BANDON COMMUNITY HEALTH CTR: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- BANDON COMMUNITY HEALTH CTR (EIN 94-3455260)
- Tax period
- 2024-02-01 to 2025-01-31
- Filed
- 2025-12-15
- IRS object ID
- 202503499349301420
- Schema version
- 2024v5.0
- 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 | 2025-12-15T15:55:00-05:00 | ReturnTs |
| Tax Period End | 2025-01-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200079326 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DZA PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN AVE | AddressLine1Txt |
| City | SPOKANE VALLEY | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99206 | 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 | 943455260 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BANDON COMMUNITY HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BAND | BusinessNameControlTxt |
| Phone | 5413472529 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1010 FIRST STREET SE | AddressLine1Txt |
| City | BANDON | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97411 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KENDRA NEWBOLD | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5413472529 | PhoneNum |
| Signature | 2025-12-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RIKKI PATCH | PreparerPersonNm |
| PTIN | P01472231 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2025-12-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COAST COMMUNITY HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KENDRA NEWBOLD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1010 FIRST STREET SE | AddressLine1Txt |
| City | BANDON | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97411 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,534,740 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.COASTCOMMUNITYHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2009 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE AFFORDABLE, HIGH QUALITY HEALTHCARE TO ALL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 85 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,098,891 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,876,348 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,430,576 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,169,995 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$13,268 | PYInvestmentIncomeAmt |
| CY Investment Income | $17,652 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,436,050 | PYOtherRevenueAmt |
| CY Other Revenue | $2,198,999 | CYOtherRevenueAmt |
| PY Total Revenue | $8,952,249 | PYTotalRevenueAmt |
| CY Total Revenue | $8,262,994 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $45,717 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $33,535 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,939,887 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,868,798 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,840,301 | PYOtherExpensesAmt |
| CY Other Expenses | $4,575,577 | CYOtherExpensesAmt |
| PY Total Expenses | $10,825,905 | PYTotalExpensesAmt |
| CY Total Expenses | $9,477,910 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,873,656 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,214,916 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,480,114 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,267,440 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,235,105 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,875,393 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,245,009 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,392,047 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE AFFORDABLE, HIGH QUALITY HEALTHCARE TO ALL. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $6,042,839 | ExpenseAmt |
| Grant | $33,535 | GrantAmt |
| Revenue | $5,134,104 | RevenueAmt |
| Desc | COAST COMMUNITY HEALTH CENTER (BCHC) PROVIDES PRIMARY CARE, MENTAL HEALTH, AND WRAP-AROUND SERVICES THAT SUPPORT THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITY. BCHC PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS, UNINSURED, AND UNDERINSURED AND HAS UNREIMBURSED CHARGES FOR SLIDING FEE DISCOUNTS AND CHARITY CARE. BCHC HAD A TOTAL OF 13,585 ENCOUNTERS AND FILLED 66,990 PRESCRIPTIONS DURING THE YEAR. | Desc |
| Total Program Service Expenses | $6,042,839 | 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 |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | 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 | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | 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 With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| 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 | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 85 | 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 |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | 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 | Yes (true) | 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 | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KENDRA NEWBOLD | PersonNm |
| Phone | 5413472529 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1010 FIRST STREET SE | AddressLine1Txt |
| City | BANDON | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97411 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| MICHAEL TORRES | ||||||||
| PHYSICIAN | 40.00 | 0.00 | Yes (X) | $317,704 | $0 | $27,080 | ||
| HAROLD LOWRY | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $179,408 | $0 | $0 | |||
| KENDRA NEWBOLD | ||||||||
| CEO | 40.00 | $161,215 | $0 | $5,944 | Yes (X) | |||
| STEPHANIE EMPSON | ||||||||
| NURSE PRACTI | 40.00 | Yes (X) | $132,158 | $0 | $5,254 | |||
| LESLIE THOMAS | ||||||||
| CCO | 40.00 | Yes (X) | $119,748 | $0 | $868 | |||
| COLENE HICKMAN | ||||||||
| DIRECTOR OF | 40.00 | $114,770 | $0 | $3,136 | Yes (X) | |||
| ANNE GODDARD | ||||||||
| CHAIR | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| BETH WOOD | ||||||||
| VICE CHAIR | 0.50 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| JJ MCLEOD | ||||||||
| SECRETARY | 0.25 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| JOE WEGNER | ||||||||
| TREASURER | 0.25 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| JOSEPH CASPARY | ||||||||
| DIRECTOR | 0.25 | $0 | $0 | $0 | Yes (X) | |||
| GINGER SWAN | ||||||||
| DIRECTOR | 0.25 | $0 | $0 | $0 | Yes (X) | |||
| SALLY GLUNT | ||||||||
| DIRECTOR | 0.25 | $0 | $0 | $0 | Yes (X) | |||
| MARI LOCHHAAS | ||||||||
| DIRECTOR | 0.25 | $0 | $0 | $0 | Yes (X) | |||
| MARYJANE LABELLE | ||||||||
| DIRECTOR | 0.25 | $0 | $0 | $0 | Yes (X) | |||
| CLARK KOCUREK | ||||||||
| DIRECTOR | 0.25 | $0 | $0 | $0 | Yes (X) | |||
| STEVE BORROR | ||||||||
| DIRECTOR | 0.25 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,025,003 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $42,282 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BARTON ASSOCIATES | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 JUBILEE DRIVE | AddressLine1Txt |
| City | PEABODY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01960 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | STAFFING | ServicesDesc |
| Compensation | $325,013 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,848,348 | GovernmentGrantsAmt |
| All Other Contributions | $28,000 | AllOtherContributionsAmt |
| Total Contributions | $2,876,348 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| INCENTIVE REVENUE | 621400 | $1,725,470 | $1,725,470 |
| NET PATIENT SERVICE REVENUE | 621400 | $1,444,525 | $1,444,525 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,169,995 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,632 | TotalRevenueColumnAmt |
| Exclusion | $1,632 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $19,746 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $19,746 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,746 | TotalRevenueColumnAmt |
| Exclusion | $19,746 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $16,020 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $16,020 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,020 | TotalRevenueColumnAmt |
| Exclusion | $16,020 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $5,235,855 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $3,271,746 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,964,109 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,964,109 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAL RECORDS & OTHER | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $215,144 | TotalRevenueColumnAmt |
| Exclusion | $215,144 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $215,144 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,262,994 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,134,104 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $252,542 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500 | TotalAmt |
| Program Services | $500 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,035 | TotalAmt |
| Program Services | $33,035 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $285,065 | TotalAmt |
| Management And General | $285,065 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,541,680 | TotalAmt |
| Program Services | $2,644,990 | ProgramServicesAmt |
| Management And General | $896,690 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,105 | TotalAmt |
| Program Services | $25,224 | ProgramServicesAmt |
| Management And General | $6,881 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $716,431 | TotalAmt |
| Program Services | $495,824 | ProgramServicesAmt |
| Management And General | $220,607 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,517 | TotalAmt |
| Program Services | $214,511 | ProgramServicesAmt |
| Management And General | $79,006 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,605 | TotalAmt |
| Management And General | $180,605 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,750 | TotalAmt |
| Management And General | $52,750 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,088,878 | TotalAmt |
| Program Services | $1,598,111 | ProgramServicesAmt |
| Management And General | $490,767 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,028 | TotalAmt |
| Program Services | $4,413 | ProgramServicesAmt |
| Management And General | $52,615 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284,701 | TotalAmt |
| Program Services | $76,598 | ProgramServicesAmt |
| Management And General | $208,103 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $547,410 | TotalAmt |
| Program Services | $296,795 | ProgramServicesAmt |
| Management And General | $250,615 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $277,499 | TotalAmt |
| Program Services | $248,632 | ProgramServicesAmt |
| Management And General | $28,867 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,636 | TotalAmt |
| Program Services | $8,762 | ProgramServicesAmt |
| Management And General | $69,874 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,335 | TotalAmt |
| Program Services | $9,823 | ProgramServicesAmt |
| Management And General | $8,512 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $244,957 | TotalAmt |
| Management And General | $244,957 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,517 | TotalAmt |
| Program Services | $111,591 | ProgramServicesAmt |
| Management And General | $75,926 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,099 | TotalAmt |
| Program Services | $1,136 | ProgramServicesAmt |
| Management And General | $22,963 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $205,109 | $205,109 | |
| LICENCES, DUES & SUBSCRIP | $53,435 | $28,911 | $24,524 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $274,618 | TotalAmt |
| Program Services | $38,874 | ProgramServicesAmt |
| Management And General | $235,744 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,477,910 | TotalAmt |
| Program Services | $6,042,839 | ProgramServicesAmt |
| Management And General | $3,435,071 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $573,224 | BOYAmt |
| EOY | $174,368 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,284 | BOYAmt |
| EOY | $4,935 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $360,261 | BOYAmt |
| EOY | $258,877 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,269,321 | BOYAmt |
| EOY | $1,276,464 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,658 | BOYAmt |
| EOY | $50,169 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,427 | BOYAmt |
| EOY | $118,640 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,545,235 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,136,374 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,976,200 | BOYAmt |
| EOY | $8,408,861 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,580 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,998,159 | BOYAmt |
| EOY | $1,975,126 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,480,114 | BOYAmt |
| EOY | $12,267,440 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $727,736 | BOYAmt |
| EOY | $1,545,968 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $361,445 | BOYAmt |
| EOY | $361,445 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,084,879 | BOYAmt |
| EOY | $5,906,935 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,061,045 | BOYAmt |
| EOY | $2,061,045 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,235,105 | BOYAmt |
| EOY | $9,875,393 | 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 | $3,245,009 | BOYAmt |
| EOY | $2,392,047 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,245,009 | BOYAmt |
| EOY | $2,392,047 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,480,114 | BOYAmt |
| EOY | $12,267,440 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,214,916 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $361,954 | PriorPeriodAdjustmentsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,551,026 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,002,126 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,746,292 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,098,891 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,876,348 | CurrentTaxYearAmt |
| Total | $13,274,683 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,252,334 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,127,303 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,503,500 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,960,375 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,405,850 | CurrentTaxYearAmt |
| Total | $35,249,362 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,803,360 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,129,429 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,249,792 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,059,266 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,282,198 | CurrentTaxYearAmt |
| Total | $48,524,045 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $48,524,045 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $30,780 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $36,086 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,683 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,782 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,378 | CurrentTaxYearAmt |
| Total | $122,709 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $30,780 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $36,086 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,683 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,782 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,378 | CurrentTaxYearAmt |
| Total | $122,709 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,779 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,796 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,607 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $106 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $215,144 | CurrentTaxYearAmt |
| Total | $253,432 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,859,919 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,176,311 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,277,082 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,068,154 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,518,720 | CurrentTaxYearAmt |
| Total | $48,900,186 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99230 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99530 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME 253,432 | 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 | $235,359 | OtherCostOrOtherBasisAmt |
| Book Value | $235,359 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,589,083 | OtherCostOrOtherBasisAmt |
| Depreciation | $571,542 | DepreciationAmt |
| Book Value | $7,017,541 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $426,690 | OtherCostOrOtherBasisAmt |
| Depreciation | $249,437 | DepreciationAmt |
