Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
EL RIO SANTA CRUZ NEIGHBORHOOD HEALTH CENTER |
860285857 | 3 | Yes | 760,930 | 0 | |
|
Total 1
|
760,930 | 0 | ||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2018 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | 2018 EL RIO FOUNDATION SUPPORTED PROGRAMS / CAPITAL PROJECTS 2018 TOTAL DISTRIBUTIONS: AAF - ADOPT A FAMILY 2,000 EL RIO PATIENTS IN NEED ARE NOMINATED BY HEALTH CENTER EMPLOYEES AND SUPPORTED WITH DONATIONS OF GIFT CARDS FOR CLOTHING, TRANSPORTATION, FOOD AND OTHER NECESSITIES. ANNUALLY 50-80 FAMILIES / SENIORS RECEIVE ASSISTANCE. ASTHMA - CHLA BTF 80,000 DONOR FUNDING HELPS 100-150 KIDS ANNUALLY SUFFERING FROM SEVERE ASTHMA. SERVICES INCLUDE EDUCATION, SUPPORT, LIFE-SAVING MEDICATION, AND EQUIPMENT. BIRTHING CENTER - BWH 10,000 SUPPORT FOR EL RIO'S CENTERING PREGNANCY PROGRAM. CHERRYBELL CAPITAL CAMPAIGN 150,000 CAPITAL FUNDING FOR NEW 50,000 SQUARE FT. HEALTH CENTER SITE TO OPEN IN 2019 AT 22ND & KINO PARKWAY. THE NEW LOCATION CAN ACCOMMODATE CARE FOR 10,000 PEOPLE. NAMING OPPORTUNITIES ARE AVAILABLE. NURSING SCHOLARSHIP AWARD 2,000 NURSING SCHOLARSHIP GIFTED TO AN ELIGIBLE EL RIO EMPLOYEE. CONGRESS MIDWIVES CENTERING PREGNANCY PROGRAM 18,792 EXPECTANT PARENTS COME TOGETHER FOR PRENATAL CLASSES AND GROUP SUPPORT. MAMMOGRAPHY SCREENINGS 35,000 FREE 3D MAMMOGRAMS PROVIDED BY DONOR SUPPORT TO UNINSURED PATIENTS AT NO COST. LGBT - LESBIAN, GAY, BI-SEXUAL & TRANSGENDER HEALTH CARE SERVICES. 2,917 MEDICAL CARE, SUPPORT AND OUTREACH PROVIDED TO THE LGBT COMMUNITY. CHILD IMMUNIZATIONS - CHLI 65,000 DONOR CONTRIBUTIONS ARE USED TO PROVIDE FREE WEEKLY WALK-IN IMMUNIZATION CLINICS FOR KIDS AT MULTIPLE LOCATIONS. OVER 20,000 KIDS ARE VACCINATED ANNUALLY. EL RIO HAS WON NUMEROUS STATE AWARDS FOR IT'S EFFECTIVE, LIFE- SAVING IMMUNIZATION PROGRAMS. COLORECTAL CANCER PREVENTION - CPS 23,101 COLORECTAL CANCER EDUCATION AND SCREENING PROGRAM. DONOR SUPPORT PAYS FOR COLONOSCOPIES FOR QUALIFIED UNINSURED PATIENTS. ADULT DENTAL PARTNERSHIP - DENF 65,418 THIS DONOR FUNDED PROGRAM PROVIDES UP TO 500 IN ORAL HEALTH CARE FOR QUALIFIED PEOPLE WHO ARE HOMELESS, UNINSURED OR ON AHCCCS-MEDICAID. DENTAL VARNISH PROGRAM - FNP 80,000 EL RIO STAFF TEACH KIDS AND THEIR PARENTS GOOD ORAL HEALTH HABITS. EL RIO STAFFS PROVIDE FREE FLUORIDE VARNISH TO HELP PROTECT CHILDREN'S TEETH ALONG WITH EDUCATION, FREE TOOTH BRUSHES AND FLOSS. OVER 2,000 CHILDREN AND THEIR FAMILIES ARE HELPED. EMPLOYEE ASSISTANCE FUND - EAF 58,946 EMERGENCY SUPPORT FOR EXTREME HARDSHIP UP TO 1,000 FOR APPROVED EL RIO EMPLOYEES TO PREVENT EVICTION, COVER UNFORESEEN MEDICAL EXPENSES. ROR - CHLR 42,551 REACH OUT READ IS AN EARLY CHILDHOOD LITERACY PROGRAM THAT SUPPORTS LANGUAGE AND LITERACY DEVELOPMENT IN CHILDREN AGES 0-5. OVER 25,000 FREE BOOKS ARE GIFTED TO PEDIATRIC PATIENTS THANKS TO DONOR SUPPORT. VENTANILLA DE SALUD - VDS 28,000 THE VENTANILLA DE SALUD (VDS) PROGRAM IS A PARTNERSHIP BETWEEN THE US- MEXICAN BORDER HEALTH COMMISSION, MEXICAN CONSULATE AND EL RIO HEALTH TO PROVIDE HEALTH SERVICES TO FAMILIES LIVING ON BOTH SIDES OF THE BORDER. WELLNESS 10,000 DONOR CONTRIBUTIONS PAY FOR FREE WELLNESS PROGRAMS TO EMPOWER AT-RISK PATIENTS TO LEARN HOW TO STAY HEALTHY AND DEVELOP NEW MIND, BODY AND SPIRIT COPING TECHNIQUES. SIA - MEDICATION ASSISTANCE 6,780 DONOR SUPPORT COVERS PRESCRIPTION CO-PAYS FOR QUALIFIED PATIENTS DIAGNOSED WITH HIV/AIDS. SKIN CANCER PREVENTION PROGRAM -EDSC 25,000 A PUBLIC AWARENESS SKIN CANCER PREVENTION CAMPAIGN. ADDITIONAL SUPPORT HELPS WITH DERMATOLOGY / SKIN CANCER TREATMENT FOR QUALIFIED PATIENTS. RN DISCHARGE CARE MANAGEMENT 25,000 DONOR SUPPORT OF THE HOSPITAL TO HOME DISCHARGE CARE MANAGEMENT PROJECT TO REDUCE HOSPITAL READMISSION RATES BY HELPING PATIENTS TRANSITION HOME. EL RIO HAS A GROUP OF NURSES WHO ENSURE PATIENTS HAVE FOLLOW UP APPOINTMENTS WITH THEIR PRIMARY CARE PROVIDER. THIS CARE HAS LED TO A 25% REDUCTION IN HOSPITAL RE-ADMISSIONS. WELLNESS HEALTH EDUCATION 3,000 VOLUNTEER-LED HEALTH AND WELLNESS PROGRAMMING LED BY UNIVERSITY OF ARIZONA COLLEGE OF PUBLIC HEALTH INTERNS. CHILDREN'S VISION SCREENING PROGRAM 8,599 DONATIONS SUPPORT VISION SCREENING SERVICES FOR CHILDREN. CHILDREN'S EMERGENCY DENTAL PROGRAM 21,441 DONOR SUPPORTED EMERGENCY DENTAL SERVICES FOR QUALIFIED CHILDREN (UP TO 500). TOTAL PROGRAM DISTRIBUTIONS 763,545 |
| FORM 990, PAGE 6, PART VI, LINE 11B | FOUNDATION BOARD MEMBERS WILL BE PROVIDED A COPY OF THE 990 BY EMAIL AND ASKED TO ACKNOWLEDGE RECEIPT. |
| FORM 990, PAGE 6, PART VI, LINE 12C | AT LEAST ANNUALLY, DESIGNATED INDIVIDUALS MUST REVIEW THIS POLICY AND THE ATTACHED CONFLICT OF INTEREST CERTIFICATION. AT THE FACILITY LEVEL, THE FORM MUST BE SENT TO THE COMPLIANCE OFFICER, POTENTIAL CONFLICTS WILL BE REPORTED TO THE COMPLIANCE COMMITTEE. AT THE BOARD LEVEL, THE FORMS SHOULD BE SENT TO THE CEO WITH POTENTIAL CONFLICTS REFERRED TO THE GOVERNING BOARD. AT ANY TIME DURING THE YEAR, WHEN AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST ARISES, THE EMPLOYEE MUST CONTACT HIS OR HER SUPERVISOR AND THE COMPLIANCE OFFICER BOARD LEVEL REPORTS SHOULD BE SUBMITTED TO THE CEO. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EL RIO FOUNDATION DOES NOT HAVE ANY EMPLOYEES, IT DOES NOT COMPENSATE ANY OF ITS OFFICERS OR DIRECTORS, AND IT DOES NOT PARTICIPATE IN ANY DISCUSSIONS REGARDING THE LEVEL OF COMPENSATION OF ITS EXECUTIVE DIRECTOR WHO IS EMPLOYED BY A RELATED ORGANIZATION, THE EL RIO COMMUNITY HEALTH CENTER. HOWEVER, THE RELATED ORGANIZATION FOLLOWS THESE GUIDELINES IN DETERMINING THE EXECUTIVE LEVEL COMPENSATION OF ITS EMPLOYEES. THE PROCESS FOR DETERMINING COMPENSATION OF THE KEY EMPLOYEES INCLUDE A REVIEW AND APPROVAL BASED ON COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION. THE COMPENSATION IS PAID BY THE HEALTH CENTER AND FOLLOWS THEIR POLICIES. |
| FORM 990, PAGE 6, PART VI, LINE 15B | COMPENSATION PROCESS FOR OFFICERS SAME AS PROCESS FOR TOP OFFICAL. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE 990 IS AVAILABLE TO THE PUBLIC. THE ANNUAL AUDITED FINANCIALS ARE AVAILABLE TO ANY ORGANIZATION THAT REQUESTS A COPY INCLUDING THE OMB CIRCULAR A-133 COMPLAINACE SUPPLEMENT. COPIES ARE ALSO POSTED ON WWW.ELRIO.ORG |
| Software ID: | |
| Software Version: |