Civic Intelligence

Mt Adams Health Foundation

990 • Fiscal year 2014 • EIN 91-1847516

Jul 01, 2013 to Jun 30, 2014 • Filed on Aug 18, 2014

Organization ProfileN/A
1021 S 40th Ave98908

(509) 457-5070

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2014

Liabilities / Revenue

53rd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Net Margin

6th percentile

-61%

Higher net margin than 6% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2014

Asset Growth

2nd percentile

-100%

Faster asset growth than 2% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $562,091 (-100%) from 2013

Net Assets

Down

$0

Down $211,679 (-100%) from 2013

Liabilities

Down

$0

Down $350,412 (-100%) from 2013

Revenue And Expenses
Liabilities / Revenue53rd percentileNet Margin6th percentile

Revenue

$344,198

No earlier filing loaded for comparison.

Expenses

Down

$555,877

Down $948,740 (-63%) from 2013

Net Income

-$211,679

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth2nd percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$800K$600K$400K$200K$0Assets 2011: $768,639Liabilities 2011: $592,214Net Assets 2011: $176,4252011Assets 2012: $590,356Liabilities 2012: $338,863Net Assets 2012: $251,4932012Assets 2013: $562,091Liabilities 2013: $350,412Net Assets 2013: $211,6792013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2014

Assets$0
Liabilities$0
Net Assets$0
Open 2014 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$4.0M$2.0M$0-$2.0MExpenses 2011: $3,903,9432011Expenses 2012: $2,414,9382012Expenses 2013: $1,504,6172013Revenue 2014: $344,198Expenses 2014: $555,877Net Income 2014: -$211,6792014

Highlighted filing

2014

Revenue$344,198
Expenses$555,877
Net Income-$211,679
Open 2014 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
Aug 18, 2014
Return Version
2013v3.1
Gross Receipts
$344,198
Mission and Program Overview

Mission

Administers health insurance for low income enrollees

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$562,091--
Rtn Earn Endowment Incm Other Fnds$211,679--
Total Assets$562,091$0▼ $562,091
Liabilities
Accounts Payable and Accrued Expenses$350,412--
Total Liabilities$350,412$0▼ $350,412
Net Assets / Fund Balance
Total Net Assets Fund Balance$211,679$0▼ $211,679
Total Liabilities and Net Assets / Fund Balance$562,091$0▼ $562,091
Compensation and Service Providers
Top Officer PayScore unavailable

Board Members and Trustees

NameTitle
Mateo ArteagaPresident
Norm InabaVice-President
Bertha OrtegaDirector
Chuck LinkerDirector
Connie FalonDirector
Renee BoucheyDirector
Ricardo ValdezDirector
Jeff BaldwinSecretary
Mike GemplerTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$343,671
Program Service Revenue
$0
Investment Income
$527
Other Revenue
$0
All Other Contributions
$343,671
Change in Net Assets
$-211,679
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$455,119
Grants and Similar Amounts Paid$90,000
Salaries, Compensation, and Employee Benefits$10,758
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$90,000--$90,000
Other Expenses$42,514$0$0$42,514
Other Salaries and Wages$0$9,880$0$9,880
Conferences and Meetings$0$1,531$0$1,531
Office Expenses$0$1,329$0$1,329
Payroll Taxes$0$878$0$878
Insurance$0$716$0$716
Advertising$0$252$0$252
Total Functional Expenses$541,291$14,586$0$555,877
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
91-1160585--Support Nursing Program$90,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Audit committee
Yes
Backup withholding compliance
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 9

“Mateo arteaga 803 s 30th ave yakima wa 98902 mike gempler 8 n 32nd ave yakima wa 98902 norm inaba 3411 w chestnut yakima wa 98902 bertha ortega 3240 fort road toppenish wa 98948 ricardo valdez 3240 fort road toppenish wa 98948 renee bouchey 6290 larue rd toppenish wa 98948 jeff baldwin 7803 easy st yakima wa 98908 connie falon p o box 447 yakima wa 98907 chuck linker 630 henderson rd wapato wa 98951”

Filing and Contact Details

Filer

EIN
91-1847516
Phone
5094575070

Signing Officer

Name
Mateo Arteaga
Title
President
Phone
5094575070
Signed
2014-08-18
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mateo Arteaga
Formed
1997
Legal Domicile
Wa
Voting Board Members
9
Independent Board Members
9
Employees
1
Volunteers
9

Preparer

Preparer
Gerald J Besel CPA
Phone
5095756406
Supplemental Narrative

Additional Explanations

Pt VI, Line 11B

“The 990 is reviewed by the president before filing”

Pt VI, Line 19

“UPON REQUEST”

Form 990EZ, Part I, Line 16

“Wa st basic health insurance insurance administrative costs license permits fees advertising bank charges”

Raw XML Appendix370 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1UPON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2WA ST BASIC HEALTH INSURANCE INSURANCE ADMINISTRATIVE COSTS LICENSE PERMITS FEES ADVERTISING BANK CHARGES
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3MATEO ARTEAGA 803 S 30TH AVE YAKIMA WA 98902 MIKE GEMPLER 8 N 32ND AVE YAKIMA WA 98902 NORM INABA 3411 W CHESTNUT YAKIMA WA 98902 BERTHA ORTEGA 3240 FORT ROAD TOPPENISH WA 98948 RICARDO VALDEZ 3240 FORT ROAD TOPPENISH WA 98948 RENEE BOUCHEY 6290 LARUE RD TOPPENISH WA 98948 JEFF BALDWIN 7803 EASY ST YAKIMA WA 98908 CONNIE FALON P O BOX 447 YAKIMA WA 98907 CHUCK LINKER 630 HENDERSON RD WAPATO WA 98951
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IRS990/USAddress/State0WA
IRS990/USAddress/ZIPCode098902
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IRS990/VotingMembersIndependentCnt09
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ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0WA
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ReturnHeader/PreparerPersonGrp/PreparerPersonNm0GERALD J BESEL CPA
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ReturnHeader/ReturnTs02014-09-02T10:35:54-07:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02013-07-01
ReturnHeader/TaxPeriodEndDt02014-06-30
ReturnHeader/TaxYr02013

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2014 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$344,198
Expenses
$555,877
Net income
-$211,679
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2014Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.34$0.56$0.21
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.56$0.35$0.21$1.50
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.59$0.34$0.25$2.41
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.77$0.59$0.18$3.90