KO OLAULOA HEALTH CENTER: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- KO OLAULOA HEALTH CENTER (EIN 73-1681833)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-15
- IRS object ID
- 202202279349303710
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-15T15:53:37-04:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Zachary Johnson | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 704 | AddressLine1Txt |
| City | Hauula | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96717 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731681833 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KOOLAULOA HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KOOL | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 395 | AddressLine1Txt |
| City | Kahuku | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96731 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Terrence Aratani | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8083753192 | PhoneNum |
| Signature | 2022-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Terrence | PersonFirstNm |
| Person Last | Aratani | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Zachary Johnson | PreparerPersonNm |
| PTIN | P02518861 | PTIN |
| Phone | 8086994661 | PhoneNum |
| Preparation | 2022-08-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| OOB Security Verification | 00 | OOBSecurityVerificationCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,291,600 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://www.koolauloachc.org/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | HI | LegalDomicileStateCd |
| Activity Or Mission | The Center is a culturally sensitive, community-based unit which provides comprehensive healthcare services - including medical, dental, and behavioral services primarily to residents in the Koolauloa region of Oahu, Hawaii | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 61 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,554,299 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,505,945 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,111,543 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,785,655 | CYProgramServiceRevenueAmt |
| PY Investment Income | $91 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $5,665,933 | PYTotalRevenueAmt |
| CY Total Revenue | $7,291,600 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,852,752 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,817,660 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $15,083 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,446,524 | PYOtherExpensesAmt |
| CY Other Expenses | $2,190,272 | CYOtherExpensesAmt |
| PY Total Expenses | $6,299,276 | PYTotalExpensesAmt |
| CY Total Expenses | $6,007,932 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$633,343 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,283,668 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,631,088 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,255,914 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $912,136 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $253,294 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,718,952 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,002,620 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The Center is a culturally sensitive, community-based unit which provides comprehensive healthcare services - including medical, dental, and behavioral services primarily to residents in the Koolauloa region of Oahu, Hawaii | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,928,824 | ExpenseAmt |
| Grant | $4,505,945 | GrantAmt |
| Revenue | $2,785,655 | RevenueAmt |
| Desc | Healthcare services: medical, dental, and pharmacy services to residents in the Koolauloa region on the island of Oahu through facilities in Hauula and Kahuku. | Desc |
| Total Program Service Expenses | $4,928,824 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 21 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 61 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | HI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERRENCE ARATANI | PersonNm |
| Phone | 8082939216 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 395 | AddressLine1Txt |
| City | Kahuku | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96731 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| KEVIN WOODY | ||||||||
| PEDIATRIC DENTIST | 0.00 | 0.00 | Yes (X) | $199,849 | $0 | $0 | ||
| TERRENCE ARATANI | ||||||||
| CEO | 40.00 | 0.00 | $199,802 | $0 | $0 | Yes (X) | ||
| DANIELLE LUM | ||||||||
| CMO | 40.00 | 0.00 | Yes (X) | $190,426 | $0 | $0 | ||
| VINCENT GIANI | ||||||||
| MEDICAL PROVIDER | 40.00 | 0.00 | Yes (X) | $183,860 | $0 | $0 | ||
| ALLEN BAGALSO | ||||||||
| PHARMACY DIRECTOR | 40.00 | 0.00 | Yes (X) | $135,024 | $0 | $0 | ||
| ISABELLA GARY | ||||||||
| COO | 40.00 | 0.00 | Yes (X) | $129,515 | $0 | $0 | ||
| SONNY PRESTON | ||||||||
| MEMBER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| ISABELLA WALKER | ||||||||
| MEMBER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| JUDY FOMIN | ||||||||
| MEMBER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| PAULA OGIMI | ||||||||
| MEMBER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| ANGELIQUE SOLOMON | ||||||||
| MEMBER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| MELISSA PRIMACIO | ||||||||
| VICE-PRESIDENT | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| JOE WILSON | ||||||||
| PRESIDENT | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| ANELA OLEVAO | ||||||||
| SECRETARY | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| DONNA CHING | ||||||||
| TREASURER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,038,476 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $4,501,667 | GovernmentGrantsAmt |
| All Other Contributions | $4,278 | AllOtherContributionsAmt |
| Total Contributions | $4,505,945 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $2,785,655 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,785,655 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,785,655 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,291,600 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,785,655 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,038,477 | TotalAmt |
| Program Services | $709,159 | ProgramServicesAmt |
| Management And General | $329,318 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,008,980 | TotalAmt |
| Program Services | $1,708,734 | ProgramServicesAmt |
| Management And General | $293,953 | ManagementAndGeneralAmt |
| Fundraising | $6,293 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,988 | TotalAmt |
| Program Services | $14,381 | ProgramServicesAmt |
| Management And General | $11,491 | ManagementAndGeneralAmt |
| Fundraising | $116 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $521,439 | TotalAmt |
| Program Services | $393,633 | ProgramServicesAmt |
| Management And General | $126,528 | ManagementAndGeneralAmt |
| Fundraising | $1,278 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,776 | TotalAmt |
| Program Services | $176,701 | ProgramServicesAmt |
| Management And General | $45,614 | ManagementAndGeneralAmt |
| Fundraising | $461 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,436 | TotalAmt |
| Program Services | $24,045 | ProgramServicesAmt |
| Management And General | $6,087 | ManagementAndGeneralAmt |
| Fundraising | $304 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,796 | TotalAmt |
| Program Services | $29,423 | ProgramServicesAmt |
| Management And General | $14,925 | ManagementAndGeneralAmt |
| Fundraising | $448 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,723 | TotalAmt |
| Program Services | $44,723 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,476 | TotalAmt |
| Program Services | $44,616 | ProgramServicesAmt |
| Management And General | $11,295 | ManagementAndGeneralAmt |
| Fundraising | $565 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $639,891 | TotalAmt |
| Program Services | $630,907 | ProgramServicesAmt |
| Management And General | $8,556 | ManagementAndGeneralAmt |
| Fundraising | $428 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,859 | TotalAmt |
| Program Services | $175,671 | ProgramServicesAmt |
| Management And General | $39,227 | ManagementAndGeneralAmt |
| Fundraising | $1,961 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,714 | TotalAmt |
| Management And General | $1,714 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,301 | TotalAmt |
| Program Services | $16,575 | ProgramServicesAmt |
| Management And General | $5,639 | ManagementAndGeneralAmt |
| Fundraising | $87 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194 | TotalAmt |
| Program Services | $194 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,744 | TotalAmt |
| Program Services | $55,888 | ProgramServicesAmt |
| Management And General | $14,149 | ManagementAndGeneralAmt |
| Fundraising | $707 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,940 | TotalAmt |
| Program Services | $31,553 | ProgramServicesAmt |
| Management And General | $7,988 | ManagementAndGeneralAmt |
| Fundraising | $399 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PURCHASES | $761,631 | $663,855 | $97,776 | |
| REPAIRS & MAINTENANCE | $109,646 | $88,250 | $20,377 | $1,019 |
| LICENSES & FEES | $48,312 | $36,935 | $11,266 | $111 |
| FEES | $55,452 | $43,807 | $11,091 | $554 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,157 | TotalAmt |
| Program Services | $39,774 | ProgramServicesAmt |
| Management And General | $7,031 | ManagementAndGeneralAmt |
| Fundraising | $352 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,007,932 | TotalAmt |
| Program Services | $4,928,824 | ProgramServicesAmt |
| Management And General | $1,064,025 | ManagementAndGeneralAmt |
| Fundraising | $15,083 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,481,701 | BOYAmt |
| EOY | $1,988,693 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $479,174 | BOYAmt |
| EOY | $248,760 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,394 | BOYAmt |
| EOY | $31,402 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $18,337 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,069,060 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,250,864 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $623,845 | BOYAmt |
| EOY | $818,196 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,987 | BOYAmt |
| EOY | $1,987 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,987 | BOYAmt |
| EOY | $148,539 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,631,088 | BOYAmt |
| EOY | $3,255,914 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,536 | BOYAmt |
| EOY | $114,744 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $648,600 | BOYAmt |
| EOY | $138,550 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $912,136 | BOYAmt |
| EOY | $253,294 | 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 | $1,718,952 | BOYAmt |
| EOY | $3,002,620 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,718,952 | BOYAmt |
| EOY | $3,002,620 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,631,088 | BOYAmt |
| EOY | $3,255,914 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,283,668 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,677,489 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,195,269 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,630,492 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,523,643 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,501,667 | CurrentTaxYearAmt |
| Total | $13,528,560 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,677,489 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,195,269 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,630,492 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,523,643 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,501,667 | CurrentTaxYearAmt |
| Total | $13,528,560 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $13,528,560 | PublicSupportTotal170Amt |
| Total Support | $13,528,560 | TotalSupportAmt |
| Public Support CY170 | 1.00000 | PublicSupportCY170Pct |
| Public Support PY170 | 1.00000 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $375,000 | InvestmentCostOrOtherBasisAmt |
| Book Value | $375,000 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $496,379 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $304,910 | DepreciationAmt |
| Book Value | $191,469 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $792,428 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $631,811 | DepreciationAmt |
| Book Value | $160,617 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $405,253 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $314,143 | DepreciationAmt |
| Book Value | $91,110 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $818,196 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| SECURITY DEPOSITS | $9,987 |
| OPERATING LEASE RIGHT-OF-USE ASSET | $138,552 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $148,539 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE LIABILITY | Desc |
| Amt | $138,550 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $138,550 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $7,291,600 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $7,291,600 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $7,291,600 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,007,932 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $6,007,932 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $6,007,932 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|
| TERRENCE ARATANI | ||
| CEO | $199,802 | $199,802 |
| DANIELLE LUM | ||
| CMO | $190,426 | $190,426 |
| VINCENT GIANI | ||
| MEDICAL PROVIDER | $183,860 | $183,860 |
| KEVIN WOODY | ||
| PEDIATRIC DENTIST | $199,849 | $199,849 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 governing body review Part VI line 11 | A copy of the return is routed to the finance committee for review and apporval before the return is filed with the Internal Revenue Service. |
| Conflict of interest policy compliance Part VI line 12c | The conflict of interest policy is reviewed annually. |
| CEO executive director top management comp Part VI line 15a | The compensation of the CEO is reviewed and approved annually by the finance committee. |
| Other officer or key employee compensation Part VI line 15b | The compensation for other officers or key employees are reviewed annually by the CEO. |
| Form 990 availability to public Part VI line 18 | The return is available on the Guidestar website and upon request. |
| Governing documents etc available to public Part VI line 19 | Governing documents are made available upon request. |