Civic Intelligence

Gary M Deshazo Do Corp

EIN 30-0342035 • 501(c)3 • Las Vegas, NV

Profile

Community medical center offers primary care, behavior health, pediatric, and family health care needs for the entire southern nevada community.

2901 N Tenaya Way- Ste 100Las Vegas, NV 89128

www.safeharbormedlv.org

Siviq Scores

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

Liabilities / Assets

49th percentile

0.06x

Higher debt load relative to assets than 49% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Liabilities / Revenue

27th percentile

0.01x

Higher debt load relative to revenue than 27% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Net Margin

54th percentile

6.6%

Higher net margin than 54% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Top Officer Pay

96th percentile

$351,968

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 16.1% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2025

Asset Growth

93rd percentile

82%

Faster asset growth than 93% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2024 to 2025

Revenue Growth

92nd percentile

117%

Faster revenue growth than 92% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets49th percentile

Assets

Down

$9,077

Down $8,298 (-48%) from 2021

Liabilities

Down

$0

Down $12,275 (-100%) from 2021

Net Assets

Up

$9,077

Up $3,977 (+78%) from 2021

Operations
Liabilities / Revenue27th percentileNet Margin54th percentile

Revenue

Up

$499,469

Up $168,151 (+51%) from 2021

Expenses

Up

$527,192

Up $171,362 (+48%) from 2021

Net Income

Down

-$27,723

Down $3,211 (-13%) from 2021

Trend Graphs

Balance Sheet Trend

Asset Growth93rd percentile

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

$20K$15K$10K$5.0K$0Assets 2021: $17,375Liabilities 2021: $12,275Net Assets 2021: $5,1002021Assets 2022: $9,077Liabilities 2022: $0Net Assets 2022: $9,0772022

Highlighted filing

2022

Assets$9,077
Liabilities$0
Net Assets$9,077
Open 2022 Filing

Operations Trend

Revenue Growth92nd percentile

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

$600K$400K$200K$0-$200KRevenue 2021: $331,318Expenses 2021: $355,830Net Income 2021: -$24,5122021Revenue 2022: $499,469Expenses 2022: $527,192Net Income 2022: -$27,7232022

Highlighted filing

2022

Revenue$499,469
Expenses$527,192
Net Income-$27,723
Open 2022 Filing

Filings

Most recent year

2022 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$9,077
Liabilities
$0
Net assets
$9,077
Revenue
$499,469
Expenses
$527,192
Net income
-$27,723
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.09$0.00$0.09$4.99$5.27$0.28
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.17$0.12$0.05$3.31$3.56$0.25
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
May 3, 2023
Return Version
2022v5.0
Gross Receipts
$499,469
Mission and Program Overview

Mission

Community medical center offers primary care, behavior health, pediatric, and family health care needs for the entire southern nevada community.

Community medical center offering primary care, behavior health, pediatric and family health care needs to the entire southern nevada community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$16,441$7,938▼ $8,503
Accounts Receivable$934$0▼ $934
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$17,375$9,077▼ $8,298
Other Assets Total$0$1,139▲ $1,139
Liabilities
Accounts Payable and Accrued Expenses$12,275$0▼ $12,275
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities-$0-
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$12,275$0▼ $12,275
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$5,100$9,077▲ $3,977
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$5,100$9,077▲ $3,977
Total Liabilities and Net Assets / Fund Balance$17,375$9,077▼ $8,298

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$1,139--
Compensation and Service Providers
Top Officer Pay96th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Onyx ReedAprnPT$91,545$91,545
Gary DeshazoMed DirectorFT$80,450$80,450
Tina AliceaCEOFT$59,962$59,962
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$499,469
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-27,723
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$338,338
Other Expenses$188,854
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$231,957--$231,957
Occupancy$81,762--$81,762
Payroll Taxes$51,138--$51,138
Other Salaries and Wages$32,927--$32,927
Fees for Services Other$26,079--$26,079
Office Expenses$21,580--$21,580
Pension Plan Contributions$17,928--$17,928
Insurance$16,752--$16,752
Information Technology$15,029--$15,029
All Other Expenses$9,758--$9,758
Fees for Services Legal$6,683--$6,683
Fees for Services Accounting$6,256--$6,256
Other Employee Benefits$4,388--$4,388
Advertising$3,501--$3,501
Travel$753--$753
Interest$701--$701
Total Functional Expenses$527,192$0$0$527,192
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
No
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 volunteer Board of Directors meets on the Third Thursday of each month at the clinic located in the conference room. The 990 tax form for 2022 will be a Voting line item on the May 18, 2023 board meeting and once approved will be submitted electronically. The Board will be able to view the complete application in the Board Agenda.”

