SALUD INTEGRAL EN LA MONTANA INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SALUD INTEGRAL EN LA MONTANA INC (EIN 66-0329532)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-01-11
IRS object ID
201300159349300020
Schema version
2011v1.2
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)
Timestamp2013-01-11T09:48:51-07:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN660561068EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DIAZ AND CANDELARIA PSCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1SUITE 112 PMB 294AddressLine1
Address Line2100 GRAN BULEVAR PASEOSAddressLine2
CitySAN JUANCity
StatePRState
ZIP Code00926ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN660329532EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SALUD INTEGRAL EN LA MONTANA INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSALUNameControl
Phone7878695900Phone

Foreign Address ForeignAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 515AddressLine1
CityNARANJITOCity
Province Or StatePUERTO RICOProvinceOrState
CountryRQCountry
Postal Code00719PostalCode

Officer Officer

FieldValueIRS element (for citing)
NameADA T TORRES VAZQUEZName
TitleINTERIM EXECUTIVE DIRECTORTitle
Phone7878695900Phone
Date Signed2012-12-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOSE G CANDELARIO CASTROName
PTINP01448309PTIN
Phone7873994556Phone
Date Prepared2012-12-26DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonADA T TORRES VAZQUEZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 515AddressLine1
CityNARANJITOCity
StatePRState
ZIP Code00719ZIPCode
FieldValueIRS element (for citing)
Gross Receipts38788989GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SIMPR.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1974YearFormation
State Legal DomicilePRStateLegalDomicile
Activity Or Mission DescriptionTo 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees450TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7418601ContributionsGrantsPriorYear
Contributions Grants Current Year9420300ContributionsGrantsCurrentYear
Program Service Revenue Prior Year25140688ProgramServiceRevenuePriorYear
Program Service Revenue CY28734616ProgramServiceRevenueCY
Investment Income Prior Year51959InvestmentIncomePriorYear
Investment Income Current Year58046InvestmentIncomeCurrentYear
Other Revenue Prior Year535567OtherRevenuePriorYear
Other Revenue Current Year576027OtherRevenueCurrentYear
Total Revenue Prior Year33146815TotalRevenuePriorYear
Total Revenue Current Year38788989TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10791165SalariesEtcPriorYear
Salaries Etc Current Year10266045SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year21938593OtherExpensePriorYear
Other Expenses Current Year23629624OtherExpensesCurrentYear
Total Expenses Prior Year32729758TotalExpensesPriorYear
Total Expenses Current Year33895669TotalExpensesCurrentYear
Revenues Less Expenses Prior Year417057RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4893320RevenuesLessExpensesCY
Total Assets BOY26644108TotalAssetsBOY
Total Assets EOY30992570TotalAssetsEOY
Total Liabilities BOY16614429TotalLiabilitiesBOY
Total Liabilities EOY9281409TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10029679NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY21711161NetAssetsOrFundBalancesEOY
Mission DescriptionTo 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense23831115Expense
Grants0Grants
Revenue37005517Revenue
DescriptionCommunity 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense540361Expense
Revenue850028Revenue
DescriptionHospice - to provide support services to patients with terminal diseases.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense653635Expense
Grants0Grants
Revenue933444Revenue
DescriptionHome Care - to provide nursing, therapautic and other complimentary services to elderly patients at their homes.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense25025111TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding0ComplianceWithBackupWitholding
Number Of Employees450NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLillian Cruz AlvarezNamePerson
Telephone Number7878695900TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1Carr 152 KM 12 2AddressLine1
Address Line2Bo Cedro ArribaAddressLine2
CityNaranjitoCity
StatePRState
ZIP Code00719ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerFormerFormerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Gerardo M Hernandez
President2X000
Arlin E Ramirez Vega
Vice-President2X000
Maribel Concepcion
Secretary2X000
Ignacio Febus
Treasurer2X000
Maria A Rios
Sub Treasurer2X000
Florentino Aviles
Director1X000
Ignacio Padilla
Director1X000
Omayra Acevedo
Director1X000
Nereida Rodriguez
Director1X000
Sylma Maldonado
Director1X000
Marcos A Melendez
Director1X000
Marien Vazquez
Medical Director40664020500XX
Anabelle Torres
Operations Director40388390108X
Ada T Torres
Interim Executive Director /Human Resources Director404490400X
Sandra V Garcia Rodriguez
Executive Director4013171806000XXXX
Lillian Cruz
Finance Director406223001800X
Fernando Rivera Torres
Physician4011490200X
FieldValueIRS element (for citing)
Total Reportable Comp From Org458995TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation8408TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1Address Line2AddressOfContractor/AddressUS/AddressLine2CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Quest Diagnostics
1st Floor Federal BuildingRoad 2 KM 11BayamonPR00956Laboratory396385
CJO Construction Corp
PO Box 844 Road 164 Fermin MoraleBo AchioteNaranjitoPR00719Construction428327
Bersa Group
497 EmiliaSan JuanPR00926Professional Services200000
HS Contractors Inc
9 PrincipalSect TiburonesPoncePR00716Construction258879
Jose Vilmery Altiery
PO BOX 515NARANJITOPR00719Sonograms175873
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants9420300GovernmentGrants
All Other Contributions0AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions9420300TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
PREMIUM REVENUES (CAPITATION)62140017088190170881900$0
NET PATIENTS SERVICES62140011646426116464260$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue28734616TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column58046TotalRevenueColumn
Related Or Exempt Function Income58046RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real416921Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real416921Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column416921TotalRevenueColumn
Related Or Exempt Function Income416921RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCAFETERIA & VENDINGDescription
Business Code722210BusinessCode
Total Revenue Column139831TotalRevenueColumn
Related Or Exempt Function Income139831RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column19275TotalRevenueColumn
Related Or Exempt Function Income19275RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue159106TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column38788989TotalRevenueColumn
Related Or Exempt Function Income29368689RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total147881Total
Management And General147881ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7688210Total
Program Services5348642ProgramServices
Management And General2339568ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total75000Total
Management And General75000ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1365593Total
Program Services882266ProgramServices
Management And General483327ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total989361Total
Program Services605984ProgramServices
Management And General383377ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1046784Total
Management And General1046784ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3463698Total
Program Services3463698ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2057847Total
Program Services364730ProgramServices
Management And General1693117ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total51633Total
Program Services2500ProgramServices
Management And General49133ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total288736Total
Management And General288736ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total495766Total
Program Services17893ProgramServices
Management And General477873ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total121798Total
Management And General121798ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Claims Paid and IBNR (note 2)111307841113078400
Drugs and Paid Medicines2479394247939400
Supplies10892745847655045090
Other Expenses90880609088060

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total495104Total
Program Services144455ProgramServices
Management And General350649ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total33895669Total
Program Services25025111ProgramServices
Management And General8870558ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8611157BOY
EOY10549905EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY612253BOY
EOY1407254EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY603848BOY
EOY1047239EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5053032BOY
EOY2845099EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY320006BOY
EOY341062EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY128118BOY
EOY170686EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13416722LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3541534LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11144824BOY
EOY9875188EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY170870BOY
EOY4756137EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY26644108BOY
EOY30992570EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1936514BOY
EOY1911925EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5446261BOY
EOY4920084EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY9231654BOY
EOY2449400EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY16614429BOY
EOY9281409EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8240383BOY
EOY17701169EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1789296BOY
EOY4009992EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10029679BOY
EOY21711161EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26644108BOY
EOY30992570EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4893320ReconcilationRevenueExpenses
Reconcilation Other Changes6788162ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27091947CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29577739CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31232257CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year32559289CurrentTaxYearMinus1Year
Current Tax Year38154916CurrentTaxYear
Total158616148Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27091947CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29577739CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31232257CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year32559289CurrentTaxYearMinus1Year
Current Tax Year38154916CurrentTaxYear
Total158616148Total
FieldValueIRS element (for citing)
Public Support Total170158616148PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years95721CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years58840CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years54583CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year51959CurrentTaxYearMinus1Year
Current Tax Year58046CurrentTaxYear
Total319149Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years768287CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years613959CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years553476CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year535567CurrentTaxYearMinus1Year
Current Tax Year576027CurrentTaxYear
Total3047316Total
FieldValueIRS element (for citing)
Total Support161982613TotalSupport
Public Support Pertcentage1700.97922PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97669PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationOther Income: Rental of health facilities - $ 416,921 Cafeteria and vending machines - 139,831 Other Income - 19,275 Total $ 576,027GeneralExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1959760OtherCostOrOtherBasis
Book Value1959760BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis7670090OtherCostOrOtherBasis
Depreciation2020025Depreciation
Book Value5650065BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis273008OtherCostOrOtherBasis
Depreciation66139Depreciation
Book Value206869BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis3408040OtherCostOrOtherBasis
Depreciation1361086Depreciation
Book Value2046954BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis105824OtherCostOrOtherBasis
Depreciation94284Depreciation
Book Value11540BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9875188TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Construction in Progress (Corozal)3735522
Restricted Cash Accounts1020615
FieldValueIRS element (for citing)
Total Book Value Other Assets4756137TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionIncurred But Not recorded (medical claims)Description
Amount$2,449,400Amount
FieldValueIRS element (for citing)
Total Of Amounts2449400TotalOfAmounts
Total Revenue38788989TotalRevenue
Total Expenses33895669TotalExpenses
Excess Or Deficit For Year4893320ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$6,788,162OtherAmount
Total Adjustments6788162TotalAdjustments
Excess Or Deficit Per FS11681482ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt38788989TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal38788989RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99038788989TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt33895669TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal33895669ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99033895669TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSchD_P11_S00_L08Identifier
Return ReferenceSchedule D, Part XI, Line 8ReturnReference
ExplanationOn January 2012 SIM entered into a settlement agreement and mutual release with Humana Health Plans of Puerto Rico, Inc. and Humana Insurance of Puerto Rico. In this agreement all the parties agreed to settle any and all pending surplus or deficit compensation discrepancies, including but not limited to all the extinguishment of outstanding credits and claims related to the parties Health Care Organization (HCO) Participation Agreement. The agreement includes balances as of October 31, 2011. As of October 31, 2011 SIM had a balance payable to Humana of $6,788,162. These balances corresponded entirely to losses accumulated in the Manage Care Contract between SIM and Humana up to June 30, 2011.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Sandra V Garcia Rodriguez
13171800060000000013771801273990
Marien Vazquez
6640200050000000669020333280

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSchJ_P01_S00_L03Identifier
Return ReferenceSchedule J, Part I, Line 3ReturnReference
ExplanationExecutive Director salary is approved by the Board.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bAll questions related to governance, managament & 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 meetting on December 26, 2012. The content of the form was reviewed and approved for filling by the Board.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cThe members of Board of Directors are required to complete on an annual basis a certification of not conflict of interest.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15The 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_L19Form 990, Part VI, Section C, Line 19The 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 general 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.
F990_P11_S00_L05Form 990, Part XI, Line 5On January 2012 SIM entered into a settlement agreement and mutual release with Humana Health Plans of Puerto Rico, Inc. and Humana Insurance of Puerto Rico. In this agreement all the parties agreed to settle any and all pending surplus or deficit compensation discrepancies, including but not limited to all the extinguishment of outstanding credits and claims related to the parties Health Care Organization (HCO) Participation Agreement. The agreement includes balances as of October 31, 2011. As of October 31, 2011 SIM had a balance payable to Humana of $6,788,162. These balances corresponded entirely to losses accumulated in the Manage Care Contract between SIM and Humana up to June 30, 2011.

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationAudited Financial Statements were not completed on November 15, 2012; an extension was filled and approved.Explanation

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