LYON-MARTIN COMMUNITY HEALTH SERVICES: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: LYON-MARTIN COMMUNITY HEALTH SERVICES (EIN 86-3008459)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-15
IRS object ID: 202541359349307114
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 D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-15T12:17:04-05:00	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	863008459	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LYON-MARTIN COMMUNITY HEALTH SERVICES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	LYON	BusinessNameControlTxt
Phone	4155657667	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1735 MISSION ST	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94103	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JACKSON JAMES MILLER JAFFE	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	4155657667	PhoneNum
Signature	2025-05-14	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	2025-05-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JACKSON JAMES MILLER JAF	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1735 MISSION ST	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94103	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$6,941,884	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://LYON-MARTIN.ORG/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2022	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF LYON-MARTIN COMMUNITY HEALTH SERVICES IS TO PROVIDE HIGH QUALITY, COMPASSIONATE AND TRAUMA-INFORMED MEDICAL, GYNECOLOGICAL, AND MENTAL HEALTH CARE SERVICES TO TRANS, NON-BINARY, GENDER NON-CONFORMING, AND INTERSEX (TGI) COMMUNITIES AND CIS-GENDER WOMEN WITH SPECIFIC SENSITIVITY TO LGBQA SEXUAL ORIENTATION, DISABILITY, SIZE, RACE, ETHNICITY, AND LANGUAGE REGARDLESS OF IMMIGRATION STATUS OR ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	54	TotalEmployeeCnt
Total Volunteers	10	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,945,991	PYContributionsGrantsAmt
CY Contributions Grants	$5,147,727	CYContributionsGrantsAmt
PY Program Service Revenue	$907,370	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,780,511	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$13,646	CYOtherRevenueAmt
PY Total Revenue	$4,853,361	PYTotalRevenueAmt
CY Total Revenue	$6,941,884	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	$3,653,728	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$3,310,218	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$18,398	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$86,479	CYTotalFundraisingExpenseAmt
PY Other Expenses	$939,530	PYOtherExpensesAmt
CY Other Expenses	$2,306,788	CYOtherExpensesAmt
PY Total Expenses	$4,611,656	PYTotalExpensesAmt
CY Total Expenses	$5,617,006	CYTotalExpensesAmt
PY Revenues Less Expenses	$241,705	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,324,878	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,429,996	TotalAssetsBOYAmt
Total Assets EOY	$8,091,687	TotalAssetsEOYAmt
Total Liabilities BOY	$638,655	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,484,182	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$791,341	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,607,505	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF LYON-MARTIN COMMUNITY HEALTH SERVICES IS TO PROVIDE HIGH QUALITY, COMPASSIONATE AND TRAUMA-INFORMED MEDICAL, GYNECOLOGICAL, AND MENTAL HEALTH CARE SERVICES TO TRANS, NON-BINARY, GENDER NON-CONFORMING, AND INTERSEX (TGI) COMMUNITIES AND CIS-GENDER WOMEN WITH SPECIFIC SENSITIVITY TO LGBQA SEXUAL ORIENTATION, DISABILITY, SIZE, RACE, ETHNICITY, AND LANGUAGE REGARDLESS OF IMMIGRATION STATUS OR ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$3,165,554	ExpenseAmt
Revenue	$1,780,511	RevenueAmt
Desc	WE AIM TO ELIMINATE HEALTH INEQUITIES FOR OUR COMMUNITIES BY ROOTING OUR CLINICAL PRACTICE IN CORE FOUNDATIONAL FRAMEWORKS OF INTERSECTIONALITY, ANTI-RACISM, REPRODUCTIVE AND DISABILITY JUSTICE, SELF-DETERMINATION, AND HARM REDUCTION. AS A COMMUNITY CLINIC, WE BELIEVE OUR COMMUNITIES ARE BEST SERVED BY US AND FOR US; THAT'S WHY COMMUNITY ENGAGEMENT AND LEADERSHIP DEVELOPMENT ARE CENTRAL TO OUR MISSION OF COMMUNITY CARE AND MUTUAL AID. FINALLY, WE ARE COMMITTED TO INCREASING ACCESS TO CULTURALLY RESPONSIVE CARE FOR QUEER, TRANS, AND INTERSEX (QTI) PEOPLE BEYOND OUR WALLS THROUGH PROVIDER TRAINING AND EDUCATION AND ADDRESSING SYSTEMIC BARRIERS TO EQUITY THROUGH POLICY ADVOCACY.	Desc
Total Program Service Expenses	$3,165,554	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	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	0	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	31	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	54	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	9	GoverningBodyVotingMembersCnt
Independent Voting Member	9	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	JACKSON JAMES MILLER JAFFE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4155657667	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1735 MISSION ST	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94103	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ANGELA CHI
CHAIR	2.00	Yes (X)	$0	$0	$0
HANNAH FORSBERG
SECRETARY	2.00	Yes (X)	$0	$0	$0
PAUL HENDRY
TREASURER	2.00	Yes (X)	$0	$0	$0
ALEX LOCUST
DIRECTOR (UNTIL 02/2024)	2.00	Yes (X)	$0	$0	$0
JOSS GREENE
DIRECTOR	2.00	Yes (X)	$0	$0	$0
ARYA GOLD
DIRECTOR	2.00	Yes (X)	$0	$0	$0
SAMMIE ABLAZA WILLS
DIRECTOR	2.00	Yes (X)	$0	$0	$0
A D LEWIS
DIRECTOR	2.00	Yes (X)	$0	$0	$0
ADREE EDMO
DIRECTOR	2.00	Yes (X)	$0	$0	$0
ALEX VILLARRAGA
DIRECTOR	2.00	Yes (X)	$0	$0	$0
JACKSON JAMES MILLER JAFFE
CHIEF EXECUTIVE OFFICER	40.00		$143,750	$0	$3,938	Yes (X)
SARAH VELA
PRIMARY CARE PROVIDER	40.00		$134,972	$0	$0		Yes (X)
KAREN COLIN
REGISTERED NURSE	40.00		$101,527	$0	$0		Yes (X)
AMANDA BEATTIE SMITH
REGISTERED NURSE	40.00		$101,049	$0	$2,788		Yes (X)
MAISHA DAVIS
MEDICAL DIRECTOR	24.00		$160,285	$0	$4,281		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$641,583	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$11,007	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	5	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
OCHIN INC
1881 SW NAITO PARKWAY	PORTLAND	OR	97201	BILLING CONTRACTOR	$186,873
HUMAN-ISM LLC
1495 RODRIGUEZ ST	SANTA CRUZ	CA	95062	IT CONTRACTOR	$107,205

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	2	CntrctRcvdGreaterThan100KCnt
Government Grants	$3,844,051	GovernmentGrantsAmt
All Other Contributions	$1,303,676	AllOtherContributionsAmt
Total Contributions	$5,147,727	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT REVENUE	Desc
Business	900099	BusinessCd
Total Revenue Column	$1,780,511	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,780,511	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,780,511	TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER INCOME	Desc
Business	900099	BusinessCd
Total Revenue Column	$13,646	TotalRevenueColumnAmt
Exclusion	$13,646	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$13,646	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,941,884	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,780,511	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$13,646	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	$147,500	TotalAmt
Program Services	$124,390	ProgramServicesAmt
Management And General	$23,110	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,459,271	TotalAmt
Program Services	$2,073,963	ProgramServicesAmt
Management And General	$385,308	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$32,718	TotalAmt
Program Services	$27,592	ProgramServicesAmt
Management And General	$5,126	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$453,219	TotalAmt
Program Services	$382,211	ProgramServicesAmt
Management And General	$71,008	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$217,510	TotalAmt
Program Services	$183,431	ProgramServicesAmt
Management And General	$34,079	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$40,132	TotalAmt
Management And General	$40,132	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$133,957	TotalAmt
Management And General	$133,957	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$624,041	TotalAmt
Program Services	$83,068	ProgramServicesAmt
Management And General	$508,799	ManagementAndGeneralAmt
Fundraising	$32,174	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$36,578	TotalAmt
Program Services	$8,929	ProgramServicesAmt
Management And General	$27,068	ManagementAndGeneralAmt
Fundraising	$581	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$142,025	TotalAmt
Management And General	$142,025	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$854,889	TotalAmt
Program Services	$6,853	ProgramServicesAmt
Management And General	$833,907	ManagementAndGeneralAmt
Fundraising	$14,129	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$5,296	TotalAmt
Program Services	$1,386	ProgramServicesAmt
Management And General	$3,347	ManagementAndGeneralAmt
Fundraising	$563	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$13,508	TotalAmt
Program Services	$3,534	ProgramServicesAmt
Management And General	$8,537	ManagementAndGeneralAmt
Fundraising	$1,437	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,119	TotalAmt
Program Services	$19,000	ProgramServicesAmt
Management And General	$119	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$130,440	TotalAmt
Program Services	$65,220	ProgramServicesAmt
Management And General	$65,220	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
BAD DEBT EXPENSE	$111,039	$111,039
PATIENT CARE AND MEDICA	$88,609	$74,826	$11,992	$1,791
LICENSES AND DUES	$57,646		$57,646
FUNDRAISING COSTS	$35,575			$35,575

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,934	TotalAmt
Program Services	$112	ProgramServicesAmt
Management And General	$13,593	ManagementAndGeneralAmt
Fundraising	$229	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,617,006	TotalAmt
Program Services	$3,165,554	ProgramServicesAmt
Management And General	$2,364,973	ManagementAndGeneralAmt
Fundraising	$86,479	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$424,171	BOYAmt
EOY	$1,248,301	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$740,579	BOYAmt
EOY	$786,429	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,806	BOYAmt
EOY	$539,182	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$210,390	BOYAmt
EOY	$45,965	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$651,658	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$46,913	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$45,050	BOYAmt
EOY	$604,745	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$4,867,065	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,429,996	BOYAmt
EOY	$8,091,687	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$217,321	BOYAmt
EOY	$141,937	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$421,334	BOYAmt
EOY	$244,228	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
EOY	$300,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$4,798,017	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$638,655	BOYAmt
EOY	$5,484,182	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	$791,341	BOYAmt
EOY	$2,290,419	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
EOY	$317,086	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$791,341	BOYAmt
EOY	$2,607,505	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,429,996	BOYAmt
EOY	$8,091,687	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$1,324,878	ReconcilationRevenueExpnssAmt
Prior Period Adjustments	$491,286	PriorPeriodAdjustmentsAmt
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	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

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

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$109,453	OtherCostOrOtherBasisAmt
Depreciation	$46,913	DepreciationAmt
Book Value	$62,540	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$542,205	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$542,205	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$604,745	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
RIGHT-OF-USE ASSETS	$4,699,443
DEPOSITS	$167,622

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$4,867,065	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	OPERATING LEASE LIABILITY	Desc
Amt	$4,798,017	Amt

Field	Value	IRS element (for citing)
Total Liability	$4,798,017	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$6,941,884	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$6,941,884	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$6,941,884	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$5,617,006	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$5,617,006	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$5,617,006	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION HAS BEEN DESIGNATED AS TAX-EXEMPT UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3), IS EXEMPT FROM STATE FRANCHISE TAXES UNDER SECTION 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE, AND IS NOT GENERALLY SUBJECT TO FEDERAL OR STATE INCOME TAXES. U.S. GAAP PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. IT REQUIRES THAT AN ORGANIZATION RECOGNIZE IN THE FINANCIAL STATEMENTS THE IMPACT OF THE TAX POSITION IF THAT POSITION WILL MORE LIKELY THAN NOT BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. AS OF AND FOR THE YEAR ENDED JUNE 30, 2024, THE ORGANIZATION HAD NO UNRECOGNIZED TAX BENEFITS, TAX PENALTIES, OR INTEREST. 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 PURPOSES IS THREE YEARS AND FOR CALIFORNIA IS FOUR YEARS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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

Field	Value	IRS element (for citing)
Person	MAISHA DAVIS	PersonNm
Title	MEDICAL DIRECTOR	TitleTxt
Base Compensation Filing Org	$160,285	BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs	$0	CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization	$0	BonusFilingOrganizationAmount
Bonus Related Organizations	$0	BonusRelatedOrganizationsAmt
Other Compensation Filing Org	$0	OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs	$0	OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org	$4,281	DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs	$0	DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org	$0	NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs	$0	NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org	$164,566	TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs	$0	TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org	$0	CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs	$0	CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	CEO REVIEWS THE 990 AND A COPY OF THE 990 IS PROVIDED TO EACH BOARD MEMBER FOR REVIEW BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUAL DISCLOSURE IS REQUIRED FOR EACH BOARD MEMBER AND EMPLOYEE.
FORM 990, PART VI, SECTION B, LINE 15	SALARY FOR CEO IS SET BY THE BOARD OF DIRECTORS AND COMPENSATION IS SET BASED ON COMPARISONS TO MARKET. ALL OTHER EMPLOYEE SALARIES ARE APPROVED BY THE BOARD DURING THE BUDGET APPROVAL PROCESS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST TO THE CEO.
FORM 990, PART IX, LINE 11G	OTHER MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 83,068. MANAGEMENT AND GENERAL EXPENSES 508,799. FUNDRAISING EXPENSES 32,174. TOTAL EXPENSES 624,041.