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

“Conflict of Interest is addressed at every meeting when Agreements and Contracts are being discussed for the board's approval. If there is any opportunity for Conflict the board members are asked to recuse themselves from the voting process.”

Form 990, Part VI, Section B, Line 15

“Currently, the CEO is paid far below the national standard for community health center CEOs, however, the board has developed a growth and credentialling compensation incentive program to increase CEO salary for obtaining FQHC-LAL status and community center provider and patient growth which should allow the CEO to reach an average salary within the next 2 years.”

Form 990, Part VI, Section C, Line 19

“990 and Conflict of Interest Policy are available through HRSA and upon request at the clinic location.”

Filing and Contact Details

Filer

Filer Name
Gary M Deshazo Do Corp
EIN
30-0342035
Phone
7028708852
Address
2901 N TENAYA WAY- STE 100, LAS VEGAS, NV 89128
Doing Business As
Safe Harbor Medical

Signing Officer

Name
Tina Alicea
Title
CEO
Phone
7028708852
Signed
2023-05-03

Organization Details

Principal Officer
Tina Alicea
Formed
2006
Legal Domicile
Nv
Voting Board Members
9
Independent Board Members
9
Employees
11
Volunteers
11
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 24E

“Bank Fees $5956 License & permits $1685 Utilities $13142 Services $2027”

Form 990, Part XII, Line 1

“cash to accrual per HRSA”

Raw XML AppendixShowing 400 of 412 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.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt012275
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt00
IRS990/AccountsReceivableGrp/BOYAmt0934
IRS990/AccountsReceivableGrp/EOYAmt00
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0COMMUNITY MEDICAL CENTER OFFERING PRIMARY CARE, BEHAVIOR HEALTH, PEDIATRIC AND FAMILY HEALTH CARE NEEDS TO THE ENTIRE SOUTHERN NEVADA COMMUNITY.
IRS990/AdvertisingGrp/ProgramServicesAmt03501
IRS990/AdvertisingGrp/TotalAmt03501
IRS990/AllOtherExpensesGrp/ProgramServicesAmt09758
IRS990/AllOtherExpensesGrp/TotalAmt09758
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/BackupWthldComplianceInd00
IRS990/BenefitsToMembersGrp/ProgramServicesAmt00
IRS990/BenefitsToMembersGrp/TotalAmt00
IRS990/BooksInCareOfDetail/PersonNm0TINA ALICEA
IRS990/BooksInCareOfDetail/PhoneNum07028708852
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt02901 N TENAYA WAY- STE 100
IRS990/BooksInCareOfDetail/USAddress/CityNm0LAS VEGAS
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NV
IRS990/BooksInCareOfDetail/USAddress/ZIPCd089128
IRS990/BusinessRlnWith35CtrlEntInd00
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CashNonInterestBearingGrp/BOYAmt016441
IRS990/CashNonInterestBearingGrp/EOYAmt07938
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt0231957
IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt0231957
IRS990/CompDisqualPersonsGrp/ProgramServicesAmt00
IRS990/CompDisqualPersonsGrp/TotalAmt00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd01
IRS990/CompensationProcessOtherInd01
IRS990/ConferencesMeetingsGrp/ProgramServicesAmt00
IRS990/ConferencesMeetingsGrp/TotalAmt00
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt00
IRS990/CYOtherExpensesAmt0188854
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt0499469
IRS990/CYRevenuesLessExpensesAmt0-27723
IRS990/CYSalariesCompEmpBnftPaidAmt0338338
IRS990/CYTotalExpensesAmt0527192
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0499469
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DeferredRevenueGrp/BOYAmt00
IRS990/DeferredRevenueGrp/EOYAmt00
IRS990/DelegationOfMgmtDutiesInd00
IRS990/DepreciationDepletionGrp/ProgramServicesAmt00
IRS990/DepreciationDepletionGrp/TotalAmt00
IRS990/Desc0A PRIVATE MEDICAL PRACTICE WAS DONATED TO BECOME A NON-PROFIT COMMUNITY HEALTH CENTER MANAGED BY THE NEW CEO. THE CEO CONTINUED PROVIDING MEDICAL SERVICES TO THE COMMUNITY, MADE MANY MANAGEMENT CHANGES TO COMPLY WITH FQHC GUIDELINES, AND ABSORBED CREDIT CARD DEBT FOR COVERING CASH-FLOW SHORTAGES UNDER PREVIOUS MANAGEMENT.
IRS990/DescribedInSection501c3Ind01
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd01
IRS990/DoingBusinessAsName/BusinessNameLine1Txt0SAFE HARBOR MEDICAL
IRS990/DonatedServicesAndUseFcltsAmt00
IRS990/DonorAdvisedFundInd00
IRS990/DonorRestrictionNetAssetsGrp/BOYAmt00
IRS990/DonorRestrictionNetAssetsGrp/EOYAmt00
IRS990/DonorRstrOrQuasiEndowmentsInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt011
IRS990/EmploymentTaxReturnsFiledInd01
IRS990/EngagedInExcessBenefitTransInd00
IRS990/EscrowAccountLiabilityGrp/BOYAmt00
IRS990/EscrowAccountLiabilityGrp/EOYAmt00
IRS990/ExpenseAmt0527192
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt06256
IRS990/FeesForServicesAccountingGrp/TotalAmt06256
IRS990/FeesForServicesLegalGrp/ProgramServicesAmt06683
IRS990/FeesForServicesLegalGrp/TotalAmt06683
IRS990/FeesForServicesLobbyingGrp/ProgramServicesAmt00
IRS990/FeesForServicesLobbyingGrp/TotalAmt00
IRS990/FeesForServicesManagementGrp/ProgramServicesAmt00
IRS990/FeesForServicesManagementGrp/TotalAmt00
IRS990/FeesForServicesOtherGrp/ProgramServicesAmt026079
IRS990/FeesForServicesOtherGrp/TotalAmt026079
IRS990/FeesForSrvcInvstMgmntFeesGrp/ProgramServicesAmt00
IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt00
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignGrantsGrp/ProgramServicesAmt00
IRS990/ForeignGrantsGrp/TotalAmt00
IRS990/ForeignOfficeInd00
IRS990/Form1098CFiledInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form8899Filedind00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt10
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt025
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt135.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt240
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd0X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd0X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd1X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd2X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/PersonNm0Onyx Reed
IRS990/Form990PartVIISectionAGrp/PersonNm1GARY DESHAZO
IRS990/Form990PartVIISectionAGrp/PersonNm2TINA ALICEA
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt091545
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt180450
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt259962
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/TitleTxt0APRN
IRS990/Form990PartVIISectionAGrp/TitleTxt1MED DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2CEO
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr02006
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/GainOrLossGrp/OtherAmt00
IRS990/GainOrLossGrp/SecuritiesAmt00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt09
IRS990/GrantAmt00
IRS990/GrantsPayableGrp/BOYAmt00
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IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt00
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IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt00
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IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt0499469
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt09
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIXInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InformationTechnologyGrp/ProgramServicesAmt015029
IRS990/InformationTechnologyGrp/TotalAmt015029
IRS990/InsuranceGrp/ProgramServicesAmt016752
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IRS990/IntangibleAssetsGrp/BOYAmt00
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InterestGrp/ProgramServicesAmt0701
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IRS990/InventoriesForSaleOrUseGrp/BOYAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentExpenseAmt00
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt00
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt00
IRS990/InvestmentsProgramRelatedGrp/BOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt00
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IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
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IRS990/LoanOutstandingInd00
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IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
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IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
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IRS990/NetAssetsOrFundBalancesEOYAmt09077
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt031700
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt05100
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IRS990/NondeductibleContributionsInd00
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IRS990/OperateHospitalInd00
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IRS990/OtherRevenueTotalAmt00
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IRS990/OtherWebsiteInd0X
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IRS990/PartialLiquidationInd00
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IRS990/PayPremiumsPrsnlBnftCntrctInd00
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IRS990/PoliticalCampaignActyInd00
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IRS990/PYOtherRevenueAmt00
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IRS990/PYTotalExpensesAmt0355830
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IRS990/QuidProQuoContributionsInd00
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IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt00
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IRS990/ReconcilationRevenueExpnssAmt0-27723
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/RentalIncomeOrLossGrp/PersonalAmt00
IRS990/RentalIncomeOrLossGrp/RealAmt00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd01
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt0499469
IRS990/RoyaltiesGrp/ProgramServicesAmt00
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt00
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/First5Years170Ind0X
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt00
IRS990ScheduleA/GovtFurnSrvcFcltsVl170Grp/CurrentTaxYearAmt00
IRS990ScheduleA/GovtFurnSrvcFcltsVl170Grp/CurrentTaxYearMinus1YearAmt00
IRS990ScheduleA/GovtFurnSrvcFcltsVl170Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt00
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt00
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt00
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt0499469
IRS990ScheduleA/HospitalInd0X
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt00
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt00
IRS990ScheduleA/OtherIncome170Grp/TotalAmt00
IRS990ScheduleA/PublicSupportTotal170Amt00
IRS990ScheduleA/SubstantialContributorsTotAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/CurrentTaxYearAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/CurrentTaxYearMinus1YearAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/TotalAmt00
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt00
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt00
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt00
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt00
IRS990ScheduleA/TotalSupportAmt00
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearAmt00
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus1YearAmt00
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt00
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt01139
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0Fixed assets
IRS990ScheduleD/TotalBookValueOtherAssetsAmt01139
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The volunteer Board of Directors meets on the Third Thursday of each month at the clinic located in the conference room. The 990 tax form for 2022 will be a Voting line item on the May 18, 2023 board meeting and once approved will be submitted electronically. The Board will be able to view the complete application in the Board Agenda.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Conflict of Interest is addressed at every meeting when Agreements and Contracts are being discussed for the board's approval. If there is any opportunity for Conflict the board members are asked to recuse themselves from the voting process.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Currently, the CEO is paid far below the national standard for community health center CEOs, however, the board has developed a growth and credentialling compensation incentive program to increase CEO salary for obtaining FQHC-LAL status and community center provider and patient growth which should allow the CEO to reach an average salary within the next 2 years.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3990 and Conflict of Interest Policy are available through HRSA and upon request at the clinic location.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Bank Fees $5956 License & permits $1685 Utilities $13142 Services $2027
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5cash to accrual per HRSA
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section B, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section B, Line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section B, Line 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section C, Line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part XII, Line 1
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IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0NV
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondLiabilitiesGrp/BOYAmt00
IRS990/TaxExemptBondLiabilitiesGrp/EOYAmt00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt017375
IRS990/TotalAssetsEOYAmt09077
IRS990/TotalAssetsGrp/BOYAmt017375
IRS990/TotalAssetsGrp/EOYAmt09077
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt00
IRS990/TotalEmployeeCnt011
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0527192
IRS990/TotalFunctionalExpensesGrp/TotalAmt0527192
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt012275
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt012275
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt05100
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt09077
IRS990/TotalOtherCompensationAmt00
IRS990/TotalOtherProgSrvcExpenseAmt00
IRS990/TotalOtherProgSrvcGrantAmt00
IRS990/TotalOtherProgSrvcRevenueAmt00
IRS990/TotalOthProgramServiceRevGrp/ExclusionAmt0499469
IRS990/TotalOthProgramServiceRevGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalOthProgramServiceRevGrp/TotalRevenueColumnAmt0499469
IRS990/TotalOthProgramServiceRevGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalProgramServiceExpensesAmt0527192
IRS990/TotalProgramServiceRevenueAmt0499469
IRS990/TotalReportableCompFromOrgAmt0231957
IRS990/TotalRevenueGrp/ExclusionAmt0499469
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0499469
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt011
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt017375
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt09077
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ProgramServicesAmt0753
IRS990/TravelGrp/TotalAmt0753
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnsecuredNotesLoansPayableGrp/BOYAmt00
IRS990/UnsecuredNotesLoansPayableGrp/EOYAmt00
IRS990/USAddress/AddressLine1Txt02901 N TENAYA WAY - STE 100
IRS990/USAddress/CityNm0LAS VEGAS
IRS990/USAddress/StateAbbreviationCd0NV
IRS990/USAddress/ZIPCd089128
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt09
IRS990/WebsiteAddressTxt0WWW.SAFEHARBORMEDLV.ORG
IRS990/WhistleblowerPolicyInd00
ReasonableCauseExplanation/ExplanationTxt0Once the 990 is completed the Board must convene and approve the submission. A quorum was required for the vote which delayed the volunteer board meeting.
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL2
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/LastSubmissionRqrOOBCd00
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/OOBSecurityVerificationCd011
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd01
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/PersonNm0Tina Alicea
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum07028708852
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-05-03
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0GARY M DESHAZO DO CORP
ReturnHeader/Filer/BusinessNameControlTxt0GARY

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