MENDOCINO COAST CLINICS INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- MENDOCINO COAST CLINICS INC (EIN 68-0262003)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-14
- IRS object ID
- 202501349349304895
- Schema version
- 2023v6.0
- 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 | 2025-05-14T11:25:12-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 464016990 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE PUN GROUP LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 E SANDPOINTE AVENUE SUITE 600 | AddressLine1Txt |
| City | SANTA ANA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92707 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 680262003 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MENDOCINO COAST CLINICS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEND | BusinessNameControlTxt |
| Phone | 7079641251 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 SOUTH STREET | AddressLine1Txt |
| City | FORT BRAGG | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95437 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTIE MACVITIE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7079641251 | PhoneNum |
| Signature | 2025-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | FRANCES KUO | PreparerPersonNm |
| PTIN | P02057020 | PTIN |
| Phone | 9497778800 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LUCRESHA RENTERIA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 SOUTH STREET | AddressLine1Txt |
| City | FORT BRAGG | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95437 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,062,797 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | MENDOCINOCOASTCLINICS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | MENDOCINO COAST CLINICS PROVIDES QUALITY MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE TO ALL COASTAL RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 155 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,744,500 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,287,989 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,260,650 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,459,400 | CYProgramServiceRevenueAmt |
| PY Investment Income | $13,565 | PYInvestmentIncomeAmt |
| CY Investment Income | $83,814 | CYInvestmentIncomeAmt |
| PY Other Revenue | $73,976 | PYOtherRevenueAmt |
| CY Other Revenue | $125,688 | CYOtherRevenueAmt |
| PY Total Revenue | $15,092,691 | PYTotalRevenueAmt |
| CY Total Revenue | $16,956,891 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,969,635 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,035,734 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,115,873 | PYOtherExpensesAmt |
| CY Other Expenses | $6,933,263 | CYOtherExpensesAmt |
| PY Total Expenses | $15,085,508 | PYTotalExpensesAmt |
| CY Total Expenses | $16,968,997 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,183 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$12,106 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,232,455 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,196,582 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,320,651 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,272,055 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,911,804 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,924,527 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MENDOCINO COAST CLINICS PROVIDES QUALITY MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE TO ALL COASTAL RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,415,861 | ExpenseAmt |
| Revenue | $12,667,678 | RevenueAmt |
| Desc | MENDOCINO COAST CLINICS PROVIDES QUALITY MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE TO ALL COASTAL RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY. | Desc |
| Total Program Service Expenses | $12,415,861 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 12 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 155 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LUCRESHA RENTERIA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7079641251 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 SOUTH STREET | AddressLine1Txt |
| City | FORT BRAGG | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95437 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MELISSA AZEVEDO | ||||||||||
| CHAIR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| KELLY GRIMES | ||||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAPHNE HANEY | ||||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| TREVOR ORCHARD | ||||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MATTHEW O HALLORAN | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| RIO PARFREY | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| ARACELI RIVAS | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| YADIRA SANCHEZ | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DEBORAH WYATT | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES KATZEL | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| LUCRESHA RENTERIA | ||||||||||
| EXECUTIVE DIRECTOR | 40.00 | 0.00 | $276,008 | $0 | $0 | Yes (X) | ||||
| TADEUS ULATOWSKI | ||||||||||
| DENTIST | 40.00 | 0.00 | $166,073 | $0 | $0 | Yes (X) | ||||
| JAE DO KIM | ||||||||||
| DENTIST | 40.00 | 0.00 | $167,942 | $0 | $0 | Yes (X) | ||||
| LAWRENCE GOLDYN | ||||||||||
| PHYSICIANS | 40.00 | 0.00 | $273,438 | $0 | $0 | Yes (X) | ||||
| JAMES THOMAS | ||||||||||
| PHYSICIAN'S ASSISTANTS | 40.00 | 0.00 | $131,798 | $0 | $0 | Yes (X) | ||||
| LINNEA MATTHEWS | ||||||||||
| NURSE PRACTITIONERS | 40.00 | 0.00 | $134,697 | $0 | $0 | Yes (X) | ||||
| DENISE A HUGHES | ||||||||||
| REGISTERED NURSE | 40.00 | 0.00 | $102,964 | $0 | $0 | Yes (X) | ||||
| KIMBERLY CELERI | ||||||||||
| DENTAL HYGIENIST | 40.00 | 0.00 | $110,483 | $0 | $0 | Yes (X) | ||||
| RICHARD B JUNG | ||||||||||
| REGISTERED NURSE | 40.00 | 0.00 | $106,253 | $0 | $0 | Yes (X) | ||||
| CHRISTOPHER ROBSHAW | ||||||||||
| PHYSICIANS | 40.00 | 0.00 | $238,664 | $0 | $0 | Yes (X) | ||||
| STEFAN A CHO-POLIZZI | ||||||||||
| DENTIST | 40.00 | 0.00 | $158,094 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,866,414 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SWITHENBANK CONSTRUCTION | |||||
| PO BOX 1660 | FORT BRAGG | CA | 95437 | CONSTRUCTION SERVICES | $555,238 |
| 340B TECHNOLOGIES INC | |||||
| PO BOX 8067 | CAROL STREAM | IL | 601978067 | 340B PHARMACEUTICAL TPA | $453,617 |
| COMPHEALTH MEDICAL STAFFING | |||||
| PO BOX 972670 | DALLAS | TX | 753972670 | CONTRACTED PROVIDER SERVICES | $342,084 |
| MEDICUS IT LLC | |||||
