | $56,468 | PYOtherRevenueAmt |
| CY Other Revenue | $35,658 | CYOtherRevenueAmt |
| PY Total Revenue | $28,082,933 | PYTotalRevenueAmt |
| CY Total Revenue | $34,089,300 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $583,588 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $110,870 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,088,078 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,716,371 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $114,276 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,640,751 | PYOtherExpensesAmt |
| CY Other Expenses | $12,957,456 | CYOtherExpensesAmt |
| PY Total Expenses | $30,312,417 | PYTotalExpensesAmt |
| CY Total Expenses | $35,784,697 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,229,484 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,695,397 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,778,467 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,242,923 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,700,027 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,859,880 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,078,440 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,383,043 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TERRY REILLY HEALTH SERVICES IS A COMMUNITY BASED NON-PROFIT CORPORATION WHICH IS DEDICATED TO PROVIDING QUALITY, COMPREHENSIVE HEALTH CARE. THE SERVICES SHALL BE PROVIDED IN AN ACCESSIBLE AND AFFORDABLE MANNER TO ALL PERSONS REGARDLESS OF AGE, SEX, ETHNICITY, OR ECONOMIC SITUATION. PARTICULAR ATTENTION SHALL BE GIVEN TO PEOPLE WHO MIGHT HAVE DIFFICULTY OBTAINING CARE ELSEWHERE DUE TO RURAL ISOLATION, FINANCIAL BARRIERS, OR CULTURAL SENSITIVITY. TERRY REILLY HEALTH SERVICES SHALL FUNCTION AS A BUSINESS IN SUCH A MANNER AS TO BE FISCALLY RESPONSIBLE TO THE CORPORATE INTERESTS AND THE INTERESTS AND OBLIGATIONS OF THE PATIENTS. TERRY REILLY HEALTH SERVICES SHALL STRIVE TO IMPROVE AND EXPAND THE SERVICES. THE CORPORATION SHALL REMAIN FLEXIBLE IN THE HEALTH CARE MARKETPLACE AND EXPLORE NEW ORGANIZATIONAL STRUCTURES AND HEALTH RELATED FINANCIAL ENTERPRISES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $22,683,249 | ExpenseAmt |
| Grant | $42,245 | GrantAmt |
| Revenue | $12,466,610 | RevenueAmt |
| Desc | HEALTHCARE PROGRAMS - GENERAL - TRHS PROVIDES FAMILY PRACTICE, COMPREHENSIVE SERVICES AT NINE SITES THROUGHOUT THE TREASURE VALLEY. SERVICES ARE PROVIDED BY OVER 25 FAMILY PRACTICE DOCTORS, FAMILY NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS. A PHARMACY IS LOCATED AT THE LARGEST CLINIC IN NAMPA WITH OVER 68,517 PRESCRIPTIONS FILLED ANNUALLY. IN ADDITION, HEALTH EDUCATION, CASE MANAGEMENT AND OUTREACH SERVICES ARE OFFERED TO SPECIAL POPULATIONS AND FOR SPECIFIC DISEASE CATEGORIES (E.G. DIABETES). DURING 2017, APPROXIMATELY 75,653 VISITS WERE PROVIDED TO OVER 27,064 PATIENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,670,080 | ExpenseAmt |
| Grant | $67,731 | GrantAmt |
| Revenue | $3,818,577 | RevenueAmt |
| Desc | SIX CLINICS DENTAL SERVICES - LOW INCOME PERSONS, MIGRANT FARMWORKERS AND THEIR FAMILIES AND HOMELESS PATIENTS. 26,157 VISITS PROVIDED DURING 2017 TO 10,291 CLIENTS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,004,389 | ExpenseAmt |
| Grant | $894 | GrantAmt |
| Revenue | $2,419,564 | RevenueAmt |
| Desc | MENTAL HEALTH SUBSTANCE ABUSE PROGRAMS, INDIVIDUAL AND GROUP COUNSELING AND MEDICATION MANAGEMENT. SPECIAL EMPHASIS ON SERVICES FOR OFFENDERS AND VICTIMS OF SEXUAL OR PHYSICAL ABUSE. SERVICES ARE OFFERED AT NINE SITES FOR 19,095 VISITS PROVIDED DURING 2017 TO 5,569 CLIENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $33,357,718 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 44 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 402 | EmployeeCnt |
| Employment Tax Returns Filed | 0 | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | RI | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WA | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TERRY REILLY HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2084674431 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 16TH AVE NORTH | AddressLine1Txt |
| City | NAMPA | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83653 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ERIK JOHNSON | ||||||||
| CHAIRPERSON | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHUCK KNOX | ||||||||
