NORTHWEST HUMAN SERVICES INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- NORTHWEST HUMAN SERVICES INC (EIN 93-0605570)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-01-14
- IRS object ID
- 201630149349301223
- Schema version
- 2014v6.0
- 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 | 2016-01-14T16:07:47-06:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3000 NORTHUP WAY SUITE 200 | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930605570 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HUMAN SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 5035885828 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 681 CENTER STREET NE | AddressLine1Txt |
| City | SALEM | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAUL LOGAN | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 5035885828 | PhoneNum |
| Signature | 2016-01-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KYLA DELGADO CPA | PreparerPersonNm |
| PTIN | P01874220 | PTIN |
| Phone | 4252506100 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PAUL LOGAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 681 CENTER STREET NE | AddressLine1Txt |
| City | SALEM | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $16,329,006 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NORTHWESTHUMANSERVICES.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1970 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | MEET THE NEEDS OF THE COMMUNITY MEMBERS, REGARDLESS OF SOCIAL OR ECONOMIC STATUS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 216 | TotalEmployeeCnt |
| Total Volunteers | 53 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,701,316 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,086,733 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,371,629 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,565,964 | CYProgramServiceRevenueAmt |
| PY Investment Income | $135,900 | PYInvestmentIncomeAmt |
| CY Investment Income | $151,096 | CYInvestmentIncomeAmt |
| PY Other Revenue | $339,819 | PYOtherRevenueAmt |
| CY Other Revenue | $797,334 | CYOtherRevenueAmt |
| PY Total Revenue | $13,548,664 | PYTotalRevenueAmt |
| CY Total Revenue | $15,601,127 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $303,431 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $332,767 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,306,809 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,259,204 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $31,788 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,351,900 | PYOtherExpensesAmt |
| CY Other Expenses | $3,711,072 | CYOtherExpensesAmt |
| PY Total Expenses | $12,962,140 | PYTotalExpensesAmt |
| CY Total Expenses | $14,303,043 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $586,524 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,298,084 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,614,129 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,802,287 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,071,143 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,094,868 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,542,986 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,707,419 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | NORTHWEST HUMAN SERVICES MEETS THE NEEDS OF COMMUNITY MEMBERS, REGARDLESS OF SOCIAL OR ECONOMIC STATUS, BY PROVIDING COMPREHENSIVE MEDICAL, DENTAL, MENTAL HEALTH, AND SOCIAL SERVICES WITH RESPECT, COMPASSION, AND ACCEPTANCE OF CULTURAL AND LINGUISTIC DIVERSITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $8,633,879 | ExpenseAmt |
| Grant | $137,519 | GrantAmt |
| Revenue | $8,315,468 | RevenueAmt |
| Desc | WEST SALEM CLINIC AND TOTAL HEALTH COMMUNITY CLINIC: NORTHWEST HUMAN SERVICES, INC. (THE ORGANIZATION), IS A NONPROFIT FEDERALLY QUALIFIED HEALTH CENTER (FQHC), AND RECEIVES FUNDING FOR SERVICES, INCLUDING SERVICES FOR THE HOMELESS POPULATION, FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). HRSA IS AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE PRIMARY FEDERAL AGENCY DEDICATED TO IMPROVING ACCESS TO HEALTH CARE FOR PEOPLE WHO ARE GEOGRAPHICALLY ISOLATED, ECONOMICALLY, OR MEDICALLY VULNERABLE. THE ORGANIZATION'S MISSION IS TO MEET THE NEEDS OF COMMUNITY MEMBERS, REGARDLESS OF SOCIAL OR ECONOMIC STATUS, BY PROVIDING COMPREHENSIVE