ATASCOSA HEALTH CENTER INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ATASCOSA HEALTH CENTER INC (EIN 74-2089103)
- Tax period
- 2013-02-01 to 2014-01-31
- Filed
- 2014-12-12
- IRS object ID
- 201403469349300905
- Schema version
- 2013v3.1
- 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 | 2014-12-12T02:52:55-00:00 | ReturnTs |
| Tax Period End | 2014-01-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Leal & Carter PC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16011 University Oak | AddressLine1 |
| City | San Antonio | City |
| State | TX | State |
| ZIP Code | 78249 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-02-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742089103 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Atascosa Health Centers | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ATAS | BusinessNameControlTxt |
| Phone | 8305698940 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 310 West Oaklawn | AddressLine1 |
| City | Pleasanton | City |
| State | TX | State |
| ZIP Code | 78064 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Maria Garcia | PersonNm |
| Person Title | Chief Financial Officer | PersonTitleTxt |
| Signature | 2014-12-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Roberto Carter | PreparerPersonNm |
| Phone | 2106966206 | PhoneNum |
| Preparation | 2014-12-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Monty Small | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 113 Deer Run Dr | AddressLine1 |
| City | Pleasanton | City |
| State | TX | State |
| ZIP Code | 78064 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,266,156 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | atascosahealthcenter.com | WebsiteAddressTxt |
| Formation | 2000 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | Health care services are provided to low to moderate income families who are residents of South Texas. Services are provided at a low cost are based on abiilty to pay base. Approximately 11,687 patients were served in the fiscal year. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 128 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,340,508 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,774,398 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,270,840 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,491,636 | CYProgramServiceRevenueAmt |
| PY Investment Income | $294 | PYInvestmentIncomeAmt |
| CY Investment Income | $122 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $6,611,642 | PYTotalRevenueAmt |
| CY Total Revenue | $8,266,156 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,353,194 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,751,826 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,252,909 | PYOtherExpensesAmt |
| CY Other Expenses | $3,080,748 | CYOtherExpensesAmt |
| PY Total Expenses | $6,606,103 | PYTotalExpensesAmt |
| CY Total Expenses | $7,832,574 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,539 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $433,582 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,762,420 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,730,967 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $529,978 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $672,795 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,232,442 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,058,172 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Health care services are provided to low to moderate income families who are residents of South Texas. Services are are provided at a low cost are based on abiilty to pay base. Approximately 11,687 patients were served in the fiscal year. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,674,712 | ExpenseAmt |
| Desc | Health care services are provided to low to moderate income families who are residents of South Texas Services are provided at a low cost are based on ability to pay base. Approximately 12,747 patients were served in the fiscal year. | Desc |
| Total Program Service Expenses | $5,674,712 | 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 | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | 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 | 24 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 128 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| 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 | false | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | TX | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Maria Garcia | PersonNm |
| Phone | 8305698940 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 310 West Oaklawn | AddressLine1 |
| City | Pleasanton | City |
| State | TX | State |
| ZIP Code | 78064 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Mrs Tammy Favor | ||||||||
| Board Memeber | 001.00 | Yes (X) | $0 | $0 | $0 | |||
| Mrs LaJuana Newman-Leus | ||||||||
| Board Vice Chair | 001.00 | Yes (X) | $0 | $0 | $0 | |||
| Mrs Lillian Cashmer | ||||||||
| Secretary/Treasurer | 001.00 | Yes (X) | $0 | $0 | $0 | |||
| Mr Wilbur Palmer | ||||||||
| Board Member | 001.00 | Yes (X) | $0 | $0 | $0 | |||
| Mr Marcellus Mark Pindeda | ||||||||
| Board Member | 001.00 | Yes (X) | $0 | $0 | $0 | |||
| Mrs Melanie Wells | ||||||||
| Board Chair | 001.00 | Yes (X) | $0 | $0 | $0 | |||
| Mrs Syndy Yanez | ||||||||
| Board Member | 001.00 | Yes (X) | $0 | $0 | $0 | |||
| Mrs Lillian Lyssy | ||||||||
| Board Member | 001.00 | Yes (X) | $0 | $0 | $0 | |||
| Mr Albert Labastida | ||||||||
| Board Member | 001.00 | Yes (X) | $0 | $0 | $0 | |||
| Mr Dwayne Villanueva | ||||||||
| Board Member | 001.00 | Yes (X) | $0 | $0 | $0 | |||
| Mrs Maria D Cruz | ||||||||
| Board Member | 001.00 | Yes (X) | $0 | $0 | $0 | |||
| Mr James Liska | ||||||||
| Board Member | 001.00 | Yes (X) | $0 | $0 | $0 | |||
| Monty Small | ||||||||
| Chief Executive Officer | 040.00 | $120,961 | $0 | $0 | Yes (X) | Yes (X) | Yes (X) | |
| Dr Nandini Mandlik | ||||||||
| Medical Director | 040.00 | $108,113 | $0 | $0 | Yes (X) | Yes (X) | ||
| Dr Marissa Williams DDS | ||||||||
| Dental Director | 040.00 | $120,000 | $0 | $0 | Yes (X) | Yes (X) | Yes (X) | |
| Pamela Clark | ||||||||
| Family Nurse Practitioner | 040.00 | $102,250 | $0 | $0 | Yes (X) | |||
| Dr James Taylor DDS | ||||||||
| Dental Provider | 040.00 | $123,800 | $0 | $0 | Yes (X) | Yes (X) | ||
| Dr Gail Hirschfield | ||||||||
| Physician | 040.00 | $160,000 | $0 | $0 | Yes (X) | |||
| Dr Isaac Kwarteng | ||||||||
| Physician | 040.00 | $160,000 | $0 | $0 | Yes (X) | |||
| Guadalupe Rios | ||||||||
| Family Nurse Practicioner | 040.00 | $100,411 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $995,535 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Benz Klumb Company | |||||
| 307 Esperanza Ave | Jourdanton | TX | 78026 | Contractor | $163,771 |
| Davial Construction | |||||
| 520 Bonham | San Antonio | TX | 89205 | Contractor | $350,279 |
| Helathcare Solution Consulting | |||||
| 1604 FM1626 | Manchaca | TX | 78652 | Billing Company | $170,463 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,444,683 | GovernmentGrantsAmt |
| All Other Contributions | $329,715 | AllOtherContributionsAmt |
| Total Contributions | $4,774,398 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Service Fees | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $3,491,636 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,491,636 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,491,636 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $122 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $122 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,266,156 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,491,758 | RelatedOrExemptFuncIncomeAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,042,605 | TotalAmt |
| Program Services | $3,269,759 | ProgramServicesAmt |
| Management And General | $772,846 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $709,221 | TotalAmt |
| Program Services | $510,791 | ProgramServicesAmt |
| Management And General | $198,430 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,967 | TotalAmt |
| Management And General | $27,967 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,977 | TotalAmt |
| Program Services | $33,266 | ProgramServicesAmt |
| Management And General | $711 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $650,949 | TotalAmt |
| Program Services | $498,393 | ProgramServicesAmt |
| Management And General | $152,556 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $330,687 | TotalAmt |
| Program Services | $330,687 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,644 | TotalAmt |
| Management And General | $115,644 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,392 | TotalAmt |
| Program Services | $25,051 | ProgramServicesAmt |
| Management And General | $34,341 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $311,485 | TotalAmt |
| Program Services | $68,204 | ProgramServicesAmt |
| Management And General | $243,281 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,299 | TotalAmt |
| Management And General | $1,299 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,236 | TotalAmt |
| Program Services | $66,205 | ProgramServicesAmt |
| Management And General | $117,031 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,485 | TotalAmt |
| Program Services | $26,185 | ProgramServicesAmt |
| Management And General | $26,300 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Contractual Services | $517,914 | $79,104 | $438,810 |
| Clinical Fees | $1,103 | $1,103 | |
| Labs X-rays | $113,470 | $113,470 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $681,140 | TotalAmt |
| Program Services | $652,494 | ProgramServicesAmt |
| Management And General | $28,646 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,832,574 | TotalAmt |
| Program Services | $5,674,712 | ProgramServicesAmt |
| Management And General | $2,157,862 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,299 | BOYAmt |
| EOY | $72,772 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,401 | BOYAmt |
| EOY | $94,981 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,382,951 | BOYAmt |
| EOY | $1,315,149 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,073 | BOYAmt |
| EOY | $25,874 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,879 | BOYAmt |
| EOY | $5,666 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,254,780 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,038,255 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,966,817 | BOYAmt |
| EOY | $2,216,525 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,762,420 | BOYAmt |
| EOY | $3,730,967 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $529,978 | BOYAmt |
| EOY | $618,207 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $54,588 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $529,978 | BOYAmt |
| EOY | $672,795 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,218,466 | BOYAmt |
| EOY | $3,044,196 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,976 | BOYAmt |
| EOY | $13,976 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,232,442 | BOYAmt |
| EOY | $3,058,172 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,762,420 | BOYAmt |
| EOY | $3,730,967 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $433,582 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$607,852 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,447,952 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,382,719 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,726,764 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,193,318 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,444,683 | CurrentTaxYearAmt |
| Total | $17,195,436 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,447,952 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,382,719 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,726,764 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,193,318 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,444,683 | CurrentTaxYearAmt |
| Total | $17,195,436 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $17,195,436 | PublicSupportTotal170Amt |
| Total Support | $17,195,436 | TotalSupportAmt |
| Public Support CY170 | 1.00000 | PublicSupportCY170Pct |
| Public Support PY170 | 1.00000 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support CY509 | 0.00000 | PublicSupportCY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $177,160 | OtherCostOrOtherBasisAmt |
| Book Value | $177,160 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,010,637 | OtherCostOrOtherBasisAmt |
| Depreciation | $655,947 | DepreciationAmt |
| Book Value | $1,354,690 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $565,230 | OtherCostOrOtherBasisAmt |
| Depreciation | $511,755 | DepreciationAmt |
| Book Value | $53,475 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,015,890 | OtherCostOrOtherBasisAmt |
| Depreciation | $754,556 | DepreciationAmt |
| Book Value | $261,334 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $485,863 | OtherCostOrOtherBasisAmt |
| Depreciation | $115,997 | DepreciationAmt |
| Book Value | $369,866 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,216,525 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal income taxes | |
| Loan Payable | $54,588 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $54,588 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $8,266,156 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $8,266,156 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $8,266,156 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,832,574 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $7,832,574 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $7,832,574 | TotalExpensesPerForm990Amt |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, Line 11b | Chief Financial Officer reviews and agrees Form 990 to AHC original records prior to signing form. Chief Executive Officer also performs a second review prior to CFO signing Form 990. |
| Form 990, Part VI, Section C, Line 19 | The organizational, conflict of interst policy and financial statements documents are available to the public upon request. |
| Form 990, Part VI, Section B, Line 15a 15b | The Board of Directors hire and fire the CEO along with determining his/her compensation based upon the information retrieved form the MGMA Management Compensation Survey and the NACHA Health Center Salary Benefits Report, both publications provide benchmarks according to the size of the organization, annual operating budget, number of providers, geographic location and work related experience. This also applies to how the CEO determines the compensation for his/her top management. |
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