HOUSTON COMMUNITY HEALTH CENTERS INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- HOUSTON COMMUNITY HEALTH CENTERS INC (EIN 76-0622208)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-05
- IRS object ID
- 201843099349301049
- Schema version
- 2017v2.3
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-05T11:34:52-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14241 DALLAS PARKWAY STE 1100 | AddressLine1Txt |
| City | DALLAS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75254 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 760622208 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Houston Community Health Centers Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % NATHAN YUN | InCareOfNm |
| Business Name Control | HOUS | BusinessNameControlTxt |
| Phone | 7136743326 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 424 Hahlo Street | AddressLine1Txt |
| City | Houston | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 770203022 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIEL MONTEZ | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7133435451 | PhoneNum |
| Signature | 2018-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeanette Verrelli | PreparerPersonNm |
| PTIN | P00742631 | PTIN |
| Phone | 9727028262 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 43032920183095000013 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2018-11-05 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 290C5334FDE87EDE07F63F15ADE86BA2AB1B6526 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | ACBA2431EF37DEF71821A9057AFD5F2E9C389335 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VECINO HEALTH CENTERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DANIEL MONTEZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 424 HAHLO STREET | AddressLine1Txt |
| City | HOUSTON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 770203022 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,366,581 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VECINOHEALTHCENTERS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION PROVIDES ACCESSIBLE, QUALITY HEALTH CARE THROUGH MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES TO THE RESIDENTS OF DENVER HARBOR AND OTHER COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 78 | TotalEmployeeCnt |
| Total Volunteers | 35 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,694,563 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,932,690 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,115,864 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,403,120 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,552 | PYInvestmentIncomeAmt |
| CY Investment Income | $771 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $30,000 | CYOtherRevenueAmt |
| PY Total Revenue | $6,811,979 | PYTotalRevenueAmt |
| CY Total Revenue | $9,366,581 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,475 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $40,199 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,471,164 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,899,285 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $438,944 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,801,909 | PYOtherExpensesAmt |
| CY Other Expenses | $2,875,636 | CYOtherExpensesAmt |
| PY Total Expenses | $7,274,548 | PYTotalExpensesAmt |
| CY Total Expenses | $7,815,120 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$462,569 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,551,461 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,391,065 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,038,996 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,037,683 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,134,153 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,353,382 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,904,843 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO MAKE QUALITY HEALTHCARE ACCESSIBLE AND SUSTAINABLE TO THE MEDICALLY UNDERSERVED IN HOUSTON. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,734,035 | ExpenseAmt |
| Grant | $40,199 | GrantAmt |
| Revenue | $3,918,776 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES MEDICAL SERVICES. MEDICAL SERVICES INCLUDE ADULT MEDICINE, CHILDREN AND ADOLESCENT CARE, WOMEN'S HEALTH, PRENATAL CARE, LOW RISK OBSTETRIC CARE, GERIATRIC CARE, OPHTHALMOLOGY, NUTRITION CLASSES, AND OTHER MINOR PROCEDURES. THE ORGANIZATION'S MEDICAL SERVICES HAD 26,919 PATIENT ENCOUNTERS DURING 2017. THE ORGANIZATION RECEIVED IN-KIND DONATIONS OF SERVICES FROM MULTIPLE INDIVIDUALS AND ORGANIZATIONS THROUGHOUT THE YEAR, INCLUDING RESIDENTS AND ONCOLOGISTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $515,419 | ExpenseAmt |
| Revenue | $352,250 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES DENTAL SERVICES. DENTAL SERVICES INCLUDE EXAMINATIONS, CLEANINGS, FILLINGS, CROWNS AND DENTURES. THE ORGANIZATION'S DENTAL SERVICES HAD 1,713 PATIENT ENCOUNTERS DURING 2017. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $193,282 | ExpenseAmt |
| Revenue | $132,094 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES BEHAVIORAL HEALTH SERVICES. BEHAVIORAL HEALTH SERVICES PROVIDE BILINGUAL COUNSELING SERVICES INCLUDING FAMILY, INDIVIDUAL, AND GROUP THERAPY. THE ORGANIZATION'S BEHAVIORAL HEALTH SERVICES HAD 3,979 PATIENT ENCOUNTERS DURING 2017. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $6,442,736 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | 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 |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| 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 | Yes (true) | 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 | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | 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 |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 38 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 78 | 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | false | 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 | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | 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 | NATHAN YUN | PersonNm |
| Phone | 7133435451 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 424 HAHLO STREET | AddressLine1Txt |
| City | HOUSTON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 770203022 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| BOBBIE BARNETT | |||||||||
| DIRECTOR END: 08/17 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| LINDA KULHANEK | |||||||||
| DIRECTOR; CHAIR START: 12/17 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PAMELA HELLSTROM | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ARIANA AMORT | |||||||||
| SECRETARY | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| BOBBY MORGAN | |||||||||
| CHAIR START: 02/17 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| BRIAN REED | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES ROSSON | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DARIO ARELLANO | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| RAYMOND PANTOJA | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SANDRA PUENTE | |||||||||
| DIRECTOR END: 08/17 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JOSE LOPEZ | |||||||||
| DIRECTOR START: 7/17 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| TONY VAN SLYKE | |||||||||
| DIRECTOR START: 09/17 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| PAIGE ROBINSON | |||||||||
| DIRECTOR START: 10/17 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL MONTEZ | |||||||||
| CEO | 40.0 | 0.0 | $171,445 | $0 | $17,960 | Yes (X) | |||
| NATHAN YUN | |||||||||
| CONTROLLER | 40.0 | 0.0 | $91,443 | $0 | $14,867 | Yes (X) | |||
| DONALD BRISCOE | |||||||||
| CHIEF MEDICAL OFFICER | 40.0 | 0.0 | $205,140 | $0 | $18,306 | Yes (X) | |||
| JUAN OLIVARES | |||||||||
| DIRECTOR OF PEDIATRICS | 40.0 | 0.0 | $169,277 | $0 | $18,007 | Yes (X) | |||
| MARSHA HOLLEMAN MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $164,482 | $0 | $17,801 | Yes (X) | |||
| ENJOLI BENITEZ MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $162,406 | $0 | $17,958 | Yes (X) | |||
| NORA SAAVEDRA MD | |||||||||
| PEDIATRICIAN | 40.0 | 0.0 | $148,280 | $0 | $17,558 | Yes (X) | |||
| MARTHA ENGEL | |||||||||
| DENTAL DIRECTOR | 40.0 | 0.0 | $157,571 | $0 | $16,948 | Yes (X) | |||
| SHARON ANDERSON MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $164,769 | $0 | $14,125 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,434,813 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $153,530 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UNITED SOLUTIONS MSO | |||||
| 3030 E 29th Street Suite 101 | BRYAN | TX | 77802 | MEDICAL BILLING | $220,282 |
| BKD LLP | |||||
| 910 E ST LOUIS 200 | SPRINGFIELD | MO | 65806 | AUDIT AND ACCOUNTING | $181,580 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,266,396 | GovernmentGrantsAmt |
| All Other Contributions | $2,666,294 | AllOtherContributionsAmt |
| Noncash Contributions | $659,824 | NoncashContributionsAmt |
| Total Contributions | $4,932,690 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 621110 | $4,327,930 | $4,327,930 |
| EHR Incentive Revenue | 900099 | $42,500 | $42,500 |
| Other Clinic Revenue | 621110 | $32,690 | $32,690 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,403,120 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $771 | TotalRevenueColumnAmt |
| Exclusion | $771 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INSURANCE RECOVERY | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $30,000 | TotalRevenueColumnAmt |
| Exclusion | $30,000 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $30,000 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,366,581 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,403,120 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $30,771 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,199 | TotalAmt |
| Program Services | $40,199 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $706,445 | TotalAmt |
| Program Services | $573,945 | ProgramServicesAmt |
| Management And General | $94,517 | ManagementAndGeneralAmt |
| Fundraising | $37,983 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,527,606 | TotalAmt |
| Program Services | $2,865,970 | ProgramServicesAmt |
| Management And General | $471,970 | ManagementAndGeneralAmt |
| Fundraising | $189,666 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,029 | TotalAmt |
| Program Services | $164,136 | ProgramServicesAmt |
| Management And General | $27,030 | ManagementAndGeneralAmt |
| Fundraising | $10,863 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $463,205 | TotalAmt |
| Program Services | $376,326 | ProgramServicesAmt |
| Management And General | $61,974 | ManagementAndGeneralAmt |
| Fundraising | $24,905 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,580 | TotalAmt |
| Management And General | $181,580 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $977,359 | TotalAmt |
| Program Services | $825,617 | ProgramServicesAmt |
| Management And General | $8,737 | ManagementAndGeneralAmt |
| Fundraising | $143,005 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,846 | TotalAmt |
| Program Services | $57,627 | ProgramServicesAmt |
| Management And General | $9,641 | ManagementAndGeneralAmt |
| Fundraising | $3,578 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,939 | TotalAmt |
| Program Services | $65,836 | ProgramServicesAmt |
| Management And General | $11,015 | ManagementAndGeneralAmt |
| Fundraising | $4,088 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,002 | TotalAmt |
| Program Services | $32,538 | ProgramServicesAmt |
| Management And General | $5,444 | ManagementAndGeneralAmt |
| Fundraising | $2,020 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,351 | TotalAmt |
| Program Services | $98,708 | ProgramServicesAmt |
| Management And General | $16,514 | ManagementAndGeneralAmt |
| Fundraising | $6,129 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,268 | TotalAmt |
| Program Services | $22,180 | ProgramServicesAmt |
| Management And General | $3,711 | ManagementAndGeneralAmt |
| Fundraising | $1,377 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,332 | TotalAmt |
| Program Services | $1,896 | ProgramServicesAmt |
| Management And General | $318 | ManagementAndGeneralAmt |
| Fundraising | $118 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,360 | TotalAmt |
| Program Services | $16,561 | ProgramServicesAmt |
| Management And General | $2,771 | ManagementAndGeneralAmt |
| Fundraising | $1,028 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,670 | TotalAmt |
| Program Services | $138,824 | ProgramServicesAmt |
| Management And General | $23,226 | ManagementAndGeneralAmt |
| Fundraising | $8,620 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,442 | TotalAmt |
| Program Services | $57,299 | ProgramServicesAmt |
| Management And General | $9,586 | ManagementAndGeneralAmt |
| Fundraising | $3,557 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| BAD DEBT | $138,755 | $138,755 | ||
| MEDICAL SUPPLIES & DRUGS | $933,948 | $933,948 | ||
| LICENSES, DUES, SUBSCRIPTION | $16,866 | $13,719 | $2,295 | $852 |
| RECRUITING & RETENTION | $12,917 | $10,507 | $1,758 | $652 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,001 | TotalAmt |
| Program Services | $8,145 | ProgramServicesAmt |
| Management And General | $1,353 | ManagementAndGeneralAmt |
| Fundraising | $503 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,815,120 | TotalAmt |
| Program Services | $6,442,736 | ProgramServicesAmt |
| Management And General | $933,440 | ManagementAndGeneralAmt |
| Fundraising | $438,944 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,450 | BOYAmt |
| EOY | $1,450 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,462,260 | BOYAmt |
| EOY | $914,404 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $586,671 | BOYAmt |
| EOY | $921,094 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $365,054 | BOYAmt |
| EOY | $290,550 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,190 | BOYAmt |
| EOY | $186,464 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,629 | BOYAmt |
| EOY | $125,154 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,245,119 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,647,610 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,758,685 | BOYAmt |
| EOY | $4,597,509 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,126 | BOYAmt |
| EOY | $2,371 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,391,065 | BOYAmt |
| EOY | $7,038,996 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $659,610 | BOYAmt |
| EOY | $744,220 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $319,115 | BOYAmt |
| EOY | $352,217 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,958 | BOYAmt |
| EOY | $2,584 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $35,132 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,037,683 | BOYAmt |
| EOY | $1,134,153 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,926,531 | BOYAmt |
| EOY | $4,705,382 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,425,351 | BOYAmt |
| EOY | $1,197,961 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,500 | BOYAmt |
| EOY | $1,500 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,353,382 | BOYAmt |
| EOY | $5,904,843 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,391,065 | BOYAmt |
| EOY | $7,038,996 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,551,461 | 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 | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | 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 | $2,949,331 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,534,573 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,227,112 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,694,563 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,932,690 | CurrentTaxYearAmt |
