COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS INC (EIN 74-1548089)
- Tax period
- 2021-12-01 to 2022-11-30
- Filed
- 2023-10-12
- IRS object ID
- 202322859349301137
- 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 | 2023-10-12T01:56:44-00:00 | ReturnTs |
| Tax Period End | 2022-11-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 741851779 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Leal & Carter PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16011 University Oak | AddressLine1Txt |
| City | San Antonio | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78249 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-12-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 741548089 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 8306726511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 228 SAINT GEORGE STEET | AddressLine1Txt |
| City | Gonzales | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78629 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RAFAEL DE LA PAZ | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8306726511 | PhoneNum |
| Signature | 2023-10-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | RAFAEL | PersonFirstNm |
| Person Last | DE LA PAZ | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Robert Carter | PreparerPersonNm |
| PTIN | P01401767 | PTIN |
| Phone | 2106966206 | PhoneNum |
| Preparation | 2023-10-12 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | 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 | RAFAEL DE LA PAZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 228 SAINT GEORGE STREET | AddressLine1Txt |
| City | GONZALES | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78629 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $18,596,140 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | CHCSCT.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | Providing primary medical, dental and behavioral health services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 265 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $10,696,492 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,918,474 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,135,830 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,670,819 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,739 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,847 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $18,835,061 | PYTotalRevenueAmt |
| CY Total Revenue | $18,596,140 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,447,626 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,912,842 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,063,262 | PYOtherExpensesAmt |
| CY Other Expenses | $5,808,407 | CYOtherExpensesAmt |
| PY Total Expenses | $16,510,888 | PYTotalExpensesAmt |
| CY Total Expenses | $17,721,249 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,324,173 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $874,891 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,235,238 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,901,337 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,066,890 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,858,098 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,168,348 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,043,239 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Providing primary medical, dental and behavioral health services. Whether on site or through referral. Through a seamless array providing primary medical, dental and behavioral health services. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $7,293,175 | ExpenseAmt |
| Grant | $4,629,176 | GrantAmt |
| Revenue | $5,747,108 | RevenueAmt |
| Desc | Medical - Community Health Centers of South Central Texas, Inc. CHCSCT has 40 years of continuous operations which target populations with residents below 100 of the federal poverty guidelines. One of the continuing expectations of CHCSCT is to accurately access and subsequently address the unique health status indicators of these residents and then to provide services. Services provided by the Center are comprehensive in scope, coordinating the overall physical, mental, and social services needs of the clients. CHCSCT strives to treat the entire person and goes well beyond that of traditionally described as a primary or ambulatory care center. Staff prides itself on services whether provided on site or through referral. Through a seamless array of health care, some of the services provided are Obstetrics health education Title XX Title X Title V Womens Health Infants Children WIC Transportation Social Service Case Management referrals to specialist and radiology. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,316,728 | ExpenseAmt |
| Grant | $1,553,196 | GrantAmt |
| Revenue | $1,047,437 | RevenueAmt |