MEDICAL, DENTAL, MENTAL HEALTH, AND SOCIAL SERVICES WITH RESPECT, COMPASSION, AND ACCEPTANCE OF CULTURAL AND LINGUISTIC DIVERSITY. THE ORGANIZATION PROVIDES COMPREHENSIVE MEDICAL, DENTAL, MENTAL HEALTH, AND SOCIAL SERVICES. THE MAJORITY OF PATIENTS ARE INSURED THROUGH THE OREGON HEALTH PLAN (MEDICAID), MEDICARE, OR ARE UNINSURED. A SLIDING FEE DISCOUNT PROGRAM IS BASED ON FAMILY SIZE AND INCOME. NO ONE IS DENIED SERVICES DUE TO THEIR INABILITY TO PAY. THE ORGANIZATION IS ACCREDITED BY THE JOINT COMMISSION FOR AMBULATORY AND BEHAVIORAL HEALTHCARE, AND IS CERTIFIED BY THE STATE OF OREGON AS A TIER III PATIENT-CENTERED PRIMARY CARE HOME. THE WEST SALEM CLINIC AND TOTAL HEALTH COMMUNITY CLINIC (MONMOUTH, OR) PROVIDE FULL-SERVICE PRIMARY AND PREVENTATIVE CARE, AND SERVE AS PATIENT-CENTERED MEDICAL HOMES. PATIENT SELF-MANAGEMENT AND EDUCATION SERVICES AND ACCESS TO INTEGRATED BEHAVIORAL SERVICES ARE ALSO AVAILABLE.FOR THE FISCAL YEAR ENDING JUNE 30, 2015 THE CLINICS SERVED 10,908 PATIENTS THROUGH 47,261 VISITS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,431,642 | ExpenseAmt |
| Grant | $60 | GrantAmt |
| Revenue | $1,450,224 | RevenueAmt |
| Desc | WEST SALEM MENTAL HEALTH CLINIC: THE MENTAL HEALTH CLINIC, LOCATED ON THE WEST SALEM CLINIC CAMPUS, PROVIDES PSYCHIATRIC SERVICES, PSYCHOTHERAPY, COUNSELING, AND CASE MANAGEMENT SERVICES IN AN INTEGRATED SETTING. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $793,681 | ExpenseAmt |
| Grant | $146,970 | GrantAmt |
| Revenue | $82,460 | RevenueAmt |
| Desc | QUICKCARE CLINICTHE QUICKCARE CLINIC, LOCATED ON THE WEST SALEM CLINIC CAMPUS, PROVIDES SAME-DAY ACUTE HEALTH CARE AND SERVICES. FOR THE FISCAL YEAR ENDING JUNE 30, 2015 QUICKCARE SERVED 2,005 PATIENTS THROUGH 2,687 VISITS.HOMELESS OUTREACH AND ADVOCACY PROJECT (HOAP): THE HOAP PROGRAM OFFERS AN ARRAY OF SERVICES DESIGNED TO GET AND KEEP INDIVIDUALS WHO ARE MENTALLY ILL AND HOMELESS, OR AT RISK OF HOMELESSNESS, OFF THE STREETS AND INTO HOUSING. CASE MANAGERS, STAFF, AND VOLUNTEERS PROVIDE STREET OUTREACH, CRISIS INTERVENTION, EDUCATION, SKILLS TRAINING, CASE MANAGEMENT AND THERAPEUTIC SUPPORT TO INTEGRATE THESE INDIVIDUALS INTO THE COMMUNITY AND IMPROVE THEIR QUALITY OF LIFE. THE PROGRAM OPERATES A DAY CENTER THAT PROVIDES MANY SERVICES TO PEOPLE WHO ARE HOMELESS, INCLUDING FOOD, LAUNDRY AND SHOWER FACILITIES, AND A CHANCE TO SOCIALIZE. FOR THE FISCAL YEAR ENDING JUNE 30, 2015, HOAP SERVED 3,181 DISTINCT CLIENTS THROUGH 19,108 ENCOUNTERS.THE 24-HOUR HOTLINE PROVIDES INFORMATION, REFERRAL, SUICIDE PREVENTION, CRISIS COUNSELING, EMERGENCY FINANCIAL ASSISTANCE, AND OTHER SERVICES TO INDIVIDUALS AND FAMILIES IN THE SERVICE AREA. VOICEMAIL TELEPHONE MESSAGE SERVICE IS ALSO PROVIDED FOR INDIVIDUALS WHO ARE PHONELESS. THE PROGRAM IS ACCREDITED BY THE AMERICAN ASSOCIATION OF SUICIDOLOGY. IN FISCAL YEAR 2015, HOTLINE SERVED OVER 15,567 INDIVIDUALS AND THEIR FAMILIES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $525,394 | $0 | $572,990 | WEST SALEM DENTAL CLINIC: THE DENTAL CLINIC, LOCATED ON THE WEST SALEM CLINIC CAMPUS, PROVIDES EMERGENT AND RESTORATIVE DENTAL SERVICES. FOR THE FISCAL YEAR ENDING JUNE 30, 2015 THE DENTAL CLINIC SERVED 1,357 PATIENTS THROUGH 3,907 VISITS. |
| $495,466 | $48,218 | $144,822 | HOMES OFFERING SHELTER TO TEENS (HOST): HOST PROVIDES STREET OUTREACH, A DROP-IN CENTER, EMERGENCY SHELTER AND CARE TO RUNAWAY AND HOMELESS YOUTH AND YOUNG ADULTS. OTHER AREAS OF SERVICE INCLUDE CRISIS INTERVENTION, CASE MANAGEMENT, SKILLS DEVELOPMENT AND INFORMATION, AND REFERRAL SERVICES. A TRANSITIONAL LIVING PROGRAM COMPONENT PROVIDES HOUSING AND SUPPORT TO YOUTH, ASSISTING THEM TO ACHIEVE INDEPENDENCE. FOR THE FISCAL YEAR ENDING JUNE 30, 2015 HOST MADE OVER 9,040 CONTACTS WITH YOUTH AND YOUNG ADULTS, WHICH INCLUDED 4,119 CONTACTS THROUGH STREET OUTREACH ACTIVITIES AND 4,921 CONTACTS AT THE DROP IN CENTER. |
| $62,401 | $0 | $0 | CONNECTION PROGRAM: THE CONNECTION PROGRAM, PART OF THE WEST SALEM MENTAL HEALTH CLINIC, PROVIDES COUNSELING, ADVOCACY, CASE MANAGEMENT, VICTIM'S SERVICES, INFORMATION AND REFERRAL FOR INDIVIDUALS WHO ARE DEAF AND HARD OF HEARING AND THEIR FAMILIES. THIS PROGRAM IS HOUSED WITH THE WEST SALEM MENTAL HEALTH CLINIC. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,083,261 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $48,218 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $717,812 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $11,942,463 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | TaxExemptBondsInd |
