CANCER CONSORTIUM OF EL PASO INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CANCER CONSORTIUM OF EL PASO INC (EIN 74-2686131)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-03-10
IRS object ID
201410699349300376
Schema version
2012v2.3
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)
Timestamp2014-03-10T14:24:40-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PENA BRIONES MCDANIEL & CO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14171 N MESA SUITE B-100AddressLine1
CityEL PASOCity
StateTXState
ZIP Code799021498ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742686131EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CANCER CONSORTIUM OF EL PASOBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% PATRICIA MORALESInCareOfName
Name ControlCANCNameControl
Phone9157716305Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16070 GATEWAY EASTAddressLine1
Address Line2Suite 310AddressLine2
CityEL PASOCity
StateTXState
ZIP Code79905ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAT MORALESName
TitleDIRECTORTitle
Phone9157716305Phone
Date Signed2014-02-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRENE D PENA CPAName
Phone9155421733Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonNancy T Pasqualone RN MSNNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1605 Cresta AltaAddressLine1
CityEl PasoCity
StateTXState
ZIP Code79912ZIPCode
FieldValueIRS element (for citing)
Gross Receipts605632GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitehttp://www.swccdc.org/WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileTXStateLegalDomicile
Activity Or Mission DescriptionBreast and cervical cancer screening, case management for diagnosed cancer patients, and community education on cancer to lower income women that fall under 200% poverty levelActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees7TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year741976ContributionsGrantsPriorYear
Contributions Grants Current Year599630ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year4739InvestmentIncomePriorYear
Investment Income Current Year5919InvestmentIncomeCurrentYear
Other Revenue Prior Year574OtherRevenuePriorYear
Other Revenue Current Year83OtherRevenueCurrentYear
Total Revenue Prior Year747289TotalRevenuePriorYear
Total Revenue Current Year605632TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year312505GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY336097GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year198923SalariesEtcPriorYear
Salaries Etc Current Year216706SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year94882OtherExpensePriorYear
Other Expenses Current Year78003OtherExpensesCurrentYear
Total Expenses Prior Year606310TotalExpensesPriorYear
Total Expenses Current Year630806TotalExpensesCurrentYear
Revenues Less Expenses Prior Year140979RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-25174RevenuesLessExpensesCY
Total Assets BOY545142TotalAssetsBOY
Total Assets EOY522940TotalAssetsEOY
Total Liabilities BOY108675TotalLiabilitiesBOY
Total Liabilities EOY105811TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY436467NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY417129NetAssetsOrFundBalancesEOY
Mission DescriptionALL PEOPLE OF EL PASO COUNTY RECEIVE QUALITY CANCER SCREENING SERVICES WITH COMPREHENSIVE CANCER EDUCATION AND CASE MANAGEMENT SERVICES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense618458Expense
DescriptionPROVIDE OR ASSURE THE PROVISION OF BREAST AND CERVICAL CANCER SCREENING, DIAGNOSTIC AND SUPPORT SERVICES, TRACKING, FOLLOW-UP, CASE MANAGEMENT, AND INDIVIDUAL CLIENT EDUCATION SERVICES TO REDUCE PREMATURE MORTALITY ASSOCIATED WITH BREAST AND CERVICAL CANCER.Description
Activity2Activity2
Total Program Service Expense618458TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees7NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPATRICIA MORALESNamePerson
Telephone Number9157716305TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16070 GATEWAY EAST STE 310AddressLine1
CityEL PASOCity
StateTXState
ZIP Code79905ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerKey EmployeeKeyEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ANNETTE GUTIERREZ
TREASURER1.01.0XX
PATSY SLAUGHTER
VICE-PRESIDENT1.01.0XX
NANCY PASQUALONERN MSN
BOARD PRESIDENT1.01.0XX
RUTH REYES
LEGAL CONSULTANT1.01.0X
ROBERT GRIJALVA
Chief of Staff1.01.0X
AUDREE REYNOLDS
DIRECTOR1.01.0X
STEPHANIE C HAN
MEDICAL ADVISOR1.01.0X
PAT MORALES
DIRECTOR40.040.0X4860300
ADRIANA VALDES
Co-Executive Director40.040.0X4860300
FieldValueIRS element (for citing)
Total Reportable Comp From Org97206TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonNONENamePerson
FieldValueIRS element (for citing)
Address Of ContractorAddressOfContractor
FieldValueIRS element (for citing)
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants465880GovernmentGrants
All Other Contributions133750AllOtherContributions
Total Contributions599630TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5919TotalRevenueColumn
Exclusion$5,918ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Business Code900099BusinessCode
Total Revenue Column83TotalRevenueColumn
Related Or Exempt Function Income83RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue83TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column605632TotalRevenueColumn
Related Or Exempt Function Income83RelatedOrExemptFunctionIncome
Exclusion$5,918ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total336097Total
Program Services336097ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total102064Total
Program Services97206ProgramServices
Management And General4858ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total91122Total
Program Services91122ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8299Total
Program Services8299ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total15221Total
Program Services14836ProgramServices
Management And General385ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total11795Total
Program Services5897ProgramServices
Management And General5896ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8186Total
Program Services8186ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total975Total
Management And General975ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total28144Total
Program Services27912ProgramServices
Management And General234ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total3510Total
Program Services3510ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total465Total
Program Services465ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total205Total
Program Services205ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total2853Total
Program Services2853ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
SCREENING1686016860
MISCELLANEOUS-552-552
STORAGE693693
BANK SERVICE CHARGES855855

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4014Total
Program Services4014ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total630806Total
Program Services618458ProgramServices
Management And General12348ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY339586BOY
EOY317013EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY57158BOY
EOY57539EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY104757BOY
EOY101580EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY286BOY
EOY361EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2745BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis45370LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec45370LandBldgEquipmentAccumDeprec

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY40610BOY
EOY46447EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY545142BOY
EOY522940EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY97339BOY
EOY102808EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY11336BOY
EOY3003EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY108675BOY
EOY105811EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY436467BOY
EOY417129EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY436467BOY
EOY417129EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY545142BOY
EOY522940EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-25174ReconcilationRevenueExpenses
Reconciliation Unrealized Invest5836ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment0ReconcilationPriorAdjustment
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years564866CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years491512CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years524767CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year741976CurrentTaxYearMinus1Year
Current Tax Year599632CurrentTaxYear
Total2922753Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years564866CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years491512CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years524767CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year741976CurrentTaxYearMinus1Year
Current Tax Year599632CurrentTaxYear
Total2922753Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total1702922753PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5736CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12094CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5334CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4739CurrentTaxYearMinus1Year
Current Tax Year5919CurrentTaxYear
Total33822Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2584CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1397CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years190CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year574CurrentTaxYearMinus1Year
Current Tax Year83CurrentTaxYear
Total4828Total
FieldValueIRS element (for citing)
Total Support2961403TotalSupport
Public Support Pertcentage1700.98695PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98365PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis45370OtherCostOrOtherBasis
Depreciation45370Depreciation
FieldValueIRS element (for citing)
Tot Revenue Etc Audited Fincl Stmt1477488TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments5836NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities866020DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990871856RevenueNotRptdF990
Revenue Subtotal605632RevenueSubtotal
Total Revenue Per Form990605632TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1496826TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities866020DonatedServicesUseOfFacilities
Expenses Not Rptd F990866020ExpensesNotRptdF990
Expenses Subtotal630806ExpensesSubtotal
Total Expenses Per Form990630806TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
Clinics1447262084
Surgery6243101
Treatment430914

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORING USE OF GRANT FUNDS IN THE UNITED STATESIdentifier
Return ReferencePart I, Line 2ReturnReference
ExplanationOrganization maintains records to substantiate amounts, eligibility, and selectYon criteria used for grants. Organization monitors its grants through conducting periodic field investigations of clinics and through preparation of periodic reports to ensure that such grants are used for proper purposes and are not otherwise diverted from the intended use.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Review of Form 990Part VI, Section B, 11BThe form 990 is presented to and reviewed with the finance director, who then delivers a recap to the board of directors or its designated representative.
Monitor and enforce compliance with written conflict of interest policyPart VI, Section B, 12cThe board committee and executive officers are required to sign conflict of interest statements which require disclosure and notification of any potential conflicts. This is reviewed annually.
Process for determining compensation - only if salary existPart VI, Section B, 15A & 15BAnnual performance reviews are conducted by the board of directors of the executive directors. The executive directors perform annual reviews of all other staff personnel with assistance of the appropriate committee,if applicable.
Governing docs, conflict of int, and FS availability for public inspectionPart VI, Section C, 19CCDC makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
NET UNREALIZED GAIN LOSS ON INVESTMENTSFORM 990 PART XI OTHER CHANGES IN NET ASSETS OR FUND BALANCESTHE ORGANIZATION RECORDS UNREALIZED GAINS AND LOSSES ON INVESTMENTS IN ACCORDANCE WITH GAAP.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.