LA CLINICA TEPEYAC INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- LA CLINICA TEPEYAC INC (EIN 84-1285505)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-10-20
- IRS object ID
- 202022949349301022
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule J
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-10-20T09:10:27-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10700 NORTHUP WAY SUITE 200 | AddressLine1Txt |
| City | BELLEVUE | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 98004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 841285505 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LA CLINICA TEPEYAC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LACL | BusinessNameControlTxt |
| Phone | 7202742923 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4725 HIGH STREET | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80216 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JIM GARCIA | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7202742923 | PhoneNum |
| Signature | 2020-10-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KURT BENNION CPA | PreparerPersonNm |
| PTIN | P01469618 | PTIN |
| Phone | 4252506100 | PhoneNum |
| Preparation | 2020-10-19 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.137.57.251 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-10-19 | IPDt |
| IP Tm | 14:23:24 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | FD4E4733CD88BB852BC71ECFBAEF90C681185790 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 437A48F7A65F248D0909731AA99F0A79285329FF | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JIM GARCIA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4725 HIGH STREET | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80216 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,677,410 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CLINICATEPEYAC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES COMPETENT HEALTH CARE AND PREVENTIVE HEALTH SERVICES FOR THE MEDICALLY UNDERSERVED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 79 | TotalEmployeeCnt |
| Total Volunteers | 16 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,264,586 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,270,179 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,057,632 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,110,104 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,730 | PYInvestmentIncomeAmt |
| CY Investment Income | $15,186 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$91,967 | PYOtherRevenueAmt |
| CY Other Revenue | $126,571 | CYOtherRevenueAmt |
| PY Total Revenue | $7,238,981 | PYTotalRevenueAmt |
| CY Total Revenue | $5,522,040 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,977,566 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,877,693 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $41,500 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $621,026 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,755,709 | PYOtherExpensesAmt |
| CY Other Expenses | $1,876,612 | CYOtherExpensesAmt |
| PY Total Expenses | $4,733,275 | PYTotalExpensesAmt |
| CY Total Expenses | $4,795,805 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,505,706 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $726,235 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,570,391 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,955,666 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $900,118 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,109,549 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,670,273 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,846,117 | NetAssetsOrFundBalancesEOYAmt |
| Mission | LA CLINICA TEPEYAC OPERATES TO PROVIDE CULTURALLY COMPETENT HEALTH CARE AND PREVENTIVE HEALTH SERVICES FOR THE MEDICALLY UNDERSERVED. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,952,558 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,110,104 | RevenueAmt |
| Desc | CLINIC: PROVIDE BASIC PRIMARY CARE SERVICES, BASIC WELLNESS, PHYSICAL EXAMS, BEHAVIORAL HEALTH AND HEALTH EDUCATION. THIS INCLUDES WOMEN'S HEALTH EXAMS, MAMMOGRAPHY, PRENATAL CARE, IMMUNIZATIONS, SCHOOL PHYSICALS, DIABETES MANAGEMENT, COLPOSCOPIES, PREVENTIVE HEALTH EDUCATION, WELLNESS CLASSES, AND ORAL HEALTH CARE.HEALTH PROMOTION: PROVIDES EDUCATION FOR THE LATINX COMMUNITY AND THEIR FAMILIES TO REDUCE THE RISK OF CHRONIC DISEASE THROUGH COMMUNITY OUTREACH AND PREVENTIVE HEALTH EDUCATION CONDUCTED BY THE PROMOTORAS DE SALUD (HEALTH PROMOTERS). | Desc |
| Total Program Service Expenses | $2,952,558 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 48 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 79 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOSHUA DUAME | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7202742923 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4725 HIGH STREET | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80216 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| PAMELA VALENZA MD | ||||||
| CHO | 50.00 | Yes (X) | $210,000 | $0 | $10,370 | |
| JIM GARCIA | ||||||
| CEO | 60.00 | Yes (X) | $128,012 | $0 | $12,708 | |
| OLGA WEBBER | ||||||
| COO | 50.00 | Yes (X) | $90,000 | $0 | $6,219 | |
| ED GONZALES | ||||||
| CONTROLLER (JUNE-SEP 2019) | 40.00 | Yes (X) | $27,404 | $0 | $1,849 | |
| ROBYN FLEMING | ||||||
| CONTROLLER (THROUGH MARCH 2019) | 40.00 | Yes (X) | $21,490 | $0 | $1,516 | |
| TIM HALLIDAY | ||||||
| INTERIM CONTROLLER | 20.00 | Yes (X) | $0 | $0 | $0 | |
| LINDA OSTERLUND PHD | ||||||
| PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DARRELL VIGIL | ||||||
| VICE PRESIDENT (THROUGH JUNE 2019) | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DR HARVEY BOGRAD | ||||||
| BOARD MEMBER & CO-VICE PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JESSE OGAS | ||||||
| BOARD MEMBER & CO-VICE PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CANDY HERNANDEZ | ||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CARLOS CONTRERAS | ||||||
| ASSISTANT TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| LUDY ESPERANZA CHACON | ||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JACQUIELINE MORALES-LOZANO | ||||||
| ASSISTANT SECRETARY | 0.50 | $0 | $0 | $0 | Yes (X) | |
| JOHN BAUER-MARTINEZ | ||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | |
| YUVICELA GARCIA-DIAZ | ||||||
| CONSUMER BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | |
| JUANA MALDONADO | ||||||
| CONSUMER BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | |
| DAVID MARTINEZ PC | ||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | |
| PATRICIA MARTINEZ CONSUMER | ||||||
| BOARD MEMBER (THROUGH DEC 2019) | 0.50 | $0 | $0 | $0 | Yes (X) | |
| STEPHANIE MORRIS | ||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | |
| RITA TORO | ||||||
| CONSUMER BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | |
| GILBERT VIGIL DDS | ||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $476,906 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $32,662 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MOA ARCHITECTURE | |||||
| 414 14TH STREET 300 | DENVER | CO | 80202 | ARCHITECTURAL SERVICES | $174,287 |
| PLANTE & MORAN PLLC | |||||
| 8181 E TUFTS AVENUE SUITE 600 | DENVER | CO | 80237 | ACCOUNTING SERVICES | $127,740 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $23,225 | FundraisingAmt |
| Government Grants | $1,934,724 | GovernmentGrantsAmt |
| All Other Contributions | $2,312,230 | AllOtherContributionsAmt |
| Noncash Contributions | $87,082 | NoncashContributionsAmt |
| Total Contributions | $4,270,179 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT FEES | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $1,110,104 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,110,104 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,110,104 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,186 | TotalRevenueColumnAmt |
| Exclusion | $15,186 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $225,644 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $23,225 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $155,370 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $70,274 | TotalRevenueColumnAmt |
| Exclusion | $70,274 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $56,297 | TotalRevenueColumnAmt |
| Exclusion | $56,297 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $56,297 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,522,040 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,110,104 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $141,757 | 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 | $509,568 | TotalAmt |
| Program Services | $195,540 | ProgramServicesAmt |
| Management And General | $252,929 | ManagementAndGeneralAmt |
| Fundraising | $61,099 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,914,380 | TotalAmt |
| Program Services | $1,356,152 | ProgramServicesAmt |
| Management And General | $441,138 | ManagementAndGeneralAmt |
| Fundraising | $117,090 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,876 | TotalAmt |
| Program Services | $17,882 | ProgramServicesAmt |
| Management And General | $7,994 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,732 | TotalAmt |
| Program Services | $136,808 | ProgramServicesAmt |
| Management And General | $74,426 | ManagementAndGeneralAmt |
| Fundraising | $12,498 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,137 | TotalAmt |
| Program Services | $118,771 | ProgramServicesAmt |
| Management And General | $72,426 | ManagementAndGeneralAmt |
| Fundraising | $12,940 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,045 | TotalAmt |
| Management And General | $17,045 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,866 | TotalAmt |
| Management And General | $160,866 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,500 | TotalAmt |
| Fundraising | $41,500 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $869,768 | TotalAmt |
| Program Services | $438,528 | ProgramServicesAmt |
| Management And General | $87,096 | ManagementAndGeneralAmt |
| Fundraising | $344,144 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,581 | TotalAmt |
| Program Services | $20,000 | ProgramServicesAmt |
| Management And General | $88 | ManagementAndGeneralAmt |
| Fundraising | $493 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,635 | TotalAmt |
| Program Services | $106,881 | ProgramServicesAmt |
| Management And General | $32,667 | ManagementAndGeneralAmt |
| Fundraising | $8,087 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,879 | TotalAmt |
| Program Services | $74,199 | ProgramServicesAmt |
| Management And General | $1,625 | ManagementAndGeneralAmt |
| Fundraising | $4,055 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,528 | TotalAmt |
| Program Services | $126,586 | ProgramServicesAmt |
| Management And General | $17,164 | ManagementAndGeneralAmt |
| Fundraising | $3,778 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,730 | TotalAmt |
| Program Services | $10,079 | ProgramServicesAmt |
| Management And General | $5,741 | ManagementAndGeneralAmt |
| Fundraising | $2,910 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,079 | TotalAmt |
| Program Services | $4,972 | ProgramServicesAmt |
| Management And General | $4,220 | ManagementAndGeneralAmt |
| Fundraising | $887 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,430 | TotalAmt |
| Program Services | $77,212 | ProgramServicesAmt |
| Management And General | $15,316 | ManagementAndGeneralAmt |
| Fundraising | $3,902 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,574 | TotalAmt |
| Program Services | $31,739 | ProgramServicesAmt |
| Management And General | $5,088 | ManagementAndGeneralAmt |
| Fundraising | $747 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $155,840 | $155,840 | ||
| DUES & MEMBERSHIPS | $39,427 | $20,910 | $14,464 | $4,053 |
| EQUIPMENT | $31,734 | $29,542 | $2,078 | $114 |
| TRAINING | $21,323 | $19,549 | $1,483 | $291 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,173 | TotalAmt |
| Program Services | $11,368 | ProgramServicesAmt |
| Management And General | $8,367 | ManagementAndGeneralAmt |
| Fundraising | $2,438 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,795,805 | TotalAmt |
| Program Services | $2,952,558 | ProgramServicesAmt |
| Management And General | $1,222,221 | ManagementAndGeneralAmt |
| Fundraising | $621,026 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,355 | BOYAmt |
| EOY | $60,195 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,030,552 | BOYAmt |
| EOY | $3,664,307 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,231,270 | BOYAmt |
| EOY | $1,961,615 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $209,413 | BOYAmt |
| EOY | $153,045 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,081 | BOYAmt |
| EOY | $27,893 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,619,073 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $639,770 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,979,237 | BOYAmt |
| EOY | $1,979,303 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $4,220 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,663 | BOYAmt |
| EOY | $48,268 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,820 | BOYAmt |
| EOY | $56,820 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,570,391 | BOYAmt |
| EOY | $7,955,666 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $205,539 | BOYAmt |
| EOY | $214,531 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $250,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $694,579 | BOYAmt |
| EOY | $645,018 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $900,118 | BOYAmt |
| EOY | $1,109,549 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,643,300 | BOYAmt |
| EOY | $2,544,699 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,026,973 | BOYAmt |
| EOY | $4,301,418 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,670,273 | BOYAmt |
| EOY | $6,846,117 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,570,391 | BOYAmt |
| EOY | $7,955,666 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $726,235 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$556,996 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $6,605 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,240,528 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,049,832 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,331,157 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,076,810 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,270,179 | CurrentTaxYearAmt |
| Total | $20,968,506 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,240,528 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,049,832 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,331,157 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,076,810 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,270,179 | CurrentTaxYearAmt |
| Total | $20,968,506 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $20,968,506 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,645 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,329 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,704 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,730 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,186 | CurrentTaxYearAmt |
| Total | $32,594 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $284,532 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,699 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,084 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $245,749 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $281,941 | CurrentTaxYearAmt |
| Total | $875,005 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $21,876,105 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $4,050,520 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95850 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95290 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME FUNDRAISING EVENT REVENUES | ExplanationTxt |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $530 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $530 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | A PORTION OF THE ORGANIZATIONS MEMBERSHIP DUES TO CERTAIN ASSOCIATIONS AS USED BY THOSE ASSOCIATIONS TO LOBBY ON BEHALF OF THEIR MEMBERS. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $41,663 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $7,057 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $452 | AdministrativeExpensesAmt |
| End Year Balance | $48,268 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $44,285 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$2,180 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $442 | AdministrativeExpensesAmt |
| End Year Balance | $41,663 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $38,788 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $5,497 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $44,285 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $36,380 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,408 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $38,788 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $819,648 | BeginningYearBalanceAmt |
| Contributions | $1,176,164 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,171 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $729,138 | OtherExpendituresAmt |
| End Year Balance | $1,265,503 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $22,500 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $274,000 | OtherCostOrOtherBasisAmt |
| Book Value | $296,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,905,509 | OtherCostOrOtherBasisAmt |
| Depreciation | $345,253 | DepreciationAmt |
| Book Value | $1,560,256 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $417,064 | OtherCostOrOtherBasisAmt |
| Depreciation | $294,517 | DepreciationAmt |
| Book Value | $122,547 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,979,303 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $4,575,701 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $16,049 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $7,612 | OtherRevenueAmt |
| Revenue Not Reported | $23,661 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,552,040 | RevenueSubtotalAmt |
| Other Revenues Not Included | $970,000 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $970,000 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $5,522,040 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,812,861 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $16,049 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $1,007 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $17,056 | ExpensesNotReportedAmt |
| Expenses Subtotal | $4,795,805 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $4,795,805 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE PURPOSE OF THE ENDOWMENT FUND IS TO PAY FOR MEDICAL SERVICES FOR THE UNINSURED. |
| PART X, LINE 2: | THE ORGANIZATION HAS PREVIOUSLY RECEIVED NOTICE OF EXEMPTION OF INCOME TAX FROM THE INTERNAL REVENUE SERVICE UNDER SECTION 501(C)(3) OF THE FEDERAL INTERNAL REVENUE CODE. THE ORGANIZATION IS NOT A PRIVATE FOUNDATION, AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS CHARITABLE TAX DEDUCTIONS BY THE CONTRIBUTOR. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX PROVISIONS. THE IMPLEMENTATION OF THE ACCOUNTING STANDARDS REGARDING UNCERTAIN TAX PROVISIONS HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EVENT EXPENSES 1,007. CHANGE IN BENEFICIAL INTEREST IN ASSETS HELD BY OTHERS 6,605. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | CONTRIBUTION RESTRICTED FOR PURCHASE OF PROPERTY 970,000. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EVENT EXPENSES 1,007. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | ActivityActivityTxt | Fundraiser Control Of FundsFundraiserControlOfFundsInd | Gross ReceiptsGrossReceiptsAmt | Retained By ContractorRetainedByContractorAmt | Net To OrganizationNetToOrganizationAmt |
|---|---|---|---|---|---|---|---|---|
| RIPPLE AFFECT LLC | ||||||||
| 4000 LIPAN STREET | DENVER | CO | 80211 | CAPITAL CAMPAIGN CONSULTING | 0 | $632,500 | $30,000 | $602,500 |
| EVENTFUL PROS | ||||||||
| 1427 LARIMER STREET | DENVER | CO | 80202 | EVENT MANAGEMENT | 0 | $248,019 | $11,500 | $236,519 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $880,519 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $41,500 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $839,019 | TotalNetToOrganizationAmt |
| Licensed States | CO | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | FIESTA ON THE PLAZA | Event1Nm |
| Gross Receipts Event1 | $154,140 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $14,800 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $139,340 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $10,180 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $35,697 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $4,400 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $40,217 | OtherDirectExpensesEvent1Amt |
| Event2 | TORTILLAS FOR TEPEYAC | Event2Nm |
| Gross Receipts Event2 | $73,745 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $8,425 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $65,320 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $4,248 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $23,862 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $300 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $18,938 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $20,134 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $20,134 | GrossRevenueOtherEventsAmt |
| Rent Fclty Costs Other Events | $100 | RentFcltyCostsOtherEventsAmt |
| Entertainment Other Events | $400 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $17,028 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $248,019 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $23,225 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $224,794 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $14,528 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $59,559 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $5,100 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $76,183 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $155,370 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $69,424 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAMELA VALENZA MD | PersonNm |
| Title | CHO | TitleTxt |
| Base Compensation Filing Org | $210,000 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $3,231 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $7,139 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $220,370 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $4,220 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | DAILY TRADING PRICE | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 12 | ContributionCnt |
| Noncash Contributions Rpt F990 | $56,416 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | INVOICE PRICE | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | AUCTION ITEMS | Desc |
| Contribution | 61 | ContributionCnt |
| Noncash Contributions Rpt F990 | $26,446 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | Yes (1) | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 32B: | FormAndLineReferenceDesc |
| Explanation | DONATED SECURITIES ARE RECEIVED BY OUR INVESTMENT BROKER AND ARE IMMEDIATELY CONVERTED INTO CASH. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE IS COMPOSED OF THE PRESIDENT, VICE-PRESIDENT, SECRETARY, TREASURER, AND IMMEDIATE PAST-PRESIDENT OF THE BOARD OF DIRECTORS. WHEN THE BOARD IS NOT IN SESSION, THE EXECUTIVE COMMITTEE HAS THE POWER AND AUTHORITY OF THE BOARD TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION, SUBJECT TO THE LIMITATIONS IMPOSED BY THE COLORADO NONPROFIT CORPORATION ACT AND TO ANY LIMITATIONS IMPOSED BY THE BOARD, INCLUDING, THAT SUCH COMMITTEE SHALL NOT: (1) ELECT, APPOINT, OR REMOVE ANY DIRECTOR; (2) AMEND ARTICLES OF INCORPORATION; (3) ADOPT, AMEND, OR REPEAL BYLAWS; (4) APPROVE A PLAN OF CONERSION OR PLAN OF MERGER WITH ANOTHER ENTITY; OR (5) APPROVE A SALE, LEASE, EXCHANGE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF ITS PROPERTY. THE EXECUTIVE COMMITTEE MUST REPORT ALL ACTIONS TAKEN INDEPENDENTLY AND ON BEHALF OF THE BOARD TO THE FULL GOVERNING BOARD, AND THE FULL GOVERNING BOARD MUST VOTE ON THESE ACTIONS AND REORD THEM IN THE BOARD MINUTES. THE EXECUTIVE COMMITTEE, AMONG OTHER THINGS, CONDUCTS EVALUATIONS, AT LEAST ANNUALLY, OF THE EXECUTIVE DIRECTOR'S PERFORMANCE. AND RECOMMENDS HIS OR HER APPROPRIATE COMPENSATION. |
| FORM 990, PART VI, SECTION A, LINE 3 | DURING 2019, PLANTE & MORAN PLLC PROVIDED INTERIM FINANCIAL MANAGEMENT SERVICES AND DOUG BACH SERVED AS INTERIM CIO THROUGH A SERVICES AGREEMENT WITH HIGHLAND DATA CONSULTING CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE FORM 990 WAS REVIEWED BY THE CFO AND THE CEO, THEN BY THE FINANCE COMMITTEE. IT WAS THEN DISTRIBUTED TO THE BOARD OF DIRECTORS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ON AN ANNUAL BASIS, EACH BOARD MEMBER COMPLETES A CONFLICT OF INTEREST DISCLOSURE. IF A POTENTIAL CONFLICT OF INTEREST ARISES WITH A BOARD MEMBER, THE INDIVIDUAL PROVIDES WRITTEN NOTICE OF THE POTENTIAL CONFLICT OF INTEREST TO THE BOARD OF DIRECTORS AND REFRAINS FROM PARTICIPATION IN ANY DISCUSSION OR VOTING ON ANY MATTERS PERTAINING TO THE CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE CEO'S PERFORMANCE TO DETERMINE COMPENSATION. SALARY SURVEYS FROM THE COLORADO COMMUNITY HEALTH NETWORK AND THE COLORADO NONPROFIT ASSOCIATION ARE USED AS GUIDELINES. BASED ON COMPARABLE SALARY INFORMATION, THE CEO, CONTROLLER AND HR MANAGER REVIEW AND APPROVE THE COMPENSATION FOR THE OTHER OFFICERS OF THE ORGANIZATION. THE MOST RECENT COMPENSATION REVIEW WAS CONDUCTED IN 2019. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER SERVICES: PROGRAM SERVICE EXPENSES 438,528. MANAGEMENT AND GENERAL EXPENSES 87,096. FUNDRAISING EXPENSES 344,144. TOTAL EXPENSES 869,768. |
| FORM 990, PART XI, LINE 9: | CHANGE IN BENEFICIAL INTEREST IN ASSETS HELD BY OTHERS 6,605. |