| 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 | 0 | 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 | 36 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 216 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | 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 | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT T EDWARDS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5035885828 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 681 CENTER STREET NE | AddressLine1Txt |
| City | SALEM | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97301 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| LARRY GOODREAU | |||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JAN MARGOSIAN | |||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SUSAN SCOTT | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PHIL SWOGGER | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MICHAEL WISE | |||||||
| PAST CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CRYSTINA BLAZE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SEAN COOPER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM DETTWYLER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SAMANTHA FELDMAN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BETH FUSCO | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ELOISA HERNANDEZ | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HEN MACH | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PAULINE MATHER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHELLE PECORA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| NICOLE RUSSELL | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT STEPHENS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PAUL LOGAN | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $166,212 | $0 | $29,726 | ||
| ROBERT EDWARDS | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $105,454 | $0 | $20,938 | ||
| OLIVIA KAMAYANGI | |||||||
| PROVIDER | 40.00 | $168,011 | $0 | $23,331 | Yes (X) | ||
| JANE-FRANCES AKPAMGBO | |||||||
| PROVIDER | 40.00 | $161,553 | $0 | $26,793 | Yes (X) | ||
| ELIZABETH ANN SCOTT | |||||||
| PROVIDER | 40.00 | $144,882 | $0 | $24,667 | Yes (X) | ||
| CYNTHIA NOCEK | |||||||
| PROVIDER | 40.00 | $136,390 | $0 | $10,169 | Yes (X) | ||
| SANDRA YOUNG | |||||||
| PROVIDER | 40.00 | $113,749 | $0 | $13,796 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $996,251 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $149,420 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COMPHEALTH | |||||
| PO BOX 972625 | DALLAS | TX | 753972625 | LOCUM SERVICES | $437,535 |
| QUALITY SYSTEMS INC | |||||
| PO BOX 51449 | LOS ANGELES | CA | 90051 | SOFTWARE SUPPORT | $112,741 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $5,237 | FederatedCampaignsAmt |
| Government Grants | $3,783,541 | GovernmentGrantsAmt |
| All Other Contributions | $297,955 | AllOtherContributionsAmt |
| Noncash Contributions | $270,872 | NoncashContributionsAmt |
| Total Contributions | $4,086,733 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL CLINICS | 621111 | $8,315,468 | $8,315,468 |
| MENTAL HEALTH | 621112 | $1,450,224 | $1,450,224 |
| DENTAL CLINIC | 621210 | $572,990 | $572,990 |
| YOUTH SHELTER | 624110 | $144,822 | $144,822 |
| HOMELESS OUTREACH | 624100 | $82,460 | $82,460 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,565,964 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $137,609 | TotalRevenueColumnAmt |
| Exclusion | $137,609 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $741,366 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $727,879 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,487 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,487 | TotalRevenueColumnAmt |
| Exclusion | $13,487 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CCO INCENTIVES | 900099 | $644,733 | $644,733 |
| MISCELLANEOUS | 900099 | $144,101 | $144,101 |
| MEANINGFUL USE | 900099 | $8,500 | $8,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $797,334 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,601,127 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,565,964 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $948,430 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $332,767 | TotalAmt |
