SAN BENITO HEALTH FOUNDATION: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- SAN BENITO HEALTH FOUNDATION (EIN 94-2299959)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2024-11-26
- IRS object ID
- 202433319349301038
- Schema version
- 2023v5.1
- 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 | 2024-11-26T13:12:26-08:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Oscar G Armijo CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 41-990 Cook St Suite 501 | AddressLine1Txt |
| City | Palm Desert | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92211 | 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 | 942299959 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | San Benito Health Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SANB | BusinessNameControlTxt |
| Phone | 8316375306 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 351 Felice Dr | AddressLine1Txt |
| City | Hollister | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95023 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROSA VIVIAN FERNANDEZ | PersonNm |
| Person Title | President & CEO | PersonTitleTxt |
| Signature | 2024-11-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| 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 | Oscar G Armijo CPA | PreparerPersonNm |
| PTIN | P01429445 | PTIN |
| Phone | 7607734078 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Rosa Vivian Fernandez | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 351 Felice Dr | AddressLine1Txt |
| City | Hollister | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95023 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,564,248 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.sanbenitohealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | The mission of San Benito Health Foundation is to provide quality, affordable comprehensive health services to the community of San Benito County and surrounding areas in a manner that is accountable to the community while being respectful, empathetic, and culturally-sensitive to clients. Its vision is for safe and healthy San Benito County where health disparaties do not exist, people have access to care, and have the knowledge and skills to make healthy choices. The San Benito Health Foundation is a leader among alliances and partnerships that foster a climate of thoughtful change and create solutions for maintaining a community that is safe and healthy. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 54 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,955,511 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,203,891 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,331,297 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,202,634 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,350 | PYInvestmentIncomeAmt |
| CY Investment Income | $137,125 | CYInvestmentIncomeAmt |
| PY Other Revenue | $39,348 | PYOtherRevenueAmt |
| CY Other Revenue | $20,598 | CYOtherRevenueAmt |
| PY Total Revenue | $7,329,506 | PYTotalRevenueAmt |
| CY Total Revenue | $9,564,248 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,278,809 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,983,542 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,692,987 | PYOtherExpensesAmt |
| CY Other Expenses | $3,761,615 | CYOtherExpensesAmt |
| PY Total Expenses | $6,971,796 | PYTotalExpensesAmt |
| CY Total Expenses | $7,745,157 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $357,710 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,819,091 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,300,254 | TotalAssetsBOYAmt |
| Total Assets EOY | $23,730,995 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,880,130 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,899,083 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $20,420,124 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $21,831,912 | NetAssetsOrFundBalancesEOYAmt |
| Mission | "The mission of San Benito Health Foundation is to provide quality, affordable comprehensive health services to the community of San Benito County and surrounding areas in a manner that is accountable to the community while being respectful, empathetic, and culturally-sensitive to clients. It's vision is for a safe and healthy San Benito County where health disparaties do not exist, people have access to care, and have the knowledge and skills to make healthy choices. The San Benito Health Foundation is a leader among alliances and partnerships that foster a climate of thoughtful change and create solutions for maintaining a community that is safe and healthy. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,520,809 | ExpenseAmt |
| Revenue | $5,360,357 | RevenueAmt |
| Desc | Provided Medical,Ophthalmology, Preventive Medicine, Internal Medicine, Obstetrics & Gynecology, Family Planning, Pediatrics, Immunization & Health Screening Services, Nutrition Counseling, HIV/AIDS testing & counseling, Dental, Women, Infant and Children (WIC) Services to qualifying families of San Benito County and surrounding communities. Total patient encounters were as follows: Medical - 23,807 Dental - 4,230 Vision - 4,804, Patient Education - 249. SBHF has remained flexible and responsive to the community during the COVID-19 pandemic. Staff were redeployed to provide services via patient centered telehealth communications, it's immunization supply was increased to ensure protection of the community, and SBHF worked to teach patients how to communicate in case of a shelter in place order. | Desc |
| Total Program Service Expenses | $5,520,809 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | 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 | false | 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 | Yes (true) | 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 | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 54 | 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 |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | 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 | false | LocalChaptersInd |
| 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 | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Rosa Vivian Fernandez | PersonNm |
| Phone | 8316375783 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 351 Felice Dr | AddressLine1Txt |
| City | Hollister | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95023 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| Rosa Vivian Fernandez | |||||||
| President & CEO | 40.00 | 0.00 | Yes (X) | $286,487 | $0 | $33,637 | |
| Erika Ceballos | |||||||
| Physician | 40.00 | 0.00 | $204,650 | $0 | $25,925 | ||
| Yazmin Gomez | |||||||
| Pediatrician | 40.00 | 0.00 | $199,843 | $0 | $17,609 | ||
| Nathael Cordero | |||||||
| Physician | 40.00 | 0.00 | $177,382 | $0 | $26,058 | ||
| Maria Vargas | |||||||
| Physician | 40.00 | 0.00 | $181,711 | $0 | $19,003 | ||
| Edwin Acosta | |||||||
| Primary Care Dir. | 40.00 | 0.00 | $196,924 | $0 | $0 | ||
| Arcadio Viveros | |||||||
| Chairman | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Luis A Diaz | |||||||
| Board Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Luis Matchain | |||||||
| Board Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Victoria Montoya | |||||||
| Secretary | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Robert Lund | |||||||
| Board Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Laura Stampleman MD | |||||||
| Vice Chair | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Art Testani | |||||||
| Treasurer | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Bonita Villalobos-Rivera | |||||||
| Board Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Michael Reid | |||||||
| Board Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Curt Thomas | |||||||
| Board Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Yolanda Lopez | |||||||
| Board Member | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,246,997 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $122,232 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | 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 |
|---|---|---|---|---|---|
| Forvis LLP | |||||
| PO Box 1190 | Springfield | MO | 65801 | Financial Consulting | $252,311 |
| Armanino LLP | |||||
| 12657 Acosta Blvd | San Ramon | CA | 94583 | Financial Consulting | $202,978 |
| The 20 LLC | |||||
| 1575 F Soquel Dr | Santa Cruz | CA | 95065 | IT Services | $180,060 |
| Law Office of Elsa Ayoub | |||||
| 250 Park Ave Ste 1000 | New York | NY | 10169 | Legal Services | $113,415 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,887,555 | GovernmentGrantsAmt |
| All Other Contributions | $316,336 | AllOtherContributionsAmt |
| Noncash Contributions | $220,294 | NoncashContributionsAmt |
| Total Contributions | $4,203,891 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Revenue | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $5,202,634 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,202,634 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,202,634 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $137,125 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $137,125 | RelatedOrExemptFuncIncomeAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Income | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $20,598 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,598 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $20,598 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,564,248 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,360,357 | 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 | $345,355 | TotalAmt |
| Management And General | $345,355 | 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 | $3,032,222 | TotalAmt |
| Program Services | $2,469,517 | ProgramServicesAmt |
| Management And General | $562,705 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,416 | TotalAmt |
| Program Services | $14,651 | ProgramServicesAmt |
| Management And General | $4,765 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,999 | TotalAmt |
| Program Services | $110,170 | ProgramServicesAmt |
| Management And General | $35,829 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $440,550 | TotalAmt |
| Program Services | $332,437 | ProgramServicesAmt |
| Management And General | $108,113 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,054 | TotalAmt |
| Program Services | $14,324 | ProgramServicesAmt |
| Management And General | $71,730 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,724 | TotalAmt |
| Program Services | $190,295 | ProgramServicesAmt |
| Management And General | $19,429 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,012 | TotalAmt |
| Program Services | $24,584 | ProgramServicesAmt |
| Management And General | $229,428 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $186,225 | TotalAmt |
| Program Services | $186,225 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,577 | TotalAmt |
| Program Services | $26,408 | ProgramServicesAmt |
| Management And General | $44,169 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $303,591 | TotalAmt |
| Program Services | $104,673 | ProgramServicesAmt |
| Management And General | $198,918 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,061 | TotalAmt |
| Program Services | $127,697 | ProgramServicesAmt |
| Management And General | $211,364 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,155 | TotalAmt |
| Program Services | $111,192 | ProgramServicesAmt |
| Management And General | $30,963 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $161,059 | TotalAmt |
| Program Services | $32,045 | ProgramServicesAmt |
| Management And General | $129,014 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,121 | TotalAmt |
| Program Services | $50,038 | ProgramServicesAmt |
| Management And General | $7,083 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $657,977 | TotalAmt |
| Program Services | $590,913 | ProgramServicesAmt |
| Management And General | $67,064 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,152 | TotalAmt |
| Program Services | $38,116 | ProgramServicesAmt |
| Management And General | $7,036 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $643,664 | $643,354 | $310 |
| Repairs and Maintenance | $243,367 | $197,644 | $45,723 |
| Donated Services | $220,294 | $220,294 | |
| LICENSES & PERMITS | $82,643 | $385 | $82,258 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,939 | TotalAmt |
| Program Services | $35,847 | ProgramServicesAmt |
| Management And General | $23,092 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,745,157 | TotalAmt |
| Program Services | $5,520,809 | ProgramServicesAmt |
| Management And General | $2,224,348 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,830,258 | BOYAmt |
| EOY | $5,778,590 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $847,649 | BOYAmt |
| EOY | $3,725,001 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,240,531 | BOYAmt |
| EOY | $3,319,373 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $364,395 | BOYAmt |
| EOY | $308,462 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $210,338 | BOYAmt |
| EOY | $235,193 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $247,515 | BOYAmt |
| EOY | $252,856 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $16,640,660 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,953,404 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,180,856 | BOYAmt |
| EOY | $9,687,256 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,712 | BOYAmt |
| EOY | $424,264 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,300,254 | BOYAmt |
| EOY | $23,730,995 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $274,766 | BOYAmt |
| EOY | $426,169 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,474,750 | BOYAmt |
| EOY | $1,372,099 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,614 | BOYAmt |
| EOY | $100,815 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,880,130 | BOYAmt |
| EOY | $1,899,083 | 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 | $17,256,870 | BOYAmt |
| EOY | $19,075,960 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,163,254 | BOYAmt |
| EOY | $2,755,952 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,420,124 | BOYAmt |
| EOY | $21,831,912 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,300,254 | BOYAmt |
| EOY | $23,730,995 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,819,091 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$407,303 | OtherChangesInNetAssetsAmt |
| 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 | $7,722,845 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,518,118 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,234,374 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,955,512 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,255,191 | CurrentTaxYearAmt |
| Total | $25,686,040 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,722,845 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,518,118 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,234,374 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,955,512 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,255,191 | CurrentTaxYearAmt |
| Total | $25,686,040 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $25,686,040 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,334 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,925 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,640 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,350 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $137,125 | CurrentTaxYearAmt |
| Total | $171,374 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31,991 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $95,144 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $210,546 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $39,349 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,598 | CurrentTaxYearAmt |
| Total | $397,628 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $26,255,042 | TotalSupportAmt |
| Public Support CY170 | 0.97830 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98310 | 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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,490,894 | OtherCostOrOtherBasisAmt |
| Book Value | $5,490,894 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,743,193 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,539,070 | DepreciationAmt |
| Book Value | $3,204,123 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,674,320 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,539,311 | DepreciationAmt |
| Book Value | $135,009 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,732,253 | OtherCostOrOtherBasisAmt |
| Depreciation | $875,023 | DepreciationAmt |
| Book Value | $857,230 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,687,256 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Medi-Cal | $2,339 |
| operating lease liab | $68,856 |
| Other liabilities | $29,620 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $100,815 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $9,564,248 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $9,564,248 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $9,564,248 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,745,157 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $7,745,157 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $7,745,157 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X : FIN48 Footnote | FormAndLineReferenceDesc |
| Explanation | The accounting standard on accounting for uncertainty in income taxes addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under the guidance, the Clinic may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Clinic and various positions related to the potential sources of unrelated business taxable income (UBIT). The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. There were no unrecognized tax benefits identified or recorded as liabilities for fiscal year 2024. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| 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 | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt |
|---|---|---|---|---|---|
| Edwin Acosta | |||||
| Primary Care Dir. | $194,350 | $2,574 | $196,924 | ||
| Erika Ceballos | |||||
| Physician | $202,621 | $2,029 | $230,575 | $25,925 | |
| Maria Vargas | |||||
| Physician | $180,204 | $1,507 | $200,714 | $19,003 | |
| Nathael Cordero | |||||
| Physician | $177,078 | $304 | $203,440 | $26,058 | |
| Rosa Vivian Fernandez | |||||
| President & CEO | $277,482 | $9,005 | $320,124 | $25,057 | $8,580 |
| Yazmin Gomez | |||||
| Pediatrician | $197,754 | $2,089 | $217,452 | $17,609 | |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $220,294 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 3 | Certain duties traditionally performed by the finance department were performed by FORVIS a consulting firm with expertise in the field. Duties performed included assisting with financial estimates, assisting the CEO with the budget process, preparation of monthly financial statements, and other financial reports as requested by funding agencies, and for providing technical support to the organization's accounting staff. |
| Form 990, Part VI, Section B, Line 11b | The form 990 is prepared by the independent accounting firm that conducts annual financial statement audit and information provided by the accounting department of the Health Center. Prior to filing, a tentative draft is reviewed by the president and CEO and the Executive Committee of the Board of Directors. Once any updates are made, a final draft will be provided to the full Board. |
| Form 990, Part VI, Section B, Line 12c | All employees and Board of Directors of the Health Center are required to complete an annual conflict of interest statement of disclosure. This is kept in the personnel and board volunteer file. The Policy also includes the disclosure of conflicts of interest as they arise. |
| Form 990, Part VI, Section B, Line 15a | An independent consulting agency, Merces Consulting, Inc. conducts annual salary survey and prepares the compensation scale as appropriate. Merces utilizes a systematic approach to employee compensation that involves the use of point factor job evaluation to assign jobs to pay grades, and surveys of the labor market to ensure that pay is competitive, methodologies for assessing individual pay levels on an annual basis. The Health Center retains Merces to review the competitive labor market and develop pay ranges for the upcoming year. Merces recommends the adoption of the new ranges to the Board of Directors who review the information provided, and consideration of adjustments to current compensation, where appropriate, to ensure that all employees are paid according to their contribution to the organization. The Board adopts changes to the compensation scale based on Merces's input. This procedure was last performed on July 2021. The Board aso reviews the performance of the Chief Executive Office and makes salary determinations based on the above mentioned methodology. The CEO's compensation was revewed using this procedure. The CEO evaluates key management employees on an annual basis and makes compensation determinations based on the above mentioned methodology as approved by the Board. |
| Form 990, Part VI, Section C, Line 19 | The Health Center's governing documents and financial statements are made available upon request while keeping within the limits of HIPPA guidelines for protected information. All documents are available on an annual basis without restriction to the independent auditor. |
| Form 990, Part XI, Line 9 | reduction in restricted net assets per ASC 958 = -$407303 |