Skip to content
Nonprofiteer
← CREEK VALLEY HEALTH CLINIC

Form 990 for tax year 2022

Filed by CREEK VALLEY HEALTH CLINIC.

Totals

Total revenue
$5,271,020
Total expenses
$3,813,896
Contributions and grants received
$2,576,535
Grants paid
$0
Program service revenue
$2,689,300
Investment income
$5,185
Other revenue
$0
Total assets, end of year
$3,481,650
Total liabilities, end of year
$500,033
Net assets or fund balances, end of year
$2,981,617
Program services expenses (Part IX)
$2,894,695
Management and general expenses
$919,201
Fundraising expenses
$0
Program service expenses (Part III)
$2,894,695

Program services were 75.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $2,023,094

  • 1f · All other contributions, gifts and grants

    $553,441

  • 2a · Program service revenue: MEDICAL SERVICES

    total $2,324,423 · related or exempt $2,324,423

  • 2b · Program service revenue: PHARMACY SALES

    total $361,059 · related or exempt $361,059

  • 2c · Program service revenue: MISCELLANEOUS INCOME

    total $3,818 · related or exempt $3,818

  • 3 · Investment income

    total $5,185 · related or exempt $5,185

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $2,126,064 · program services $1,551,792 · management and general $574,272

  • 10 · Payroll taxes

    total $517,077 · program services $377,409 · management and general $139,668

  • 11c · Fees: accounting

    total $15,021 · program services $15,021

  • 11g · Fees: other

    total $66,724 · program services $55,943 · management and general $10,781

  • 12 · Advertising and promotion

    total $89,256 · program services $89,256

  • 13 · Office expenses

    total $39,932 · program services $30,823 · management and general $9,109

  • 14 · Information technology

    total $203,449 · program services $170,578 · management and general $32,871

  • 16 · Occupancy

    total $3,000 · program services $2,515 · management and general $485

  • 17 · Travel

    total $75,918 · program services $63,652 · management and general $12,266

  • 22 · Depreciation, depletion and amortization

    total $57,765 · management and general $57,765

  • 23 · Insurance

    total $26,050 · program services $26,050

  • 24a · Other expenses: SUPPLIES / EQUIPMENT

    total $454,063 · program services $391,399 · management and general $62,664

  • 24b · Other expenses: LABORATORY

    total $58,580 · program services $58,580

  • 24c · Other expenses: REPAIRS & MAINTENANCE

    total $52,797 · program services $44,267 · management and general $8,530

  • 24d · Other expenses: CONTRACTUAL

    total $17,410 · program services $17,410

  • 24e · All other expenses

    total $10,790 · management and general $10,790

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $244,911 · end of year $154,066

  • 2 · Savings and temporary cash investments

    beginning of year $903,083 · end of year $2,508,269

  • 4 · Accounts receivable

    beginning of year $198,632 · end of year $315,294

  • 7 · Other notes and loans receivable

    beginning of year $3,088

  • 8 · Inventories for sale or use

    beginning of year $27,371 · end of year $33,483

  • 9 · Prepaid expenses and deferred charges

    beginning of year $4,711 · end of year $1,000

  • 10a · Land, buildings and equipment: cost or other basis

    $604,048

  • 10b · Land, buildings and equipment: accumulated depreciation

    $134,510

  • 10c · Land, buildings and equipment, net

    beginning of year $389,551 · end of year $469,538

  • 17 · Accounts payable and accrued expenses

    beginning of year $200,187 · end of year $265,702

  • 19 · Deferred revenue

    beginning of year $46,667 · end of year $234,331

  • 27 · Net assets without donor restrictions

    beginning of year $1,524,493 · end of year $2,981,617

Mission and programs · 2022

Mission

A NON PROFIT QUALIFIED RURAL MEDICAL CENTER DEDICATED TO PROMOTE MEDICAL WELFARE AS AN OUTPATIENT MEDICAL CARE FACILITY AT A REASONABLE COST TO RESIDENTS OF MOHAVE COUNTY, AZ AND WASHINGTON COUNTY, UT.

  • A NON PROFIT QUALIFIED RURAL MEDICAL CENTER DEDICATED TO PROMOTE MEDICAL WELFARE AS AN OUTPATIENT MEDICAL CARE FACILITY AT A REASONABLE COST TO RESIDENTS OF MOHAVE COUNTY, AZ AND WASHINGTON COUNTY, UT.

    Revenue $2,689,300

  • A NON PROFIT QUALIFIED RURAL MEDICAL CENTER DEDICATED TO PROMOTE MEDICAL WELFARE AS AN OUTPATIENT MEDICAL CARE FACILITY AT A REASONABLE COST TO RESIDENTS OF MOHAVE COUNTY, AZ AND WASHINGTON COUNTY, UT.

    Expenses $2,894,695

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Benjamin Williams

    MEDICAL OFFI

    Total calculated
    $248,465
    From this org
    $248,465
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $242,102
    Bonus
    $6,363
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    not reported
    Filer's total
    $248,465
  • Hunter Adams

    EXECUTIVE DI

    Total calculated
    $174,029
    From this org
    $174,029
    From related orgs
    $0
    Other
    $0
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $149,416
    Bonus
    $24,613
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    not reported
    Filer's total
    $174,029
  • Jeffrey Huyboom

    FINANCIAL OF

    Total calculated
    $110,439
    From this org
    $110,439
    From related orgs
    $0
    Other
    $0
    Hours/week
    40
  • Angela Johnson

    CLINIC MANAG

    Total calculated
    $79,559
    From this org
    $79,559
    From related orgs
    $0
    Other
    $0
    Hours/week
    40
  • Joanne Timpson

    QUALITY DIRE

    Total calculated
    $79,559
    From this org
    $79,559
    From related orgs
    $0
    Other
    $0
    Hours/week
    40
  • Reuben Cawlet

    LAW

    Total calculated
    $0
  • Aaron Knudson Do

    PHYSICIAN

    Total calculated
    $0
  • Shauna Hammon

    PRINCIPAL

    Total calculated
    $0
  • Villia Holm

    BUSINESS AND

    Total calculated
    $0
  • Donia Jessop

    LOCAL MAYOR

    Total calculated
    $0
  • Harrison Johnson

    FINANCE

    Total calculated
    $0
  • Brad Jolley

    EDUCATION

    Total calculated
    $0
  • Emyr-Al Meyers

    COMMUNITY AD

    Total calculated
    $0
  • Terrell Musser

    ELIGIBILITY

    Total calculated
    $0
  • Taylor Pledger

    NONPROFIT OP

    Total calculated
    $0
  • Janelle Roundy

    FINANCE

    Total calculated
    $0
  • Tyler Steed

    OPERATIONS M

    Total calculated
    $0
  • Ilene Timpson

    EDUCATION

    Total calculated
    $0

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
27 April 2023
IRS schema version
2022v5.0
Source object
202331249349302488

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.