SAN LUIS WALK-IN CLINIC INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SAN LUIS WALK-IN CLINIC INC (EIN 65-1170616)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-15
- IRS object ID
- 202321359349307487
- 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 | 2023-05-15T11:56:58-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 710817652 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FROST PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 680 W 8TH STREET | AddressLine1Txt |
| City | YUMA | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85364 | 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 | 651170616 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAN LUIS WALK-IN CLINIC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SANL | BusinessNameControlTxt |
| Phone | 9286270190 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 617 | AddressLine1Txt |
| City | SOMERTON | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85350 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AMANDA AGUIRRE | PersonNm |
| Person Title | CEO/PRESIDENT | PersonTitleTxt |
| Phone | 9286270190 | PhoneNum |
| Signature | 2023-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | AMANDA | PersonFirstNm |
| Person Last | AGUIRRE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TIM TERKELSEN | PreparerPersonNm |
| PTIN | P00305230 | PTIN |
| Phone | 9287829831 | PhoneNum |
| Preparation | 2023-05-12 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | 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 | AMANDA AGUIRRE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 WEST MAIN STREET | AddressLine1Txt |
| City | SOMERTON | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85350 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $47,689,282 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.RCFBH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Activity Or Mission | THE PURPOSE OF THE CORPORATION IS TO PROVIDE CONVENIENT ACCESS TO EFFICIENT AND QUALITY HEALTH SERVICES TO THE BORDER REGION, INCLUDING PROVISION OF MEDICAL DIAGNOSIS, CARE AND TREATMENT TO AND FOR THE BENEFIT OF THE COMMUNITIES AND RESIDENTS OF THE SOUTHWESTERN ARIZONA BORDER REGION, INCLUDING, WITHOUT LIMITATION, PERSONS WHO ARE UNABLE TO AFFORD. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 440 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,827,446 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,729,393 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $37,248,891 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $42,459,672 | CYProgramServiceRevenueAmt |
| PY Investment Income | $62,657 | PYInvestmentIncomeAmt |
| CY Investment Income | $81,999 | CYInvestmentIncomeAmt |
| PY Other Revenue | $18,511 | PYOtherRevenueAmt |
| CY Other Revenue | $1,418,218 | CYOtherRevenueAmt |
| PY Total Revenue | $40,157,505 | PYTotalRevenueAmt |
| CY Total Revenue | $47,689,282 | 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 | $16,118,375 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $21,438,585 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,866,354 | PYOtherExpensesAmt |
| CY Other Expenses | $19,594,187 | CYOtherExpensesAmt |
| PY Total Expenses | $27,984,729 | PYTotalExpensesAmt |
| CY Total Expenses | $41,032,772 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $12,172,776 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,656,510 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $24,728,771 | TotalAssetsBOYAmt |
| Total Assets EOY | $31,838,035 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,329,854 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,782,608 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $22,398,917 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $29,055,427 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE PURPOSE OF THE CORPORATION IS TO PROVIDE CONVENIENT ACCESS TO EFFICIENT AND QUALITY HEALTH SERVICES TO THE BORDER REGION, INCLUDING PROVISION OF MEDICAL DIAGNOSIS, CARE AND TREATMENT TO AND FOR THE BENEFIT OF THE COMMUNITIES AND RESIDENTS OF THE SOUTHWESTERN ARIZONA BORDER REGION, INCLUDING, WITHOUT LIMITATION, PERSONS WHO ARE UNABLE TO AFFORD. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $30,740,801 | ExpenseAmt |
| Revenue | $43,877,890 | RevenueAmt |
| Desc | IMPROVE AVAILABILITY AND ACCESSIBILITY OF MEDICAL SERVICES BY ESTABLISHING A COMPREHENSIVE CENTER FOR PRIMARY CARE, COMMUNITY OUTREACH, AND HEALTH EDUCATION. | Desc |
| Total Program Service Expenses | $30,740,801 | 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 | 0 | 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | 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 | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 29 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 440 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| 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 | 9286270190 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 W MAIN STREET | AddressLine1Txt |
| City | SOMERTON | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85350 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| HOWIE JORAJURIA | |||||||
| CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LUCKY ARVIZU | |||||||
| VICE-CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TULY MEDINA | |||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RYAN HOLT | |||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JASON R BRADLEY | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ARTURO MAGANA | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CANDICE L ORDUO | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JUAN MANUEL GUERRERO | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTOPHER J NUEZ | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| VICTOR LOZANO | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| AMANDA AGUIRRE | |||||||
| PRESIDENT & CEO | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| ILIAN MARQUEZ | |||||||