| Total | $16,338,269 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,949,331 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,534,573 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,227,112 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,694,563 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,932,690 | CurrentTaxYearAmt |
| Total | $16,338,269 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $482,106 | SubstantialContributorsTotAmt |
| Public Support Total170 | $15,856,163 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $261 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $843 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,463 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,552 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $771 | CurrentTaxYearAmt |
| Total | $4,890 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $30,000 | CurrentTaxYearAmt |
| Total | $30,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $16,373,159 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $20,066,050 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.96842 | PublicSupportCY170Pct |
| Public Support PY170 | 0.94337 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1(I) | FormAndLineReferenceDesc |
| Explanation | OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS (TACHC), THE HARRIS COUNTY HEALTHCARE ALLIANCE (HCHA) AND THE NETWORK OF BEHAVIORAL HEALTH PROVIDERS, INC (NBHP). A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,126 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $256 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $11 | AdministrativeExpensesAmt |
| End Year Balance | $2,371 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,019 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $117 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $10 | AdministrativeExpensesAmt |
| End Year Balance | $2,126 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,064 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$39 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $6 | AdministrativeExpensesAmt |
| End Year Balance | $2,019 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,967 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $107 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $10 | AdministrativeExpensesAmt |
| End Year Balance | $2,064 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,781 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $195 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $9 | AdministrativeExpensesAmt |
| End Year Balance | $1,967 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $478,401 | OtherCostOrOtherBasisAmt |
| Book Value | $478,401 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,091,441 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,221,568 | DepreciationAmt |
| Book Value | $3,869,873 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $599,155 | OtherCostOrOtherBasisAmt |
| Depreciation | $426,042 | DepreciationAmt |
| Book Value | $173,113 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $76,122 | OtherCostOrOtherBasisAmt |
| Book Value | $76,122 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,597,509 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAPITAL LEASE OBLIGATION | Desc |
| Amt | $35,132 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $35,132 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $9,848,461 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $393,245 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $1,783,692 | OtherRevenueAmt |
| Revenue Not Reported | $2,176,937 | RevenueNotReportedAmt |
| Revenue Subtotal | $7,671,524 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,695,057 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,695,057 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $9,366,581 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $8,069,610 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $393,245 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $393,245 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,676,365 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $138,755 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $138,755 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,815,120 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, LINE 4 | ENDOWMENT FUNDS: THE ORGANIZATION HOLDS THE ENDOWMENT WITH THE GREATER HOUSTON COMMUNITY FOUNDATION. THIS WAS A GIFT FROM A DONOR THAT SPECIFIED FUNDS BE HELD WITHIN THE GREATER HOUSTON COMMUNITY FOUNDATION. GAINS AND INTEREST MAY BE USED FOR OPERATION EXPENSES, IF NEEDED. |
| SCHEDULE D, PART X, LINE 2 | ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART XI, LINE 2D | RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: NET ASSETS RELEASED FROM RESTRICTION $ 1,922,447 BAD DEBT EXPENSE (138,755) ------------- TOTAL $ 1,783,692 |
| SCHEDULE D, PART XI, LINE 4B | RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: CONTRIBUTIONS IN TEMPORARILY RESTRICTED NET ASSETS $ 1,695,057 |
| SCHEDULE D, PART XII, LINE 4B | RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSE $ 138,755 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| El Centro De Corazon | |||||||
| PO Box 230209 | Houston | TX | 77223 | 760442781 | 501(c)(3) | $30,816 | Accounting Software Abila MIP |
| Houston Area Community Services | |||||||
| 2150 West 18th Street ste 300 | Houston | TX | 77008 | 760549240 | 501(c)(3) | $8,982 | Abila MIP Accounting Software Modules |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | PROCEDURE FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.: THE ORGANIZATION RECEIVED AN AWARD TO UPDATE THEIR ACCOUNTING SOFTWARE. THIS WAS A COLLABORATIVE AWARD TO WORK WITH EL CENTRO DE CORAZON AND HOUSTON AREA COMMUNITY SERVICES. THE ORGANIZATION KEEPS A SCHEDULE OF THE EXPENSES RELATED TO THE PROJECT, AND DANIEL MONTEZ, CEO, PROVIDES PROGRESS UPDATES TO THE AWARD DONORS PERIODICALLY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL MONTEZ | ||||||||||||||
| CEO | $154,650 | $0 | $16,795 | $0 | $0 | $0 | $0 | $0 | $17,960 | $0 | $189,405 | $0 | $0 | $0 |
| DONALD BRISCOE | ||||||||||||||
| CHIEF MEDICAL OFFICER | $205,140 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18,306 | $0 | $223,446 | $0 | $0 | $0 |
| JUAN OLIVARES | ||||||||||||||
| DIRECTOR OF PEDIATRICS | $169,277 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18,007 | $0 | $187,284 | $0 | $0 | $0 |
| MARSHA HOLLEMAN MD | ||||||||||||||
| PHYSICIAN | $164,482 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $17,801 | $0 | $182,283 | $0 | $0 | $0 |
| ENJOLI BENITEZ MD | ||||||||||||||
| PHYSICIAN | $162,406 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $17,958 | $0 | $180,364 | $0 | $0 | $0 |
| NORA SAAVEDRA MD | ||||||||||||||
| PEDIATRICIAN | $148,280 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $17,558 | $0 | $165,838 | $0 | $0 | $0 |
| MARTHA ENGEL | ||||||||||||||
| DENTAL DIRECTOR | $157,571 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $16,948 | $0 | $174,519 | $0 | $0 | $0 |
| SHARON ANDERSON MD | ||||||||||||||
| PHYSICIAN | $164,769 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $14,125 | $0 | $178,894 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $659,824 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART I, COLUMN B | FormAndLineReferenceDesc |
| Explanation | NUMBER OF CONTRIBUTIONS: THE NUMBER OF CONTRIBUTIONS REPORTED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS OF EACH TYPE OF NONCASH CONTRIBUTION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | REVIEW OF FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE RETURN IS REVIEWED IN DETAIL BY THE CONTROLLER. It is then reviewed by the Finance Committee of the Board of Directors, then presented to the Entire Board for comments, and then approval to be filed. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: A CONFLICT OF INTEREST FORM IS COMPLETED WHEN BOARD MEMBERS ARE NOMINATED FOR THE BOARD. THE BOARD MEMBER SHALL DECLARE HIS/HER INTEREST IN A MATTER OR TRANSACTION BEFORE IT IS CONSIDERED BY THE BOARD, DESCRIBE THE NATURE OF THE INTEREST AND ANY SIGNIFICANT REASONS AS TO WHY THE TRANSACTION MAY NOT BE IN THE BOARD'S BEST INTERESTS, AND REFRAIN FROM VOTING OR INFLUENCING THE BOARD'S DELIBERATIONS IN THE MATTER. A CONFLICT OF INTEREST QUESTIONNAIRE IS ALSO GIVEN TO THE BOARD ANNUALLY. A CONFLICT OF INTEREST POLICY FOR OTHER EMPLOYEES OF THE ORGANIZATION IS DISCUSSED IN THE EMPLOYEE MANUAL. WHEN THEY ARE HIRED, EMPLOYEES SIGN A STATEMENT STATING THAT THEY HAVE READ AND UNDERSTOOD THE DOCUMENTATION THEY RECEIVED. CORPORATE OFFICERS AND KEY EMPLOYEES ANNUALLY REVIEW ANY POTENTIAL CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15A | CEO COMPENSATION REVIEW: A REVIEW OF THE CEO'S COMPENSATION IS CONDUCTED EACH YEAR. THE BOARD'S REVIEW OF 2017 COMPENSATION INCLUDED USING THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) SALARY SURVEY, IN ADDITION TO, A SURVEY OF VARIOUS CENTERS IN TEXAS PRIMARILY COLLECTED BY TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS (TACHC). BOARD APPROVAL WAS DOCUMENTED IN THE BOARD MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 15B | OTHER OFFICER AND KEY EMPLOYEE COMPENSATION REVIEW: A REVIEW OF THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS COMPLETED BY USING SALARY DATA FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND THE UNITED WAY SALARY SURVEY, IN ADDITION TO, SALARY.COM. HUMAN RESOURCES PROVIDES A PRESENTATION TO THE BOARD FOR THE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES. THE PRESENTATION AND APPROVAL OF THE COMPENSATION IS DOCUMENTED IN THE BOARD MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABILITY OF DOCUMENTS: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO BE MAILED OR EMAILED TO THE PUBLIC UPON REQUEST. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACTED CLINICIAN SERVICES TOTAL FEES:158135 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:LABORATORY SERVICES TOTAL FEES:92509 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER CONTRACT SERVICES TOTAL FEES:429982 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:BILLING SERVICES TOTAL FEES:229288 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:HR SERVICES TOTAL FEES:36010 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:DEVELOPMENT SERVICES TOTAL FEES:31435 |