| VICE CHAIRPERSON | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROSIE DELGADILLO REILLY | ||||||||
| SECRETARY/TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CINDY MUELLER | ||||||||
| PAST-CHAIRPERSON | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES DZUR MD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD GARDNER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JD LANCASTER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RAQUEL NUNEZ | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBYN PAGE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BOB PFIFER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFFREY SHINN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KERRIE SMITH | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD THORPE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LILIANA VEGA | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ERNEST MESHACK-HART | ||||||||
| DENTAL DIRECTOR | 40.00 | Yes (X) | $183,206 | $0 | $21,378 | |||
| TAMRA FIFE | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | Yes (X) | $104,215 | $0 | $21,238 | |||
| HEIDI HART | ||||||||
| CEO | 50.00 | $164,157 | $0 | $35,403 | Yes (X) | |||
| BRIAN BALDWIN | ||||||||
| CFO | 45.00 | $102,134 | $0 | $35,423 | Yes (X) | |||
| ANDREW BARON | ||||||||
| CHIEF MEDICAL DIRECTOR | 40.00 | $251,267 | $0 | $53,232 | Yes (X) | |||
| JONATHAN BOWMAN | ||||||||
| PHYSICIAN | 40.00 | $226,572 | $0 | $0 | Yes (X) | |||
| PAUL BARRUS | ||||||||
| PHYSICIAN | 40.00 | $207,382 | $0 | $0 | Yes (X) | |||
| VIVEK KANTAYYA | ||||||||
| PHYSICIAN | 40.00 | $232,012 | $0 | $0 | Yes (X) | |||
| STUART BLACK | ||||||||
| PHYSICIAN | 40.00 | $172,964 | $0 | $0 | Yes (X) | |||
| JERRY GOMEZ | ||||||||
| DENTIST | 40.00 | $186,561 | $0 | $0 | Yes (X) | |||
| RALENE WILBERG | ||||||||
| PHYSICIAN | 40.00 | $194,495 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,024,965 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $166,674 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AMERISOURCE BERGEN DRUG CORP | |||||
| 227 WASHINGTON ST | CONSHOHOCKEN | PA | 19428 | HEALTHCARE DELIVERY | $1,307,861 |
| HENRY SCHEIN | |||||
| 2404 S ORCHARD ST 1000 | BOISE | ID | 83705 | CONSULTING | $372,784 |
| SAGE HEALTH CARE PLLC | |||||
| 413 ALLUMBAUGH STREET SUITE 101 | BOISE | ID | 83704 | MEDICAL CONTRACT SERVICES | $356,450 |
| PATTERSON DENTAL SUPPLY | |||||
| 9067 W BARNES DR | BOISE | ID | 83709 | DENTAL SUPPLIES | $285,286 |
| ELECTRIC LIGHTWAVE | |||||
| 10433 W EMERALD ST | BOISE | ID | 83704 | INFORMATION TECHNOLOGY | $274,129 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $15,378,654 | AllOtherContributionsAmt |
| Noncash Contributions | $2,578,255 | NoncashContributionsAmt |
| Total Contributions | $15,378,654 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $18,669,093 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,669,093 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $18,669,093 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,895 | TotalRevenueColumnAmt |
| Exclusion | $5,895 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAL RECORDS | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $35,658 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $35,658 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $35,658 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,089,300 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,704,751 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,895 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,870 | TotalAmt |
| Program Services | $110,870 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $830,767 | TotalAmt |
| Program Services | $772,746 | ProgramServicesAmt |
| Management And General | $56,128 | ManagementAndGeneralAmt |
| Fundraising | $1,893 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,100,168 | TotalAmt |
| Program Services | $15,905,884 | ProgramServicesAmt |
| Management And General | $1,155,318 | ManagementAndGeneralAmt |
| Fundraising | $38,966 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,433,735 | TotalAmt |
| Program Services | $3,248,634 | ProgramServicesAmt |
| Management And General | $174,361 | ManagementAndGeneralAmt |
| Fundraising | $10,740 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,351,701 | TotalAmt |
| Program Services | $1,278,835 | ProgramServicesAmt |
| Management And General | $68,638 | ManagementAndGeneralAmt |
