STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

AGHABY COMPREHENSIVE COMMUNITY HEALTH CENTER: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
AGHABY COMPREHENSIVE COMMUNITY HEALTH CENTER (EIN 46-2637814)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-02
IRS object ID
202013079349302801
Schema version
2019v5.1
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

FieldValueIRS element (for citing)
Return2020-11-02T19:10:46-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN330783700PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PDM LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13460 TORRANCE BLVD STE 200AddressLine1Txt
CityTORRANCECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90503ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN462637814EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AGHABY COMPREHENSIVE COMMUNITYBusinessNameLine1Txt
Business Name Line2HEALTH CENTERBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlAGHABusinessNameControlTxt
Phone4247855170PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1349 W COMPTON BLVDAddressLine1Txt
CityCOMPTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90220ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR NAGY BEBAWYPersonNm
Person TitleCEOPersonTitleTxt
Phone4247855170PhoneNum
Signature2020-10-20SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTHONY P BOZANIC CPAPreparerPersonNm
PTINP01314417PTIN
Phone3105404118PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address108.178.155.202IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-10-20IPDt
IP Tm15:21:15IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdB8FCE097B71C0D05B3FD96278EFA7EF56C91CAB1AtSubmissionCreationDeviceId
At Submission Filing Device Id0CF3F662CC2085D1938B31A23831BF3714BC300AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDR NAGY BEBAWYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1349 W COMPTON BLVDAddressLine1Txt
CityCOMPTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90220ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,358,273GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2014FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO OPERATE STATE-LICENSED COMMUNITY HEALTH CLINICS IN COMPTON AND WALNUT PARK, CA.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee17TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,497,396PYProgramServiceRevenueAmt
CY Program Service Revenue$2,356,319CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$1,954CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,497,396PYTotalRevenueAmt
CY Total Revenue$2,358,273CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$644,067PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$428,334CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$862,132PYOtherExpensesAmt
CY Other Expenses$1,232,849CYOtherExpensesAmt
PY Total Expenses$1,506,199PYTotalExpensesAmt
CY Total Expenses$1,661,183CYTotalExpensesAmt
PY Revenues Less Expenses-$8,803PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$697,090CYRevenuesLessExpensesAmt
Total Assets BOY$856,886TotalAssetsBOYAmt
Total Assets EOY$972,839TotalAssetsEOYAmt
Total Liabilities BOY$856,882TotalLiabilitiesBOYAmt
Total Liabilities EOY$275,745TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$697,094NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE ACCESS TO AFFORDABLE AND QUALITY MEDICAL SERVICES TO THE RESIDENTS OF COMPTON, WALNUT PARK, CALIFORNIA AND ITS SURROUNDING COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,339,297ExpenseAmt
Revenue$2,356,319RevenueAmt
DescTHE ORGANIZATION MAINTAINS AND OPERATES STATE-LICENSED COMMUNITY HEALTH CLINICS IN WALNUT AND COMPTON FOR FAMILIES. THESE CLINICS PROVIDE MEDICAL, DENTAL, AND GENERAL MEDICAL SERVICES FOR CHILDREN, ADULTS, AND SENIORS REGARDLESS OR WHERE THEY RESIDE. THE ORGANIZATION RUNS THE CLINICS WITH A VISION TO BE A LEADING COMMUNITY-BASED HEALTH CENTER, PROVIDING AFFORABLE QUALITY HEALTH CARE SERVICES TO ALL. THE ORGANIZATION CONTRACTS DIRECTLY OR INDIRECTLY WITH GOVERNMENTAL AGENCIES. BOTH LOCATIONS WERE DESIGNATED AS FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE BY HRSA EFFECTIVE SEPTEMBER 2017.Desc
Total Program Service Expenses$1,339,297TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee17EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDR NAGY BEBAWYPersonNm
Phone3107622250PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1349 W COMPTON BLVDAddressLine1Txt
CityCOMPTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90220ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MARCO GUERRERO
TREASURER/SECERTARY1.00Yes (X)Yes (X)$0$0$0
MOTAZ GERGES
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
NASSER MORCOS
BOARD MEMBER1.00Yes (X)$0$0$0
MASSOUD AKHAVAI
BOARD MEMBER1.00Yes (X)$0$0$0
DORLORES ZURITA
BOARD MEMBER1.00Yes (X)$0$0$0
LETICIA GONZALES
BOARD MEMBER1.00Yes (X)$0$0$0
ERICA CAREY
BOARD MEMBER1.00Yes (X)$0$0$0
BREA WILEY
BOARD MEMBER1.00Yes (X)$0$0$0
VIVIAN MESSIHA
BOARD MEMBER1.00Yes (X)$0$0$0
DR NAGY BEBAWY
CEO40.00Yes (X)$273,500$0$0
JOHN PAZIRANDEH
CFO10.00Yes (X)$38,500$0$0
DR SAIED I SAIED
CMO40.00Yes (X)$103,371$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$415,371TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PRESTIGE MANAGEMENT SERVICES INC
8140 SAN MIGUEL AVESOUTHGATECA90280OUTREACH AND TRANSPORTATION SERVICES$225,000
JESSICA BARRAGAN NP
208 LA GROSS WAYCHATSWORTHCA91311MEDICAL PROVIDER SERVICES$188,960
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUDesc
Business624100BusinessCd
Total Revenue Column$2,356,319TotalRevenueColumnAmt
Related Or Exempt Func Income$2,356,319RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,356,319TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,954TotalRevenueColumnAmt
Exclusion$1,954ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,358,273TotalRevenueColumnAmt
Related Or Exempt Func Income$2,356,319RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,954ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$286,500TotalAmt
Program Services$234,930ProgramServicesAmt
Management And General$51,570ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$102,158TotalAmt
Program Services$83,770ProgramServicesAmt
Management And General$18,388ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$39,676TotalAmt
Program Services$32,534ProgramServicesAmt
Management And General$7,142ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$653,096TotalAmt
Program Services$554,339ProgramServicesAmt
Management And General$98,757ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,583TotalAmt
Program Services$8,687ProgramServicesAmt
Management And General$2,896ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$21,363TotalAmt
Program Services$19,227ProgramServicesAmt
Management And General$2,136ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$136,380TotalAmt
Program Services$115,923ProgramServicesAmt
Management And General$20,457ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,093TotalAmt
Program Services$614ProgramServicesAmt
Management And General$3,479ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$86,813TotalAmt
Program Services$69,450ProgramServicesAmt
Management And General$17,363ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$22,517TotalAmt
Program Services$18,014ProgramServicesAmt
Management And General$4,503ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OUTREACH$220,349$132,209$88,140
UTILITIES$26,022$22,119$3,903
MEDICAL SUPPLIES$25,793$25,793
REPAIRS & MAINTENANCE$21,015$17,863$3,152

