TECHE ACTION BOARD INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- TECHE ACTION BOARD INC (EIN 72-6073441)
- Tax period
- 2014-06-01 to 2015-05-31
- Filed
- 2016-03-30
- IRS object ID
- 201630909349300718
- Schema version
- 2014v6.0
- 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 | 2016-03-30T10:44:30-05:00 | ReturnTs |
| Tax Period End | 2015-05-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 800488055 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Steven M DeRouen & Associates | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O Box 4265 | AddressLine1Txt |
| City | Lake Charles | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70605 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-06-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 726073441 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TECHE ACTION BOARD INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | TECH | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1115 WEBER STREET | AddressLine1Txt |
| City | FRANKLIN | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70538 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | William Brent | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3378282550 | PhoneNum |
| Signature | 2016-03-30 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Steven M DeRouen CPA | PreparerPersonNm |
| PTIN | P01050140 | PTIN |
| Phone | 3375134915 | PhoneNum |
| Preparation | 2016-03-30 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DR GARY WILTZ | PrincipalOfficerNm |
| Gross Receipts | $13,596,599 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.TECHEACTIONBOARD.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | LA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE MEDICAL AND DENTAL CARE TO THE DISADVANTAGED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 191 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,616,515 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,536,888 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,546,508 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,919,835 | CYProgramServiceRevenueAmt |
| PY Investment Income | $39,140 | PYInvestmentIncomeAmt |
| CY Investment Income | $81,457 | CYInvestmentIncomeAmt |
| PY Other Revenue | $17,552 | PYOtherRevenueAmt |
| CY Other Revenue | $26,817 | CYOtherRevenueAmt |
| PY Total Revenue | $11,219,715 | PYTotalRevenueAmt |
| CY Total Revenue | $13,564,997 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,687,948 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,409,859 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,162,434 | PYOtherExpensesAmt |
| CY Other Expenses | $4,647,128 | CYOtherExpensesAmt |
| PY Total Expenses | $11,850,382 | PYTotalExpensesAmt |
| CY Total Expenses | $13,056,987 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$630,667 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $508,010 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,518,492 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,313,496 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,064,832 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,392,941 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,453,660 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,920,555 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE MEDICAL AND DENTAL CARE TO THE DISADVANTAGED. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $7,692,025 | ExpenseAmt |
| Revenue | $7,500,187 | RevenueAmt |
| Desc | PRIMARY MEDICAL CARE AND DENTAL SERVICES WERE PROVIDED TO PREDOMINATLY LOW INCOME RESIDENTS AT A DISCOUNT. OVER 20,000 VISITS WERE PROVIDED. | Desc |
| Total Program Service Expenses | $7,692,025 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 15 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 191 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | 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 | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | false | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | false | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM BRENT III | PersonNm |
| Phone | 3378282550 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1115 WEBER STREET | AddressLine1Txt |
| City | Franklin | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70538 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| LEROY WILLIS | |||||||||
| PRESIDENT | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CLEVELAND FARLOUGH | |||||||||
| VICE PRESIDENT | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROSE SUSAN DORSEY | |||||||||
| TREASURER | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BARBARA HILLS | |||||||||
| SECRETARY | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MELVIN WILSON JR | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIE RACK | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JANIS JONES | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| EDNA LYONS | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DENISE PITTS | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DONNIE FRIZZELL | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| EDWARD DELONE SR | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS DARDAR | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ANGELA HARRINGTON | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| HOWARD CASTAY | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DARRELL JUPITER | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DR GARY WILTZ | |||||||||
| CEO | 40.00 | 0.00 | Yes (X) | $393,320 | $0 | $11,667 | |||
| WILLIAM BRENT | |||||||||
| CFO | 40.00 | 0.00 | Yes (X) | $176,459 | $0 | $10,573 | |||
| JENNIFER FABRE | |||||||||
| CNO | 40.00 | 0.00 | $189,522 | $0 | $15,950 | Yes (X) | |||
| PAULETTE LOFTON | |||||||||
