WELLSPOT COMMUNITY HEALTH WUXIA INTEGRATIVE MEDICINE HEALTH: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- WELLSPOT COMMUNITY HEALTH WUXIA INTEGRATIVE MEDICINE HEALTH (EIN 83-0677142)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2024-03-12
- IRS object ID
- 202420729349200967
- Schema version
- 2021v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-03-12T10:14:50-07:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 954777396 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | James P Gibbs CPA & Associates | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 30 N Raymond Ave Ste 412 | AddressLine1Txt |
| City | Pasadena | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 830677142 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wuxia Integrative Medicine Health | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WUXI | BusinessNameControlTxt |
| Phone | 6266393887 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2595 E Washington BLVD STE 108 | AddressLine1Txt |
| City | Pasadena | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91107 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jeannie Wong | PersonNm |
| Person Title | President | PersonTitleTxt |
| Signature | 2024-03-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Jeannie | PersonFirstNm |
| Person Last | Wong | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | James P Gibbs | PreparerPersonNm |
| PTIN | P00537436 | PTIN |
| Phone | 6267959821 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Gross Receipts | $87,976 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $5,841 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $82,135 | ProgramServiceRevenueAmt |
| Cost Or Other Basis Expense Sale | $0 | CostOrOtherBasisExpenseSaleAmt |
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $0 | SpecialEventsDirectExpensesAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
| Total Revenue | $87,976 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $17,257 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $652 | FeesAndOtherPymtToIndCntrctAmt |
| Other Expenses Total | $43,155 | OtherExpensesTotalAmt |
| Total Expenses | $61,064 | TotalExpensesAmt |
| Excess Or Deficit For Year | $26,912 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | -$71,189 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$44,277 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,597 | BOYAmt |
| EOY | $16,858 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,604 | BOYAmt |
| EOY | $32,416 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,201 | BOYAmt |
| EOY | $49,274 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,390 | BOYAmt |
| EOY | $93,551 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$71,189 | BOYAmt |
| EOY | -$44,277 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | Wuxia Integrative Medicine offers equal access to acupuncture, botanical medicine, massage therapy, nutrition therapy to people in need and are engaged in their own wellbeing. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | Wuxia Integrative Medicine Health provided health care access to people in need in the community | DescriptionProgramSrvcAccomTxt |
| Program Service Expenses | $61,064 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $61,064 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jeannie Wong | PersonNm |
| Title | President | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 0 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $0 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jeannie Wong | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2595 E Washington BLVD STE 108 | AddressLine1Txt |
| City | Pasadena | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 911071409 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6266393887 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $3,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,841 | CurrentTaxYearAmt |
| Total | $8,841 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $5,582 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $45,320 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $56,631 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $82,135 | CurrentTaxYearAmt |
| Total | $189,668 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $5,582 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $45,320 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $59,631 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $87,976 | CurrentTaxYearAmt |
| Total | $198,509 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $198,509 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $5,582 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $45,320 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $59,631 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $87,976 | CurrentTaxYearAmt |
| Total | $198,509 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
| Public Support CY509 | 0.00000 | PublicSupportCY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (25 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Other Expenses.1008 | Interest $1884 |
| Other Expenses.1012 | Insurance $282 |
| Other Expenses.1 | Rent Expense $30751 |
| Other Expenses.2 | Office Supplies $2946 |
| Other Expenses.3 | Utilities $2407 |
| Other Expenses.4 | Telephone $2166 |
| Other Expenses.5 | Miscellaneous $1066 |
| Other Expenses.6 | Janitorial Expense $571 |
| Other Expenses.7 | Bank Service Charges $353 |
| Other Expenses.8 | Medical Records and Supplies $239 |
| Other Expenses.9 | Computer expenses $140 |
| Other Expenses.10 | Automobile Expense $138 |
| Other Expenses.11 | Dues and Subscirptions $123 |
| Other Expenses.12 | Medical Expenses $66 |
| Other Expenses.13 | Uniforms $20 |
| Other Expenses.14 | Meals and Entertainment $3 |
| Other Assets.1010 | Inventories - Beginning $161 Inventories - Ending $161 |
| Other Assets.1 | Security Deposit - Beginning $0 Security Deposit - Ending $2488 |
| Other Assets.2 | Employee Loan - Beginning $29942 Employee Loan - Ending $0 |
| Other Assets.3 | Payroll clearing - Beginning $4501 Payroll clearing - Ending $5218 |
| Other Assets.4 | FCI Loan - Beginning $0 FCI Loan - Ending $24549 |
| Total Liabilities.1001 | Accounts Payable and Accrued Expenses - Beginning $3415 Accounts Payable and Accrued Expenses - Ending $15503 |
| Total Liabilities.1006 | Payable to Officers, Directors, Etc. - Beginning $0 Payable to Officers, Directors, Etc. - Ending $63046 |
| Total Liabilities.1007 | Secured Mortgages and Notes Payable - Beginning $121975 Secured Mortgages and Notes Payable - Ending $15000 |
| Total Liabilities.1 | Rounding - Beginning $0 Rounding - Ending $2 |