CALIFORNIA PRIMARY CARE ASSOCIATION: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CALIFORNIA PRIMARY CARE ASSOCIATION (EIN 94-3215565)
- Tax period
- 2021-04-01 to 2022-03-31
- Filed
- 2023-02-15
- IRS object ID
- 202320469349303157
- Schema version
- 2021v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-02-15T18:10:28-06:00 | ReturnTs |
| Tax Period End | 2022-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 680037990 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GILBERT CPAS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2880 GATEWAY OAKS DR STE 100 | AddressLine1Txt |
| City | SACRAMENTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95833 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 943215565 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALIFORNIA PRIMARY CARE ASSOCIATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CALI | BusinessNameControlTxt |
| Phone | 9164408170 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1231 I ST 400 | AddressLine1Txt |
| City | SACRAMENTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95814 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SONJA SPOWART | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9164408170 | PhoneNum |
| Signature | 2023-02-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SONJA | PersonFirstNm |
| Person Last | SPOWART | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMANDA H WILLIAMS | PreparerPersonNm |
| PTIN | P01281212 | PTIN |
| Phone | 9166466464 | PhoneNum |
| Preparation | 2023-02-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-03-07 01:45:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | FRANCISCO SILVA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1231 I ST 400 | AddressLine1Txt |
| City | SACRAMENTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95814 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,655,608 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CPCA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | POSITION COMMUNITY HEALTH CLINICS TO BE KEY PLAYERS IN THE HEALTH CARE DELIVERY SYSTEM TO IMPROVE THE HEALTH STATUS OF THEIR COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 29 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 29 | VotingMembersIndependentCnt |
| Total Employee | 64 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $13,164,620 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,302,260 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,502,364 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,893,031 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,127 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $127,091 | PYOtherRevenueAmt |
| CY Other Revenue | $460,317 | CYOtherRevenueAmt |
| PY Total Revenue | $17,795,202 | PYTotalRevenueAmt |
| CY Total Revenue | $14,655,608 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,577,152 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,633,969 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,592,631 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,918,242 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,378,796 | PYOtherExpensesAmt |
| CY Other Expenses | $3,845,482 | CYOtherExpensesAmt |
| PY Total Expenses | $11,548,579 | PYTotalExpensesAmt |
| CY Total Expenses | $18,397,693 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,246,623 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,742,085 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,860,072 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,309,164 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,145,739 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,330,236 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,714,333 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,978,928 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO LEAD AND POSITION COMMUNITY CLINICS, HEALTH CENTERS, AND NETWORKSTHROUGH ADVOCACY, EDUCATION AND SERVICES AS KEY PLAYERS IN THE HEALTHCARE DELIVERY SYSTEM TO IMPROVE THE HEALTH STATUS OF THEIR COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $17,268,892 | ExpenseAmt |
| Grant | $6,633,969 | GrantAmt |
| Revenue | $5,353,348 | RevenueAmt |
| Desc | LEAD AND POSITION ITS MEMBER COMMUNITY CLINICS AND HEALTH CENTERS AND NETWORKS THROUGH ADVOCACY, EDUCATION, AND SERVICES AS KEY PLAYERS IN THE HEALTH CARE DELIVERY SYSTEM TO IMPROVE THE HEALTH STATUS OF THEIR COMMUNITIES. STRENGTHENS THE OPERATIONAL EFFICIENCY AND MARKETPLACE COMPETITIVENESS BY PROVIDING TRAINING, TECHNICAL ASSISTANCE AND EDUCATIONAL PROGRAMS FOR COMMUNITY CLINICS AND HEALTH CENTERS AND THEIR STAFFS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $17,742 | ExpenseAmt |
