ESPERANZA HEALTH CENTERS: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- ESPERANZA HEALTH CENTERS (EIN 32-0115907)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-03-13
- IRS object ID
- 201210739349300641
- Schema version
- 2010v3.4
- 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) |
|---|---|---|
| Timestamp | 2012-03-13T16:05:25-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 W 22ND ST STE 1100 | AddressLine1 |
| City | OAK BROOK | City |
| State | IL | State |
| ZIP Code | 60523 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 320115907 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRO DE SALUD ESPERANZA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CENT | NameControl |
| Phone | 7735846200 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 SOUTH CALIFORNIA AVENUE NO 100 | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60608 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DANIEL FULWILER | Name |
| Title | CEO | Title |
| Phone | 7735846200 | Phone |
| Date Signed | 2012-03-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GREGORY S ADAMS | Name |
| Phone | 6305738600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DANIEL FULWILER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 SOUTH CALIFORNIA AVENUE NO 100 | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60608 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4794903 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2004 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | PRIMARY HEALTH CARE SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 42 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 677278 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1173584 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 3188093 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3561615 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 59704 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3865371 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4794903 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2445479 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2599905 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1230582 | OtherExpensePriorYear |
| Other Expenses Current Year | 1533783 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 3676061 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4133688 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 189310 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 661215 | RevenuesLessExpensesCY |
| Total Assets BOY | 1051044 | TotalAssetsBOY |
| Total Assets EOY | 1254372 | TotalAssetsEOY |
| Total Liabilities BOY | 2270025 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1812138 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -1218981 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -557766 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE HIGH QUALITY, COMPREHENSIVE AND READILY ACCESSIBLE PRIMARY HEALTHCARE SERVICES TO THE RESIDENTS OF THE COMMUNITIES WE SERVE IN A CULTURALLY APPROPRIATE FASHION. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 3675631 | Expense |
| Revenue | 3561615 | Revenue |
| Description | TO PROVIDE PRIMARY HEALTH CARE SERVICES TO NEAR AND MID-SOUTHWEST SIDE OF THE CITY OF CHICAGO | Description |
| Total Program Service Expense | 3675631 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 9 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 42 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 0 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAYNE CRAWFORD | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7735846200 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 SOUTH CALIFORNIA AVE SUITE 100 | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60608 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| TIM MCCORMICK | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JIM SIFUENTES | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DENISE ROQUE-LEON | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MARIA VELAZQUEZ | |||||||
| SECRETARY | 2.00 | X | 0 | 0 | 0 | X | |
| ROSA PULIDO | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| FRANCISCO CISNEROS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JORGE MONTES | |||||||
| PRESIDENT | 2.00 | X | 0 | 0 | 0 | X | |
| JOS SALDANA | |||||||
| TREASURER | 2.00 | X | 0 | 0 | 0 | X | |
| JORGE GIROTTI | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| RANIEL INIGUEZ | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| SEOWOO LEE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| RAFAEL LEON | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| SONIA LOPEZ | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| SONIA SIFUENTES | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JILL STEMMERMAN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| YANIRA VALDEZ | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| WAYNE CRAWFORD | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 101789 | 0 | 3211 | X | ||
| DAN FULWILER | |||||||
| CHIEF EXECTUTIVE OFFICER | 40.00 | 105388 | 0 | 18112 | X | ||
| ALEJANDRO CLAVIER | |||||||
| MEDICAL DIRECTOR | 40.00 | 141919 | 0 | 5914 | X | ||
| MARIA JAMES SILVA | |||||||
| PHYSICIAN | 40.00 | 127942 | 0 | 6758 | X | ||
| ESTELLA HERNANDEZ | |||||||
| PHYSICIAN | 40.00 | 125067 | 0 | 4366 | X | ||
| TRACY VERA | |||||||
| PHYSICIAN | 40.00 | 192000 | 0 | 9805 | X | ||
| DIEGO HERNANDO REMOLINA | |||||||
| PHYSICIAN | 40.00 | 128163 | 0 | 4403 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 922268 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 52569 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| PRACTICE MANAGEMENT | |||||
| 415 W GOLF RD SUITE 16 | ARLINGTON HEIGHTS | IL | 60005 | BILLING COMPANY | 185854 |
| SAINT ANTHONY HOSPITAL | |||||
| 2875 W 19TH ST | CHICAGO | IL | 60623 | BORROWING AGREEMENT | 166225 |
| CAPITAL PREMIUM FINANCING INC | |||||
| PO BOX 30293 | SALT LAKE CITY | UT | 84130 | MALPRACTICE INSURANCE FINANCING | 156395 |
| CONROYD INSURANCE | |||||
| 135 S BLOOMINGDALE RD | BLOOMINGDALE | IL | 60108 | INSURANCE | 135153 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| All Other Contributions | 1173584 | AllOtherContributions |
| Noncash Contributions | 182467 | NoncashContributions |
| Total Contributions | 1173584 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT FEES | Description |
| Business Code | 621990 | BusinessCode |
| Total Revenue Column | 3561615 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3561615 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3561615 | TotalProgramServiceRevenue |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 59704 | TotalRevenueColumn |
| Exclusion | $59,704 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 59704 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4794903 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3561615 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $59,704 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 222500 | Total |
| Program Services | 68450 | ProgramServices |
| Management And General | 154050 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1937280 | Total |
| Program Services | 1850441 | ProgramServices |
| Management And General | 86839 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19684 | Total |
| Program Services | 17519 | ProgramServices |
| Management And General | 2165 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 152279 | Total |
| Program Services | 135528 | ProgramServices |
| Management And General | 16751 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 268162 | Total |
| Program Services | 238664 | ProgramServices |
