THE ACHIEVABLE FOUNDATION: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- THE ACHIEVABLE FOUNDATION (EIN 95-4552419)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-09
- IRS object ID
- 202531299349304603
- Schema version
- 2023v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule J
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-09T18:15:50-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 953001179 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDES INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2050 MAIN ST STE 1300 | AddressLine1Txt |
| City | IRVINE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92614 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 954552419 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ACHIEVABLE FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ACHI | BusinessNameControlTxt |
| Phone | 4242667480 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CORPORATE POINTE 270 | AddressLine1Txt |
| City | CULVER CITY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90230 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CARMEN IBARRA | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4242667480 | PhoneNum |
| Signature | 2025-05-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ELEANOR A LIVINGSTON CPA MST | PreparerPersonNm |
| PTIN | P00226461 | PTIN |
| Phone | 9498529433 | PhoneNum |
| Preparation | 2025-04-22 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ACHIEVABLE HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CARMEN IBARRA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CORPORATE POINTE 270 | AddressLine1Txt |
| City | CULVER CITY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90230 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,668,962 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ACHIEVABLE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | ACHIEVABLE HEALTH'S MISSION IS TO PROVIDE HIGH-QUALITY HEALTHCARE TO OUR COMMUNITY, WITH A SPECIALTY IN TREATING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES AND THEIR FAMILIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 37 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,195,842 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,525,085 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,277,876 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,074,512 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,749 | PYInvestmentIncomeAmt |
| CY Investment Income | $43,439 | CYInvestmentIncomeAmt |
| PY Other Revenue | $28,591 | PYOtherRevenueAmt |
| CY Other Revenue | -$32,588 | CYOtherRevenueAmt |
| PY Total Revenue | $4,511,058 | PYTotalRevenueAmt |
| CY Total Revenue | $8,610,448 | 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 | $3,200,223 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,524,053 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $259,979 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,180,636 | PYOtherExpensesAmt |
| CY Other Expenses | $1,276,973 | CYOtherExpensesAmt |
| PY Total Expenses | $4,380,859 | PYTotalExpensesAmt |
| CY Total Expenses | $4,801,026 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $130,199 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,809,422 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,199,637 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,087,326 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,190,692 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,268,959 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,008,945 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,818,367 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ACHIEVABLE HEALTH'S MISSION IS TO PROVIDE HIGH-QUALITY HEALTHCARE TO OUR COMMUNITY, WITH A SPECIALTY IN TREATING INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES AND THEIR FAMILIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,682,774 | ExpenseAmt |
| Revenue | $3,074,512 | RevenueAmt |
| Desc | ACHIEVABLE HEALTH PROVIDES HIGH QUALITY, WHOLE-PERSON, INTEGRATED HEALTH CARE TO 2,414 INDIVIDUALS THROUGH 8,324 PATIENT VISITS FOR SERVICES SUCH AS PEDIATRIC CARE, ADULT HEALTH CARE, PSYCHIATRIC CARE AND BEHAVIORAL HEALTH COUNSELING SERVICES. | Desc |
| Total Program Service Expenses | $3,682,774 | 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 | Yes (1) | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 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 | 26 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 37 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | 0 | 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 | MARIA NAZARIO CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4243415432 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CORPORATE POINTE 270 | AddressLine1Txt |
| City | CULVER CITY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90230 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| ERIC CARR | |||||||
| CHAIRMAN | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHN CHAVEZ | |||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TEDDY TANNENBAUM | |||||||