| Desc | PROVIDES LEGISLATIVE AND ADMINISTRATIVE SUPPORT TO COMMUNITY CLINICS, HEALTH CENTERS AND CLINIC NETWORKS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $17,286,634 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | 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 | Yes (1) | 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 | 25 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 64 | 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 |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| 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 | 29 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 29 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | SONJA SPOWART | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9164408170 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1231 I STREET SUITE 440 | AddressLine1Txt |
| City | SACRAMENTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95814 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| CARMELA CASTELLANO-GARCIA | ||||||||
| PRESIDENT & CEO (THRU 8/31/21) | 36.00 | 4.00 | Yes (X) | $393,814 | $0 | $60,987 | ||
| ROBERT E BEAUDRY | ||||||||
| EXECUTIVE CE | 36.00 | 4.00 | Yes (X) | $375,545 | $0 | $58,079 | ||
| VALERIE SHEEHAN | ||||||||
| SR. VP/CHIEF PROGRAM OFFICER | 38.00 | 2.00 | $236,405 | $0 | $36,526 | Yes (X) | ||
| SONJA SPOWART | ||||||||
| CHIEF FINANCIAL OFFICER | 36.00 | 4.00 | Yes (X) | $230,588 | $0 | $35,625 | ||
| MICHAEL J WITTE | ||||||||
| VP & CMO | 40.00 | 0.00 | $230,469 | $0 | $35,606 | Yes (X) | ||
| ANDREA E PATTERSON | ||||||||
| VP GOVERNMENT AFFAIRS | 35.00 | 5.00 | $210,725 | $0 | $32,548 | Yes (X) | ||
| GINGER L SMITH | ||||||||
| VP OF MEMBER RELATIONS | 40.00 | 0.00 | $203,639 | $0 | $31,451 | Yes (X) | ||
| DAVID ORANGE | ||||||||
| VP HUMAN & ORGNAIZATION DEVELOPMENT | 40.00 | 0.00 | $198,682 | $0 | $30,683 | Yes (X) | ||
| FRANCISCO J SILVA | ||||||||
| PRESIDENT & CEO (AS OF 3/28/22) | 36.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| BRITTA GUERRERO | ||||||||
| CHAIR | 4.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DAVID VLIET | ||||||||
| IMMEDIATE PAST CHAIR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DAVID LONTOK | ||||||||
| TREASURER | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| CHRISTY WARD | ||||||||
| VICE SPEAKER | 4.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| PAULO SOARES | ||||||||
| CHAIR-ELECT | 3.00 | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| RAKESH PATEL | ||||||||
| SECRETARY | 3.00 | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ANDREA SCHWAB-GALINDO | ||||||||
| SPEAKER | 3.00 | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| LUCRESHA RENTERIA | ||||||||
| MEMBER AT LARGE | 3.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| MELISSA MARSHALL | ||||||||
| MEMBER AT LARGE | 3.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| ASA SATARIANO | ||||||||
| MEMBER AT LARGE | 3.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| LOUISE MCCARTHY | ||||||||
| DIRECTOR | 2.00 | 1.50 | $0 | $0 | $0 | Yes (X) | ||
| DOREEN BRADSHAW | ||||||||
| DIRECTOR | 2.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| WARREN BRODINE | ||||||||
| DIRECTOR | 2.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| BENJAMIN FLORES | ||||||||
| DIRECTOR | 2.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| NAOMI FUCHS | ||||||||
| DIRECTOR | 2.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| ALVARO FUENTES | ||||||||
| DIRECTOR | 2.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| JANE GARCIA | ||||||||
| DIRECTOR | 2.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| FRANKLIN GONZALEZ | ||||||||
| DIRECTOR | 2.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| KERRY HYDASH | ||||||||
| DIRECTOR | 2.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| JULIA LIOU | ||||||||
| DIRECTOR | 2.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| KEVIN MATTSON | ||||||||
| DIRECTOR | 2.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| ANITHA MULLANGI | ||||||||
| DIRECTOR | 2.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| DANIELLE MYERS | ||||||||
| DIRECTOR | 2.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| JONATHAN PORTEUS | ||||||||
| DIRECTOR | 2.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| TIM RINE | ||||||||
| DIRECTOR | 2.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| CORINNE SANCHEZ | ||||||||
| DIRECTOR | 2.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| RALPH SLBER | ||||||||
| DIRECTOR | 2.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| GRACIELA SOTO-PEREZ | ||||||||
| DIRECTOR | 2.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| RICHARD VELOZ | ||||||||