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,825TotalAmt
Program Services$3,825ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,661,183TotalAmt
Program Services$1,339,297ProgramServicesAmt
Management And General$321,886ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$535,731BOYAmt
EOY$788,070EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$119,829BOYAmt
EOY$70,256EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$79,277LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$24,372LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$65,350BOYAmt
EOY$54,905EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$127,276BOYAmt
EOY$50,908EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,700BOYAmt
EOY$8,700EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$856,886BOYAmt
EOY$972,839EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$379,579BOYAmt
EOY$176,991EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$320,085BOYAmt
EOY$7,470EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$157,218BOYAmt
EOY$91,284EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$856,882BOYAmt
EOY$275,745EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4BOYAmt
EOY$697,094EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4BOYAmt
EOY$697,094EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$856,886BOYAmt
EOY$972,839EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$697,090ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$54,100OtherCostOrOtherBasisAmt
Depreciation$12,623DepreciationAmt
Book Value$41,477BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,177OtherCostOrOtherBasisAmt
Depreciation$11,749DepreciationAmt
Book Value$13,428BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$54,905TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,358,273TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$2,358,273RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,358,273TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,661,183TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,661,183ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,661,183TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT OF BEING SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. TO DATE, THE ORGANIZATION HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS. THE ORGANIZATION RECOGNIZES POTENTIAL ACCRUED INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS IN INCOME TAX EXPENSE. DURING THE YEAR ENDED DECEMBER 31,2019, THE ORGANIZATION DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonDR NAGY BEBAWYPersonNm
TitleCEOTitleTxt
Base Compensation Filing Org$273,500BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$273,500TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DR NABY BEBAWYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship With OrgCEORelationshipWithOrgTxt
Loan PurposeOPERATIONAL SUPPORTLoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$339,157OriginalPrincipalAmt
Balance Due$7,470BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$7,470TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
DR NAGY BEBAWY
CEO$7,470LOAN TO ORGANIZATION0
DR NAGY BEBAWY
CEO$90,000ACCRUED COMPENSATION0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE TAX RETURN IS PRESENTED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CALL BOARD OF DIRECTORS MEMBERS SIGN CONFLICT OF INTEREST STATEMENTS CONFIRMING THAT THEY UNDERSTAND THE CONFLICT OF INTEREST POLICY. THE BOARD SECRETARY MONITORS THESE PROCEDURES TO HELP ASSURE THAT THERE ARE NO CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD OF DIRECTORS APPROVES THE AUDITED FINANCIAL STATEMENTS PRIOR TO ISSUANCE. IN ADDITION, THE BOARD APPROVES THE SALARIES, WAGES, AND OTHER COMPENSATION PAID TO THE TOP MANAGEMENT EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION PROVIDES ANY GOVERNING DOCUMENTS AND THE AUDITED FINANCIAL STATEMENTS UPON REQUEST. TAX RETURNS ARE ALSO AVAILABLE UPON REQUEST AND ON GUIDESTAR.
FORM 990, PART IX, LINE 11GPHYSICIAN CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 370,932. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 370,932. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 183,407. MANAGEMENT AND GENERAL EXPENSES 98,757. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 282,164.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION DID NOT HAVE ANY CHANGES TO ITS OVERSIGHT OR SELECTION PROCESS DURING THE YEAR.