| Program Services | $332,767 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $337,348 | TotalAmt |
| Management And General | $337,348 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,699,555 | TotalAmt |
| Program Services | $6,317,528 | ProgramServicesAmt |
| Management And General | $1,353,001 | ManagementAndGeneralAmt |
| Fundraising | $29,026 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,469,537 | TotalAmt |
| Program Services | $1,185,029 | ProgramServicesAmt |
| Management And General | $284,508 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $752,764 | TotalAmt |
| Program Services | $594,774 | ProgramServicesAmt |
| Management And General | $155,228 | ManagementAndGeneralAmt |
| Fundraising | $2,762 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,315 | TotalAmt |
| Management And General | $26,315 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,338 | TotalAmt |
| Management And General | $61,338 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $644,331 | TotalAmt |
| Program Services | $621,112 | ProgramServicesAmt |
| Management And General | $23,219 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,208 | TotalAmt |
| Program Services | $135,438 | ProgramServicesAmt |
| Management And General | $77,770 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,809 | TotalAmt |
| Program Services | $170,588 | ProgramServicesAmt |
| Management And General | $73,221 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,261 | TotalAmt |
| Program Services | $24,470 | ProgramServicesAmt |
| Management And General | $25,791 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,250 | TotalAmt |
| Program Services | $199,419 | ProgramServicesAmt |
| Management And General | $76,831 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,598 | TotalAmt |
| Program Services | $56,298 | ProgramServicesAmt |
| Management And General | $9,300 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,439,260 | $1,437,834 | $1,426 |
| REPAIRS AND MAINTENANCE | $292,730 | $141,223 | $151,507 |
| BAD DEBTS | $107,880 | $107,880 | |
| BANK CHARGES | $93,883 | $14,340 | $79,543 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,209 | TotalAmt |
| Program Services | $603,763 | ProgramServicesAmt |
| Management And General | -$407,554 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,303,043 | TotalAmt |
| Program Services | $11,942,463 | ProgramServicesAmt |
| Management And General | $2,328,792 | ManagementAndGeneralAmt |
| Fundraising | $31,788 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,122,607 | BOYAmt |
| EOY | $1,563,733 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,156 | BOYAmt |
| EOY | $125,244 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $488,217 | BOYAmt |
| EOY | $794,687 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,131,067 | BOYAmt |
| EOY | $2,957,970 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,631 | BOYAmt |
| EOY | $88,491 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,163 | BOYAmt |
| EOY | $149,444 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,606,389 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,502,357 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,631,480 | BOYAmt |
| EOY | $5,104,032 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,433,856 | BOYAmt |
| EOY | $5,457,237 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $272,728 | BOYAmt |
| EOY | $272,728 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,475 | BOYAmt |
| EOY | $6,941 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $248,749 | BOYAmt |
| EOY | $281,780 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,614,129 | BOYAmt |
| EOY | $16,802,287 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $951,526 | BOYAmt |
| EOY | $1,013,846 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,079 | BOYAmt |
| EOY | $50,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,091,538 | BOYAmt |
| EOY | $1,031,022 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,071,143 | BOYAmt |
| EOY | $2,094,868 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,542,986 | BOYAmt |
| EOY | $14,707,419 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,542,986 | BOYAmt |