| DIRECTOR | 1.00 | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,079,867 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $321,505 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| AZARA HEALTHCARE LLC | |||||
| 70 BLANCHARD RD SUITE 100 | BURLINGTON | MA | 01803 | SERVICE PROVIDED TO MEMBER | $389,962 |
| BLUE NOVO | |||||
| 8070 GEORGIA AVENUE SUITE 302 | SILVER SPRINGS | MD | 20910 | SERVICE PROVIDED TO MEMBER | $303,000 |
| INTEGRATED WORK | |||||
| 2595 CANYON BOULEVARD SUITE 330 | BOULDER | CO | 80302 | CONSULTING | $276,310 |
| BRENT COPEN | |||||
| 16 FALLENLEAF COURT | LAFAYETTE | CA | 94549 | SERVICE PROVIDED TO MEMBER | $200,850 |
| GATE TECHNOLOGIES | |||||
| 455 CAPITOL MALL SUITE 800 | SACRAMENTO | CA | 95814 | INFORMATION SYSTEMS | $177,359 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,568,710 | GovernmentGrantsAmt |
| All Other Contributions | $3,733,550 | AllOtherContributionsAmt |
| Total Contributions | $9,302,260 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEMBERSHIP DUES | 900099 | $2,454,702 | $2,454,702 |
| CLINIC OPERATION SUPPORT | 900099 | $1,279,578 | $1,279,578 |
| CONFERENCES | 900099 | $612,875 | $612,875 |
| TRAINING & WORKSHOPS | 900099 | $545,876 | $545,876 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,893,031 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PAYROLL REIMBURSEMENT - RELATED O | 900099 | $375,619 | $375,619 |
| OTHER - RELATED | 900099 | $84,698 | $84,698 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $460,317 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,655,608 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,353,348 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,633,969 | TotalAmt |
| Program Services | $6,633,969 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,069,531 | TotalAmt |
| Program Services | $962,577 | ProgramServicesAmt |
| Management And General | $106,954 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,464,709 | TotalAmt |
| Program Services | $4,938,476 | ProgramServicesAmt |
| Management And General | $526,233 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,922 | TotalAmt |
| Program Services | $228,473 | ProgramServicesAmt |
| Management And General | $24,449 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $704,196 | TotalAmt |
| Program Services | $635,902 | ProgramServicesAmt |
| Management And General | $68,294 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $426,884 | TotalAmt |
| Program Services | $385,397 | ProgramServicesAmt |
| Management And General | $41,487 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,159 | TotalAmt |
| Program Services | $164,472 | ProgramServicesAmt |
| Management And General | $16,687 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,628 | TotalAmt |
| Program Services | $63,206 | ProgramServicesAmt |
| Management And General | $6,422 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,469,870 | TotalAmt |
| Program Services | $1,336,419 | ProgramServicesAmt |
| Management And General | $133,451 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,552 | TotalAmt |
| Program Services | $61,757 | ProgramServicesAmt |
| Management And General | $6,795 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,529 | TotalAmt |
| Program Services | $195,685 | ProgramServicesAmt |
| Management And General | $20,844 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,111 | TotalAmt |
| Program Services | $266,275 | ProgramServicesAmt |
| Management And General | $24,836 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $347,862 | TotalAmt |
| Program Services | $320,224 | ProgramServicesAmt |
| Management And General | $27,638 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,463 | TotalAmt |
| Program Services | $21,099 | ProgramServicesAmt |
| Management And General | $2,364 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,646 | TotalAmt |
| Program Services | $163,307 | ProgramServicesAmt |
| Management And General | $18,339 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,603 | TotalAmt |
| Program Services | $210,092 | ProgramServicesAmt |
| Management And General | $12,511 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,842 | TotalAmt |
| Program Services | $11,596 | ProgramServicesAmt |
| Management And General | $1,246 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DUES, PUBS, AND SUBSCR. | $757,833 | $685,324 | $72,509 |
| BAD DEBTS | $2,384 | $2,384 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,397,693 | TotalAmt |
| Program Services | $17,286,634 | ProgramServicesAmt |
| Management And General | $1,111,059 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,356,930 | BOYAmt |
| EOY | $3,585,780 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,426,090 | BOYAmt |
| EOY | $1,441,770 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,501,415 | BOYAmt |
| EOY | $795,053 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $564,239 | BOYAmt |
| EOY | $371,320 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $141,814 | BOYAmt |
| EOY | $360,150 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,214,049 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,500,538 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,934,160 | BOYAmt |
| EOY | $3,713,511 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $715,855 | BOYAmt |
| EOY | $700,726 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,569 | BOYAmt |
| EOY | $340,854 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,860,072 | BOYAmt |
| EOY | $11,309,164 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $900,294 | BOYAmt |
| EOY | $1,011,294 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,926 | BOYAmt |
| EOY | $373,979 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,098,024 | BOYAmt |
| EOY | $2,922,172 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,495 | BOYAmt |
| EOY | $22,791 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,145,739 | BOYAmt |
| EOY | $4,330,236 | 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 | $5,024,300 | BOYAmt |
| EOY | $6,226,890 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,690,033 | BOYAmt |
| EOY | $752,038 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,714,333 | BOYAmt |
| EOY | $6,978,928 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,860,072 | BOYAmt |
| EOY | $11,309,164 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,742,085 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $555 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $6,125 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,379,789 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,967,450 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,743,003 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,164,620 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,302,260 | CurrentTaxYearAmt |
| Total | $40,557,122 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,379,789 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,967,450 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,743,003 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,164,620 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,302,260 | CurrentTaxYearAmt |
| Total | $40,557,122 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $7,935,173 | SubstantialContributorsTotAmt |
| Public Support Total170 | $32,621,949 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,850 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,237 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,066 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,127 | CurrentTaxYearMinus1YearAmt |
| Total | $27,280 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $106,897 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $149,277 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $120,923 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $127,091 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $460,317 | CurrentTaxYearAmt |
| Total | $964,505 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $41,548,907 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $26,027,294 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.78510 | PublicSupportCY170Pct |
| Public Support PY170 | 0.72820 | 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 | $0 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $18,397,693 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $18,397,693 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $743,314 | CurrentYearMinus3Amt |
| Current Year Minus2 | $804,034 | CurrentYearMinus2Amt |
| Current Year Minus1 | $727,429 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $3,274,777 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $4,912,166 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $361,056 | CurrentYearMinus3Amt |
| Current Year Minus2 | $385,103 | CurrentYearMinus2Amt |
| Current Year Minus1 | $305,509 | CurrentYearMinus1Amt |
| Total | $1,051,668 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $185,829 | CurrentYearMinus3Amt |
| Current Year Minus2 | $201,009 | CurrentYearMinus2Amt |
| Current Year Minus1 | $181,857 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $818,695 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,228,043 | GrassrootsCeilingAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-A LINE 1B | FormAndLineReferenceDesc |
| Explanation | PAID STAFF OR CONSULTANTS TO CONTACT LEGISLATORS OR GOVERNMENT OFFICIALS ON HEALTH RELATED ISSUES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,476,678 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,764,866 | DepreciationAmt |
| Book Value | $3,711,812 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $737,371 | OtherCostOrOtherBasisAmt |
| Depreciation | $735,672 | DepreciationAmt |
| Book Value | $1,699 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,713,511 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LONG-TERM CERTIFICATES OF DEPOSIT | Desc |
| Book Value | $700,726 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $700,726 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO CPCA VENTURES AND CA HEALTH + ADVOCATES | Desc |
| Amt | $22,791 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $22,791 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ASSOCIATION HAS APPLIED THE ACCOUNTING PRINCIPLES RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES AND HAS DETERMINED THAT THERE IS NO MATERIAL IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS. WITH SOME EXCEPTIONS, THE ASSOCIATION IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS PRIOR TO 2018. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (73 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HEALTH ASSOCIATION INLAND SOUTHERN REGION | |||||||||
| 621 E CARNEGIE DRIVE SUITE 180 | SAN BERNARDINO | CA | 92408 | 300666184 | 501(C)(3) | $204,505 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| NEIGHBORHOOD HEALTHCARE | |||||||||
| 425 N DATE STREET | ESCONDIDO | CA | 92025 | 952796316 | 501(C)(3) | $200,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| COMMUNITY CLINIC CONSORTIUM | |||||||||
| 3720 BARRETT AVENUE | RICHMOND | CA | 94804 | 200782029 | 501(C)(3) | $181,118 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| SAC HEALTH SYSTEM | |||||||||
| 250 SOUTH G STREET | SAN BERNARDINO | CA | 92410 | 330664371 | 501(C)(3) | $175,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| COALITION OF ORANGE COUNTY COMMUNITY CLINICS | |||||||||
| 515 N CABRILLO PARK DRIVE | SANTA ANA | CA | 92707 | 952900725 | 501(C)(3) | $172,200 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| SAN FRANCISCO-COMMUNITY CLINIC CONSORTIUM | |||||||||
| 2720 TAYLOR STREET 430 | SAN FRANSISCO | CA | 94133 | 942897258 | 501(C)(3) | $152,625 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| CCALAC | |||||||||
| 445 S FIGUEROA STREETSUITE 2100 | LOS ANGELES | CA | 90071 | 954576023 | 501(C)(3) | $152,596 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| MISSION CITY COMMUNITY NETWORK | |||||||||
| 8527 SEPULVEDA BLVD | NORTH HILLS | CA | 91343 | 954226189 | 501(C)(3) | $150,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| OLE HEALTH | |||||||||
| 1141 PEAR TREE LANE SUITE 100 | NAPA | CA | 94558 | 237221695 | 501(C)(3) | $150,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| UNITED HEALTH CENTERS | |||||||||
| 3875 W BEECHWOOD | FRESNO | CA | 93737 | 941732538 | 501(C)(3) | $133,500 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| REDWOOD COMMUNITY HEALTH COALITION | |||||||||
| 1310 REDWOOD WAYSUITE 135 | PETALUMA | CA | 94954 | 943220029 | 501(C)(3) | $127,749 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| COMMUNITY MEDICAL CENTERS | |||||||||
| 7210 MURRAY DRIVE | STOCKTON | CA | 95210 | 942437106 | 501(C)(3) | $125,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| LA CLINICA DE LA RAZA | |||||||||
| PO BOX 22210 | OAKLAND | CA | 94623 | 941744108 | 501(C)(3) | $125,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| NORTHEAST VALLEY HEALTH CORPORATION | |||||||||
| 1172 NORTH MACLAY AVENUE | SAN FERNANDO | CA | 91340 | 237120632 | 501(C)(3) | $125,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| SAN YSIDRO HEALTH CENTER INC | |||||||||
| 1601 PRECISION PARK LANE | SAN DIEGO | CA | 92173 | 952801772 | 501(C)(3) | $125,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| ST JOHNS WELL CHILD & FAMILY CENTER | |||||||||
| 777 S FIGUEROA SUITE 4050 | LOS ANGELES | CA | 90017 | 813742024 | 501(C)(3) | $125,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| WELLSPACE HEALTH | |||||||||
| 1820 J STREET | SACRAMENTO | CA | 95814 | 941713705 | 501(C)(3) | $125,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| CENTRAL VALLEY HEALTH NETWORK | |||||||||
| 1451 RIVER PARK DRIVESUITE 216 | SACRAMENTO | CA | 95815 | 680429643 | 501(C)(3) | $123,737 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| HEALTH CENTER PARTNERS OF SOUTHERN CALIFORNIA | |||||||||
| 3710 RUFFIN ROAD | SAN DIEGO | CA | 92123 | 953008850 | 501(C)(3) | $102,466 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| BAY AREA COMMUNITY HEALTH | |||||||||
| 40910 FREMONT BOULEVARD | FREMONT | CA | 94538 | 941708069 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| CAMARENA HEALTH | |||||||||
| 730 N I STREET SUITE 202 | MADERA | CA | 93637 | 942503904 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| CENTRAL CITY COMMUNITY HEALTH CENTER | |||||||||
| 5970 S CENTRAL AVENUE | LOS ANGELES | CA | 90001 | 954492570 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| CLINICAS DEL CAMINO REAL | |||||||||
| 200 S WELLS ROAD SUITE 200 | VENTURA | CA | 93004 | 952977147 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| COMPREHENSIVE COMMUNITY HEALTH CENTERS | |||||||||
| 801 SOUTH CHEVY CHASE DRIVE SUITE | GLENDALE | CA | 91205 | 421553807 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | 20 |
| EISNER PEDIATRIC & FAMILY MEDICAL CENTER | |||||||||
| 1530 SOUTH OLIVE STREET | LOS ANGELES | CA | 90015 | 951690966 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| EL PROYECTO DEL BARRIO | |||||||||
| 8932 WOODMAN AVENUE | ARLETA | CA | 91331 | 952662606 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| ELICA HEALTH CENTER | |||||||||
| 1860 HOWE AVENUE SUITE 455 | SACRAMENTO | CA | 95825 | 371424390 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| GARDNER FAMILY HEALTH NETWORK | |||||||||
| 160 E VIRGINIA STREET SUITE 100 | SAN JOSE | CA | 95112 | 941743078 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| HEALTH AND LIFE ORGANIZATION | |||||||||
| 3030 EXPLORER DRIVE | SACRAMENTO | CA | 95827 | 020714551 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| JWCH INSTITUTE INC | |||||||||
| 5650 JILLSON STREET | CITY OF COMMERCE | CA | 90040 | 952289916 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| LA MAESTRA FAMILY CLINIC | |||||||||
| 4060 FAIRMOUNT AVENUE | SAN DIEGO | CA | 92105 | 330473171 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| LIFELONG MEDICAL CARE | |||||||||
| 2344 SIXTH STREET | BERKELEY | CA | 94710 | 942502308 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| MARIN COMMUNITY CLINIC | |||||||||
| 9 COMMERCIAL BLVD SUITE 100 | NOVATO | CA | 94949 | 942237120 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| NORTH COUNTY HEALTH SERVICES | |||||||||
| 150 VALPREDA ROAD | SAN MARCOS | CA | 92069 | 952847102 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| NORTH EAST MEDICAL SERVICES | |||||||||
| 2171 JUNIPERO SERRA BLVD SUITE 700 | DALY CITY | CA | 94014 | 941722562 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| PEACH TREE HEALTHCARE | |||||||||
| 1114 YUBA STREET SUITE 220 | MARYSVILLE | CA | 95901 | 680371679 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| SANTA ROSA COMMUNITY HEALTH CENTERS | |||||||||
| 3569 ROUND BARN CIRCLE | SANTA ROSA | CA | 95403 | 680365296 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| THE CHILDREN'S CLINIC | |||||||||
| 701 E 28TH STREET | LONG BEACH | CA | 90806 | 951643332 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| UNICARE COMMUNITY HEALTH CENTER | |||||||||
| 437 N EUCLID AVENUE | ONTARIO | CA | 91762 | 954746420 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| VALLEY HEALTH TEAM INC | |||||||||
| PO BOX 737 | SAN JOAQUIN | CA | 93660 | 942217261 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| VISTA COMMUNITY CLINIC | |||||||||
| 1000 VALE TERRACE | VISTA | CA | 92084 | 952815615 | 501(C)(3) | $100,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| COMMUNITY HEALTH CENTER NETWORK | |||||||||
| 1320 HARBOR BAY PARKWAY | ALAMEDA | CA | 94502 | 943253662 | 501(C)(3) | $94,070 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| ELEVATION HEALTH PARTNERS | |||||||||
| 8559 RUN OF THE KNOLLS | SAN DIEGO | CA | 92127 | 825521477 | 501(C)(3) | $85,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| SALUD PARA LA GENTE | |||||||||
| 195 AVIATION WAY SUITE 200 | WATSONVILLE | CA | 95076 | 942705747 | 501(C)(3) | $83,500 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| CENTRAL NEIGHBORHOOD HEALTH FOUNDATION | |||||||||
| 2700 S GRAND AVENUE | LOS ANGELES | CA | 90007 | 752986675 | 501(C)(3) | $75,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| CLINICAS DE SALUD DEL PUEBLO | |||||||||
| 1166 K STREET | BRAWLEY | CA | 92227 | 952657324 | 501(C)(3) | $75,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| COMMUNICARE HEALTH CENTERS | |||||||||
| PO BOX 1260 | DAVIS | CA | 95617 | 942188574 | 501(C)(3) | $75,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| FAMILIES TOGETHER OF ORANGE COUNTY | |||||||||
| 661 W 1ST STREET SUITE G2 | TUSTIN | CA | 92780 | 200310654 | 501(C)(3) | $75,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| FAMILY HEALTH MATTERS | |||||||||
| 1182 N EUCLID STREET | ANAHEIM | CA | 92801 | 330970731 | 501(C)(3) | $75,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| HEALTH SERVICE ALLIANCE | |||||||||
