Civic Intelligence

Firstmed Health and Wellness Center

EIN 27-0759056 • 501(c)3 • Las Vegas, NV

Profile

FirstMed Health and Wellness is a nonprofit community healthcare clinic providing mental health and preventive and primary health care services to individuals and families in Southern Nevada.

8936 Spanish Ridge AvenueLas Vegas, NV 89148

fmhwc.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

95th percentile

1.10x

Higher debt load relative to assets than 95% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

54th percentile

0.26x

Higher debt load relative to revenue than 54% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

41st percentile

1.3%

Higher net margin than 41% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

79th percentile

$311,470

Higher top officer pay than 79% of similar nonprofits.

Top officer pay equals 2.6% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

95th percentile

64%

Faster asset growth than 95% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

36th percentile

1.0%

Faster revenue growth than 36% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets95th percentile

Assets

Up

$2,822,987

Up $1,098,583 (+64%) from 2023

Liabilities

Up

$3,101,158

Up $942,368 (+44%) from 2023

Net Assets

Up

-$278,171

Up $156,215 (+36%) from 2023

Operations
Liabilities / Revenue54th percentileNet Margin41st percentile

Revenue

Up

$12,071,475

Up $119,850 (+1.0%) from 2023

Expenses

Down

$11,915,261

Down $296,368 (-2.4%) from 2023

Net Income

Up

$156,214

Up $416,218 (+160%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth95th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$4.0M$3.0M$2.0M$1.0M$0-$1.0MAssets 2013: $99,193Liabilities 2013: $92,274Net Assets 2013: $6,9192013Assets 2014: $245,590Liabilities 2014: $64,811Net Assets 2014: $180,7792014Assets 2015: $676,767Liabilities 2015: $378,924Net Assets 2015: $297,8432015Assets 2016: $837,754Liabilities 2016: $767,328Net Assets 2016: $70,4262016Assets 2017: $1,238,891Liabilities 2017: $1,075,444Net Assets 2017: $163,4472017Assets 2018: $1,714,894Liabilities 2018: $1,900,199Net Assets 2018: -$185,3052018Assets 2019: $1,418,145Liabilities 2019: $1,088,541Net Assets 2019: $329,6042019Assets 2020: $2,304,434Liabilities 2020: $2,198,551Net Assets 2020: $105,8832020Assets 2021: $2,325,951Liabilities 2021: $2,401,864Net Assets 2021: -$75,9132021Assets 2022: $1,051,530Liabilities 2022: $1,271,368Net Assets 2022: -$219,8382022Assets 2023: $1,724,404Liabilities 2023: $2,158,790Net Assets 2023: -$434,3862023Assets 2024: $2,822,987Liabilities 2024: $3,101,158Net Assets 2024: -$278,1712024

Highlighted filing

2024

Assets$2,822,987
Liabilities$3,101,158
Net Assets-$278,171
Open 2024 Filing

Operations Trend

Revenue Growth36th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0-$5.0MRevenue 2013: $634,610Expenses 2013: $716,326Net Income 2013: -$81,7162013Revenue 2014: $2,654,438Expenses 2014: $2,477,211Net Income 2014: $177,2272014Revenue 2015: $2,656,511Expenses 2015: $2,539,447Net Income 2015: $117,0642015Revenue 2016: $3,307,754Expenses 2016: $3,535,171Net Income 2016: -$227,4172016Revenue 2017: $5,862,406Expenses 2017: $5,769,385Net Income 2017: $93,0212017Revenue 2018: $7,592,363Expenses 2018: $8,663,988Net Income 2018: -$1,071,6252018Revenue 2019: $9,627,682Expenses 2019: $9,112,773Net Income 2019: $514,9092019Revenue 2020: $10,904,097Expenses 2020: $11,126,331Net Income 2020: -$222,2342020Revenue 2021: $11,857,127Expenses 2021: $12,038,923Net Income 2021: -$181,7962021Revenue 2022: $12,161,217Expenses 2022: $12,104,291Net Income 2022: $56,9262022Revenue 2023: $11,951,625Expenses 2023: $12,211,629Net Income 2023: -$260,0042023Revenue 2024: $12,071,475Expenses 2024: $11,915,261Net Income 2024: $156,2142024

