CPA, CEO

2011-03-30T15:02:46-05:00 2010-05-31 CLIFTON GUNDERSON LLP 500 MARQUETTE NW SUITE 800 ALBUQUERQUE NM 87102 990 2009-06-01 850244588 El Centro Family Health ELCE 5057537218 111 N Railroad Ave Espanola NM 87532 Lore Pease CPA, CEO 5057537218 2011-03-18 1 Stephen E Livingston CPA 5058428290 2009 2016-02-24 21:20:13Z Lore Pease 111 N Railroad Ave Espanola NM 87532 13115081 0 X N/A X 1975 NM The mission of ECFH is to provide affordable, accessible, quality health care to the people of Northern New Mexico. This includes primary health care, dental services, behavioral health services as well as health education and community outreach. 15 15 259 0 0 0 4534959 5090274 9087865 7975969 13376 33587 10005 15251 13646205 13115081 0 0 9146929 9857204 0 0 3622415 3348063 12769344 13205267 876861 -90186 5596133 5734500 1785807 2006144 3810326 3728356 El Centro Family Health is a non-profit New Mexico corporation that provides healthcare services primarily to people living in rural areas of northern New Mexico. El Centro operates primary care medical clinics in the communities of Chama, Coyote, Embudo, Espanola, La Loma, Las Vegas, Penasco, Roy, San Miguel, Springer, Truchas and Wagon Mound, as well as the Student Health Center at New Mexico Highlands University and dental clinics in Espanola, Penasco and Las Vegas. 0 0 11218331 7991220 General Healthcare Services to Residents of Northern New Mexico. 11218331 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 36 0 1 259 1 0 0 0 0 0 0 0 0 0 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NM X X The Organization 5057537218 111 N Railroad Ave Espanola NM 87532 Richard C Frey Board Member 2.00 X 0 0 0 Lebeo Martinez Board Member 2.00 X 0 0 0 Leroy Lopez Board Member 2.00 X 0 0 0 Beverly Williams Board Member 2.00 X 0 0 0 Cynthia Ulibarri Board Secretary 2.00 X 0 0 0 Juliet Garcia-Gonzales Board Vice-Chair 2.00 X 0 0 0 Sinforosa Lovato Board Member 2.00 X 0 0 0 Luis Ortiz Board Chairman 2.00 X 0 0 0 Mardoqueo Chacon Board Treasurer 2.00 X 0 0 0 Michael Kauffman At-Large Board Member 2.00 X 0 0 0 Paul Guiles At-Large Board Member 2.00 X 0 0 0 Evaristo Maestas At-Large Board Member 2.00 X 0 0 0 Lucy Maez Board Member 2.00 X 0 0 0 Patricia Gallegos Board Member 2.00 X 0 0 0 Betty Ann Medina Board Member 2.00 X 0 0 0 Mark Bjorklund Chief Clinical Officer 50.00 X X 166576 0 6959 Lore Pease Chief Executive Officer 50.00 X 118594 0 4903 Lucille Montoya Chief Operations Officer 50.00 X 78195 0 3246 Mary Parsaca Chief Quality Officer 50.00 X 53958 0 2100 Brenda Jozwiak Chief Financial Officer 50.00 X 75849 0 2956 Matt Probst Chief Programs Officer 50.00 X 79387 0 3403 Thomas Strain Physician 40.00 X X 150446 0 5997 Kristine McCoy Physician 40.00 X 139249 0 5429 Arturo Sisneros Physician 40.00 X 140470 0 5449 Christine Vigil Physician 40.00 X 125587 0 4834 1128311 0 45276 10 0 1 0 Staff Care Inc 6000 Feldwood Rd College Park GA 30349 Locum Tenens staffing 339469 NM Primary Care Association 4206 Louisiana Blvd NE Albuquerque NM 871091841 Support Dues 229056 2 10860 5079414 5090274 Patient Service Revenu 621400 4226895 4226895 Medicare/Medicaid Paym 621400 3749074 3749074 7975969 33587 33587 Miscellaneous Revenue 900099 15251 15251 15251 13115081 7991220 0 33587 572560 487688 84872 7676862 6448221 1228641 230974 205123 25851 786496 684572 101924 590312 488641 101671 42727 42727 44447 43003 1444 669385 639634 29751 145698 109702 35996 100718 88742 11976 100200 51124 49076 39733 11803 27930 305899 258981 46918 94484 81624 12860 Contract 830834 714923 115911 Maintenance & Repair 623506 545366 78140 Provision for Bad Debt 214199 214199 Postage & Printing 81802 60287 21515 Transcription Services 29887 29887 24544 12084 12460 13205267 11218331 1986936 0 1172119 1177892 372387 390151 1813519 1479857 118416 110581 37836 45426 6497861 3967268 2081856 2530593 5596133 5734500 1015791 1160540 770016 845604 1785807 2006144 X 3263668 3505092 546658 223264 3810326 3728356 5596133 5734500 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 75457 75457 3558544 2225431 1333113 499618 73598 426020 2184174 1530490 653684 180068 137749 42319 2530593 13115081 13205267 -90186 8216 8216 -81970 13138297 15000 8216 23216 13115081 0 13115081 13220267 15000 15000 13205267 0 13205267 Part XI, Line 8 the amount represents In-Kind Donations. Part XII, Line 2D represents In-Kind Donations. Part X: THE ORGANIZATION'S INCOME TAX FOOTNOTE CONTAINS A DESCRIPTION OF THE REQUIREMENTS OF FIN 48. IT THEN CONTAINS THE FOLLOWING TEXT: AS OF MAY 31, 2010, EL CENTRO PERFORMED A REVIEW OF ITS MATERIAL TAX POSITIONS IN ACCORDANCE WITH RECOGNITION AND MEASUREMENT STANDARDS ESTABLISHED BY GAAP. AS A RESULT OF THIS REVIEW, EL CENTRO QUALIFIED AS A TAX EXEMPT ORGANIZATION UNDER SECTION 501(c)(3) OF THE IRC AND HAD NO INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES AND DID NOT IDENTIFY ANY ENTITY LEVEL TAX POSITIONS THAT WOULD NOT MEET THE MORE-LIKELY-THAN-NOT THRESHOLD. X X X 0 0 0 0 0 0 0 0 0 Mark Bjorklund 166576 0 0 0 0 0 6959 0 0 0 173535 0 0 0 Thomas Strain 150446 0 0 0 0 0 5997 0 0 0 156443 0 0 0 Form 990, Part VI, Section B, line 11 The Form 990 is reviewed by Brenda Jozwiak, CFO. Form 990, Part VI, Section B, line 12c Employees moonlighting need to notify human resources. Officers, other key staff and Board Members need to bring to human resources or their supervisor any instances when a company or association may appear to the general public as a conflict of interest. Form 990, Part VI, Section B, line 15a The process for reviewing and evaluating the CEO is as follows: Each Board member and key employee (other officers) receives an evaluation package. Upon completion, these packages are returned to the Chairperson for the Personnel Committee. The Chairperson along with the HR Director compile the information and then the Chairperson presents the results to the Personnel Committee. The Personnel Committee discusses the results and makes recommendations to the full Board of Directors. The Board of Directors then discusses these recommendations in executive session with the CEO. Contract negotiations are then discussed and approved. This fiscal year the CEO agreed to freeze her salary in keeping with an organizational initiative of no salary increases for the next fiscal year. Form 990, Part VI, Section C, line 19 Documents available for public inspection are accessible on the Guidestar.org website. They are also available upon request at El Centro Family Health, 111 N. Railroad Avenue, Espanola, NM 87532. Part XI, Line 2C Financial Statements and Reporting The procedure was the same in the prior year. Form 990, Page 5, Part V, Lines 7G & H Form 8899 and 1098-C Reporting The Organization did not receive contributions of the type listed and, therefore, does not have a reporting requirement. These questions have not been answered as they are not applicable. Schedule A, Part I Explanation Regarding Schedule H 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 on page 3 of the Form 990.