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FIRST STEP CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
FIRST STEP CENTER (EIN 41-2094639)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-13
IRS object ID
201202269349302425
Schema version
2011v1.2
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

FieldValueIRS element (for citing)
Timestamp2012-08-13T15:06:34-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KRIEGEL GRAY SHAW & CO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2707AddressLine1
CityLAS CRUCESCity
StateNMState
ZIP Code88004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN412094639EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FIRST STEP CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFIRSNameControl
Phone5755568200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1390 CALLE DE ALEGRAAddressLine1
CityLAS CRUCESCity
StateNMState
ZIP Code88005ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTERRIANE M EVERHARTName
TitleVICE CHAIRPERSONTitle
Phone5755568200Phone
Date Signed2012-08-03DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDEBBIE A GRAY CPAName
Phone5755237444Phone
Date Prepared2012-08-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPEGGY SWOVELANDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11438 FISCHER RDAddressLine1
CityLAS CRUCESCity
StateNMState
ZIP Code88007ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5490657GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.FIRSTSTEPCENTER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2003YearFormation
State Legal DomicileNMStateLegalDomicile
Activity Or Mission DescriptionWOMEN AND CHILDREN HEALTH CLINICActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1115663ContributionsGrantsPriorYear
Contributions Grants Current Year1243177ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4579870ProgramServiceRevenuePriorYear
Program Service Revenue CY4236705ProgramServiceRevenueCY
Investment Income Prior Year2462InvestmentIncomePriorYear
Investment Income Current Year990InvestmentIncomeCurrentYear
Other Revenue Prior Year32600OtherRevenuePriorYear
Other Revenue Current Year9785OtherRevenueCurrentYear
Total Revenue Prior Year5730595TotalRevenuePriorYear
Total Revenue Current Year5490657TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5728808OtherExpensePriorYear
Other Expenses Current Year5514711OtherExpensesCurrentYear
Total Expenses Prior Year5728808TotalExpensesPriorYear
Total Expenses Current Year5514711TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1787RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-24054RevenuesLessExpensesCY
Total Assets BOY603633TotalAssetsBOY
Total Assets EOY579579TotalAssetsEOY
Total Liabilities BOY416000TotalLiabilitiesBOY
Total Liabilities EOY416000TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY187633NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY163579NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWOMEN AND CHILDREN HEALTH CLINICMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4714034Expense
DescriptionWOMEN AND CHILDREN HEALTH CLINIC.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense6357Expense
DescriptionWOMEN & CHILDRENS HEALTH CLINIC.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp6357TotalOfOtherProgramServiceExp
Total Program Service Expense4720391TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNMStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KRIEGELGRAYSHAW & CO PCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5755237444TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12452 MISSOURIAddressLine1
CityLAS CRUCESCity
StateNMState
ZIP Code88001ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JAMES SORENSON
CHAIRPERSON10.00XX000
TERRIANE M ENRIQUEZ EVERHART
V-CHAIR10.00XX000
TARA ROTHWELL-CLARK
SECRETARY10.00X000
PEGGY SWOVELAND
DIRECTOR5.00XX000
EMMA JEAN CERVANTES
DIRECTOR5.00X000
MARY KAY PAPEN
DIRECTOR5.00X000
RETA WARREN
TREASURER10.00XX000
ABEL COVARRUBIAS
DIRECTOR5.00X000
PAUL HERZOG
DIRECTOR5.00X000
MARIA PACHECO
DIRECTOR5.00X000
VAN BULLOCK
DIRECTOR5.00X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants93866GovernmentGrants
All Other Contributions1149311AllOtherContributions
Total Contributions1243177TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FEE RECEIPTS62140040920064092006
CITY CALL621400135157135157
PRIVATE CALL2100021000
REFUNDS-11458-11458
FieldValueIRS element (for citing)
Total Program Service Revenue4236705TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column990TotalRevenueColumn
Related Or Exempt Function Income990RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER INCOME62140091859185
DIRECTORS FUND621400600600
FieldValueIRS element (for citing)
Total Other Revenue9785TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5490657TotalRevenueColumn
Related Or Exempt Function Income4247480RelatedOrExemptFunctionIncome

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total224944Total
Program Services69704ProgramServices
Management And General155240ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4220873Total
Program Services3763899ProgramServices
Management And General456974ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total12961Total
Management And General12961ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total90966Total
Program Services22937ProgramServices
Management And General68029ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total15632Total
Program Services7816ProgramServices
Management And General7816ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total129989Total
Program Services65980ProgramServices
Management And General64009ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11121Total
Program Services9929ProgramServices
Management And General1192ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total486309Total
Program Services472135ProgramServices
Management And General14174ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
DRUGS & MEDICAL SUPPLIES196024196024
IMAGING SERVICES3187931879
LICENSES & FEES2315523155
REPAYMENT OF IHC1780917809

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total53049Total
Program Services39124ProgramServices
Management And General13925ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5514711Total
Program Services4720391ProgramServices
Management And General794320ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY192075BOY
EOY485175EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY397417BOY
EOY69594EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2565BOY
EOY2105EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis181816LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec159111LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11576BOY
EOY22705EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY603633BOY
EOY579579EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY416000BOY
EOY416000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY416000BOY
EOY416000EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY187633BOY
EOY163579EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY187633BOY
EOY163579EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY603633BOY
EOY579579EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-24054ReconcilationRevenueExpenses
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis181816OtherCostOrOtherBasis
Depreciation159111Depreciation
Book Value22705BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings22705TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionNOTE PAYABLE-A/R PURCHASEDescription
Amount$416,000Amount
FieldValueIRS element (for citing)
Total Of Amounts416000TotalOfAmounts
Total Revenue5490657TotalRevenue
Total Expenses5514711TotalExpenses
Excess Or Deficit For Year-24054ExcessOrDeficitForYear
Other-$99,008OtherAmount
Total Adjustments-99008TotalAdjustments
Excess Or Deficit Per FS-123062ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt5822591TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities435000DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990435000RevenueNotRptdF990
Revenue Subtotal5387591RevenueSubtotal
Other Revenues Not Included103066OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt103066RevenueNotRptdOnFinStmt
Total Revenue Per Form9905490657TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt5945653TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities435000DonatedServicesUseOfFacilities
Other Expenses Included1037OtherExpensesIncluded
Expenses Not Rptd F990436037ExpensesNotRptdF990
Expenses Subtotal5509616ExpensesSubtotal
Other Expenses Not Included5095OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt5095ExpensesNotRptdOnFinStmt
Total Expenses Per Form9905514711TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8REDUCTION IN PATIENT RECEIVABLES NET OF ALLOWANCE -103,035 OTHER -31 OTHER ROUNDING -9 PREPAID INSURANCE CHANGE -1,028 ACCOUNTS PAYABLE & ACCRUED EXPENSES 4,770 DEPRECIATION 294 OTHER 31
REVENUE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 4BREDUCTION IN PATIENT RECEIVABLES NET OF ALLOWANCE 103,035 OTHER 31
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DOTHER ROUNDING 9 PREPAID INSURANCE CHANGE 1,028
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 4BACCOUNTS PAYABLE & ACCRUED EXPENSES 4,770 DEPRECIATION 294 OTHER 31

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
PAUL HERZOG
DIRECTORCONTR SERV - SCH Ofalse
PEGGY SWOVELAND
DIRECTORCONTR SERV - SCH Ofalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierADDITIONAL INFORMATIONIdentifier
Return ReferenceSCHEDULE L PART VReturnReference
ExplanationPAUL 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 2011 NO AMOUNT WAS PAID BY THE ORGANIZATION TO PAUL HERZOG PEGGY SWOVELAND IS THE CHAIRMAN OF THE BOARD OF TRUSTEES FOR MEMORIAL MEDICAL CENTER THE ORAGANIZATION 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 2011 NO AMOUNT WAS PAID BY THE ORGANIZATION TO PEGGY SWOVELANDExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ALL OTHER ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DWOMEN & CHILDRENS HEALTH CLINIC.
MANAGEMENT DELEGATEDFORM 990, PAGE 6, PART VI, LINE 3DURING 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 2011. LAS CRUCES PHYSICIAN SERVICES, LLC IS AFFILIATED WITH MEMORIAL MEDICAL CENTER.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE 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 2011 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 POLICYFORM 990, PAGE 6, PART VI, LINE 12CTHE 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 EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION WOULD CONSIDER MAKING ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.