| VICE-CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| FRANCIS YEE | |||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GERI CLARKE-FLOWERS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ANIKA DUNCAN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| REINA FACTOR | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MIKE GALPER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KENT GRAHAM | |||||||
| DIRECTOR (THRU 08/2023) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SALLY HUGHES | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ALAN KENNEY | |||||||
| DIRECTOR (THRU 06/2024) | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ELI MINGAIL | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DIANE PAYLOR | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CONNIE RIVERA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CARMEN IBARRA | |||||||
| CHIEF EXECUTIVE OFFICER | 45.00 | Yes (X) | $217,280 | $0 | $1,515 | ||
| MICHELLE CATANZARITE | |||||||
| CHIEF MEDICAL OFFICER | 38.00 | Yes (X) | $249,173 | $0 | $1,288 | ||
| MARIA NAZARIO | |||||||
| CHIEF FINANCIAL OFFICER | 45.00 | Yes (X) | $152,896 | $0 | $7,806 | ||
| MARK KURZMAN | |||||||
| PHYSICIAN | 38.00 | $225,818 | $0 | $7,715 | Yes (X) | ||
| STACEY SHUAI | |||||||
| PHYSICIAN | 40.00 | $187,285 | $0 | $6,940 | Yes (X) | ||
| CHRISTOPHER BARRETT | |||||||
| CHIEF OPERATING OFFICER | 45.00 | $123,831 | $0 | $7,279 | Yes (X) | ||
| LAVEEZA BHATTI | |||||||
| PHYSICIAN | 20.00 | $125,846 | $0 | $1,325 | Yes (X) | ||
| JENNIFER BREITBART | |||||||
| PHYSICIAN | 12.00 | $128,342 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,410,471 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $33,868 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WILLIAM ROBERTSON DESIGN BUILD LABS | |||||
| 2401 22ND ST | SANTA MONICA | CA | 90405 | DESIGN & CONSTRUCTION OF NEW HEALTH CENT | $1,802,511 |
| GREENWAY HEALTH | |||||
| PO BOX 203658 | DALLAS | TX | 753203658 | EHR & REVENUE CYCLE MANAGEMENT | $196,410 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $153,501 | FundraisingAmt |
| Government Grants | $1,564,197 | GovernmentGrantsAmt |
| All Other Contributions | $3,807,387 | AllOtherContributionsAmt |
| Noncash Contributions | $26,291 | NoncashContributionsAmt |
| Total Contributions | $5,525,085 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $3,074,512 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,074,512 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,074,512 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,439 | TotalRevenueColumnAmt |
| Exclusion | $43,439 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $25,125 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $153,501 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $58,514 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$33,389 | TotalRevenueColumnAmt |
| Exclusion | -$33,389 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $801 | TotalRevenueColumnAmt |
| Exclusion | $801 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $801 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,610,448 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,074,512 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,851 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $682,986 | TotalAmt |
| Program Services | $386,015 | ProgramServicesAmt |
| Management And General | $228,190 | ManagementAndGeneralAmt |
| Fundraising | $68,781 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,117,451 | TotalAmt |
| Program Services | $1,718,535 | ProgramServicesAmt |
| Management And General | $311,730 | ManagementAndGeneralAmt |
| Fundraising | $87,186 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,037 | TotalAmt |
| Program Services | $138,831 | ProgramServicesAmt |
| Management And General | $55,146 | ManagementAndGeneralAmt |
| Fundraising | $13,060 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,018 | TotalAmt |
| Program Services | $235,549 | ProgramServicesAmt |
| Management And General | $46,592 | ManagementAndGeneralAmt |
| Fundraising | $15,877 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,561 | TotalAmt |
| Program Services | $165,127 | ProgramServicesAmt |
| Management And General | $40,536 | ManagementAndGeneralAmt |
| Fundraising | $12,898 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,556 | TotalAmt |
| Program Services | $39,718 | ProgramServicesAmt |
| Management And General | $26,838 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,538 | TotalAmt |
| Program Services | $192,540 | ProgramServicesAmt |
| Management And General | $14,804 | ManagementAndGeneralAmt |
| Fundraising | $15,194 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,104 | TotalAmt |
| Program Services | $28,510 | ProgramServicesAmt |
| Management And General | $4,074 | ManagementAndGeneralAmt |
| Fundraising | $8,520 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,666 | TotalAmt |
| Program Services | $14,202 | ProgramServicesAmt |
| Management And General | $7,024 | ManagementAndGeneralAmt |
| Fundraising | $5,440 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $321,470 | TotalAmt |
| Program Services | $224,294 | ProgramServicesAmt |
| Management And General | $69,710 | ManagementAndGeneralAmt |
| Fundraising | $27,466 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $459 | TotalAmt |
| Program Services | $156 | ProgramServicesAmt |
| Management And General | $266 | ManagementAndGeneralAmt |
