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SALUD INTEGRAL EN LA MONTANA INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SALUD INTEGRAL EN LA MONTANA INC (EIN 66-0329532)
Tax period
2010-07-01 to 2011-06-30
Filed
2011-11-09
IRS object ID
201143199349306969
Schema version
2010v3.4
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)
Timestamp2011-11-09T17:01:16-07:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIAZ AND CANDELARIA PSCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1SUITE 112 PMB 294AddressLine1
Address Line2100 GRAN BULEVAR PASEOSAddressLine2
CitySAN JUANCity
StatePRState
ZIP Code00926ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN660329532EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SALUD INTEGRAL EN LA MONTANA INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSALUNameControl
Phone7878695900Phone

Foreign Address ForeignAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 515AddressLine1
CityNARANJITOCity
Province Or StatePUERTO RICOProvinceOrState
CountryRQCountry
Postal Code00719PostalCode

Officer Officer

FieldValueIRS element (for citing)
NameSANDRA GARCIAName
TitleEXECUTIVE DIRECTORTitle
Phone7878695900Phone
Date Signed2011-11-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCRISTINO ARIEL DIAZ-LOPEZName
Phone7873994556Phone
Date Prepared2011-11-07DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1Salud Integral en la Montana IncBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 515AddressLine1
CityNARANJITOCity
StatePRState
ZIP Code00719ZIPCode
FieldValueIRS element (for citing)
Gross Receipts33146815GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SIMPR.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1974YearFormation
State Legal DomicilePRStateLegalDomicile
Activity Or Mission DescriptionTo provide excellent ambulatory and home health-care services in a safe environment, to procure the physical, mental, and social wellbeing of the residents of our community. SIM provides preventive, primary and home health services that include medical services, clinical laboratory, radiology, emergency room, immunization, pharmacy, dental services, social work among others.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees453TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year6623370ContributionsGrantsPriorYear
Contributions Grants Current Year7418601ContributionsGrantsCurrentYear
Program Service Revenue Prior Year24608887ProgramServiceRevenuePriorYear
Program Service Revenue CY25140688ProgramServiceRevenueCY
Investment Income Prior Year54583InvestmentIncomePriorYear
Investment Income Current Year51959InvestmentIncomeCurrentYear
Other Revenue Prior Year553476OtherRevenuePriorYear
Other Revenue Current Year535567OtherRevenueCurrentYear
Total Revenue Prior Year31840316TotalRevenuePriorYear
Total Revenue Current Year33146815TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10848002SalariesEtcPriorYear
Salaries Etc Current Year10791165SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year20393397OtherExpensePriorYear
Other Expenses Current Year21938593OtherExpensesCurrentYear
Total Expenses Prior Year31241399TotalExpensesPriorYear
Total Expenses Current Year32729758TotalExpensesCurrentYear
Revenues Less Expenses Prior Year598917RevenuesLessExpensesPriorYear
Revenues Less Expenses CY417057RevenuesLessExpensesCY
Total Assets BOY25414900TotalAssetsBOY
Total Assets EOY26644108TotalAssetsEOY
Total Liabilities BOY15802278TotalLiabilitiesBOY
Total Liabilities EOY16614429TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9612622NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10029679NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide excellent ambulatory and home healthcare services in a safe environment, to procure the physical, mental and social wellbeing of the residents of our communities.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense23353849Expense
Revenue30656272Revenue
DescriptionCommunity Health Center - a comprehensive primary health care program which provides services to low income families, agricultural migrants and seasonal farm workers as well as to their dependents in six municipalities located at the central and northern areas of Puerto Rico - Naranjito, Comerio, Corozal, Orocovis, Barranquitas y Toa Alta.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense577153Expense
Revenue931064Revenue
DescriptionHospice - The primary activities of the Hospice Program are to provide support services to patients with terminal diseases.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense803186Expense
Revenue1559479Revenue
DescriptionHome Care - The objective of the Home Care Program is to provide nursing, therapeutic and other complementary services to elderly patients at their homes.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense24734188TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding0ComplianceWithBackupWitholding
Number Of Employees453NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLillian Cruz AlvarezNamePerson
Telephone Number7878695900TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1Carr 152 KM 12 2AddressLine1
Address Line2Bo Cedro ArribaAddressLine2
CityNaranjitoCity
StatePRState
ZIP Code00719ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeKey EmployeeKeyEmployee
Gerardo M Hernandez
President1X000
Marcos A Melendez
Vice President1X000
Ignacio Febus
Treasurer2X000
Maria A Rios
Sub Treasurer1X000
Maribel Concepcion
Secretary1X000
Antonio Moreno
Director1X000
Ignacio Padilla
Director1X000
Omayra Acevedo
Director1X000
Nereida Rodriguez
Director1X000
Sylma Maldonado
Director1X000
Arlin E Ramirez Vega
Director1X000
Sandra V Garcia Rodriguez
Executive Director4012739906000XX
Marien Vazquez
Medical Direcror403332800X
Lillian Cruz
Finance Director406205801800X
Jose S Rosado
Operations Director403483200X
Ada T Torres
Human Resources Director404550900X
Evin Vega Olivo
Physician4010730400X
Fernando Rivera Torres
Physician4011186800X
FieldValueIRS element (for citing)
Total Reportable Comp From Org522298TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation7800TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1Address Line2AddressOfContractor/AddressUS/AddressLine2CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Quest Diagnostics
1st Floor Federal BuildingRoad 2 KM 11BayamonPR00956Laboratory316847
Jose Vilme
PMB 138Toa AltaPR00953Sonograms170999
Bersa Group
497 EmiliaSan JuanPR00926Professional Services230000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Government Grants7418601GovernmentGrants
Total Contributions7418601TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Premium Revenues (Capitation)62140014929380149293800
NET PATIENT SERVICES62140010211308102113080

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue25140688TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column51959TotalRevenueColumn
Related Or Exempt Function Income51959RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real403560Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real403560Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column403560TotalRevenueColumn
Related Or Exempt Function Income403560RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCafeteria & VendingDescription
Business Code722210BusinessCode
Total Revenue Column132007TotalRevenueColumn
Related Or Exempt Function Income132007RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue132007TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column33146815TotalRevenueColumn
Related Or Exempt Function Income25728214RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total303126Total
Program Services33328ProgramServices
Management And General269798ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7888028Total
Program Services5502206ProgramServices
Management And General2385822ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total43943Total
Program Services42496ProgramServices
Management And General1447ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1497404Total
Program Services849077ProgramServices
Management And General648327ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1058664Total
Program Services715439ProgramServices
Management And General343225ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1021914Total
Program Services172273ProgramServices
Management And General849641ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total477568Total
Program Services170614ProgramServices
Management And General306954ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total51933Total
Program Services2709ProgramServices
Management And General49224ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total310696Total
Management And General310696ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total443676Total
Program Services17068ProgramServices
Management And General426608ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total130617Total
Management And General130617ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
HEAlTH SERVICE CLAIM13578996135789960
DRUGS AND MEDICINE2559809255980900
BAD DEBTS EXPENSES4908770490877
SUPPLIES1022157694532327625
OTHER EXPENSES185035039564114547090

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total32729758Total
Program Services24734188ProgramServices
Management And General7995570ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6937115BOY
EOY8611157EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY602146BOY
EOY612253EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1554397BOY
EOY603848EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5705227BOY
EOY5053032EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY329667BOY
EOY320006EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY103735BOY
EOY128118EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15190874LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4046050LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9981526BOY
EOY11144824EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY201087BOY
EOY170870EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY25414900BOY
EOY26644108EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2087447BOY
EOY1936514EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5778932BOY
EOY5446261EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7935899BOY
EOY9231654EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY15802278BOY
EOY16614429EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9372081BOY
EOY8240383EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY240541BOY
EOY1789296EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9612622BOY
EOY10029679EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25414900BOY
EOY26644108EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses417057ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26784717CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27091947CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29577739CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31232257CurrentTaxYearMinus1Year
Current Tax Year32559289CurrentTaxYear
Total147245949Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26784717CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27091947CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29577739CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31232257CurrentTaxYearMinus1Year
Current Tax Year32559289CurrentTaxYear
Total147245949Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total170147245949PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years155829CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years95721CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58840CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54583CurrentTaxYearMinus1Year
Current Tax Year51959CurrentTaxYear
Total416932Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years625392CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years768287CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years613959CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year553476CurrentTaxYearMinus1Year
Current Tax Year535567CurrentTaxYear
Total3096681Total
FieldValueIRS element (for citing)
Total Support150759562TotalSupport
Gross Receipts From Admissions Etc0GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.97669PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97041PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationOther income corresponded to: Rental of Health Facilities $403,560 and Cafeteria and Vending Machines $132,007.GeneralExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1959760OtherCostOrOtherBasis
Book Value1959760BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis9302783OtherCostOrOtherBasis
Depreciation2156214Depreciation
Book Value7146569BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1579531OtherCostOrOtherBasis
Depreciation407371Depreciation
Book Value1172160BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis2242976OtherCostOrOtherBasis
Depreciation1392647Depreciation
Book Value850329BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis105824OtherCostOrOtherBasis
Depreciation89818Depreciation
Book Value16006BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11144824TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
INCURRED BUT NOT RECORDED (IBNR)$2,443,492
ACCTS. PAYABLE HUMANA - CONTRACT BALANCE$6,788,162
FieldValueIRS element (for citing)
Total Of Amounts9231654TotalOfAmounts
Total Revenue33146815TotalRevenue
Total Expenses32729758TotalExpenses
Excess Or Deficit For Year417057ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$0OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS417057ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt33146815TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal33146815RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99033146815TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt32729758TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal32729758ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99032729758TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0B_L11aForm 990, Part VI, Section B, Line 11aAll questions related to governance, management & disclosure were asked to the Board members by the CPA Firm partner in charge. Form 990 was presented to the members of the Board of Directors on a regular meetting on October 26, 2011. The content of the form was reviewed and approved for filling by the Board.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cThe Board of Directors are required to complete on an annual basis a certification of not conflict of interest.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15The salary of the Executive Director is determined and approved by the Board of Directors. It is determined based on performance and comparability data from other nonprofit organizations in Puerto Rico. The salaries of other key officers such as Medical Director, Finance Director, Director of Human Resources and Directors of Operations are determined and approved by the Executive Director on performance, comparability data provided by trade associations, benchmarking data, and the experience of the local labor market for positions with health professional shortages.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19The Accounting and Finance Policy and Procedures Manual of Salud Integral en la Montana, Inc. establishes that: ..." the Corporation will make the following forms available to the general public: a. Three most recent annual Return of Organization Exempt From Income Tax (990) b. The original tax exempt application (Form 1023 or 1024) filed with the IRS. It is the policy of the Corporation to follow the following rules to fulfill the requirements of the public statements mentioned above. a. A copy of the forms will be provided to any person that requests in person to inspect those forms during regular business hours The Finance Director is responsible for keeping a copy and for making it available to the public. b. For requests received bay mail, the Corporation will request payment in advance for the costs of copies and shipping charges. If the request does not include payment, the Corporation will notify the person by phone or by mail of its prepayments policy within the seven days after receiving the original request. c. The cost per copy will be $1.00 for the first copy and $.15 for each additional page. All copies will be sent to the person that requests them by priority mail within 30 days of receiving the request.