SU CLINICA FAMILIAR: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- SU CLINICA FAMILIAR (EIN 74-2357970)
- Tax period
- 2017-04-01 to 2018-03-31
- Filed
- 2019-02-15
- IRS object ID
- 201900469349301505
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-02-15T12:40:55-06:00 | ReturnTs |
| Tax Period End | 2018-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 221478099 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4 BECKER FARM ROAD | AddressLine1Txt |
| City | ROSELAND | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07068 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742357970 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SU CLINICA FAMILIAR INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SUCL | BusinessNameControlTxt |
| Phone | 9563656750 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1706 TREASURE HILLS BLVD | AddressLine1Txt |
| City | HARLINGEN | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78550 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ADAM SALDIVAR | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 9563656750 | PhoneNum |
| Signature | 2019-02-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI ROTHE YOKOBOSKY CPA | PreparerPersonNm |
| PTIN | P01273422 | PTIN |
| Phone | 9732283500 | PhoneNum |
| Preparation | 2019-02-13 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 209.59.242.22 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-02-14 | IPDt |
| IP Tm | 13:36:59 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | A999648B7C0F94429496C189B46642AFC33E1A30 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ELENA MARIN MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1706 TREASURE HILLS BLVD | AddressLine1Txt |
| City | HARLINGEN | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78550 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $35,182,085 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SUCLINICA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | EXCELLENCE IN HEALTH CARE DELIVERY AND CLINICAL EDUCATION, AND BE RECOGNIZED AS A LEADER IN COMMUNITY HEALTH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 466 | TotalEmployeeCnt |
| Total Volunteers | 37 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,442,383 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,328,720 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $23,106,270 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $24,248,690 | CYProgramServiceRevenueAmt |
| PY Investment Income | $182 | PYInvestmentIncomeAmt |
| CY Investment Income | -$2,315 | CYInvestmentIncomeAmt |
| PY Other Revenue | $526,540 | PYOtherRevenueAmt |
| CY Other Revenue | $602,321 | CYOtherRevenueAmt |
| PY Total Revenue | $34,075,375 | PYTotalRevenueAmt |
| CY Total Revenue | $35,177,416 | 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 | $21,916,917 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $21,200,351 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,188,786 | PYOtherExpensesAmt |
| CY Other Expenses | $12,646,512 | CYOtherExpensesAmt |
| PY Total Expenses | $35,105,703 | PYTotalExpensesAmt |
| CY Total Expenses | $33,846,863 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,030,328 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,330,553 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,539,692 | TotalAssetsBOYAmt |
| Total Assets EOY | $22,858,714 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,391,718 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,240,713 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,147,974 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,618,001 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROMOTE A HEALTHIER COMMUNITY BY PROVIDING ACCESS TO HIGH QUALITY COMPREHENSIVE MEDICAL CARE, HEALTH EDUCATION AND SUPPORT SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $25,906,548 | ExpenseAmt |
| Revenue | $24,851,011 | RevenueAmt |
| Desc | SU CLINICA FAMILIAR, INC. STRONGLY BELIEVES THAT THE TRUE WEALTH OF A COMMUNITY CAN BE JUDGED BY THE HEALTH OF ITS POPULATION. WE GO BEYOND THE TRADITIONAL DOCTORS OFFICE BY OFFERING A WIDE VARIETY OF COMMUNITY PROGRAMS AIMED AT INCREASING THE HEALTH STATUS OF THE ENTIRE COMMUNITY. WE BELIEVE THAT HEALTHY CITIZENS PERFORM BETTER IN OUR SCHOOLS, CONTRIBUTE MORE TO OUR ECONOMY AND ESTABLISH A STRONG FOUNDATION FOR THE COMMUNITY'S VIABILITY. IN THE PAST YEAR SU CLINICA SERVED 32,604 PATIENTS, OF WHICH 14,815 WERE UNINSURED. SU CLINICA'S COMMITMENT TO A HEALTHY SOCIETY INCLUDES PARTICIPATION IN A VARIETY OF DIFFERENT PROGRAMS, AS LISTED HERE.- DIABETES COLLABORATIVE - A NATIONAL PROGRAM TO PROVIDE PERSONALIZED CASE MANAGEMENT SERVICES TO DIABETES PATIENTS.- CHILD HEALTH INSURANCE PROGRAM (CHIP) OUTREACH PROGRAM - INFORMS LOW INCOME FAMILIES ON THE BENEFITS OF ENROLLING CHILDREN IN THE STATE CHIP PROGRAM.- REACH OUT AND READ - MAKES EARLY LITERACY PART OF PEDIATRIC PRACTICE BY PROVIDING BOOKS TO CHILDREN WHOSE FAMILIES HAVE LIMITED RESOURCES AND BY PROVIDING READING MENTORS IN OUR PEDIATRIC WAITING ROOM.- PATIENT CENTERED MEDICAL HOME (PCMH) - SU CLINICA FAMILIAR HAS FOUR LEVEL 3 PCMH SITES CONSISTING OF OUR HARLINGEN, TEXAS, BROWNSVILLE, TEXAS, RAYMONDVILLE, TEXAS, AND SANTA ROSA. TEXAS LOCATION.- ACCOUNTABLE CARE ORGANIZATION (ACO) - SU CLINICA FAMILIAR IS ENGAGED IN AN ACO WHICH IS CHARACTERIZED BY A PAYMENT AND CARE DELIVERY MODEL THAT SEEKS TO TIE PROVIDER REIMBURSEMENTS TO QUALITY METRICS AND REDUCTIONS IN THE TOTAL COST OF CARE FOR ITS MEDICARE PATIENT POPULATION. THE ACO IS ACCOUNTABLE TO THE PATIENTS AND THE THIRD-PARTY PAYER FOR THE QUALITY, APPROPRIATENESS AND EFFICIENCY OF THE HEALTH CARE PROVIDED.- DELIVERY SYSTEM REFORM INCENTIVE PAYMENT (DSRIP) 1115 WAIVER THE CLINIC EXPECTS THAT THE USE OF ELECTRONIC MEDICAL RECORDS, HEALTH INFORMATION EXCHANGE, PATIENT CENTERED MEDICAL HOME AND COORDINATION WITH THE HOSPITAL WILL LEAD TO A PERCENTAGE REDUCTION IN THE NUMBER OF ADULT PATIENTS WITH TYPE 1 OR 2 DIABETES WHOSE HBA1C IS ABOVE 9.0%, OTHERWISE KNOWN AS POOR CONTROL.- RETINOPATHY SCREENING -SU CLINICA FAMILIAR PARTICIPATES IN A DIABETIC RETINOPATHY SCREENING PROGRAM WHICH INVOLVES A UNIQUE PARTNERSHIP AMONG SU CLINICA FAMILIAR, UTHSCSA, AND LOCAL SPECIALISTS. THE INITIATIVE IS DESIGNED TO EXPAND THE MEDICAL HOME MODEL TO INCLUDE IN-HOUSE RETINOPATHY SCREENING WHICH WOULD RESULT IN GREATER ACCESS TO CARE FOR UNINSURED DIABETIC PATIENTS IDENTIFYING POTENTIAL SHORT TERM OR LONG TERM VISION COMPLICATION, WHILE DECREASING HEALTH CARE COSTS AND INCREASING PATIENTS' QUALITY OF LIFE.- HRSA OUTREACH AND ENROLLMENT PROGRAM - EXPAND CURRENT OUTREACH AND ENROLLMENT ASSISTANCE ACTIVITIES AND FACILITATE ENROLLMENT OF ELIGIBLE HEALTH CENTER PATIENTS AND SERVICE AREA RESIDENTS INTO AFFORDABLE HEALTH INSURANCE COVERAGE THROUGH THE HEALTH INSURANCE MARKETPLACES, MEDICAID, OR THE CHILDREN'S HEALTH INSURANCE PROGRAM.ACCESS INCREASE IN MENTAL HEALTH AND SUBMSTANCE ABUSE - TO PROVIDE PRIMARY CARE MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES WITH A FOCUS ON OPIOID ABUSE.TO INCREASE NUMBER OF STAFF WHO ARE PROVIDING MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO EXISTING PATIENTS. THE CLINIC WILL ALSO LEVERAGE HEALTH INFORMATION TECHNOLOGY (IT) AND PROVIDE TRAINING TO SUPPORT THE EXPANSION OF MH AND SA SERVICES FOCUSING ON THE TREATMENT, PREVENTION, AND AWARENESS OF OPIOID ABUSE, AND THEIR INTEGRATION INTO PRIMARY CARE. - -DIEBETES PREVENTION PROGRAM - THROUGH THE CDC-LED NATIONAL DIABETES PREVENTION PROGRAM (NATIONAL DPP), PUBLIC AND PRIVATE ORGANIZATIONS WILL WORK TOGETHER TO EXPAND THE INFRASTRUCTURE FOR THE NATIONWIDE DELIVERY OF AN EVIDENCE-BASED LIFESTYLE CHANGE PROGRAM TO PREVENT OR DELAY ONSET OF TYPE 2 DIABETES AMONG ADULTS WITH PRE-DIABETES. THE NATIONAL GOAL IS TO EXPAND THE NATIONAL DPP DELIVERY STRUCTURE, CLOSE THE ENROLLMENT GAP SO THAT MORE PARTICIPANTS WITH PREDIABETES SUCCESSFULLY COMPLETE THE CDC LIFESTYLE CHANGE PROGRAM, ACHIEVE 5 7 % WEIGHT LOSS, AND SIGNIFICANTLY REDUCE THEIR RISK FOR DEVELOPING TYPE 2 DIABETES. - INTGRATED HEALTHCARE IMPROVEMENT - SERVE A PANEL OF 200 UNDERSERVED PATIENTS, EACH WITH 2 OR MORE CO-MORBIDITIES INCLUDING DIABETES, HYPERTENSION, OBESITY, AND DEPRESSION, WITH A FOCUS ON IMPROVING HEALTH OUTCOMES. PROVIDE DATA SHOWING THE RESULTS FOR THESE PATIENTS RELATED TO THE 4 CO-MORBIDITIES. WE WILL RECEIVE 80% REIMBURSEMENT FOR ENROLLING PATIENTS AND A POTENTIAL 20% ADDITIONAL FUNDING AT THE END OF THE YEAR FOR MEETING INCENTIVE GOALS THAT DEMONSTRATE IMPROVEMENT IN HEALTH OUTCOMES.PROJECT DOC (DIABETES AND OESITY COLLABORATION- THE GOAL IS TO CREATE AN ECOSYSTEM IN WHICH THE PRIVATE SECTOR, HEALTHCARE, AND PATIENTS LEVERAGE TECHNOLOGY AND COLLABORATE TO CHANGE THE HEALTHCARE MODEL.SI TEXAS-WORK WITH THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON - BROWNSVILLE REGIONAL CAMPUS TO FURTHER THE AIMS OF THE SITEXAS PROJECT.GOAL 1: AT LEAST 45% OF SALUD Y VIDA PARTICIPANTS WHO WERE IDENTIFIED BY THE CHRONIC CARE MANAGEMENT TEAM AS NEEDING MTM SERVICES OR BH SERVICES WILL RECEIVE SAID SERVICES BY THE END OF YEAR 2.GOAL 2: AT LEAST 20% OF MTM PROGRAM PARTICIPANTS WILL ACHIEVE AN HBA1C OF BELOW 9% DURING THE 9 MONTHS FOLLOWING THE PROVISION OF SERVICES BY THE END OF YEAR 2.GOAL 3: AT LEAST 20% OF BEHAVIORAL HEALTH SERVICE PROGRAM PARTICIPANTS WILL ACHIEVE AN HBA1C OF BELOW 9% DURING THE 9 MONTHS FOLLOWING THE PROVISION OF SERVICES BY THE END OF YEAR 2. - DSRIP 1115WAIVER- REDUCE THE OVERALL A1C AMONG THE TARGET POPULATION TO 32.90% BY SEPTEMBER 30, 2018.CONTINUE TO IMPROVE THE PROPORTION OF PATIENTS WITH UNCONTROLLED DIABETES AND WILL DEMONSTRATE AN IMPROVEMENT OF THIS PROPORTION FROM THE BASELINE AS DEFINED BY HHSC. | Desc |
| Total Program Service Expenses | $25,906,548 | 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 | 0 | 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | 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 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 | 0 | 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 |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 466 | 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 | 0 | QuidProQuoContributionsInd |
| 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 |
| 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 | 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 | Yes (1) | 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 | ADAM SALDIVAR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9563656750 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1706 TREASURE HILLS BLVD | AddressLine1Txt |
| City | HARLINGEN | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78550 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ARTURO CAVAZOS ED D | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHRISTINA GARCIA ED D | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CLAUDIA U SAENZ | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | |||
| DENISE ALMON CPA | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| FIDEL ATKINSON JR | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | |||
| IRMA LINDA LOPEZ | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | |||
| LUCIA AGUILAR | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | |||
| ROBERT D RODRIGUEZ | |||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ROBERT L GUERRA JD | |||||||||
| VICE CHAIRPERSON | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ROSALEE NAJAR | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | |||
| ROSAURA AGUILAR | |||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | Yes (X) | ||
| SUSANA ANZALDUA | |||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | |||
| TINA BRIONES EDD RN | |||||||||
| CHAIRPERSON | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ADAM SALDIVAR | |||||||||
| CHIEF FINANCIAL OFFICER | 38.00 | $100,435 | $0 | $9,631 | 2.00 | Yes (X) | |||
| ELENA MARIN MD | |||||||||
| CHIEF EXECUTIVE OFFICER | 38.00 | $260,520 | $0 | $15,472 | 2.00 | Yes (X) | |||
| RITA VILLANUEVA MD | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | $266,091 | $0 | $13,056 | Yes (X) | ||||
| CHANDRASEKHER REDDY MD | |||||||||
| PHYSICIAN | 40.00 | $305,064 | $0 | $16,779 | Yes (X) | ||||
| DAVID DE LA LLATA | |||||||||
| PHYSICIAN | 40.00 | $254,221 | $0 | $12,368 | Yes (X) | ||||
| MIGUEL MARTINEZ VELA | |||||||||
| PHYSICIAN | 40.00 | $241,012 | $0 | $11,475 | Yes (X) | ||||
| RAMIRO MUNOZ MD | |||||||||
| PHYSICIAN | 40.00 | $474,625 | $0 | $22,397 | Yes (X) | ||||
| ROSE GOWAN MD | |||||||||
| PHYSICIAN | 40.00 | $266,904 | $0 | $8,939 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,168,872 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $110,117 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 41 | 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 |
|---|---|---|---|---|---|
| ALBERTO E VASQUEZ MD PA | |||||
| 2334 S 25TH ST | HARLINGEN | TX | 78550 | PROFESSIONAL MEDICAL SERVICES | $252,350 |
| ALBERT BERNARDONI MD PA | |||||
| 2808 CHINSBERRY PARK LN | LEAGUE CITY | TX | 77573 | PROFESSIONAL MEDICAL SERVICES | $245,000 |
| COHNREZNICK LLP | |||||
| 1301 AVENUE OF THE AMERICAS | NEW YORK | NY | 10019 | AUDIT, FINANCIAL SERVICES | $226,725 |
| HARLINGEN OBSTETRICS AND GYNECOLGY | |||||
| 2230 HAINE DR | HARLINGEN | TX | 78550 | PROFESSIONAL MEDICAL SERVICES | $215,920 |
| BRYAN J PRUKOP DPM | |||||
| 812 LINDBURG AVE | MCALLEN | TX | 78501 | PROFESSIONAL MEDICAL SERVICES | $140,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $9,473,594 | GovernmentGrantsAmt |
| All Other Contributions | $855,126 | AllOtherContributionsAmt |
| Noncash Contributions | $20,748 | NoncashContributionsAmt |
| Total Contributions | $10,328,720 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID & MEDICAID MANAGED CARE | 621400 | $16,046,467 | $16,046,467 |
| SELF PAY | 621400 | $3,680,524 | $3,680,524 |
| 340B PHARMACY REVENUE | 621400 | $1,896,644 | $1,896,644 |
| OTHER THIRD PARTY | 621400 | $1,456,839 | $1,456,839 |
| MEDICARE | 621400 | $1,168,216 | $1,168,216 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $24,248,690 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,354 | TotalRevenueColumnAmt |
| Exclusion | $2,354 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $4,669 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$4,669 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,669 | TotalRevenueColumnAmt |
| Exclusion | -$4,669 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PHYSICIAN INCENTIVES | 621400 | $219,098 | $219,098 |
| MISCELLANEOUS INCOME | 900099 | $196,223 | $196,223 |
| MEANINGFUL USE INCENTIVE | 900099 | $187,000 | $187,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $602,321 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,177,416 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $24,851,011 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$2,315 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $751,384 | TotalAmt |
| Program Services | $532,717 | ProgramServicesAmt |
| Management And General | $218,667 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,797,488 | TotalAmt |
| Program Services | $12,636,103 | ProgramServicesAmt |
| Management And General | $5,161,385 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $433,409 | TotalAmt |
| Program Services | $300,846 | ProgramServicesAmt |
| Management And General | $132,563 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $915,701 | TotalAmt |
| Program Services | $635,624 | ProgramServicesAmt |
| Management And General | $280,077 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,302,369 | TotalAmt |
| Program Services | $904,024 | ProgramServicesAmt |
| Management And General | $398,345 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,228 | TotalAmt |
| Management And General | $25,228 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $560,544 | TotalAmt |
| Management And General | $560,544 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,598,503 | TotalAmt |
| Program Services | $1,598,503 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $596,312 | TotalAmt |
| Program Services | $349,520 | ProgramServicesAmt |
| Management And General | $246,792 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $564,200 | TotalAmt |
| Program Services | $564,200 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $986,945 | TotalAmt |
| Program Services | $871,168 | ProgramServicesAmt |
| Management And General | $115,777 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,808 | TotalAmt |
| Program Services | $97,402 | ProgramServicesAmt |
| Management And General | $120,406 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383,488 | TotalAmt |
| Program Services | $314,460 | ProgramServicesAmt |
| Management And General | $69,028 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,111,306 | TotalAmt |
| Program Services | $985,030 | ProgramServicesAmt |
| Management And General | $126,276 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,426 | TotalAmt |
| Program Services | $14,592 | ProgramServicesAmt |
| Management And General | $206,834 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD BEBTS | $2,630,031 | $2,630,031 | |
| CONSUMABLE SUPPLIES | $1,851,240 | $1,761,194 | $90,046 |
| LABORATORY | $1,124,982 | $1,124,982 | |
| REPAIRS & MAINTENANCE | $616,622 | $551,081 | $65,541 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,877 | TotalAmt |
| Program Services | $35,071 | ProgramServicesAmt |
| Management And General | $122,806 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,846,863 | TotalAmt |
| Program Services | $25,906,548 | ProgramServicesAmt |
| Management And General | $7,940,315 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,032,047 | BOYAmt |
| EOY | $2,293,264 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $556,686 | BOYAmt |
| EOY | $268,102 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,181,460 | BOYAmt |
| EOY | $1,664,562 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $201,574 | BOYAmt |
| EOY | $178,442 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $242,984 | BOYAmt |
| EOY | $353,962 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $28,890,872 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,790,490 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,324,941 | BOYAmt |
| EOY | $18,100,382 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,539,692 | BOYAmt |
| EOY | $22,858,714 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,682,329 | BOYAmt |
| EOY | $3,049,746 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $175,730 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,676,000 | BOYAmt |
| EOY | $5,412,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,033,389 | BOYAmt |
| EOY | $1,603,237 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,391,718 | BOYAmt |
| EOY | $10,240,713 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,082,504 | BOYAmt |
| EOY | $12,554,106 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,470 | BOYAmt |
| EOY | $63,895 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,147,974 | BOYAmt |
| EOY | $12,618,001 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,539,692 | BOYAmt |
| EOY | $22,858,714 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,330,553 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $139,474 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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 | $9,491,738 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,138,521 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,517,190 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,442,383 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,328,720 | CurrentTaxYearAmt |
