SHIFA HEALTHCARE & COMMUNITY SERVICES USA INC: Form 990, tax year 2021
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- Organization
- SHIFA HEALTHCARE & COMMUNITY SERVICES USA INC (EIN 32-0325331)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-09-12
- IRS object ID
- 202232559349300043
- Schema version
- 2021v4.0
- 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 | 2022-09-12T12:13:41-04:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 760411322 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HILLIARD & ASSOCIATES PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14100 SOUTHWEST FWY STE 430 | AddressLine1Txt |
| City | SUGAR LAND | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 774783548 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 320325331 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHIFA HEALTHCARE & COMMUNITY | BusinessNameLine1Txt |
| Business Name Line2 | SERVICES USA INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SHIF | BusinessNameControlTxt |
| Phone | 7137791555 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2900 WILCREST DR 226 | AddressLine1Txt |
| City | HOUSTON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77042 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR MOIEN BUTT | PersonNm |
| Person Title | VICE PRESIDENT | PersonTitleTxt |
| Phone | 7137791555 | PhoneNum |
| Signature | 2022-08-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MOIEN | PersonFirstNm |
| Person Last | BUTT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | J M HILLIARD CPA | PreparerPersonNm |
| PTIN | P00052376 | PTIN |
| Phone | 2812422997 | PhoneNum |
| Preparation | 2022-08-18 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RIAZ SIDDIQI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 369 PINEY POINT ROAD | AddressLine1Txt |
| City | HOUSTON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77024 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $430,044 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SHIFAUSAHOUSTON.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION'S MISSION IS TO PROVIDE HEALTHCARE AND OTHER WELFARE SERVICES TO INDIGENT PERSONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 7 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $355,730 | PYContributionsGrantsAmt |
| CY Contributions Grants | $322,237 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $98,915 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $107,807 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $454,645 | PYTotalRevenueAmt |
| CY Total Revenue | $430,044 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $83,300 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $103,954 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $100 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $359,118 | PYOtherExpensesAmt |
| CY Other Expenses | $498,456 | CYOtherExpensesAmt |
| PY Total Expenses | $442,418 | PYTotalExpensesAmt |
| CY Total Expenses | $602,410 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $12,227 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$172,366 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $285,506 | TotalAssetsBOYAmt |
| Total Assets EOY | $131,411 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $173,759 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $157,540 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $111,747 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$26,129 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION'S MISSION IS TO PROVIDE HEALTHCARE AND OTHER WELFARE SERVICES TO INDIGENT PERSONS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $538,928 | ExpenseAmt |
| Desc | THE ORGANIZATION WAS ABLE TO PROVIDE GENERAL MEDICAL AND DENTAL HEALTH RELATED SERVICES AND EDUCATIONAL OUTREACH TO APPROXIMATELY 2,221 PERSONS DURING 2021 THAT WERE IN NEED. THE MEDICAL AND HEALTH RELATED SERVICES WERE PROVIDED BY VOLUNTEERING PHYSICIANS AND SOCIAL WORKERS THAT PROVIDED OVER 3,673 HOURS AT A VALUE OF 231,960. | Desc |
| Total Program Service Expenses | $538,928 | 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 | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | 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 | false | GrantsToIndividualsInd |
| Schedule J Required | false | 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 | false | ScheduleORequiredInd |
| IRP Document | 29 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 7 | EmployeeCnt |
| Employment Tax Returns Filed | false | 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 |
| 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | 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 | false | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MANSOOR AHMED | PersonNm |
| Phone | 7137791555 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9494 SW FWY STE 450 | AddressLine1Txt |
| City | HOUSTON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77074 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|
| DR OLASSUNKANMI ADEYINKA | ||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 |
| SHAHZAD BASHIR | ||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 |
| DR MOIEN BUTT | ||||
| VICE PRESIDE | Yes (X) | $0 | $0 | $0 |
| FAIZA HASEEB | ||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 |
| JUDGE BONNIE HELLUMS | ||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 |
| TINA LINH HO | ||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 |
| DR FARHINA IMTIAZ | ||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 |
| DR UZMA IQBAL | ||||
| VICE CHAIRPE | Yes (X) | $0 | $0 | $0 |
| MARYUM KHAN | ||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 |
| DR MONIRA KUNDI | ||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 |
| DR FAISAL MASUD | ||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 |
| DR OMAR MERCHANT | ||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 |
| SAIRA SHAH | ||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 |
| RIAZ SIDDIQI | ||||
| CHAIRPERSON | Yes (X) | $0 | $0 | $0 |
| MAHERA RAHMAN TASLEEM | ||||
| DIRECTOR | Yes (X) | $0 | $0 | $0 |
| RASHID YOUSUF | ||||
| TREASURER | Yes (X) | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $322,237 | GovernmentGrantsAmt |
| Total Contributions | $322,237 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CLINIC REVENUE | Desc |
| Total Revenue Column | $107,807 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $107,807 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $107,807 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $430,044 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $107,807 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,567 | TotalAmt |
| Program Services | $96,567 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,387 | TotalAmt |
| Program Services | $7,387 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,200 | TotalAmt |
| Management And General | $1,200 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $436,761 | TotalAmt |
| Program Services | $402,330 | ProgramServicesAmt |
| Management And General | $34,431 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500 | TotalAmt |
| Management And General | $400 | ManagementAndGeneralAmt |
| Fundraising | $100 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,524 | TotalAmt |
| Program Services | $15,001 | ProgramServicesAmt |
| Management And General | $16,523 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,485 | TotalAmt |
| Program Services | $2,742 | ProgramServicesAmt |
| Management And General | $2,743 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,621 | TotalAmt |
| Program Services | $1,621 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,365 | TotalAmt |
| Program Services | $13,280 | ProgramServicesAmt |
| Management And General | $8,085 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $602,410 | TotalAmt |
| Program Services | $538,928 | ProgramServicesAmt |
| Management And General | $63,382 | ManagementAndGeneralAmt |
| Fundraising | $100 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $240,285 | BOYAmt |
| EOY | $86,190 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $46,459 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,238 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,221 | BOYAmt |
| EOY | $45,221 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $285,506 | BOYAmt |
| EOY | $131,411 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $173,759 | BOYAmt |
| EOY | $157,540 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $173,759 | BOYAmt |
| EOY | $157,540 | 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 | $111,747 | BOYAmt |
| EOY | -$26,129 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,747 | BOYAmt |
| EOY | -$26,129 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $285,506 | BOYAmt |
| EOY | $131,411 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$172,366 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $34,490 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| 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 | $286,752 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $223,961 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $191,704 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $355,730 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $322,237 | CurrentTaxYearAmt |
| Total | $1,380,384 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $156,630 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $152,994 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $133,936 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $98,915 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $107,807 | CurrentTaxYearAmt |
| Total | $650,282 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $443,382 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $376,955 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $325,640 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $454,645 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $430,044 | CurrentTaxYearAmt |
| Total | $2,030,666 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $2,030,666 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $443,382 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $376,955 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $325,640 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $454,645 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $430,044 | CurrentTaxYearAmt |
| Total | $2,030,666 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | 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 D IRS990ScheduleD
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| LOAN_SBA DISASTER LOAN | $149,900 |
| CHASE BANK CC 4650 | $5,030 |
| PAYROLL TAXES PAYABLE | $1,911 |
| PAYROLL LIABILITIES | $699 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $157,540 | TotalLiabilityAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 | FORM 990, PART I, LINE 6 SHIFA HEALTHCARE & COMMUNITY SERVICES OPERATED 6 MEDICAL CLINICS AND 2 DENTAL CLINICS WITH THE HELP OF APPROXIMATELY 200 VOLUNTEERS, INCLUDING ABOUT 75 PHYSICIANS. IT WAS ALSO ABLE TO PROVIDE SOCIAL ASSISTANCE AND SUPPORT IN FAMILY RELATIONSHIP ISSUES WITH THE HELP OF 1 CERTIFIED SOCIAL WORKER AND 2 DDS DENTISTS WHO VOLUNTEERED DURING 2019. |
| FORM 990, PART III | FORM 990, PART III, LINE 4D - ALL OTHER ACCOMPLISHMENTS THE ORGANIZATION WAS ABLE TO PROVIDE RELATED HEALTH AND WELFARE SERVICES TO THOSE THAT ARE UNDERPRIVILEGED OR IN NEED. |
| FORM 990, PART VI | FORM 990, PART VI, LINE 11B - ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE FORM 990 IS REVIEWED BY THE SIGNING OFFICER BEFORE IT IS FILED. FORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PAGE 6, PART VI, LINE 11B | REVIEWED BY SIGNING OFFICER, A COPY PROVIDED TO GOVERNING BOARD PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | BOARD MEETINGS DISCUSS COMPLIANCE ISSUES |
| FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |
| FORM 990, PART IX, LINE 11G | MEDICAL AND DENTAL SUPPLIES 1,817 0 0 UTILITIES 19,996 19,996 0 VOLUNTEERS FOOD 954 0 0 BANK SERVICE CHARGES 0 619 0 CONTRACT LABOR 347,670 0 0 LAB TESTING 14,385 0 0 CONTRACT SERVICES - OTHER 1,900 0 0 CREDIT CARD SERVICE CHARGES 0 3,093 0 REPAIRS & MAINTENANCE 0 5,089 0 PROPERTY TAXES 0 141 0 PAYPAL FEES 0 921 0 INSPECTION FEES 0 355 0 GROCERY ITEMS 6,755 0 0 FUEL/GAS WOMEN'S CENTER STAFF 64 0 0 TRANSPORTATION 836 0 0 FACILITIES AND EQUIPMENT 120 0 0 FALSE ALARM FINE 0 4,217 0 LIVING EXPENSES 4,045 0 0 TRANSPORTATION 3,128 0 0 TRAINING 660 0 0 TOTAL 402,330 34,431 0 |
| FORM 990, PART XI, LINE 9 | BOOK / TAX DEPRECIATION DIFFERENCE 1,621 PPP LOAN FORGIVENESS 32,869 TOTAL 34,490 |