2024-02-12T11:08:06-06:00 2023-03-31 221478099 COHNREZNICK LLP 14 SYLVAN WAY PARSIPPANY NJ 070543801 990 2022-04-01 742965534 SU CLINICA FAMILIAR MEDICAL FOUNDATION SUCL 9563656750 1706 TREASURE HILL BLVD HARLINGEN TX 78550 ADAM SALDIVAR CHIEF FINANCIAL OFFICER 9563656750 2024-02-12 1 ADAM SALDIVAR 999009999 1 LORI ROTHE YOKOBOSKY CPA P01273422 9732283500 2024-02-05 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ELENA MARIN MD 1706 TREASURE HILL BLVD HARLINGEN TX 78550 459164 0 X WWW.SUCLINICA.ORG X 1989 TX TO PROMOTE A HEALTHIER COMMUNITY BY PROVIDING ACCESS TO HIGH VALUE, COMPREHENSIVE, AND HOLISTIC HEALTHCARE SERVICES. 9 9 0 9 0 0 0 0 0 0 189 8936 450228 450228 450417 459164 0 0 0 0 0 0 0 0 0 190303 190298 190303 190298 260114 268866 6494553 6375093 4553617 4205022 1940936 2170071 X SU CLINICA FAMILIAR MEDICAL FOUNDATION IS A NONPROFIT ORGANIZATION ORGANIZED TO FOSTER AND SUPPORT THE ACTIVITIES AND PURPOSES OF SU CLINICA FAMILIAR, INC. THE ORGANIZATION'S MISSION CONTINUES BY STATING THE ORGANIZATION WILL ENCOURAGE BROAD-BASED PUBLIC SUPPORT OF SU CLINICA FAMILIAR, INC. AND TO ADVANCE THE MEDICAL OBJECTIVES, INCLUDING SPONSORSHIP OF SPECIFIC PROJECTS AND PROGRAMS, AS RECOMMENDED BY SUCH ORGANIZATION TO PROMOTE THEIR PATIENT CARE, RESEARCH, EDUCATIONAL AND TRAINING PROGRAMS. 0 0 189836 450228 SU CLINICA FAMILIAR MEDICAL FOUNDATION IS A NONPROFIT ORGANIZATION ORGANIZED TO FOSTER AND SUPPORT THE ACTIVITIES AND PURPOSES OF SU CLINICA FAMILIAR, INC., TO ENCOURAGE BROAD-BASED PUBLIC SUPPORT OF SUCH ORGANIZATION AND TO ADVANCE THE MEDICAL OBJECTIVES, INCLUDING SPONSORSHIP OF SPECIFIC PROJECTS AND PROGRAMS, AS RECOMMENDED BY SUCH ORGANIZATION TO PROMOTE ITS PATIENT CARE, RESEARCH, EDUCATIONAL, TRAINING PROGRAMS. 189836 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 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 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X ADAM SALDIVAR CFO 9563656750 1706 TREASURE HILL BLVD HARLINGEN TX 78550 AIDA S CANTU BOARD MEMBER 1.00 1.00 X 0 0 0 ANISA RAMIREZ BOARD MEMBER 1.00 1.00 X 0 0 0 FIDEL ATKINSON JR BOARD MEMBER 1.00 X 0 0 0 JEFF WOLPERS BOARD MEMBER 1.00 X 0 0 0 JOHNNY IVAN PINEDA BOARD MEMBER 1.00 1.00 X 0 0 0 MATTHEW MONTEMAYOR CPA TREASURER 1.00 1.00 X X 0 0 0 REBA CARDENAS MCNAIR VICE-CHAIRPERSON 1.00 X X 0 0 0 ROSALEE NAJAR SECRETARY 1.00 1.00 X X 0 0 0 TINA BRIONES EDD RN CHAIRPERSON 1.00 1.00 X X 0 0 0 JOSE ADAM SALDIVAR CHIEF FINANCIAL OFFICER 2.00 38.00 X 0 137345 19825 ELENA MARIN MD CHIEF EXECUTIVE OFFICER 2.00 38.00 X 0 328552 19604 0 465897 39429 0 0 1 0 0 8936 8936 450228 0 450228 450228 450228 459164 450228 0 8936 462 462 156 156 189680 189680 190298 189836 462 0 840322 119063 750000 3425 9230194 3765644 5654231 5464550 0 38055 6494553 6375093 47097 45871 4429131 4159151 77389 0 4553617 4205022 X 1940936 2170071 1940936 2170071 6494553 6375093 X 268866 -39731 X 0 1 X 1 0 X X 1 SU CLINICA FAMILIAR INC 742357970 7 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1647237 1647237 7579437 3762124 3817313 3520 3520 0 5464550 X 40591320 3420 40128736 40132156 459164 0 459164 38493835 3420 38300117 38303537 190298 0 190298 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF MARCH 31, 2023, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2020 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION REVENUE 40,618,695. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -39,731. RELATED ORGANIZATION ELIMINATIONS -450,228. PART XII, LINE 2D - OTHER ADJUSTMENTS: RELATED ORGANIZATION EXPENSE 38,750,345. RELATED ORGANIZATION ELIMINATIONS -450,228. 0 0 0 0 0 0 0 0 0 ELENA MARIN MD CHIEF EXECUTIVE OFFICER 0 310729 0 0 0 17823 0 9056 0 10548 0 348156 0 0 JOSE ADAM SALDIVAR CHIEF FINANCIAL OFFICER 0 131936 0 217 0 5192 0 4066 0 15759 0 157170 0 0 SCHEDULE J, PART I, LINE 3: THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER IS ESTABLISHED BY SU CLINCA FAMILIAR, INC. A RELATED PARTY USING THE FOLLOWING METHODS AND RESOURCES: - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE - COMPENSATION COMMITTEE FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CHIEF FINANCIAL OFFICER REVIEWS THE 990 AND PRESENTS IT TO THE CHIEF EXECUTIVE OFFICER FOR SECONDARY REVIEW. A BOARD OF DIRECTORS MEETING IS THEN HELD FOR PRESENTATION AND APPROVAL OF THE RETURN PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST REVIEW ANNUALLY. THE FORM CLEARLY STATES THAT THEY COMPLY WITH THE POLICY. THE FOUNDATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS DETERMINED BY SU CLINICA FAMILIAR, INC. A RELATED PARTY. THE FOLLOWING IS THE PROCESS USED IN DETERMINING THE CHIEF EXECUTIVE OFFICER'S COMPENSATION. A SALARY RANGE IS PREPARED AND APPROVED BY THE BOARD OF DIRECTORS. THIS SALARY RANGE IS COMPRISED OF INFORMATION OBTAINED FROM OTHER COMMUNITY HEALTH CENTERS AND THE LOCAL MARKET FOR THE CHIEF EXECUTIVE OFFICER. A SURVEY OF THE MAJOR COMMUNITY HEALTH CENTERS IS COMPILED USING THE BUDGET OF SU CLINICA FAMILIAR, INC. AS A KEY INDICATOR. THIS INFORMATION IS PRESENTED TO THE CHAIRMAN OF THE BOARD. THE BOARD, VIA EXECUTIVE SESSION, USES THIS INFORMATION TO DETERMINE THE CEO'S SALARY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THE CONFLICT OF INTEREST POLICY, ALL GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -39,731. SU CLINICA FAMILIAR INC 1706 TREASURE HILLS BLVD HARLINGEN TX 78550 742357970 MEDICAL TX 501(C)(3) LINE 7 N/A 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0