| Total | $50,918,552 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,491,738 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,138,521 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,517,190 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,442,383 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,328,720 | CurrentTaxYearAmt |
| Total | $50,918,552 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $50,918,552 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,441 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,635 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,316 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $182 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,354 | CurrentTaxYearAmt |
| Total | $10,928 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $477,982 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $497,621 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $510,288 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $526,540 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $602,321 | CurrentTaxYearAmt |
| Total | $2,614,752 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $53,544,232 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $109,502,595 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95100 | PublicSupportCY170Pct |
| Public Support PY170 | 0.96100 | 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 | MISCELLANEOUS - 2013 AMOUNT: $ 307,982. 2014 AMOUNT: $ 217,121. 2015 AMOUNT: $ 234,038. 2016 AMOUNT: $ 318,290. 2017 AMOUNT: $ 415,321. MEANINGFUL USE INCENTIVE - 2013 AMOUNT: $ 170,000. 2014 AMOUNT: $ 280,500. 2015 AMOUNT: $ 276,250. 2016 AMOUNT: $ 208,250. 2017 AMOUNT: $ 187,000. | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,962,027 | OtherCostOrOtherBasisAmt |
| Book Value | $2,962,027 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,628,920 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,411,480 | DepreciationAmt |
| Book Value | $13,217,440 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,180,230 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,219,225 | DepreciationAmt |
| Book Value | $961,005 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,119,695 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,159,785 | DepreciationAmt |
| Book Value | $959,910 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $18,100,382 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| LINE OF CREDIT | $850,000 |
| INTEREST RATE SWAP LIABILITY | $263,144 |
| CAPITAL LEASE | $490,093 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,603,237 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $32,555,562 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$2,626,523 | OtherRevenueAmt |
| Revenue Not Reported | -$2,626,523 | RevenueNotReportedAmt |
| Revenue Subtotal | $35,182,085 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$4,669 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$4,669 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $35,177,416 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $31,162,018 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$54,814 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$54,814 | ExpensesNotReportedAmt |
| Expenses Subtotal | $31,216,832 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $2,630,031 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,630,031 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $33,846,863 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION HAS NO UNRECOGNIZED TAX BENEFITS AT MARCH 31, 2018. THE ORGANIZATION'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2015 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RELATED ORGANIZATION REVENUE 453,736. RELATED ORGANIZATION ELIMINATIONS -450,228. PROVISION FOR BAD DEBT -2,630,031. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | LOSS ON DISPOSAL OF FIXED ASSETS -4,669. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RELATED ORGANIZATION EXPENSES 390,745. RELATED ORGANIZATION ELIMINATIONS -450,228. LOSS ON DISPOSAL OF FIXED ASSETS 4,669. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBT 2,630,031. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELENA MARIN MD | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $259,211 | $0 | $358 | $0 | $951 | $0 | $9,386 | $0 | $6,086 | $0 | $275,992 | $0 | $0 | $0 |
| RITA VILLANUEVA MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $250,038 | $0 | $15,102 | $0 | $951 | $0 | $9,661 | $0 | $3,395 | $0 | $279,147 | $0 | $0 | $0 |
| CHANDRASEKHER REDDY MD | ||||||||||||||
| PHYSICIAN | $253,275 | $0 | $25,307 | $0 | $26,482 | $0 | $10,692 | $0 | $6,087 | $0 | $321,843 | $0 | $0 | $0 |
| DAVID DE LA LLATA | ||||||||||||||
| PHYSICIAN | $163,011 | $0 | $30,339 | $0 | $60,871 | $0 | $8,973 | $0 | $3,395 | $0 | $266,589 | $0 | $0 | $0 |
| MIGUEL MARTINEZ VELA | ||||||||||||||
| PHYSICIAN | $210,103 | $0 | $23,679 | $0 | $7,230 | $0 | $8,505 | $0 | $2,970 | $0 | $252,487 | $0 | $0 | $0 |
| RAMIRO MUNOZ MD | ||||||||||||||
| PHYSICIAN | $211,948 | $0 | $22,654 | $0 | $240,023 | $0 | $16,310 | $0 | $6,087 | $0 | $497,022 | $0 | $0 | $0 |
| ROSE GOWAN MD | ||||||||||||||
| PHYSICIAN | $200,474 | $0 | $25,779 | $0 | $40,651 | $0 | $8,939 | $0 | $0 | $0 | $275,843 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7 | INCLUDED ON SCHEDULE J, PART II, COLUMN B(II) ARE AMOUNTS REPRESENTING BONUS AND OTHER INCENTIVE PAYMENTS. THESE AMOUNTS WERE INCLUDED IN THE INDIVIDUALS 2017 W-2, AND APPROVED BY THE BOARD. |
| PART II, COLUMN B(III): | AMOUNTS IN COLUMN B REPRESENT OTHER COMPENSATION SUCH AS VACATION/OTHER PTO PAYOUT, CLINIC/ON CALL DUTY, ADMIN LEAVE, AND FAMILY MEDICAL LEAVE. |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $20,748 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | AMOUNT IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CHIEF FINANCIAL OFFICER REVIEWS THE 990 AND PRESENTS IT TO THE CHIEF EXECUTIVE OFFICER FOR SECONDARY REVIEW. A BOARD OF DIRECTORS MEETING IS THEN HELD FOR PRESENTATION AND APPROVAL OF THE RETURN PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL DIRECTORS AND EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST REVIEW ANNUALLY. THE FORM CLEARLY STATES THAT THEY COMPLY WITH THE POLICY. THE CENTER REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | A SALARY RANGE IS PREPARED AND APPROVED BY THE BOARD OF DIRECTORS. THIS SALARY RANGE IS COMPRISED OF INFORMATION OBTAINED FROM OTHER COMMUNITY HEALTH CENTERS AND THE LOCAL MARKET FOR THE CHIEF EXECUTIVE OFFICER. A SURVEY OF THE MAJOR COMMUNITY HEALTH CENTERS IS COMPILED USING THE BUDGET OF THE CENTER AS A KEY INDICATOR. THIS INFORMATION IS PRESENTED TO THE CHAIRMAN OF THE BOARD. THE BOARD, VIA EXECUTIVE SESSION, USES THIS INFORMATION TO DETERMINE THE CEO'S SALARY. IN ADDITION, THE BOARD REVIEWS THE SALARIES OF ALL INDIVIDUALS OVER $100K. PHYSICIANS' SALARIES ARE DETERMINED BY USING THE MGMA COMPENSATION AND PRODUCTIVITY INFORMATION. KEY PERSONNEL SALARIES ARE DETERMINED BY SURVEYING THE LOCAL MARKET AND HEALTH CENTER COMPENSATION GUIDE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES THE CONFLICT OF INTEREST POLICY, ALL GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 139,474. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS A COMMITTEE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SU CLINICA FAMILIAR MEDICAL FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1706 TREASURE HILLS BLVD | AddressLine1Txt |
| City | HARLINGEN | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78550 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742965534 | EIN |
| Primary Activities | SUPPORT | PrimaryActivitiesTxt |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SU CLINICA | 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 | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | 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 | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |