SAN DIEGO REGIONAL HEALTHCARE INFORMATION EXCHANGE: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SAN DIEGO REGIONAL HEALTHCARE INFORMATION EXCHANGE (EIN 46-0550661)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201733209349300213
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-15T20:51:18-08:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 383730777 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COVELL & HOGAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 345 W 9TH AVE STE 100 | AddressLine1Txt |
| City | ESCONDIDO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 920255055 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460550661 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAN DIEGO REGIONAL HEALTHCARE | BusinessNameLine1Txt |
| Business Name Line2 | INFORMATION EXCHANGE | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SAND | BusinessNameControlTxt |
| Phone | 8586141544 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5575 RUFFIN ROAD SUITE 240 | AddressLine1Txt |
| City | SAN DIEGO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92123 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIEL CHAVEZ | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 8586141544 | PhoneNum |
| Signature | 2017-11-15 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LEON C COVELL CPA | PreparerPersonNm |
| PTIN | P00166785 | PTIN |
| Phone | 7607370700 | PhoneNum |
| Preparation | 2017-11-15 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | C982215C7BA94DBE282BD61D2BAD3EBD8F05D35A | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 41D1545833FC41E5B39AA4DE5D87D62686A9E5BF | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2018-03-14 21:41:22Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAN DIEGO HEALTH CONNECT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DANIEL CHAVEZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5575 RUFFIN ROAD SUITE 240 | AddressLine1Txt |
| City | SAN DIEGO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92123 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,238,924 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SDHEALTHCONNECT.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | ELECTRONIC EXCHANGE OF PATIENT HEALTHCARE INFORMATION BETWEEN HOSPITALS, PHYSICIANS AND OTHER HEALTHCARE PROVIDERS | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 12 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $202,500 | PYContributionsGrantsAmt |
| CY Contributions Grants | $606,081 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,225,209 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,632,843 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $882 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,428,591 | PYTotalRevenueAmt |
| CY Total Revenue | $3,238,924 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $702,019 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $921,095 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,827,433 | PYOtherExpensesAmt |
| CY Other Expenses | $2,352,874 | CYOtherExpensesAmt |
| PY Total Expenses | $2,529,452 | PYTotalExpensesAmt |
| CY Total Expenses | $3,273,969 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$100,861 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$35,045 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,574,739 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,199,495 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,975,061 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,621,200 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$400,322 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$421,705 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ORGANIZATION'S MISSION TO PROVIDE THE RIGHT INFORMATION TO THE RIGHT PERSON AT THE RIGHT TIME TO IMPROVE HEALTH. -FACILITATE EFFECTIVE AND EFFICIENT ELECTRONIC DELIVERY OF INFORMATION TO CARE GIVERS AT THE POINT OF CARE. -ENSURE THE PRIVACY AND SECURITY OF HEALTH INFORMATION DURING TRANSFER BETWEEN ORGANIZATIONS. -ENGENDER TRUST AND CONFIDENCE THROUGH TRANSPARENCY AND ACCOUNTABILITY IN GOVERNANCE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,929,785 | ExpenseAmt |
| Desc | THE REGENTS OF THE UNIVERSITY OF CALIFORNIA ON BEHALF OF THE SAN DIEGO CAMPUS SUBAWARD IMPLEMENTED AN ELECTRONIC PATIENT HEALTH INFORMATION EXCHANGE BETWEEN 4 LOCAL HEALTH CARE INSTITUTIONS- RADY CHILDREN'S HOSPITAL, UCSD MEDICAL CENTER, VETERAN'S ADMINSTRATION HOSPITAL SAN DIEGO AND DEPARTMENT OF DEFENSE, US NAVY BALBOA MEDICAL CENTER AND LOCAL COMMUNITY CLINICS AND CARE PROVIDERS. DATA EXCHANGES INCLUDED IMMUNIZATION RECORDS, EMERGENCY VISIT DATA, ADMISSIONS, DISCHARGE AND TRANSFER RECORDS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $31,231 | ExpenseAmt |
| Desc | DATA EXCHANGES INCLUDED IMMUNIZATION RECORDS, EMERGENCY VISIT DATA, ADMISSIONS, DISCHARGE AND TRANSFER RECORDS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $31,231 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $2,961,016 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | 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 |
| Temp Or Permanent Endowments | false | 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 | false | 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 | 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 | 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 |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 12 | 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 |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | 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 | false | 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 |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LISA MARTIN ADMIN ASSISTANT | PersonNm |
| Phone | 8583679829 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5575 RUFFIN ROAD SUITE 240 | AddressLine1Txt |
| City | SAN DIEGO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92123 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| ROBIN BROWN | ||||||
| PRESIDENT | 8.00 | Yes (X) | $0 | $0 | $0 | |
| ALBERT ORIOL | ||||||
| TREASURER | 8.00 | Yes (X) | $0 | $0 | $0 | |
| CASSI BIRNBAUM | ||||||
| SECRETARY | 4.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID GUSS MD | ||||||
| BOARD MEMBER | 6.00 | Yes (X) | $0 | $0 | $0 | |
| NICK YPHANTIDES | ||||||
| BOARD MEMBER | 8.00 | Yes (X) | $0 | $0 | $0 | |
| HENRY TUTTLE | ||||||
| BOARD MEMBER | 4.00 | Yes (X) | $0 | $0 | $0 | |
| KEN LAWONN | ||||||
| BOARD MEMBER | 6.00 | Yes (X) | $0 | $0 | $0 | |
| ALFRED JOSHUA | ||||||
| BOARD MEMBER | 6.00 | Yes (X) | $0 | $0 | $0 | |
| PAUL HEGYI | ||||||
| BOARD MEMBER | 4.00 | Yes (X) | $0 | $0 | $0 | |
| CHIEF BRIAN FENNESSY | ||||||
| BOARD MEMBER | 4.00 | Yes (X) | $0 | $0 | $0 | |
| LAURA SULLIVANT | ||||||
| BOARD MEMBER | 6.00 | Yes (X) | $0 | $0 | $0 | |
| NORMA DIAZ | ||||||
| BOARD MEMBER | 6.00 | Yes (X) | $0 | $0 | $0 | |
| DIMITRIOS ALEXIOU | ||||||
| BOARD MEMBER | 4.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT M SMITH MD | ||||||
| BOARD MEMBER | 4.00 | Yes (X) | $0 | $0 | $0 | |
| DELLA SHAW | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DANIEL CHAVEZ | ||||||
| EXECUTIVE DI | 40.00 | $166,059 | $0 | $19,079 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $166,059 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $19,079 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $410,858 | GovernmentGrantsAmt |
| All Other Contributions | $195,223 | AllOtherContributionsAmt |
| Total Contributions | $606,081 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| PARTICIPATION FEES | $2,009,693 | $2,009,693 |
| DESIGNATED DIRECTOR FEES | $600,000 | $600,000 |
| DIRECT EXCHANGE FEES | $23,150 | $23,150 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,632,843 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,238,924 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,632,843 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $768,545 | TotalAmt |
| Program Services | $566,171 | ProgramServicesAmt |
| Management And General | $202,374 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,390 | TotalAmt |
| Program Services | $12,811 | ProgramServicesAmt |
| Management And General | $4,579 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,752 | TotalAmt |
| Program Services | $58,015 | ProgramServicesAmt |
| Management And General | $20,737 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,408 | TotalAmt |
| Program Services | $41,554 | ProgramServicesAmt |
| Management And General | $14,854 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,000 | TotalAmt |
| Program Services | $24,000 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,751 | TotalAmt |
| Program Services | $85,995 | ProgramServicesAmt |
| Management And General | $9,756 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,200 | TotalAmt |
| Program Services | $29,411 | ProgramServicesAmt |
| Management And General | $28,789 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,947,106 | TotalAmt |
| Program Services | $1,946,669 | ProgramServicesAmt |
| Management And General | $437 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,331 | TotalAmt |
| Program Services | $30,494 | ProgramServicesAmt |
| Management And General | $8,837 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,737 | TotalAmt |
| Program Services | $38,113 | ProgramServicesAmt |
| Management And General | $13,624 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,758 | TotalAmt |
| Program Services | $30,758 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,306 | TotalAmt |
| Program Services | $38,886 | ProgramServicesAmt |
| Management And General | $4,420 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,556 | TotalAmt |
| Program Services | $18,556 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,129 | TotalAmt |
| Program Services | $39,583 | ProgramServicesAmt |
| Management And General | $4,546 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,273,969 | TotalAmt |
| Program Services | $2,961,016 | ProgramServicesAmt |
| Management And General | $312,953 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $266,849 | BOYAmt |
| EOY | $1,217,615 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,296,600 | BOYAmt |
| EOY | $1,739,222 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,508 | BOYAmt |
| EOY | $214,366 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $34,960 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,668 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,782 | BOYAmt |
| EOY | $28,292 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,574,739 | BOYAmt |
| EOY | $3,199,495 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $254,101 | BOYAmt |
| EOY | $429,036 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,695,300 | BOYAmt |
| EOY | $3,136,383 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,660 | BOYAmt |
| EOY | $55,781 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,975,061 | BOYAmt |
| EOY | $3,621,200 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$400,322 | BOYAmt |
| EOY | -$421,705 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$400,322 | BOYAmt |
| EOY | -$421,705 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,574,739 | BOYAmt |
| EOY | $3,199,495 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$35,045 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $13,662 | OtherChangesInNetAssetsAmt |
| 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 | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $1,488,406 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $40,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $202,500 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $606,081 | CurrentTaxYearAmt |
| Total | $2,336,987 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $918,159 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,579,365 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,226,091 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,632,843 | CurrentTaxYearAmt |
| Total | $7,356,458 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $2,406,565 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,619,365 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,428,591 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,238,924 | CurrentTaxYearAmt |
| Total | $9,693,445 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $9,693,445 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $2,406,565 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,619,365 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,428,591 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,238,924 | CurrentTaxYearAmt |
| Total | $9,693,445 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
Schedule D IRS990ScheduleD
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,960 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,668 | DepreciationAmt |
| Book Value | $28,292 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $28,292 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED EXPENSES | $42,914 |
| ACCRUED PAYROLL LIABILITIES | $12,867 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $55,781 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $3,238,924 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $3,238,924 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $3,238,924 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,260,307 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $3,260,307 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $13,662 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $13,662 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,273,969 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 4, PART XII, LINE 4B | FormAndLineReferenceDesc |
| Explanation | BOOK / TAX DEPRECIATION DIFFERENCE 13,662 | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIEL CHAVEZ | PersonNm |
| Title | EXECUTIVE DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $166,059 | BaseCompensationFilingOrgAmt |
| Deferred Compensation Flng Org | $19,079 | DeferredCompensationFlngOrgAmt |
| Total Compensation Filing Org | $185,138 | TotalCompensationFilingOrgAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | ORGANIZATION'S MISSION TO PROVIDE THE RIGHT INFORMATION TO THE RIGHT PERSON AT THE RIGHT TIME TO IMPROVE HEALTH. -FACILITATE EFFECTIVE AND EFFICIENT ELECTRONIC DELIVERY OF INFORMATION TO CARE GIVERS AT THE POINT OF CARE. -ENSURE THE PRIVACY AND SECURITY OF HEALTH INFORMATION DURING TRANSFER BETWEEN ORGANIZATIONS. -ENGENDER TRUST AND CONFIDENCE THROUGH TRANSPARENCY AND ACCOUNTABILITY IN GOVERNANCE. |
| FORM 990, PAGE 2, PART III, LINE 4D | DATA EXCHANGES INCLUDED IMMUNIZATION RECORDS, EMERGENCY VISIT DATA, ADMISSIONS, DISCHARGE AND TRANSFER RECORDS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 IS PREPARED BY MANAGEMENT, THE DRAFT IS DISTRIBUTED TO BOARD PRIOR FILLING TO ALLOW FOR THEIR REVIEW. |
| FORM 990, PAGE 6, PART VI, LINE 12C | BOARD MEMBERS UPDATE CONFLICT OF INTEREST FORM UPON JOINING THE BOARD AND ANUALLY AFTER JOINING. |
| FORM 990, PAGE 6, PART VI, LINE 15A | EXECUTIVE COMMITTEE OF BOARD OF DIRECTORS APPROVES EXECUTIVE DIRECTOR'S COMPENSATION ANNUALLY. |
| FORM 990, PAGE 6, PART VI, LINE 15B | IS SET BY EXECUTIVE DIRECTOR AND APPROVED BY BOARD IN ANNUAL APPROVAL OF THE ORGANIZATION'S OPERATING BUDGET. |
| FORM 990, PAGE 6, PART VI, LINE 19 | SDRHIE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, MEETING MINUTES AND FINANCIAL STATEMENT ARE AVAILABLE TO BE VIEWED BY APPOINTMENT AT THE OFFICE OF SDRHIE REGULAR OFFICE HOURS. |
| FORM 990, PART IX, LINE 11G | PROFESSINAL SERVICES 1,927,989 0 0 MISC 18,502 417 0 LICENSE AND PERMIT 178 20 0 TOTAL 1,946,669 437 0 |
| FORM 990, PART XI, LINE 9 | BOOK / TAX DEPRECIATION DIFFERENCE 13,662 |
Comments