T H E CLINIC INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- T H E CLINIC INC (EIN 23-7351622)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-02
- IRS object ID
- 202341229349301739
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-02T13:21:23-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 951777440 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREEN HASSON & JANKS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 700 SOUTH FLOWER STREET SUITE 3300 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90017 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237351622 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CLINIC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | THEC | BusinessNameControlTxt |
| Phone | 3237301920 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3834 SOUTH WESTERN AVENUE | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90062 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CLIFFORD SHIEPE | PersonNm |
| Person Title | PRESIDENT AND CEO | PersonTitleTxt |
| Phone | 3237301920 | PhoneNum |
| Signature | 2023-04-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CLIFFORD | PersonFirstNm |
| Person Last | SHIEPE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LIZBETH G NEVAREZ | PreparerPersonNm |
| PTIN | P01399868 | PTIN |
| Phone | 3108731600 | PhoneNum |
| Preparation | 2023-04-28 | 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 | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HEALTH AND WELLNESS CENTERS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CLIFFORD SHIEPE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3834 SOUTH WESTERN AVENUE | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90062 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $18,495,908 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | TOHELPEVERYONE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HIGH QUALITY, CUSTOMER-FRIENDLY PRIMARY CARE AND RELATED TO ALL RESIDENTS OF SOUTH LOS ANGELES, ESPECIALLY THOSE WHO ARE UNDERSERVED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 157 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,589,970 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,281,126 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,902,361 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,169,932 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,175 | PYInvestmentIncomeAmt |
| CY Investment Income | $19,257 | CYInvestmentIncomeAmt |
| PY Other Revenue | $21,113 | PYOtherRevenueAmt |
| CY Other Revenue | $25,593 | CYOtherRevenueAmt |
| PY Total Revenue | $19,514,619 | PYTotalRevenueAmt |
| CY Total Revenue | $18,495,908 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,129,597 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,029,100 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,015,165 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,594,925 | PYOtherExpensesAmt |
| CY Other Expenses | $8,452,582 | CYOtherExpensesAmt |
| PY Total Expenses | $15,724,522 | PYTotalExpensesAmt |
| CY Total Expenses | $17,481,682 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,790,097 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,014,226 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,004,260 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,227,869 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,735,173 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,944,556 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,269,087 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,283,313 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE HIGH QUALITY, CUSTOMER-FRIENDLY PRIMARY CARE AND RELATED SERVICES TO ALL RESIDENTS OF SOUTH LOS ANGELES, ESPECIALLY THOSE WHO ARE UNDERSERVED. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $14,017,468 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $11,169,932 | RevenueAmt |
| Desc | T.H.E. CLINIC PROVIDES CULTURALLY SENSITIVE & QUALITY COMPREHENSIVE HEALTH SERVICES AT AFFORDABLE COSTS, AND ENCOURAGES AND EDUCATES PEOPLE TO TAKE A PROACTIVE ROLE IN MAINTAINING THEIR OWN HEALTH SERVICES INCLUDE MEDICAL HEALTH SERVICES FOR MEN, WOMEN, CHILDREN AND TEENS, AS WELL AS PUBLIC HEALTH AND PREVENTATIVE EDUCATION SERVICES, ALL DESIGNED TO TREAT THE "WHOLE" PERSON-BODY, MIND, AND SPIRIT. MEDICAL SERVICES INCLUDE PREVENTATIVE SERVICES, CHRONIC DISEASE SCREENING & TREATMENT, PHYSICAL EXAMS, HEALTH EDUCATION, CASE MANAGEMENT, MENTAL HEALTH SCREENING, FOOD AND NUTRITION COUNSELING, SEXUALLY TRANSMITTED DISEASE TREATMENT, SPECIALTY REFERRALS, ASSISTANCE WITH LOW-COST MEDICATIONS, HIV/AIDS SCREENING & TREATMENT, AIDS DRUG ASSISTANCE PROGRAM, AND RAPID HIV TESTING. WOMEN'S HEALTH SERVICES INCLUDE PREGNANCY TESTING, PRENATAL CARE, SEXUALLY TRANSMITTED DISEASE TREATMENT, MAMMOGRAPHY, PRECONCEPTION COUNSELING, FAMILY PLANNING, COLPOSCOPY CLINIC, PAP SMEARS, AND ANNUAL PHYSICAL EXAMINATIONS. MEN'S HEALTH SERVICES INCLUDE PROSTRATE HEALTH SCREENING, AND PHYSICAL EXAMS. FAMILY PLANNING CHILDREN'S HEALTH SERVICES INCLUDE WELL-CHILD CARE, PHYSICAL EXAMS, SICK VISITS, IMMUNIZATIONS, NUTRITION HEALTH COUNSELING, AND CRISIS INTERVENTION. FAMILY COUNSELING TEEN HEALTH SERVICES INCLUDE HEALTH EDUCATION, SEXUALLY TRANSMITTED DISEASE TREATMENT, PHYSICALS EXAMS, AND ADOLESCENT COUNSELING.MENTAL HEALTH SCREENING SUPPORT SERVICES INCLUDE COUNSELING - INDIVIDUAL, GROUP AND FAMILY, RESOURCE REFERRALS, TRANSPORTATION ASSISTANCE, AND LINGUISTIC SERVICES. EDUCATIONAL SERVICES INCLUDE PUBLIC HEALTH EDUCATION HIV AWARENESS AND PREVENTION, HIV RAPID TESTING, DIABETES PREVENTION, CARE AND MANAGEMENT, WEIGHT MANAGEMENT, NUTRITION EDUCATION, HEALTHY COOKING, HEART HELP PROGRAM, MAMMOGRAPHY SCREENING, PERINATAL AND PRENATAL ED, DIAPER SUPPORT GROUP, YOGA AND PILATES. | Desc |
| Total Program Service Expenses | $14,017,468 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 37 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 157 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TATYANA KLOCHKO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3237301920 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3834 SOUTH WESTERN AVENUE | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90062 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| DONNA ROBERTSON | |||||||||
| CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JERMAINE MCMIHELK | |||||||||
| VICE CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DANIELLE CAMPBELL | |||||||||
| TREASURER | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARY ALEJO | |||||||||
| SECRETARY | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD HAMILTON | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JENNIFER BLUM | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ALTHEA BRINSON | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RONALD BRADEN | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DEBORAH MILLER | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| AUDREY CARTER | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| NAIMA RANDOLPH | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROSALBA SANCHEZ VELASQUEZ | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| HEATHER MCCULLOUGH | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA SILLAS | |||||||||
| BOARD MEMBER (LEFT DEC 2021) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAMONE THOMAS | |||||||||
| BOARD MEMBER (RETIRED DEC 2021) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CLIFFORD SHIEPE | |||||||||
| PRESIDENT/CEO | 40.00 | 0.00 | Yes (X) | $375,238 | $0 | $30,566 | |||
| TATYANA KLOCHKO | |||||||||
| SENIOR VICE PRESIDENT/CFO | 40.00 | 0.00 | Yes (X) | $236,486 | $0 | $26,000 | |||
| DERRICK BUTLER | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0.00 | $301,745 | $0 | $19,384 | Yes (X) | |||
| STEVEN FEIG | |||||||||
| PEDIATRICIAN | 40.00 | 0.00 | $205,558 | $0 | $0 | Yes (X) | |||
| LILIA MARIN | |||||||||
| HR DIRECTOR | 40.00 | 0.00 | $215,018 | $0 | $10,296 | Yes (X) | |||
| NAUREEN TAREEN | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $201,095 | $0 | $7,326 | Yes (X) | |||
| CHERYL TRINIDAD | |||||||||
| CHIEF DEVELOPMENT OFFICER | 40.00 | 0.00 | $182,387 | $0 | $480 | Yes (X) | |||
| CAROLINE O EGEKEZE | |||||||||
| PHYSICIAN PEDIATRICS | 40.00 | 0.00 | $162,859 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,880,386 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $94,052 | 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 |
|---|---|---|---|---|---|
| COMPHEALTH MEDICAL STAFFING | |||||
| PO BOX 972651 DALLAS | DALLAS | TX | 753972651 | COMPHEALTH MEDICAL STAFFING | $572,223 |
| QUEST DIAGNOSTICS | |||||
| PO BOX 912411 | PASADENA | CA | 911102411 | LABORATORY SERVICES | $258,836 |
| THE MILLER GROUP | |||||
| 1690 PALISADES DRIVE | PACIFIC PALISADES | CA | 90272 | MARKETING SERVICES | $242,790 |
| CHIROPRACTOR | |||||
| 233 E JEANETTE LN | SANTA ANA | CA | 92705 | HEALTHCARE SERVICES | $206,265 |
| MAXIM HEALTHCARE SERVICES INC | |||||
| 12558 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | HEALTHCARE SERVICES | $195,898 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,512,961 | GovernmentGrantsAmt |
| All Other Contributions | $768,165 | AllOtherContributionsAmt |
| Noncash Contributions | $65,055 | NoncashContributionsAmt |
| Total Contributions | $7,281,126 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE FEES | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $11,169,932 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,169,932 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,169,932 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,257 | TotalRevenueColumnAmt |
| Exclusion | $19,257 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $25,593 | TotalRevenueColumnAmt |
| Exclusion | $25,593 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $25,593 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,495,908 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,169,932 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $44,850 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $910,734 | TotalAmt |
| Program Services | $752,415 | ProgramServicesAmt |
| Management And General | $125,054 | ManagementAndGeneralAmt |
| Fundraising | $33,265 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,881,256 | TotalAmt |
| Program Services | $5,770,040 | ProgramServicesAmt |
| Management And General | $829,123 | ManagementAndGeneralAmt |
| Fundraising | $282,093 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $653,946 | TotalAmt |
| Program Services | $493,569 | ProgramServicesAmt |
| Management And General | $153,384 | ManagementAndGeneralAmt |
| Fundraising | $6,993 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $583,164 | TotalAmt |
| Program Services | $440,145 | ProgramServicesAmt |
| Management And General | $136,782 | ManagementAndGeneralAmt |
| Fundraising | $6,237 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,004 | TotalAmt |
| Management And General | $131,004 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,550 | TotalAmt |
| Management And General | $104,550 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,171,335 | TotalAmt |
| Program Services | $3,781,647 | ProgramServicesAmt |
| Fundraising | $389,688 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,097 | TotalAmt |
| Program Services | $3,381 | ProgramServicesAmt |
| Management And General | $2,279 | ManagementAndGeneralAmt |
| Fundraising | $148,437 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,856 | TotalAmt |
| Program Services | $13,247 | ProgramServicesAmt |
| Management And General | $87,309 | ManagementAndGeneralAmt |
| Fundraising | $58,300 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $553,196 | TotalAmt |
| Program Services | $244,177 | ProgramServicesAmt |
| Management And General | $296,299 | ManagementAndGeneralAmt |
| Fundraising | $12,720 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,046,940 | TotalAmt |
| Program Services | $734,770 | ProgramServicesAmt |
| Management And General | $268,900 | ManagementAndGeneralAmt |
| Fundraising | $43,270 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,148 | TotalAmt |
| Program Services | $109,121 | ProgramServicesAmt |
| Management And General | $29,263 | ManagementAndGeneralAmt |
| Fundraising | $7,764 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,893 | TotalAmt |
| Program Services | $17,293 | ProgramServicesAmt |
| Management And General | $5,073 | ManagementAndGeneralAmt |
| Fundraising | $1,527 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,611 | TotalAmt |
| Program Services | $200,611 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,731 | TotalAmt |
| Program Services | $27,243 | ProgramServicesAmt |
| Management And General | $106,488 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES AND ME | $838,670 | $830,019 | $2,285 | $6,366 |
| PHARMACEUTICAL & PHARMA | $383,639 | $383,639 | ||
| EQUIPMENT PURCHASES, RE | $173,996 | $77,740 | $89,692 | $6,564 |
| LICENSES, FEES, & DUES | $135,251 | $57,097 | $66,267 | $11,887 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,665 | TotalAmt |
| Program Services | $81,314 | ProgramServicesAmt |
| Management And General | $15,297 | ManagementAndGeneralAmt |
| Fundraising | $54 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,481,682 | TotalAmt |
| Program Services | $14,017,468 | ProgramServicesAmt |
| Management And General | $2,449,049 | ManagementAndGeneralAmt |
| Fundraising | $1,015,165 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,495,021 | BOYAmt |
| EOY | $7,104,538 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,263,503 | BOYAmt |
| EOY | $4,411,942 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $301,255 | BOYAmt |
| EOY | $942,834 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,303,611 | BOYAmt |
| EOY | $1,367,182 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,315 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,915,437 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,954,066 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,105,939 | BOYAmt |
| EOY | $2,961,371 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,850 | BOYAmt |
| EOY | $340,183 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,766 | BOYAmt |
| EOY | $99,819 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,004,260 | BOYAmt |
| EOY | $17,227,869 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,215,557 | BOYAmt |
| EOY | $1,389,315 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,519,616 | BOYAmt |
| EOY | $4,555,241 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,735,173 | BOYAmt |
| EOY | $5,944,556 | 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 | $10,269,087 | BOYAmt |
| EOY | $11,283,313 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,269,087 | BOYAmt |
| EOY | $11,283,313 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,004,260 | BOYAmt |
| EOY | $17,227,869 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,014,226 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,454,160 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,989,099 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,756,091 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,589,970 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,281,126 | CurrentTaxYearAmt |
| Total | $31,070,446 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,454,160 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,989,099 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,756,091 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,589,970 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,281,126 | CurrentTaxYearAmt |
