AMERICAN INDIAN HEALTH AND FAMILY SERVICES OF SOUTHEASTERN MI INC: Form 990, tax year 2015
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- Organization
- AMERICAN INDIAN HEALTH AND FAMILY SERVICES OF SOUTHEASTERN MI INC (EIN 38-3081615)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-02-06
- IRS object ID
- 201710379349301301
- Schema version
- 2015v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-02-06T16:13:20-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 382706146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YEO & YEO PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3275 | AddressLine1Txt |
| City | SAGINAW | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48605 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383081615 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICAN INDIAN HEALTH AND FAMILY | BusinessNameLine1Txt |
| Business Name Line2 | SERVICES OF SOUTHEASTERN MICHIGAN | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AMER | BusinessNameControlTxt |
| Phone | 3138463718 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4880 LAWNDALE | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 482102010 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ASHLEY TUOMI | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3138463718 | PhoneNum |
| Signature | 2017-01-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRIAN R DIXON | PreparerPersonNm |
| PTIN | P01321580 | PTIN |
| Phone | 9897939830 | PhoneNum |
| Preparation | 2017-02-02 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ASHLEY TUOMI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4880 LAWNDALE | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,460,385 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.AIHFS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | EMPOWER AND ENHANCE THE PHYSICAL, SPIRITUAL, EMOTIONAL, AND MENTAL WELLBEING OF AMERICAN INDIAN FAMILIES AND OTHER UNDERSERVED POPULATIONS IN SE MI THROUGH CULTURALLY GROUNDED HEALTH AND FAMILY SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 54 | TotalEmployeeCnt |
| Total Volunteers | 250 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,165,979 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,253,179 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $158,530 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $174,441 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$103,835 | PYInvestmentIncomeAmt |
| CY Investment Income | -$3,618 | CYInvestmentIncomeAmt |
| PY Other Revenue | $30,254 | PYOtherRevenueAmt |
| CY Other Revenue | $32,631 | CYOtherRevenueAmt |
| PY Total Revenue | $3,250,928 | PYTotalRevenueAmt |
| CY Total Revenue | $3,456,633 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,658,903 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,115,594 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,464,802 | PYOtherExpensesAmt |
| CY Other Expenses | $1,427,676 | CYOtherExpensesAmt |
| PY Total Expenses | $3,123,705 | PYTotalExpensesAmt |
| CY Total Expenses | $3,543,270 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $127,223 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$86,637 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,663,112 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,505,991 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $232,669 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $184,836 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,430,443 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,321,155 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | EMPOWER AND ENHANCE THE PHYSICAL, SPIRITUAL, EMOTIONAL, AND MENTAL WELLBEING OF AMERICAN INDIAN FAMILIES AND OTHER UNDERSERVED POPULATIONS IN SE MI THROUGH CULTURALLY GROUNDED HEALTH AND FAMILY SERVICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $807,512 | ExpenseAmt |
| Desc | MEDICAL SERVICES: 1,348 ENCOUNTERS DURING THE YEAR ENDED SEPTEMBER 30, 2016. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $718,976 | ExpenseAmt |
| Desc | BEHAVIOR HEALTH SERVICES. 1,065 ENCOUNTERS DURING THE YEAR ENDED SEPTEMBER 30, 2016. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,167,062 | ExpenseAmt |
| Desc | INCLUDES ALL OTHER SERVICES PROVIDED TO PATIENTS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,962 | ExpenseAmt |
| Desc | ENABLING SERVICES: 1,766 ENCOUNTERS DURING THE YEAR ENDED SEPTEMBER 30, 2016. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $13,962 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $2,707,512 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 27 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 54 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHRYN SAMPLE | PersonNm |
| Phone | 3138463718 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4880 LAWNDALE | AddressLine1Txt |
| City | DETROIT | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 482102010 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| JOHN LEMIRE | ||||||
| CHAIRPERSON | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARILYN A ROUBIDOUX MD | ||||||
| VICE CHAIRPE | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARCIA RYAN RN CCM BS | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JOANNE SOBECK PHD MSW | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| FAYELENE LOCKLEAR | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| STEPHEN JAMES BA | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KIRSTEN CARLSON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ESSI HOLLIER-JACKSON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JERRY HEATH | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ASHLEY TUOMI | ||||||
| CEO | 40.00 | Yes (X) | $94,470 | $0 | $5,406 | |
| EMILY CHASITY DIAL | ||||||
| COO | 40.00 | Yes (X) | $52,667 | $0 | $8,039 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $147,137 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $13,445 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BLUE CARE NETWORK | |||||
| 20500 CIVIC CENTER DR | SOUTHFIELD | MI | 48076 | HEALTHCARE | $234,254 |
| THE REGENTS OF THE UNIV OF MICH | |||||
| 500 S STATE ST | ANN ARBOR | MI | 48109 | EVALUATIONS | $181,144 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,074,122 | GovernmentGrantsAmt |
| All Other Contributions | $179,057 | AllOtherContributionsAmt |
| Total Contributions | $3,253,179 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEES FOR SERVICES | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $174,441 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $174,441 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $174,441 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $134 | TotalRevenueColumnAmt |
| Exclusion | $134 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,752 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$3,752 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,752 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$3,752 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $32,631 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $32,631 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $32,631 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,456,633 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $203,320 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $134 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,532 | TotalAmt |
| Management And General | $194,532 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,545,770 | TotalAmt |