| Book Value | $177,253 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $398,199 | OtherCostOrOtherBasisAmt |
| Depreciation | $315,395 | DepreciationAmt |
| Book Value | $82,804 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $895,904 | OtherCostOrOtherBasisAmt |
| Book Value | $895,904 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,408,861 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OPERATING LEASE ROU ASSETS | $1,973,326 |
| OTHER ASSETS | $1,800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,975,126 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE LIABILITIES | Desc |
| Amt | $2,061,045 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,061,045 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $11,534,740 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $3,271,746 | OtherRevenueAmt |
| Revenue Not Reported | $3,271,746 | RevenueNotReportedAmt |
| Revenue Subtotal | $8,262,994 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $8,262,994 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $12,749,656 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $3,271,746 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $3,271,746 | ExpensesNotReportedAmt |
| Expenses Subtotal | $9,477,910 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $9,477,910 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 3, PART X | THE ORGANIZATION IS ESTABLISHED AS AN OREGON NONPROFIT CHARITABLE CORPORATION, IS EXEMPT FROM STATE AND LOCAL INCOME TAXES, AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE ORGANIZATION IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE ORGANIZATION IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE ORGANIZATION HAS DETERMINED IT IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | PHARMACY COST OF GOODS SOLD 3,271,746 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | PHARMACY COST OF GOODS SOLD 3,271,746 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | PATIENT ASSISTANCE | GrantTypeTxt |
| Recipient | 30 | RecipientCnt |
| Cash Grant | $33,035 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | ONCE A MEDICAL PROVIDER RECOMMENDS ASSISTANCE FOR AN INDIVIDUAL, THE ORGANIZATION USES A SCREENING AND MANAGEMENT APPROVAL PROCESS. AS OFTEN AS POSSIBLE, PAYMENTS ARE MADE DIRECTLY TO VENDORS/CREDITORS TO ENSURE APPROPRIATE USE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | false | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| MICHAEL TORRES | |||
| PHYSICIAN | $317,704 | $27,080 | $344,784 |
| HAROLD LOWRY | |||
| PHYSICIAN | $179,408 | $179,408 | |
| KENDRA NEWBOLD | |||
| CEO | $161,215 | $5,944 | $167,159 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PAGE 1, PART I, LINE 1B | FormAndLineReferenceDesc |
| Explanation | ALL NEW PROFESSIONAL STAFF ARE PROVIDED WITH A HOUSING STIPEND OF 750 PER MONTH FOR THE FIRST THREE MONTHS OF EMPLOYMENT. PAYMENTS ARE MADE DIRECTLY TO THE LANDLORD OR RENTAL COMPANY. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 1A | THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE BOARD BETWEEN REGULAR BOARD MEETINGS. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE ARE DETERMINED BY A MAJORITY VOTE. THE EXECUTIVE COMMITTEE KEEPS RECORDS OF ITS ACTIVITIES AND PROCEEDINGS AS IT DEEMS APPROPRIATE. ALL ACTIONS BY THE EXECUTIVE COMMITTEE ARE REPORTED TO THE BOARD OF DIRECTORS AT THE MEETING SUCCEEDING SUCH ACTION AND ARE SUBJECT TO REVISION, ALTERATION AND APPROVAL BY THE BOARD OF DIRECTORS, PROVIDED, HOWEVER, THAT NO RIGHTS OR ACTS OF THIRD PARTIES CAN BE AFFECTED BY SUCH REVISION OR ALTERATION. |
| FORM 990, PAGE 6, PART VI, LINE 3 | DURING PART OF THE FISCAL YEAR, THE ORGANIZATION OUTSOURCED ITS CFO POSITION TO COMMUNITY LINK CONSULTING. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 WAS REVIEWED BY THE CEO, THEN BY THE FINANCE COMMITTEE PRIOR TO FILING. A FULL COPY WAS PROVIDED TO ALL BOARD MEMBERS BEFORE FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL BOARD MEMBERS, COMMITTEE MEMBERS, OFFICERS, EMPLOYEES, AND VENDORS. WHEN AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST ARISES, THE INDIVIDUAL IS REQUIRED TO NOTIFY THE BOARD OR COMMITTEE. THE INDIVIDUAL MAKES A FULL AND FAIR PRESENTATION OF THE FACTS RELATED TO THE CONFLICT AND ANSWERS QUESTIONS RELATED TO THE MATTER, AFTER WHICH THEY WITHDRAW FROM THE MEETING WHILE THE REMAINING BOARD/COMMITTEE MEMBERS DISCUSS AND VOTE ON THE MATTER. IF IT ISN'T CLEAR WHETHER A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITHDRAWS FROM THE MEETING WHILE THE REMAINING BOARD/COMMITTEE MEMBERS MAKE THE DETERMINATION. IF AN OFFICER OR BOARD MEMBER VIOLATES THE CONFLICT OF INTEREST POLICY, APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTIONS ARE TAKEN. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE CEO'S COMPENSATION ANALYSIS IS CONDUCTED BY THE EXECUTIVE COMMITTEE USING CREDIBLE COMPENSATION SURVEYS FOR FQHC AND NON-PROFIT ORGANIZATIONS. ALL OTHER OFFICERS' COMPENSATION IS REVIEWED AND APPROVED BY THE CEO USING CREDIBLE COMPENSATION SURVEYS FOR FQHCS AND NON-PROFIT ORGANIZATIONS, SUCH AS OPCA, NWRPCA, AND NACHC. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE FORM 990, PART VI, LINE 15A. |
| FORM 990, PAGE 6, PART VI, LINE 18 | THE ORGANIZATION'S FORM 990 IS AVAILABLE ON OUR WEBSITE, ON OTHER PUBLIC WEBSITES SUCH AS GUIDESTAR AND PROPUBLICA, AND UPON REQUEST. THE ORGANIZATION'S FORM 1023 IS AVAILABLE UPON REQUEST. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL FEES 1,598,111 490,767 0 |
| FORM 990, PART XI, LINE 9 | PHARMACY COST OF GOODS SOLD 3,271,746 PHARMACY COST OF GOODS SOLD -3,271,746 |
| FORM 990, PART XII | THE AUDITED FINANCIAL STATEMENTS HAVE NOT BEEN FINALIZED AS OF THE DATE THE FORM 990 WAS E-FILED. |