| Desc | Dental - CHCSCT has 40 years of continuous operation which target populations with residents below 100 of the Federal poverty guidelines. One of the continuing expectations of CHCSCT is to accurately access and subsequently address the unique health status indicators of these residents and then to provide services. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $350,135 | ExpenseAmt |
| Grant | $158,844 | GrantAmt |
| Revenue | $564,711 | RevenueAmt |
| Desc | Behavioral Health - CHCSCT has 40 years of continuous operations which target populations with residents below 100 of the federal guidelines. One of the continuing expectations of CHCSCT is to accurately access and subsequently address the unique health status indicators of these residents and then to provide services. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $511,231 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $535,413 | TotalOtherProgSrvcGrantAmt |
| Total Program Service Expenses | $10,471,269 | 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 | false | 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 | Yes (true) | 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 | Yes (true) | 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 | Yes (true) | ScheduleORequiredInd |
| IRP Document | 33 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 265 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | 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 |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | Yes (true) | 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 | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | TX | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOE MELGAR | PersonNm |
| Phone | 8306726511 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 228 SAINT GEORGE | AddressLine1Txt |
| City | GONZALES | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78629 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| DR THEODORE N HELD | |||||||
| PHYSICIAN | 040.00 | Yes (X) | $222,256 | $0 | $0 | ||
| DR TOPE C OLOWO | |||||||
| PHYSICIAN | 040.00 | Yes (X) | $202,401 | $0 | $0 | ||
| DR DEBRA IRWIN | |||||||
| PHYSICIAN | 040.00 | Yes (X) | $198,088 | $0 | $0 | ||
| MR RAFAEL DE LA PAZ | |||||||
| CEO | 040.00 | Yes (X) | $194,993 | $0 | $0 | Yes (X) | |
| DR YASHASHRI URANKAR | |||||||
| DENTIST | 040.00 | Yes (X) | $159,954 | $0 | $0 | ||
| DR BEATRIZ ORTEGA OSORIO | |||||||
| DENTIST | 040.00 | Yes (X) | $138,309 | $0 | $0 | ||
| MR LONNIE RICHISON | |||||||
| CFO | 042.00 | $134,000 | $0 | $0 | Yes (X) | ||
| MR RAZIEL DE LA BARREDA | |||||||
| COO | 040.00 | $123,431 | $0 | $0 | Yes (X) | ||
| MS CHRISTINA M CORDOVA | |||||||
| CHIEF CLINICAL OPERATIONS OFFICER | 040.00 | $108,397 | $0 | $0 | Yes (X) | ||
| GABRIEL GALLARDO | |||||||
| CODO | 040.00 | $87,739 | $0 | $0 | Yes (X) | ||
| MR CHARLES PATTERSON | |||||||
| PRESIDENT | 002.00 | $0 | $0 | $0 | Yes (X) | ||
| MS ROSIE FLORES | |||||||
| VICE PRESIDENT | 002.00 | $0 | $0 | $0 | Yes (X) | ||
| MR PHILLIP BOROWITZ | |||||||
| TREASURER | 002.00 | $0 | $0 | $0 | Yes (X) | ||
| MS DOROTHY EBERLE | |||||||
| SECRETARY | 002.00 | $0 | $0 | $0 | Yes (X) | ||
| MS DEBORAH LAURENTS | |||||||
| DIRECTOR | 002.00 | $0 | $0 | $0 | Yes (X) | ||
| MS LISA BURNS | |||||||
| DIRECTOR | 002.00 | $0 | $0 | $0 | Yes (X) | ||
| MR DANIEL M KLEINER | |||||||
| DIRECTOR | 002.00 | $0 | $0 | $0 | Yes (X) | ||
| Rev Gary L Clack | |||||||
| DIRECTOR | 002.00 | $0 | $0 | $0 | Yes (X) | ||
| MS LINDA S KOHLEFFEL | |||||||
| DIRECTOR | 002.00 | $0 | $0 | $0 | Yes (X) | ||
| MS DELILAH PEREZ | |||||||
| DIRECTOR | 002.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,569,568 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| QUEST DIAGNOSTICS | |||||
| PO BOX 677960 | DALLAS | TX | 75267 | LAB SERVICES | $353,843 |
| GREENWAY HEALTH | |||||
| 4301 WEST BOY SCOUT BLVD SUITE 800 | TAMPA | FL | 33607 | EHR, DATA ANALYTICS, SOFTWARE | $224,839 |
| SALCO SOLUTIONS GROUP | |||||
| 5606 RANDLPH BLVD | SAN ANTONIO | TX | 78233 | SECURITY, SOTWARE, INFRASTRUCTURE SERVICES | $260,046 |
| BENZ & KLUMB LUMBER COMPANY INCORPORATED | |||||
| PO BOX 370 | JOURDANTON | TX | 78026 | CONTRACTOR SERVICES | $108,639 |
| BLUESTAR TELEHEATH | |||||
| 7654 STANDISTH PL | DERWOOD | MD | 20855 | SOFTWARE MONITORING AND PROGRAM MANAGEMENT | $108,049 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $7,187,357 | GovernmentGrantsAmt |
| All Other Contributions | $2,731,117 | AllOtherContributionsAmt |
| Noncash Contributions | $144,597 | NoncashContributionsAmt |
| Total Contributions | $9,918,474 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Private Patient Fees | 621400 | $1,716,680 | $1,716,680 |
| Medicaid | 900099 | $4,076,453 | $4,076,453 |
| Medicare | 900099 | $594,856 | $594,856 |
