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EL BUEN SAMARITANO EPISCOPAL MISSION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
EL BUEN SAMARITANO EPISCOPAL MISSION (EIN 74-2488682)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-07-29
IRS object ID
202022119349300917
Schema version
2018v3.1
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)
Return2020-07-29T09:07:57-07:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN742981758PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Dunagan Jack LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13724 Jefferson Street Suite 307AddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78731ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN742488682EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1El Buen Samaritano Episcopal MissionBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlELBUBusinessNameControlTxt
Phone5124390700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17000 Woodhue DriveAddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78745ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRobert SteelePersonNm
Person TitleCFOPersonTitleTxt
Signature2020-07-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicole PowellPreparerPersonNm
PTINP00543197PTIN
Phone5124208997PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-19 02:30:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRosamaria MurilloPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17000 Woodhue DriveAddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78745ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,350,703GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.elbuen.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionEl Buen Samaritano is an outreach ministry of the Episcopal Diocese of Texas committed to recognizing the dignity of all by ensuring access to health care, education and essential needs that lead to healthy, productive and secure lives.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee114TotalEmployeeCnt
Total Volunteers335TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$6,001,400PYContributionsGrantsAmt
CY Contributions Grants$3,407,796CYContributionsGrantsAmt
PY Program Service Revenue$522,461PYProgramServiceRevenueAmt
CY Program Service Revenue$318,216CYProgramServiceRevenueAmt
PY Investment Income$42,220PYInvestmentIncomeAmt
CY Investment Income$76,752CYInvestmentIncomeAmt
PY Other Revenue$68,254PYOtherRevenueAmt
CY Other Revenue$70,667CYOtherRevenueAmt
PY Total Revenue$6,634,335PYTotalRevenueAmt
CY Total Revenue$3,873,431CYTotalRevenueAmt
PY Grants And Similar Paid$11,809PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$24,825CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,593,019PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,442,182CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$5,000PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$26,274CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$173,455CYTotalFundraisingExpenseAmt
PY Other Expenses$1,945,358PYOtherExpensesAmt
CY Other Expenses$1,732,489CYOtherExpensesAmt
PY Total Expenses$6,555,186PYTotalExpensesAmt
CY Total Expenses$5,225,770CYTotalExpensesAmt
PY Revenues Less Expenses$79,149PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,352,339CYRevenuesLessExpensesAmt
Total Assets BOY$7,956,625TotalAssetsBOYAmt
Total Assets EOY$6,381,491TotalAssetsEOYAmt
Total Liabilities BOY$272,130TotalLiabilitiesBOYAmt
Total Liabilities EOY$86,013TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,684,495NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,295,478NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionEl Buen Samaritano, an outreach ministry of the Episcopal Diocese of Texas serving the Latino community of Central Texas, is committed to recognizing the dignity of all by ensuring access to health care, education and essential needs that lead to healthy, productive and secure lives.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$3,792,425ExpenseAmt
Grant$24,825GrantAmt
Revenue$318,216RevenueAmt
DescHelped Latino and other families in Central Texas lead healthy, productive and secure lives through high-quality and affordable health care, education and financial security.Desc
Total Program Service Expenses$3,792,425TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document14IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee114EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRobert SteelePersonNm
Phone5124390700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17000 Woodhue DriveAddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78745ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Kai Ryan
Chairman0.140.00Yes (X)Yes (X)$0$0$0
Dena Harrison
Chairman0.380.00Yes (X)Yes (X)$0$0$0
Vickie Blumhagen
Executive Chair2.070.00Yes (X)Yes (X)$0$0$0
Charles Kline
Treasurer0.430.00Yes (X)Yes (X)$0$0$0
Hector Monterros
Director0.180.00Yes (X)$0$0$0
Natalie Adaleja
Director0.360.00Yes (X)$0$0$0
James Aldrete
Director1.050.00Yes (X)$0$0$0
Julie de Wette
Director0.440.00Yes (X)$0$0$0
Laurie Eiserloh
Director1.010.00Yes (X)$0$0$0
Carole Gebhard
Director0.990.00Yes (X)$0$0$0
Juan Carlos Gonzalez
Director0.120.00Yes (X)$0$0$0
Gustavo Hernandez
Director0.340.00Yes (X)$0$0$0
Tom Manley
Director0.350.00Yes (X)$0$0$0
Lucy Nazro
Director0.000.00Yes (X)$0$0$0
Chad McCall
Director0.360.00Yes (X)$0$0$0
Taylor McDowell
Director0.310.00Yes (X)$0$0$0
Rosie Mendoza
Director0.020.00Yes (X)$0$0$0
Merrill Wade
Director0.210.50Yes (X)$0$0$0
Iliana Gilman
CEO40.000.50Yes (X)$199,735$0$23,168
Robert Steele
Interim CEO/CFO40.000.50Yes (X)$115,788$0$15,924
Rosamaria Murillo
CEO40.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$315,523TotalReportableCompFromOrgAmt
Total Other Compensation$39,092TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
United Way
2000 E MLK Jr BlvdAustinTX78702Call Center Services$155,003
Quest Diagnostics
PO Box 841725DallasTX752841725Laboratory services$216,046
EqualizeRCM Services
PO Box 679005DallasTX752679005Billing services$108,471
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Related Organizations$91,964RelatedOrganizationsAmt
Government Grants$1,473,833GovernmentGrantsAmt
All Other Contributions$1,841,999AllOtherContributionsAmt
Total Contributions$3,407,796TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient fees$280,559$280,559
Program service fees$37,657$37,657
FieldValueIRS element (for citing)
Total Program Service Revenue$318,216TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$76,752TotalRevenueColumnAmt
Exclusion$76,752ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$51,150RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$51,150RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$51,150TotalRevenueColumnAmt
Exclusion$51,150ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$477,272SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$477,272SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther revenuesDesc
Total Revenue Column$19,517TotalRevenueColumnAmt
Exclusion$19,517ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$19,517OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,873,431TotalRevenueColumnAmt
Related Or Exempt Func Income$318,216RelatedOrExemptFuncIncomeAmt
Exclusion$147,419ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$24,825TotalAmt
Program Services$24,825ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$247,041TotalAmt
Management And General$247,041ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,532,820TotalAmt
Program Services$1,991,597ProgramServicesAmt
Management And General$434,716ManagementAndGeneralAmt
Fundraising$106,507FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$183,190TotalAmt
Program Services$145,383ProgramServicesAmt
Management And General$30,032ManagementAndGeneralAmt
Fundraising$7,775FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$270,340TotalAmt
Program Services$200,090ProgramServicesAmt
Management And General$59,550ManagementAndGeneralAmt
Fundraising$10,700FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$208,791TotalAmt
Program Services$150,912ProgramServicesAmt
Management And General$49,808ManagementAndGeneralAmt
Fundraising$8,071FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$33,606TotalAmt
Management And General$33,606ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$17,899TotalAmt
Management And General$17,899ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$26,274TotalAmt
Fundraising$26,274FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$9,389TotalAmt
Management And General$9,389ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$625,863TotalAmt
Program Services$367,936ProgramServicesAmt
Management And General$257,927ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$962TotalAmt
Program Services$962ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$45,510TotalAmt
Program Services$38,683ProgramServicesAmt
Management And General$5,875ManagementAndGeneralAmt
Fundraising$952FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$22,218TotalAmt
Program Services$18,885ProgramServicesAmt
Management And General$2,868ManagementAndGeneralAmt
Fundraising$465FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$171,744TotalAmt
Program Services$145,983ProgramServicesAmt
Management And General$22,169ManagementAndGeneralAmt
Fundraising$3,592FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$17,281TotalAmt
Program Services$14,884ProgramServicesAmt
Management And General$2,063ManagementAndGeneralAmt
Fundraising$334FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,904TotalAmt
Management And General$6,904ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$180,934TotalAmt
Program Services$153,794ProgramServicesAmt
Management And General$23,356ManagementAndGeneralAmt
Fundraising$3,784FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$29,962TotalAmt
Program Services$25,618ProgramServicesAmt
Management And General$3,738ManagementAndGeneralAmt
Fundraising$606FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical supplies and expenses$272,269$272,269
Equipment rental and maint.$149,979$127,482$19,360$3,137
Miscellaneous$39,790$18,680$20,664$446
Program supplies and materials$37,596$37,596

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$70,583TotalAmt
Program Services$56,846ProgramServicesAmt
Management And General$12,925ManagementAndGeneralAmt
Fundraising$812FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,225,770TotalAmt
Program Services$3,792,425ProgramServicesAmt
Management And General$1,259,890ManagementAndGeneralAmt
Fundraising$173,455FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$130,394BOYAmt
EOY$15,490EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$806,258BOYAmt
EOY$413,683EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$871,859BOYAmt
EOY$800,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$433,518BOYAmt
EOY$19,743EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,930BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,660,914LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,623,978LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,194,287BOYAmt
EOY$4,036,936EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,512,379BOYAmt
EOY$1,095,639EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,956,625BOYAmt
EOY$6,381,491EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$231,497BOYAmt
EOY$63,332EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,633BOYAmt
EOY$22,681EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$272,130BOYAmt
EOY$86,013EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,339,481BOYAmt
EOY$5,204,047EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,345,014BOYAmt
EOY$1,091,431EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,684,495BOYAmt
EOY$6,295,478EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,956,625BOYAmt
EOY$6,381,491EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,352,339ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$36,678NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,758,814CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,252,600CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,985,906CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,001,400CurrentTaxYearMinus1YearAmt
Current Tax Year$3,407,796CurrentTaxYearAmt
Total$25,406,516TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,758,814CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,252,600CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,985,906CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,001,400CurrentTaxYearMinus1YearAmt
