FIRST CHOICE COMMUNITY HEALTHCARE INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- FIRST CHOICE COMMUNITY HEALTHCARE INC (EIN 85-0224409)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-14
- IRS object ID
- 201923189349305977
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-14T12:30:15-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | 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 | 6501 AMERICAS PARKWAY NE SUITE 500 | AddressLine1Txt |
| City | ALBUQUERQUE | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87110 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850224409 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIRST CHOICE COMMUNITY HEALTHCARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FIRS | BusinessNameControlTxt |
| Phone | 5058737400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 N CENTRO FAMILIAR BLVD SW | AddressLine1Txt |
| City | ALBUQUERQUE | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87105 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTOPHER GRASTY | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5058737400 | PhoneNum |
| Signature | 2019-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KURT BENNION | PreparerPersonNm |
| PTIN | P01469618 | PTIN |
| Phone | 5058428290 | PhoneNum |
| Preparation | 2019-11-13 | 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 | 2019-11-13 | IPDt |
| IP Tm | 15:00:21 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 5E3C1BCFBB44A3132419794B5A844FCBBE802242 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | ED7A213D0C8BAFBC613504E63D8DBAF6E4014801 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-04-17 16:48:07Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT DEFELICE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 N CENTRO FAMILIAR BLVD SW | AddressLine1Txt |
| City | ALBUQUERQUE | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $37,234,249 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FCCH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | NM | LegalDomicileStateCd |
| Activity Or Mission | IMPROVING THE HEALTH, LIFE SKILLS AND WELL-BEING OF ALL MEMBERS OF THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 535 | TotalEmployeeCnt |
| Total Volunteers | 21 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,807,338 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,991,098 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $23,091,118 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $26,142,288 | CYProgramServiceRevenueAmt |
| PY Investment Income | $21,940 | PYInvestmentIncomeAmt |
| CY Investment Income | $56,431 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,853 | PYOtherRevenueAmt |
| CY Other Revenue | $33,053 | CYOtherRevenueAmt |
| PY Total Revenue | $33,925,249 | PYTotalRevenueAmt |
| CY Total Revenue | $37,222,870 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $11,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $11,001 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $26,519,883 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $29,110,490 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $115,314 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $151,232 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,674,020 | PYOtherExpensesAmt |
| CY Other Expenses | $8,898,388 | CYOtherExpensesAmt |
| PY Total Expenses | $35,204,903 | PYTotalExpensesAmt |
| CY Total Expenses | $38,135,193 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,279,654 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$912,323 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,474,614 | TotalAssetsBOYAmt |
| Total Assets EOY | $20,733,722 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,306,371 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,486,091 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $17,168,243 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,247,631 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE PRIMARY MEDICAL AND DENTAL CARE INCLUDING HEALTH EDUCATION TO RESIDENTS OF BERNALILLO, VALENCIA, AND SANTA FE COUNTIES OF NEW MEXICO. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $31,376,139 | ExpenseAmt |
| Grant | $11,001 | GrantAmt |
| Revenue | $26,142,288 | RevenueAmt |
| Desc | 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 40 YEARS. WE PLAY AN INTEGRAL ROLE IN PROVIDING ACCESS TO ALL PEOPLE REGARDLESS OF INCOME OR INSURANCE STATUS. | Desc |
| Total Program Service Expenses | $31,376,139 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | Yes (1) | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 37 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 535 | 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | 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 | 0 | 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 |
| States Where Copy Of Return Is Fld | NM | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTOPHER GRASTY | PersonNm |
| Phone | 5058737400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 N CENTRO FAMILIAR BLVD SW | AddressLine1Txt |
| City | ALBUQUERQUE | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87105 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| PAUL LUNA | |||||||||
| PRESIDENT | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GRACE CHAVEZ | |||||||||
