2022-11-15T22:42:23-06:00 2021-12-31 621804252 WATKINS UIBERALL PLLC 1661 AARON BRENNER DR STE 300 MEMPHIS TN 38120 990 2021-01-01 841737116 DARSALUD COMMUNITY CENTER INC DARS 9016830024 1068 CRESTHAVEN RD SUITE 300 MEMPHIS TN 38119 PEDRO VELASQUEZ MIEYER PRESIDENT 8778295500 2022-11-15 1 PEDRO VELASQUEZ MIEYER 999009999 BENJAMIN D COLLINS P01307180 9017612720 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z LIFEDOC PEDRO VELASQUEZ MIEYER 1068 CRESTHAVEN ROAD SUITE 300 MEMPHIS TN 38103 5143065 0 X WWW.LIFEDOCHEALTH.ORG X 2019 TN DARSALUD WORKS TO CREATE A HEALTHIER COMMUNITY WITH EQUITABLE ACCESS TO HEALTHCARE. WE DEVELOP AND APPLY OUTCOME ORIENTED REFERENCE MODELS BY INTEGRATING AND IMPLEMENTING A DATA-DRIVEN, RESULT-ORIENTED, INTER-DISCIPLINARY AND CULTURALLY COMPETENT CLINICAL MODEL. WE GENERATE THE NECESSARY EVIDENCE FOR OPTIMIZING THE USE OF RESOURCES, EARLIER PREVENTIVE INTERVENTIONS TO PROMOTE HEALTH EQUITY AND PROVIDE COST-EFFECTIVE CARE FOR OUR PATIENTS AND COMMUNITIES. 12 12 21 0 0 0 128601 90097 0 5052968 0 0 0 0 128601 5143065 0 0 0 0 6158 350687 21309 0 0 28186 5050899 55653 5401586 72948 -258521 79939 661612 6842 847036 73097 -185424 X DARSALUD WORKS TO CREATE A HEALTHIER COMMUNITY WITH EQUITABLE ACCESS TO HEALTHCARE. WE DEVELOP AND APPLY OUTCOME ORIENTED REFERENCE MODELS BY INTEGRATING AND IMPLEMENTING A DATA-DRIVEN, RESULT-ORIENTED, INTER-DISCIPLINARY AND CULTURALLY COMPETENT CLINICAL MODEL. WE GENERATE THE NECESSARY EVIDENCE FOR OPTIMIZING THE USE OF RESOURCES, EARLIER PREVENTIVE INTERVENTIONS TO PROMOTE HEALTH EQUITY AND PROVIDE COST-EFFECTIVE CARE FOR OUR PATIENTS AND COMMUNITIES. 0 0 5135019 5052968 MEDICAL SERICES- INCLUDE PRIMARY CARE FOR ALL AGES, ENDOCRINE, DIABETES AND OBESITY MANAGEMENT, DIET AND EXERCISE COUNSELING, BEHAVIORAL HEALTH COUNSELING, CARDIOLOGY, ULTRASOUNDS, LABS, OPTOMETRY, EMERGENCY ROOM DIVERSION 5135019 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 1 3 0 1 21 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 TN X PEDRO VELASQUEZ RODRIGUEZ 9016830024 1068 CRESTHAVEN RD STE 300 MEMPHIS TN 38119 X ROBERT MEYERS VICE CHAIR 2.00 0.00 X X 0 0 0 ANDRES KARDUSS SECRETARY 2.00 0.00 X X 0 0 0 ANN CASHION DIRECTOR 2.00 0.00 X 0 0 0 ANTONIO OLAVARRIETA DIRECTOR 2.00 0.00 X 0 0 0 BRIAN DOBBINS DIRECTOR 2.00 0.00 X 0 0 0 CHARLES CHUCK PINKOWSKI DIRECTOR 2.00 0.00 X 0 0 0 IGNACIO VINCENTELLI DIRECTOR 2.00 0.00 X 0 0 0 JOCQUELL RODGERS DIRECTOR 2.00 0.00 X 0 0 0 LARRY SHUTZBERG DIRECTOR 2.00 0.00 X 0 0 0 MATTHEW MCDONALD DIRECTOR 2.00 0.00 X 0 0 0 OMAR RODRIGEZ DIRECTOR 2.00 0.00 X 0 0 0 PEDRO VELASQUEZ-MIEYER EXECUTIVE DIRECTOR/CHAIRMAN 2.00 0.00 X 0 0 0 0 0 0 0 0 0 0 DARSALUD CARE PLLC 825 VALLEYBROOK MEMPHIS TN 38120 EMPLOYEE LEASING 2178995 DARSALUD MANAGEMENT LLC 825 VALLEYBROOK MEMPHIS TN 38120 MANAGEMENT SERVICES 1712238 MCKESSON MEDICAL SURGICAL INC PO BOX 634404 CINCINNATI OH 452634404 MEDICAL SERVICES 224000 UNIVERSITY CLINICAL HEALTH 1407 UNION AVENUE SUITE 700 MEMPHIS TN 38104 RENTAL SERVICES 147000 4 90097 90097 PATIENT SERVICE FEES 621300 5052968 5052968 5052968 5143065 5052968 0 0 314916 314916 30269 30269 5502 5502 1638758 1638758 75180 75180 1254 1254 8668 8668 310667 300242 10425 6224 5399 825 550251 550251 4153 4153 968 968 542 542 32173 32173 CONTRACT LABOR 2275392 2252475 22917 MEDICAL EXPENSES 80887 80887 CONTINUING EDUCATION 23000 23000 REPAIRS & MAINTENANCE 20447 20447 22335 16205 6130 5401586 5135019 266567 0 79939 116199 539017 6938 542 0 6396 79939 661612 6842 847036 6842 847036 X 73097 -185424 73097 -185424 79939 661612 -258521 0 X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6938 542 6396 6396 5155565 12500 12500 5143065 0 5143065 5414086 12500 12500 5401586 0 5401586 X X X 0 0 0 0 0 0 0 0 0 PART I, LINE 3 THE EXECUTIVE DIRECTOR IS NOT A PAID EMPLOYEE, BUT IS A SERVICE RENDERED THROUGH THE MANAGEMENT COMPANY. DR PEDRO VELASQUEZ-MIEYER EXECUTIVE DIRECTOR 2178995 THE ORGANIZATION PAID $2,178,995 TO DARSALUD CARE PLLC, WHICH IS OWNED 100% BY DR. PEDRO VELASQUEZ-MIEYER, IN ACCORDANCE WITH AN EMPLOYEE LEASING AGREEMENT THAT IS IN PLACE BETWEEN THE TWO ENTITIES. 0 PEDRO VELASQUEZ SON OF EXECUTIVE DIRECTOR 1712238 THE ORGANIZATION PAID $1,638,758 TO DARSALUD MANAGEMENT LLC, WHICH IS OWNED 100% BY PEDRO VELASQUEZ, IN MANAGEMENT FEES PER THE TERMS OF AN EXECUTED MANAGEMENT AGREEMENT BETWEEN THE TWO ENTITIES. THE ORGANIZATION ALSO PAID $73,480 TO REMIBURSE DARSALUD MANAGEMENT LLC FOR EMPLOYEES WHICH WERE LEASED TO THE ORGANIZATION. 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED WITH INTERNAL EMPLOYEES, THE BOARD, AND THE EXTERNAL ACCOUNTANTS FOR ACCURACY. FORM 990, PART VI, SECTION B, LINE 12C ANY POSSIBLE CONFLICT OF INTEREST SHALL BE DISCLOSED TO THE BOARD OF DIRECTORS BY THE PERSON CONCERNED. AFTER DISCLOSURE OF A POSSIBLE CONFLICT OF INTEREST, THE INTEREST PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE POSSIBLE CONFLICT IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. FORM 990, PART VI, SECTION C, LINE 19 ALL INFORMATION IS AVAILABLE UPON REQUEST AND CAN BE VIEWED ONLINE AT GUIDESTAR.ORG. DARSALUD CARE PLLC 825 VALLEYBROOK DR MEMPHIS TN 38120 460981201 HEALTHCARE PROVIDER TN HEALTHCARE 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 DARSALUD CARE PLLC O 2178995 ACTUAL VALUE DARSALUD CARE PLLC E 75700 ACTUAL VALUE