| Fundraising | $4,228 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,454 | TotalAmt |
| Program Services | $16,213 | ProgramServicesAmt |
| Management And General | $9,307 | ManagementAndGeneralAmt |
| Fundraising | $934 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,501 | TotalAmt |
| Program Services | $142,497 | ProgramServicesAmt |
| Management And General | $81,800 | ManagementAndGeneralAmt |
| Fundraising | $8,204 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,424,900 | TotalAmt |
| Program Services | $6,742,208 | ProgramServicesAmt |
| Management And General | $633,605 | ManagementAndGeneralAmt |
| Fundraising | $49,087 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,299,173 | TotalAmt |
| Program Services | $1,224,729 | ProgramServicesAmt |
| Management And General | $74,444 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $342,042 | TotalAmt |
| Program Services | $282,899 | ProgramServicesAmt |
| Management And General | $59,102 | ManagementAndGeneralAmt |
| Fundraising | $41 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,842 | TotalAmt |
| Program Services | $21,835 | ProgramServicesAmt |
| Fundraising | $7 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,488 | TotalAmt |
| Program Services | $81,463 | ProgramServicesAmt |
| Fundraising | $25 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,360,588 | TotalAmt |
| Program Services | $1,360,588 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,601 | TotalAmt |
| Program Services | $83,575 | ProgramServicesAmt |
| Fundraising | $26 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt |
|---|---|---|---|
| BAD DEBT | $1,680,850 | $1,680,850 | |
| LICENSE/DUES | $348,013 | $347,905 | $108 |
| MISC. CLIENT SERVICES | $46,389 | $46,375 | $14 |
| RECRUITMENT | $9,615 | $9,612 | $3 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,784,697 | TotalAmt |
| Program Services | $33,357,718 | ProgramServicesAmt |
| Management And General | $2,312,703 | ManagementAndGeneralAmt |
| Fundraising | $114,276 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,871,435 | BOYAmt |
| EOY | $3,337,277 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $409,389 | BOYAmt |
| EOY | $98,785 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $380,881 | BOYAmt |
| EOY | $235,996 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $925,367 | BOYAmt |
| EOY | $1,371,561 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,755 | BOYAmt |
| EOY | $135,069 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $163,032 | BOYAmt |
| EOY | $340,103 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $21,009,247 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,901,227 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,161,755 | BOYAmt |
| EOY | $12,108,020 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $401,469 | BOYAmt |
| EOY | $281,500 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $310,021 | BOYAmt |
| EOY | $298,949 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,363 | BOYAmt |
| EOY | $35,663 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,778,467 | BOYAmt |
| EOY | $18,242,923 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,870,182 | BOYAmt |
| EOY | $2,106,998 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $863,379 | BOYAmt |
| EOY | $800,588 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,966 | BOYAmt |
| EOY | $146,494 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,808,500 | BOYAmt |
| EOY | $5,805,800 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,700,027 | BOYAmt |
| EOY | $8,859,880 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,457,266 | BOYAmt |
| EOY | -$3,099,858 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,761,612 | BOYAmt |
| EOY | $11,708,807 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $774,094 | BOYAmt |
| EOY | $774,094 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,078,440 | BOYAmt |
| EOY | $9,383,043 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,778,467 | BOYAmt |
| EOY | $18,242,923 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,695,397 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,839,019 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,391,071 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,884,684 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,298,857 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,309,182 | CurrentTaxYearAmt |