| Other Revenue | 900099 | $2,282,830 | $2,282,830 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,670,819 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,847 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,847 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,596,140 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,677,666 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,361,770 | TotalAmt |
| Program Services | $6,922,850 | ProgramServicesAmt |
| Management And General | $3,438,920 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,551,072 | TotalAmt |
| Program Services | $951,052 | ProgramServicesAmt |
| Management And General | $600,020 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,546 | TotalAmt |
| Program Services | $55,664 | ProgramServicesAmt |
| Management And General | $14,882 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,851 | TotalAmt |
| Program Services | $14,082 | ProgramServicesAmt |
| Management And General | $124,769 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,397 | TotalAmt |
| Program Services | $38,677 | ProgramServicesAmt |
| Management And General | $123,720 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,743 | TotalAmt |
| Program Services | $10,481 | ProgramServicesAmt |
| Management And General | $48,262 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,954 | TotalAmt |
| Program Services | $1,750 | ProgramServicesAmt |
| Management And General | $25,204 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,801 | TotalAmt |
| Management And General | $73,801 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $554,120 | TotalAmt |
| Program Services | $181,920 | ProgramServicesAmt |
| Management And General | $372,200 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,458 | TotalAmt |
| Program Services | $5,044 | ProgramServicesAmt |
| Management And General | $101,414 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACY VACCINES | $936,346 | $778,241 | $158,105 |
| CONTRACTED HEALTH SERVICES | $489,276 | $469,581 | $19,695 |
| CONSULTANTS | $356,434 | $75,555 | $280,879 |
| REPAIRS AND MAINTENANCE | $276,794 | $102,590 | $174,204 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,557,687 | TotalAmt |
| Program Services | $863,782 | ProgramServicesAmt |
| Management And General | $1,693,905 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,721,249 | TotalAmt |
| Program Services | $10,471,269 | ProgramServicesAmt |
| Management And General | $7,249,980 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,674,799 | BOYAmt |
| EOY | $6,062,239 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,094,948 | BOYAmt |
| EOY | $1,489,068 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,107 | BOYAmt |
| EOY | $51,999 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $15,730,958 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,452,928 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,443,384 | BOYAmt |
| EOY | $10,278,031 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,000 | BOYAmt |
| EOY | $20,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,235,238 | BOYAmt |
| EOY | $17,901,337 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,210,885 | BOYAmt |
| EOY | $1,137,329 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,310 | BOYAmt |
| EOY | $29,619 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,730,695 | BOYAmt |
| EOY | $1,691,150 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,066,890 | BOYAmt |
| EOY | $2,858,098 | 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 | $14,168,348 | BOYAmt |
| EOY | $15,043,239 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,168,348 | BOYAmt |
| EOY | $15,043,239 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,235,238 | BOYAmt |
| EOY | $17,901,337 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $874,891 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | false | 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 | $6,477,851 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,681,899 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,137,112 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,772,033 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,196,713 | CurrentTaxYearAmt |
| Total | $34,265,608 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,477,851 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,681,899 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,137,112 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,772,033 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,196,713 | CurrentTaxYearAmt |
| Total | $34,265,608 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $34,265,608 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,010 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,964 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,857 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,239 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $42,847 | CurrentTaxYearAmt |
| Total | $79,917 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $34,345,525 | TotalSupportAmt |
| Public Support CY170 | 0.99770 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99880 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $196,514 | OtherCostOrOtherBasisAmt |
| Book Value | $196,514 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,780,512 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,729,132 | DepreciationAmt |
| Book Value | $9,051,380 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $589,917 | OtherCostOrOtherBasisAmt |
| Depreciation | $374,126 | DepreciationAmt |
| Book Value | $215,791 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,022,290 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,251,079 | DepreciationAmt |
| Book Value | $771,212 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $141,725 | OtherCostOrOtherBasisAmt |
| Depreciation | $98,591 | DepreciationAmt |
| Book Value | $43,134 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,278,031 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Federal income taxes | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Rev Etc Audited Fincl Stmt | $18,596,140 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $18,596,140 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $18,596,140 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $17,721,249 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $17,721,249 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $17,721,249 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|
| MR RAFAEL DE LA PAZ | ||
| CEO | $194,993 | $194,993 |
| DR YASHASHRI URANKAR | ||
| DENTIST | $159,954 | $159,954 |
| DR DEBRA IRWIN | ||
| PHYSICIAN | $198,088 | $198,088 |
| DR THEODORE N HELD | ||
| PHYSICIAN | $222,256 | $222,256 |
| DR TOPE C OLOWO | ||
| PHYSICIAN | $202,401 | $202,401 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $144,597 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d | Program Service Expenses 511,231, Grants and allocations 535,413, Revenue 0 WIC - CHCSCT has 40 years of continuous operations which target populations with residents below 100 of the federal poverty guidelines. Provides grants to states for supplemental foods, health care referrals, and nutrition education for low income pregnant, breastfeeding, and non-breasfeeding postpartum. |
| Form 990, Part VI, Section B, Line 15a | The human resources, other community clinics for compensation and other industries in the region |
| Form 990, Part VI, Section B, Line 11b | The Management Group meets and reviews the complete return |
| Form 990, Part VI, Section B, Line 12c | The policy is monitored by the board of directors and management. |
| Form 990, Part VI, Section B, Line 15b | Compensation is determined by similar size organizations in the region. |
| Form 990, Part VI, Section C, Line 19 | The Organizations governing documents, conflict of interest policy, and financial statements available upon request. |
| Form 990, Part III, Line 4d | WIC Program - The Special Supplemental program for Womens, Infants and Children WIC. Other Provides grants to states for supplemental foods, health care referrals, and nutrition education for low income pregnant, breastfeeding, and non-breastfeeding postpartum. otherWomen, and to infants and children up to the age of five who are found to be at nutritional risk. Expenses of 238,413 including grants of 535,413, Revenue535,413. DescriptionWIC - CHCSCT has 40 years of continuous operations which target populations with residents below 100 of the federal poverty guidelines. One of the continuing expectations of CHCSCT is to accurately access and subsequently address the unique health status indicators of these residents and then to provide services. |
| Form 990, Part IX, Line 24e | All other expensesGrant Pass Thru Expenses 135,000, Program Service 0, Management and General 135,000. Professional Fees 74,204, Program Services 254 Management and General 73,950 Licenses, Memberships dues 46,552, Program service 18,776, Management and General 27,776 Equipment Rent 261,340, Program Services 26,652, Management and General 234,688, Staff Development 73,888, Program Services 56,795, Management and General 17,093 Telephone, Fax Data 208,512, Program Services 12,264, Management and General 196,248 Medical Dental Supplies 373,001, Program Services 370,770, Management and General 2,231 Supplies 80,631, Program Services 16,386, Management and General 64,245 In Kind Expenses 144,597, Program Services 144,597, Management and General 0. Minor Furniture, Equipment Software 879,775, Program Services 174,238, Management and General 705,537. Patient Education Outreach 9,772, Program Services 0, Management and General 9,772. Other Expenses 270,411, Program Services 43,049, Management and General 227,362. |