2020-11-11T08:58:42-06:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2019-01-01 850224409 FIRST CHOICE COMMUNITY HEALTHCARE INC FIRS 5058737400 2001 N CENTRO FAMILIAR BLVD SW ALBUQUERQUE NM 87105 CHRISTOPHER GRASTY CFO 5058737400 2020-11-09 1 KURT BENNION CPA P01469618 4252506100 2020-11-09 67.137.57.251 2020-11-09 18:40:17 PS P 36FF25BD9C5A7C875D9B7D46C359D3D923ECD097 B236117B9166D2F893B54FD65EE150CAF84F9165 2019 2021-01-29 14:40:06Z ROBERT DEFELICE 2001 N CENTRO FAMILIAR BLVD SW ALBUQUERQUE NM 87105 39828234 0 X WWW.FCCH.COM X 1973 NM IMPROVING THE HEALTH, LIFE SKILLS AND WELL-BEING OF ALL MEMBERS OF THE COMMUNITIES WE SERVE. 17 17 628 17 0 0 10991098 11282059 26142288 28471373 56431 61247 33053 13023 37222870 39827702 11001 15031 0 0 29110490 29865211 115314 0 243135 8898388 10559430 38135193 40439672 -912323 -611970 20733722 20913889 4486091 5271453 16247631 15642436 TO PROVIDE PRIMARY MEDICAL AND DENTAL CARE INCLUDING HEALTH EDUCATION TO RESIDENTS OF BERNALILLO, VALENCIA, AND SANTA FE COUNTIES OF NEW MEXICO. 0 0 32172900 15031 28471373 FIRST CHOICE COMMUNITY HEALTHCARE IS A FEDERALLY-QUALIFIED HEALTH CENTER (FQHC) SYSTEM WITH NINE HEALTH CENTERS IN THREE COUNTIES, INCLUDING ONE SCHOOL-BASED HEALTH CENTER. WE PROVIDE PRIMARY MEDICAL CARE, DENTAL CARE AND WIC SERVICES AND HAVE INTEGRATED BEHAVIORAL HEALTH CARE IN THE PRIMARY CARE SETTING FOR OUR ESTABLISHED PATIENTS. WE HAVE PROVIDED A HEALTH CARE HOME FOR OUR PATIENTS FOR OVER 45 YEARS. WE PLAY AN INTEGRAL ROLE IN PROVIDING ACCESS TO ALL PEOPLE REGARDLESS OF INCOME OR INSURANCE STATUS. 32172900 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 41 0 628 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 NM X X CHRISTOPHER GRASTY 5058737400 2001 N CENTRO FAMILIAR BLVD SW ALBUQUERQUE NM 87105 WILL KAUFMAN MEDICAL DIRECTOR 36.00 0.00 X 213704 0 35538 RICHARD ARIES MD PHYSICIAN 40.00 0.00 X 183302 0 40904 BENJAMIN BUXTON MD PHYSICIAN 40.00 0.00 X 179272 0 41019 CHRISTOPHER FRENCH MD PHYSICIAN 40.00 0.00 X 177889 0 39291 SILAJA CHERUVU MD PHYSICIAN 39.00 0.00 X 181142 0 34175 SAVERIO SAVA MD PHYSICIAN 30.00 0.00 X 182846 0 32235 ROBERT DEFELICE CEO 40.00 0.10 X 171718 0 43167 JEREMIAH DYE DENTAL DIRECTOR 40.00 0.00 X 169597 0 23165 MELISSA MANLOVE COO 40.00 0.00 X 118033 0 25215 CHRISTOPHER GRASTY CFO 40.00 0.00 X 102770 0 9715 PAUL LUNA PRESIDENT 1.00 0.00 X X 0 0 0 GRACE CHAVEZ VICE PRESIDENT 1.00 0.00 X X 0 0 0 FLOYD WILSON TREASURER 1.00 0.00 X X 0 0 0 ROD MERCURE SECRETARY 1.00 0.00 X X 0 0 0 SARA BACA DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL BIERNOFF MD DIRECTOR 1.00 0.00 X 0 0 0 LANCE CHILTON MD DIRECTOR 1.00 0.00 X 0 0 0 GLORIA SUE DOHERTY DIRECTOR 1.00 0.00 X 0 0 0 MARY DOMINGUEZ DIRECTOR 1.00 0.00 X 0 0 0 RACHEL FLORES DIRECTOR 1.00 0.00 X 0 0 0 LINDA HOLLE DIRECTOR 1.00 0.00 X 0 0 0 LUCY JOJOLA DIRECTOR 1.00 0.00 X 0 0 0 JEFFREY LUCERO DIRECTOR 1.00 0.00 X 0 0 0 LOURDES ORTIZ DIRECTOR 1.00 0.00 X 0 0 0 LIZZY RATNARAJ DIRECTOR 1.00 0.00 X 0 0 0 RONNIE TORRES DIRECTOR 1.00 0.00 X 0 0 0 PATRICIA WEST DIRECTOR 1.00 0.00 X 0 0 0 1680273 0 324424 44 0 1 0 CARDINAL HEALTH 7000 CARDINAL PLACE DUBLIN OH 43017 PATIENT CARE 752618 TRICORE REFERENCE LABS 1001 WOODWARD PLACE NE ALBUQUERQUE NM 87102 PATIENT CARE 491442 UNIVERSITY HOSPITAL PO BOX 80600 ALBUQUERQUE NM 871980600 SERVICE PROVIDER 245700 CERNER HEALTHCARE SOLUTIONS 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 SOFTWARE AND SUPPORT 244004 UMN MEDICAL GROUP INC PO BOX 912137 DENVER CO 802912137 MEDICAL SERVICES 209371 10 11225415 56644 975711 11282059 PATIENT CARE REVENUES 621400 28297719 28297719 OTHER MEDICAL REVENUE 621400 173654 173654 28471373 61779 61779 532 -532 -532 -532 OTHER REVENUE 900099 13023 13023 13023 39827702 28471373 0 74270 15031 15031 775822 775822 23193380 19851996 3308994 32390 1348290 1116693 229775 1822 2799195 2318375 477037 3783 1748524 1448179 297982 2363 89561 89561 51684 51684 1917390 1218942 570116 128332 85351 57335 27775 241 509921 159979 348724 1218 65462 57561 7785 116 503546 301560 199784 2202 32030 21517 10423 90 12208 8201 3973 34 5123 3442 1667 14 820960 715615 44258 61087 148318 99634 48265 419 MEDICAL SUPPLIES 5767477 4378095 1383116 6266 OTHER EXPENSES 296903 194513 101509 881 REPAIRS & MAINTENANCE 238355 196061 40460 1834 DUES & SUBSCRIPTIONS 15141 10171 4927 43 40439672 32172900 8023637 243135 1614944 4075676 3946544 1002631 2757900 2902081 406252 421803 216991 248633 21799958 9672358 11394073 12127600 60667 60667 336351 74798 20733722 20913889 4293060 4114966 193031 654 870833 0 285000 4486091 5271453 X 16240293 15629167 7338 13269 16247631 15642436 20733722 20913889 -611970 6775 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1017822 1017822 9472637 2987876 6484761 4764392 1492372 3272020 6202205 5192110 1010095 342902 342902 12127600 DUE TO RELATED ORGANIZATION 285000 285000 X 40165018 1432918 532 1433450 38731568 1096134 1096134 39827702 41872590 1432918 1432918 40439672 0 40439672 PART IV, LINE 2B: THE ORGANIZATION RECEIVED FEDERAL FUNDING TO CONSTRUCT SEVERAL FACILITIES AND ACQUIRE ASSETS. THE FEDERAL GOVERNMENT HAS A FINANCIAL INTEREST IN THESE ASSETS. EACH ASSET HAS A "TERMINATION DATE" AT WHICH POINT THE ORGANIZATION CAN DECIDE WHETHER TO PERMANENTLY RETAIN THAT ASSET OR RELINQUISH IT TO THE FEDERAL GOVERNMENT. PART X, LINE 2: FCCH IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND, THEREFORE, HAS NO PROVISION FOR FEDERAL INCOME TAXES. FCCH HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A) OF THE INTERNAL REVENUE CODE. FCCH FILES REQUIRED TAX RETURNS AND INFORMATIONAL FILINGS FOR THE FEDERAL AND NEW MEXICO JURISDICTIONS. FCCH'S FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS), GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. FCCH HAS CONCLUDED NO MATERIAL UNCERTAIN TAX POSITIONS HAVE BEEN TAKEN ON ANY OPEN TAX RETURNS. FOR THE CURRENT YEAR, FCCH BELIEVES ALL TAX POSITIONS ARE FULLY SUPPORTABLE BY EXISTING FEDERAL LAW AND RELATED INTERPRETATIONS AND THERE ARE NO UNCERTAIN TAX POSITIONS TO CONSIDER. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF PROPERTY AND EQUIPMENT 532. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST INCOME 61,779. CONTRIBUTIONS WITH DONOR RESTRICTIONS 8,355. CAPITAL GRANTS AND CONTRIBUTIONS 1,026,000. 1 SCHOLARSHIPS 10 15000 BUS PASSES 31 31 PART I, LINE 2: ALL HIGH SCHOOL SENIORS WHO ATTEND SCHOOL IN THE NEIGHBORHOODS OF FCCH HEALTH CENTERS THAT ARE PLANNING TO ENGAGE IN FURTHER STUDIES TOWARD A CAREER IN HEALTHCARE ARE ELIGIBLE TO APPLY FOR SCHOLARSHIPS. THIS INCLUDES TECHNICAL/VOCATIONAL SCHOOLS, COLLEGES AND UNIVERSITIES. THE STUDENTS ARE REQUIRED TO HAVE TWO LETTERS OF RECOMMENDATION. ADDITIONALLY, THE STUDENT IS REQUIRED TO HAVE A MINIMUM G.P.A. OF 2.50. THIS LATTER REQUIREMENT IS WAIVED FOR STUDENTS ATTENDING ALTERNATIVE HIGH SCH00LS SUCH AS FREEDOM HIGH IN ALBUQUERQUE. THE PACKAGES ARE REVIEWED BY MEMBERS OF THE BOARD OF DIRECTORS AND RECIPIENTS ARE THEN NOTIFIED OF THEIR SELECTION. THE ORGANIZATION PROVIDES BUS PASSES TO NEEDY INDIVIDUALS. THE ORGANIZATION DOES NOT TRACK THE USE OF BUS PASSES GIVEN THIS WAY. X X X 0 0 0 0 0 0 0 0 0 WILL KAUFMAN MEDICAL DIRECTOR 202279 0 11300 0 125 0 34173 0 1365 0 249242 0 0 0 RICHARD ARIES MD PHYSICIAN 173102 0 10200 0 0 0 33685 0 7219 0 224206 0 0 0 BENJAMIN BUXTON MD PHYSICIAN 166064 0 13208 0 0 0 33800 0 7219 0 220291 0 0 0 CHRISTOPHER FRENCH MD PHYSICIAN 176000 0 0 0 1889 0 38000 0 1291 0 217180 0 0 0 SILAJA CHERUVU MD PHYSICIAN 159301 0 21841 0 0 0 32810 0 1365 0 215317 0 0 0 SAVERIO SAVA MD PHYSICIAN 151466 0 31380 0 0 0 24691 0 7544 0 215081 0 0 0 ROBERT DEFELICE CEO 171718 0 0 0 0 0 37749 0 5418 0 214885 0 0 0 JEREMIAH DYE DENTAL DIRECTOR 159597 0 10000 0 0 0 15946 0 7219 0 192762 0 0 0 X 125 910249 COST PER UNIT X SOFTWARE LICENSE 1 65462 FAIR MARKET VALUE 0 0 1 0 FORM 990, PART VI, SECTION A, LINE 1 THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE BOARD. THE COMMITTEE MAY TRANSACT BOARD BUSINESS IN EMERGENCIES BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. ACTIONS OF THE COMMITTEE MUST BE RATIFIED BY THE FULL BOARD AT ITS NEXT REGULARLY HELD MEETING. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS DELEGATED THE REVIEW OF THE FORM 990 TO THE ORGANIZATION'S MANAGEMENT. THE CFO, CONTROLLER AND FINANCE MANAGERS REVIEWED THE FORM 990 PRIOR TO FILING. THE BOARD MEMBERS ARE GIVEN COPIES OF THE FORM 990 AFTER IT'S FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT COVERS BOARD MEMBERS, EMPLOYEES, CONSULTANTS AND AGENTS. ON AN ANNUAL BASIS, ALL BOARD MEMBERS ARE REQUIRED TO REVIEW THE POLICY AND COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE FORM. IF A COVERED INDIVIDUAL HAS A POTENTIAL CONFLICT OF INTEREST RELATED TO A TRANSACTION, THE INDIVIDUAL IS REQUIRED TO MAKE FULL DISCLOSURE TO THE EXECUTIVE COMMITTEE, AFTER WHICH THE DISINTERESTED COMMITTEE MEMBERS DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS AND WHAT SUBSEQUENT ACTION IS APPROPRIATE, IF ANY. THE INDIVIDUAL WITH A CONFLICT RECUSES THEMSELVES FROM PARTICIPATING IN ANY DISCUSSIONS OR VOTES ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD HIRES THE CEO AND DETERMINES THE CEO'S SALARY. THE COMPENSATION FOR OTHER KEY EMPLOYEES IS REVIEWED AND APPROVED BY THE CEO. EACH PERSON'S SALARY IS BASED OFF A SALARY SCHEDULE, THE EMPLOYEE'S LEVEL OF EDUCATION, AND YEARS OF EXPERIENCE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ALBUQUERQUE OFFICE. FIRST CHOICE COMMUNITY HEALTHCARE INC MEDICALDISABILITY TRUST 2001 N CENTRO FAMILIAR BLVD SW ALBUQUERQUE NM 87105 850342798 PROVIDE MEDICAL, DENTAL AND DISABILITY BENEFITS TO PARTICIPANTS NM 501(C)(9) FIRST CHOICE COMMUNITY HEALTHCARE INC 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 0 FIRST CHOICE COMMUNITY HEALTHCARE INC MEDICALDISABILITY TRUST L 282423 CONTRACT RATE FIRST CHOICE COMMUNITY HEALTHCARE INC MEDICALDISABILITY TRUST R 2357228 MEDICAL CLAIMS