| COO | 40.00 | 0.00 | $132,809 | $0 | $10,749 | Yes (X) | |||
| DR CHAKSHU GAUTAM | |||||||||
| CHO | 40.00 | 0.00 | $144,569 | $0 | $20,947 | Yes (X) | |||
| DR GUILLERMO DELGATO | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $266,740 | $0 | $14,514 | Yes (X) | |||
| DR MAYRA BUSTILLO | |||||||||
| FAMILY PRACTICE | 40.00 | 0.00 | $185,420 | $0 | $9,344 | Yes (X) | |||
| DR EALACHELVI JANARTHANAN | |||||||||
| DENTIST | 40.00 | 0.00 | $187,705 | $0 | $2,871 | Yes (X) | |||
| TIMOTHY PELLEGRIN | |||||||||
| PMHNP | 40.00 | 0.00 | $149,648 | $0 | $20,608 | Yes (X) | |||
| JASON SCIONEAUX | |||||||||
| NURSE PRACTITIONER | 40.00 | 0.00 | $140,377 | $0 | $18,808 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,966,569 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $136,031 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LABORATORY CORPORATION OF AMERICA | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 2240 | AddressLine1Txt |
| City | Burlington | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 272162240 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | LAB | ServicesDesc |
| Compensation | $147,806 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,380,326 | GovernmentGrantsAmt |
| All Other Contributions | $156,562 | AllOtherContributionsAmt |
| Total Contributions | $4,536,888 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT FEES | 621400 | $6,360,985 | $6,360,985 |
| OTHER OPERATING REVENUE | 621400 | $1,139,202 | $1,139,202 |
| ICT FUNDS | 621400 | $888,236 | $888,236 |
| BP SETTLEMENT | 621400 | $531,412 | $531,412 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,919,835 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $79,257 | TotalRevenueColumnAmt |
| Exclusion | $79,257 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $33,802 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $31,602 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,200 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,200 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,200 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $26,817 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $26,817 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $26,817 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,564,997 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,948,852 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $79,257 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,106,565 | TotalAmt |
| Program Services | $796,727 | ProgramServicesAmt |
| Management And General | $309,838 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,098,526 | TotalAmt |
| Program Services | $4,372,100 | ProgramServicesAmt |
| Management And General | $1,726,426 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,917 | TotalAmt |
| Program Services | $82,615 | ProgramServicesAmt |
| Management And General | $23,302 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,098,851 | TotalAmt |
| Program Services | $851,477 | ProgramServicesAmt |
| Management And General | $247,374 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $543,839 | TotalAmt |
| Program Services | $238,139 | ProgramServicesAmt |
| Management And General | $305,700 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,973 | TotalAmt |
| Program Services | $30 | ProgramServicesAmt |
| Management And General | $44,943 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $286,694 | TotalAmt |
| Program Services | $27,767 | ProgramServicesAmt |
| Management And General | $258,927 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $479,238 | TotalAmt |
| Program Services | $77 | ProgramServicesAmt |
| Management And General | $479,161 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,224 | TotalAmt |
| Program Services | $53,082 | ProgramServicesAmt |
| Management And General | $164,142 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,794 | TotalAmt |
| Program Services | $747 | ProgramServicesAmt |
| Management And General | $63,047 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,437 | TotalAmt |
| Management And General | $92,437 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $731,113 | TotalAmt |
| Management And General | $731,113 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,338 | TotalAmt |
| Program Services | $7,766 | ProgramServicesAmt |
| Management And General | $140,572 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| RENTAL AND LEASE EXPENSES | $31,030 | $7,164 | $23,866 |
| DUES AND SUBSCRIPTIONS | $42,011 | $1,781 | $40,230 |
| SUPPLIES | $1,659,143 | $1,153,846 | $505,297 |
| REPAIRS AND MAINTENANCE | $285,105 | $76,518 | $208,587 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,189 | TotalAmt |
| Program Services | $22,189 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,056,987 | TotalAmt |
| Program Services | $7,692,025 | ProgramServicesAmt |
| Management And General | $5,364,962 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $502,045 | BOYAmt |
| EOY | $786,806 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,543 | BOYAmt |
| EOY | $1,408,077 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $513,961 | BOYAmt |
| EOY | $709,651 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $188,550 | BOYAmt |
| EOY | $212,517 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,417 | BOYAmt |
| EOY | $95,532 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,452,799 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,350,491 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,440,615 | BOYAmt |
| EOY | $13,102,308 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,815,361 | BOYAmt |
| EOY | $1,998,605 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,518,492 | BOYAmt |
| EOY | $18,313,496 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,145,117 | BOYAmt |
| EOY | $1,120,776 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $252,057 | BOYAmt |
| EOY | $69,490 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,667,658 | BOYAmt |
| EOY | $3,202,675 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,064,832 | BOYAmt |
| EOY | $4,392,941 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,453,660 | BOYAmt |
| EOY | $13,920,555 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,453,660 | BOYAmt |
| EOY | $13,920,555 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,518,492 | BOYAmt |
| EOY | $18,313,496 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $508,010 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$41,115 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | 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 | $5,218,816 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,099,296 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,416,899 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,616,515 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,536,888 | CurrentTaxYearAmt |
| Total | $29,888,414 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,218,816 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,099,296 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,416,899 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,616,515 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,536,888 | CurrentTaxYearAmt |
| Total | $29,888,414 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $29,888,414 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $157,275 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,753 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,328,463 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $39,140 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $81,457 | CurrentTaxYearAmt |
| Total | $1,615,088 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $42,583 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $62,644 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,552 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,817 | CurrentTaxYearAmt |
| Total | $160,596 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $31,664,098 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $34,285,859 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.94390 | PublicSupportCY170Pct |
| Public Support PY170 | 0.93800 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,195,873 | OtherCostOrOtherBasisAmt |
| Book Value | $1,195,873 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,886,303 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,942,352 | DepreciationAmt |
| Book Value | $10,943,951 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,131,644 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,316,822 | DepreciationAmt |
| Book Value | $814,822 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $238,979 | OtherCostOrOtherBasisAmt |
| Depreciation | $91,317 | DepreciationAmt |
| Book Value | $147,662 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,102,308 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MORTGAGE BACKED SECURITIES | Desc |
| Book Value | $1,998,605 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $1,998,605 | TotalBookValueSecuritiesAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $13,523,882 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$41,115 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$41,115 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,564,997 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $13,564,997 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,056,987 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $13,056,987 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $13,056,987 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Footnote for uncertain tax position under FIN 48 (Part X) | FormAndLineReferenceDesc |
| Explanation | The Organization is exempt from federal income taxes under Sction 501(c)(3) of the Internal Revenue Code. Accordingly, no provision for federal and state income taxes is included in the financial statements. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| DR GARY WILTZ | ||||
| CEO | $393,320 | $8,200 | $3,467 | $404,987 |
| JENNIFER FABRE | ||||
| CNO | $189,522 | $6,530 | $9,420 | $205,472 |
| WILLIAM BRENT | ||||
| CFO | $176,459 | $5,174 | $5,399 | $187,032 |
| DR GUILLERMO DELGATO | ||||
| PHYSICIAN | $266,740 | $769 | $13,745 | $281,254 |
| DR MAYRA BUSTILLO | ||||
| FAMILY PRACTICE | $185,420 | $8,000 | $1,344 | $194,764 |
| DR CHAKSHU GAUTAM | ||||
| CHO | $144,569 | $6,539 | $14,408 | $165,516 |
| DR EALACHELVI JANARTHANAN | ||||
| DENTIST | $187,705 | $2,871 | $190,576 | |
| TIMOTHY PELLEGRIN | ||||
| PMHNP | $149,648 | $6,200 | $14,408 | $170,256 |
| JASON SCIONEAUX | ||||
| NURSE PRACTITIONER | $140,377 | $4,400 | $14,408 | $159,185 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Other non-fixed payments (Part I, line 7) | FormAndLineReferenceDesc |
| Explanation | Included in the employment contracts for the physicians are incentive bonuses based on the number of patients treated and production. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 governing body review Part VI line 11 | THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS, CFO, AND CEO PRIOR TO ITS FILING. |
| CEO executive director top management comp Part VI line 15a | THE BOARD MEMBERS COMPARE CEO AND KEY EMPLOYEE COMPENSATION TO SIMILAR (SIZE, REVENUES) NONPROFIT HEALTH CENTERS TO DETERMINE COMPENSATION. |
| Governing documents etc available to public Part VI line 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Explanation of other changes in net assets or fund balances Part XI line 9 | UNREALIZED LOSS ON INVESTMENTS TOTALED $41,115 FOR THE FISCAL YEAR ENDED MAY 31, 2015. |