| 5050 SAN BERNARDINO STREET | MONTHCLAIR | CA | 91763 | 134257391 | 501(C)(3) | $75,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| LOS ANGELES CHRISTIAN HEALTH CENTER | |||||||||
| 453 SOUTH SPRING STREET 1201 | LOS ANGELES | CA | 90013 | 954315734 | 501(C)(3) | $75,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| PARKTREE COMMUNITY HEALTH CENTER | |||||||||
| 1450 E HOLT AVENUE | POMONA | CA | 91767 | 223914738 | 501(C)(3) | $75,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| SAMAHAN HEALTH CENTERS | |||||||||
| ADMINISTRATION 1428 HIGHLAND AVENUE | NATIONAL CITY | CA | 91950 | 953008798 | 501(C)(3) | $75,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| SHARE OUR SELVES | |||||||||
| 1550 SUPERIOR AVENUE | COSTA MESA | CA | 92627 | 953222316 | 501(C)(3) | $75,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| SOUTH BAY FAMILY HEALTH CARE | |||||||||
| 23430 HAWTHORNE BLVD SUITE 210 | TORRANCE | CA | 90505 | 237049937 | 501(C)(3) | $75,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| SOUTH CENTRAL FAMILY HEALTH CENTER | |||||||||
| 1111 E VERNON AVENUE | LOS ANGELES | CA | 90011 | 953877793 | 501(C)(3) | $75,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| TIBURCIO VASQUEZ HEALTH CENTER | |||||||||
| 22331 MISSION BLVD | HAYWARD | CA | 94541 | 237118361 | 501(C)(3) | $75,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| VALLEY COMMUNITY HEALTHCARE | |||||||||
| 6801 COLDWATER CANYON AVENUE | NORTH HOLLYWOOD | CA | 91605 | 237050082 | 501(C)(3) | $75,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| VENICE FAMILY CLINIC | |||||||||
| 604 ROSE AVENUE | VENICE | CA | 90291 | 952769432 | 501(C)(3) | $75,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| HEALTH ALLIANCE OF NORTHERN CALIFORNIA | |||||||||
| 2280 BENTON DRIVE BLDG C SUITE C | REDDING | CA | 96003 | 311580642 | 501(C)(3) | $66,896 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| ESSENTIAL ACCESS HEALTH | |||||||||
| 3600 WILSHIRE BLVD 600 | LOS ANGELES | CA | 90010 | 957110200 | 501(C)(3) | $31,091 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| NORTH COAST CLINICS NETWORK | |||||||||
| 1036 5TH STREET SUITE C | EUREKA | CA | 95501 | 680348781 | 501(C)(3) | $30,408 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| ALAMEDA HEALTH CONSORTIUM | |||||||||
| 101 CALLAN AVENUE SUITE 300 | SAN LEANDRO | CA | 94577 | 510189590 | 501(C)(3) | $30,000 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| CA CONSORTIUM FOR URBAN INDIAN HEALTH | |||||||||
| 1016 LINCOLN BLVD SUITE 111 | SAN FRANCISCO | CA | 94129 | 204878959 | 501(C)(3) | $19,288 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| COMMUNITY HEALTH PARTNERSHIP INC | |||||||||
| 1401 PARKMOOR AVE SUITE 200 | SAN JOSE | CA | 95126 | 841388331 | 501(C)(3) | $17,220 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| BIG SUR HEALTH CENTER | |||||||||
| 46896 HIGHWAY 1 | BIG SUR | CA | 93920 | 770077112 | 501(C)(3) | $8,500 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| DIENTES COMMUNITY DENTAL CARE | |||||||||
| 5300 SOQUEL AVE SUITE 103 | SANTA CRUZ | CA | 95062 | 770311752 | 501(C)(3) | $8,500 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| GOLDEN VALLEY HEALTH CENTER | |||||||||
| 737 W CHILDS AVENUE | MERCED | CA | 95341 | 942196086 | 501(C)(3) | $8,500 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| GREATER FRESNO HEALTH ORGANIZATION | |||||||||
| 4929 E KINGS CANYON ROAD | FRESNO | CA | 93727 | 770317144 | 501(C)(3) | $8,500 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| OMNI FAMILY HEALTH | |||||||||
| 4900 CALIFORNIA AVENUE | BAKERSFIELD | CA | 93309 | 953218000 | 501(C)(3) | $8,500 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| SAMUEL DIXON FAMILY HEALTH CENTER | |||||||||
| 25115 AVENUE STANFORD A104 | VALENCIA | CA | 91355 | 954278726 | 501(C)(3) | $8,500 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| SANTA BARBARA NEIGHBORHOOD CLINICS | |||||||||
| 414 E COTA STREET 1ST FLOOR | SANTA BARBARA | CA | 93101 | 770496382 | 501(C)(3) | $8,500 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| SANTA CRUZ COMMUNITY HEALTH CENTERS | |||||||||
| PO BOX 542 | SANTA CRUZ | CA | 95060 | 237428303 | 501(C)(3) | $8,500 | $0 | COVID-19 CARE, TESTING, AND ADVOCACY | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 73 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ALL GRANTS REQUIRE WRITTEN REPORTS | ExplanationTxt |
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 | 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 (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARMELA CASTELLANO-GARCIA | ||||||||||||||
| PRESIDENT & CEO (THRU 8/31/21) | $393,714 | $0 | $0 | $0 | $100 | $0 | $19,686 | $0 | $41,301 | $0 | $454,801 | $0 | $0 | $0 |
| ROBERT E BEAUDRY | ||||||||||||||
| EXECUTIVE CE | $374,945 | $0 | $0 | $0 | $600 | $0 | $18,747 | $0 | $39,332 | $0 | $433,624 | $0 | $0 | $0 |
| VALERIE SHEEHAN | ||||||||||||||
| SR. VP/CHIEF PROGRAM OFFICER | $235,805 | $0 | $0 | $0 | $600 | $0 | $11,790 | $0 | $24,736 | $0 | $272,931 | $0 | $0 | $0 |
| SONJA SPOWART | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $229,988 | $0 | $0 | $0 | $600 | $0 | $11,499 | $0 | $24,126 | $0 | $266,213 | $0 | $0 | $0 |
| MICHAEL J WITTE | ||||||||||||||
| VP & CMO | $229,869 | $0 | $0 | $0 | $600 | $0 | $11,493 | $0 | $24,113 | $0 | $266,075 | $0 | $0 | $0 |
| ANDREA E PATTERSON | ||||||||||||||
| VP GOVERNMENT AFFAIRS | $210,125 | $0 | $0 | $0 | $600 | $0 | $10,506 | $0 | $22,042 | $0 | $243,273 | $0 | $0 | $0 |
| GINGER L SMITH | ||||||||||||||
| VP OF MEMBER RELATIONS | $203,039 | $0 | $0 | $0 | $600 | $0 | $10,152 | $0 | $21,299 | $0 | $235,090 | $0 | $0 | $0 |
| DAVID ORANGE | ||||||||||||||
| VP HUMAN & ORGNAIZATION DEVELOPMENT | $198,082 | $0 | $0 | $0 | $600 | $0 | $9,904 | $0 | $20,779 | $0 | $229,365 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS MEMBERS WITH THE RIGHT TO ELECT BOARD MEMBERS AND THE RIGHT TO APPROVE CERTAIN SIGNIFICANT DECISIONS OF THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7A | ALL COMMUNITY HEALTH CLINIC MEMBERS HAVE 3-4 VOTES DEPENDING ON THE NUMBER OF USERS AND COMMUNITY HEALTH CENTER CONSORTIA AND ASSOCIATIONS HAVE 1 VOTE. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE ELECTION OF DIRECTORS, THE REMOVAL OF A DIRECTOR, APPROVAL OF ANY AMMENDMENT OF THE ARTICLES OF INCORPORATION, AND APPROVAL OF SUCH MATTERS THAT ARE REQUIRED BY LAW. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WILL BE COMPLETED ANNUALLY AND COPIES WILL BE PROVIDED TO THE ENTIRE GOVERNING BOARD AS WELL AS THE PRESIDENT/CEO OF THE ORGANIZATION. AT THAT TIME THE PRESIDENT/CEO WILL REVIEW THE FORM 990 WITH THE CHIEF FINANCIAL OFFICER. ANY NECESSARY CHANGES WILL THEN BE UPDATED ON THE FORM. ONCE ALL NECESSARY CHANGES ARE MADE THE PRESIDENT/CEO IS IN AGREEMENT WITH THE FISCAL OFFICER ON THE FINISHED FORM 990, IT WILL BE SIGNED BY THE PRESIDENT/CEO, DATED AND SUBMITTED BY THE FILING DEADLINE. A COPY OF THE APPROVED FORM 990 WILL BE PROVIDED. |
| FORM 990, PART VI, SECTION B, LINE 12C | EVERY YEAR AFTER ELECTIONS, DIRECTORS OF THE BOARD AND KEY EMPLOYEES ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST FORM. IT IS THE DUTY OF THE PRESIDENT TO DETERMINE A CONFLICT OF INTEREST FOR KEY EMPLOYEES. IT IS THE DUTY OF THE BOARD TO DETERMINE A CONFLICT OF INTEREST FOR A DIRECTOR. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMMITTEE REVIEWS AND RECOMMENDS TO THE BOARD APPROVAL OF THE COMPENSATION PACKAGE OF THE PRESIDENT/CEO AND THE CHIEF FINANCIAL OFFICER WHEN SUCH OFFICER IS HIRED, WHEN THE TERM OF EMPLOYMENT IS RENEWED OR EXTENDED, AND WHEN THE COMPENSATION OF SUCH OFFICER IS MODIFIED, UNLESS THE MODIFICATION APPLIES TO SUBSTANTIALLY ALL OF THE EMPLOYEES OF THE CORPORATION. THIS PROCESS WAS LAST UNDERTAKEN IN 2022. A SALARY COMPENSATION STUDY WAS COMPLETED FOR ALL POSITIONS. THIS PROCESS WAS LAST UNDERTAKEN IN 2019. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | REVERSAL OF PRIOR YEAR GRANTS EXPENSE - CURRENT YEAR REFUND 6,125. |
| FORM 990 PART XII LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CPCA VENTURES | ||||||||||
| 1231 I STREET STE 400 | SACRAMENTO | CA | 95814 | 943345480 | PROVIDE NEEDY INDIVIDUALS AND FAMILIES ACCESS TO HEALTH CARE SERVICES | CA | 501(C)(3) | LINE 12A, I | CALIFORNIA PRIMARY CARE ASSOCIATION | 0 |
| CALIFORNIAHEALTH PLUS ADVOCATES | ||||||||||
| 1231 I STREET STE 400 | SACRAMENTO | CA | 95814 | 811326638 | ADVOCATE FOR POLICIES THAT PRESERVE AND ENHANCE THE ABILITY OF COMMUNITY | CA | 501(C)(4) | CALIFORNIA PRIMARY CARE ASSOCIATION | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALIFORNIAHEALTH PLUS ADVOCATES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionTypeTxt |
| Involved | $517,623 | InvolvedAmt |
| Method Of Amount Determination | COST REIMBURSEMENT | MethodOfAmountDeterminationTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS: | FormAndLineReferenceDesc |
| Explanation | NAME OF RELATED ORGANIZATION: CPCA VENTURES PRIMARY ACTIVITY: PROVIDE NEEDY INDIVIDUALS AND FAMILIES ACCESS TO HEALTH CARE SERVICES, OR SUPPORT, OR PROMOTE SUCH SERVICE PROVIDERS, INCLUDING CALIFORNIA PRIMARY CARE ASSOCIATION. NAME OF RELATED ORGANIZATION: CALIFORNIAHEALTH PLUS ADVOCATES PRIMARY ACTIVITY: ADVOCATE FOR POLICIES THAT PRESERVE AND ENHANCE THE ABILITY OF COMMUNITY CLINICS AND HEALTH CENTERS IN CALIFORNIA TO DELIVER HIGH-QUALITY CLINICAL CARE TO CALIFORNIA'S UNDERSERVED AND DISENFRANCHISED HEALTH CARE CONSUMERS. | ExplanationTxt |