EL BUEN SAMARITANO EPISCOPAL MISSION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
EL BUEN SAMARITANO EPISCOPAL MISSION (EIN 74-2488682)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-08-15
IRS object ID
201622289349302167
Schema version
2014v6.0
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

FieldValueIRS element (for citing)
Return2016-08-15T07:58:07-07:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Dunagan Jack LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13724 Jefferson Street Suite 307AddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78731ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN742488682EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1El Buen Samaritano Episcopal MissionBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlELBUBusinessNameControlTxt
Phone5124390700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17000 Woodhue DriveAddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78745ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonIliana GilmanPersonNm
Person TitleCEOPersonTitleTxt
Signature2016-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicole PowellPreparerPersonNm
PTINP00543197PTIN
Phone5124208997PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerIliana GilmanPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17000 Woodhue DriveAddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78745ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,572,640GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.elbuen.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionEl Buen Samaritano is an outreach ministry of the Episcopal Diocese of Texas committed to helping Latino and other families in Central Texas lead healthy, productive and secure lives through high-quality and affordable health care, education and financial security.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee95TotalEmployeeCnt
Total Volunteers1500TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$3,910,731PYContributionsGrantsAmt
CY Contributions Grants$4,758,814CYContributionsGrantsAmt
PY Program Service Revenue$883,550PYProgramServiceRevenueAmt
CY Program Service Revenue$378,665CYProgramServiceRevenueAmt
PY Investment Income$143,558PYInvestmentIncomeAmt
CY Investment Income$56,486CYInvestmentIncomeAmt
PY Other Revenue$5,444PYOtherRevenueAmt
CY Other Revenue$47,227CYOtherRevenueAmt
PY Total Revenue$4,943,283PYTotalRevenueAmt
CY Total Revenue$5,241,192CYTotalRevenueAmt
CY Grants And Similar Paid$38,346CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,238,717PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,244,783CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$38,800CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$207,429CYTotalFundraisingExpenseAmt
PY Other Expenses$2,317,875PYOtherExpensesAmt
CY Other Expenses$1,957,524CYOtherExpensesAmt
PY Total Expenses$5,556,592PYTotalExpensesAmt
CY Total Expenses$5,279,453CYTotalExpensesAmt
PY Revenues Less Expenses-$613,309PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$38,261CYRevenuesLessExpensesAmt
Total Assets BOY$6,588,960TotalAssetsBOYAmt
Total Assets EOY$7,136,599TotalAssetsEOYAmt
Total Liabilities BOY$153,000TotalLiabilitiesBOYAmt
Total Liabilities EOY$193,431TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,435,960NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,943,168NetAssetsOrFundBalancesEOYAmt
MissionEl Buen Samaritano is an outreach ministry of the Episcopal Diocese of Texas committed to helping Latino and other families in Central Texas lead healthy, productive and secure lives through high-quality and affordable health care, education and financial security.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$3,917,151ExpenseAmt
Grant$38,346GrantAmt
Revenue$378,665RevenueAmt
DescHelped Latino and other families in Central Texas lead healthy, productive and secure lives through high-quality and affordable health care, education and financial security.Desc
Total Program Service Expenses$3,917,151TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document25IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee95EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSandra FreitagPersonNm
Phone5124390700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17000 Woodhue DriveAddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78745ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Dena Harrison
Chairman1.000.00Yes (X)Yes (X)$0$0$0
William Bennett
Executive Chair1.000.00Yes (X)Yes (X)$0$0$0
Charles Kline
Treasurer1.000.00Yes (X)Yes (X)$0$0$0
Vickie Blumhagen
Secretary1.000.00Yes (X)Yes (X)$0$0$0
Rudy Soto Jr
Immed Past Pres1.000.00Yes (X)$0$0$0
Carl Angel
Past President1.000.00Yes (X)$0$0$0
Carole Gebhard
Director1.000.00Yes (X)$0$0$0
James Aldrete
Director1.000.00Yes (X)$0$0$0
Jennifer Cawley
Director1.000.00Yes (X)$0$0$0
Julie de Wette
Director1.000.00Yes (X)$0$0$0
Laura Duran
Director1.000.00Yes (X)$0$0$0
Laurie Eiserloh
Director1.000.00Yes (X)$0$0$0
Laura Longoria
Director1.000.00Yes (X)$0$0$0
Lucy Nazro
Director1.000.00Yes (X)$0$0$0
Lisa Saunders
Director1.000.00Yes (X)$0$0$0
Elizabeth Townsend
Director1.000.00Yes (X)$0$0$0
Luis Zayas
Director1.000.00Yes (X)$0$0$0
Manuel Escobar
Chancellor1.000.00Yes (X)$0$0$0
Iliana Gilman
CEO40.000.50Yes (X)$103,029$0$12,870
Tim Sayles
CFO40.000.50Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$103,029TotalReportableCompFromOrgAmt
Total Other Compensation$12,870TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Health Management AssociatesBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1515 Congress Avenue Suite 1760AddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78613ZIPCd
FieldValueIRS element (for citing)
ServicesConsultingServicesDesc
Compensation$115,544CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$1,735,056GovernmentGrantsAmt
All Other Contributions$3,023,758AllOtherContributionsAmt
Total Contributions$4,758,814TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient fees$332,283$332,283
Program service fees$46,382$46,382
FieldValueIRS element (for citing)
Total Program Service Revenue$378,665TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$56,486TotalRevenueColumnAmt
Exclusion$56,486ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$45,000RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$45,000RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,000TotalRevenueColumnAmt
Exclusion$45,000ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,331,448SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,331,448SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther revenuesDesc
Total Revenue Column$2,227TotalRevenueColumnAmt
Exclusion$2,227ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,227OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,241,192TotalRevenueColumnAmt
Related Or Exempt Func Income$378,665RelatedOrExemptFuncIncomeAmt
Exclusion$103,713ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$38,346TotalAmt
Program Services$38,346ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$181,724TotalAmt
Management And General$181,724ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,407,697TotalAmt
Program Services$1,736,556ProgramServicesAmt
Management And General$553,057ManagementAndGeneralAmt
Fundraising$118,084FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$157,844TotalAmt
Program Services$115,870ProgramServicesAmt
Management And General$34,095ManagementAndGeneralAmt
Fundraising$7,879FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$292,225TotalAmt
Program Services$201,208ProgramServicesAmt
Management And General$77,335ManagementAndGeneralAmt
Fundraising$13,682FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$205,293TotalAmt
Program Services$138,706ProgramServicesAmt
Management And General$57,155ManagementAndGeneralAmt
Fundraising$9,432FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$31,923TotalAmt
Management And General$31,923ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,750TotalAmt
Management And General$14,750ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$38,800TotalAmt
Fundraising$38,800FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$11,108TotalAmt
Management And General$11,108ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$491,971TotalAmt
Program Services$447,413ProgramServicesAmt
Management And General$43,182ManagementAndGeneralAmt
Fundraising$1,376FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,485TotalAmt
Program Services$5,621ProgramServicesAmt
Management And General$864ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$46,880TotalAmt
Program Services$39,848ProgramServicesAmt
Management And General$6,036ManagementAndGeneralAmt
Fundraising$996FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$75,851TotalAmt
Program Services$64,473ProgramServicesAmt
Management And General$9,766ManagementAndGeneralAmt
Fundraising$1,612FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$168,338TotalAmt
Program Services$143,087ProgramServicesAmt
Management And General$21,674ManagementAndGeneralAmt
Fundraising$3,577FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$21,340TotalAmt
Program Services$18,869ProgramServicesAmt
Management And General$2,121ManagementAndGeneralAmt
Fundraising$350FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$172,755TotalAmt
Program Services$146,841ProgramServicesAmt
Management And General$22,243ManagementAndGeneralAmt
Fundraising$3,671FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$64,349TotalAmt
Program Services$57,845ProgramServicesAmt
Management And General$5,583ManagementAndGeneralAmt
Fundraising$921FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical supplies and expenses$425,539$425,539
Equipment rental and maint.$252,722$214,813$32,539$5,370
Miscellaneous$56,511$21,754$34,075$682
Program supplies and materials$31,808$31,808

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$85,194TotalAmt
Program Services$68,554ProgramServicesAmt
Management And General$15,643ManagementAndGeneralAmt
Fundraising$997FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,279,453TotalAmt
Program Services$3,917,151ProgramServicesAmt
Management And General$1,154,873ManagementAndGeneralAmt
Fundraising$207,429FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$334,963BOYAmt
EOY$48,534EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$236,857BOYAmt
EOY$967,491EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$124,497BOYAmt
EOY$724,404EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$102,780BOYAmt
EOY$236,025EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$18,941BOYAmt
EOY$9,325EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,320,967LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,401,633LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,691,205BOYAmt
EOY$3,919,334EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,079,717BOYAmt
EOY$1,231,486EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,588,960BOYAmt
EOY$7,136,599EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$153,000BOYAmt
EOY$193,431EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$153,000BOYAmt
EOY$193,431EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,502,972BOYAmt
EOY$4,692,908EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$932,988BOYAmt
EOY$2,250,260EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,435,960BOYAmt
EOY$6,943,168EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,588,960BOYAmt
EOY$7,136,599EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$38,261ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$56,972NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$602,441PriorPeriodAdjustmentsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,463,148CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,446,319CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,915,447CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,078,254CurrentTaxYearMinus1YearAmt
Current Tax Year$4,758,814CurrentTaxYearAmt
Total$16,661,982TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,463,148CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,446,319CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,915,447CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,078,254CurrentTaxYearMinus1YearAmt
Current Tax Year$4,758,814CurrentTaxYearAmt
Total$16,661,982TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$742,163SubstantialContributorsTotAmt
Public Support Total170$15,919,819PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$122,317CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,185CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$233,945CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$143,558CurrentTaxYearMinus1YearAmt
Current Tax Year$101,486CurrentTaxYearAmt
Total$636,491TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$210CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,135CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$265CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,444CurrentTaxYearMinus1YearAmt
Current Tax Year$2,227CurrentTaxYearAmt
Total$9,281TotalAmt
FieldValueIRS element (for citing)
Total Support$17,307,754TotalSupportAmt
Gross Receipts Rltd Activities$378,665GrossReceiptsRltdActivitiesAmt
Public Support CY1700.91980PublicSupportCY170Pct
Public Support PY1700.95910PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$520,702OtherCostOrOtherBasisAmt
Book Value$520,702BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,431,398OtherCostOrOtherBasisAmt
Depreciation$1,416,057DepreciationAmt
Book Value$3,015,341BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$431,332OtherCostOrOtherBasisAmt
Depreciation$202,563DepreciationAmt
Book Value$228,769BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$385,732OtherCostOrOtherBasisAmt
Depreciation$317,282DepreciationAmt
Book Value$68,450BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$551,803OtherCostOrOtherBasisAmt
Depreciation$465,731DepreciationAmt
Book Value$86,072BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,919,334TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Agrmt Prof Fundraising ActyYes (true)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

