SAN LUIS WALK-IN CLINIC INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- SAN LUIS WALK-IN CLINIC INC (EIN 65-1170616)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-03-31
- IRS object ID
- 202010919349300416
- Schema version
- 2018v3.2
- 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 | 2020-03-31T10:32:31-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 821455657 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FESTER & CHAPMAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9019 E BAHIA DR STE 100 | AddressLine1Txt |
| City | SCOTTSDALE | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85260 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | 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 | 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 | 214 WEST MAIN STREET | 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 | 2020-03-27 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RACHEL R LOCKE CPA | PreparerPersonNm |
| PTIN | P00450405 | PTIN |
| Phone | 6022643077 | PhoneNum |
| Preparation | 2020-03-27 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 52.38.98.93 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-03-27 | IPDt |
| IP Tm | 11:09:55 | IPTm |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 8E3B39655E0954D4A1E67F71D7A5BEA66E1016BC | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 31C230664C7EAF88DFFCDDE526E1F329ED01C1F1 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | 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 | 215 W MAIN ST | AddressLine1Txt |
| City | SOMERTON | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85350 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,360,076 | GrossReceiptsAmt |
| Group Return For Affiliates | false | 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 | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 226 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,009,260 | PYContributionsGrantsAmt |
| CY Contributions Grants | $730,098 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,486,557 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,621,195 | CYProgramServiceRevenueAmt |
| PY Investment Income | $254 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,016 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,151 | PYOtherRevenueAmt |
| CY Other Revenue | $6,767 | CYOtherRevenueAmt |
| PY Total Revenue | $14,502,222 | PYTotalRevenueAmt |
| CY Total Revenue | $17,360,076 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,919,978 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,757,573 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,939,387 | PYOtherExpensesAmt |
| CY Other Expenses | $6,678,418 | CYOtherExpensesAmt |
| PY Total Expenses | $12,859,365 | PYTotalExpensesAmt |
| CY Total Expenses | $15,435,991 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,642,857 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,924,085 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,249,508 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,319,032 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,972,361 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,117,800 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,277,147 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,201,232 | 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 | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $12,483,013 | ExpenseAmt |
| Revenue | $16,621,195 | 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 | $12,483,013 | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 25 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 226 | 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THE ORGANIZATION | PersonNm |
| 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 (14 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 |
|---|---|---|---|---|---|---|---|
| CANDICE ORDUNO | |||||||
| CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ARTURO MAGANA | |||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TULY MEDINA | |||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JUAN MANUEL GUERRERO | |||||||
| VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| FRANK ENRIQUEZ | |||||||
| DIRECTOR | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| PRAKSHEP B BHATT | |||||||
| MEDICAL DIRE | 40.00 | Yes (X) | $266,102 | $0 | $0 | ||
| ELENA RODRIGUEZ | |||||||
| COO | 40.00 | Yes (X) | $90,660 | $0 | $0 | ||
| AMANDA AGUIRRE | |||||||
| CEO/PRESIDEN | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| ILIAN MARQUEZ | |||||||
| FINANCE DIRE | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| CHARLOTTE RICHARDS | |||||||
| OB/GYN | 40.00 | $307,794 | $0 | $0 | Yes (X) | ||
| GREGG S ZANKMAN | |||||||
| PEDIATRICIAN | 40.00 | $252,000 | $0 | $0 | Yes (X) | ||
| LEONARDO RODRIGUEZ | |||||||
| PEDIATRICIAN | 40.00 | $243,897 | $0 | $0 | Yes (X) | ||
| ROBERT BROOKS | |||||||
| OB/GYN | 40.00 | $242,550 | $0 | $0 | Yes (X) | ||
| DANIEL A CALABRESE | |||||||
| PEDIATRICIAN | 40.00 | $241,299 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,644,302 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 6 | 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 | CompensationCompensationAmt |
|---|---|---|---|---|
| NEW YORK LIFE INS-RETIREMENT | ||||
| 75 REMITTANCE DR STE 3021 | CHICAGO | IL | 606753021 | $440,303 |
| BCBS OF ARIZONA INC | ||||
| PO BOX 81049 | PHOENIX | AZ | 850691049 | $272,192 |
| MCKESSON MEDICAL SURGICAL | ||||
| PO BOX 634404 | CINCINATTI | OH | 452634404 | $210,687 |
| ARIZONA COMPLETE HEALTH COMPLETE | ||||
| 1870 W RIO SALADO PRKWY STE 2A | TEMPE | AZ | 852812145 | $160,000 |
| FASPSYCH LLC | ||||
| 8687 E VIA DE VENTURA | SCOTTSDALE | AZ | 85258 | $154,536 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $730,098 | AllOtherContributionsAmt |
| Noncash Contributions | $700,777 | NoncashContributionsAmt |
| Total Contributions | $730,098 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $16,621,195 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,621,195 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,621,195 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,016 | TotalRevenueColumnAmt |
| Exclusion | $2,016 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $6,767 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,767 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,767 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,360,076 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,627,962 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $2,016 | 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 | $356,763 | TotalAmt |
| Program Services | $314,244 | ProgramServicesAmt |
| Management And General | $42,519 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,545,206 | TotalAmt |
| Program Services | $5,765,154 | ProgramServicesAmt |
| Management And General | $780,052 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,855,604 | TotalAmt |
| Program Services | $1,537,534 | ProgramServicesAmt |
| Management And General | $318,070 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $338 | TotalAmt |
| Program Services | $59 | ProgramServicesAmt |
| Management And General | $279 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,250 | TotalAmt |
| Program Services | $4,250 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,807,232 | TotalAmt |
| Program Services | $2,344,370 | ProgramServicesAmt |
| Management And General | $1,462,862 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,832 | TotalAmt |