| FINANCE DIRECTOR | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| PRAKSHEP B BHATT | |||||||
| MEDICAL DIRECTOR | 40.00 | Yes (X) | $280,648 | $0 | $0 | ||
| ELENA RODRIGUEZ | |||||||
| CHIEF OPERATING OFFICER | 40.00 | Yes (X) | $108,949 | $0 | $0 | ||
| KATHY L WYER | |||||||
| CHIEF NURSING OFFICER | 40.00 | Yes (X) | $110,262 | $0 | $0 | ||
| CHARLOTTE RICHARDS | |||||||
| OB/GYN | 40.00 | $338,638 | $0 | $0 | Yes (X) | ||
| MICHAEL E STEVENS | |||||||
| PHYSICIAN OB/GYN | 40.00 | $337,103 | $0 | $0 | Yes (X) | ||
| VASU KRISHNAKUMAR | |||||||
| PSYCHIATRIST | 40.00 | $272,291 | $0 | $0 | Yes (X) | ||
| DANIEL A CALABRESE | |||||||
| PEDIATRICIAN | 40.00 | $266,297 | $0 | $0 | Yes (X) | ||
| LEONARDO RODRIGUEZ | |||||||
| PEDIATRICIAN | 40.00 | $265,005 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,979,193 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | CompensationCompensationAmt |
|---|---|---|---|---|
| MCKESSON MEDICAL SURGICAL INC | ||||
| PO BOX 634404 | CINCINATTI | OH | 452634404 | $1,238,771 |
| ECLINICALWORKS LLC | ||||
| P O BOX 847950 | BOSTON | MA | 022847950 | $696,278 |
| CYPRESS BENEFIT ADMINISTRATORS | ||||
| 5560 W GRANDE MARKET DRIVE | APPLETON | WI | 54913 | $522,176 |
| AHCCCS | ||||
| 801 E JEFFERSON STRREET MAIL DROP | PHOENIX | AZ | 85034 | $487,652 |
| NORCAL MUTUAL | ||||
| PO BOX 398054 | SAN FRANCISCO | CA | 941398054 | $130,392 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,841,936 | GovernmentGrantsAmt |
| All Other Contributions | $1,887,457 | AllOtherContributionsAmt |
| Noncash Contributions | $1,495,628 | NoncashContributionsAmt |
| Total Contributions | $3,729,393 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $42,459,672 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $42,459,672 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $42,459,672 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $81,999 | TotalRevenueColumnAmt |
| Exclusion | $81,999 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $1,418,218 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,418,218 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,418,218 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,689,282 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $43,877,890 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $81,999 | 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 | $1,979,193 | TotalAmt |
| Program Services | $1,914,896 | ProgramServicesAmt |
| Management And General | $64,297 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,088,292 | TotalAmt |
| Program Services | $14,598,128 | ProgramServicesAmt |
| Management And General | $490,164 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,371,100 | TotalAmt |
| Program Services | $3,221,215 | ProgramServicesAmt |
| Management And General | $1,149,885 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,879 | TotalAmt |
| Program Services | $1,232 | ProgramServicesAmt |
| Management And General | $647 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,500 | TotalAmt |
| Management And General | $23,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,902,572 | TotalAmt |
| Program Services | $1,845,899 | ProgramServicesAmt |
| Management And General | $7,056,673 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,406 | TotalAmt |
| Program Services | $195,970 | ProgramServicesAmt |
| Management And General | $33,436 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,834 | TotalAmt |
| Program Services | $97,626 | ProgramServicesAmt |
| Management And General | $18,208 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,330,291 | TotalAmt |
| Program Services | $3,088,533 | ProgramServicesAmt |
| Management And General | $241,758 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,651 | TotalAmt |
| Program Services | $108,140 | ProgramServicesAmt |
| Management And General | $24,511 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,534 | TotalAmt |
| Program Services | $94,818 | ProgramServicesAmt |
| Management And General | $188,716 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $317,227 | TotalAmt |
| Program Services | $279,057 | ProgramServicesAmt |
| Management And General | $38,170 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $5,013,517 | $4,372,874 | $640,643 |
| EQUIPMENT R&M | $380,986 | $302,359 | $78,627 |
| UTILITIES | $337,458 | $259,994 | $77,464 |
| TELEPHONE | $254,580 | $210,812 | $43,768 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $270,752 | TotalAmt |
| Program Services | $149,248 | ProgramServicesAmt |
| Management And General | $121,504 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,032,772 | TotalAmt |
| Program Services | $30,740,801 | ProgramServicesAmt |
| Management And General | $10,291,971 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,998,026 | BOYAmt |
| EOY | $17,425,010 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,816 | BOYAmt |
| EOY | $2,237,264 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,923,775 | BOYAmt |
| EOY | $9,093,020 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $210,556 | BOYAmt |
| EOY | $427,477 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,529 | BOYAmt |
| EOY | $353,996 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,534,153 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,211,856 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $616,835 | BOYAmt |
| EOY | $1,322,297 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $888,234 | BOYAmt |
| EOY | $978,971 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,728,771 | BOYAmt |
| EOY | $31,838,035 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,205,165 | BOYAmt |
| EOY | $1,627,306 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,124,689 | BOYAmt |
| EOY | $1,155,302 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,329,854 | BOYAmt |
| EOY | $2,782,608 | 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 | $22,398,917 | BOYAmt |
| EOY | $29,055,427 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,398,917 | BOYAmt |
| EOY | $29,055,427 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,728,771 | BOYAmt |
| EOY | $31,838,035 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $6,656,510 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | $1,009,260 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $732,114 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,979,031 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,827,446 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,729,393 | CurrentTaxYearAmt |
| Total | $11,277,244 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,492,708 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,627,962 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,294,248 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $37,267,402 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $43,877,890 | CurrentTaxYearAmt |
| Total | $133,560,210 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,501,968 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,360,076 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,273,279 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $40,094,848 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,607,283 | CurrentTaxYearAmt |
| Total | $144,837,454 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $144,837,454 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $254 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,016 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $52,719 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $62,657 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $81,999 | CurrentTaxYearAmt |
| Total | $199,645 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $254 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,016 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $52,719 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $62,657 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $81,999 | CurrentTaxYearAmt |
| Total | $199,645 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,502,222 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,362,092 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,325,998 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $40,157,505 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,689,282 | CurrentTaxYearAmt |
| Total | $145,037,099 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99860 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99890 | PublicSupportPY509Pct |
| Investment Income CY | 0.00140 | InvestmentIncomeCYPct |
| 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
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,993,713 | OtherCostOrOtherBasisAmt |
| Depreciation | $857,757 | DepreciationAmt |
| Book Value | $1,135,956 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $540,440 | OtherCostOrOtherBasisAmt |
| Depreciation | $354,099 | DepreciationAmt |
| Book Value | $186,341 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,322,297 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO PARENT | $805,302 |
| REFUNDABLE ADVANCES | $350,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,155,302 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $47,689,282 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $47,689,282 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $47,689,282 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $41,032,772 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $41,032,772 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $41,032,772 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARLOTTE RICHARDS | ||||||||||||||
| OB/GYN | $338,638 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $338,638 | $0 | $0 | $0 |
| MICHAEL E STEVENS | ||||||||||||||
| PHYSICIAN OB/GYN | $337,103 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $337,103 | $0 | $0 | $0 |
| PRAKSHEP B BHATT | ||||||||||||||
| MEDICAL DIRECTOR | $280,648 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $280,648 | $0 | $0 | $0 |
| VASU KRISHNAKUMAR | ||||||||||||||
| PSYCHIATRIST | $272,291 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $272,291 | $0 | $0 | $0 |
| DANIEL A CALABRESE | ||||||||||||||
| PEDIATRICIAN | $266,297 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $266,297 | $0 | $0 | $0 |
| LEONARDO RODRIGUEZ | ||||||||||||||
| PEDIATRICIAN | $265,005 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $265,005 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $1,495,628 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION PROVIDES ALL BOARD MEMBERS WITH A COPY OF THE FORM 990 FOR REVIEW BEFORE THE 990 IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS REVIEW THE CONFLICT OF INTEREST POLICY ANNUALLY AND UPDATE IT WITH ANY DISCLOSURES. EACH BOARD MEMBER IS REQUIRED TO SIGN-OFF ON THE POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THERE IS NO COMPENSATION FOR BOARD MEMBERS. REGARDING THE CEO, THERE IS AN ANNUAL CONTRACT REVIEW BY THE BOARD MEMBERS. OTHER OFFICERS AND KEY EMPLOYEES COMPENSATION AGREEMENTS ARE AUTHORIZED BY THE CEO. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC THROUGH THE IRS, ARIZONA CORPORATION COMMISSION, DUN AND BRADSTREET, AND GUIDESTAR. |
| FORM 990, PART IX, LINE 11G | OTHER: PROGRAM SERVICE EXPENSES 1,845,899. MANAGEMENT AND GENERAL EXPENSES 7,056,673. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,902,572. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGIONAL CENTER FOR BORDER HEALTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 214 W MAIN ST PO BOX 617 | AddressLine1Txt |
| City | SOMERTON | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 853500617 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 860561847 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | AZ | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 7 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| REGIONAL CENTER FOR BORDER HEALTH | ||
| J | $2,699,433 | AMOUNT PAID |
| REGIONAL CENTER FOR BORDER HEALTH | ||
| R | $6,900,000 | FMV |