CENTRO DE SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CENTRO DE SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC (EIN 66-0430826)
- Tax period
- 2021-04-01 to 2022-03-31
- Filed
- 2022-10-11
- IRS object ID
- 202222909349300852
- Schema version
- 2021v4.0
- 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) |
|---|---|---|
| Return | 2022-10-11T19:22:22-07:00 | ReturnTs |
| Tax Period End | 2022-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 660561068 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIAZ & CANDELARIA PSC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | SUITE 112 PMB 294 10O GRAN BULEVAR | AddressLine1Txt |
| City | SAN JUAN | CityNm |
| State Abbreviation | PR | StateAbbreviationCd |
| ZIP | 00926 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 660430826 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRO DE SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 7878394320 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 697 | AddressLine1Txt |
| City | PATILLAS | CityNm |
| State Abbreviation | PR | StateAbbreviationCd |
| ZIP | 007230697 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mildred Morel Ortiz | PersonNm |
| Person Title | Executive Director | PersonTitleTxt |
| Phone | 7878394320 | PhoneNum |
| Signature | 2022-10-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CRISTINO ARIEL DIAZ LOPEZ | PreparerPersonNm |
| PTIN | P01448309 | PTIN |
| Phone | 7873994556 | PhoneNum |
| Preparation | 2022-10-11 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 1 | TrustedCustomerCd |
| OOB Security Verification | 11 | OOBSecurityVerificationCd |
| Last Submission Rqr OOB | 1 | LastSubmissionRqrOOBCd |
| Authentication Assurance Level | AAL2 | AuthenticationAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Mildred Morel Ortiz | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 697 | AddressLine1Txt |
| City | PATILLAS | CityNm |
| State Abbreviation | PR | StateAbbreviationCd |
| ZIP | 00723 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $32,883,712 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1986 | FormationYr |
| Legal Domicile State | PR | LegalDomicileStateCd |
| Activity Or Mission | To provide primary ambulatory, supplemental and environmental health services to the medically undeserved residents around the Municipalities of Patillas, Maunabo, Salinas and Santa Isabel, Puerto Rico. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 249 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $11,455,659 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,145,035 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,040,175 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $26,668,140 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,192 | PYOtherRevenueAmt |
| CY Other Revenue | $70,537 | CYOtherRevenueAmt |
| PY Total Revenue | $28,501,026 | PYTotalRevenueAmt |
| CY Total Revenue | $32,883,712 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,378,864 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,906,223 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,205,306 | PYOtherExpensesAmt |
| CY Other Expenses | $16,400,361 | CYOtherExpensesAmt |
| PY Total Expenses | $23,584,170 | PYTotalExpensesAmt |
| CY Total Expenses | $29,306,584 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,916,856 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,577,128 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,896,575 | TotalAssetsBOYAmt |
| Total Assets EOY | $20,090,214 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,897,772 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,514,283 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $12,998,803 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,575,931 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide primary ambulatory, supplemental and enviromental health services to the medically underserved residents around the Municipalities of Patillas, Maunabo and Santa Isabel, Puerto Rico.. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $17,859,402 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | COMMUNITY HEALTH SERVICES | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,690,643 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | PHARMACY | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $939,775 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | Facilities | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $21,489,820 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | 0 | BackupWthldComplianceInd |
| Employee | 249 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | 0 | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Graciela Rivera Silva | PersonNm |
| Phone | 7878394320 | PhoneNum |
Foreign Address ForeignAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 697 | AddressLine1Txt |
| City | Patillas | CityNm |
| Province Or State | PR | ProvinceOrStateNm |
| Country | RQ | CountryCd |
| Foreign Postal | 00723 | ForeignPostalCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| Mildred Morel Ortiz | |||||||
| Executive Director | 40 | 0 | Yes (X) | $142,800 | $0 | $0 | |
| Aitza B Rios Vivas | |||||||
| Pediatrician | 40 | 0 | Yes (X) | $142,800 | $0 | $0 | |
| Antonio Lozada Contreras | |||||||
| Internist | 40 | 0 | Yes (X) | $126,203 | $0 | $0 | |
| Annete Alvarado Roche | |||||||
| Pharmacist | 40 | 0 | Yes (X) | $124,127 | $0 | $0 | |
| Arturo Garcia Feliciano | |||||||
| Medical Director | 40 | 0 | Yes (X) | $123,521 | $0 | $0 | |
| Dr Waldemar Trinidad | |||||||
| Physician - Generalist | 40 | 0 | Yes (X) | $122,090 | $0 | $0 | |
| Dr Samuel Cruz Estrada | |||||||
| Physician - Generalist | 40 | 0 | Yes (X) | $122,039 | $0 | $0 | |
| Dr Jose M Velez Vargas | |||||||
| Pedritrician | 40 | 0 | Yes (X) | $121,794 | $0 | $0 | |
| Lisette Cruz Pena | |||||||
| Pharmacist | 40 | 0 | Yes (X) | $121,556 | $0 | $0 | |
| Jose M Garay Flores | |||||||
| Pedriatician | 40 | 0 | Yes (X) | $121,014 | $0 | $0 | |
| Ida Cardona Malave | |||||||
| Pharmacist | 40 | 0 | Yes (X) | $120,605 | $0 | $0 | |
| Nalyssa Rivera Cora | |||||||
| Generalist | 40 | 0 | Yes (X) | $118,511 | $0 | $0 | |
| Johana Santiago Torres | |||||||
| Generalist | 40 | 0 | Yes (X) | $117,193 | $0 | $0 | |
| Hector Rentas Melendez | |||||||
| Dentist | 40 | 0 | Yes (X) | $115,955 | $0 | $0 | |
| Karla M Figueroa Colon | |||||||
| Generalist | 40 | 0 | Yes (X) | $113,527 | $0 | $0 | |
| Dra Ivemilia Pedraza Ortiz | |||||||
| Generalist | 40 | 0 | Yes (X) | $112,087 | $0 | $0 | |
| Dra Luisa E Acevedo Valles | |||||||
| Generalist | 40 | 0 | Yes (X) | $111,537 | $0 | $0 | |
| Dr Rafaael Acevedo Soto | |||||||
| Generalist | 40 | 0 | Yes (X) | $111,358 | $0 | $0 | |
| Dra Carmen L Campos Santiago | |||||||
| Generalist | 40 | 0 | Yes (X) | $110,491 | $0 | $0 | |
| Dra Araceli De Jesus Burgos | |||||||
| Generalist | 40 | 0 | Yes (X) | $110,256 | $0 | $0 | |
| Graciela Rivera Silva | |||||||
| Finance Director | 40 | 0 | Yes (X) | $108,466 | $0 | $0 | |
| Zuheiry Colon Figueroa | |||||||
| Pharmacist | 40 | 0 | Yes (X) | $106,399 | $0 | $0 | |
| Fermin De Jesus Cora | |||||||
| Generalist | 40 | 0 | Yes (X) | $105,591 | $0 | $0 | |
| Mariely N Ortiz Figueroa | |||||||
| Dentist | 40 | 0 | Yes (X) | $98,955 | $0 | $0 | |
| Mirella Rodriguez Rodriguez | |||||||
| Generalist | 40 | 0 | Yes (X) | $98,342 | $0 | $0 | |
| Dr Jim Rodriguez Velazquez | |||||||
| Generalist | 40 | 0 | Yes (X) | $98,342 | $0 | $0 | |
| Dr Anthony Agosto Diaz | |||||||
| Generalist | 40 | 0 | Yes (X) | $92,782 | $0 | $0 | |
| Nylsa Acosta Orozco | |||||||
| President | 1 | 0 | $0 | $0 | $0 | Yes (X) | |
| Carmen D Morales Rivera | |||||||
| Vice President | 1 | 0 | $0 | $0 | $0 | Yes (X) | |
| Wilma I Borras Rodriguez | |||||||
| Secretary | 1 | 0 | $0 | $0 | $0 | Yes (X) | |
| Jose Ramos Santiago | |||||||
| Treasurer | 1 | 0 | $0 | $0 | $0 | Yes (X) | |
| Margarita Diaz Semidey | |||||||
| Member | 1 | 0 | $0 | $0 | $0 | Yes (X) | |
| Francisco Rodriguez Rodriguez | |||||||
| Member | 1 | 0 | $0 | $0 | $0 | Yes (X) | |
| Milagros Santiago | |||||||
| Member | 1 | 0 | $0 | $0 | $0 | Yes (X) | |
| Jorge Luis De Pedro Burgos | |||||||
| Member | 1 | 0 | $0 | $0 | $0 | Yes (X) | |
| Iris C Rosa Lopez | |||||||
| Member | 1 | 0 | $0 | $0 | $0 | Yes (X) | |
| Felix Melendez | |||||||
| Member | 1 | 0 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,118,341 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 23 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/ForeignAddress/AddressLine1Txt | Address Line2ContractorAddress/ForeignAddress/AddressLine2Txt | CityContractorAddress/ForeignAddress/CityNm | Province Or StateContractorAddress/ForeignAddress/ProvinceOrStateNm | CountryContractorAddress/ForeignAddress/CountryCd | Foreign PostalContractorAddress/ForeignAddress/ForeignPostalCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line1ContractorAddress/USAddress/AddressLine1Txt | Address Line2ContractorAddress/USAddress/AddressLine2Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Securitas | ||||||||||||
| Tres Rios Building | 27 Gonzalez Giusti St 601 | San Juan | PR | RQ | 00068 | SECURITY SERVICES | $284,121 | |||||
| Dr Juan Tosado | ||||||||||||
| Gynecology | $119,038 | Hospital Episcopal San Lucas | Urb La Hacienda Suite 209 | Guayama | PR | 00784 | ||||||
| FELDESMAN TUCKER LEIFER FIDELL | ||||||||||||
| Legal Services | $284,490 | 1129 20th Street NW | Suite 400 | Washington | DC | 20036 | ||||||
| GREENWAY | ||||||||||||
| CONSTRUCTION | $161,123 | 5828 Reeds Rd | Mission | KS | 66202 | |||||||
| DR LOALY E MARTINEZ TORRES | ||||||||||||
| HIMA Plaza 100 | Av Luis Munoz Marin 1 Suite 306 | Caguas | PR | RQ | 00725 | PSYCHIATRIST | $121,965 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| Government Grants | $5,579,156 | GovernmentGrantsAmt |
| All Other Contributions | $565,879 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $6,145,035 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Capitation | 621400 | $10,619,948 | $10,619,948 | $0 | $0 |
| Net Patient Service Fees | 621400 | $4,489,577 | $4,489,577 | $0 | $0 |
| Pharmacy Revenue | 621400 | $5,308,740 | $5,308,740 | $0 | $0 |
| Puerto Rico Department of Health | 621400 | $6,249,875 | $6,249,875 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $26,668,140 | TotalProgramServiceRevenueAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $70,537 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $70,537 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $70,537 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,883,712 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $26,738,677 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,570,334 | TotalAmt |
| Program Services | $7,169,013 | ProgramServicesAmt |
| Management And General | $3,401,321 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $458,422 | TotalAmt |
| Program Services | $368,010 | ProgramServicesAmt |
| Management And General | $90,412 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,877,467 | TotalAmt |
| Program Services | $1,255,979 | ProgramServicesAmt |
| Management And General | $621,488 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,786,462 | TotalAmt |
| Program Services | $763,096 | ProgramServicesAmt |
| Management And General | $2,023,366 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,519,046 | TotalAmt |
| Program Services | $8,519,046 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,319 | TotalAmt |
| Program Services | $1,967 | ProgramServicesAmt |
| Management And General | $42,352 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $330,440 | TotalAmt |
| Program Services | $54,334 | ProgramServicesAmt |
| Management And General | $276,106 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,497 | TotalAmt |
| Program Services | $7,222 | ProgramServicesAmt |
| Management And General | $12,275 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $350,214 | TotalAmt |
| Program Services | $310,407 | ProgramServicesAmt |
| Management And General | $39,807 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,138 | TotalAmt |
| Program Services | $18,418 | ProgramServicesAmt |
| Management And General | $41,720 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,255 | TotalAmt |
| Program Services | $16,256 | ProgramServicesAmt |
| Management And General | $16,999 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $871,586 | TotalAmt |
| Management And General | $871,586 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,286 | TotalAmt |
| Management And General | $106,286 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Laboratories | $458,863 | $458,787 | $76 | $0 |
| Medical Supplies | $1,972,109 | $1,972,109 | $0 | $0 |
| Equipment & Rental | $96,226 | $70,798 | $25,428 | $0 |
| Maintenance & Repairs | $438,589 | $354,526 | $84,063 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $313,331 | TotalAmt |
| Program Services | $149,852 | ProgramServicesAmt |
| Management And General | $163,479 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,306,584 | TotalAmt |
| Program Services | $21,489,820 | ProgramServicesAmt |
| Management And General | $7,816,764 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,393,573 | BOYAmt |
| EOY | $12,368,005 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,399 | BOYAmt |
| EOY | $336,610 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,488,057 | BOYAmt |
| EOY | $2,616,872 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,912,940 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,186,613 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,555,433 | BOYAmt |
| EOY | $4,726,327 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300,113 | BOYAmt |
| EOY | $42,400 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,896,575 | BOYAmt |
| EOY | $20,090,214 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $473,923 | BOYAmt |
| EOY | $552,592 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,423,849 | BOYAmt |
| EOY | $2,961,691 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,897,772 | BOYAmt |
| EOY | $3,514,283 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,998,803 | BOYAmt |
| EOY | $16,575,931 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,998,803 | BOYAmt |
| EOY | $16,575,931 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,896,575 | BOYAmt |
| EOY | $20,090,214 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,577,128 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,589,357 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,543,544 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,937,323 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28,495,834 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,813,175 | CurrentTaxYearAmt |
| Total | $123,379,233 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,589,357 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,543,544 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,937,323 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28,495,834 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,813,175 | CurrentTaxYearAmt |
| Total | $123,379,233 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $123,379,233 | PublicSupportTotal170Amt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $235,425 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $46,097 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,417 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,192 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $70,537 | CurrentTaxYearAmt |
| Total | $381,668 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $123,760,901 | TotalSupportAmt |
| Public Support CY170 | 0.99692 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99699 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests PY170 | Yes (X) | ThirtyThrPctSuprtTestsPY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10 | FormAndLineReferenceDesc |
| Explanation | INTEREST INCOME 11,778 OTHER INCOME 58,759 | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Book Value | $0 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $675,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $152,079 | DepreciationAmt |
| Book Value | $522,921 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $2,855,420 | OtherCostOrOtherBasisAmt |
| Depreciation | $924,075 | DepreciationAmt |
| Book Value | $1,931,345 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $3,361,622 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,610,981 | DepreciationAmt |
| Book Value | $1,750,641 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $1,020,898 | OtherCostOrOtherBasisAmt |
| Depreciation | $499,478 | DepreciationAmt |
| Book Value | $521,420 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,726,327 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued Expenses and Withholdings | $2,318,474 |
| Claims Payable - IBNR | $643,217 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,961,691 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $32,883,712 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $0 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Recoveries Prior Year Grants | $0 | RecoveriesPriorYearGrantsAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $32,883,712 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $0 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $32,883,712 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $29,306,584 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $0 | DonatedServicesUseFcltsAmt |
| Prior Year Adjustments | $0 | PriorYearAdjustmentsAmt |
| Losses Reported | $0 | LossesReportedAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $29,306,584 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $0 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $29,306,584 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, Line 11b | A copy of the return is presented and discussed with board for approval previously to filing. |
| Form 990, Part VI, Section B, Line 15 | Annual budget and Managers and Directors salaries are approved by the Board of Directors base on comparable positions in similar organizations. |
| Form 990, Part VI, Section C, Line 19 | Any public document can be request at the Center Central Office to the Finance Director, nominal charges can apply for documents reproduction. |
| Form 990, Part IX, Line 11g | Medical Claims and IBNR |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | An extension was requested and granted by the IRS. | ExplanationTxt |
Comments