FIRST CHOICE COMMUNITY HEALTHCARE INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- FIRST CHOICE COMMUNITY HEALTHCARE INC (EIN 85-0224409)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-12
- IRS object ID
- 201333169349305338
- 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 | 2013-11-12T16:11:58-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850203431 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REDW LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Post Office Box 93656 | AddressLine1 |
| City | Albuquerque | City |
| State | NM | State |
| ZIP Code | 871993656 | 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 | 850224409 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | First Choice Community Healthcare Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FIRS | NameControl |
| Phone | 5058737400 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 N Centro Familiar Blvd SW | AddressLine1 |
| City | Albuquerque | City |
| State | NM | State |
| ZIP Code | 87105 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Robert DeFelice | Name |
| Title | CEO | Title |
| Phone | 5058737400 | Phone |
| Date Signed | 2013-11-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Ally Towle CPA | Name |
| PTIN | P00693045 | PTIN |
| Phone | 5059983200 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Robert DeFelice | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 N Centro Familiar Blvd SW | AddressLine1 |
| City | Albuquerque | City |
| State | NM | State |
| ZIP Code | 87105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 31202056 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.FCCH.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1973 | YearFormation |
| State Legal Domicile | NM | StateLegalDomicile |
| Activity Or Mission Description | The purpose of the Corporation is to provide comprehensive health care for the total person, through the medium of managing and operating coordinated health facilities and its programs. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 442 | TotalNbrEmployees |
| Total Nbr Volunteers | 1 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 13510561 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 15860573 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 15299551 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 15282796 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 8442 | InvestmentIncomePriorYear |
| Investment Income Current Year | 6620 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 28818554 | TotalRevenuePriorYear |
| Total Revenue Current Year | 31149989 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 7000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 10000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 17940905 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 19185453 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6501149 | OtherExpensePriorYear |
| Other Expenses Current Year | 7166462 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 24449054 | TotalExpensesPriorYear |
| Total Expenses Current Year | 26361915 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4369500 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4788074 | RevenuesLessExpensesCY |
| Total Assets BOY | 20481436 | TotalAssetsBOY |
| Total Assets EOY | 25190539 | TotalAssetsEOY |
| Total Liabilities BOY | 2567186 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2485893 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 17914250 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 22704646 | NetAssetsOrFundBalancesEOY |
| Mission Description | Provide primary medical and dental care including health education to residents of Bernalillo, Valencia, and Santa Fe counties of New Mexico. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 22039670 | Expense |
| Grants | 10000 | Grants |
| Revenue | 15282796 | Revenue |
| Description | Through its nine health centers, FCCH provides medical, dental, behavioral health and nutrition services, and health education to moderate and low income residents of Bernalillo, Valencia and Santa Fe counties of New Mexico. FHCC's clients are culturally and economically diverse. | Description |
| Total Program Service Expense | 22039670 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 50 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 442 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 0 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NM | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Organization | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5058737400 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 N Centro Familiar Blvd SW | AddressLine1 |
| City | Albuquerque | City |
| State | NM | State |
| ZIP Code | 87105 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Paul Luna | |||||||
| President | 1.00 | X | X | 0 | 0 | 0 | |
| Paul Hopkins | |||||||
| Vice-President | 1.00 | X | X | 0 | 0 | 0 | |
| Floyd Wilson | |||||||
| Treasurer | 1.00 | X | X | 0 | 0 | 0 | |
| Rod Mercure | |||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | |
| Arthur Kaufman | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Jose Martinez | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Sara Baca | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Grace Chavez | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Gloria Sue Doherty | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Mary Dominguez | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Lucy Jojola | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Charles Ring | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Patricia West | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Steve Gallegos | |||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||
| Robert DeFelice | |||||||
| CEO | 40.00 | X | 160588 | 0 | 16267 | ||
| Melissa Manlove | |||||||
| COO | 40.00 | X | 103566 | 0 | 10872 | ||
| Christopher Grasty | |||||||
| CFO | 40.00 | X | 86697 | 0 | 7856 | ||
| Norma Martins | |||||||
| HR Director | 40.00 | X | 84324 | 0 | 6741 | ||
| Saverio Sava | |||||||
| Medical Director | 40.00 | X | 191547 | 0 | 17892 | ||
| Katherine Ganz | |||||||
| Clinical Compliance Direct | 32.00 | X | 145019 | 0 | 11571 | ||
| Jeramiah Dye | |||||||
| Dental Director | 40.00 | X | 138750 | 0 | 9482 | ||
| Santiago Macias | |||||||
| Asst Med Director | 40.00 | 187448 | 0 | 13116 | X | ||
| Mark Evanko | |||||||
| Physician | 40.00 | 151737 | 0 | 12614 | X | ||
| Barbara Bath | |||||||
| Physician | 40.00 | 157542 | 0 | 12587 | X | ||
| Walter Felipe Zanghellini | |||||||
| Physician | 40.00 | 157399 | 0 | 13513 | X | ||
| Richard Aries | |||||||
| Physician | 40.00 | 155112 | 0 | 11960 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1719729 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 144471 | TotalOtherCompensation |
| Number Individuals GT100 K | 36 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Gerald A Martin LTD | |||||
| PO Box 91450 | Albuquerque | NM | 87199 | General Contractor | 4490562 |
| Quest Diagnostics Inc | |||||
| 2337 Collection Center Drive | Chicago | IL | 60693 | Laboratory Testing | 602410 |
| Amerisource Bergen Drug Corp | |||||
| PO Box 100741 | Pasadena | CA | 911890459 | Pharmaceuticals | 585110 |
| Quest Diagnostics | |||||
| MCK/SED 62587 Cikkectuib Cebter Dri | Chicago | IL | 606930625 | Diagnostic Services | 443569 |
| Henry Schein Inc | |||||
| Dept CH 10241 | Palatine | IL | 600550241 | Dental Supplies | 360290 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 18 | NumberOfContractorsGT100K |
| Government Grants | 15829858 | GovernmentGrants |
| All Other Contributions | 30715 | AllOtherContributions |
| Noncash Contributions | 19162 | NoncashContributions |
| Total Contributions | 15860573 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient Service Revenu | 621400 | 14976889 | 14976889 |
| Other Medical Revenue | 621400 | 305907 | 305907 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 15282796 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6687 | TotalRevenueColumn |
| Exclusion | $6,687 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 52000 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 51960 | Securities |
| Other | 107 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 40 | Securities |
| Other | -107 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -67 | TotalRevenueColumn |
| Exclusion | -$67 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 31149989 | TotalRevenueColumn |
| Related Or Exempt Function Income | 15282796 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $6,620 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10000 | Total |
| Program Services | 10000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 906392 | Total |
| Program Services | 906392 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14424322 | Total |
| Program Services | 12074945 | ProgramServices |
| Management And General | 2349377 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 843124 | Total |
| Program Services | 706587 | ProgramServices |
| Management And General | 136537 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1702927 | Total |
| Program Services | 1372144 | ProgramServices |
| Management And General | 330783 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1308688 | Total |
| Program Services | 1107969 | ProgramServices |
| Management And General | 200719 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12176 | Total |
| Program Services | 172 | ProgramServices |
| Management And General | 12004 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53286 | Total |
| Management And General | 53286 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 653183 | Total |
| Program Services | 465593 | ProgramServices |
| Management And General | 187590 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49040 | Total |
| Program Services | 18430 | ProgramServices |
| Management And General | 30610 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 371794 | Total |
| Program Services | 317253 | ProgramServices |
| Management And General | 54541 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16014 | Total |
| Program Services | 9301 | ProgramServices |
| Management And General | 6713 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 544466 | Total |
| Program Services | 455609 | ProgramServices |
| Management And General | 88857 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11545 | Total |
| Management And General | 11545 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Clinical Services/Suppl | 3311853 | 3311853 | |
| Contract Services | 1435642 | 597194 | 838448 |
| Bad Debt Expense | 471710 | 471710 | 0 |
| Dues and Licenses | 63526 | 42291 | 21235 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 172227 | Total |
| Program Services | 172227 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26361915 | Total |
| Program Services | 22039670 | ProgramServices |
| Management And General | 4322245 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2170449 | BOY |
| EOY | 2256953 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3783846 | BOY |
| EOY | 3838502 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7452968 | BOY |
| EOY | 6990767 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 232721 | BOY |
| EOY | 256261 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 80125 | BOY |
| EOY | 148633 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 16129499 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4453878 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6687887 | BOY |
| EOY | 11675621 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73440 | BOY |
| EOY | 23802 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20481436 | BOY |
| EOY | 25190539 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2553301 | BOY |
| EOY | 2447200 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13885 | BOY |
| EOY | 38693 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2567186 | BOY |
| EOY | 2485893 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17914250 | BOY |
| EOY | 22704646 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17914250 | BOY |
| EOY | 22704646 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20481436 | BOY |
| EOY | 25190539 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 4788074 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 2322 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
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
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 121691 | OtherCostOrOtherBasis |
| Book Value | 121691 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11744652 | OtherCostOrOtherBasis |
| Depreciation | 2124606 | Depreciation |
| Book Value | 9620046 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2981459 | OtherCostOrOtherBasis |
| Depreciation | 1757619 | Depreciation |
| Book Value | 1223840 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1281697 | OtherCostOrOtherBasis |
| Depreciation | 571653 | Depreciation |
| Book Value | 710044 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 11675621 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 32195829 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 2322 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 1043411 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 1045733 | RevenueNotRptdF990 |
| Revenue Subtotal | 31150096 | RevenueSubtotal |
| Other Revenues Not Included | -107 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -107 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 31149989 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 27405433 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 1043411 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 107 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1043518 | ExpensesNotRptdF990 |
| Expenses Subtotal | 26361915 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 26361915 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Uncertain Tax Positions Under FIN 48: | Part X, Line 2: | 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 4b - Other Adjustments: | Loss on disposal of property and equipment -107. | |
| Part XII, Line 2d - Other Adjustments: | Loss on disposal of property and equipment 107. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | Scholarships | TypeOfGrant |
| Number Of Recipients | 10 | NumberOfRecipients |
| Amount Of Cash Grant | 10000 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: All high school seniors that 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert DeFelice | ||||||||||||||
| CEO | 160588 | 0 | 0 | 0 | 0 | 0 | 14399 | 0 | 1868 | 0 | 176855 | 0 | 0 | 0 |
| Saverio Sava | ||||||||||||||
| Medical Director | 191547 | 0 | 0 | 0 | 0 | 0 | 15293 | 0 | 2599 | 0 | 209439 | 0 | 0 | 0 |
| Katherine Ganz | ||||||||||||||
| Clinical Compliance Direct | 145019 | 0 | 0 | 0 | 0 | 0 | 11571 | 0 | 0 | 0 | 156590 | 0 | 0 | 0 |
| Santiago Macias | ||||||||||||||
| Asst Med Director | 187448 | 0 | 0 | 0 | 0 | 0 | 13116 | 0 | 0 | 0 | 200564 | 0 | 0 | 0 |
| Mark Evanko | ||||||||||||||
| Physician | 151737 | 0 | 0 | 0 | 0 | 0 | 11682 | 0 | 932 | 0 | 164351 | 0 | 0 | 0 |
| Barbara Bath | ||||||||||||||
| Physician | 157542 | 0 | 0 | 0 | 0 | 0 | 12587 | 0 | 0 | 0 | 170129 | 0 | 0 | 0 |
| Walter Felipe Zanghellini | ||||||||||||||
| Physician | 157399 | 0 | 0 | 0 | 0 | 0 | 12581 | 0 | 932 | 0 | 170912 | 0 | 0 | 0 |
| Richard Aries | ||||||||||||||
| Physician | 155112 | 0 | 0 | 0 | 0 | 0 | 9361 | 0 | 2599 | 0 | 167072 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | The Board of Directors (BOD) delegates the review of the Form 990 to FCCH management. The CFO, Controller, Internal Auditor, and the CEO review the 990 prior to filing. A copy of the audited financial statement (which is used to prepare the Form 990) is forwarded to all members of the Board of Directors. The BOD reviews the audited financial statements with FCCH management and representatives of the audit firm. | |
| Form 990, Part VI, Section B, line 12c | The conflict of interest policy is reviewed with each new hire during orientation. The organization is in the process of implementing an annual review of the conflict of interest policy with all employees. | |
| Form 990, Part VI, Section B, line 15 | The Board hires the CEO and determines the salary. Other key employees are hired similar to regular employees. Their salary is based off a salary schedule, education and years of experience. | |
| Form 990, Part VI, Section C, line 18 | Christoper D. Grasty, CFO is in possession of the books and records of the organization at the Albuquerque office location. | |
| Form 990, Part VI, Section C, line 19 | The records are available at the Albuquerque office location upon request. | |
| Part XII, Line 2c: | process in the prior year. | The Finance committee and board oversee the audit. This was also the |
| Form 990, Schedule B | The organization receives various samples of pharmaceutical drugs for distribution at clinics throughout the year. Various companies provide the samples in varying quantities. An exact dollar donation from a particular vendor is not readily ascertainable and, therefore, specific companies are not listed on Schedule B. | Donations of Pharmaceutical Drug Samples. |
| Schedule A, Part I | 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 NM as a hospital and, pursuant to the Schedule H instructions, is not required to file this form or check yes to item 20 in Part IV of page 3 of the Form 990. | Explanation Regarding Schedule H |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | First Choice Community Healthcare Inc Medical Disability Trust 85-0342798 | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 N Centro Familiar Blvd SW | AddressLine1 |
| City | Albuquerque | City |
| State | NM | State |
| ZIP Code | 87105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Provide medical, dental and disability benefits to all participants. | PrimaryActivities |
| Legal Domicile State | NM | LegalDomicileState |
| Exempt Code Section | 501(c)(9) | ExemptCodeSection |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |