AMADOR HEALTH CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: AMADOR HEALTH CENTER INC (EIN 85-0413619)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-02-14
IRS object ID: 201400459349300045
Schema version: 2012v2.0
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
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-02-14T08:38:46-08:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFFORD ROSS & COOPER LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1155 COMMERCE STE E	AddressLine1
City	LAS CRUCES	City
State	NM	State
ZIP Code	88011	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	850413619	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST LUKE'S HEALTH CARE CLINIC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STLU	NameControl
Phone	5755275482	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	999 W AMADOR AVENUE	AddressLine1
City	LAS CRUCES	City
State	NM	State
ZIP Code	88005	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	PAMELA ANGELL	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	5755275482	Phone
Date Signed	2014-02-13	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	DENISE S COOPER	Name
Phone	5755241040	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	PAMELA ANGELL	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	990 W AMADOR	AddressLine1
City	LAS CRUCES	City
State	NM	State
ZIP Code	88005	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	288391	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1991	YearFormation
State Legal Domicile	NM	StateLegalDomicile
Activity Or Mission Description	The organization addresses the non-emergency health care needs of homeless and indigent persons living within Dona Ana County of New Mexico.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	4	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	4	NbrIndependentVotingMembers
Total Nbr Employees	9	TotalNbrEmployees
Total Nbr Volunteers	4	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	338227	ContributionsGrantsPriorYear
Contributions Grants Current Year	288343	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	110	InvestmentIncomePriorYear
Investment Income Current Year	48	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	338337	TotalRevenuePriorYear
Total Revenue Current Year	288391	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	195845	SalariesEtcPriorYear
Salaries Etc Current Year	231715	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	54168	OtherExpensePriorYear
Other Expenses Current Year	95383	OtherExpensesCurrentYear
Total Expenses Prior Year	250013	TotalExpensesPriorYear
Total Expenses Current Year	327098	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	88324	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-38707	RevenuesLessExpensesCY
Total Assets BOY	233611	TotalAssetsBOY
Total Assets EOY	189559	TotalAssetsEOY
Total Liabilities BOY	9361	TotalLiabilitiesBOY
Total Liabilities EOY	7474	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	224250	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	182085	NetAssetsOrFundBalancesEOY
Mission Description	The organization addresses the	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	281303	Expense
Revenue	288391	Revenue
Description	ST. LUKE'S PROVIDES NON-EMERGENCY HEALTH CARE TO THE HOMELESS AND INDIGENT OF DONA ANA COUNTY IN NEW MEXICO.	Description
Total Program Service Expense	281303	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	2	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	9	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	4	NbrVotingGoverningBodyMembers
Number Independent Voting Members	4	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	false	ConflictOfInterestPolicy
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	ST LUKE'S HEALTH CARE CLINIC	NamePerson
Telephone Number	5755275482	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	944 W AMADOR	AddressLine1
City	LAS CRUCES	City
State	NM	State
ZIP Code	88005	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Key EmployeeKeyEmployee
DR JOHN ANDAZOLA
Director	2.00	X	0	0	0
TREVAS YOUNGER
Director	2.00	X	0	0	0
AMY COLLINS
Secretary	2.00	X	0	0	0
JAMES VON BEHREN
Director	2.00		0	0	0	X
PATRICK LEUNG
Director	2.00		0	0	0	X
MARYANN A DIGMAN
President	2.00		0	0	0	X
PAMELA ANGELL
Executive Director	40.00		61862	0	0		X
CATHERINE KEMMER
Director	2.00		0	0	0	X
STEPHANIE BENSON
Vice President	2.00		0	0	0	X
CHARLES ROBERTS
Treasurer	2.00		0	0	0	X
DR JOHN ANAZOLA
Director	2.00		0	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	61862	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Government Grants	288343	GovernmentGrants
Total Contributions	288343	TotalContributions

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	48	TotalRevenueColumn

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	288391	TotalRevenueColumn
Related Or Exempt Function Income	48	RelatedOrExemptFunctionIncome

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	61862	Total
Program Services	61862	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	131456	Total
Program Services	104391	ProgramServices
Management And General	27065	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	21661	Total
Program Services	18628	ProgramServices
Management And General	3033	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	16736	Total
Program Services	14394	ProgramServices
Management And General	2342	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	9571	Total
Program Services	8231	ProgramServices
Management And General	1340	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	9021	Total
Program Services	7758	ProgramServices
Management And General	1263	ManagementAndGeneral
Fundraising	0	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	538	Total
Program Services	463	ProgramServices
Management And General	75	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2721	Total
Program Services	2340	ProgramServices
Management And General	381	ManagementAndGeneral
Fundraising	0	Fundraising

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	73532	Total
Program Services	63236	ProgramServices
Management And General	10296	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	327098	Total
Program Services	281303	ProgramServices
Management And General	45795	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	168873	BOY
EOY	121984	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	45109	BOY
EOY	43307	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	506	BOY
EOY	1309	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	49223	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	46679	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1237	BOY
EOY	2544	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	17886	BOY
EOY	20415	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	233611	BOY
EOY	189559	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3392	BOY
EOY	2899	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	5969	BOY
EOY	4575	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	9361	BOY
EOY	7474	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	206390	BOY
EOY	161696	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	17860	BOY
EOY	20389	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	224250	BOY
EOY	182085	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	233611	BOY
EOY	189559	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-38707	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	2529	ReconciliationUnrealizedInvest
Reconcilation Donated Services	-5987	ReconcilationDonatedServices
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	141030	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	255891	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	338227	CurrentTaxYearMinus1Year
Current Tax Year	282343	CurrentTaxYear
Total	1017491	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	141030	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	255891	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	338227	CurrentTaxYearMinus1Year
Current Tax Year	282343	CurrentTaxYear
Total	1017491	Total

Field	Value	IRS element (for citing)
Public Support Total170	1017491	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	793	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	89	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	110	CurrentTaxYearMinus1Year
Current Tax Year	48	CurrentTaxYear
Total	1040	Total

Field	Value	IRS element (for citing)
Total Support	1018531	TotalSupport
Public Support Pertcentage170	0.99900	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.99870	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170
Public Support Total509	0	PublicSupportTotal509
Public Support Percentage509	0	PublicSupportPercentage509
Investment Income Percentage	0	InvestmentIncomePercentage

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	17872	BeginningOfYearBalance
End Of Year Balance	17872	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	17872	BeginningOfYearBalance
End Of Year Balance	17872	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	16819	BeginningOfYearBalance
Contributions	1053	Contributions
End Of Year Balance	17872	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	16072	BeginningOfYearBalance
Contributions	747	Contributions
End Of Year Balance	16819	EndOfYearBalance

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	500	OtherCostOrOtherBasis
Depreciation	500	Depreciation

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	47630	OtherCostOrOtherBasis
Depreciation	45086	Depreciation
Book Value	2544	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1093	OtherCostOrOtherBasis
Depreciation	1093	Depreciation

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2544	TotalOfBookValueLandBuildings

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	Endowment	Description
Book Value	20415	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	20415	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Accrued expenses	Description
Amount	$4,575	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	4575	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	751598	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	2529	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	460678	DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990	463207	RevenueNotRptdF990
Revenue Subtotal	288391	RevenueSubtotal
Total Revenue Per Form990	288391	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	793763	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	177577	DonatedServicesUseOfFacilities
Expenses Not Rptd F990	177577	ExpensesNotRptdF990
Expenses Subtotal	616186	ExpensesSubtotal
Total Expenses Per Form990	616186	TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	ExplanationExplanation
Pt VI, Line 11b	The Board of Directors reviews the return after filing.
Pt XI	Difference of unrecognized gain.
Form 990EZ, Part I, Line 16	PAYROLL TAXES ADVERTISING BANK FEES MEALS DENTAL CARE DUES AND LICENSES FUEL INSURANCE OFFICE EXPENSE MEDICATIONS UNIFORMS UTILITIES GRANT EXPENSE INTEREST AND PENALTIES
Form 990EZ, Part II, Line 24	GRANTS RECEIVABLE INVENTORY PREPAID EXPENSES ENDOWMENT
Form 990EZ, Part II, Line 26	ACCOUNTS PAYABLE ACCRUED EXPENSES
Form 990, Part IX, Line 24f	DUES AND LICENSES 880. 757. 123. MEDICAL SUPPLIES 9953. 8560. 1393. REPAIR AND MAINTENANCE 637. 546. 91. UTILITIES 4762. 4095. 667. CONTRACT LABOR 46319. 39834. 6485. TRAINING 7629. 6561. 1068. CLIENT SERVICES 3352. 2883. 469.