APICHA COMMUNITY HEALTH CENTER: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- APICHA COMMUNITY HEALTH CENTER (EIN 13-3706365)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-04-03
- IRS object ID
- 202410949349301426
- Schema version
- 2022v5.0
- 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 | 2024-04-03T02:36:04-00:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 270414084 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JACKSON FRIDAY CPA LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 381 SUNRISE HWY STE 204 | AddressLine1Txt |
| City | LYNBROOK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11563 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133706365 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | APICHA COMMUNITY HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | APIC | BusinessNameControlTxt |
| Phone | 2123347940 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 BROADWAY | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10013 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERESITA RODRIGUEZ | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 2123347940 | PhoneNum |
| Signature | 2024-04-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TERESITA | PersonFirstNm |
| Person Last | RODRIGUEZ | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | FRIDAY OVIAWE CPA | PreparerPersonNm |
| PTIN | P00081294 | PTIN |
| Phone | 2125130103 | PhoneNum |
| Preparation | 2024-04-03 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TERESITA RODRIGUEZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 BROADWAY 2ND FLOOR | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10013 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,562,006 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.apicha.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH OF OUR COMMUNITY AND TO INCREASE ACCESS TO COMPREHENSIVE PRIMARY CARE, PREVENTIVE HEALTH SERVICES, MENTAL HEALTH AND SUPPORTIVE SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 174 | TotalEmployeeCnt |
| Total Volunteers | 55 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $8,673,532 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,267,105 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,891,047 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,915,798 | CYProgramServiceRevenueAmt |
| CY Investment Income | $232,026 | CYInvestmentIncomeAmt |
| PY Other Revenue | $22,081 | PYOtherRevenueAmt |
| CY Other Revenue | $147,077 | CYOtherRevenueAmt |
| PY Total Revenue | $18,586,660 | PYTotalRevenueAmt |
| CY Total Revenue | $19,562,006 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,963,119 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,781,459 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $581,792 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,270,729 | PYOtherExpensesAmt |
| CY Other Expenses | $8,959,740 | CYOtherExpensesAmt |
| PY Total Expenses | $17,233,848 | PYTotalExpensesAmt |
| CY Total Expenses | $17,741,199 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,352,812 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,820,807 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $26,568,538 | TotalAssetsBOYAmt |
| Total Assets EOY | $42,684,772 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,118,990 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $18,414,417 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $22,449,548 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $24,270,355 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE THE HEALTH OF OUR COMMUNITY AND TO INCREASE ACCESS TO COMPREHENSIVE PRIMARY CARE, PREVENTIVE HEALTH SERVICES, MENTAL HEALTH AND SUPPORTIVE SERVICES | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $13,792,527 | ExpenseAmt |
| Desc | Clinical/Medical Services Apicha Community Health Center CHC is a Patient-Centered Medical Home as recognized by the National Committee on Quality Assurance. A designated Federally Qualified Health Center, Apicha CHC provided comprehensive primary medical care, specialty HIV primary care, mental health services, specialty transgender health care, PrEP and PEP Services, and Family Planning, among other health care services. Common services included chronic disease management, including screening and treatment of HIV, diabetes, asthma, cholesterol abnormalities, cancer, tuberculosis, and Hepatitis initiation and maintenance of cross-gender hormone therapy and access to PrEP/PEP. Support Services included short-term mental health multilingual care management services for individuals with chronic diseases, including HIV/AIDS, diabetes, substance abuse, and psychiatric illnesses including Health Home Care Management Services care management for patients on PrEP/PEP and care management for transgender patients and care management for patients with Hepatitis B and C. | Desc |
