2014-01-16T21:05:41-07:00 2013-06-30 660561068 DIAZ & CANDELARIA PSC SUITE 112 PMB-294 100 GRAN BULEVAR SAN JUAN PR 00926 990 2012-07-01 660329532 SALUD INTEGRAL EN LA MONTANA INC SALU 7878695900 PO BOX 515 NARANJITO PUERTO RICO RQ 00719 LIC GLORIA AMADOR 7878695900 2013-11-25 1 CRISTINO ARIEL DIAZ-LOPEZ P01448309 7873994556 2013-11-22 X 2012 2015-11-30 17:44:51Z LIC GLORIA AMADOR PO BOX 515 NARANJITO PR 00719 43209672 0 X WWW.SIMPR.COM X 1974 PR To provide excellent ambulatory and home health-care services in a safe environment, to procure the physical, mental, and social wellbeing of the residents of our community. SIM provides preventive, primary and home health services that include medical services, clinical laboratory, radiology, emergency room, immunization, pharmacy, dental services, social work among others. 11 0 450 0 0 0 9420300 9964578 28734616 32476105 58046 47842 576027 721147 38788989 43209672 0 0 0 0 10266045 10442924 0 0 0 23629624 26655688 33895669 37098612 4893320 6111060 30992570 40564000 9281409 12741779 21711161 27822221 To provide excellent ambulatory and home healthcare services in a safe environment, to procure the physical, mental and social wellbeing of the residents of our communities. 0 0 27419736 0 0 Community Health Center - A comprehensive primary health care program which provides services to low income families, agricultural migrants and seasonal farm workers as well as to their dependents in six municipalities located at the central and northern areas of Puerto Rico - Naranjito, Comerio, Corozal, Orocovis, Barranquitas and Toa Alta. 568373 0 0 Hospice - To provide support services to patients with terminal diseases. 695675 0 0 Home Care - To provide nursing, therapeutic and other complimentary services to elderly patients at their homes. 0 0 0 28683784 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 450 1 0 0 0 0 0 0 X 11 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X Angel Vega 7878695900 Carr 152 KM 12 2 Bo Cedro Arriba Naranjito PR 00719 Gerardo M Hernandez 2 0 X 0 0 0 Marcos A Melendez 2 0 X 0 0 0 Arlin E Ramirez 2 0 X 0 0 0 Ignacio Febus 2 0 X 0 0 0 Maria A Rios 2 0 X 0 0 0 Florentino Aviles 1 0 X 0 0 0 Maribel Concepcion 1 0 X 0 0 0 Omayra Acevedo 1 0 X 0 0 0 Nereida Rodriguez 1 0 X 0 0 0 Sylma Maldonado 1 0 X 0 0 0 Edwin Bosques 1 0 X 0 0 0 Marien Vazquez 40 0 X 87888 0 1445 Anabelle Torres 40 0 X 46542 0 1500 Ada T Torres 40 0 X X 51378 0 0 Lillian Cruz 40 0 X X 63871 0 1800 Sandra V Garcia Rodriguez 40 0 X X X 112782 0 5500 Fernando Rivera Torres 40 0 X 117623 0 0 Evin M Vega Olivo 40 0 X 104053 0 0 584137 0 10245 3 1 0 0 Quest Diagnostics 1st Floor Federal Building Road 2 KM 11 Bayamon PR 00956 Laboratory 257299 North Janitorial Services Inc 103 Ave Conquistadores Catano PR 00962 Janitorial Services 343700 Irma Nydia Colon Urb Ponce De Leon Guaynabo PR 00969 Radiology 123781 F & R Construction Group Inc PO Box 9932 San Juan PR 009089932 Construction 3397820 Jose Vilmery Altiery PO BOX 515 NARANJITO PR 00719 Sonograms 136812 5 0 0 0 0 9964578 0 0 9964578 PREMIUM REVENUES 621400 18401318 18401318 0 0 NET PATIENT SERVICE 621400 14074787 14074787 0 0 0 0 0 0 32476105 47842 47842 0 0 0 0 0 0 0 0 0 0 513752 0 0 0 513752 0 513752 513752 0 0 0 0 0 CAFETERIA & VENDING 722110 193745 193745 0 0 13650 13650 0 0 207395 43209672 33245094 0 0 328281 81985 246296 0 7723433 5773424 1950009 0 73332 73332 1954804 1297131 657673 0 363074 209767 153307 0 4336112 3562765 773347 0 1245684 670419 575265 0 2746727 498375 2248352 0 71817 17997 53820 0 259727 0 259727 0 592069 20370 571699 0 126387 0 126387 0 HEALTH SERVICES CLAIM 14268261 14268261 0 0 DRUGS & MEDICINES 2132534 2132534 0 0 BAD DEBTS EXPENSES 288714 0 288714 0 MISCELLANEOUS 587656 150756 436900 0 37098612 28683784 8414828 0 10549905 12120706 1407254 1420517 1047239 2268822 2845099 4704298 0 0 0 341062 335363 170686 299432 15369819 4133603 9875188 11236216 4756137 8178646 30992570 40564000 1911925 4059789 4920084 4242531 2449400 4439459 9281409 12741779 X 17701169 27576850 4009992 245371 0 0 21711161 27822221 30992570 40564000 6111060 0 0 0 0 0 X 0 1 X 1 1 1 X 29577739 31232257 32559289 38154916 42440683 173964884 0 0 0 0 0 0 0 0 0 0 0 0 29577739 31232257 32559289 38154916 42440683 173964884 0 173964884 58840 54583 51959 58046 47842 271270 0 0 0 0 0 0 613959 553476 535567 576027 721147 3000176 177236330 0 0.98154 0.97922 X NOTE J - OTHER INCOME Other income consists of the following: 2013 2012 Rental of health facilities $ 513,752 $ 416,921 Cafeteria and vending machines 193,745 139,831 Other income 13,650 19,275 Total Other Income $ 721,147 $ 576,027 0 2621298 2621298 0 8257932 2220593 6037339 0 273008 66139 206869 0 4081355 1744066 2337289 0 136226 102805 33421 11236216 Construction in Progress (Corozal) 7264169 Restricted Cash Accounts 914477 8178646 Incurred But Not Recorded (Medical Claims) 4439459 4439459 43209672 0 0 0 0 0 43209672 0 0 0 43209672 37098612 0 0 0 0 0 37098612 0 0 0 37098612 X X X 0 0 0 0 0 0 0 0 0 Sandra V Garcia Rodriguez 118282 0 0 0 0 0 0 0 0 0 118282 0 0 0 Lillian Cruz 65671 0 0 0 0 0 0 0 0 0 65671 0 0 0 SchJ_P01_S00_L03 Schedule J, Part I, Line 3 Executive Director salary is approved by the Board. F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b All questions related to governance, management & disclosures were asked to the Board members by the CPA Firm partner in charge. Form 990 was presented to the Board of Directors on a regular meeting on November 2013. The content of the form was reviewed and approved for filling by the Board. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c The members of Board of Directors are required to complete on an annual basis a certification of not conflict of interest. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 The salary of the Executive Director is determined and approved by the Board of Directors. It is determined based on performance and comparability data from other nonprofit organizations in Puerto Rico. The salaries of other key officers such as Medical Director, Finance Director, Director of Human Resources and Director of Operations are determined and approved by the Executive Director, based on performance, comparability data provided by trade associations, benchmarking data, and the experience of the local labor market for positions with health professional shortages. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 The Accounting and Finance Policy and Procedures Manual of Salud Integral en la Montana, Inc. established that:.. "the corporation will make the following forms available to the genela public: a. Three most recent annual Return of Organization Exempt From Income Tax (990) b. The original tax exempt application (Form 1023 or 1024) filed with IRS. It is the policy of the Corporation to follow the following rules to fulfill the requirements of the public statements mentioned above. a. A copy of the forms will be provided to any person that requests in person to inspect those forms during regular business hours. The Finance Director is responsible for keeping a copy and for making it available to the public. b. For requests received by mail, the Corporation will request payment in advance for the costs of copies and shipping charges. /if the request does not include payment, the Corporation will notify the person by phone or by mail of its prepayments policy within the seven days after receiving the original request. c. The cost per copy will be $1.00 for the first copy and $.15 for each additional page. All copies will be sent to the person that requests them by priority mail within 30 days of receiving the request. An extension to submit the 990 return was obtained, because audited financial statements were not available.