Highlighted filing

2024

Revenue$12,071,475
Expenses$11,915,261
Net Income$156,214
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$2,822,987
Liabilities
$3,101,158
Net assets
-$278,171
Revenue
$12,071,475
Expenses
$11,915,261
Net income
$156,214
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$2.82$3.10$0.28$12.1$11.9$0.16
2023Detailed filing. Detailed filing data is available for this year.$1.72$2.16$0.43$12.0$12.2$0.26
2022Detailed filing. Detailed filing data is available for this year.$1.05$1.27$0.22$12.2$12.1$0.06
2021Detailed filing. Detailed filing data is available for this year.$2.33$2.40$0.08$11.9$12.0$0.18
2020Detailed filing. Detailed filing data is available for this year.$2.30$2.20$0.11$10.9$11.1$0.22
2019Detailed filing. Detailed filing data is available for this year.$1.42$1.09$0.33$9.63$9.11$0.51
2018Detailed filing. Detailed filing data is available for this year.$1.71$1.90$0.19$7.59$8.66$1.07
2017Detailed filing. Detailed filing data is available for this year.$1.24$1.08$0.16$5.86$5.77$0.09
2016Detailed filing. Detailed filing data is available for this year.$0.84$0.77$0.07$3.31$3.54$0.23
2015Detailed filing. Detailed filing data is available for this year.$0.68$0.38$0.30$2.66$2.54$0.12
2014Detailed filing. Detailed filing data is available for this year.$0.25$0.06$0.18$2.65$2.48$0.18
2013Detailed filing. Detailed filing data is available for this year.$0.10$0.09$0.01$0.63$0.72$0.08
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Aug 30, 2025
Return Version
2024v5.0
Gross Receipts
$12,071,475
Mission and Program Overview

Mission

Provide access to healthcare for the underinsured and uninsured. Firstmed health & wellness center provides preventitive and primary health care services to low-income and underserved families in southern nevada.

FirstMed Health and Wellness is a nonprofit community healthcare clinic providing mental health and preventive and primary health care services to individuals and families in Southern Nevada. Founded in 2009, FirstMed Health and Wellness was the vision of a group of physicians and professionals who wanted to serve the uninsured and under-insured population.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$435,864$1,142,799▲ $706,935
Accounts Receivable$441,409$629,780▲ $188,371
Prepaid Expenses and Deferred Charges$102,742$460,745▲ $358,003
Pledges and Grants Receivable$465,180$382,678▼ $82,502
Cash and Non-Interest-Bearing Accounts$279,208$206,985▼ $72,223
Total Assets$1,724,403$2,822,987▲ $1,098,584
Liabilities
Accounts Payable and Accrued Expenses$1,424,987$1,622,385▲ $197,398
Unsecured Notes Loans Payable$249,376$1,006,595▲ $757,219
Mortgage Notes Payable Secured by Investment Property$484,426$472,178▼ $12,248
Other Liabilities$0$0→ $0
Total Liabilities$2,158,789$3,101,158▲ $942,369
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$-434,386$-278,171▲ $156,215
Total Net Assets Fund Balance$-434,386$-278,171▲ $156,215
Total Liabilities and Net Assets / Fund Balance$1,724,403$2,822,987▲ $1,098,584

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$666,350$340,245$1,006,595
Leasehold Improvements$278,102$0$278,102
Equipment$198,347$0$198,347
Buildings$0$0$0
Land$0-$0
Compensation and Service Providers
Top Officer Pay79th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Angela QuinnCEOFT$303,899$7,571$311,470
Icyclena DuCreayChief Financial OfficerFT$241,570$24,217$265,787
Sonya HarrisVice PresientFT$248,882$7,571$256,453
Lilnetra GradyChief Medical OfficerFT$232,133$15,122$247,255
Myesha WilsonChief Operating OfficerFT$229,910$7,571$237,481
Mae GuerreroMedical ProviderFT$179,868$19,130$198,998
Ida SorongonMedical ProviderFT$183,841$5,982$189,823
Avan SachsBOD Member--$800$800
Tania WilliamsBOD Member--$800$800
Trista MillerBOD Member--$800$800
Julie WilcoxBOD Member--$600$600
Tracy McDanielBOD Member--$500$500
Nicholas GhaforiaBOD Member--$200$200

Board Members and Trustees

NameTitle
Helen FoleyBOD President
Alexandra PauleyBOD Member
Donna MillerBOD Secretary
Revenue and Support

Revenue Composition

Contributions and Grants
$3,852,245
Program Service Revenue
$7,695,991
Investment Income
$0
Other Revenue
$523,239
All Other Contributions
$0
Change in Net Assets
$156,214

Audited Revenue Reconciliation

Revenue per Audited Statements
$12,071,475
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$0
Total Revenue per Audited Statements
$12,071,475
Total Revenue per Form 990
$12,071,475
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$6,891,689
Other Expenses$5,023,572
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,636,885$3,254,804-$6,891,689
Fees for Services Other$3,147,425$330,073-$3,477,498
Occupancy$483,405$440,789-$924,194
Office Expenses$319,153$162,391-$481,544
Depreciation Depletion-$63,120-$63,120
Insurance$42,965--$42,965
Interest-$34,251-$34,251
Total Functional Expenses$7,629,833$4,285,428$0$11,915,261

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$11,915,261
Total Expenses per Audited Statements$11,915,261
Total Expenses per Form 990$11,915,261
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Other Expense Adjustments$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“The Form 990 is prepared by a CPA firm specializing in non profit entities. Once the Form 990 is drafted by the CPA and reviewed and verified by the Director of Finance, the 990 is presented to finance and audit committee members and made available to all board members. All comments and questions are considered and the form 990 is then finalized and filed.”

Form 990, Part VI, Section B, Line 12C

“Conflict of interest review is performed annually. New board members are expected to complete is performed annually. New board members are expected to complete necessary forms prior to attending the first board meeting.”

Form 990, Part VI, Section B, Line 15

“Compensation of the CEO and other directors and management positions is reviewed and approved by the executive committee of the board of directors. The review includes understanding of the job descriptions, and applicable salary surveys.”

Form 990, Part VI, Section C, Line 19

“Available upon request.”

Filing and Contact Details

Filer

Filer Name
Firstmed Health and Wellness Center
EIN
27-0759056
Phone
7027311909
Address
8936 Spanish Ridge Avenue, Las Vegas, NV 89148

Signing Officer

Name
Icy DuCreay
Title
CFO
Phone
7028264389
Signed
2025-08-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
FirstMed
Formed
2009
Legal Domicile
Nv
Voting Board Members
9
Independent Board Members
9
Employees
81

Preparer

Firm
Chw Llp
Address
7797 N First Street Suite 15, Fresno, CA 93720
Preparer
Jeremy Ware
Phone
5595495400
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Professional and Purchased Fees.”

Financial Statement Notes

Schedule D, Part X, Line 2

“The Center has been recognized by the Internal Revenue Service as a non-profit corporation as described in Sec. 501(c)(3) of the Internal Revenue Code (IRC) and is exempt from federal and state income taxes on related income pursuant to Sec. 501(a) of the IRC. Typically, three tax years remain open and subject to examination by the appropriate government agencies in the United States and Nevada.”

Raw XML AppendixShowing 400 of 656 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/PersonNm12Nicholas Ghaforia
IRS990/Form990PartVIISectionAGrp/PersonNm13Helen Foley
IRS990/Form990PartVIISectionAGrp/PersonNm14Alexandra Pauley
IRS990/Form990PartVIISectionAGrp/PersonNm15Donna Miller
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt150
IRS990/Form990PartVIISectionAGrp/TitleTxt0CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1Chief Financial Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt2Vice Presient
IRS990/Form990PartVIISectionAGrp/TitleTxt3Chief Medical Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt4Chief Operating Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt5Medical Provider
IRS990/Form990PartVIISectionAGrp/TitleTxt6Medical Provider
IRS990/Form990PartVIISectionAGrp/TitleTxt7BOD Member
IRS990/Form990PartVIISectionAGrp/TitleTxt8BOD Member
IRS990/Form990PartVIISectionAGrp/TitleTxt9BOD Member
IRS990/Form990PartVIISectionAGrp/TitleTxt10BOD Member
IRS990/Form990PartVIISectionAGrp/TitleTxt11BOD Member
IRS990/Form990PartVIISectionAGrp/TitleTxt12BOD Member
IRS990/Form990PartVIISectionAGrp/TitleTxt13BOD President
IRS990/Form990PartVIISectionAGrp/TitleTxt14BOD Member
IRS990/Form990PartVIISectionAGrp/TitleTxt15BOD Secretary
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IRS990/FormationYr02009
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IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/FundraisingAmt00
IRS990/GainOrLossGrp/OtherAmt00
IRS990/GainOrLossGrp/SecuritiesAmt00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt09
IRS990/GovernmentGrantsAmt03852245
IRS990/GrantAmt00
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt012071475
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt09
IRS990/IndivRcvdGreaterThan100KCnt06
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InsuranceGrp/ProgramServicesAmt042965
IRS990/InsuranceGrp/TotalAmt042965
IRS990/InterestGrp/ManagementAndGeneralAmt034251
IRS990/InterestGrp/TotalAmt034251
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IRS990/IRPDocumentCnt089
IRS990/IRPDocumentW2GCnt00
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IRS990/LandBldgEquipBasisNetGrp/BOYAmt0435864
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IRS990/LandBldgEquipCostOrOtherBssAmt01483044
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IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
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IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
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IRS990/MissionDesc0FirstMed Health and Wellness is a nonprofit community healthcare clinic providing mental health and preventive and primary health care services to individuals and families in Southern Nevada.
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IRS990/MoreThan5000KToOrgInd00
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IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt0472178
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IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0-278171
IRS990/NoncashContributionsAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt0440789
IRS990/OccupancyGrp/ProgramServicesAmt0483405
IRS990/OccupancyGrp/TotalAmt0924194
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt0162391
IRS990/OfficeExpensesGrp/ProgramServicesAmt0319153
IRS990/OfficeExpensesGrp/TotalAmt0481544
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
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IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt03254804
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt03636885
IRS990/OtherSalariesAndWagesGrp/TotalAmt06891689
IRS990/PartialLiquidationInd00
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IRS990/PYTotalProfFndrsngExpnsAmt00
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IRS990/RegularMonitoringEnfrcInd01
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IRS990/ReportOtherLiabilitiesInd00
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IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt082
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IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt04724878
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt04735715
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt021250316
IRS990ScheduleA/TotalSupportAmt021250398
IRS990/ScheduleBRequiredInd00
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IRS990ScheduleD/BuildingsGrp/DepreciationAmt00
IRS990ScheduleD/BuildingsGrp/InvestmentCostOrOtherBasisAmt00
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt00
IRS990ScheduleD/DonatedServicesAndUseFcltsAmt00
IRS990ScheduleD/DonatedServicesUseFcltsAmt00
IRS990ScheduleD/EquipmentGrp/BookValueAmt0198347
IRS990ScheduleD/EquipmentGrp/DepreciationAmt00
IRS990ScheduleD/EquipmentGrp/InvestmentCostOrOtherBasisAmt00
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0198347
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt011915261
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/InvestmentExpensesNotIncld2Amt00
IRS990ScheduleD/InvestmentExpensesNotIncldAmt00
IRS990ScheduleD/LandGrp/BookValueAmt00
IRS990ScheduleD/LandGrp/InvestmentCostOrOtherBasisAmt00
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt00
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt0278102
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt00
IRS990ScheduleD/LeaseholdImprovementsGrp/InvestmentCostOrOtherBasisAmt00
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IRS990ScheduleD/LossesReportedAmt00
IRS990ScheduleD/NetUnrealizedGainsInvstAmt00
IRS990ScheduleD/OtherExpensesIncludedAmt00
IRS990ScheduleD/OtherExpensesNotIncludedAmt00
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt0666350
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt0340245
IRS990ScheduleD/OtherLandBuildingsGrp/InvestmentCostOrOtherBasisAmt00
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IRS990ScheduleD/OtherRevenueAmt00
IRS990ScheduleD/OtherRevenuesNotIncludedAmt00
IRS990ScheduleD/PriorYearAdjustmentsAmt00
IRS990ScheduleD/RecoveriesPriorYearGrantsAmt00
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IRS990ScheduleD/RevenueSubtotalAmt012071475
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0The Center has been recognized by the Internal Revenue Service as a non-profit corporation as described in Sec. 501(c)(3) of the Internal Revenue Code (IRC) and is exempt from federal and state income taxes on related income pursuant to Sec. 501(a) of the IRC. Typically, three tax years remain open and subject to examination by the appropriate government agencies in the United States and Nevada.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule D, Part X, Line 2
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IRS990ScheduleD/TotalExpensesPerForm990Amt011915261
IRS990ScheduleD/TotalLiabilityAmt00
IRS990ScheduleD/TotalRevenuePerForm990Amt012071475
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IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt011915261
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IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00

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