Current Tax Year$3,407,796CurrentTaxYearAmt
Total$25,406,516TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$10,678,669SubstantialContributorsTotAmt
Public Support Total170$14,727,847PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$101,486CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$72,551CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$85,590CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$95,020CurrentTaxYearMinus1YearAmt
Current Tax Year$127,902CurrentTaxYearAmt
Total$482,549TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,227CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,880CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,092CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,454CurrentTaxYearMinus1YearAmt
Current Tax Year$19,517CurrentTaxYearAmt
Total$42,170TotalAmt
FieldValueIRS element (for citing)
Total Support$25,931,235TotalSupportAmt
Gross Receipts Rltd Activities$2,354,100GrossReceiptsRltdActivitiesAmt
Public Support CY1700.56800PublicSupportCY170Pct
Public Support PY1700.57430PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$520,702OtherCostOrOtherBasisAmt
Book Value$520,702BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,437,752OtherCostOrOtherBasisAmt
Depreciation$1,870,656DepreciationAmt
Book Value$2,567,096BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,109,441OtherCostOrOtherBasisAmt
Depreciation$263,743DepreciationAmt
Book Value$845,698BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$260,498OtherCostOrOtherBasisAmt
Depreciation$184,641DepreciationAmt
Book Value$75,857BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$332,521OtherCostOrOtherBasisAmt
Depreciation$304,938DepreciationAmt
Book Value$27,583BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,036,936TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCapital lease obligationsDesc
Amt$22,681Amt
FieldValueIRS element (for citing)
Total Liability$22,681TotalLiabilityAmt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (true)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdActivityActivityTxtFundraiser Control Of FundsFundraiserControlOfFundsIndGross ReceiptsGrossReceiptsAmtRetained By ContractorRetainedByContractorAmtNet To OrganizationNetToOrganizationAmt
Holly Hayes
1104 Teakwood TrailPflugervilleTX78660Grant Writingfalse$350,000$16,470$333,530
Iliana Gilman
9348 Bernoulli DriveAustinTX78748Consulting/Grant Writingfalse$1,085,000$9,804$1,075,196
(no name)
false
FieldValueIRS element (for citing)
Total Gross Receipts$1,435,000TotalGrossReceiptsAmt
Total Retained By Contractors$26,274TotalRetainedByContractorsAmt
Total Net To Organization$1,408,726TotalNetToOrganizationAmt
Licensed StatesTXLicensedStatesCd

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1The Physician Board of El BueBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line17000 Woodhue DriveAddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78745ZIPCd
FieldValueIRS element (for citing)
Recipient EIN471336020RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$24,825CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantOperational supportPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGrantmaker's Description of How Grants are UsedFormAndLineReferenceDesc
ExplanationThe Organization worked closely with The Physician Board of El Buen which allowed the Organization to monitor the use of contributed funds.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonIliana GilmanPersonNm
TitleCEOTitleTxt
Base Compensation Filing Org$191,305BaseCompensationFilingOrgAmt
Other Compensation Filing Org$8,430OtherCompensationFilingOrgAmt
Deferred Compensation Flng Org$17,608DeferredCompensationFlngOrgAmt
Nontaxable Benefits Filing Org$5,560NontaxableBenefitsFilingOrgAmt
Total Compensation Filing Org$222,903TotalCompensationFilingOrgAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 3: Ceased Conducting or Significant Changes To ServicesEffective July 1, 2019, El Buen Samaritano transfered clinic operations at the Wallace Mallory Clinic to an unrelated Federally Qualified Health Center (FQHC).
Form 990, Part VI, Line 11b: Form 990 Review ProcessA draft of the return is prepared by the Organization's CPA. The draft is reviewed by the Chief Financial Officer, the Chief Executive Officer, and the Finance Committee of the Board of Directors before it is finalized and filed.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsEach year at the Board retreat, members of the Board of Directors review the Conflicts of Interest policy and each member signs a statement indicating any existing potential conflicts. If a member is absent, the form is mailed to them to complete. The completed forms are reviewed by the Chief Executive Officer and the Chief Financial Officer to ensure all forms are collected. Any conflicts identified are addressed and appropriate action is taken.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementA Board committee reviews the Chief Executive Officer's performance and authorizes any pay increases.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesKey Employee compensation is reviewed and approved by the Chief Executive Officer and HR Manager.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableCertain other documents available upon request.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1The Physician Board of El BuenBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line17000 Woodhue DriveAddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78745ZIPCd
FieldValueIRS element (for citing)
EIN471336020EIN
Primary ActivitiesPhysician servicesPrimaryActivitiesTxt
Legal Domicile StateTXLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1El Buen Samaritano Episcopal MissionBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
The Physician Board of El Buen
c$91,964cash tranx
The Physician Board of El Buen
r$83,948cash tranx

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceOther Transfer of Cash or Property To Related Organization -FormAndLineReferenceDesc
ExplanationThe Organization collected patient fees and government grants and contracts on behalf of The Physician Board of El Buen.ExplanationTxt