| Total | $69,722,813 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,839,019 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,391,071 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,884,684 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,298,857 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,309,182 | CurrentTaxYearAmt |
| Total | $69,722,813 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $69,722,813 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,080 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $27,845 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,601 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,652 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,895 | CurrentTaxYearAmt |
| Total | $80,073 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $69,802,886 | TotalSupportAmt |
| Public Support CY170 | 0.99890 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99830 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,894,308 | InvestmentCostOrOtherBasisAmt |
| Book Value | $2,894,308 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $8,100,218 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $4,112,487 | DepreciationAmt |
| Book Value | $3,987,731 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $115,329 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $115,329 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $9,409,535 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $4,673,411 | DepreciationAmt |
| Book Value | $4,736,124 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $489,857 | InvestmentCostOrOtherBasisAmt |
| Book Value | $489,857 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,108,020 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $34,169,706 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $109,202 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $109,202 | RevenueNotReportedAmt |
| Revenue Subtotal | $34,060,504 | RevenueSubtotalAmt |
| Other Revenues Not Included | $28,796 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $28,796 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $34,089,300 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $35,865,103 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $109,202 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $109,202 | ExpensesNotReportedAmt |
| Expenses Subtotal | $35,755,901 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $28,796 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $28,796 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $35,784,697 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THAT GUIDANCE, THE ORGANIZATION MAY RECOGNIZE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES FOR FISCAL YEARS 2017 OR 2016. THE ORGANIZATION FILES FORM 990 IN THE U.S. FEDERAL JURISDICTION. THE ORGANIZATION IS GENERALLY NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR YEARS BEFORE 2013. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | EXPENSES NETTED AGAINST REVENUE 28,796. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | EXPENSES NETTED AGAINST REVENUE 28,796. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (6 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Non Cash AssistanceNonCashAssistanceAmt |
|---|---|---|
| DENTAL REFERRALS - OUTSIDE LAB | 67409 | $67,410 |
| SUBSTANCE ABUSE THERAPY AND EVALUATIONS | 27920 | $894 |
| MAMMOGRAPHICS AND X-RAY | 73941 | $2,852 |
| OUTSIDE LAB TESTING | 77887 | $37,851 |
| PHARMACY PRESCRIPTIONS | 550925 | $1,542 |
| FUNDRAISING | $321 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ERNEST MESHACK-HART | ||||||||||||||
| DENTAL DIRECTOR | $183,206 | $0 | $0 | $0 | $0 | $0 | $12,178 | $6,900 | $0 | $2,300 | $195,384 | $9,200 | $0 | $0 |
| HEIDI HART | ||||||||||||||
| CEO | $164,157 | $0 | $0 | $0 | $0 | $0 | $10,716 | $9,650 | $6,759 | $8,278 | $181,632 | $17,928 | $0 | $0 |
| ANDREW BARON | ||||||||||||||
| CHIEF MEDICAL DIRECTOR | $251,267 | $0 | $0 | $0 | $0 | $0 | $16,992 | $5,270 | $10,121 | $20,849 | $278,380 | $26,119 | $0 | $0 |
| JONATHAN BOWMAN | ||||||||||||||
| PHYSICIAN | $226,572 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $226,572 | $0 | $0 | $0 |
| PAUL BARRUS | ||||||||||||||
| PHYSICIAN | $207,382 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $207,382 | $0 | $0 | $0 |
