Civic Intelligence

Atascosa Health Centers

EIN 74-2089103 • 501(c)3 • Pleasanton, TX

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Profile

Health care services are provided to low to moderate income families who are residents of South Texas. Services are are provided at a low cost are based on abiilty to pay base. Approximately 16,850 patients were served in the fiscal year.

310 West OaklawnPleasanton, TX 78064

atascosahealthcenter.com

Siviq Scores

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

Liabilities / Assets

73rd percentile

0.45x

Higher debt load relative to assets than 73% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Liabilities / Revenue

67th percentile

0.46x

Higher debt load relative to revenue than 67% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Net Margin

26th percentile

-3.8%

Higher net margin than 26% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Top Officer Pay

84th percentile

$365,405

Higher top officer pay than 84% of similar nonprofits.

Top officer pay equals 2.5% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2025

Asset Growth

24th percentile

-2.8%

Faster asset growth than 24% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2024 to 2025

Revenue Growth

14th percentile

-18%

Faster revenue growth than 14% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets73rd percentile

Assets

Down

$14,548,035

Down $417,931 (-2.8%) from 2024

Liabilities

Up

$6,561,594

Up $129,329 (+2.0%) from 2024

Net Assets

Down

$7,986,441

Down $547,260 (-6.4%) from 2024

Operations
Liabilities / Revenue67th percentileNet Margin26th percentile

Revenue

Down

$14,330,063

Down $3,048,905 (-18%) from 2024

Expenses

Down

$14,877,269

Down $1,623,479 (-9.8%) from 2024

Net Income

Down

-$547,206

Down $1,425,426 (-162%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth24th percentile

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

$15M$10M$5.0M$0Assets 2012: $3,655,113Liabilities 2012: $428,210Net Assets 2012: $3,226,9032012Assets 2013: $3,762,420Liabilities 2013: $529,978Net Assets 2013: $3,232,4422013Assets 2014: $3,730,967Liabilities 2014: $672,795Net Assets 2014: $3,058,1722014Assets 2015: $6,566,274Liabilities 2015: $1,027,852Net Assets 2015: $5,538,4222015Assets 2016: $7,759,651Liabilities 2016: $1,010,392Net Assets 2016: $6,749,2592016Assets 2017: $8,381,190Liabilities 2017: $1,393,581Net Assets 2017: $6,987,6092017Assets 2018: $9,779,777Liabilities 2018: $2,502,227Net Assets 2018: $7,277,5502018Assets 2019: $9,516,743Liabilities 2019: $2,440,532Net Assets 2019: $7,076,2112019Assets 2020: $10,148,728Liabilities 2020: $2,789,878Net Assets 2020: $7,358,8502020Assets 2021: $12,062,752Liabilities 2021: $4,425,087Net Assets 2021: $7,637,6652021Assets 2022: $12,788,875Liabilities 2022: $5,186,126Net Assets 2022: $7,602,7492022Assets 2023: $14,076,925Liabilities 2023: $6,421,444Net Assets 2023: $7,655,4812023Assets 2024: $14,965,966Liabilities 2024: $6,432,265Net Assets 2024: $8,533,7012024Assets 2025: $14,548,035Liabilities 2025: $6,561,594Net Assets 2025: $7,986,4412025