| VICE PRESIDENT | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| FLOYD WILSON | |||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROD MERCURE | |||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SARA BACA | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DR LANCE CHILTON | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SANDRA DESONIER | |||||||||
| DIRECTOR (THROUGH MAY 2018) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| GLORIA SUE DOHERTY | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MARY DOMINGUEZ | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RACHEL FLORES | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LINDA HOLLE | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DR PAUL HOPKINS | |||||||||
| DIRECTOR (THROUGH NOV 2018) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LUCY JOJOLA | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DR JOSE MARTINEZ | |||||||||
| DIRECTOR (THROUGH MAY 2018) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSE MONTOYA | |||||||||
| DIRECTOR (THROUGH NOV 2018) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LOURDES ORTIZ | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES RING | |||||||||
| DIRECTOR (THROUGH JAN 2018) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA WEST | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT DEFELICE | |||||||||
| CEO | 40.00 | 0.10 | Yes (X) | $174,114 | $0 | $43,196 | |||
| CHRISTOPHER GRASTY | |||||||||
| CFO | 40.00 | 0.00 | Yes (X) | $102,738 | $0 | $10,255 | |||
| MELISSA MANLOVE | |||||||||
| COO | 40.00 | 0.00 | Yes (X) | $127,954 | $0 | $43,417 | |||
| WILL KAUFMAN | |||||||||
| MEDICAL DIRECTOR | 36.00 | 0.00 | $209,689 | $0 | $34,110 | Yes (X) | |||
| JEREMIAH DYE | |||||||||
| DENTAL DIRECTOR | 40.00 | 0.00 | $167,346 | $0 | $37,957 | Yes (X) | |||
| SAVERIO SAVA | |||||||||
| DENTAL DIRECTOR | 30.00 | 0.00 | $215,014 | $0 | $47,439 | Yes (X) | |||
| LIANG-TSO TUNG | |||||||||
| CLINICAL DENTAL SUPERVISOR | 40.00 | 0.00 | $173,099 | $0 | $22,245 | Yes (X) | |||
| STEPHANIE NEVAREZ-FERNANDEZ | |||||||||
| PEDIATRICIAN | 32.00 | 0.00 | $141,104 | $0 | $30,592 | Yes (X) | |||
| MILTON GODINEZ | |||||||||
| GYNECOLOGIST | 32.00 | 0.00 | $139,992 | $0 | $43,944 | Yes (X) | |||
| JENNIFER PENTECOST | |||||||||
| CLINICAL SUPERVISOR | 28.00 | 0.00 | $160,931 | $0 | $30,853 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,611,981 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $344,008 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 44 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CARDINAL HEALTH | |||||
| 7000 CARDINAL PLACE | DUBLIN | OH | 43017 | PATIENT CARE | $540,114 |
| TRICORE REFERENCE LABS | |||||
| 1001 WOODWARD PLACE NE | ALBUQUERQUE | NM | 87102 | PATIENT CARE | $431,511 |
| FRANKEN CONSTRUCTION COMPANY | |||||
| 1025 DOUGLAS AVENUE | LAS VEGAS | NM | 87701 | CONSTRUCTION | $397,147 |
| CARDINAL PHARMACY SUNRX | |||||
| PO BOX 56412 | LOS ANGELES | CA | 900746412 | PATIENT CARE | $259,866 |
| UNIVERSITY HOSPITAL | |||||
| PO BOX 80600 | ALBUQUERQUE | NM | 871980600 | SERVICE PROVIDER | $245,923 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $5,795 | FundraisingAmt |
| Government Grants | $10,957,461 | GovernmentGrantsAmt |
| All Other Contributions | $27,842 | AllOtherContributionsAmt |
| Noncash Contributions | $1,077,540 | NoncashContributionsAmt |
| Total Contributions | $10,991,098 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT CARE REVENUES | 621400 | $25,878,911 | $25,878,911 |
| OTHER MEDICAL REVENUE | 621400 | $263,377 | $263,377 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $26,142,288 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,738 | TotalRevenueColumnAmt |
| Exclusion | $59,738 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,307 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$3,307 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,307 | TotalRevenueColumnAmt |
| Exclusion | -$3,307 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $29,563 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $5,795 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $8,072 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,491 | TotalRevenueColumnAmt |
| Exclusion | $21,491 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $11,562 | TotalRevenueColumnAmt |
| Exclusion | $11,562 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $11,562 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,222,870 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $26,142,288 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $89,484 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,001 | TotalAmt |
| Program Services | $11,001 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $950,777 | TotalAmt |
| Management And General | $950,777 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,536,356 | TotalAmt |
| Program Services | $19,363,458 | ProgramServicesAmt |
| Management And General | $3,170,827 | ManagementAndGeneralAmt |
| Fundraising | $2,071 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,211,846 | TotalAmt |
| Program Services | $1,096,790 | ProgramServicesAmt |
| Management And General | $114,939 | ManagementAndGeneralAmt |
| Fundraising | $117 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,708,475 | TotalAmt |
| Program Services | $2,298,933 | ProgramServicesAmt |
| Management And General | $409,296 | ManagementAndGeneralAmt |
| Fundraising | $246 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,703,036 | TotalAmt |
| Program Services | $1,414,203 | ProgramServicesAmt |
| Management And General | $288,682 | ManagementAndGeneralAmt |
| Fundraising | $151 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,522 | TotalAmt |
| Management And General | $63,522 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,979 | TotalAmt |
| Management And General | $47,979 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,314 | TotalAmt |
| Fundraising | $115,314 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,464,544 | TotalAmt |
| Program Services | $1,137,872 | ProgramServicesAmt |
| Management And General | $312,507 | ManagementAndGeneralAmt |
| Fundraising | $14,165 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,793 | TotalAmt |
| Program Services | $40,457 | ProgramServicesAmt |
| Management And General | $19,336 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $403,265 | TotalAmt |
| Program Services | $224,795 | ProgramServicesAmt |
| Management And General | $178,470 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,860 | TotalAmt |
| Program Services | $76,797 | ProgramServicesAmt |
| Management And General | $11,964 | ManagementAndGeneralAmt |
| Fundraising | $99 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,247 | TotalAmt |
| Program Services | $200,164 | ProgramServicesAmt |
| Management And General | $174,371 | ManagementAndGeneralAmt |
| Fundraising | $712 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,912 | TotalAmt |
| Program Services | $56,777 | ProgramServicesAmt |
| Management And General | $27,135 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,191 | TotalAmt |
| Program Services | $8,925 | ProgramServicesAmt |
| Management And General | $4,266 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,654 | TotalAmt |
| Program Services | $5,856 | ProgramServicesAmt |
| Management And General | $2,798 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $717,424 | TotalAmt |
| Program Services | $672,377 | ProgramServicesAmt |
| Management And General | $38,894 | ManagementAndGeneralAmt |
| Fundraising | $6,153 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $4,733,708 | $4,169,480 | $555,311 | $8,917 |
| OTHER EXPENSES | $589,687 | $395,028 | $194,050 | $609 |
| REPAIRS & MAINTENANCE | $229,599 | $190,368 | $36,553 | $2,678 |
| DUES & SUBSCRIPTIONS | $19,003 | $12,858 | $6,145 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,135,193 | TotalAmt |
| Program Services | $31,376,139 | ProgramServicesAmt |
| Management And General | $6,607,822 | ManagementAndGeneralAmt |
| Fundraising | $151,232 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,986,041 | BOYAmt |
| EOY | $1,614,944 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,897,199 | BOYAmt |
| EOY | $3,946,544 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,236,051 | BOYAmt |
| EOY | $2,757,900 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $420,904 | BOYAmt |
| EOY | $406,252 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $201,892 | BOYAmt |
| EOY | $216,991 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,378,512 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,984,439 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,527,129 | BOYAmt |
| EOY | $11,394,073 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,667 | BOYAmt |
| EOY | $60,667 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,731 | BOYAmt |
| EOY | $336,351 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,474,614 | BOYAmt |
| EOY | $20,733,722 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,238,612 | BOYAmt |
| EOY | $4,293,060 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,759 | BOYAmt |
| EOY | $193,031 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,306,371 | BOYAmt |
| EOY | $4,486,091 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,084,191 | BOYAmt |
| EOY | $16,240,293 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,052 | BOYAmt |
| EOY | $7,338 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,168,243 | BOYAmt |
| EOY | $16,247,631 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,474,614 | BOYAmt |
| EOY | $20,733,722 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$912,323 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$8,289 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,017,822 | OtherCostOrOtherBasisAmt |
| Book Value | $1,017,822 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,443,712 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,714,704 | DepreciationAmt |
| Book Value | $6,729,008 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,495,079 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,313,088 | DepreciationAmt |
| Book Value | $2,181,991 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,424,999 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,956,647 | DepreciationAmt |
| Book Value | $468,352 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $996,900 | OtherCostOrOtherBasisAmt |
| Book Value | $996,900 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,394,073 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $38,217,346 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $1,049,940 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $11,379 | OtherRevenueAmt |
| Revenue Not Reported | $1,061,319 | RevenueNotReportedAmt |
| Revenue Subtotal | $37,156,027 | RevenueSubtotalAmt |
| Other Revenues Not Included | $66,843 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $66,843 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $37,222,870 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $39,193,205 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $1,049,940 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $8,072 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,058,012 | ExpensesNotReportedAmt |
| Expenses Subtotal | $38,135,193 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $38,135,193 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 3,307. FUNDRAISING EVENT EXPENSES 8,072. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | INTEREST INCOME 59,738. CONTRIBUTIONS WITH DONOR RESTRICTIONS 7,105. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EVENT EXPENSES 8,072. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| 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 |
|---|---|---|---|---|---|---|---|---|
| MOTIVA CORPORATION | ||||||||
| 306 PLAZA CONSUELO | BERNALILLO | NM | 87004 | FUNDRAISING | 0 | $1,725,000 | $64,051 | $1,660,949 |
| ROSS CONSULTANTS | ||||||||
| 406 LIVE OAK LOOP NE | ALBUQUERQUE | NM | 87122 | FUNDRAISING | 0 | $1,725,000 | $51,263 | $1,673,737 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $3,450,000 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $115,314 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $3,334,686 | TotalNetToOrganizationAmt |
| Licensed States | NM | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $35,358 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $5,795 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $29,563 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $400 | CashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $2,860 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $1,748 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $3,064 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $35,358 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $5,795 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $29,563 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $400 | CashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $2,860 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $1,748 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $3,064 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $8,072 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $21,491 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| SCHOLARSHIPS | 11 | $11,000 |
| BUS PASSES | 1 | $1 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT DEFELICE | ||||||||||||||
| CEO | $150,088 | $0 | $0 | $0 | $24,026 | $0 | $32,249 | $0 | $10,947 | $0 | $217,310 | $0 | $0 | $0 |
| MELISSA MANLOVE | ||||||||||||||
| COO | $120,954 | $0 | $0 | $0 | $7,000 | $0 | $20,073 | $0 | $23,344 | $0 | $171,371 | $0 | $0 | $0 |
| WILL KAUFMAN | ||||||||||||||
| MEDICAL DIRECTOR | $192,989 | $0 | $0 | $0 | $16,700 | $0 | $32,745 | $0 | $1,365 | $0 | $243,799 | $0 | $0 | $0 |
| JEREMIAH DYE | ||||||||||||||
| DENTAL DIRECTOR | $162,561 | $0 | $0 | $0 | $4,785 | $0 | $15,549 | $0 | $22,408 | $0 | $205,303 | $0 | $0 | $0 |
| SAVERIO SAVA | ||||||||||||||
| DENTAL DIRECTOR | $166,394 | $0 | $21,414 | $0 | $27,206 | $0 | $25,031 | $0 | $22,408 | $0 | $262,453 | $0 | $0 | $0 |
| LIANG-TSO TUNG | ||||||||||||||
| CLINICAL DENTAL SUPERVISOR | $150,028 | $0 | $0 | $0 | $23,071 | $0 | $12,819 | $0 | $9,426 | $0 | $195,344 | $0 | $0 | $0 |
| STEPHANIE NEVAREZ-FERNANDEZ | ||||||||||||||
| PEDIATRICIAN | $128,809 | $0 | $0 | $0 | $12,295 | $0 | $14,582 | $0 | $16,010 | $0 | $171,696 | $0 | $0 | $0 |
| MILTON GODINEZ | ||||||||||||||
| GYNECOLOGIST | $139,992 | $0 | $0 | $0 | $0 | $0 | $28,008 | $0 | $15,936 | $0 | $183,936 | $0 | $0 | $0 |
| JENNIFER PENTECOST | ||||||||||||||
| CLINICAL SUPERVISOR | $116,049 | $0 | $17,318 | $0 | $27,564 | $0 | $29,491 | $0 | $1,362 | $0 | $191,784 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 130 | ContributionCnt |
| Noncash Contributions Rpt F990 | $988,680 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST PER UNIT | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | SOFTWARE LICENSE | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $88,860 | 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 | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 A, LINE 4 | THE BYLAWS WERE AMENDED IN AUGUST 2018 TO CHANGE THE SIZE OF THE BOARD OF DIRECTORS FROM NO LESS THAN 13 AND NO MORE THAN 17 INDIVIDUALS TO NO LESS THAN 9 AND NO MORE THAN 25 INDIVIDUALS. |
| 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIRST CHOICE COMMUNITY HEALTHCARE INC MEDICALDISABILITY TRUST | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 N CENTRO FAMILIAR BLVD SW | AddressLine1Txt |
| City | ALBUQUERQUE | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850342798 | EIN |
| Primary Activities | PROVIDE MEDICAL, DENTAL AND DISABILITY BENEFITS TO PARTICIPANTS | PrimaryActivitiesTxt |
| Legal Domicile State | NM | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(9) | ExemptCodeSectionTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIRST CHOICE COMMUNITY HEALTHCARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| FIRST CHOICE COMMUNITY HEALTHCARE INC MEDICALDISABILITY TRUST | ||
| L | $186,147 | CONTRACT RATE |
| FIRST CHOICE COMMUNITY HEALTHCARE INC MEDICALDISABILITY TRUST | ||
| R | $2,381,823 | MEDICAL CLAIMS |