ALIVIO MEDICAL CENTER INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ALIVIO MEDICAL CENTER INC (EIN 36-3661051)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-15
IRS object ID
201511359349309291
Schema version
2013v4.0
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)
Return2015-05-15T16:35:59-07:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Prado & Renteria CPAs Prof CorpBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11837 S Michigan Ave 2nd FlAddressLine1
CityChicagoCity
StateILState
ZIP Code60616ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363661051EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALIVIO MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlALIVBusinessNameControlTxt
Phone7732541400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1966 W 21ST STAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60608ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonESTHER CORPUZPersonNm
Person TitleCEOPersonTitleTxt
Phone7732541400PhoneNum
Signature2015-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHILDA S RENTERIAPreparerPersonNm
Phone3125671330PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerESTHER CORPUZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1966 West 21st StreetAddressLine1
CityChicagoCity
StateILState
ZIP Code60608ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$17,290,805GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionALIVIO MEDICAL CENTER IS COMMITTED TO PROVIDING ACCESS TO QUALITY, COST EFFECTIVE HEALTH CARE TO THE HISPANIC COMMUNITY,THE UNINSURED, AND THE UNDERINSURED, NOT TO THE EXCLUSION OF OTHER CULTURES AND RACESActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee182TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$8,340,885PYContributionsGrantsAmt
CY Contributions Grants$8,151,064CYContributionsGrantsAmt
PY Program Service Revenue$8,808,373PYProgramServiceRevenueAmt
CY Program Service Revenue$8,019,696CYProgramServiceRevenueAmt
PY Investment Income$85,204PYInvestmentIncomeAmt
CY Investment Income$139,422CYInvestmentIncomeAmt
PY Other Revenue$643,667PYOtherRevenueAmt
CY Other Revenue$525,467CYOtherRevenueAmt
PY Total Revenue$17,878,129PYTotalRevenueAmt
CY Total Revenue$16,835,649CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,482,357PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,037,351CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$174,831CYTotalFundraisingExpenseAmt
PY Other Expenses$8,203,985PYOtherExpensesAmt
CY Other Expenses$6,709,146CYOtherExpensesAmt
PY Total Expenses$18,686,342PYTotalExpensesAmt
CY Total Expenses$16,746,497CYTotalExpensesAmt
PY Revenues Less Expenses-$808,213PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$89,152CYRevenuesLessExpensesAmt
Total Assets BOY$12,987,241TotalAssetsBOYAmt
Total Assets EOY$12,171,612TotalAssetsEOYAmt
Total Liabilities BOY$9,801,840TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,846,271TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,185,401NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,325,341NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE COMMUNITY HEALTH CENTER IS COMMITTED TO PROVIDING ACCESS TO QUALITYMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$11,245,459ExpenseAmt
Revenue$14,289,836RevenueAmt
DescTHE COMMUNITY HEALTH CENTER WAS ESTABLISHED TO PROVIDE QUALITY, AFFORDABLE HEALTH CARE TO THE LOCAL COMMUNITY. THE COMPREHENSIVE SERVICES INCLUDE PRIMARY OUTPATIENT MEDICAL CARE, OBSTETRICS, GYNECOLOGY, DIAGNOSTIC SERVICES, NUTRITION SERVICES, BEHAVIOR HEALTH SERVICES, EDUCATION AND PREVENTION PROGRAMS AS WELL AS OTHER SUPPORTING SERVICES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$361,155ExpenseAmt
Revenue$361,155RevenueAmt
DescTHE CHICAGO FAMILY CASE MANAGEMENT PROGRAM PROVIDES A COMPREHENSIVE ARRAY OF MATERNAL AND CHILD HEALTH SERVICES TO PREGNANT WOMEN AND INFANTS UP TO TWELVE MONTHS OF AGE, INCLUDING CASE MANAGEMENT, OUTREACH AND TRANSPORTATION.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$311,272ExpenseAmt
Revenue$311,272RevenueAmt
DescTITLE X - FAMILY PLANNING SERVICES PROVIDING MATERNAL/CHILD PRIMARY HEALTH CARE SERVICES, OBSTETRICS, GYNECOLOGY, CASE MANAGEMENT, HEALTH EDUCATION AND FAMILY PLANNING COUNSELING TO PREGNANT WOMEN AND THEIR FAMILIES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$1,208,497ExpenseAmt
DescOTHER PROGRAM SERVICESDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,208,497TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$13,126,383TotalProgramServiceExpensesAmt
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 LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee182EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
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 EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonESTHER CORPUZ CEOPersonNm
Phone3128296304PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1966 WEST 21ST STREETAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60608ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ANN GARCELON MD
Member1.00Yes (X)$0$0$0
GAIL PEACE
2nd Vice President1.00Yes (X)$0$0$0Yes (X)
GIACOMO MANCUSO
1st Vice President1.00Yes (X)$0$0$0Yes (X)
MARY ESTHER HERNANDEZ
Executive Assistant Specialist1.00Yes (X)$0$0$0Yes (X)
MARY LEBOLD RN
Secretary1.00Yes (X)$0$0$0Yes (X)
PATRICIA REBOLLEDO
Member1.00Yes (X)$0$0$0
PETER MARTINEZ
Member1.00Yes (X)$0$0$0
ROSARIO RABIELA
Member1.00Yes (X)$0$0$0
SARA ZUIGA-LOPEZ
Member1.00Yes (X)$0$0$0
SOCORRO VELAZQUEZ
Member1.00Yes (X)$0$0$0
TERESA FRAGA
President1.00Yes (X)$0$0$0
WAYNE S MULDROW
Treasurer1.00Yes (X)$0$0$0Yes (X)
CARMEN VELASQUEZ
EXECUTIVE DIRECTOR40.00$434,917$0$24,250Yes (X)Yes (X)Yes (X)
JULIA CORMANO
PHYSICIAN40.00$184,437$0$5,384Yes (X)
ABDUL BHURGRI
MEDICAL40$212,698$14,129Yes (X)
DONALD WOZNICA
PHYSICIAN40$161,439$14,129Yes (X)
DORA GARCIA
ASSOCIATE EXECUTIVE DIRECTOR40$168,662$2,354Yes (X)Yes (X)
MARK KOSANOVICH
PHYSICIAN40$217,269$15,335Yes (X)
WEN-HO YANG
PHYSICIAN40$163,711$1,999Yes (X)
DAVID PAYNE JR
DIRECTOR OF FINANCE40$117,171Yes (X)Yes (X)
ESTHER CORPUZ
CHIEF EXECUTIVE OFFICER40$157,428Yes (X)Yes (X)
LORENA BARRAGAN
DENTIST40$135,941$10,585Yes (X)
JENNIFER VARGAS
PHYSICIAN40$144,931Yes (X)
ELENA LOPEZ
PHYSICIAN40$141,883$4,961Yes (X)
NORMA WESTERVELT
PEDIATRICIAN40$133,798$14,129Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,510,037TotalReportableCompFromOrgAmt
Total Other Compensation$116,592TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K14IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$5,306,645GovernmentGrantsAmt
All Other Contributions$2,844,419AllOtherContributionsAmt
Noncash Contributions$1,162,652NoncashContributionsAmt
Total Contributions$8,151,064TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmt
MEDICAID624100$6,433,376
SELF-PAY624100$622,352
OTHER THIRD PARTY624100$801,587
MEDICARE624100$162,381
FieldValueIRS element (for citing)
Total Program Service Revenue$8,019,696TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,306TotalRevenueColumnAmt
Exclusion$30,306ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$7,290RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$7,290RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,290TotalRevenueColumnAmt
Exclusion$7,290ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$564,272SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$455,156SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$109,116SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$109,116TotalRevenueColumnAmt
Exclusion$109,116ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
340 B PHARMACY624100$503,789$503,789
OTHER900099$13,744$13,744
PATIENT RECORDS624100$644$644
FieldValueIRS element (for citing)
Other Revenue Total$518,177OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,835,649TotalRevenueColumnAmt
Related Or Exempt Func Income$8,524,129RelatedOrExemptFuncIncomeAmt
Exclusion$160,456ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,265,128TotalAmt
Program Services$967,823ProgramServicesAmt
Management And General$297,305ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,073,955TotalAmt
Program Services$5,638,263ProgramServicesAmt
Management And General$1,337,790ManagementAndGeneralAmt
Fundraising$97,902FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,898TotalAmt
Program Services$8,337ProgramServicesAmt
Management And General$2,561ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,011,753TotalAmt
Program Services$799,558ProgramServicesAmt
Management And General$200,447ManagementAndGeneralAmt
Fundraising$11,748FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$675,617TotalAmt
Program Services$565,508ProgramServicesAmt
Management And General$101,464ManagementAndGeneralAmt
Fundraising$8,645FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$302,335TotalAmt
Program Services$0ProgramServicesAmt
Management And General$302,335ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$91,250TotalAmt
Program Services$0ProgramServicesAmt
Management And General$91,250ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$328,096TotalAmt
Program Services$5,435ProgramServicesAmt
Management And General$322,661ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$27,956TotalAmt
Program Services$7,218ProgramServicesAmt
Management And General$16,972ManagementAndGeneralAmt
Fundraising$3,766FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$977,685TotalAmt
Program Services$837,372ProgramServicesAmt
Management And General$137,623ManagementAndGeneralAmt
Fundraising$2,690FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$241,043TotalAmt
Program Services$209,707ProgramServicesAmt
Management And General$31,336ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$136,704TotalAmt
Program Services$45,651ProgramServicesAmt
Management And General$90,345ManagementAndGeneralAmt
Fundraising$708FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$233,685TotalAmt
Program Services$204,260ProgramServicesAmt
Management And General$29,425ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$746,706TotalAmt
Program Services$649,634ProgramServicesAmt
Management And General$97,072ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$110,489TotalAmt
Program Services$96,125ProgramServicesAmt
Management And General$14,364ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
BAD DEBT$400,008$400,008$0$0
DONATED VACCINES$1,162,652$1,162,652$0$0
CONSUMABLE SUPPLIES$606,771$537,434$67,856$1,481
PHARMACY DISPENSING$225,869$225,869$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,117,897TotalAmt
Program Services$765,529ProgramServicesAmt
Management And General$304,477ManagementAndGeneralAmt
Fundraising$47,891FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,746,497TotalAmt
Program Services$13,126,383ProgramServicesAmt
Management And General$3,445,283ManagementAndGeneralAmt
Fundraising$174,831FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$869,266BOYAmt
EOY$197,628EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$53,851BOYAmt
EOY$42,930EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$464,447BOYAmt
EOY$416,079EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$946,136BOYAmt
EOY$1,149,346EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$58,681BOYAmt
EOY$23,036EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$10,543EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$17,992,134LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,761,935LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,060,318BOYAmt
EOY$9,230,199EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,109,670BOYAmt
EOY$1,037,752EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$424,872BOYAmt
EOY$64,099EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,987,241BOYAmt
EOY$12,171,612EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,147,342BOYAmt
EOY$3,462,228EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,145,695BOYAmt
EOY$333,547EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,169,458BOYAmt
EOY$5,011,458EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$339,345BOYAmt
EOY$39,038EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,801,840BOYAmt
EOY$8,846,271EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,035,576BOYAmt
EOY$2,325,341EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$149,825BOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,000,000BOYAmt
EOY$1,000,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,185,401BOYAmt
EOY$3,325,341EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,987,241BOYAmt
EOY$12,171,612EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$89,152ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$50,788NetUnrlzdGainsLossesInvstAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd
Public Support Total170$0PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support CY1700PublicSupportCY170Pct
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

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$471,567OtherCostOrOtherBasisAmt
Book Value$471,567BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,251,236OtherCostOrOtherBasisAmt
Depreciation$4,321,721DepreciationAmt
Book Value$5,929,515BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,263,296OtherCostOrOtherBasisAmt
Depreciation$270,721DepreciationAmt
Book Value$992,575BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,318,502OtherCostOrOtherBasisAmt
Depreciation$4,034,187DepreciationAmt
Book Value$1,284,315BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$687,533OtherCostOrOtherBasisAmt
Depreciation$135,306DepreciationAmt
Book Value$552,227BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,230,199TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFFERED COMPDesc
Amt$39,038Amt
FieldValueIRS element (for citing)
Total Liability$39,038TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
CARMEN VELASQUEZ
$434,917$24,250$459,167
JULIA CORMANO
$184,437$5,384$189,821
ABDUL BHURGRI
$212,698$14,129$226,827
DONALD WOZNICA
$161,439$14,129$175,568
DORA GARCIA
$168,662$2,354$171,016
MARK KOSANOVICH
$217,269$15,335$232,604
WEN-HO YANG
$163,711$1,999$165,710
ESTHER CORPUZ
$157,428$157,428

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1,162,652NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bDUE TO TIME CONSTRANTS, A COPY OF THE 990 WILL NOT BE GOING
Pt VI, Line 11bTO THE BOARD AT THIS TIME.
Pt VI, Line 12cTHE MEMBERS MUST DISCLOSE IF THERE IS A CONFLICT OF INTEREST
Pt VI, Line 12cAT THE ANNUAL BOARD MEETING. THE BOARD MEMBERS COMPLETE
Pt VI, Line 12cAND SIGN A FORM DOCUMENTING THAT AT THE TIME THERE ARE
Pt VI, Line 12cNO CONFLICTS OF INTEREST. EACH YEAR THE BOARD MEMBERS
Pt VI, Line 12cSIGN A NEW FORM AND IF THERE IS A CONFLICT THE MEMBER ABSTRAINS
Pt VI, Line 12cFROM VOTING. IF A BOARD MEMBER IS FOUND TO HAVE NOT DISCLOSED A
Pt VI, Line 12cCONFLICT, THE MEMBER WILL BE BROUGHT BEFORE THE EXECUTIVE
Pt VI, Line 12cCOMMITTEE
Pt VI, Line 15aTHE BOARD OF DIRECTORS REVIEWS ANNUALLY, THE COMPENSATION
Pt VI, Line 15aOF THE CEO.
Pt VI, Line 15bTHE CEO EVALUATES COMPENSATION OF EMPLOYEES EVERY TWO YEARS.
Pt VI, Line 19THE ORGANIZATION MAKES ALL GOVERNING DOCUMENTS,
Pt VI, Line 19CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS
Pt VI, Line 19AVAILABLE UPON REQUEST.
Form 990, Part III, Line 4dOTHER PROGRAM SERVICES 1208497. 0. 0.
Form 990, Part IX, Line 24fLAB TESTS AND ANALYSIS 93296. 93296. PAYROLL PROCESSING FEES 69282. 69282. STAFF DEVELOPMENT/EDUCATION 27531. 12402. 15129. OTHER EXPENSES 206172. 66591. 91690. 47891. TELEPHONE 649234. 564834. 84400. DUES & SUBSCRIPTIONS 72382. 28406. 43976.

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