| Total Program Service Expenses | $13,792,527 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 21 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 174 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | APICHA COMMUNITY HEALTH CENTER | PersonNm |
| Phone | 2123347940 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 BROADWAY | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10013 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| TERESITA RODRIGUEZ | |||||||
| CEO EX-OFFICIO | 040.00 | Yes (X) | Yes (X) | Yes (X) | $347,457 | $0 | $15,473 |
| PAUL CHAMBLISS | |||||||
| PHYSICIAN | 040.00 | Yes (X) | $203,928 | $0 | $33,286 | ||
| RAYMUND SISON | |||||||
| DIRECTOR OF INFECTIOUS DISEASES | 040.00 | Yes (X) | $226,140 | $0 | $0 | ||
| SUSANNE N RENDEIRO-DOBLE | |||||||
| NP | 040.00 | Yes (X) | $168,696 | $0 | $47,266 | ||
| YUMIKO SANO | |||||||
| CHIEF OF PROGRAM DATA OPERATIONS OFFICER | 040.00 | Yes (X) | $164,825 | $0 | $15,478 | ||
| PAJARON GERTRUDES | |||||||
| CHIEF DEVELOPMENT OFFICER | 040.00 | Yes (X) | $162,058 | $0 | $15,527 | ||
| CHARLES KING | |||||||
| DIRECTOR | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| FLORA FERNG | |||||||
| SECRETARY | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| ANDREW ROGERS | |||||||
| TREASURER | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES YOUNG | |||||||
| DIRECTOR | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| LI HUNG LIN | |||||||
| VICE CHAIR | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| ANTHONY FELICIANO | |||||||
| DIRECTOR | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| LYDIA ISAAC | |||||||
| DIRECTOR | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| HON MARIO LOPEZ DE LEON JR | |||||||
| DIRECTOR | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| LOUIS MADIGAN | |||||||
| CHAIRMAN | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| NATHALY RUBIO-TORIO | |||||||
| DIRECTOR | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| YORK YU | |||||||
| DIRECTOR | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES LUISI | |||||||
| DIRECTOR | 002.00 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,273,104 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $127,030 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NATIONAL HEALTHCARE CONSULTING INC | |||||
| 7 ONTARIO AVENUE | PLAINVIEW | NY | 11803 | OPERATION OF FISCAL DEPT | $651,000 |
| WINSTON SUPPORT SERVICES LLC | |||||
| 122 EAST 42ND STREET SUITE 320 | NEW YORK | NY | 10168 | TEMPORARY STAFFING SERVICES | $268,729 |
| GARFUNKEL WILD P C | |||||
| 111 GREAT NECK ROAD | GREAT NECK | NY | 11021 | LEGAL SERVICES | $167,346 |
| KAUFF McGUIRE & MARGOLIS LLP | |||||
| 950 THIRD AVENUE 14TH FLOOR | NEW YORK | NY | 10022 | LEGAL SERVICES | $212,520 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $11,239,313 | GovernmentGrantsAmt |
| All Other Contributions | $27,792 | AllOtherContributionsAmt |
| Total Contributions | $11,267,105 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES REVENUE | 621400 | $3,966,816 | $3,966,816 |
| HEALTH HOME SERVICES REVENUE | 621400 | $165,907 | $165,907 |
| PHARMACY REVENUE | 621400 | $3,783,075 | $3,783,075 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,915,798 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $232,026 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $232,026 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $147,077 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $147,077 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $147,077 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,562,006 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,294,901 | RelatedOrExemptFuncIncomeAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $363,588 | TotalAmt |
| Program Services | $9,950 | ProgramServicesAmt |
| Management And General | $353,638 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,880,738 | TotalAmt |
| Program Services | $6,316,838 | ProgramServicesAmt |
| Management And General | $299,582 | ManagementAndGeneralAmt |
| Fundraising | $264,318 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $982,943 | TotalAmt |
| Program Services | $858,680 | ProgramServicesAmt |
| Management And General | $88,389 | ManagementAndGeneralAmt |
| Fundraising | $35,874 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $554,190 | TotalAmt |
| Program Services | $483,999 | ProgramServicesAmt |
| Management And General | $49,971 | ManagementAndGeneralAmt |
| Fundraising | $20,220 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $317,067 | TotalAmt |
| Management And General | $317,067 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $708,000 | TotalAmt |
| Program Services | $167,514 | ProgramServicesAmt |
| Management And General | $540,486 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $976,330 | TotalAmt |
| Program Services | $393,496 | ProgramServicesAmt |
| Management And General | $440,101 | ManagementAndGeneralAmt |
| Fundraising | $142,733 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449,767 | TotalAmt |
| Program Services | $296,322 | ProgramServicesAmt |
| Management And General | $91,718 | ManagementAndGeneralAmt |
| Fundraising | $61,727 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $785,470 | TotalAmt |
| Program Services | $695,780 | ProgramServicesAmt |
| Management And General | $86,621 | ManagementAndGeneralAmt |
| Fundraising | $3,069 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $308,241 | TotalAmt |
| Program Services | $150,739 | ProgramServicesAmt |
| Management And General | $150,934 | ManagementAndGeneralAmt |
| Fundraising | $6,568 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,278,829 | TotalAmt |
| Program Services | $1,964,192 | ProgramServicesAmt |
| Management And General | $289,984 | ManagementAndGeneralAmt |
| Fundraising | $24,653 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,132 | TotalAmt |
| Program Services | $14,421 | ProgramServicesAmt |
| Management And General | $7,550 | ManagementAndGeneralAmt |
| Fundraising | $161 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,479 | TotalAmt |
| Program Services | $18,773 | ProgramServicesAmt |
| Management And General | $18,372 | ManagementAndGeneralAmt |
| Fundraising | $2,334 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,105 | TotalAmt |
| Program Services | $20,105 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,118,619 | TotalAmt |
| Program Services | $1,023,561 | ProgramServicesAmt |
| Management And General | $88,268 | ManagementAndGeneralAmt |
| Fundraising | $6,790 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,424 | TotalAmt |
| Program Services | $12,490 | ProgramServicesAmt |
| Management And General | $145,934 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Cleaning, Maintenance Service | $323,603 | $68,932 | $248,199 | $6,472 |
| Food Pantry Bag/Voucher | $47,414 | $47,414 | ||
| Membership, Health Home Others | $87,571 | $55,629 | $31,692 | $250 |
| Sub-Contract Expenses | $360,768 | $360,768 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $957,921 | TotalAmt |
| Program Services | $832,924 | ProgramServicesAmt |
| Management And General | $118,374 | ManagementAndGeneralAmt |
| Fundraising | $6,623 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,741,199 | TotalAmt |
| Program Services | $13,792,527 | ProgramServicesAmt |
| Management And General | $3,366,880 | ManagementAndGeneralAmt |
| Fundraising | $581,792 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,998,862 | BOYAmt |
| EOY | $7,519,491 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $7,965,273 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,769,551 | BOYAmt |
| EOY | $5,649,658 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $285,427 | BOYAmt |
| EOY | $390,306 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,406 | BOYAmt |
| EOY | $164,706 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $15,227,182 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,890,151 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,816,976 | BOYAmt |
| EOY | $8,337,031 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $535,316 | BOYAmt |
| EOY | $12,658,307 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,568,538 | BOYAmt |
| EOY | $42,684,772 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,401,929 | BOYAmt |
| EOY | $2,177,391 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,628,683 | BOYAmt |
| EOY | $959,004 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,378 | BOYAmt |
| EOY | $2,569,525 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $12,708,497 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,118,990 | BOYAmt |
| EOY | $18,414,417 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,449,548 | BOYAmt |
| EOY | $24,270,355 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,449,548 | BOYAmt |
| EOY | $24,270,355 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,568,538 | BOYAmt |
| EOY | $42,684,772 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,820,807 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,762,813 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,136,039 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,497,608 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,673,532 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,267,105 | CurrentTaxYearAmt |
| Total | $42,337,097 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,762,813 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,136,039 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,497,608 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,673,532 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,267,105 | CurrentTaxYearAmt |