| EOY | $14,707,419 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,614,129 | BOYAmt |
| EOY | $16,802,287 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,298,084 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$133,651 | NetUnrlzdGainsLossesInvstAmt |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 | $4,344,005 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,411,496 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,869,168 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,701,316 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,095,233 | CurrentTaxYearAmt |
| Total | $20,421,218 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,344,005 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,411,496 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,869,168 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,701,316 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,095,233 | CurrentTaxYearAmt |
| Total | $20,421,218 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $20,421,218 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $79,350 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $77,832 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $91,728 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $100,725 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $137,609 | CurrentTaxYearAmt |
| Total | $487,244 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $92,675 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $72,091 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $149,852 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $339,819 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $788,834 | CurrentTaxYearAmt |
| Total | $1,443,271 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $22,351,733 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $44,480,123 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.91360 | PublicSupportCY170Pct |
| Public Support PY170 | 0.94960 | 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 | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS | 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 | $1,210,619 | OtherCostOrOtherBasisAmt |
| Book Value | $1,210,619 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,058,223 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,873,202 | DepreciationAmt |
| Book Value | $3,185,021 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,328,843 | OtherCostOrOtherBasisAmt |
| Depreciation | $629,155 | DepreciationAmt |
| Book Value | $699,688 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,704 | OtherCostOrOtherBasisAmt |
| Book Value | $8,704 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,104,032 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $15,450,031 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $15,450,031 | RevenueSubtotalAmt |
| Other Revenues Not Included | $151,096 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $151,096 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $15,601,127 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $14,303,043 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $14,303,043 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $14,303,043 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | NO PROVISION FOR INCOME TAXES IS REPORTED IN THE FINANCIAL STATEMENTS BECAUSE THE ORGANIZATION IS A NONPROFIT ORGANIZATION, EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 INCOME TAXES OF THE ACCOUNTING STANDARDS CODIFICATION. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | NET REALIZED GAIN ON INVESTMENTS 13,487. INTEREST INCOME 137,609. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (7 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| RENT ASSISTANCE | 97 | $26,253 | |||
| UTILITIES ASSISTANCE | 692 | $16,717 | |||
| PHARMACY SUPPORT | 199 | $4,474 | $208,237 | FMV | PHARMACY SAMPLES |
| CLOTHING & OTHER PERSONAL ITEMS | 1444 | $688 | $45,928 | FMV | DONATED CLOTHING AND PERSONAL ITEMS FOR PEOPLE IN NEED |
| TRANSPORTATION ASSISTANCE - PROVISION FOR BUS PASSES | 2757 | $9,529 | |||
| FOOD | 6887 | $3,954 | $16,707 | FMV | DONATED FOOD FROM LOCAL MERCHANTS |
| MEDICAL ASSISTANCE | 2 | $280 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | INDIVIDUAL ASSISTANCE IS MONITORED MONTHLY BY THE COMPLIANCE DIRECTOR AND THROUGH RECEIVABLES AND DRAW-DOWN RECONCILIATIONS. THE CFO SIGNS OFF ON DRAW-DOWNS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | 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 (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL LOGAN | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $132,331 | $0 | $33,000 | $0 | $881 | $0 | $8,564 | $0 | $21,162 | $0 | $195,938 | $0 | $0 | $0 |
| OLIVIA KAMAYANGI | ||||||||||||||
| PROVIDER | $160,306 | $0 | $7,500 | $0 | $205 | $0 | $0 | $0 | $23,331 | $0 | $191,342 | $0 | $0 | $0 |
| JANE-FRANCES AKPAMGBO | ||||||||||||||
| PROVIDER | $156,574 | $0 | $4,775 | $0 | $204 | $0 | $0 | $0 | $26,793 | $0 | $188,346 | $0 | $0 | $0 |
| ELIZABETH ANN SCOTT | ||||||||||||||
| PROVIDER | $137,210 | $0 | $7,500 | $0 | $172 | $0 | $0 | $0 | $24,667 | $0 | $169,549 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $45,928 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $16,707 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $208,237 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| 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 (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE BOARD HAS AN EXECUTIVE COMMITTEE, TO ACT IN THE PLACE OF THE BOARD OF DIRECTORS DURING THE INTERIM PERIODS BETWEEN BOARD MEETINGS OR WHEN IT IS IMPRACTICABLE TO CALL A MEETING OF THE ENTIRE BOARD OF DIRECTORS IN THE EVENT OF AN EMERGENCY OR OTHER MATTER REQUIRING THE IMMEDIATE ACTION OF THE BOARD OF DIRECTORS. THE DIRECTORS WHO ARE ALSO OFFICERS SERVE AS THE EXECUTIVE COMMITTEE. THE CEO SERVES AS A NON-VOTING EX-OFFICIO MEMBER OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE OPERATES WITHIN THE ESTABLISHED PARAMETERS OF BOARD POLICIES AND REPORTS ALL ACTIONS TAKEN TO THE FULL BOARD FOR RATIFICATION AND RECORDING IN BOARD MINUTES. |
| FORM 990, PART VI, SECTION A, LINE 4 | IN JANUARY 2015, THE BYLAWS WERE AMENDED. THE AMENDMENTS INCLUDED THE FOLLOWING CHANGES: A. THE ELIGIBILITY OF BOARD MEMBERS WAS MODIFIED. THE VOTING RIGHTS OF BOARD MEMBERS WHO ALSO VOLUNTEER WITH THE ORGANIZATION ARE NO LONGER LIMITED. THE DEFINITION OF A "CONSUMER" WAS EXPANDED TO INCLUDE LEGAL GUARDIANS AND LEGAL SPONSORS. THE MAJORITY OF DIRECTORS SHOULD BE COMMUNITY MEMBERS WHO LIVE OR WORK WITHIN THE ORGANIZATION'S SERVICE AREA, PRIMARILY RECEIVE THEIR HEALTH CARE FROM THE ORGANIZATION, AND HAVE USED THE ORGANIZATION'S SERVICES WITHIN THE LAST TWO YEARS. B. NO MORE THAN 50% OF NON-USER BOARD MEMBERS MAY DERIVE MORE THAN 10% OF THEIR INCOME FROM THE HEALTH CARE INDUSTRY. C. CONFLICT OF INTEREST REQUIREMENTS FOR BOARD MEMBERS WERE ADDED TO THE BYLAWS. D. BOARD APPROVAL REQUIRES A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING IN WHICH A QUORUM EXISTS. E. SEVERAL COMMITTEES WERE CREATED OR HAD THEIR POWERS MODIFIED, INCLUDING THE FINANCE COMMITTEE, AUDIT COMMITTEE, AND INVESTMENT COMMITTEE. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERSHIP IN THE CORPORATION IS OPEN TO ANY INDIVIDUAL FROM THE COMMUNITY WHO: 1. HAS DEMONSTRATED INTEREST AND SUPPORT OF THE CORPORATION THROUGH A MONETARY CONTRIBUTION OF AT LEAST FIVE-HUNDRED DOLLARS ($500.00) IN THE 12 MONTHS PRECEDING THE ANNUAL MEETING. OR 2. IS A CURRENT MEMBER OF THE BOARD, SALARIED STAFF, PROGRAM VOLUNTEER, OR A NATIONAL HEALTH SERVICE CORPS PROVIDER ASSIGNED TO NWHS PROGRAMS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE ELECTION OF THE MEMBERS OF THE BOARD OF DIRECTORS ARE RATIFIED EACH YEAR BY A MAJORITY VOTE OF THE MEMBERS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11 | PRIOR TO FILING, A DRAFT OF THE FORM 990 WAS REVIEWED BY THE AUDIT COMMITTEE. THE FINANCE COMMITTEE MADE A RECOMMENDATION TO THE BOARD OF DIRECTORS TO ACCEPT THE TAX RETURN. THE TAX RETURN WAS THEN SIGNED BY THE CHIEF EXECUTIVE OFFICER AND THEN ELECTONICALLY FILED BY THE PREPARER. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH ANNUAL EVALUATION AND UPDATING. OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES WOULD NOT BE ABLE TO DISCUSS OR VOTE ON AN ISSUE WHERE A CONFLICT OF INTEREST EXISTS. |
| FORM 990, PART VI, SECTION B, LINE 15A | ANNUAL EVALUATION AND COMPENSATION OF THE CEO, EXECUTIVE DIRECTOR, AND TOP MANAGEMENT IS DETERMINED BY THE BOARD. ANNUAL EVALUATION AND COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES IS DETERMINED BY THE CEO. THESE PROCESSES WERE LAST CONDUCTED IN 2015. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |