VIDA Y SALUD-HEALTH SYSTEMS INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- VIDA Y SALUD-HEALTH SYSTEMS INC (EIN 74-1715419)
- Tax period
- 2020-04-01 to 2021-03-31
- Filed
- 2021-09-16
- IRS object ID
- 202122599349301317
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-09-16T15:42:39-07:00 | ReturnTs |
| Tax Period End | 2021-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GARZA GONZALEZ AND ASSOCIATES | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 207 ARDEN GROVE | AddressLine1Txt |
| City | SAN ANTONIO | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78215 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 741715419 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Vida Y Salud Health Systems Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VIDA | BusinessNameControlTxt |
| Phone | 8303742301 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 308 Cesar Chavez Avenue | AddressLine1Txt |
| City | Crystal City | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78839 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Nora Tellez | PersonNm |
| Person Title | Chief Executive Officer | PersonTitleTxt |
| Phone | 8303742301 | PhoneNum |
| Signature | 2021-08-11 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Nora | PersonFirstNm |
| Person Last | Tellez | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Gregory R Garza | PreparerPersonNm |
| PTIN | P01511204 | PTIN |
| Phone | 2102271389 | PhoneNum |
| Preparation | 2021-09-16 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Nora Tellez | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 308 Cesar Chavez Avenue | AddressLine1Txt |
| City | Crystal City | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78839 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,750,666 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | http://www.vidaysalud.org/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | Provides health services to the people of Zavala,Dimmit,LaSalle,Uvalde and surrounding counties. Services include medical,dental,food and nutrition education,immunizations, and glaucoma screening | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 92 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,039,664 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,155,395 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,775,757 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,383,917 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,052 | PYInvestmentIncomeAmt |
| CY Investment Income | -$118 | CYInvestmentIncomeAmt |
| PY Other Revenue | $111,749 | PYOtherRevenueAmt |
| CY Other Revenue | $209,177 | CYOtherRevenueAmt |
| PY Total Revenue | $5,936,222 | PYTotalRevenueAmt |
| CY Total Revenue | $6,748,371 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,798,067 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,990,348 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,785,861 | PYOtherExpensesAmt |
| CY Other Expenses | $1,738,973 | CYOtherExpensesAmt |
| PY Total Expenses | $5,583,928 | PYTotalExpensesAmt |
| CY Total Expenses | $5,729,321 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $352,294 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,019,050 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,968,538 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,135,766 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $312,701 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $460,879 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,655,837 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,674,887 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Vida Y Salud-Health Systems, Inc. was founded in 1972 and provides health services to the people of Zavala,Dimmit,LaSalle,Uvalde and surrounding counties. The clinic maintains four program/service delivery sites and provides services such as laboratory, pharmacy, immunization,dental,WIC,radiology, social services,family planning and OB, and family medicine for all age groups. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,349,925 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,383,917 | RevenueAmt |
| Desc | The Center provides comprehensive medical care to domestic agricultural migratory workers and seasonal agricultural workers who reside in Zavala County. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $271,584 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | Women, Infants and Children program provides supplemental food and nutrition education to those families whose children are under 5 years of age. Additionally, imunization services are provided as well. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $3,621,509 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 12 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 92 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | false | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Nora Tellez | PersonNm |
| Phone | 8303742301 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 308 Cesar Chavez | AddressLine1Txt |
| City | Crystal City | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78839 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Santos Camarillo | ||||||||
| Chairperson | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Connie Narvaez | ||||||||
| Vice-Chairperson | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Martina Delgado | ||||||||
| Secretary | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Elizabeth Betty Avila | ||||||||
| Treasurer | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Faviola Martinez | ||||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Maria Del Rosario Amoles | ||||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert L Hernandez | ||||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Jose Uribe | ||||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Oluyemisi O Laditan | ||||||||
| Dental Director | 40.00 | $136,849 | $0 | $10,670 | Yes (X) | |||
| Steven P Garza | ||||||||
| Physician Assistant | 40.00 | $124,711 | $0 | $9,663 | Yes (X) | |||
| Tony T Moreno | ||||||||
| PA-C | 40.00 | $106,086 | $0 | $9,195 | Yes (X) | |||
| Nora Tellez | ||||||||
| Chief Executive Officer | 40.00 | Yes (X) | $117,262 | $0 | $9,411 | |||
| Rosanna G Caballero | ||||||||
| Family Nurse Practitioner | 40.00 | $101,196 | $0 | $7,702 | Yes (X) | |||
| Ramon S Lopez Jr | ||||||||
| CFO | 40.00 | Yes (X) | $110,584 | $0 | $7,211 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $696,688 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $53,852 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Remiguis Okea | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3126 Rio Cordillera | AddressLine1Txt |
| City | Boerne | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78006 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Medical Director | ServicesDesc |
| Compensation | $178,666 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,912,405 | GovernmentGrantsAmt |
| All Other Contributions | $242,990 | AllOtherContributionsAmt |
| Total Contributions | $5,155,395 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Fees | Desc |
| Business | 621111 | BusinessCd |
| Total Revenue Column | $1,383,917 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,383,917 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,177 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,177 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,295 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$2,295 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,295 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$2,295 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Revenue | Desc |
| Business | 621498 | BusinessCd |
| Total Revenue Column | $209,177 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $209,177 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $209,177 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,748,371 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,593,094 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$118 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $750,540 | TotalAmt |
| Program Services | $506,072 | ProgramServicesAmt |
| Management And General | $244,468 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,570,120 | TotalAmt |
| Program Services | $1,771,151 | ProgramServicesAmt |
| Management And General | $798,969 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,285 | TotalAmt |