| Fundraising | $37 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,866 | TotalAmt |
| Management And General | $14,866 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,766 | TotalAmt |
| Program Services | $31,766 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,378 | TotalAmt |
| Program Services | $41,042 | ProgramServicesAmt |
| Management And General | $3,668 | ManagementAndGeneralAmt |
| Fundraising | $3,668 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| CLINIC EXPENSES | $360,074 | $360,074 | ||
| COMMUNICATION | $60,067 | $56,035 | $3,419 | $613 |
| OTHER OPERATING EXPENSE | $46,649 | $14,354 | $31,410 | $885 |
| STAFF RECRUITMENT & DEV | $36,380 | $36,026 | $354 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,801,026 | TotalAmt |
| Program Services | $3,682,774 | ProgramServicesAmt |
| Management And General | $858,273 | ManagementAndGeneralAmt |
| Fundraising | $259,979 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,387,327 | BOYAmt |
| EOY | $563,183 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,171,988 | BOYAmt |
| EOY | $3,486,168 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,396 | BOYAmt |
| EOY | $1,757,844 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,562 | BOYAmt |
| EOY | $869,451 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $41,248 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $709,366 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $430,047 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,530 | BOYAmt |
| EOY | $279,319 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,270,834 | BOYAmt |
| EOY | $1,090,113 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,199,637 | BOYAmt |
| EOY | $8,087,326 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $337,723 | BOYAmt |
| EOY | $370,822 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,000 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $418,404 | BOYAmt |
| EOY | $317,181 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,429,565 | BOYAmt |
| EOY | $1,580,956 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,190,692 | BOYAmt |
| EOY | $2,268,959 | 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 | $1,922,806 | BOYAmt |
| EOY | $4,522,650 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,139 | BOYAmt |
| EOY | $1,295,717 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,008,945 | BOYAmt |
| EOY | $5,818,367 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,199,637 | BOYAmt |
| EOY | $8,087,326 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,809,422 | 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 | $2,062,028 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,103,709 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,844,481 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,195,842 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,525,085 | CurrentTaxYearAmt |
| Total | $13,731,145 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,062,028 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,103,709 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,844,481 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,195,842 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,525,085 | CurrentTaxYearAmt |
| Total | $13,731,145 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $13,731,145 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $47,033 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,412 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $956 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,749 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $43,439 | CurrentTaxYearAmt |
| Total | $124,589 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,513 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $742 | CurrentTaxYearMinus2YearsAmt |
| Total | $3,255 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $38,169 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $53,785 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $801 | CurrentTaxYearAmt |
| Total | $92,755 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $13,951,744 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $10,807,788 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.98420 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97400 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | LEASE BUY-OUT - 2021 AMOUNT: $ 37,500. OTHER INCOME - 2021 AMOUNT: $ 669. 2022 AMOUNT: $ 1,520. 2023 AMOUNT: $ 801. HRSA PRIOR FUNDING DRAWDOWN - 2022 AMOUNT: $ 47,977. CA EDD REIMBURSEMENT - 2022 AMOUNT: $ 4,288. | ExplanationTxt |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | Yes (1) | VolunteersInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $20,000 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $20,000 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION CONTRIBUTED $20,000 FOR THE CA PROP 34 BALLOT MEASURE. VOLUNTEERS PARTICIPATED IN CPCA CALLS TO DISCUSS ROLL OUT OF THE CAMPAIGN AND PREPARED SOCIAL MEDIA POSTS ANNOUNCING PROP 35. | ExplanationTxt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $244,179 | OtherCostOrOtherBasisAmt |
| Depreciation | $198,232 | DepreciationAmt |
| Book Value | $45,947 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $261,632 | OtherCostOrOtherBasisAmt |
| Depreciation | $231,815 | DepreciationAmt |
| Book Value | $29,817 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $203,555 | OtherCostOrOtherBasisAmt |
| Book Value | $203,555 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $279,319 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| SECURITY DEPOSITS | $77,870 |
| RIGHT OF USE OF ASSET | $1,012,243 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,090,113 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASE LIABILITY | $1,180,956 |
| REFUNDABLE ADVANCE | $400,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,580,956 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $8,610,448 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $8,610,448 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $8,610,448 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,801,026 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $4,801,026 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $4,801,026 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | FIN 48 THE ORGANIZATION RECOGNIZES THE FINANCIAL STATEMENT BENEFIT OF TAX POSITIONS, SUCH AS A FILING STATUS OF TAX-EXEMPT, ONLY AFTER DETERMINING THAT THE RELEVANT TAX AUTHORITY WOULD MORE LIKELY THAN NOT SUSTAIN THE POSITION FOLLOWING AN AUDIT. THE ORGANIZATION IS SUBJECT TO POTENTIAL INCOME TAX AUDITS ON OPEN TAX YEARS BY ANY TAXING JURISDICTION IN WHICH IT OPERATES. THE STATUTE OF LIMITATIONS FOR FEDERAL AND CALIFORNIA PURPOSES IS GENERALLY THREE AND FOUR YEARS, RESPECTIVELY. |
| FORM 990, PART X, LINE 25 - ECONOMIC INJURY DISASTER LOAN | IN JULY 2020, THE ORGANIZATION RECEIVED AN ECONOMIC INJURY DISASTER LOAN (EIDL) UNDER THE SMALL BUSINESS ADMINISTRATION'S (SBA) ASSISTANCE PROGRAM IN LIGHT OF THE IMPACT OF THE COVID-19 PANDEMIC. PURSUANT TO THE EIDL AGREEMENT, THE ORGANIZATION RECEIVED A LOAN OF $150,000 TO BE USED FOR WORKING CAPITAL PURPOSES ONLY. PURSUANT TO THE EIDL AGREEMENT, THE ORGANIZATION EXECUTED; (I) A NOTE FOR THE BENEFIT OF THE SBA, WHICH CONTAINS CUSTOMARY EVENTS OF DEFAULT; AND (II) A SECURITY AGREEMENT, GRANTING THE SBA A SECURITY INTEREST IN ALL TANGIBLE AND INTANGIBLE PERSONAL PROPERTY OF THE ORGANIZATION, WHICH ALSO CONTAINS CUSTOMARY EVENTS OF DEFAULT. THE EIDL BEARS AN INTEREST RATE OF 2.75% PER ANNUM WHICH ACCRUES FROM THE DATE OF THE ADVANCE. DURING THE FISCAL YEAR ENDED JUNE 30, 2024, THE ORGANIZATION MADE INTEREST ONLY PAYMENTS BASED UPON INSTRUCTIONS BY THE SBA. THE TOTAL BALANCE OF PRINCIPAL AND ANY UNPAID INTEREST IS PAYABLE 30 YEARS FROM THE DATE OF THE EIDL AGREEMENT WITH FINAL PAYMENT DUE JULY 2050. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $178,626 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $153,501 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $25,125 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $32,458 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $26,056 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $178,626 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $153,501 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $25,125 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $32,458 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $26,056 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $58,514 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$33,389 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHELLE CATANZARITE | ||||||||||||||
| CHIEF MEDICAL OFFICER | $249,173 | $0 | $0 | $0 | $0 | $0 | $1,125 | $0 | $163 | $0 | $250,461 | $0 | $0 | $0 |
| MARK KURZMAN | ||||||||||||||
| PHYSICIAN | $225,818 | $0 | $0 | $0 | $0 | $0 | $975 | $0 | $6,740 | $0 | $233,533 | $0 | $0 | $0 |
| CARMEN IBARRA | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $217,280 | $0 | $0 | $0 | $0 | $0 | $1,352 | $0 | $163 | $0 | $218,795 | $0 | $0 | $0 |
| STACEY SHUAI | ||||||||||||||
| PHYSICIAN | $187,285 | $0 | $0 | $0 | $0 | $0 | $650 | $0 | $6,290 | $0 | $194,225 | $0 | $0 | $0 |
| MARIA NAZARIO | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $152,896 | $0 | $0 | $0 | $0 | $0 | $507 | $0 | $7,299 | $0 | $160,702 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $7,563 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | DONATED AUCTION ITEMS | Desc |
| Contribution | 31 | ContributionCnt |
| Noncash Contributions Rpt F990 | $18,728 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | DESCRIBE HOW THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED. AFTER THE FORM 990 IS PREPARED, THE FINANCE COMMITTEE IS PROVIDED A COPY OF THE DRAFT 990 FOR REVIEW AND IS ASKED TO RESPOND WITH ANY QUESTIONS, COMMENTS OR CHANGES. WHEN ALL QUESTIONS AND CONCERNS HAVE BEEN ADDRESSED BY THE FIRM ENGAGED TO PREPARE THE RETURN, A FINAL COPY IS THEN FORWARDED TO THE ENTIRE BOARD BEFORE IT IS SIGNED BY THE CEO AND FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | MEMBERS OF THE BOARD, OFFICERS, AND KEY EMPLOYEES FILL OUT AND SIGN AN ANNUAL CONFLICT OF INTEREST POLICY. IF POTENTIAL CONFLICTS ARISE, IT IS REVIEWED BY THE BOARD AND DECISIONS ARE MADE IN THE BEST INTEREST OF THE ORGANIZATION. ANY PAST POTENTIAL CONFLICTS OF INTEREST THAT MAY STILL EXIST ARE ALSO RECONSIDERED BY THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD APPROVED THE SALARY BASED ON COMPARABLE RATES OF OTHER CEOS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST AT THE ORGANIZATION'S HEADQUARTERS. |