| Program Services | $1,349,996 | ProgramServicesAmt |
| Management And General | $195,774 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,292 | TotalAmt |
| Program Services | $296,944 | ProgramServicesAmt |
| Management And General | $78,348 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,500 | TotalAmt |
| Program Services | $19,574 | ProgramServicesAmt |
| Management And General | $1,926 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $419,648 | TotalAmt |
| Program Services | $394,049 | ProgramServicesAmt |
| Management And General | $25,599 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,484 | TotalAmt |
| Program Services | $23,543 | ProgramServicesAmt |
| Management And General | $46,941 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,846 | TotalAmt |
| Program Services | $4,037 | ProgramServicesAmt |
| Management And General | $9,809 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $335,693 | TotalAmt |
| Program Services | $246,625 | ProgramServicesAmt |
| Management And General | $89,068 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,269 | TotalAmt |
| Program Services | $139,597 | ProgramServicesAmt |
| Management And General | $41,672 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,886 | TotalAmt |
| Program Services | $95,817 | ProgramServicesAmt |
| Management And General | $3,069 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,873 | TotalAmt |
| Management And General | $89,873 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,301 | TotalAmt |
| Program Services | $27,524 | ProgramServicesAmt |
| Management And General | $15,777 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $110,450 | $73,244 | $37,206 |
| MISC COSTS | $37,655 | $32,166 | $5,489 |
| MAINTENANCE AND REPAIRS | $4,788 | $4,113 | $675 |
| LAB | $283 | $283 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,543,270 | TotalAmt |
| Program Services | $2,707,512 | ProgramServicesAmt |
| Management And General | $835,758 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,154 | BOYAmt |
| EOY | $21,950 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $692,506 | BOYAmt |
| EOY | $576,354 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,509 | BOYAmt |
| EOY | $269,771 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,212 | BOYAmt |
| EOY | $82,095 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,325,488 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $769,667 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $627,731 | BOYAmt |
| EOY | $555,821 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,663,112 | BOYAmt |
| EOY | $1,505,991 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $232,669 | BOYAmt |
| EOY | $184,836 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $232,669 | BOYAmt |
| EOY | $184,836 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,323,857 | BOYAmt |
| EOY | $1,313,300 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,586 | BOYAmt |
| EOY | $7,855 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,430,443 | BOYAmt |
| EOY | $1,321,155 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,663,112 | BOYAmt |
| EOY | $1,505,991 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$86,637 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$22,651 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,918,307 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,533,635 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,527,163 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,165,979 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,253,179 | CurrentTaxYearAmt |
| Total | $14,398,263 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,918,307 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,533,635 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,527,163 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,165,979 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,253,179 | CurrentTaxYearAmt |
| Total | $14,398,263 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $14,398,263 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $26 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $43 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $55 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $92 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $134 | CurrentTaxYearAmt |
| Total | $350 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,701 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,577 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,110 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $30,254 | CurrentTaxYearMinus1YearAmt |
| Total | $78,642 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $14,477,255 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $207,072 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99450 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99270 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | 78,642 | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,544 | OtherCostOrOtherBasisAmt |
| Book Value | $8,544 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,034,902 | OtherCostOrOtherBasisAmt |
| Depreciation | $596,978 | DepreciationAmt |
| Book Value | $437,924 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $282,042 | OtherCostOrOtherBasisAmt |
| Depreciation | $172,689 | DepreciationAmt |
| Book Value | $109,353 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $555,821 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $3,613,070 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $156,437 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $156,437 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,456,633 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $3,456,633 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,722,358 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $156,437 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $22,651 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $179,088 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,543,270 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $3,543,270 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 4, PART XII, LINE 2D | FormAndLineReferenceDesc |
| Explanation | PAYBACK OF FLINN FOUNDATION GRANT 22,651 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4D | ENABLING SERVICES: 1,766 ENCOUNTERS DURING THE YEAR ENDED SEPTEMBER 30, 2016. |
| FORM 990, PAGE 6, PART VI, LINE 2 | JOHN LEMIRE MARCIA RYAN BOARD MEMBER BOARD MEMBER IN-LAWS |
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS TO REVIEW AT THE BOARD MEETING. ONCE THE BOARD APPROVES THE FORM 990, THE RETURN IS FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | CONFLICT OF INTEREST AGREEMENTS ARE SIGNED ANNUALLY BY BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS DETERMINES COMPENSATION OF THE CHIEF EXECUTIVE OFFICER BY COMPARABLE DATA AND PERFORMANCE. COMPARABLE DATA IS REVIEWED WHEN DETERMINING COMPENSATION OF KEY EMPLOYEES AS WELL. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE PERSONNEL COMMITTE, COMPRISED OF AT LEAST THREE BOARD MEMBERS, SHALL ADJUST OR REVIEW SALARY SCALES UPON THE ADVICE OF THE CHIEF EXECUTIVE OFFICER. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER CONTRACTED SERVICES 260,121 25,599 0 PATIENT SERVICES 133,928 0 0 |
| FORM 990, PART XI, LINE 9 | PAYBACK OF FLINN FOUNDATION GRANT -22,651 TOTAL -22,651 |