FIRST STEP CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- FIRST STEP CENTER (EIN 41-2094639)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-15
- IRS object ID
- 201302279349302510
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-15T11:51:41-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KRIEGEL GRAY SHAW & CO PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2707 | AddressLine1 |
| City | LAS CRUCES | City |
| State | NM | State |
| ZIP Code | 88004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 412094639 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIRST STEP CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FIRS | NameControl |
| Phone | 5755568200 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 390 CALLE DE ALEGRA | AddressLine1 |
| City | LAS CRUCES | City |
| State | NM | State |
| ZIP Code | 88005 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES SORENSON | Name |
| Title | CHAIRPERSON | Title |
| Phone | 5755568200 | Phone |
| Date Signed | 2013-08-13 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DEBBIE A GRAY CPA | Name |
| Phone | 5755237444 | Phone |
| Date Prepared | 2013-08-15 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JAMES SORENSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10032 SAN SAVINO CT | AddressLine1 |
| City | LAS CRUCES | City |
| State | NM | State |
| ZIP Code | 88007 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4549804 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.FIRSTSTEPCENTER.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2003 | YearFormation |
| State Legal Domicile | NM | StateLegalDomicile |
| Activity Or Mission Description | WOMEN AND CHILDREN HEALTH CLINIC | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 1243177 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 865291 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4236705 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3680719 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 990 | InvestmentIncomePriorYear |
| Investment Income Current Year | 254 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 9785 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3540 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5490657 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4549804 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5514711 | OtherExpensePriorYear |
| Other Expenses Current Year | 4685816 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 5514711 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4685816 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -24054 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -136012 | RevenuesLessExpensesCY |
| Total Assets BOY | 579582 | TotalAssetsBOY |
| Total Assets EOY | 443570 | TotalAssetsEOY |
| Total Liabilities BOY | 416000 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 416000 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 163582 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 27570 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | WOMEN AND CHILDREN HEALTH CLINIC | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 3915496 | Expense |
| Description | WOMEN AND CHILDREN HEALTH CLINIC. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10579 | Expense |
| Description | WOMEN & CHILDRENS HEALTH CLINIC. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 10579 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 3926075 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | 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 | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | 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 | true | 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 |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 11 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| 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 |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | 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 | false | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NM | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KRIEGELGRAYSHAW & CO PC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5755237444 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2452 MISSOURI | AddressLine1 |
| City | LAS CRUCES | City |
| State | NM | State |
| ZIP Code | 88001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (12 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| JAMES SORENSON | ||||||
| CHAIRPERSON | 10.00 | X | X | 0 | 0 | 0 |
| TERRIANE M ENRIQUEZ EVERHART | ||||||
| V-CHAIR | 10.00 | X | X | 0 | 0 | 0 |
| TARA ROTHWELL-CLARK | ||||||
| SECRETARY | 10.00 | X | 0 | 0 | 0 | |
| PEGGY SWOVELAND | ||||||
| DIRECTOR | 5.00 | X | X | 0 | 0 | 0 |
| EMMA JEAN CERVANTES | ||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |
| MARY KAY PAPEN | ||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |
| RETA WARREN | ||||||
| TREASURER | 10.00 | X | X | 0 | 0 | 0 |
| ABEL COVARRUBIAS | ||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |
| PAUL HERZOG | ||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |
| MARIA PACHECO | ||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |
| VAN BULLOCK | ||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |
| CHADELLE ROBINSON | ||||||
| DIRECTOR | 5.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Government Grants | 77775 | GovernmentGrants |
| All Other Contributions | 787516 | AllOtherContributions |
| Total Contributions | 865291 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| FEE RECEIPTS | 621400 | 3555119 | 3555119 |
| CITY CALL | 621400 | 134195 | 134195 |
| PRIVATE CALL | 621400 | 17500 | 17500 |
| REFUNDS | -26095 | -26095 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3680719 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 254 | TotalRevenueColumn |
| Related Or Exempt Function Income | 254 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER INCOME | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 3540 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3540 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3540 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4549804 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3684513 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97029 | Total |
| Program Services | 14508 | ProgramServices |
| Management And General | 82521 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3554776 | Total |
| Program Services | 3099092 | ProgramServices |
| Management And General | 455684 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15937 | Total |
| Management And General | 15937 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 117538 | Total |
| Program Services | 24539 | ProgramServices |
| Management And General | 92999 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26278 | Total |
| Program Services | 13139 | ProgramServices |
| Management And General | 13139 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 134722 | Total |
| Program Services | 69547 | ProgramServices |
| Management And General | 65175 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11153 | Total |
| Program Services | 10579 | ProgramServices |
| Management And General | 574 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 375642 | Total |
| Program Services | 360691 | ProgramServices |
| Management And General | 14951 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| DRUGS & MEDICAL SUPPLIES | 223942 | 223942 |
| IMAGING SERVICES | 34894 | 34894 |
| LICENSES & FEES | 21888 | 21888 |
| RENT - TELEPHONE EQUIPMEN | 17223 | 17223 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54794 | Total |
| Program Services | 36033 | ProgramServices |
| Management And General | 18761 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4685816 | Total |
| Program Services | 3926075 | ProgramServices |
| Management And General | 759741 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 485178 | BOY |
| EOY | 337473 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69594 | BOY |
| EOY | 69683 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2105 | BOY |
| EOY | 1896 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 204782 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 170264 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22705 | BOY |
| EOY | 34518 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 579582 | BOY |
| EOY | 443570 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 416000 | BOY |
| EOY | 416000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 416000 | BOY |
| EOY | 416000 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 163582 | BOY |
| EOY | 27570 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 163582 | BOY |
| EOY | 27570 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 579582 | BOY |
| EOY | 443570 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -136012 | ReconcilationRevenueExpenses |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| 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) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5396 | OtherCostOrOtherBasis |
| Depreciation | 771 | Depreciation |
| Book Value | 4625 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 199386 | OtherCostOrOtherBasis |
| Depreciation | 169493 | Depreciation |
| Book Value | 29893 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 34518 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NOTE PAYABLE-A/R PURCHASE | Description |
| Amount | $416,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 416000 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 5550038 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 435000 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 565234 | OtherRevenues |
| Revenue Not Rptd F990 | 1000234 | RevenueNotRptdF990 |
| Revenue Subtotal | 4549804 | RevenueSubtotal |
| Total Revenue Per Form990 | 4549804 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 5683705 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 435000 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 571639 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1006639 | ExpensesNotRptdF990 |
| Expenses Subtotal | 4677066 | ExpensesSubtotal |
| Other Expenses Not Included | 8750 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 8750 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 4685816 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XI, LINE 2D | ACCOUNTS RECEIVABLE 565,234 |
| EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 2D | ACCOUNTS PAYABLE 569,639 DEPRECIATION 2,000 |
| EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 4B | ACCRUED EXPENSES 8,750 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|
| PAUL HERZOG | ||
| DIRECTOR | CONTR SERV - SCH O | false |
| PEGGY SWOVELAND | ||
| DIRECTOR | CONTR SERV - SCH O | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ADDITIONAL INFORMATION | Identifier |
| Return Reference | SCHEDULE L PART V | ReturnReference |
| Explanation | PAUL HERZOG IS THE CEO OF MEMORIAL MEDICAL CENTER THE ORGANIZATION HAS AN ARMS LENGTH PRACTICE MANAGEMENT AGREEMENT WITH LAS CRUCES PHYSICIAN SERVICES LLC WHICH IS AFFILIATED WITH MEMORIAL MEDICAL CENTER THE AMOUNT OF THE TRANSACTION CORRESPONDS TO THE MANAGEMENT FEE PAID BY THE ORGANIZATION IN 2012 NO AMOUNT WAS PAID BY THE ORGANIZATION TO PAUL HERZOG PEGGY SWOVELAND IS THE VICE CHAIRMAN OF THE BOARD OF TRUSTEES FOR MEMORIAL MEDICAL CENTER THE ORGANIZATION HAS AN ARMS LENGTH PRACTICE MANAGEMENT AGREEMENT WITH LAS CRUCES PHYSICIAN SERVICES LLC WHICH IS AFFILIATED WITH MEMORIAL MEDICAL CENTER THE AMOUNT OF THE TRANSACTION CORRESPONDS TO THE MANAGEMENT FEE PAID BY THE ORGANIZATION IN 2012 NO AMOUNT WAS PAID BY THE ORGANIZATION TO PEGGY SWOVELAND | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ALL OTHER ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4D | WOMEN & CHILDRENS HEALTH CLINIC. |
| MANAGEMENT DELEGATED | FORM 990, PAGE 6, PART VI, LINE 3 | DURING 2007 THE ORGANIZATION ENTERED INTO A "PRACTICE MANAGEMENT AGREEMENT" WITH LAS CRUCES PHYSICIAN SERVICES, LLC TO MANAGE THE BUSINESS AFFAIRS OF THE ORGANIZATION FOR A FEE. THE AGREEMENT CONTINUED IN EFFECT THROUGHOUT 2012. LAS CRUCES PHYSICIAN SERVICES, LLC IS AFFILIATED WITH MEMORIAL MEDICAL CENTER. |
| DOCUMENTATION BY GOVERNING BODY | FORM 990, PAGE 6, PART VI, LINE 8A | CONTEMPORANEOUS MINUTES WERE TAKEN AT BOARD MEETINGS, BUT THE COMPUTER USED TO DOCUMENT THE MINUTES DURING THE YEAR CRASHED, SOME MINUTES WERE LOST AS A RESULT. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE BOARD OF DIRECTORS DELEGATED RESPONSIBILITY FOR REVIEWING FORM 990 TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE MET TO CAREFULLY REVIEW THE DRAFT FORM PREPARED BY THE ACCOUNTANTS, THE APPLICABLE SCHEDULES AND THE RELATED IRS INSTRUCTIONS. THE 2012 BOARD TREASURER THEN MET WITH THE ACCOUNTANTS TO PROVIDE THE BOARD'S INPUT FOR FINALIZATION OF THE RETURN BY THE DUE DATE. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS OUTLINED IN ITS "STATEMENT OF ETHICAL PRINCIPLES". THE STATEMENT REQUIRES THAT ALL OFFICERS, DIRECTORS, EMPLOYEES AND INDEPENDENT CONTRACTORS MUST AVOID ACTIVITIES WHICH ARE IN CONFLICT, OR GIVE THE APPEARANCE OF BEING IN CONFLICT, WITH THESE PRINCIPLES. THE WRITTEN STATEMENT IS PROVIDED FOR REVIEW AND SIGNATURE BY ALL OFFICERS, DIRECTORS, EMPLOYEES AND INDEPENDENT CONTRACTORS ANNUALLY. A REQUEST FOR AN EXCEPTION MUST BE ADDRESSED TO THE BOARD CHAIR AND WRITTEN APPROVAL MUST BE OBTAINED BEFORE ENGAGING IN ANY CONDUCT WHICH WOULD VIOLATE THESE ETHICAL PRINCIPLES. THE BOARD MAY ELECT TO WAIVE A CONFLICT OF INTEREST, PROVIDING THAT THE CONFLICTING INTEREST IS DISCLOSED IN ADVANCE AND THE EFFECTED INDIVIDUAL ABSTAINS FROM PARTICIPATING IN THE APPROVAL PROCESS. A VIOLATION OF THESE PRINCIPLES MAY RESULT IN DISCIPLINARY ACTION, INCLUDING DISCHARGE WITHOUT WARNING. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION WOULD CONSIDER MAKING ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| OTHER FEES FOR SERVICES | FORM 990, PART IX, LINE 11G | LEASED EMPLOYEES 1,296,184 432,062 0 CONTRACT MEDICAL SERVICES 1,802,908 0 0 AM DOCUMENT SERVICES/PROF 0 23,622 0 |