NIZHONI SMILES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: NIZHONI SMILES INC (EIN 85-0397883)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-09-10
IRS object ID: 201232549349300903
Schema version: 2011v1.2
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
Form 990
Schedule A
Schedule D
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-09-10T15:20:37-05:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	954895294	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	R SHANE CHANCE CPA PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 341	AddressLine1
City	AZTEC	City
State	NM	State
ZIP Code	874100341	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	850397883	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	NIZHONI SMILES INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	NIZH	NameControl
Phone	5053685626	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 3449	AddressLine1
City	SHIPROCK	City
State	NM	State
ZIP Code	87420	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JAMES M TUTT	Name
Title	CEO	Title
Phone	5053685626	Phone
Date Signed	2012-09-10	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	R SHANE CHANCE	Name
PTIN	P00170250	PTIN
Phone	5053344375	Phone
Date Prepared	2012-09-10	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JAMES M TUTT	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 3449	AddressLine1
City	SHIPROCK	City
State	NM	State
ZIP Code	87420	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	2410502	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	NIZHONISMILES.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1992	YearFormation
State Legal Domicile	NM	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE DENTAL AND ORTHODONTIC SERVICES TO INDIVIDUALS LIVING ON THE NAVAJO RESERVATION IN NW NEW MEXICO AND NE ARIZONA	ActivityOrMissionDescription
Nbr Voting Members Governing Body	5	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	37	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	133327	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2674393	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2161087	ProgramServiceRevenueCY
Investment Income Prior Year	1	InvestmentIncomePriorYear
Investment Income Current Year	-787	InvestmentIncomeCurrentYear
Other Revenue Prior Year	187698	OtherRevenuePriorYear
Other Revenue Current Year	243527	OtherRevenueCurrentYear
Total Revenue Prior Year	2995419	TotalRevenuePriorYear
Total Revenue Current Year	2403827	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	824819	SalariesEtcPriorYear
Salaries Etc Current Year	745147	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2095786	OtherExpensePriorYear
Other Expenses Current Year	1856022	OtherExpensesCurrentYear
Total Expenses Prior Year	2920605	TotalExpensesPriorYear
Total Expenses Current Year	2601169	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	74814	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-197342	RevenuesLessExpensesCY
Total Assets BOY	6049060	TotalAssetsBOY
Total Assets EOY	5441400	TotalAssetsEOY
Total Liabilities BOY	4865043	TotalLiabilitiesBOY
Total Liabilities EOY	4454725	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1184017	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	986675	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE DENTAL AND ORTHODONTIC SERVICES TO INDIVIDUALS LIVING ON THE NAVAJO RESERVATION IN NW NEW MEXICO AND NE ARIZONA	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	2353186	Expense
Grants	0	Grants
Revenue	2403827	Revenue
Description	ORTHODONTIC AND DENTAL SERVICES PROVIDED TO INDIVIDUALS LIVING ON THE NAVAJO RESERVATION IN NW NEW MEXICO AND NE ARIZONA	Description
Total Program Service Expense	2353186	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	15	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	37	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	5	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	0	WhistleblowerPolicy
Document Retention Policy	0	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NM	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	NIZHONI SMILES INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	5053685626	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	US HWY 491 N	AddressLine1
City	SHIPROCK	City
State	NM	State
ZIP Code	87420	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
PEGGY SUE NEZ
SECRETARY	1.00	X	X	0	0	1250
THOMAS TODACHEENEY
VICE PRESIDENT	1.00	X	X	0	0	1250
HARRY SLOAN JR
TREASURER	1.00	X	X	0	0	1000
CORINNE CLAUSCHEE
PRESIDENT	1.00	X	X	0	0	1250
DR MICHAEL BECK
DIRECTOR	3.00	X		16375	0	750
JAMES TUTT
CEO	40.00		X	69992	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	86367	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	5500	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
DR SAM CARROLL DMD
PO BOX 443	ST MICHAELS	AZ	86511	DENTAL	200755
DR HELLEN BUSH MDS
3107 ASPEN DR	FARMINGTON	NM	87401	ORTHODONTICS	192750
CRAIG LAYTON DBA FOUR CORNERS DENTAL CON
6601 TENNYSON ST NE APT 11205	ALBUQUERQUE	NM	87111	DENTAL	140270

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	3	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REVENUE ORTHO-DENTAL S	621110	2046221	2046221
REVENUE-PRODUCTS &SERV	621110	114866	114866

Field	Value	IRS element (for citing)
Total Program Service Revenue	2161087	TotalProgramServiceRevenue

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	243527	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	243527	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	243527	TotalRevenueColumn
Related Or Exempt Function Income	243527	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	5888	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	6675	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-787	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-787	TotalRevenueColumn
Related Or Exempt Function Income	-787	RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2403827	TotalRevenueColumn
Related Or Exempt Function Income	2403827	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	86367	Total
Program Services	16375	ProgramServices
Management And General	69992	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	586281	Total
Program Services	411447	ProgramServices
Management And General	174834	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	11095	Total
Program Services	4123	ProgramServices
Management And General	6972	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	9722	Total
Program Services	9620	ProgramServices
Management And General	102	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	51682	Total
Program Services	33777	ProgramServices
Management And General	17905	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	306	Total
Program Services	306	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	10775	Total
Program Services	10775	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	641033	Total
Program Services	678950	ProgramServices
Management And General	-37917	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2189	Total
Program Services	2189	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	140876	Total
Program Services	140876	ProgramServices