| VIVEK KANTAYYA | ||||||||||||||
| PHYSICIAN | $232,012 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $232,012 | $0 | $0 | $0 |
| STUART BLACK | ||||||||||||||
| PHYSICIAN | $172,964 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $172,964 | $0 | $0 | $0 |
| JERRY GOMEZ | ||||||||||||||
| DENTIST | $186,561 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $186,561 | $0 | $0 | $0 |
| RALENE WILBERG | ||||||||||||||
| PHYSICIAN | $194,495 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $194,495 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 5 | FormAndLineReferenceDesc |
| Explanation | TERRY REILLY HEALTH SERVICES RELIES ON AN APPROVED MEDICAL PROVIDER, DENTAL PROVIDER, AND BEHAVIORAL HEALTH COMPENSATION PLAN WHICH IS UPDATED ANNUALLY. THE 2017 COMPENSATION PLAN PROVIDES FOR A QUALITY BONUS WHICH IS DESIGNED TO REWARD PROVIDERS FOR MEETING OR EXCEEDING QUALITY AND PRACTICE MANAGEMENT STANDARDS. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IDAHO HEALTH FACILITIES AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 826051863 | BondIssuerEIN |
| Bond Issued | 2010-12-23 | BondIssuedDt |
| Issue Price | $1,163,000 | IssuePriceAmt |
| Purpose | REFINANCE OF NOTES FOR CLINIC AND CONSTRUCTION OF MEDICAL CLINIC | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $1,163,000 | TotalProceedsAmt |
| Capital Expenditures | $590,189 | CapitalExpendituresAmt |
| Other Spent Proceeds | $572,811 | OtherSpentProceedsAmt |
| Substantial Completion | 2010 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | Yes (1) | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WELLS FARGO BANK | BusinessNameLine1Txt |
| Business Name Line2 | INTEREST RATE SWAP | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 30.000000000000 | TermOfHedgePct |
| Superintegrated Hedge | 0 | SuperintegratedHedgeInd |
| Hedge Terminated | Yes (1) | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 132 | ContributionCnt |
| Noncash Contributions Rpt F990 | $2,687,457 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THERE IS A REVIEW WITH THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO SUBMISSION OF THE FORM 990. COPIES ARE THEN MADE AVAILABLE TO THE FULL BOARD MEMBERSHIP. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS MUST DECLARE A CONFLICT OF INTEREST AND REMOVE THEMSELVES FROM VOTING. BOARD MEMBERS ARE REQUIRED TO ANNUALLY SIGN AND DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS REVIEWED AGAINST COMPARABLE INDUSTRY DATA ON AN ANNUAL BASIS BY THE HUMAN RESOURCES MANAGER. THE INFORMATION IS THEN REVIEWED BY THE CEO, IF APPROPRIATE. THE COMPARABLE DATA IS ALSO PRESENTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL FOR THE CEO POSITION. DOCUMENTATION IS MAINTAINED ON FILE BY THE HUMAN RESOURCES MANAGER ALONG WITH NOTATIONS ABOUT THE DECISIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | OUR POLICIES ARE INCLUDED IN THE EMPLOYEE HANDBOOK WHICH IS GIVEN TO EVERY EMPLOYEE UPON HIRE. THIS HANDBOOK INCLUDES CONFLICT OF INTEREST AND WHISTLEBLOWER POLICY. FURTHERMORE, OUR FINANCIAL INFORMATION IS INCLUDED IN OUR ANNUAL REPORT IN SUMMARY FORMAT AND FORM 990 ARE AVAILABLE TO THE PUBLIC ON OUR WEBSITE AND AT OUR ADMINISTRATION OFFICES. THERE ARE ALSO MADE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TERRY REILLY FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 211 16TH AVE NORTH | AddressLine1Txt |
| City | NAMPA | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 836874058 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 474948071 | EIN |
| Primary Activities | PROVIDE SUPPORT AND OVERSIGHT OF FUNDS DEVELOPMENT AND DISTRIBUTION | PrimaryActivitiesTxt |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 3 | PublicCharityStatusTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1087 W RIVER ST SUITE 160 | AddressLine1Txt |
| City | BOISE | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83702 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | SUPPORT AND STRENGTHEN COMMUNITY HEALTH | PrimaryActivitiesTxt |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $37,208 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $37,426 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.07140 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TERRY REILLY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $180,000 | InvolvedAmt |
| Method Of Amount Determination | CASH AMOUNT | MethodOfAmountDeterminationTxt |