AMADOR HEALTH CENTER INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- AMADOR HEALTH CENTER INC (EIN 85-0413619)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-03-31
- IRS object ID
- 202310909349300226
- Schema version
- 2021v4.2
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-03-31T16:15:38-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 261483953 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SBNG PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 221 N KANSAS SUITE 1300 | AddressLine1Txt |
| City | EL PASO | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 79901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850413619 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMADOR HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AMAD | BusinessNameControlTxt |
| Phone | 5755275482 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 999 W AMADOR AVENUE | AddressLine1Txt |
| City | LAS CRUCES | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 88005 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAMELA ANGELL | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 5755275482 | PhoneNum |
| Signature | 2023-03-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | PAMELA | PersonFirstNm |
| Person Last | ANGELL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | OSCAR LOY JR | PreparerPersonNm |
| PTIN | P01779015 | PTIN |
| Phone | 9155446770 | PhoneNum |
| Preparation | 2023-03-31 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| 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 | PAMELA ANGELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 999 W AMADOR AVENUE | AddressLine1Txt |
| City | LAS CRUCES | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 88005 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,940,018 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://AMADORHEALTH.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | NM | LegalDomicileStateCd |
| Activity Or Mission | MISSION: TO PROVIDE ACCESS TO VITAL INTEGREATED HEALTH AND WELLNESS SERVICES TO OUR COMMUNITY AND PROMOTE DIGNITY, ONE LIFE AT A TIME.VISION: PROVIDE CARE AND BRIDGE GAPS BETWEEN SOCIAL SERVICES AND PEOPLE IN NEED TO RESTORE HOPE AND BREAK THE CYCLE OF POVERTY.VALUES: COMPASSION, ACCOUNTABILITY, RESPECT, EXCELLENCE, SERVICE | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 42 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,618,946 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,197,527 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $874,433 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $715,995 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,386 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,556 | CYInvestmentIncomeAmt |
| PY Other Revenue | $10,495 | PYOtherRevenueAmt |
| CY Other Revenue | $23,940 | CYOtherRevenueAmt |
| PY Total Revenue | $3,505,260 | PYTotalRevenueAmt |
| CY Total Revenue | $2,940,018 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,755,453 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,159,252 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $7,029 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,052,257 | PYOtherExpensesAmt |
| CY Other Expenses | $746,422 | CYOtherExpensesAmt |
| PY Total Expenses | $2,807,710 | PYTotalExpensesAmt |
| CY Total Expenses | $2,905,674 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $697,550 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $34,344 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,650,025 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,707,953 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $129,839 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $161,588 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,520,186 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,546,365 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE ACCESS TO VITAL INTEGREATED HEALTH AND WELLNESS SERVICES TO OUR COMMUNITY AND PROMOTE DIGNITY, ONE LIFE AT A TIME. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,324,299 | ExpenseAmt |
| Revenue | $719,763 | RevenueAmt |
| Desc | THE ORGANIZATION ADDRESSES THE NON-EMERGENCY HEALTH CARE NEEDS OF HOMELESS AND INDIGENT PERSONS LIVING WITHIN DONA ANA COUNTY, NEW MEXICO. SERVICES ARE AVAILABLE TO ANY ADULT AND CHILD REGARDLESS OF INSURANCE STATUS AND THE ABILITY TO PAY. | Desc |
| Total Program Service Expenses | $2,324,299 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 42 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | 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 | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NM | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5755275482 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 999 W AMADOR AVENUE | AddressLine1Txt |
| City | LAS CRUCES | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 88005 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| LIZBETH ELLIS | ||||||
| PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PATRICK LEUNG | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| RICARDO TREJO | ||||||
| VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BRENDA TIBBS | ||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ELIZABETH CHAVEZ | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ELIZABETH HERNANDEZ | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| GUSTAVO OCHOA | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| STANLEY SMITH | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ISMAEL CAMACHO | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| BENJAMIN NEVILLE | ||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| AMY ENGLAND | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| PAMELA ANGELL | ||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $113,938 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $113,938 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,067,744 | GovernmentGrantsAmt |
| All Other Contributions | $129,783 | AllOtherContributionsAmt |
| Total Contributions | $2,197,527 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENU | 621300 | $705,309 | $705,309 |
| PHARMACY REVENUE | 621300 | $10,686 | $10,686 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $715,995 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,556 | TotalRevenueColumnAmt |
| Exclusion | $2,556 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $20,172 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,172 | TotalRevenueColumnAmt |
| Exclusion | $20,172 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $3,768 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,768 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,768 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,940,018 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $719,763 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $22,728 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,938 | TotalAmt |
| Program Services | $91,150 | ProgramServicesAmt |
| Management And General | $22,788 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,706,839 | TotalAmt |
| Program Services | $1,365,471 | ProgramServicesAmt |
| Management And General | $341,368 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,621 | TotalAmt |
| Program Services | $154,897 | ProgramServicesAmt |
| Management And General | $38,724 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,854 | TotalAmt |
| Program Services | $115,883 | ProgramServicesAmt |
| Management And General | $28,971 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,812 | TotalAmt |
| Program Services | $22,250 | ProgramServicesAmt |
| Management And General | $5,562 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $356,654 | TotalAmt |
| Program Services | $285,323 | ProgramServicesAmt |
| Management And General | $71,331 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,834 | TotalAmt |
| Program Services | $7,867 | ProgramServicesAmt |
| Management And General | $1,967 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,978 | TotalAmt |
| Program Services | $1,582 | ProgramServicesAmt |
| Management And General | $396 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,376 | TotalAmt |
| Program Services | $38,701 | ProgramServicesAmt |
| Management And General | $9,675 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,643 | TotalAmt |
| Program Services | $23,714 | ProgramServicesAmt |
