FIRST CHOICE COMMUNITY HEALTHCARE INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- FIRST CHOICE COMMUNITY HEALTHCARE INC (EIN 85-0224409)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-14
- IRS object ID
- 201813189349307851
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-14T14:29:46-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 205949532 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICCI & COMPANY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6200 UPTOWN BLVD NE STE 400 | AddressLine1Txt |
| City | ALBUQUERQUE | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87110 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | 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 HEATHCARE 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 | 2018-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARIA MATONTI | PreparerPersonNm |
| PTIN | P01790899 | PTIN |
| Phone | 5053380800 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 204.98.120.221 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-14 | IPDt |
| IP Tm | 09:58:30 | IPTm |
| IP Timezone | MS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | E53D5F2F9BFD5AE6C6CE5D513160F1F5CF4BF9B7 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | AF7EB10CD22DEED53D32D49A3D838961749C4B3D | 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 | CHRISTOPHER GRASTY | 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 | $33,935,536 | 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 | TO PROVIDE COMPREHENSIVE HEALTH CARE FOR THE TOTAL PERSON, THROUGH THE MEDIUM OF MANAGING AND OPERATING COORDINATED HEALTH FACILITIES AND ITS PROGRAMS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 496 | TotalEmployeeCnt |
| Total Volunteers | 27 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $11,465,229 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,807,338 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $22,740,389 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $23,091,118 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$16,658 | PYInvestmentIncomeAmt |
| CY Investment Income | $21,940 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$7,056 | PYOtherRevenueAmt |
| CY Other Revenue | $4,853 | CYOtherRevenueAmt |
| PY Total Revenue | $34,181,904 | PYTotalRevenueAmt |
| CY Total Revenue | $33,925,249 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $9,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $11,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $26,068,400 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $26,519,883 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $94,191 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,899,446 | PYOtherExpensesAmt |
| CY Other Expenses | $8,674,020 | CYOtherExpensesAmt |
| PY Total Expenses | $35,976,846 | PYTotalExpensesAmt |
| CY Total Expenses | $35,204,903 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,794,942 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,279,654 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,810,470 | TotalAssetsBOYAmt |
| Total Assets EOY | $20,474,614 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,366,608 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,306,371 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $18,443,862 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,168,243 | 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 | $29,059,105 | ExpenseAmt |
| Grant | $11,000 | GrantAmt |
| Revenue | $23,091,118 | RevenueAmt |
| Desc | THROUGH ITS NINE HEALTH CENTERS, THE ORGANIZATION (FCCH) PROVIDES MEDICAL, DENTAL, BEHAVIORAL HEALTH & NUTRITION SERVICES, AND HEALTH EDUCATION TO MODERATE AND LOW INCOME RESIDENTS OF BERNALILLO, VALENCIA AND SANTA FE COUNTIES OF NEW MEXICO. FCCH'S CLIENTS ARE CULTURALLY AND ECONOMICALLY DIVERSE. | Desc |
| Total Program Service Expenses | $29,059,105 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 27 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 496 | 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | 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 | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | 0 | 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 |
| 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| PAUL LUNA | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GRACE CHAVEZ | |||||||
| VICE-PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| FLOYD WILSON | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROD MERCURE | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SARA BACA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LUCY JOJOLA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY DOMINGUEZ | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LOURDES ORTIZ | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES RING | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PATRICIA WEST | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GLORIA SUE DOHERTY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR PAUL HOPKINS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR JOSE MARTINEZ | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SANDRA DESONIER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RACHEL FLORES | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT DEFELICE | |||||||
| CEO | 40.00 | Yes (X) | $174,015 | $0 | $25,103 | ||
| CHRISTOPHER GRASTY | |||||||
| CFO | 40.00 | Yes (X) | $101,694 | $0 | $16,436 | ||
| MELISSA MANLOVE | |||||||
| COO | 40.00 | Yes (X) | $118,369 | $0 | $31,114 | ||
| NORMA BOYD | |||||||
| HR DIRECTOR | 40.00 | Yes (X) | $99,947 | $0 | $16,095 | ||
| FRANCISCO CRESPIN | |||||||
| MEDICAL DIRECTOR | 40.00 | Yes (X) | $196,347 | $0 | $9,189 | ||
| JEREMIAH DYE | |||||||
| DENTAL DIRECTOR | 40.00 | Yes (X) | $180,003 | $0 | $37,428 | ||
| SAVERIO SAVA | |||||||
| CLINICAL SUPERVISOR | 40.00 | $224,594 | $0 | $38,899 | Yes (X) | ||
| RICHARD ARIES | |||||||
| CLINICAL SUPERVISOR | 40.00 | $182,110 | $0 | $37,932 | Yes (X) | ||
| WILL KAUFMAN | |||||||
| PHYSICIAN | 40.00 | $181,682 | $0 | $12,481 | Yes (X) | ||
| LIANG-TSO TUNG | |||||||
| CLINICAL SUPERVISOR | 40.00 | $180,457 | $0 | $20,198 | Yes (X) | ||
| SYLVIA WITTELS | |||||||
| PHYSICIAN | 40.00 | $177,906 | $0 | $7,745 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,817,124 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $252,620 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 43 | 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 |
|---|---|---|---|---|---|
| TRICORE REFERENCE LABORATORIES | |||||
| 1001 WOODWARD PL NE | ALBUQUERQUE | NM | 87102 | LABORATORY TESTING SERVICES | $595,896 |
| CARDINAL HEALTH | |||||
| 7001 CARDINAL PLACE | DUBLIN | OH | 43017 | PHARMACEUTICALS | $464,691 |
| HENRY SCHEIN INC | |||||
| DEPT CH 10241 | PALATINE | IL | 60055 | MEDICAL & DENTAL SUPPLIES | $390,102 |
| CERNER HEALTHCARE SOLUTIONS | |||||
| PO BOX 412732 | KANSAS CITY | MO | 64141 | ELECTRONIC MEDICAL RECORDS | $271,561 |
| UNM MEDICAL GROUP | |||||
| PO BOX 912137 | DENVER | CO | 80291 | SOFTWARE LICENSING | $259,628 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $20,600 | FundraisingAmt |
| Government Grants | $9,625,275 | GovernmentGrantsAmt |
| All Other Contributions | $1,161,463 | AllOtherContributionsAmt |
| Noncash Contributions | $1,141,086 | NoncashContributionsAmt |
| Total Contributions | $10,807,338 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT CARE REVENUE | 621400 | $22,631,227 | $22,631,227 |
| OTHER MEDICAL REVENUE | 621400 | $459,891 | $459,891 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $23,091,118 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,985 | TotalRevenueColumnAmt |
| Exclusion | $22,985 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,045 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$1,045 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,045 | TotalRevenueColumnAmt |
| Exclusion | -$1,045 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $14,095 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $20,600 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $9,242 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,853 | TotalRevenueColumnAmt |
| Exclusion | $4,853 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,925,249 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,091,118 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $26,793 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,000 | TotalAmt |
| Program Services | $11,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $870,374 | TotalAmt |
| Program Services | $714,181 | ProgramServicesAmt |
| Management And General | $155,522 | ManagementAndGeneralAmt |
| Fundraising | $671 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,856,366 | TotalAmt |
| Program Services | $17,113,595 | ProgramServicesAmt |
| Management And General | $3,726,691 | ManagementAndGeneralAmt |
| Fundraising | $16,080 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,220,483 | TotalAmt |
| Program Services | $1,039,625 | ProgramServicesAmt |
| Management And General | $180,858 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,009,478 | TotalAmt |
| Program Services | $1,777,924 | ProgramServicesAmt |
| Management And General | $231,554 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,563,182 | TotalAmt |
| Program Services | $1,281,898 | ProgramServicesAmt |
| Management And General | $280,204 | ManagementAndGeneralAmt |
| Fundraising | $1,080 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,705 | TotalAmt |
| Management And General | $15,461 | ManagementAndGeneralAmt |
| Fundraising | $244 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,143 | TotalAmt |
| Management And General | $53,143 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,060 | TotalAmt |
| Program Services | $24,329 | ProgramServicesAmt |
| Management And General | $30,731 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $773,153 | TotalAmt |
| Program Services | $691,496 | ProgramServicesAmt |
| Management And General | $77,833 | ManagementAndGeneralAmt |
| Fundraising | $3,824 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,724 | TotalAmt |
| Program Services | $190,183 | ProgramServicesAmt |
| Management And General | $541 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $483,491 | TotalAmt |
| Program Services | $317,772 | ProgramServicesAmt |
| Management And General | $163,833 | ManagementAndGeneralAmt |
| Fundraising | $1,886 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,146 | TotalAmt |
| Program Services | $25,118 | ProgramServicesAmt |
| Management And General | $7,024 | ManagementAndGeneralAmt |
| Fundraising | $4 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,616 | TotalAmt |
| Program Services | $314 | ProgramServicesAmt |
| Management And General | $15,302 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,579 | TotalAmt |
| Program Services | $10,050 | ProgramServicesAmt |
| Management And General | $529 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $852,416 | TotalAmt |
| Program Services | $807,070 | ProgramServicesAmt |
| Management And General | $44,352 | ManagementAndGeneralAmt |
| Fundraising | $994 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,235 | TotalAmt |
| Management And General | $37,235 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| CLINICAL SERVICES/SUPPL | $4,394,800 | $3,826,293 | $564,910 | $3,597 |
| CONTRACT SERVICES | $1,688,627 | $1,181,786 | $441,278 | $65,563 |
| DUES FEES AND LICENSES | $71,325 | $46,471 | $24,606 | $248 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,204,903 | TotalAmt |
| Program Services | $29,059,105 | ProgramServicesAmt |
| Management And General | $6,051,607 | ManagementAndGeneralAmt |
| Fundraising | $94,191 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,353,719 | BOYAmt |
| EOY | $2,986,041 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,870,179 | BOYAmt |
| EOY | $3,897,199 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,735,279 | BOYAmt |
| EOY | $2,380,782 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $364,778 | BOYAmt |
| EOY | $420,904 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $241,787 | BOYAmt |
| EOY | $201,892 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,852,528 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,325,399 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,244,728 | BOYAmt |
| EOY | $10,527,129 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $60,667 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,810,470 | BOYAmt |
| EOY | $20,474,614 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,264,027 | BOYAmt |
| EOY | $3,238,612 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,581 | BOYAmt |
| EOY | $67,759 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,366,608 | BOYAmt |
| EOY | $3,306,371 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,371,848 | BOYAmt |
| EOY | $17,084,191 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,014 | BOYAmt |
| EOY | $84,052 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,443,862 | BOYAmt |
| EOY | $17,168,243 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,810,470 | BOYAmt |
| EOY | $20,474,614 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,279,654 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,035 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| 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
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $1,887 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $1,887 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION HIRED AN INDIVIDUAL TO EDUCATE CITY AND STATE LEGISLATORS TO PROMOTE AND CONTINUE HEALTHCARE INITIATIVES THAT BENEFIT WOMEN, CHILDREN, AND FAMILIES OF MODERATE TO LOW INCOME NEW MEXICANS LIVING IN BERNALILLO, VALENCIA, AND SANTA FE COUNTIES. LOBBYING WAS PERFORMED FOR CAPITAL OUTLAY APPROPRIATIONS OPPORTUNITIES, EDGEWOOD COMMONS PROJECT, ETC. | ExplanationTxt |
Schedule D IRS990ScheduleD
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 | $8,850,643 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,492,047 | DepreciationAmt |
| Book Value | $6,358,596 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,446,011 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,162,050 | DepreciationAmt |
| Book Value | $2,283,961 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,538,052 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,671,302 | DepreciationAmt |
| Book Value | $866,750 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,527,129 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $34,985,584 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $4,035 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $1,057,637 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $9,242 | OtherRevenueAmt |
| Revenue Not Reported | $1,070,914 | RevenueNotReportedAmt |
| Revenue Subtotal | $33,914,670 | RevenueSubtotalAmt |
| Other Revenues Not Included | $10,579 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $10,579 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $33,925,249 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $36,261,203 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $1,057,637 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $9,242 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,066,879 | ExpensesNotReportedAmt |
| Expenses Subtotal | $35,194,324 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $10,579 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $10,579 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $35,204,903 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | 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: | RECLASSED DIRECT FUNDRAISING EXPENSES 9,242. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RECLASSED INTEREST EXPENSE 10,579. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RECLASSED FUNDRAISING EXPENSES 9,242. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RECLASSED INTEREST EXPENSE 10,579. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOTIVA CORPORATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 306 PLAZA CONSUELO | AddressLine1Txt |
| City | BERNALILLO | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | GRANT WRITING/FUNDRAISING ACTIVITY | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $0 | GrossReceiptsAmt |
| Retained By Contractor | $65,563 | RetainedByContractorAmt |
| Net To Organization | -$65,563 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | $65,563 | TotalRetainedByContractorsAmt |
| Total Net To Organization | -$65,563 | TotalNetToOrganizationAmt |
| Licensed States | NM | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $34,695 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $20,600 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $14,095 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $400 | CashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $4,200 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $1,925 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $2,717 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $34,695 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $20,600 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $14,095 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $400 | CashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $4,200 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $1,925 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $2,717 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $9,242 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $4,853 | NetIncomeSummaryAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE G, PART I, LINE 2B, COLUMN (V) | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAID THE FUNDRAISER FOR HELP WITH OBTAINING GOVERNMENT GRANTS AND NON-GOVERNMENT GRANTS AS WELL AS ASSIST WITH EVENT PLANNING. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 11 | RecipientCnt |
| Cash Grant | $11,000 | CashGrantAmt |
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. 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 SCHOOLS, 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (8 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 | $174,015 | $0 | $0 | $0 | $0 | $0 | $15,749 | $0 | $9,354 | $0 | $199,118 | $0 | $0 | $0 |
| FRANCISCO CRESPIN | ||||||||||||||
| MEDICAL DIRECTOR | $196,277 | $0 | $0 | $0 | $70 | $0 | $7,824 | $0 | $1,365 | $0 | $205,536 | $0 | $0 | $0 |
| JEREMIAH DYE | ||||||||||||||
| DENTAL DIRECTOR | $179,933 | $0 | $0 | $0 | $70 | $0 | $14,893 | $0 | $22,535 | $0 | $217,431 | $0 | $0 | $0 |
| SAVERIO SAVA | ||||||||||||||
| CLINICAL SUPERVISOR | $224,524 | $0 | $0 | $0 | $70 | $0 | $16,364 | $0 | $22,535 | $0 | $263,493 | $0 | $0 | $0 |
| RICHARD ARIES | ||||||||||||||
| CLINICAL SUPERVISOR | $182,040 | $0 | $0 | $0 | $70 | $0 | $15,061 | $0 | $22,871 | $0 | $220,042 | $0 | $0 | $0 |
| WILL KAUFMAN | ||||||||||||||
| PHYSICIAN | $181,612 | $0 | $0 | $0 | $70 | $0 | $11,116 | $0 | $1,365 | $0 | $194,163 | $0 | $0 | $0 |
| LIANG-TSO TUNG | ||||||||||||||
| CLINICAL SUPERVISOR | $180,387 | $0 | $0 | $0 | $70 | $0 | $10,844 | $0 | $9,354 | $0 | $200,655 | $0 | $0 | $0 |
| SYLVIA WITTELS | ||||||||||||||
| PHYSICIAN | $177,836 | $0 | $0 | $0 | $70 | $0 | $6,380 | $0 | $1,365 | $0 | $185,651 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Intellectual Property IntellectualPropertyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $112,260 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | IT LICENSE COST | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 15000 | ContributionCnt |
| Noncash Contributions Rpt F990 | $993,596 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | PER UNIT COST | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | WATER RIGHTS | 1 | $16,000 | FMV |
| Yes (X) | ABBOTT LABS GLUCOMETERS | 1 | $13,800 | COST |
| Yes (X) | BOOKS & PUBLICATIONS | 1 | $5,430 | COST |
| 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 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD OF DIRECTORS (BOD) DELEGATES THE REVIEW OF THE FORM 990 TO THE ORGANIZATION'S MANAGEMENT. THE CFO, CONTROLLER, CEO, AND INTERNAL AUDITOR REVIEW THE FORM 990 PRIOR TO ITS FILING. A COPY OF THE AUDITED FINANCIAL STATEMENTS IS FORWARDED TO ALL BOARD MEMBERS. THE BOD THEN REVIEW THE AUDITED FINANCIALS WITH THE ORGANIZATION'S MANAGEMENT AND REPRESENTATIVES OF THE AUDIT FIRM. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS REVIEWED WITH EACH BOARD MEMBER AS WELL AS NEW HIRE DURING ORIENTATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD HIRES THE CEO AND DETERMINES THE SALARY. OTHER KEY EMPLOYEES ARE HIRED SIMILIAR TO REGULAR EMPLOYEES. THEIR SALARY IS BASED OFF A SALARY SCHEDULE, EMPLOYEE'S LEVEL OF EDUCATION, AND YEARS OF EXPERIENCE. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE CFO, CHRISTOPHER GRASTY, IS IN POSSESSION OF THE BOOKS AND RECORDS OF THE ORGANIZATION IN THE ALBUQUERQUE OFFICE LOCATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FINANCIAL RECORDS AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ALBUQUERQUE OFFICE. |
| FORM 990, PART XII, LINE 2C: | THE AUDIT SELECTION AND REVIEW PROCESS HAS NOT CHANGED - IT IS THE SAME AS IN THE PRIOR YEAR. |
| FORM 990, SCHEDULE B NONCASH DONATIONS EXPLANATION: | THE ORGANIZATION RECEIVES SAMPLES OF VARIOUS PHARMACEUTICAL DRUGS FOR DISTRIBUTION AT CLINICS THROUGHOUT THE YEAR. THE COMPANIES WHICH PROVIDE THE SAMPLES IN VARYING QUANTITIES ARE INCLUDED ON SCHEDULE B. THE CALCULATION OF THE DONATIONS OF THESE SAMPLES ARE ESTIMATED BASED ON THE NUMBER OF UNITS DONATED. |
| FORM 990, SCHEDULE A PART I, SCHEDULE H EXPLANATION: | THE ORGANIZATION OPERATES HEALTH CLINICS AND, AS SUCH, HAS RECEIVED TAX-EXEMPT STATUS UNDER IRC SECTION 170(B)(1)(A)(III). HOWEVER, IT IS NOT LICENSED BY THE STATE OF NEW MEXICO AS A HOSPITAL AND, PURSUANT TO SCHEDULE H INSTRUCTIONS, IS NOT REQUIRED TO FILE SCHEDULE H OR CHECK "YES" TO ITEM 20 IN PART IV OF PAGE 3 OF FORM 990. |
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 MEDICAL DISABILITY 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 NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | 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 | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | 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
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIRST CHOICE COMMUNITY HEALTHCARE INC MEDICAL DISABILITY TRUST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | R | TransactionTypeTxt |
| Involved | $1,614,206 | InvolvedAmt |
| Method Of Amount Determination | TRNSFR TO PAY FOR MEDICAL CLAIMS | MethodOfAmountDeterminationTxt |