NORTHWEST HEALTH SERVICES INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- NORTHWEST HEALTH SERVICES INC (EIN 43-1323669)
- Tax period
- 2024-02-01 to 2025-01-31
- Filed
- 2025-11-12
- IRS object ID
- 202513169349303611
- Schema version
- 2024v5.2
- 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 | 2025-11-12T10:44:58-06:00 | ReturnTs |
| Tax Period End | 2025-01-31 | 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 | 2021 SPRING ROAD SUITE 200 | AddressLine1Txt |
| City | OAK BROOK | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-02-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431323669 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 8162718262 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1303 STATE STREET | AddressLine1Txt |
| City | MOUND CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 644701717 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MATT YOUNGER | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8162718262 | PhoneNum |
| Signature | 2025-10-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHRIS MANDERFIELD | PreparerPersonNm |
| PTIN | P01238973 | PTIN |
| Phone | 6305738600 | PhoneNum |
| Preparation | 2025-10-05 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MATT YOUNGER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1303 STATE STREET | AddressLine1Txt |
| City | MOUND CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 644701717 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $36,335,299 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NWHEALTH-SERVICES.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | NHS IS A NON-PROFIT HEALTHCARE PROVIDER OFFERING MEDICIAL, DENTAL, BEHAVIORAL HEALTH, MEDICATION ASSISTED TREATMENT, AND PHARMACY SERVICES REGARDLESS OF ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 220 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,848,644 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,959,284 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,438,587 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $27,173,619 | CYProgramServiceRevenueAmt |
| PY Investment Income | $249,405 | PYInvestmentIncomeAmt |
| CY Investment Income | $202,396 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,968,096 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $25,504,732 | PYTotalRevenueAmt |
| CY Total Revenue | $36,335,299 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,848,072 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,836,496 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,055,141 | PYOtherExpensesAmt |
| CY Other Expenses | $19,182,989 | CYOtherExpensesAmt |
| PY Total Expenses | $20,903,213 | PYTotalExpensesAmt |
| CY Total Expenses | $33,019,485 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,601,519 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,315,814 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $31,968,590 | TotalAssetsBOYAmt |
| Total Assets EOY | $34,252,077 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,411,954 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,124,351 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $20,556,636 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $24,127,726 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | NORTHWEST HEALTH SERVICES' MISSION IS TO SERVE AS A CATALYST FOR HEALTH AND EMPOWERMENT IN NW MISSOURI THROUGH EDUCATION, MEDICINE AND ADVOCACY | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,442,170 | ExpenseAmt |
| Revenue | $8,478,784 | RevenueAmt |
| Desc | THE ORGANIZATION'S MEDICAL SERVICES INCLUDE PRIMARY CARE, PREVENTATIVE CARE, AND HEALTH EDUCATION. PRIMARY CARE INCLUDES PEDIATRICS, ADULT HEALTHCARE, AND PHYSICAL EXAMS. PREVENTATIVE CARE SERVICES INCLUDE VACCINATIONS, HEALTH SCREENINGS, NUTRITIONAL COUNSELING, AND EDUCATION.PEDIATRIC SERVICES INCLUDE WELLCHILD HEALTH MAINTENANCE EXAMS, TREATMENT OF ACUTE & CHRONIC PROBLEMS, REFERRAL, WHEN NEEDED, TO SPECIALISTS & HEALTH SCREENING ASSESSMENTS & LAB TESTS FOR REFUGEE CHILDREN WHO ARE NEW ARRIVALS TO THE UNITED STATES. THE ORGANIZATION'S WOMEN'S HEALTH SERVICES INCLUDE: COMPREHENSIVE GYNECOLOGICAL EXAMS, BREAST, CERVICAL, & COLON CANCER SCREENINGS, MENOPAUSAL MANAGEMENT, AND CONTRACEPTIVE CHOICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,514,312 | ExpenseAmt |
| Revenue | $15,396,709 | RevenueAmt |
| Desc | THE ORGANIZATION INTEGRATES PHARMACY SERVICES INCLUDING 340B DRUG PROGRAM INTO DISEASE MANAGEMENT, PRIMARY, AND PREVENTATIVE CARE. PHARMACY PROGRAM IS DESIGNED TO HELP MAKE PRESCRIPTIONS AFFORDABLE TO ALL IN ORDER HELP MANAGE CHRONIC HEALTH CONDITIONS, ETC. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,234,537 | ExpenseAmt |
| Revenue | $2,545,784 | RevenueAmt |
| Desc | THE ORGANIZATION'S DENTAL CLINICS OFFER A FULL COMPLEMENT OF PREVENTATIVE AND RESTORATIVE CARE FOR DENTAL CARE. PREVENTATIVE SERVICES INCLUDE CLEANINGS, SEALANTS, CHECKUPS, XRAYS,FILLINGS, EXTRACTIONS, ORAL CANCER SCREENINGS, AND HEALTH GUM CARE. RESTORATIVE SERVICESINCLUDE ROOT CANALS, CROWNS, BRIDGES, AND FULL/PARTIAL DENTURES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $660,361 | ExpenseAmt |
| Revenue | $752,342 | RevenueAmt |
| Desc | THE ORGANIZATION INTEGRATES BEHAVIORAL HEALTH SERVICES INTO DISEASE MANAGEMENT, PRIMARY, AND PREVENTIVE CARE. BEHAVIORAL HEALTH SERVICES INCLUDE ASSESSMENT AND PRIVATE CONSULTATION, GROUP THERAPY, PHARMACOLOGICAL SUPPORTS, FAMILY COUNSELING, AND REFERRALS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $660,361 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $752,342 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $23,851,380 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | 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 | 0 | 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 With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| 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 | 42 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 220 | 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 |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8162718262 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1303 STATE STREET | AddressLine1Txt |
| City | MOUND CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 644701717 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 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 |
|---|---|---|---|---|---|---|---|
| DENISE JENNINGS | |||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KIM IRELAND | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LANNY ELLIS | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHERRY WELDON | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JENNIFER MCKINLEY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KEVIN HAYWOOD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEPHANIE MCCANN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEVE LOUCKS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRIS SMALL | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CAMERON SHOEMAKER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MATTHEW YOUNGER | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $186,690 | $0 | $12,689 | ||
| TINA TAYOR | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $121,112 | $0 | $19,617 | ||
| NJIDEKA EZEH | |||||||
| CHIEF NURSING OFFICER | 40.00 | Yes (X) | $173,744 | $0 | $28,609 | ||
| DONALD HINTON | |||||||
| PSYCHIATRIST | 40.00 | $330,050 | $0 | $0 | Yes (X) | ||
| WILLIAM IRBY | |||||||
| PHYSICIAN | 40.00 | $282,006 | $0 | $49,261 | Yes (X) | ||
| STEVEN BRUSHWOOD | |||||||
| PHYSICIAN | 40.00 | $215,383 | $0 | $44,348 | Yes (X) | ||
| BRITTANY MCCANN | |||||||
| NURSE PRACTITIONER | 40.00 | $157,246 | $0 | $40,940 | Yes (X) | ||
| RACHEL LESSOR | |||||||
| NURSE PRACTITIONER | 40.00 | $145,393 | $0 | $30,800 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,611,624 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $226,264 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 24 | 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 |
|---|---|---|---|---|---|
| GUGA TECHNOLOGY SOLUTIONS | |||||
| 3801 OAKLAND AVENUE SUITE 109A | SAINT JOSEPH | MO | 64506 | IT SERVICES | $472,880 |
| HUSCH BLACKWELL LLP | |||||
| 630 BOLIVAR STREET SUITE 300 | JEFFERSON CITY | MO | 65101 | LEGAL SERVICES | $317,175 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,542,655 | GovernmentGrantsAmt |
| All Other Contributions | $2,416,629 | AllOtherContributionsAmt |
| Noncash Contributions | $2,135,000 | NoncashContributionsAmt |
| Total Contributions | $8,959,284 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 624100 | $26,500,383 | $26,500,383 |
| PATIENT CENTERED MEDICAL HOME | 624100 | $673,236 | $673,236 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $27,173,619 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $202,396 | TotalRevenueColumnAmt |
| Exclusion | $202,396 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,335,299 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $27,173,619 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $202,396 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $481,545 | TotalAmt |
| Management And General | $481,545 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,865,523 | TotalAmt |
| Program Services | $7,984,083 | ProgramServicesAmt |
| Management And General | $1,881,440 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,737,479 | TotalAmt |
| Program Services | $972,217 | ProgramServicesAmt |
| Management And General | $1,765,262 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $751,949 | TotalAmt |
| Program Services | $543,165 | ProgramServicesAmt |
| Management And General | $208,784 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,256 | TotalAmt |
| Program Services | $245,059 | ProgramServicesAmt |
| Management And General | $94,197 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,100 | TotalAmt |
| Program Services | $79,530 | ProgramServicesAmt |
| Management And General | $30,570 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,383,148 | TotalAmt |
| Program Services | $801,782 | ProgramServicesAmt |
| Management And General | $581,366 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,099,610 | TotalAmt |
| Program Services | $794,295 | ProgramServicesAmt |
| Management And General | $305,315 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $889,963 | TotalAmt |
| Program Services | $642,858 | ProgramServicesAmt |
| Management And General | $247,105 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353,114 | TotalAmt |
| Management And General | $353,114 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,705 | TotalAmt |
| Program Services | $38,071 | ProgramServicesAmt |
| Management And General | $14,634 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,198 | TotalAmt |
| Management And General | $239,198 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $993,134 | TotalAmt |
| Program Services | $474,355 | ProgramServicesAmt |
| Management And General | $518,779 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,972 | TotalAmt |
| Program Services | $123,500 | ProgramServicesAmt |
| Management And General | $47,472 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACY | $13,165,417 | $10,873,372 | $2,292,045 |
| MISC | $386,372 | $279,093 | $107,279 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,019,485 | TotalAmt |
| Program Services | $23,851,380 | ProgramServicesAmt |
| Management And General | $9,168,105 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,415,351 | BOYAmt |
| EOY | $2,216,351 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,303,674 | BOYAmt |
| EOY | $14,531,605 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,452,488 | BOYAmt |
| EOY | $241,555 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,174,108 | BOYAmt |
| EOY | $1,570,579 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $852,751 | BOYAmt |
| EOY | $668,768 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,583 | BOYAmt |
| EOY | $245,826 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,647,107 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,472,310 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,807,813 | BOYAmt |
| EOY | $11,174,797 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $979,263 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,041,517 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $255,443 | BOYAmt |
| EOY | $204,355 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,516,116 | BOYAmt |
| EOY | $2,356,724 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,968,590 | BOYAmt |
| EOY | $34,252,077 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,841,802 | BOYAmt |
| EOY | $2,834,840 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,335,528 | BOYAmt |
| EOY | $4,175,753 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,234,624 | BOYAmt |
| EOY | $3,113,758 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,411,954 | BOYAmt |
| EOY | $10,124,351 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,556,636 | BOYAmt |
| EOY | $24,127,726 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,556,636 | BOYAmt |
| EOY | $24,127,726 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,968,590 | BOYAmt |
| EOY | $34,252,077 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,315,814 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $255,276 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,326,748 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,142,574 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,475,947 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,848,644 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,959,284 | CurrentTaxYearAmt |
| Total | $43,753,197 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,049,344 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,920,022 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,668,189 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,995,220 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $27,173,169 | CurrentTaxYearAmt |
| Total | $129,805,944 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $34,376,092 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,062,596 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,144,136 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,843,864 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $36,132,453 | CurrentTaxYearAmt |
| Total | $173,559,141 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $173,559,141 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,703 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,869 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $61,943 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $249,405 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $202,396 | CurrentTaxYearAmt |
| Total | $563,316 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,703 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,869 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $61,943 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $249,405 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $202,396 | CurrentTaxYearAmt |
| Total | $563,316 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $34,413,795 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,074,465 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,206,079 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $35,093,269 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $36,334,849 | CurrentTaxYearAmt |
| Total | $174,122,457 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99680 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99770 | PublicSupportPY509Pct |
| Investment Income CY | 0.00320 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00220 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Total Lobbying Expenditures | $0 | TotalLobbyingExpendituresAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | NORTHWEST HEALTH SERVICES PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE MISSOURI PRIMARY CARE ASSOCIATION. A PORTION OF THESE DUES MAY BE ATTRIBUTTABLE TO LOBBYING ACTIVITIES; HOWEVER, THE SPECIFIC AMOUNT IS UNKNOWN. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,206,035 | OtherCostOrOtherBasisAmt |
| Book Value | $1,206,035 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,534,764 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,293,369 | DepreciationAmt |
| Book Value | $5,241,395 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,404,327 | OtherCostOrOtherBasisAmt |
| Depreciation | $977,183 | DepreciationAmt |
| Book Value | $1,427,144 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,327,144 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,201,758 | DepreciationAmt |
| Book Value | $1,125,386 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,174,837 | OtherCostOrOtherBasisAmt |
| Book Value | $2,174,837 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,174,797 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| AMOUNTS DUE FROM 3RD PARTY | $1,000,000 |
| RIGHTS OF USE ASSETS | $1,356,724 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,356,724 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| AMOUNTS DUE TO 3RD PARTY | $1,756,834 |
| LEASE LIABILITIES | $1,356,924 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,113,758 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $34,424,368 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $255,276 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $255,276 | RevenueNotReportedAmt |
| Revenue Subtotal | $34,169,092 | RevenueSubtotalAmt |
| Other Revenues Not Included | $2,166,207 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,166,207 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $36,335,299 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $33,019,485 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $33,019,485 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $33,019,485 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION IS TAX-EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND NOT A PRIVATE FOUNDATION AS DESCRIBED IN SECTION 509(A) FOR FEDERAL PURPOSES. THE ORGANIZATION IS ALSO TAX-EXEMPT UNDER MISSOURI STATUTES FOR STATE PURPOSES. CONSEQUENTLY, THE ORGANIZATION RECORDS NO PROVISION FOR INCOME TAXES. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. AS A RESULT OF THE APPLICATION OF THE STANDARD, THE ORGANIZATION HAS RECOGNIZED NO LIABILITY FOR UNRECOGNIZED TAX BENFITS. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | CONTRIBUTED NONFINANCIAL ASSETS 2,135,000. GRANTS FOR ACQUISITION OF PROPERTY AND EQUIPMENT 31,207. |
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 (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM IRBY | ||||||||||||||
| PHYSICIAN | $216,006 | $0 | $0 | $0 | $66,000 | $0 | $26,023 | $0 | $23,238 | $0 | $331,267 | $0 | $0 | $0 |
| DONALD HINTON | ||||||||||||||
| PSYCHIATRIST | $330,050 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $330,050 | $0 | $0 | $0 |
| STEVEN BRUSHWOOD | ||||||||||||||
| PHYSICIAN | $211,383 | $0 | $0 | $0 | $4,000 | $0 | $13,140 | $0 | $31,208 | $0 | $259,731 | $0 | $0 | $0 |
| NJIDEKA EZEH | ||||||||||||||
| CHIEF NURSING OFFICER | $173,744 | $0 | $0 | $0 | $0 | $0 | $7,217 | $0 | $21,392 | $0 | $202,353 | $0 | $0 | $0 |
| MATTHEW YOUNGER | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $186,690 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $12,689 | $0 | $199,379 | $0 | $0 | $0 |
| BRITTANY MCCANN | ||||||||||||||
| NURSE PRACTITIONER | $100,548 | $0 | $56,698 | $0 | $0 | $0 | $9,435 | $0 | $31,505 | $0 | $198,186 | $0 | $0 | $0 |
| RACHEL LESSOR | ||||||||||||||
| NURSE PRACTITIONER | $103,731 | $0 | $41,662 | $0 | $0 | $0 | $8,724 | $0 | $22,076 | $0 | $176,193 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Real Estate Other RealEstateOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $2,135,000 | 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 | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A TENTATIVE DRAFT IS INITIALLY REVIEWED BY MANAGEMENT. AFTER THIS REVIEW, THE FINANCE COMMITTEE THEN REVIEWS THE FORM 990 AT THEIR MEETING BEFORE PRESENTING IT TO THE FULL BOARD AT THEIR MONTHLY MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REGULARLY MONITORS COMPLIANCE WITH THEIR CONFLICT OF INTEREST POLICY BY REQUESTING MANAGERS AND STAFF TO REPORT ANY CHANGES IN THEIR CONFLICT OF INTEREST. ANY CONFLICTS ARE SENT TO THE CORPORATE COMPLIANCE COMMITTEE. IF A CONFLICT OF INTEREST IS IDENTIFIED WITH A BOARD MEMBER, THEY ABSTAIN FROM VOTING ON ANY MATTERS RELATED TO THE CONFLICT OR MAY BE REMOVED FROM THE BOARD OF DIRECTORS, DEPENDING ON THE NATURE OF THE CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15A | A MARKET ANALYSIS IS COMPLETED ON POSITIONS BY HUMAN RESOURCES, ONCE HUMAN RESOURCES COMPLETES THE ANALYSIS AND PROVIDES A RECOMMENDATION OF SALARY RANGES, AN ANALYSIS IS THEN COMPLETED ON EACH PERSON IN THE TITLE, HUMAN RESOURCES USES THE EMPLOYEES COMP RATIO TO IDENTIFY WHICH EMPLOYEES SALARIES MAY NEED TO BE ADJUSTED, ONCE THIS IS DONE IT IS SUBMITTED FOR APPROVAL. THIS WAS LAST COMPLETED IN 2021. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE UPON REQUEST FOR VIEWING AT THE ADMINISTRATIVE OFFICES OF NORTHWEST HEALTH SERVICES. |