Highlighted filing

2025

Assets$14,548,035
Liabilities$6,561,594
Net Assets$7,986,441
Open 2025 Filing

Operations Trend

Revenue Growth14th percentile

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

$20M$15M$10M$5.0M$0-$5.0MRevenue 2012: $6,617,058Expenses 2012: $6,369,100Net Income 2012: $247,9582012Expenses 2013: $6,606,1032013Revenue 2014: $8,266,156Expenses 2014: $7,832,574Net Income 2014: $433,5822014Revenue 2015: $10,478,760Expenses 2015: $7,998,510Net Income 2015: $2,480,2502015Revenue 2016: $9,059,289Expenses 2016: $7,848,452Net Income 2016: $1,210,8372016Revenue 2017: $9,440,765Expenses 2017: $9,194,024Net Income 2017: $246,7412017Revenue 2018: $10,469,015Expenses 2018: $10,204,706Net Income 2018: $264,3092018Revenue 2019: $11,650,893Expenses 2019: $11,602,232Net Income 2019: $48,6612019Revenue 2020: $12,148,273Expenses 2020: $11,865,634Net Income 2020: $282,6392020Revenue 2021: $12,543,605Expenses 2021: $12,264,790Net Income 2021: $278,8152021Revenue 2022: $13,403,553Expenses 2022: $13,387,442Net Income 2022: $16,1112022Revenue 2023: $15,276,832Expenses 2023: $15,224,100Net Income 2023: $52,7322023Revenue 2024: $17,378,968Expenses 2024: $16,500,748Net Income 2024: $878,2202024Revenue 2025: $14,330,063Expenses 2025: $14,877,269Net Income 2025: -$547,2062025

Highlighted filing

2025

Revenue$14,330,063
Expenses$14,877,269
Net Income-$547,206
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$14,548,035
Liabilities
$6,561,594
Net assets
$7,986,441
Revenue
$14,330,063
Expenses
$14,877,269
Net income
-$547,206
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.5$6.56$7.99$14.3$14.9$0.55
2024Summary only. Only limited summary data is available for this year.$15.0$6.43$8.53$17.4$16.5$0.88
2023Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.1$6.42$7.66$15.3$15.2$0.05
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.8$5.19$7.60$13.4$13.4$0.02
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.1$4.43$7.64$12.5$12.3$0.28
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$10.1$2.79$7.36$12.1$11.9$0.28
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.52$2.44$7.08$11.7$11.6$0.05
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$9.78$2.50$7.28$10.5$10.2$0.26
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.38$1.39$6.99$9.44$9.19$0.25
2016Summary only. Only limited summary data is available for this year.$7.76$1.01$6.75$9.06$7.85$1.21
2015Detailed filing. Detailed filing data is available for this year.$6.57$1.03$5.54$10.5$8.00$2.48
2014Detailed filing. Detailed filing data is available for this year.$3.73$0.67$3.06$8.27$7.83$0.43
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.76$0.53$3.23$6.61
2012Summary only. Only limited summary data is available for this year.$3.66$0.43$3.23$6.62$6.37$0.25
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Feb 1, 2024 to Jan 31, 2025
Signed
Aug 20, 2025
Return Version
2024v5.2
Gross Receipts
$14,330,063
Mission and Program Overview

Mission

Health care services are provided to low to moderate income families who are residents of South Texas. Services are are provided at a low cost are based on abiilty to pay base. Approximately 17,003 patients were served in the fiscal year.

Health care services are provided to low to moderate income families who are residents of South Texas. Services are provided at a low cost are based on ability to pay.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$11,653,800$11,851,270▲ $197,470
Cash and Non-Interest-Bearing Accounts$1,325,565$1,480,614▲ $155,049
Accounts Receivable$1,648,793$1,009,931▼ $638,862
Prepaid Expenses and Deferred Charges$173,270$113,448▼ $59,822
Inventories for Sale or Use$88,388$55,407▼ $32,981
Pledges and Grants Receivable$76,150$37,365▼ $38,785
Total Assets$14,965,966$14,548,035▼ $417,931
Liabilities
Other Liabilities$5,188,416$5,190,954▲ $2,538
Accounts Payable and Accrued Expenses$1,243,849$900,640▼ $343,209
Deferred Revenue-$470,000-
Total Liabilities$6,432,265$6,561,594▲ $129,329
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$8,533,701$7,986,441▼ $547,260
Total Net Assets Fund Balance$8,533,701$7,986,441▼ $547,260
Total Liabilities and Net Assets / Fund Balance$14,965,966$14,548,035▼ $417,931

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$10,645,640$3,175,434$13,821,074
Equipment$701,411$1,618,330$2,319,741
Leasehold Improvements-$636,830$636,830
Other Land Buildings$108,645$391,700$500,345
Land$395,574-$395,574
Compensation and Service Providers
Top Officer Pay84th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Maria GarciaVP/CFOFT$365,405$365,405
Dr Rayford MitchellChief Medical Officer/PhysicianFT$347,423$347,423
Monty SmallPresident/CEOFT$269,231$269,231
Kicha Caldeira-IrishChief Dental Director/DentistPT$235,904$235,904
Dr FNU Mona RajlakshmiPhysician/Internal MedicineFT$200,361$200,361
Lupe MartinezVP/HR OfficerFT$137,154$137,154
Sheri SillVP/COOFT$129,038$129,038

Board Members and Trustees

NameTitle
Mrs Lillian CashmerBoard Chair
James TealBoard Vice Chair
Mr Carlos MunozBoard Member
Mr Clinton McDougalBoard Member
Mr Dwayne VillanuevaBoard Member
Mr Henry SalasBoard Member
Mrs Bessie GuerreroBoard Member
Mrs Gloria SosaBoard Member
Mrs Lillian LyssyBoard Member
Mrs Maria D CruzBoard Member
Mrs Rosario Contero-OropezaBoard Member
Mrs Tammy FavorBoard Member
Mrs Virginia HerringBoard Member
Ms Kara LunaBoard Secretary/Treasurer
Meredyth RichterFamily Nurse Practitioner
Dr Martha MorenoPhysician/Pediatrician

Highest Paid Contractors

ContractorServicesLocationCompensation
KW Construction IncGeneral ContractorPO Box 1944, Seguin, TX 78156$833,757
BlueCross Blue Shield of TexasHealth InsurancePO Box 650615, Dallas, TX 75265-0615$793,429
Cardinal Health PharmaceuticalPharmaceuticalsPO Box 847384, Dallas, TX 75284-7384$681,429
Nonstop Admin & Ins Srvc IncThird Party Health Insurance Administrator1800 Sutter Street St 730, Concord, CA 94520$357,487
NobilityThird Party Billing CompanyPO Box 208052, Dallas, TX 75320-8052$323,099
Revenue and Support

Revenue Composition

Contributions and Grants
$6,472,085
Program Service Revenue
$7,706,612
Investment Income
$49,934
Other Revenue
$101,432
All Other Contributions
$779,977
Change in Net Assets
$-547,206

Audited Revenue Reconciliation

Revenue per Audited Statements
$14,330,063
Total Revenue per Audited Statements
$14,330,063
Total Revenue per Form 990
$14,330,063
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$10,462,752
Other Expenses$4,414,517
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,946,045$3,123,313-$9,069,358
Office Expenses$1,264,211$204,505-$1,468,716
Other Employee Benefits$621,591$771,803-$1,393,394
Depreciation Depletion$74,603$489,840-$564,443
Occupancy$301,842$39,764-$341,606
Other Expenses$176,764$1,106,593-$176,764
Interest-$144,485-$144,485
All Other Expenses$9,886$112,719-$122,605
Insurance$8,507$110,024-$118,531
Conferences and Meetings$45,546$28,854-$74,400
Fees for Services Other-$41,800-$41,800
Travel$9,258$30,815-$40,073
Advertising$22,400$8,607-$31,007
Fees for Services Accounting-$13,752-$13,752
Fees for Services Legal-$9,407-$9,407
Total Functional Expenses$8,640,988$6,236,281$0$14,877,269

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$14,877,269
Total Expenses per Audited Statements$14,877,269
Total Expenses per Form 990$14,877,269
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal income taxes$5,190,954
Loan Payable-
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 CFO reviews and agrees Form 990 to AHC original records prior to signing form. The CEO performs a second review prior to form submission.”

Form 990, Part VI, Section C, Line 19

“The organization conflict of interest policy and financial statement documents are available upon request.”

Form 990, Part VI, Section B, Line 15A 15B

“The Board of Directors hire and fire the CEO along with determining his/her compensation based upon the information retrieved from MGMA Management Compensation Survey and the NACHC Center Salary Benefit reports. Both publications provide benchmarks according to the size of the organization, annual operating budget, number of providers, geographic location and work related experience. This also applies to how the CEO determines the compensation for his/her top management.”

Filing and Contact Details

Filer

Filer Name
Atascosa Health Center Inc
EIN
74-2089103
Phone
8305698940
Address
310 West Oaklawn, Pleasanton, TX 78064

Signing Officer

Name
Monty Small
Title
Chief Executive Officer
Phone
8305698940
Signed
2025-08-20
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Monty Small
Formed
1979
Legal Domicile
TX
Voting Board Members
14
Independent Board Members
14
Employees
187

Preparer

Firm
Leal & Carter PC
Address
16011 University Oak, San Antonio, TX 78249
Preparer
Robert Carter
Phone
2106966206
Raw XML AppendixShowing 400 of 588 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
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IRS990/AdvertisingGrp/ManagementAndGeneralAmt08607
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IRS990/BooksInCareOfDetail/PhoneNum08305698940
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0310 West Oaklawn
IRS990/BooksInCareOfDetail/USAddress/CityNm0Pleasanton
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0TX
IRS990/BooksInCareOfDetail/USAddress/ZIPCd078064
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt1PO Box 1944
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt31800 Sutter Street St 730
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IRS990/Form990PartVIISectionAGrp/PersonNm0Dr Rayford Mitchell
IRS990/Form990PartVIISectionAGrp/PersonNm1Dr FNU Mona Rajlakshmi
IRS990/Form990PartVIISectionAGrp/PersonNm2Monty Small
IRS990/Form990PartVIISectionAGrp/PersonNm3Dr Martha Moreno
IRS990/Form990PartVIISectionAGrp/PersonNm4Meredyth Richter
IRS990/Form990PartVIISectionAGrp/PersonNm5Maria Garcia
IRS990/Form990PartVIISectionAGrp/PersonNm6Kicha Caldeira-Irish
IRS990/Form990PartVIISectionAGrp/PersonNm7Lupe Martinez
IRS990/Form990PartVIISectionAGrp/PersonNm8Sheri Sill
IRS990/Form990PartVIISectionAGrp/PersonNm9Mrs Tammy Favor
IRS990/Form990PartVIISectionAGrp/PersonNm10Mrs Gloria Sosa
IRS990/Form990PartVIISectionAGrp/PersonNm11Mrs Lillian Cashmer
IRS990/Form990PartVIISectionAGrp/PersonNm12Mr Carlos Munoz
IRS990/Form990PartVIISectionAGrp/PersonNm13James Teal
IRS990/Form990PartVIISectionAGrp/PersonNm14Mrs Bessie Guerrero
IRS990/Form990PartVIISectionAGrp/PersonNm15Ms Kara Luna
IRS990/Form990PartVIISectionAGrp/PersonNm16Mrs Lillian Lyssy
IRS990/Form990PartVIISectionAGrp/PersonNm17Mr Dwayne Villanueva
IRS990/Form990PartVIISectionAGrp/PersonNm18Mrs Virginia Herring
IRS990/Form990PartVIISectionAGrp/PersonNm19Mrs Maria D Cruz
IRS990/Form990PartVIISectionAGrp/PersonNm20Mr Henry Salas
IRS990/Form990PartVIISectionAGrp/PersonNm21Mrs Rosario Contero-Oropeza
IRS990/Form990PartVIISectionAGrp/PersonNm22Mr Clinton McDougal
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IRS990/Form990PartVIISectionAGrp/TitleTxt2President/CEO
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IRS990/Form990PartVIISectionAGrp/TitleTxt4Family Nurse Practitioner
IRS990/Form990PartVIISectionAGrp/TitleTxt5VP/CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt6Chief Dental Director/Dentist
IRS990/Form990PartVIISectionAGrp/TitleTxt7VP/HR Officer
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