Nonprofit · EIN 86-1037107
DE BACA FAMILY PRACTICE CLINIC
Tax-exempt · FORT SUMNER, NM 88119
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| June 30, 2025 | 990 | $3,989,787 | $3,896,907 | $92,880 | $6,610,710 | $4,403,274 | $2,207,436 |
| June 30, 2024 | 990 | $4,677,071 | $3,578,370 | $1,098,701 | $6,447,593 | $4,333,037 | $2,114,556 |
Financial details: 990 for the year ended June 30, 2025
Revenue
- Contributions, gifts and grants
- $2,468,617
- of which government grants
- $2,025,875
- Program service revenue
- $1,445,231
- Investment income
- $24,733
- Other revenue
- $51,206
Expenses
- Grants and similar amounts paid
- $0
- Other salaries and wages
- $2,214,195
- Salaries, compensation and benefits (total)
- $2,976,963
- Professional fundraising fees
- $0
- Legal fees
- $1,255
- Accounting fees
- $25,028
- Occupancy
- $61,980
- Depreciation
- $153,951
- Program services (functional)
- $2,845,214
- Management and general (functional)
- $1,051,693
Balance sheet and other
- Total assets, start of year
- $6,447,593
- Total assets, end of year
- $6,610,710
- Total liabilities, end of year
- $4,403,274
- Net assets, end of year
- $2,207,436
- Land, buildings and equipment
- $2,056,268
- Net assets without donor restrictions
- $2,207,436
- Gross receipts
- $3,989,787
- Employees
- 43
- Year formed
- 2001
- State of legal domicile
- NM
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended June 30, 2025, highest compensation first.
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| JACK VICK | DOCTOR Key employee, Highest-paid employee | 40 | $267,315 |
| GREG MCALLISTE | DENTIST Key employee | 32 | $131,758 |
| LANEY PIERCE | CNP Key employee | 40 | $128,408 |
| CANDANCE | KERNALL CNP Key employee | 40 | $123,156 |
| LISA WALRAVEN | CEO Key employee | 40 | $121,265 |
| SUSAN VICK | CFO Key employee | 40 | $114,621 |
| LARRY | WILLIAMSON PRE Trustee or director, Officer | 5 | $0 |
| JOHN FALLON | V PRESIDENT Trustee or director, Officer | 2 | $0 |
| BEVERLY | 0VERTON SEC Trustee or director, Officer | 5 | $0 |
| BOB JACK | DIRECTOR Trustee or director | 1 | $0 |
| VINCENT | STALLARD DIREC Trustee or director | 1 | $0 |
| JOE STEELE | DIRECTOR Trustee or director | 1 | $0 |
| MARIE | DICKERMNA DIRE Trustee or director | 1 | $0 |
| CHARLIE WEST | DIRECTOR Trustee or director | 1 | $0 |
| HEATHER | MCCONNELL DIRE Trustee or director | 1 | $0 |
1 more people on this return
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| BECKY HARRIS | DIRECTOR Trustee or director | 1 | $0 |
990 for the year ended June 30, 2024: 15 people
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| JACK VICK | DOCTOR Key employee, Highest-paid employee | 40 | $258,856 |
| GREG MCALLISTE | DENTIST Key employee | 32 | $126,804 |
| LANEY PIERCE | CNP Key employee | 40 | $117,162 |
| LISA WALRAVEN | CEO Key employee | 40 | $107,632 |
| LARRY | WILLIAMSON PRE Trustee or director, Officer | 5 | $0 |
| JOHN FALLON | V PRESIDENT Trustee or director, Officer | 2 | $0 |
| BEVERLY | OVERTON SEC Trustee or director, Officer | 5 | $0 |
| BOB JACK | DIRECTOR Trustee or director | 1 | $0 |
| VINCENT | STALLARD DIREC Trustee or director | 1 | $0 |
| JOE STEELE | DIRECTOR Trustee or director | 1 | $0 |
| MARIE | DICKERMAN DIRE Trustee or director | 1 | $0 |
| CHARLIE WEST | DIRECTOR Trustee or director | 1 | $0 |
| MARY LUCERO | DIRECTOR Trustee or director | 1 | $0 |
| HEATHER | MCCONNEL DIREC Trustee or director | 1 | $0 |
| BECKY HARRIS | DIRECTOR Trustee or director | 1 | $0 |
Address and contacts
- Address (IRS master file)
- PO BOX 349, FORT SUMNER, NM 88119-0349
- Principal officer (990 for 2024)
- LARRY WILLIAMSON, PO BOX 349, FORT SUMNER, NM 88119
- Signed the 990
- LARRY WILLIAMSON, PRESIDENT
- Phone
- (575) 355-2414
- Return prepared by
- Randie Hatley CPA
Mission
PROVIDING HEALTHCARE SERVICES TO THE UNDERSERVED IN EASTERN NEW MEXICO
Program accomplishments
- PROVIDING HEALTHCARE SERVICES TO THE UNDERSERVED IN EASTERN NEWExpenses $2,845,214 · revenue $3,989,787
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in June, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | June 30, 2026 | November 16, 2026 | Not due yet |
| 2024 | June 30, 2025 | November 17, 2025 | 990 on file |
| 2023 | June 30, 2024 | November 15, 2024 | 990 on file |
IRS record
- EIN
- 86-1037107
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Publicly supported organization (170(b)(1)(A)(vi))
- Donations deductible (Pub 78)
- Public charity, 50% deduction limit
- Exempt since
- 2002
- Accounting year ends
- June
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Health care (E32)
- Assets (IRS master file)
- $6,610,710
- Income (IRS master file)
- $3,989,787
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | June 2025 | $3,989,787 | $3,896,907 | $6,610,710 | XML |
| 990 | June 2024 | $4,677,071 | $3,578,370 | $6,447,593 | XML |
| 990 | June 2023 | $3,372,178 | $3,383,187 | $5,017,692 | IRS |
| 990 | June 2022 | – | – | – | IRS |
| 990 | June 2021 | – | – | – | IRS |
| 990 | June 2019 | – | – | – | IRS |
| 990 | June 2018 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 86-1037107).
Questions about DE BACA FAMILY PRACTICE CLINIC
- What is the EIN of DE BACA FAMILY PRACTICE CLINIC?
- The employer identification number (EIN) of DE BACA FAMILY PRACTICE CLINIC is 86-1037107.
- Is DE BACA FAMILY PRACTICE CLINIC tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2002.
- Are donations to DE BACA FAMILY PRACTICE CLINIC tax-deductible?
- Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
- Which annual return does DE BACA FAMILY PRACTICE CLINIC file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of DE BACA FAMILY PRACTICE CLINIC due?
- The return for tax year 2025 (the year ending June 30, 2026) is due November 16, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did DE BACA FAMILY PRACTICE CLINIC last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended June 2025.
- Who is the principal officer of DE BACA FAMILY PRACTICE CLINIC?
- The 990 for the year ended June 30, 2025 names LARRY WILLIAMSON.
- Who are the officers and directors of DE BACA FAMILY PRACTICE CLINIC?
- The 990 for the year ended June 30, 2025 lists 16 people; 6 received compensation from the organization, the highest $267,315 (JACK VICK, DOCTOR).
- How much revenue does DE BACA FAMILY PRACTICE CLINIC have?
- On its 990 for the year ended June 30, 2025 it reported revenue of $3,989,787, expenses of $3,896,907 and total assets of $6,610,710 at year end.
Other nonprofits in FORT SUMNER
- KEY RESEARCH INC EIN 35-2269518 · last filed 990-N for 2025
- DE BACA COUNTY FAIR BOARD EIN 81-1554079 · last filed 990-EZ for 2024
- LITTLE LEAGUE BASEBALL INC EIN 93-4768759 · last filed 990-N for 2025
- FORT SUMNER CHAMBER OF COMMERCE EIN 46-3932525 · last filed 990-EZ for 2024
- FRIENDS OF THE BOSQUE REDONDO MEMORIAL EIN 81-0883244 · last filed 990-N for 2025
- FRIENDS OF FORT SUMNER PUBLICLIBRARY EIN 20-5641864 · last filed 990-N for 2025
- DE BACA COUNTY FARM & LIVESTOCK BUREAU EIN 85-6011293 · last filed 990-N for 2024
- FORT SUMNER PTO EIN 82-0965286 · last filed 990-N for 2025