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	54664	Total
Program Services	54664	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	110792	Total
Program Services	110792	ProgramServices

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	12511	Total
Program Services	3358	ProgramServices
Management And General	9153	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	166905	Total
Program Services	165713	ProgramServices
Management And General	1192	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	346632	Total
Program Services	346632	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	45368	Total
Program Services	45368	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
BAD DEBT EXPENSE	215220	215220
LABORATORY	46588	46588
CREDIT CARD SERVICE CHA	33087	33087
FURNITURE AND EQUIPMENT	18383	18383

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	10693	Total
Program Services	4942	ProgramServices
Management And General	5751	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2601169	Total
Program Services	2353186	ProgramServices
Management And General	247984	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	12960	BOY
EOY	2248	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	455551	BOY
EOY	452543	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	53579	BOY
EOY	36884	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5829	BOY
EOY	450	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	6283850	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1932907	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	4691469	BOY
EOY	4350943	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	829672	BOY
EOY	598332	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	6049060	BOY
EOY	5441400	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	157952	BOY
EOY	216711	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	829672	BOY
EOY	598332	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
EOY	120667	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	3662685	BOY
EOY	3413779	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	30110	BOY
EOY	30300	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	184624	BOY
EOY	74936	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	4865043	BOY
EOY	4454725	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1184017	BOY
EOY	986675	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1184017	BOY
EOY	986675	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	6049060	BOY
EOY	5441400	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-197342	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	1	AccountantCompileOrReview
FS Audited	0	FSAudited
Audit Committee	0	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	133327	CurrentTaxYearMinus1Year
Total	133327	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3539559	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3631581	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3423465	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2674393	CurrentTaxYearMinus1Year
Current Tax Year	2160683	CurrentTaxYear
Total	15429681	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3539559	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3631581	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3423465	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2807720	CurrentTaxYearMinus1Year
Current Tax Year	2160683	CurrentTaxYear
Total	15563008	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	15563008	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1198	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	27	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	7	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1	CurrentTaxYearMinus1Year
Total	1233	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1198	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	27	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	7	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1	CurrentTaxYearMinus1Year
Total	1233	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	175211	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	178831	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	184901	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	187698	CurrentTaxYearMinus1Year
Current Tax Year	243527	CurrentTaxYear
Total	970168	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3715968	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3810439	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3608373	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2995419	CurrentTaxYearMinus1Year
Current Tax Year	2404210	CurrentTaxYear
Total	16534409	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.94120	PublicSupportPercentage509
Prior Year Support Percentage	0.94770	PriorYearSupportPercentage
Investment Income Percentage	0.00010	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00030	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	146199	OtherCostOrOtherBasis
Book Value	146199	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4266598	OtherCostOrOtherBasis
Depreciation	572343	Depreciation
Book Value	3694255	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1871053	OtherCostOrOtherBasis
Depreciation	1360564	Depreciation
Book Value	510489	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	4350943	TotalOfBookValueLandBuildings

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	L-T ORTHO CONTRACTS RECEIVABLE	Description
Book Value	598332	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	598332	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
ACCOUNTS PAYABLE TO RELATED PARTIES	$48,094
ROUNDING	-$2
TENANT SECURITY DEPOSIT	$26,844

Field	Value	IRS element (for citing)
Total Of Amounts	74936	TotalOfAmounts

Schedule L IRS990ScheduleL

Loan Table LoanTable (3 entries)

Purpose Of LoanPurposeOfLoan	Loan To OrganizationLoanToOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
DR MICHAEL BECK
TEMPORARY WORKING CAPITAL ADVANCE	X	$30,000	30000	0	1	1
MR JAMES TUTT
TEMPORARY WORKING CAPITAL ADANCE	X	$4,000	4000	0	1	1
DR MICHAEL BECK
INSTALLMENT PAYOUT CEO FEES ACCRUED IN PRIOR YEARS	X	$86,667	86667	0	1	1

Field	Value	IRS element (for citing)
Total Balance Due	120667	TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11	ORGANIZATION PRESENTS COPY OF FORM 990 TO ITS BOARD OF DIRECTORS FOR REVIEW, COMMENT AND APPROVAL AT REGUALAR BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST DISCLOSURE STATEMENT FORMS ARE PREPARED BY OFFICERS, DIRECTORS AND KEY EMPLOYEES ON AN ANNUAL BASIS WHICH ARE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. COPIES OF THE FORMS ARE MAINTAINED IN THE ORGANIZATIONS RECORDS.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION OF OFFICERS, DIRECTORS, MANAGEMENT AND KEY EMPLOYEES IS BASED ON THE RESULTS OF ANNUAL PERFORMANCE EVALUATIONS AND COMPARATIVE REGIONAL COMPENSATION WHICH IS APPROVED BY THE BOARD OF DIRECTORS AND DOCUMENTED IN THE MINUTES OF MEETINGS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAINTAINS ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AT ITS CORPORATE OFFICES IN SHIPROCK, NEW MEXICO. ALL SUCH DOCUMENTS ARE AVAILABLE FOR PUBLIC REVIEW AT THAT LOCATION.