| PO BOX 66936 ST | LOUIS | MO | 63133 | COMPUTER/IT SUPPORT | $307,221 |
| NEXTGEN HEALTHCARE INC | |||||
| PO BOX 511449 | LOS ANGELES | CA | 90051 | EHR LICENSING | $260,779 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $148,839 | FundraisingAmt |
| Government Grants | $4,004,031 | GovernmentGrantsAmt |
| All Other Contributions | $135,119 | AllOtherContributionsAmt |
| Total Contributions | $4,287,989 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $12,459,400 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,459,400 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,459,400 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $83,814 | TotalRevenueColumnAmt |
| Exclusion | $83,814 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $158,435 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $148,839 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $105,906 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52,529 | TotalRevenueColumnAmt |
| Exclusion | $52,529 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $73,159 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $73,159 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $73,159 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,956,891 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,532,559 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $136,343 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,088,915 | TotalAmt |
| Program Services | $812,907 | ProgramServicesAmt |
| Management And General | $276,008 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,904,798 | TotalAmt |
| Program Services | $5,599,723 | ProgramServicesAmt |
| Management And General | $1,305,075 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,863 | TotalAmt |
| Program Services | $155,744 | ProgramServicesAmt |
| Management And General | $37,119 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,257,978 | TotalAmt |
| Program Services | $956,677 | ProgramServicesAmt |
| Management And General | $301,301 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $591,180 | TotalAmt |
| Program Services | $477,634 | ProgramServicesAmt |
| Management And General | $113,546 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,417 | TotalAmt |
| Management And General | $24,417 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,195 | TotalAmt |
| Program Services | $902 | ProgramServicesAmt |
| Management And General | $132,293 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,501,213 | TotalAmt |
| Program Services | $1,871,306 | ProgramServicesAmt |
| Management And General | $1,629,907 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,205 | TotalAmt |
| Program Services | $49,565 | ProgramServicesAmt |
| Management And General | $55,640 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,121 | TotalAmt |
| Program Services | $153,682 | ProgramServicesAmt |
| Management And General | $45,439 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,931 | TotalAmt |
| Program Services | $119,187 | ProgramServicesAmt |
| Management And General | $2,744 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,416 | TotalAmt |
| Program Services | $12,034 | ProgramServicesAmt |
| Management And General | $35,382 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,667 | TotalAmt |
| Program Services | $4,601 | ProgramServicesAmt |
| Management And General | $14,066 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,594 | TotalAmt |
| Program Services | $35,984 | ProgramServicesAmt |
| Management And General | $18,610 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,101 | TotalAmt |
| Program Services | $176,614 | ProgramServicesAmt |
| Management And General | $41,487 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,284 | TotalAmt |
| Program Services | $20,886 | ProgramServicesAmt |
| Management And General | $44,398 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $1,424,416 | $1,380,466 | $43,950 |
| UTILITIES | $146,618 | $111,426 | $35,192 |
| RECRUITING EXPENSE | $141,859 | $127,089 | $14,770 |
| REPAIRS & MAINTENANCE | $104,806 | $28,252 | $76,554 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $626,420 | TotalAmt |
| Program Services | $321,182 | ProgramServicesAmt |
| Management And General | $305,238 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,968,997 | TotalAmt |
| Program Services | $12,415,861 | ProgramServicesAmt |
| Management And General | $4,553,136 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,443,805 | BOYAmt |
| EOY | $841,540 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $718,036 | BOYAmt |
| EOY | $1,030,271 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $942,707 | BOYAmt |
| EOY | $1,365,738 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $429,924 | BOYAmt |
| EOY | $272,541 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,672,781 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,566,275 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,697,983 | BOYAmt |
| EOY | $5,106,506 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,272,677 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $307,309 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,232,455 | BOYAmt |
| EOY | $10,196,582 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,100,796 | BOYAmt |
| EOY | $957,370 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $195,407 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,024,448 | BOYAmt |
| EOY | $989,100 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $325,585 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,320,651 | BOYAmt |
| EOY | $2,272,055 | 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 | $7,911,804 | BOYAmt |
| EOY | $7,924,527 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,911,804 | BOYAmt |
| EOY | $7,924,527 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,232,455 | BOYAmt |
| EOY | $10,196,582 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$12,106 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $34,407 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$9,578 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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 | $4,744,500 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,287,989 | CurrentTaxYearAmt |
| Total | $9,032,489 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $10,260,650 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,459,400 | CurrentTaxYearAmt |
| Total | $22,720,050 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $15,005,150 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,747,389 | CurrentTaxYearAmt |