| Management And General | 29498 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1698 | Total |
| Program Services | 1698 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34333 | Total |
| Management And General | 34333 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16900 | Total |
| Management And General | 16900 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 358524 | Total |
| Program Services | 345286 | ProgramServices |
| Management And General | 13238 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41309 | Total |
| Program Services | 41309 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 118609 | Total |
| Program Services | 97955 | ProgramServices |
| Management And General | 20654 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42178 | Total |
| Program Services | 33321 | ProgramServices |
| Management And General | 8857 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 205520 | Total |
| Program Services | 184968 | ProgramServices |
| Management And General | 20552 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17138 | Total |
| Program Services | 16062 | ProgramServices |
| Management And General | 1076 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7703 | Total |
| Management And General | 7703 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6315 | Total |
| Program Services | 5494 | ProgramServices |
| Management And General | 821 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 276470 | Total |
| Program Services | 246058 | ProgramServices |
| Management And General | 30412 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 302502 | 302502 | |
| REPAIRS AND MAINTENANCE | 42085 | 42085 | |
| DUES AND SUBSCRIPTIONS | 26429 | 21936 | 4493 |
| EQUIPMENT RENTAL | 9195 | 9195 | |
| MEMBERSHIP FEES | 1595 | 1324 | 271 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25280 | Total |
| Program Services | 15836 | ProgramServices |
| Management And General | 9444 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4133688 | Total |
| Program Services | 3675631 | ProgramServices |
| Management And General | 458057 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 164716 | BOY |
| EOY | 521155 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 767747 | BOY |
| EOY | 543675 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90078 | BOY |
| EOY | 162011 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 38829 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 11298 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28503 | BOY |
| EOY | 27531 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1051044 | BOY |
| EOY | 1254372 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 260401 | BOY |
| EOY | 280031 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 137206 | BOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1630925 | BOY |
| EOY | 1448457 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 241493 | BOY |
| EOY | 83650 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2270025 | BOY |
| EOY | 1812138 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1243756 | BOY |
| EOY | -558766 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24775 | BOY |
| EOY | 1000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1218981 | BOY |
| EOY | -557766 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1051044 | BOY |
| EOY | 1254372 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 661215 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 402409 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 558586 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 593664 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 551269 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1173584 | CurrentTaxYear |
| Total | 3279512 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 402409 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 558586 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 593664 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 551269 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1173584 | CurrentTaxYear |
| Total | 3279512 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 3279512 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1139 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 975 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1661 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6834 | CurrentTaxYearMinus1Year |
| Current Tax Year | 59704 | CurrentTaxYear |
| Total | 70313 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 3349825 | TotalSupport |
| Gross Receipts From Admissions Etc | 14258270 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.97900 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99550 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 38829 | OtherCostOrOtherBasis |
| Depreciation | 11298 | Depreciation |
| Book Value | 27531 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 27531 | TotalOfBookValueLandBuildings |
| Total Revenue | 4794903 | TotalRevenue |
| Total Expenses | 4133688 | TotalExpenses |
| Excess Or Deficit For Year | 661215 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 661215 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 4794903 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 4794903 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 4794903 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 4133688 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 4133688 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 4133688 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | THE CENTER IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). IN ADDITION, THE CENTER QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. THE FEDERAL AND STATE TAX RETURNS OF THE CENTER FOR 2007, 2008, AND 2009 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND STATE TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. THE CENTER WAS NOT REQUIRED TO RECORD A LIABILITY FOR UNRECOGNIZED TAX BENEFITS FOR THE YEARS ENDED JUNE 30, 2011 OR 2010. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | TRACY VERA | NamePerson |
| Base Compensation Filing Org | 191000 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 1000 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 1921 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 7884 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 201805 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 100242 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 6 | ReturnReference |
| Explanation | THE CEO'S COMPENSATION PACKAGE INCLUDED A BONUS OF UP TO $15,000 THAT WAS CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION. DURING THE YEAR, THE ORGANIZATION ACCRUED $15,000 FOR THE BONUS THAT WAS CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION. | Explanation |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | DEBT FORGIVENESS | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 182467 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | AMOUNT SET FORTH IN | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED IN DRAFT FORM BY THE ORGANIZATION'S FINANCE COMMITTEE, THEN SENT THE ENTIRE BOARD BEFORE FILING. | |
| BOARD OF DIRECTORS COMPLETE COMPLIANCE DISCLOSURES UPON JOINING THE BOARD. | FORM 990, PART VI, SECTION B, LINE 12C | |
| CEO'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS AND IS INCLUDED IN THE BOARD MINUTES. THE DECISION WAS MADE USING COMPARISON TO ORGANIZATIONAL GOALS AND COMPARABILITY DATA OF OTHER SIMILAR SIZED ORGANIZATIONS. | FORM 990, PART VI, SECTION B, LINE 15A | |
| UPON REQUEST | FORM 990, PART VI, SECTION C, LINE 19 | |
| THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. | FORM 990, PART XII, LINE 2C |
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