FieldValueIRS element (for citing)
PersonJennifer LucasPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1405 Battle BendAddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78745ZIPCd
FieldValueIRS element (for citing)
ActivityGrant WriterActivityTxt
Fundraiser Control Of FundsfalseFundraiserControlOfFundsInd
Gross Receipts$307,320GrossReceiptsAmt
Retained By Contractor$38,800RetainedByContractorAmt
Net To Organization$268,520NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$307,320TotalGrossReceiptsAmt
Total Retained By Contractors$38,800TotalRetainedByContractorsAmt
Total Net To Organization$268,520TotalNetToOrganizationAmt
Licensed StatesTXLicensedStatesCd

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1The Physician Board of El BueBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line17000 Woodhue DriveAddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78745ZIPCd
FieldValueIRS element (for citing)
Recipient EIN471336020RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$38,346CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantOperational SupportPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonEvelyn NazroPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFamily membeRelationshipDescriptionTxt
Transaction$104,124TransactionAmt
TransactionEmploymentTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational DocumentsThe bylaws of the Organization were amended to revise the number and titles of the Officers of the Board of Directors.
Form 990, Part VI, Line 11b: Form 990 Review ProcessA draft of the return is prepared by the Organization's CPA. The draft is reviewed by the Director of Finance and the Chief Executive Officer before it is finalized and filed.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementA board committee reviews the Chief Executive Officer's performance and authorizes any pay increases.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesKey Employees are reviewed by the Chief Executive Officer and HR Manager.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableCertain other documents available upon request.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1The Physician Board of El BuenBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line17000 Woodhue DriveAddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78745ZIPCd
FieldValueIRS element (for citing)
EIN471336020EIN
Primary ActivitiesPhysician servicesPrimaryActivitiesTxt
Legal Domicile StateTXLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1El Buen Samaritano Episcopal MissionBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1The Physician Board of El BuenBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypebTransactionTypeTxt
Involved$38,346InvolvedAmt
Method Of Amount DeterminationCash tranxMethodOfAmountDeterminationTxt

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