| Total | $42,337,097 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $42,337,097 | PublicSupportTotal170Amt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,952,728 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,460,258 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,349,550 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,089,052 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,294,901 | CurrentTaxYearAmt |
| Total | $53,146,489 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $95,483,586 | TotalSupportAmt |
| Public Support CY170 | 0.44340 | PublicSupportCY170Pct |
| Public Support PY170 | 0.41950 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $40,525 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $40,525 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $13,752,002 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $13,792,527 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $839,626 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $209,907 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $789,509 | CurrentYearMinus3Amt |
| Current Year Minus2 | $773,619 | CurrentYearMinus2Amt |
| Current Year Minus1 | $833,497 | CurrentYearMinus1Amt |
| Current Year | $839,626 | CurrentYearAmt |
| Total | $3,236,251 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $4,854,377 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $121,750 | CurrentYearMinus3Amt |
| Current Year Minus2 | $127,156 | CurrentYearMinus2Amt |
| Current Year Minus1 | $43,675 | CurrentYearMinus1Amt |
| Current Year | $40,525 | CurrentYearAmt |
| Total | $333,106 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $197,377 | CurrentYearMinus3Amt |
| Current Year Minus2 | $193,405 | CurrentYearMinus2Amt |
| Current Year Minus1 | $208,374 | CurrentYearMinus1Amt |
| Current Year | $209,907 | CurrentYearAmt |
| Total | $809,063 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,213,595 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,313,012 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,157,601 | DepreciationAmt |
| Book Value | $7,155,411 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,156,986 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,264,500 | DepreciationAmt |
| Book Value | $892,486 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $757,184 | OtherCostOrOtherBasisAmt |
| Depreciation | $468,050 | DepreciationAmt |
| Book Value | $289,134 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,337,031 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| SECURITY DEPOSITS | $350,112 |
| LOAN CLOSING COST | $114,413 |
| DEBT SERVICE RESERVE FUND | $102,204 |
| RIGHT-OF-USE ASSETS | $12,091,578 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $12,658,307 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal income taxes | |
| LEASE LIABILITIES | $12,708,497 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,708,497 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $19,562,006 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $19,562,006 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $19,562,006 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $17,741,199 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $17,741,199 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $17,741,199 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| TERESITA RODRIGUEZ | ||||
| CEO EX-OFFICIO | $297,457 | $50,000 | $15,473 | $362,930 |
| PAJARON GERTRUDES | ||||
| CHIEF DEVELOPMENT OFFICER | $159,058 | $3,000 | $15,527 | $177,585 |
| RAYMUND SISON | ||||
| DIRECTOR OF INFECTIOUS DISEASES | $224,640 | $1,500 | $226,140 | |
| SUSANNE N RENDEIRO-DOBLE | ||||
| NP | $165,696 | $3,000 | $47,266 | $215,962 |
| YUMIKO SANO | ||||
| CHIEF OF PROGRAM DATA OPERATIONS OFFICER | $161,825 | $3,000 | $15,478 | $180,303 |
| PAUL CHAMBLISS | ||||
| PHYSICIAN | $203,178 | $750 | $33,286 | $237,214 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, Line 11A 11B | THE FORM 990 IS PRESENTED TO THE BOARD FINANCE COMMITTEE THE FULL BOARD FOR REVIEW. |
| Form 990, Part VI, Section B, Line 15A | THE FULL BOARD GOES INTO EXECUTIVE SESSION TO REVIEW AND EVALUATE THE CEOS COMPENSATION, AND THE FULL BOARD VOTES AND APPROVES THAT COMPENSATION. |
| Form 990, Part VI, Section B, Line 15B | THE CEO IS RESPONSIBLE FOR REVIEW, EVALUATION AND APPROVAL OF OTHER KEY EMPLOYEES COMPENSATION. |
| Form 990, Part VI, Section C, Line 19 | SIMILAR TO THE FORM 990, THE ORGANIZATIONS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ANNUAL REPORT WHICH INCLUDES KEY FINANCIAL ELEMENTS IS POSTED TO THE ORGANIZATIONS WEBSITE AND IS ALSO AVAILABLE TO THE PUBLIC UPON REQUEST. |