| Program Services | $120,549 | ProgramServicesAmt |
| Management And General | $3,283 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,194 | TotalAmt |
| Program Services | $50,298 | ProgramServicesAmt |
| Management And General | $6,896 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $617,725 | TotalAmt |
| Program Services | $547,131 | ProgramServicesAmt |
| Management And General | $70,594 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,259 | TotalAmt |
| Program Services | $97,889 | ProgramServicesAmt |
| Management And General | $27,370 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,542 | TotalAmt |
| Management And General | $123,542 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,351 | TotalAmt |
| Program Services | $152,971 | ProgramServicesAmt |
| Management And General | $2,380 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $1,318,039 | $1,285,986 | $32,053 |
| UTILITIES | $121,449 | $106,594 | $14,855 |
| TELEPHONE | $91,553 | $67,535 | $24,018 |
| EQUIPMENT R&M | $83,545 | $67,654 | $15,891 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,109 | TotalAmt |
| Program Services | $20,795 | ProgramServicesAmt |
| Management And General | $28,314 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,435,991 | TotalAmt |
| Program Services | $12,483,013 | ProgramServicesAmt |
| Management And General | $2,952,978 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $320,036 | BOYAmt |
| EOY | $973,032 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,487,528 | BOYAmt |
| EOY | $5,862,776 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,856 | BOYAmt |
| EOY | $66,097 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,840 | BOYAmt |
| EOY | $71,075 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $920,357 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $629,026 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $289,473 | BOYAmt |
| EOY | $291,331 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,775 | BOYAmt |
| EOY | $54,721 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,249,508 | BOYAmt |
| EOY | $7,319,032 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $408,950 | BOYAmt |
| EOY | $531,107 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,563,411 | BOYAmt |
| EOY | $2,586,693 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,972,361 | BOYAmt |
| EOY | $3,117,800 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,277,147 | BOYAmt |
| EOY | $4,201,232 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,277,147 | BOYAmt |
| EOY | $4,201,232 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,249,508 | BOYAmt |
| EOY | $7,319,032 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,924,085 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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 | $798,574 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $785,632 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $781,497 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,009,260 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $732,114 | CurrentTaxYearAmt |
| Total | $4,107,077 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,100,460 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,648,076 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,850,529 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,492,708 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,627,962 | CurrentTaxYearAmt |
| Total | $52,719,735 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,899,034 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,433,708 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,632,026 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,501,968 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,360,076 | CurrentTaxYearAmt |
| Total | $56,826,812 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $56,826,812 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $371 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $647 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,191 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $254 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,016 | CurrentTaxYearAmt |
| Total | $4,479 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $371 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $647 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,191 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $254 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,016 | CurrentTaxYearAmt |
| Total | $4,479 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,899,405 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,434,355 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,633,217 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,502,222 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,362,092 | CurrentTaxYearAmt |
| Total | $56,831,291 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99990 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $635,790 | OtherCostOrOtherBasisAmt |
| Depreciation | $443,661 | DepreciationAmt |
| Book Value | $192,129 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $284,567 | OtherCostOrOtherBasisAmt |
| Depreciation | $185,365 | DepreciationAmt |
| Book Value | $99,202 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $291,331 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO PARENT | $1,786,693 |
| REFUNDABLE ADVANCES | $800,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,586,693 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $17,360,076 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $17,360,076 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $17,360,076 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $15,435,991 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $15,435,991 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $15,435,991 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|
| PRAKSHEP B BHATT | ||
| MEDICAL DIRECTOR | $266,102 | $266,102 |
| CHARLOTTE RICHARDS | ||
| OB/GYN | $307,794 | $307,794 |
| GREGG S ZANKMAN | ||
| PEDIATRICIAN | $252,000 | $252,000 |
| LEONARDO RODRIGUEZ | ||
| PEDIATRICIAN | $243,897 | $243,897 |
| ROBERT BROOKS | ||
| OB/GYN | $242,550 | $242,550 |
| DANIEL A CALABRESE | ||
| PEDIATRICIAN | $241,299 | $241,299 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $700,777 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S 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. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE ORGANIZATION PROVIDES ALL BOARD MEMBERS WITH A COPY OF THE FORM 990 FOR REVIEW BEFORE THE 990 IS FILED. |
| FORM 990, PAGE 6, PART VI, 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, PAGE 6, PART VI, LINE 15A | THERE IS NO COMPENSATION FOR BOARD MEMBERS. REGARDING THE CEO, THERE IS AN ANNUAL CONTRACT REVIEW BY THE BOARD MEMBERS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | OTHER OFFICERS AND KEY EMPLOYEES COMPENSATION AGREEMENTS ARE AUTHORIZED BY THE CEO. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC THROUGH IRS, ARIZONA CORPORATION COMMISSION, DUN AND BRADSTREET, AND GUIDESTAR. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL SERVICES 2,344,370 1,462,862 0 |
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 | 3 | ExemptCodeSectionTxt |
| Public Charity Status | 7 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| REGIONAL CENTER FOR BORDER HEALTH | ||
| J | $604,265 | AMOUNT PAID |
| REGIONAL CENTER FOR BORDER HEALTH | ||
| R | $3,000,000 | FMV |