| Program Services | $61,010 | ProgramServicesAmt |
| Management And General | $39,275 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315,578 | TotalAmt |
| Program Services | $201,090 | ProgramServicesAmt |
| Management And General | $114,488 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,825 | TotalAmt |
| Program Services | $170,126 | ProgramServicesAmt |
| Management And General | $83,699 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,515 | TotalAmt |
| Program Services | $29,980 | ProgramServicesAmt |
| Management And General | $48,535 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,819 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,819 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,800 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $25,800 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,960 | TotalAmt |
| Program Services | $32,541 | ProgramServicesAmt |
| Management And General | $66,419 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,661 | TotalAmt |
| Program Services | $14,621 | ProgramServicesAmt |
| Management And General | $163,040 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,394 | TotalAmt |
| Program Services | $40,079 | ProgramServicesAmt |
| Management And General | $48,315 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,466 | TotalAmt |
| Program Services | $17,324 | ProgramServicesAmt |
| Management And General | $8,142 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,167 | TotalAmt |
| Program Services | $87,335 | ProgramServicesAmt |
| Management And General | $50,832 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,753 | TotalAmt |
| Program Services | $35,035 | ProgramServicesAmt |
| Management And General | $5,718 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Maintenance/Repairs | $32,624 | $4,200 | $28,424 | $0 |
| Other | $256,818 | $7,046 | $249,772 | $0 |
| Patient Care Services | $297,840 | $297,840 | $0 | $0 |
| Supplies | $462,836 | $332,184 | $130,652 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,320 | TotalAmt |
| Program Services | $13,875 | ProgramServicesAmt |
| Management And General | -$555 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,729,321 | TotalAmt |
| Program Services | $3,621,509 | ProgramServicesAmt |
| Management And General | $2,107,812 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,399,752 | BOYAmt |
| EOY | $3,149,831 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $279,856 | BOYAmt |
| EOY | $413,570 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,201 | BOYAmt |
| EOY | $21,362 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,332 | BOYAmt |
| EOY | $319,953 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,983,859 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,752,809 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,242,412 | BOYAmt |
| EOY | $2,231,050 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,985 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,968,538 | BOYAmt |
| EOY | $6,135,766 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $312,701 | BOYAmt |
| EOY | $460,879 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $312,701 | BOYAmt |
| EOY | $460,879 | 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 | $4,655,837 | BOYAmt |
| EOY | $5,674,887 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,655,837 | BOYAmt |
| EOY | $5,674,887 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,968,538 | BOYAmt |
| EOY | $6,135,766 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,019,050 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | false | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Other Support Sum | $0 | OtherSupportSumAmt |
| Public Support CY170 | 0 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,488,790 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,641,532 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,766,964 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,039,664 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,155,395 | CurrentTaxYearAmt |
| Total | $20,092,345 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,976,290 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,764,665 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,742,648 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,775,757 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,383,917 | CurrentTaxYearAmt |
| Total | $8,643,277 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,465,080 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,406,197 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,509,612 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,815,421 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,539,312 | CurrentTaxYearAmt |
| Total | $28,735,622 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $28,735,622 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,604 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,056 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,562 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,052 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,177 | CurrentTaxYearAmt |
| Total | $24,451 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,604 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,056 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,562 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,052 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,177 | CurrentTaxYearAmt |
| Total | $24,451 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $90,121 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $71,201 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,563 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $111,749 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $209,177 | CurrentTaxYearAmt |
| Total | $510,811 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,270,884 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98170 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98440 | PublicSupportPY509Pct |
| Investment Income CY | 0.00080 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00090 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt III Ln 12 | FormAndLineReferenceDesc |
| Explanation | Other Income Part III, Line 12 Description: Other Income 2016: 90121. 2017: 71201. 2018: 28563. 2019: 111749. 2020: 209177. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $21,292 | OtherCostOrOtherBasisAmt |
| Book Value | $21,292 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,568,455 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,783,275 | DepreciationAmt |
| Book Value | $1,785,180 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,350,991 | OtherCostOrOtherBasisAmt |
| Depreciation | $926,413 | DepreciationAmt |
| Book Value | $424,578 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,121 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,121 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,231,050 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $6,750,666 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $2,295 | OtherRevenueAmt |
| Revenue Not Reported | $2,295 | RevenueNotReportedAmt |
| Revenue Subtotal | $6,748,371 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $6,748,371 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,729,321 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $5,729,321 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $5,729,321 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt XI, Line 2d | FormAndLineReferenceDesc |
| Explanation | Loss on Disposition of Vehicle | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 11b | The Chief Financial Officer reviews the Form 990 in its entirety before signing. The Form 990 will be presented to the Board of Directors as well for their review. |
| Pt VI, Line 12c | Through training, emails, letters, and disciplinary measures when violations occur. |
| Pt VI, Line 15a | Through the National Association of Community Health Centers benefits and yearly surveys in the area. |
| Pt VI, Line 19 | Through Board of Directors meetings which are open to the public. |
| Pt VI, Line 6 | The Organization has Board Members are the governing body that provides oversight of management decisions |
| Pt VI, Line 15b | Through the National Association of Community Health Centers benefits and yearly surveys in the area. |
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