| Total | $31,752,539 | 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 |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $31,752,539 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $13,565 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $83,814 | CurrentTaxYearAmt |
| Total | $97,379 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $13,565 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $83,814 | CurrentTaxYearAmt |
| Total | $97,379 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $73,976 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $73,159 | CurrentTaxYearAmt |
| Total | $147,135 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $15,092,691 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,904,362 | CurrentTaxYearAmt |
| Total | $31,997,053 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99240 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99290 | PublicSupportPY509Pct |
| Investment Income CY | 0.00300 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00240 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $433,924 | OtherCostOrOtherBasisAmt |
| Book Value | $433,924 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,665,462 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,325,353 | DepreciationAmt |
| Book Value | $4,340,109 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,703 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,703 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,465,113 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,230,219 | DepreciationAmt |
| Book Value | $234,894 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $97,579 | OtherCostOrOtherBasisAmt |
| Book Value | $97,579 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,106,506 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $16,991,298 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $34,407 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $34,407 | RevenueNotReportedAmt |
| Revenue Subtotal | $16,956,891 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $16,956,891 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $16,968,997 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $16,968,997 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $16,968,997 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | SCHEDULE D, PART X, LINE 2 - INCOME TAXES: THE CENTER HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NON-PROFIT CORPORATION AS DESCRIBED IN SEC. 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SEC. 501(A) OF THE IRC AND CALIFORNIA REVENUE AND TAXATION CODE SEC 23701(D). TYPICALLY, THE THREE PRECEDING TAX YEARS REMAIN OPEN AND SUBJECT TO EXAMINATION BY THE APPROPRIATE GOVERNMENT AGENCIES IN THE UNITED STATES AND CALIFORNIA. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CRAB AND WINE FESTIVAL | Event1Nm |
| Gross Receipts Event1 | $307,274 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $148,839 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $158,435 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $0 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $0 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $44,450 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $3,723 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $57,733 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $307,274 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $148,839 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $158,435 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $44,450 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $3,723 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $57,733 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $105,906 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $52,529 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LUCRESHA RENTERIA | ||||||||||||||
| EXECUTIVE DIRECTOR | $276,008 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $276,008 | $0 | $0 | $0 |
| LAWRENCE GOLDYN | ||||||||||||||
| PHYSICIANS | $273,438 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $273,438 | $0 | $0 | $0 |
| CHRISTOPHER ROBSHAW | ||||||||||||||
| PHYSICIANS | $238,664 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $238,664 | $0 | $0 | $0 |
| JAE DO KIM | ||||||||||||||
| DENTIST | $167,942 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $167,942 | $0 | $0 | $0 |
| TADEUS ULATOWSKI | ||||||||||||||
| DENTIST | $166,073 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $166,073 | $0 | $0 | $0 |
| STEFAN A CHO-POLIZZI | ||||||||||||||
| DENTIST | $158,094 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $158,094 | $0 | $0 | $0 |
| RICHARD B JUNG | ||||||||||||||
| REGISTERED NURSE | $106,253 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $106,253 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | CFO IS CONTRACTED. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD FOR REVIEW AND MADE AVAILABLE TO ALL BOARD MEMBERS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | REGARDING BOARD MEMBER CONFLICTS OF INTEREST, THE ORGANIZATION HAS NEW BOARD MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT TO DISCLOSE ANY CONFLICTS. THESE STATEMENTS ARE ALSO UPDATED ANNUALLY BY THE MEMBERS. IF A MEMBER HAS A CONFLICT, THEY DO ABSTAIN FROM VOTING ON THAT PARTICULAR ITEM. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION LEVEL WAS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | BILLING SERVICES: PROGRAM SERVICE EXPENSES 4,667. MANAGEMENT AND GENERAL EXPENSES 530,070. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 534,737. COMPUTER LICENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 739,029. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 739,029. CONSULTING: PROGRAM SERVICE EXPENSES 14,484. MANAGEMENT AND GENERAL EXPENSES 324,864. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 339,348. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 761,287. MANAGEMENT AND GENERAL EXPENSES 2,758. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 764,045. PHARMACY FEES: PROGRAM SERVICE EXPENSES 923,972. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 923,972. INVESTMENT MANAGEMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 11,676. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,676. LAB SERVICES: PROGRAM SERVICE EXPENSES 166,896. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 166,896. RETIREMENT ADMIN: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 21,510. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,510. |
| FORM 990 LINE 2C | THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. |