REPRODUCTIVE HEALTH CARE CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
REPRODUCTIVE HEALTH CARE CENTER (EIN 95-3447973)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-15
IRS object ID
201521359349309437
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)
Return2015-05-15T19:08:54-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN953535236PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GALGAS RUSSELL WEBER LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line121700 OXNARD STREET SUITE 1950AddressLine1
CityWOODLAND HILLSCity
StateCAState
ZIP Code913673642ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN953447973EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REPRODUCTIVE HEALTH CARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlREPRBusinessNameControlTxt
Phone7148700717PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1501 S BROOKHURST ROADAddressLine1
CityFULLERTONCity
StateCAState
ZIP Code92833ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROSILEE GAMBOAPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7148700717PhoneNum
Signature2015-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRANDY S GALGASPreparerPersonNm
PTINP00223048PTIN
Phone8184446700PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SIERRA HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerROSILEE GAMBOAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1501 S BROOKHURST ROADAddressLine1
CityFULLERTONCity
StateCAState
ZIP Code92833ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$2,773,931GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE COMPREHENSIVE HEALTHCARE THAT IS ACCESSIBLE TO THE UNDERSERVED AND INDIGENT POPULATIONS.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee55TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$440,246PYContributionsGrantsAmt
CY Contributions Grants$332,162CYContributionsGrantsAmt
PY Program Service Revenue$2,773,732PYProgramServiceRevenueAmt
CY Program Service Revenue$2,434,567CYProgramServiceRevenueAmt
PY Investment Income$9,314PYInvestmentIncomeAmt
CY Investment Income$7,202CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$3,223,292PYTotalRevenueAmt
CY Total Revenue$2,773,931CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,722,070PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,882,426CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$47,040CYTotalFundraisingExpenseAmt
PY Other Expenses$1,550,412PYOtherExpensesAmt
CY Other Expenses$1,284,758CYOtherExpensesAmt
PY Total Expenses$3,272,482PYTotalExpensesAmt
CY Total Expenses$3,167,184CYTotalExpensesAmt
PY Revenues Less Expenses-$49,190PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$393,253CYRevenuesLessExpensesAmt
Total Assets BOY$3,832,674TotalAssetsBOYAmt
Total Assets EOY$3,451,710TotalAssetsEOYAmt
Total Liabilities BOY$158,105TotalLiabilitiesBOYAmt
Total Liabilities EOY$164,719TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,674,569NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,286,991NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE COMPREHENSIVE HEALTHCARE THAT IS ACCESSIBLE TO THE UNDERSERVED AND INDIGENT POPULATIONS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,892,583ExpenseAmt
Revenue$2,434,567RevenueAmt
DescOB/GYN RELATED SERVICES, INCLUDING PRENATAL CARE, BIRTH CONTROL METHODS, STD TREATMENT, CANCER SCREENING, LAB AND DIAGNOSTIC TESTING, COUNSELING, EDUCATION AND REFERRALS.FAMILY HEALTH SERVICES FOR CHILDREN, ADULTS AND ELDERLY, INCLUDING MD EXAMS, CONSULTATIONS, PREVENTIVE CARE, LAB AND DIAGNOSTIC TESTING, IMMUNIZATIONS, CASE MGMT, PATIENT EDUCATION AND REFERRALS.Desc
Total Program Service Expenses$2,892,583TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document28IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee55EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EXECUTIVE DIRECTOR REPRODUCTIVE HEALTHCARE CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Phone7148700717PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1501 S BROOKHURST RDAddressLine1
CityFULLERTONCity
StateCAState
ZIP Code92833ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
ROSILEE GAMBOA
CEO/EXECUTIVE DIRECTOR40.00Yes (X)Yes (X)$86,000$0$0
BOB L KEENEY
SECRETARY/TREASURER1.00Yes (X)Yes (X)$0$0$0
BRIAN MIZUNO
DIRECTOR1.00Yes (X)$0$0$0
AKIN ODEBUNMI PHD
DIRECTOR1.00Yes (X)$0$0$0
THOMAS BARROW MS CLS
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL DELANEY
DIRECTOR1.00Yes (X)$0$0$0
DIANE L ALLEN
NURSE PRACTITIONER40.00$101,090$0$0Yes (X)
EDGAR FLORES
PHYSICIAN40.00$231,184$0$0Yes (X)
SUDHA SHARMA
PHYSICIAN ASSISTANT40.00$106,738$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$525,012TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonSUMMER H NGUYENPersonNm

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line19202 COLUMBINE AVEAddressLine1
CityFOUNTAIN VALLEYCity
StateCAState
ZIP Code92708ZIPCode
FieldValueIRS element (for citing)
ServicesMEDICAL PROVIDERServicesDesc
Compensation$108,380CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$332,162AllOtherContributionsAmt
Total Contributions$332,162TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES621300$2,419,126$2,419,126
OTHER INCOME624100$15,441$15,441
FieldValueIRS element (for citing)
Total Program Service Revenue$2,434,567TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,202TotalRevenueColumnAmt
Exclusion$7,202ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,773,931TotalRevenueColumnAmt
Related Or Exempt Func Income$2,434,567RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$7,202ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$525,012TotalAmt
Program Services$439,012ProgramServicesAmt
Management And General$86,000ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,131,910TotalAmt
Program Services$1,013,517ProgramServicesAmt
Management And General$118,393ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$82,247TotalAmt
Program Services$82,247ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$143,257TotalAmt
Program Services$143,257ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$43,198TotalAmt
Program Services$43,198ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,641TotalAmt
Program Services$4,641ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$47,040TotalAmt
Fundraising$47,040FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$103,667TotalAmt
Program Services$96,010ProgramServicesAmt
Management And General$7,657ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$263,226TotalAmt
Program Services$263,226ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$25,661TotalAmt
Program Services$25,661ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$33,798TotalAmt
Program Services$29,876ProgramServicesAmt
Management And General$3,922ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$149,253TotalAmt
Program Services$137,664ProgramServicesAmt
Management And General$11,589ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
CONTRACT SERVICES$341,166$341,166
MEDICAL & LAB SUPPLIES$212,955$212,955
REPAIR & MAINTENANCE$43,771$43,771
TAXES & LICENSES$16,382$16,382

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,167,184TotalAmt
Program Services$2,892,583ProgramServicesAmt
Management And General$227,561ManagementAndGeneralAmt
Fundraising$47,040FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$612,446BOYAmt
EOY$600,418EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$496,417BOYAmt
EOY$248,933EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$585,853BOYAmt
EOY$796,699EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,732BOYAmt
EOY$13,840EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,614,346LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$325,025LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,309,196BOYAmt
EOY$1,289,321EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$806,871BOYAmt
EOY$495,340EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,159BOYAmt
EOY$7,159EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,832,674BOYAmt
EOY$3,451,710EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$53,101BOYAmt
EOY$46,104EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$105,004BOYAmt
EOY$118,615EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$158,105BOYAmt
EOY$164,719EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,674,569BOYAmt
EOY$3,286,991EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,674,569BOYAmt
EOY$3,286,991EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,832,674BOYAmt
EOY$3,451,710EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$393,253ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$5,675OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$437,036CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$525,571CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$451,800CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$440,246CurrentTaxYearMinus1YearAmt
Current Tax Year$332,162CurrentTaxYearAmt
Total$2,186,815TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,421,520CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,501,346CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,883,895CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,773,732CurrentTaxYearMinus1YearAmt
Current Tax Year$2,434,567CurrentTaxYearAmt
Total$13,015,060TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,858,556CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,026,917CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,335,695CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,213,978CurrentTaxYearMinus1YearAmt
Current Tax Year$2,766,729CurrentTaxYearAmt
Total$15,201,875TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$15,201,875PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,538CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,488CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,152CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,314CurrentTaxYearMinus1YearAmt
Current Tax Year$7,202CurrentTaxYearAmt
Total$24,694TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,538CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,488CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,152CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,314CurrentTaxYearMinus1YearAmt
Current Tax Year$7,202CurrentTaxYearAmt
Total$24,694TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,861,094CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,028,405CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,339,847CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,223,292CurrentTaxYearMinus1YearAmt
Current Tax Year$2,773,931CurrentTaxYearAmt
Total$15,226,569TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99840PublicSupportCY509Pct
Public Support PY5090.99780PublicSupportPY509Pct
Investment Income CY0.00160InvestmentIncomeCYPct
Investment Income PY0.00220InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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$675,000OtherCostOrOtherBasisAmt
Book Value$675,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$356,330OtherCostOrOtherBasisAmt
Depreciation$60,137DepreciationAmt
Book Value$296,193BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$67,860OtherCostOrOtherBasisAmt
Depreciation$39,972DepreciationAmt
Book Value$27,888BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$301,981OtherCostOrOtherBasisAmt
Depreciation$189,965DepreciationAmt
Book Value$112,016BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$213,175OtherCostOrOtherBasisAmt
Depreciation$34,951DepreciationAmt
Book Value$178,224BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,289,321TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescCERTIFICATES OF DEPOSITDesc
Book Value$495,340BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$495,340TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescACCRUED PAYROLL & RELATED EXPENSESDesc
Amt$118,615Amt
FieldValueIRS element (for citing)
Total Liability$118,615TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonEDGAR FLORESPersonNm
TitlePHYSICIANTitleTxt
Base Compensation Filing Org$195,184BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$36,000OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$231,184TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE CHIEF EXECUTIVE OFFICER WILL REVIEW THE FORM 990 FIRST BEFORE IT IS FILED. THE BOARD WILL REVIEW THE FORM 990 AT THE FOLLOWING MEETING.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AVAILABLE FOR REVIEW UPON REQUEST.
FORM 990, PART XI, LINE 9:GAAP/TAX DEPRECIATION ADJUSTMENT 5,675.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT REVIEW PROCEDURES OR ITS SELECTION PROCESS DURING THE TAX YEAR.

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