| Total | $31,070,446 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $31,070,446 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $74 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $346 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $102 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,175 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,257 | CurrentTaxYearAmt |
| Total | $20,954 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,687 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,312 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,837 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,113 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,593 | CurrentTaxYearAmt |
| Total | $75,542 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $31,166,942 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $51,579,508 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99690 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99760 | 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
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,599,168 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,602,697 | DepreciationAmt |
| Book Value | $1,996,471 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,316,269 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,351,369 | DepreciationAmt |
| Book Value | $964,900 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,961,371 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ESTIMATED AMOUNTS DUE TO THIRD-PARTY PAYERS | Desc |
| Amt | $4,555,241 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,555,241 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $18,495,908 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $18,495,908 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $18,495,908 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $17,481,682 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $17,481,682 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $17,481,682 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | T.H.E. CLINIC RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. DURING THE YEAR ENDED JUNE 30, 2022, T.H.E. CLINIC PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS AND DID NOT IDENTIFY ANY MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS OR WHICH MIGHT HAVE AN EFFECT ON ITS TAX-EXEMPT STATUS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 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 | Yes (1) | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLIFFORD SHIEPE | ||||||||||||||
| PRESIDENT/CEO | $375,238 | $0 | $0 | $0 | $0 | $0 | $10,000 | $0 | $20,566 | $0 | $405,804 | $0 | $0 | $0 |
| DERRICK BUTLER | ||||||||||||||
| CHIEF MEDICAL OFFICER | $291,745 | $0 | $10,000 | $0 | $0 | $0 | $0 | $0 | $19,384 | $0 | $321,129 | $0 | $0 | $0 |
| TATYANA KLOCHKO | ||||||||||||||
| SENIOR VICE PRESIDENT/CFO | $236,486 | $0 | $0 | $0 | $0 | $0 | $15,000 | $0 | $11,000 | $0 | $262,486 | $0 | $0 | $0 |
| LILIA MARIN | ||||||||||||||
| HR DIRECTOR | $200,018 | $0 | $15,000 | $0 | $0 | $0 | $0 | $0 | $10,296 | $0 | $225,314 | $0 | $0 | $0 |
| NAUREEN TAREEN | ||||||||||||||
| PHYSICIAN | $201,095 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,326 | $0 | $208,421 | $0 | $0 | $0 |
| STEVEN FEIG | ||||||||||||||
| PEDIATRICIAN | $205,558 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $205,558 | $0 | $0 | $0 |
| CHERYL TRINIDAD | ||||||||||||||
| CHIEF DEVELOPMENT OFFICER | $172,387 | $0 | $10,000 | $0 | $0 | $0 | $0 | $0 | $480 | $0 | $182,867 | $0 | $0 | $0 |
| CAROLINE O EGEKEZE | ||||||||||||||
| PHYSICIAN PEDIATRICS | $162,859 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $162,859 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | THE BONUS FOR THE PRESIDENT AND CEO IS BASED ON THE DESCRETION OF THE BOARD. THE PRESIDENT AND CEO DETERMINES BONUS AMOUNTS FOR ALL OTHER EMPLOYEES. | ExplanationTxt |
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 | $65,055 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST OF MEDICATION | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | NONCASH CONTRIBUTIONS ARE LISTED BY NUMBER OF CONTRIBUTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF THE CURRENT OFFICERS. ONLY THE EXECUTIVE COMMITTEE IS AUTHORIZED TO ACT FOR THE BOARD OF DIRECTORS |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE FORM 990 IS THEN INTERNALLY REVIEWED BY THE TOP MANAGEMENT OF THE ORGANIZATION. A FINAL COPY OF THE FORM 990 WILL BE PROVIDED TO THE BOARD PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS AND EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. THE ORGANIZATION STRICTLY PROHIBITS ANY OUTSIDE EMPLOYMENT OR OTHER ACTIVITIES OR RELATIONSHIPS THAT CREATE ANY ACTUAL, POTENTIAL, OR APPARENT CONFLICT OF INTEREST. ANY VIOLATION OF THIS POLICY MAY RESULT IN DISCIPLINARY ACTION, UP TO AND POSSIBLY INCLUDING IMMEDIATE TERMINATION OF EMPLOYEES. BOARD MEMBERS WITH A CONFLICT OF INTEREST WILL ABSTAIN FROM VOTING ON THE MATTER RELATED TO THAT CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS, AND COMPENSATION OF OFFICERS AND KEY EMPLOYEES ARE REVIEWED AND APPROVED BY THE CEO INDEPENDENTLY, WITHOUT THE PARTICIPATION OF INTERESTED PERSONS. SALARY COMPENSATION SURVEYS AND OTHER INDUSTRY-STANDARD COMPENSATION TOOLS ARE USED IN RECOMMENDING SALARIES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,781,647. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 389,688. TOTAL EXPENSES 4,171,335. |