| Management And General | $5,929 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,046 | TotalAmt |
| Program Services | $44,837 | ProgramServicesAmt |
| Management And General | $11,209 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,575 | TotalAmt |
| Program Services | $15,660 | ProgramServicesAmt |
| Management And General | $3,915 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $97,854 | $78,283 | $19,571 |
| STAFF DEVELOPMENT | $27,091 | $21,673 | $5,418 |
| CLIENT SERVICES | $26,919 | $26,919 | |
| DUES | $12,861 | $10,289 | $2,572 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,779 | TotalAmt |
| Program Services | $19,800 | ProgramServicesAmt |
| Management And General | $4,950 | ManagementAndGeneralAmt |
| Fundraising | $7,029 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,905,674 | TotalAmt |
| Program Services | $2,324,299 | ProgramServicesAmt |
| Management And General | $574,346 | ManagementAndGeneralAmt |
| Fundraising | $7,029 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,049,060 | BOYAmt |
| EOY | $957,655 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $366,088 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,859 | BOYAmt |
| EOY | $74,731 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,398 | BOYAmt |
| EOY | $2,113 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,771 | BOYAmt |
| EOY | $19,574 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $465,734 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $213,695 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $308,085 | BOYAmt |
| EOY | $252,039 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,852 | BOYAmt |
| EOY | $35,753 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,650,025 | BOYAmt |
| EOY | $1,707,953 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,839 | BOYAmt |
| EOY | $161,588 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,839 | BOYAmt |
| EOY | $161,588 | 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 | $1,478,334 | BOYAmt |
| EOY | $1,510,612 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,852 | BOYAmt |
| EOY | $35,753 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,520,186 | BOYAmt |
| EOY | $1,546,365 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,650,025 | BOYAmt |
| EOY | $1,707,953 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $34,344 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$8,165 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,546,284 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,644,301 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,535,225 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,618,946 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,197,527 | CurrentTaxYearAmt |
| Total | $9,542,283 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,546,284 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,644,301 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,535,225 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,618,946 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,197,527 | CurrentTaxYearAmt |
| Total | $9,542,283 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $9,542,283 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $65 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $317 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $668 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,386 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,556 | CurrentTaxYearAmt |
| Total | $4,992 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $9,547,275 | TotalSupportAmt |
| Public Support CY170 | 0.99950 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99970 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $41,852 | BeginningYearBalanceAmt |
| Contributions | $1,385 | ContributionsAmt |
| Investment Earnings Or Losses | -$5,772 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,712 | AdministrativeExpensesAmt |
| End Year Balance | $35,753 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $33,645 | BeginningYearBalanceAmt |
| Contributions | $275 | ContributionsAmt |
| Investment Earnings Or Losses | $8,564 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $632 | AdministrativeExpensesAmt |
| End Year Balance | $41,852 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $29,695 | BeginningYearBalanceAmt |
| Contributions | $18 | ContributionsAmt |
| Investment Earnings Or Losses | $4,105 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $173 | AdministrativeExpensesAmt |
| End Year Balance | $33,645 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $31,023 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,555 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $32,578 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $30,048 | BeginningYearBalanceAmt |
| Contributions | $975 | ContributionsAmt |
| End Year Balance | $31,023 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $22,001 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $3,509 | DepreciationAmt |
| Book Value | $18,492 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $137,792 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $132,317 | DepreciationAmt |
| Book Value | $5,475 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $305,941 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $77,869 | DepreciationAmt |
| Book Value | $228,072 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $252,039 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $3,022,775 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$8,165 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $90,922 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $82,757 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,940,018 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,940,018 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,996,596 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $90,922 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $90,922 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,905,674 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,905,674 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | TO SUPPORT THE THE ORGANIZATION'S MISSION. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | RUN WITH YOUR DOC RACE | Event1Nm |
| Gross Receipts Event1 | $20,172 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $20,172 | GrossRevenueEvent1Amt |
| Gross Receipts Total | $20,172 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $20,172 | GrossRevenueTotalEventsAmt |
| Net Income Summary | $20,172 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE CEO AND CFO REVIEW FORM 990 PRIOR TO ITS FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION UTILIZES THE BOARD OF DIRECTORS TO MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY DURINGS ITS BOARD OF DIRECTOR MEETINGS. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE ORGANIZATION UTILIZES THE BOARD OF DIRECTORS TO DETERMINE COMPENSATION OF TOP MANAGEMENT BY COMPARING COMPENSATION AMOUNTS TO OTHER COMPARABLE HEALTH CENTERS AND EVALUATING THE PERFORMANCE OF EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 18 | FORM 1023 AND ANNUAL FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FORMATION DOCUMENTS, CONFLICT OF INTERST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 285,323. MANAGEMENT AND GENERAL EXPENSES 71,331. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 356,654. |
| FORM 990, PART IX, LINE 24E | MISCELLANEOUS: PROGRAM SERVICE EXPENSES 9,135. MANAGEMENT AND GENERAL EXPENSES 2,284. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,419. FUNDRAISING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 7,029. TOTAL EXPENSES 7,029. VEHICLE EXPENSES: PROGRAM SERVICE EXPENSES 4,645. MANAGEMENT AND GENERAL EXPENSES 1,161. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,806. BOARD EXPENSES: PROGRAM SERVICE EXPENSES 2,696. MANAGEMENT AND GENERAL EXPENSES 674. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,370. BANK FEES: PROGRAM SERVICE EXPENSES 2,228. MANAGEMENT AND GENERAL EXPENSES 557. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,785. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 1,096. MANAGEMENT AND GENERAL EXPENSES 274. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,370. |
| FORM 990 PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR |