LA CLINICA DE LA RAZA INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- LA CLINICA DE LA RAZA INC (EIN 94-1744108)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-13
- IRS object ID
- 202211339349310266
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-13T18:36:25-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SECOND STREET SUITE 900 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941744108 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LA CLINICA DE LA RAZA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LACL | BusinessNameControlTxt |
| Phone | 5105354000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 22210 | AddressLine1Txt |
| City | OAKLAND | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 946232210 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SUSAN MOORE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5105352924 | PhoneNum |
| Signature | 2022-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SUSAN | PersonFirstNm |
| Person Last | MOORE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL LUMSDEN | PreparerPersonNm |
| PTIN | P01262236 | PTIN |
| Phone | 4159561500 | PhoneNum |
| Preparation | 2022-05-13 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JANE GARCIA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 22210 | AddressLine1Txt |
| City | OAKLAND | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 946232210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $121,956,055 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LACLINICA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | COMPREHENSIVE MEDICAL SERVICES TO INDIVIDUALS IN NEED, REGARDLESS OF RACE, AGE, OR ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 1315 | TotalEmployeeCnt |
| Total Volunteers | 334 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $42,112,569 | PYContributionsGrantsAmt |
| CY Contributions Grants | $45,297,672 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $72,875,408 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $75,564,847 | CYProgramServiceRevenueAmt |
| PY Investment Income | $534,841 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,091,536 | CYInvestmentIncomeAmt |
| PY Other Revenue | $148,796 | PYOtherRevenueAmt |
| CY Other Revenue | $2,000 | CYOtherRevenueAmt |
| PY Total Revenue | $115,671,614 | PYTotalRevenueAmt |
| CY Total Revenue | $121,956,055 | 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 | $84,626,038 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $87,875,365 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $114,332 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $29,442,540 | PYOtherExpensesAmt |
| CY Other Expenses | $31,817,279 | CYOtherExpensesAmt |
| PY Total Expenses | $114,068,578 | PYTotalExpensesAmt |
| CY Total Expenses | $119,692,644 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,603,036 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,263,411 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $94,714,871 | TotalAssetsBOYAmt |
| Total Assets EOY | $148,316,145 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $32,539,949 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $84,320,206 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $62,174,922 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $63,995,939 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE QUALITY OF LIFE OF THE DIVERSE COMMUNITIES WE SERVE BY PROVIDING CULTURALLY APPROPRIATE, HIGH QUALITY, AND ACCESSIBLE HEALTH CARE FOR ALL. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $94,623,791 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $75,564,847 | RevenueAmt |
| Desc | LOCATED IN OAKLAND, SAN LEANDRO, AND SAN LORENZO IN ALAMEDA COUNTY; PITTSBURG, OAKLEY, AND CONCORD IN CONTRA COSTA COUNTY; AND VALLEJO IN SOLANO COUNTY, LA CLINICA SERVED 79,536 PATIENTS DURING THE 6/30/2021 FISCAL YEAR. LA CLINICA OPERATES AT MORE THAN THREE DOZEN LOCATIONS, INCLUDING THE FOLLOWING CLINICS: MEDICAL, DENTAL, AND BEHAVIORAL HEALTH CLINICS AT LA CLINICA DE LA RAZA (AT THE FRUITVALE TRANSIT VILLAGE), WHICH INCLUDES PHARMACY, LABORATORY, AND RADIOLOGY; LA CLINICA DE LA RAZA DENTAL (ON FRUITVALE AVENUE); CASA DEL SOL (MENTAL HEALTH CLINIC) I, II, AND III; CLINICA ALTA VISTA (A TEEN CLINIC); SAN ANTONIO NEIGHBORHOOD HEALTH CENTER, WHICH INCLUDES PHARMACY; FAMILY OPTICAL (EYE CLINIC); TWO WOMEN INFANTS AND CHILDREN ("WIC") PROGRAMS, ONE IN THE SAN ANTONIO NEIGHBORHOOD HEALTH CENTER AND ONE AT A FREE-STANDING SITE; A DENTAL CLINIC NEAR CHILDREN'S HOSPITAL OAKLAND; DAVIS PEDIATRICS, A PEDIATRIC PRACTICE ON FOOTHILL BOULEVARD; A MEDICAL CLINIC IN PITTSBURG; A DENTAL CLINIC IN PITTSBURG; A MOBILE DENTAL CLINIC SERVING CONTRA COSTA COUNTY; A MEDICAL, DENTAL, AND OPTICAL CLINIC IN CONCORD; A MEDICAL CLINIC IN OAKLEY; THREE MEDICAL CLINICS IN VALLEJO; AND A DENTAL CLINIC IN VALLEJO. THE ORGANIZATION ALSO RUNS EIGHT SCHOOL-BASED MEDICAL CLINICS: HAWTHORNE ELEMENTARY SCHOOL-BASED CLINIC, ROOSEVELT HEALTH CENTER, TIGER HEALTH CLINIC (AT FREMONT HIGH), SAN LORENZO HIGH HEALTH CENTER, TECHNICLINIC (AT OAKLAND TECHNICAL HIGH), HAVENSCOURT HEALTH CENTER, YOUTH HEART HEALTH CENTER (AT DOWNTOWN EDUCATIONAL COMPLEX), AND FUENTE WELLNESS CENTER (AT REACH ASHLAND YOUTH CENTER), THREE SCHOOL-BASED DENTAL CLINICS, AND PROVIDES PERIODIC DENTAL SCREENINGS AND TREATMENTS TO ABOUT FIFTEEN SCHOOLS IN ALAMEDA AND CONTRA COSTA COUNTIES. | Desc |
| Total Program Service Expenses | $94,623,791 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 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 | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 254 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1315 | 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SUSAN MOORE | PersonNm |
| Phone | 5105352915 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1450 FRUITVALE AVENUE THIRD FLOOR | AddressLine1Txt |
| City | OAKLAND | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| JANE GARCIA | |||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | 1.00 | Yes (X) | $333,222 | $0 | $68,494 | |||
| JORGE S SIOPACK MD | |||||||||
| PHYSICIAN & OB-GYN | 40.00 | 0.00 | $332,313 | $0 | $4,352 | Yes (X) | |||
| JUAN E VARGAS MD | |||||||||
| LEAD OB-GYN | 40.00 | 0.00 | $283,169 | $0 | $18,397 | Yes (X) | |||
| PAUL BAYARD MD MPH | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0.00 | Yes (X) | $250,262 | $0 | $34,340 | |||
| LERIDA LIPUMANO-PICAZO DMD | |||||||||
| RESIDENCY CLINICAL DIRECTOR | 40.00 | 0.00 | $243,280 | $0 | $1,874 | Yes (X) | |||
| LISA MONTANG MD | |||||||||
| PHYSICIAN ASSOCIATE MEDICAL DIRECTOR | 40.00 | 0.00 | $209,124 | $0 | $34,222 | Yes (X) | |||
| JOHN MURPHY MD | |||||||||
| CHIEF MEDICAL INFORMATION OFFICER | 40.00 | 0.00 | Yes (X) | $224,636 | $0 | $7,938 | |||
| SUSAN MOORE | |||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 1.00 | Yes (X) | $201,557 | $0 | $25,997 | |||
| MICHELE HELMAN MD | |||||||||
| PHYSICIAN ASSOCIATE MEDICAL DIRECTOR | 40.00 | 0.00 | $217,166 | $0 | $5,407 | Yes (X) | |||
| DOLLY DAVAR | |||||||||
| PHARMACY DIRECTOR | 40.00 | 0.00 | $214,217 | $0 | $2,880 | Yes (X) | |||
| FERNANDO CORTEZ | |||||||||
| CHIEF INFORMATION OFFICER | 40.00 | 0.00 | Yes (X) | $164,131 | $0 | $48,336 | |||
| ANITA ADDISON | |||||||||
| CHIEF OF PLANNING & STRAT ADVANCEMENT | 40.00 | 0.00 | $172,684 | $0 | $34,957 | Yes (X) | |||
| FREDDIE L WOODARD | |||||||||
| DIRECTOR OF BILLING | 40.00 | 0.00 | $156,665 | $0 | $13,170 | Yes (X) | |||
| JOHN MOUTOUSSAMY | |||||||||
| DIRECTOR OF HR THROUGH 4/2021 | 40.00 | 0.00 | $157,761 | $0 | $2,185 | Yes (X) | |||
| ARIANE TERLET DDS | |||||||||
| CHIEF DENTAL OFFICER | 40.00 | 0.00 | Yes (X) | $134,985 | $0 | $23,471 | |||
| ZENAIDA AGUILERA | |||||||||
| COMPLIANCE & PRIVACY OFFICER | 40.00 | 0.00 | Yes (X) | $138,291 | $0 | $13,718 | |||
| YVONNE HUDSON-HARMON | |||||||||
| PRES THROUGH 5/2021 / INT DIR OF HR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| RAMON TERRAZAS MD MPH | |||||||||
| VICE PRESIDENT / PRES START 5/2021 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| CHRISTOPHER OHMAN | |||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PAUL MARRIOTT SWENSON MBA | |||||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| ROBERT CALVIN KATTER | |||||||||
| PARLIAMENTARIAN | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SOPHIA BUCHELI | |||||||||
| DIRECTOR | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| ELIZABETH DIAZ | |||||||||
| DIRECTOR | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| MARIA DE LOS ANGELES ESPINOZA | |||||||||
| DIRECTOR | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| BLANCA GOMEZ | |||||||||
| DIRECTOR START 9/2020 | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| NORMA GUADALUPE GUERRERO | |||||||||
| DIRECTOR | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| AISHA HAMPTON-BOWSER | |||||||||
| DIRECTOR | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| TERRELL JACKSON | |||||||||
| DIRECTOR | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| REVEREND RODNEY J LEGGETT | |||||||||
| DIRECTOR | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| CARMEN MARTINEZ | |||||||||
| DIRECTOR START 10/2020 | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| DR TINA RAINE-BENNETT | |||||||||
| DIRECTOR | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| MARIA TSAKLANOS | |||||||||
| DIRECTOR THROUGH 9/2020 | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,433,463 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $339,738 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 136 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SECURITY ENFORCEMENT ALLIANCE INC | |||||
| PO BOX 2279 | NAPA | CA | 94558 | SECURITY SERVICES | $1,296,549 |
| TOWNSHIP BUILDING SERVICES INC | |||||
| 26 PAMARON WAY SUITE A | NOVATO | CA | 94949 | MAINTENANCE SERVICES | $1,156,961 |
| NEXTGEN HEALTHCARE INC | |||||
| PO BOX 511449 | LOS ANGELES | CA | 90051 | SOFTWARE/IT SERVICES | $965,729 |
| OCHIN INC | |||||
| 1881 SW NAITO PKWY | PORTLAND | OR | 97201 | SOFTWARE/IT SERVICES | $778,176 |
| MED TECH SOLUTIONS INC | |||||
| PO BOX 748882 | LOS ANGELES | CA | 90074 | SOFTWARE/IT SERVICES | $723,344 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 46 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $38,001,298 | GovernmentGrantsAmt |
| All Other Contributions | $7,296,374 | AllOtherContributionsAmt |
| Noncash Contributions | $852,531 | NoncashContributionsAmt |
| Total Contributions | $45,297,672 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 621400 | $61,873,742 | $61,873,742 |
| CAPITATION REVENUE | 621400 | $8,048,528 | $8,048,528 |
| PHARMACY - 340B PROG REV | 621400 | $3,528,172 | $3,528,172 |
| OTHER OPERATING REV | 621400 | $2,114,405 | $2,114,405 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $75,564,847 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $772,074 | TotalRevenueColumnAmt |
| Exclusion | $772,074 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,000 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,000 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,000 | TotalRevenueColumnAmt |
| Exclusion | $2,000 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $319,462 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $319,462 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $319,462 | TotalRevenueColumnAmt |
| Exclusion | $319,462 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $121,956,055 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $75,564,847 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,093,536 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,269,817 | TotalAmt |
| Program Services | $197,136 | ProgramServicesAmt |
| Management And General | $2,072,681 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,292,846 | TotalAmt |
| Program Services | $52,302,783 | ProgramServicesAmt |
| Management And General | $7,949,017 | ManagementAndGeneralAmt |
| Fundraising | $41,046 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,216,903 | TotalAmt |
| Program Services | $1,645,541 | ProgramServicesAmt |
| Management And General | $570,206 | ManagementAndGeneralAmt |
| Fundraising | $1,156 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,092,998 | TotalAmt |
| Program Services | $15,296,607 | ProgramServicesAmt |
| Management And General | $2,785,747 | ManagementAndGeneralAmt |
| Fundraising | $10,644 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,002,801 | TotalAmt |
| Program Services | $4,205,898 | ProgramServicesAmt |
| Management And General | $793,614 | ManagementAndGeneralAmt |
| Fundraising | $3,289 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $773,305 | TotalAmt |
| Program Services | $400,164 | ProgramServicesAmt |
| Management And General | $363,796 | ManagementAndGeneralAmt |
| Fundraising | $9,345 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,869 | TotalAmt |
| Program Services | $4,000 | ProgramServicesAmt |
| Management And General | $131,869 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,273 | TotalAmt |
| Management And General | $155,273 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,804,029 | TotalAmt |
| Program Services | $6,810,769 | ProgramServicesAmt |
| Management And General | $984,904 | ManagementAndGeneralAmt |
| Fundraising | $8,356 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,134 | TotalAmt |
| Program Services | $9,132 | ProgramServicesAmt |
| Management And General | $2 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,492,857 | TotalAmt |
| Program Services | $8,402,980 | ProgramServicesAmt |
| Management And General | $1,066,376 | ManagementAndGeneralAmt |
| Fundraising | $23,501 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,071,920 | TotalAmt |
| Program Services | $159,114 | ProgramServicesAmt |
| Management And General | $4,911,040 | ManagementAndGeneralAmt |
| Fundraising | $1,766 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,070,957 | TotalAmt |
| Program Services | $3,033,386 | ProgramServicesAmt |
| Management And General | $1,037,320 | ManagementAndGeneralAmt |
| Fundraising | $251 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,702 | TotalAmt |
| Program Services | $34,414 | ProgramServicesAmt |
| Management And General | $56,288 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,482 | TotalAmt |
| Program Services | $424 | ProgramServicesAmt |
| Management And General | $1,058 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,997 | TotalAmt |
| Program Services | $186,031 | ProgramServicesAmt |
| Management And General | $6,966 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,583,180 | TotalAmt |
| Program Services | $1,525,880 | ProgramServicesAmt |
| Management And General | $1,057,032 | ManagementAndGeneralAmt |
| Fundraising | $268 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $441,438 | TotalAmt |
| Program Services | $63,683 | ProgramServicesAmt |
| Management And General | $377,755 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| OTHER TAXES & FEES | $480,692 | $168,988 | $300,330 | $11,374 |
| COURIER & DELIVERY | $293,322 | $124,725 | $168,597 | $0 |
| ORGANIZATIONAL DUES | $168,039 | $13,327 | $151,376 | $3,336 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,083 | TotalAmt |
| Program Services | $38,809 | ProgramServicesAmt |
| Management And General | $13,274 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,692,644 | TotalAmt |
| Program Services | $94,623,791 | ProgramServicesAmt |
| Management And General | $24,954,521 | ManagementAndGeneralAmt |
| Fundraising | $114,332 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,719,030 | BOYAmt |
| EOY | $20,688,023 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,489,591 | BOYAmt |
| EOY | $4,808,511 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,439,274 | BOYAmt |
| EOY | $8,076,267 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,757,642 | BOYAmt |
| EOY | $9,371,222 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,038,400 | BOYAmt |
| EOY | $12,038,400 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $386,127 | BOYAmt |
| EOY | $338,520 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,055,941 | BOYAmt |
| EOY | $804,484 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $61,461,752 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $27,887,383 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,768,594 | BOYAmt |
| EOY | $33,574,369 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,863,821 | BOYAmt |
| EOY | $17,476,604 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,637,770 | BOYAmt |
| EOY | $6,523,583 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $558,681 | BOYAmt |
| EOY | $34,616,162 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,714,871 | BOYAmt |
| EOY | $148,316,145 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,658,638 | BOYAmt |
| EOY | $14,351,575 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,596,339 | BOYAmt |
| EOY | $5,139,729 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,494,727 | BOYAmt |
| EOY | $6,185,250 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,831,927 | BOYAmt |
| EOY | $6,380,859 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $10,000,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,958,318 | BOYAmt |
| EOY | $42,262,793 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,539,949 | BOYAmt |
| EOY | $84,320,206 | 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 | $53,307,564 | BOYAmt |
| EOY | $61,154,552 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,867,358 | BOYAmt |
| EOY | $2,841,387 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,174,922 | BOYAmt |
| EOY | $63,995,939 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,714,871 | BOYAmt |
| EOY | $148,316,145 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,263,411 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$442,394 | NetUnrlzdGainsLossesInvstAmt |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,427,380 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $40,433,770 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $33,465,986 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $42,112,569 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $45,297,672 | CurrentTaxYearAmt |
| Total | $190,737,377 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,427,380 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $40,433,770 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $33,465,986 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $42,112,569 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $45,297,672 | CurrentTaxYearAmt |
| Total | $190,737,377 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,272,302 | SubstantialContributorsTotAmt |
| Public Support Total170 | $189,465,075 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $414,080 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $442,077 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $680,579 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $503,910 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $774,074 | CurrentTaxYearAmt |
| Total | $2,814,720 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $129,958 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,211 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $154,105 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $145,796 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $431,070 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $402,916 | CurrentTaxYearMinus4YearsAmt |
| Total | $402,916 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $194,386,083 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $376,534,626 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97470 | PublicSupportCY170Pct |
| Public Support PY170 | 0.96480 | 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 | OTHER INCOME - 2016 AMOUNT: $ 402,916. 2017 AMOUNT: $ 0. 2018 AMOUNT: $ 0. 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 0. | 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 | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $7,500 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,500 | 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 PAYS MEMBERSHIP DUES TO THE CALIFORNIA PRIMARY CARE ASSOCIATION; A PORTION OF THOSE DUES HAVE BEEN INDICATED AS UTILIZED FOR LOBBYING ACTIVITIES PERTINENT TO THE HEALTH CARE INDUSTRY. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,085,517 | OtherCostOrOtherBasisAmt |
| Book Value | $2,085,517 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,112,627 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,156,328 | DepreciationAmt |
| Book Value | $16,956,299 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,345,189 | OtherCostOrOtherBasisAmt |
| Depreciation | $510,048 | DepreciationAmt |
| Book Value | $6,835,141 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,851,313 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,221,007 | DepreciationAmt |
| Book Value | $7,630,306 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $67,106 | OtherCostOrOtherBasisAmt |
| Book Value | $67,106 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $33,574,369 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| PAYROLL CLEARING | $11,119 |
| DEPOSITS | $802,518 |
| INTEREST RECEIVABLE | $5,718 |
| OPERATING LEASE RIGHT OF USE ASSETS | $33,796,807 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $34,616,162 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $8,195,750 |
| ACCRUED DENTAL LITIGATION | $162,964 |
| OPERATING LEASE LIABILITIES | $33,559,079 |
| DUE TO LA CLINICA GEORGIA STREET | $345,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $42,262,793 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A NONPROFIT CORPORATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND HAS BEEN GRANTED TAX-EXEMPT STATUS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA REVENUE AND TAXATION CODE. AS OF JUNE 30, 2021 AND 2020, THE ORGANIZATION HAD NO UNRECOGNIZED TAX POSITIONS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE FINANCIAL STATEMENTS. | 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 | Yes (1) | 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 (16 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JANE GARCIA | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $333,222 | $0 | $0 | $0 | $0 | $0 | $43,617 | $0 | $24,877 | $0 | $401,716 | $0 | $0 | $0 |
| JORGE S SIOPACK MD | ||||||||||||||
| PHYSICIAN & OB-GYN | $332,313 | $0 | $0 | $0 | $0 | $0 | $3,617 | $0 | $735 | $0 | $336,665 | $0 | $0 | $0 |
| JUAN E VARGAS MD | ||||||||||||||
| LEAD OB-GYN | $283,169 | $0 | $0 | $0 | $0 | $0 | $2,292 | $0 | $16,105 | $0 | $301,566 | $0 | $0 | $0 |
| PAUL BAYARD MD MPH | ||||||||||||||
| CHIEF MEDICAL OFFICER | $250,262 | $0 | $0 | $0 | $0 | $0 | $3,617 | $0 | $30,723 | $0 | $284,602 | $0 | $0 | $0 |
| LERIDA LIPUMANO-PICAZO DMD | ||||||||||||||
| RESIDENCY CLINICAL DIRECTOR | $243,280 | $0 | $0 | $0 | $0 | $0 | $1,874 | $0 | $0 | $0 | $245,154 | $0 | $0 | $0 |
| LISA MONTANG MD | ||||||||||||||
| PHYSICIAN ASSOCIATE MEDICAL DIRECTOR | $209,124 | $0 | $0 | $0 | $0 | $0 | $3,499 | $0 | $30,723 | $0 | $243,346 | $0 | $0 | $0 |
| JOHN MURPHY MD | ||||||||||||||
| CHIEF MEDICAL INFORMATION OFFICER | $224,636 | $0 | $0 | $0 | $0 | $0 | $2,777 | $0 | $5,161 | $0 | $232,574 | $0 | $0 | $0 |
| SUSAN MOORE | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $201,557 | $0 | $0 | $0 | $0 | $0 | $2,023 | $0 | $23,974 | $0 | $227,554 | $0 | $0 | $0 |
| MICHELE HELMAN MD | ||||||||||||||
| PHYSICIAN ASSOCIATE MEDICAL DIRECTOR | $217,166 | $0 | $0 | $0 | $0 | $0 | $2,343 | $0 | $3,064 | $0 | $222,573 | $0 | $0 | $0 |
| DOLLY DAVAR | ||||||||||||||
| PHARMACY DIRECTOR | $214,217 | $0 | $0 | $0 | $0 | $0 | $2,499 | $0 | $381 | $0 | $217,097 | $0 | $0 | $0 |
| FERNANDO CORTEZ | ||||||||||||||
| CHIEF INFORMATION OFFICER | $164,131 | $0 | $0 | $0 | $0 | $0 | $3,605 | $0 | $44,731 | $0 | $212,467 | $0 | $0 | $0 |
| ANITA ADDISON | ||||||||||||||
| CHIEF OF PLANNING & STRAT ADVANCEMEN | $172,684 | $0 | $0 | $0 | $0 | $0 | $3,592 | $0 | $31,365 | $0 | $207,641 | $0 | $0 | $0 |
| FREDDIE L WOODARD | ||||||||||||||
| DIRECTOR OF BILLING | $156,665 | $0 | $0 | $0 | $0 | $0 | $2,368 | $0 | $10,802 | $0 | $169,835 | $0 | $0 | $0 |
| JOHN MOUTOUSSAMY | ||||||||||||||
| DIRECTOR OF HR THROUGH 4/2021 | $157,761 | $0 | $0 | $0 | $0 | $0 | $2,023 | $0 | $162 | $0 | $159,946 | $0 | $0 | $0 |
| ARIANE TERLET DDS | ||||||||||||||
| CHIEF DENTAL OFFICER | $134,985 | $0 | $0 | $0 | $0 | $0 | $21,779 | $0 | $1,692 | $0 | $158,456 | $0 | $0 | $0 |
| ZENAIDA AGUILERA | ||||||||||||||
| COMPLIANCE & PRIVACY OFFICER | $138,291 | $0 | $0 | $0 | $0 | $0 | $2,777 | $0 | $10,941 | $0 | $152,009 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | JANE C. GARCIA PARTICIPATES IN A SUPPLEMENTAL, NONQUALIFIED 457(F) RETIREMENT PLAN. DURING THE 2020 CALENDAR YEAR, CONTRIBUTIONS TO THE PLAN TOTALED $20,500, WHICH HAS BEEN REPORTED AS "DEFERRED COMPENSATION" ON SCHEDULE J, PART II, COLUMN (C); THERE WERE NO DISTRIBUTIONS OR AMOUNTS TREATED AS TAXABLE COMPENSATION DUE TO SUBSTANTIAL RISK OF FORFEITURE FROM THE PLAN. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| ABAG FINANCE AUTHORITY FOR NONPROFIT CORPORATIONS | ||||||||
| A | 943130123 | 00037CQV5 | 2010-12-30 | $3,855,000 | FINANCING OF MONUMENT HEALTH CLINIC IN CONCORD, CA | 0 | 0 | 0 |
| CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY | ||||||||
| B | 680164610 | NONEAVAIL | 2019-09-06 | $4,103,362 | REFUND OF TAXABLE BONDS ISSUED 3/20/2019 | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $1,575,000 | $3,855,000 | $3,855,000 | 2011 | 0 | 0 | Yes (1) | Yes (1) | ||
| B | $114,477 | $4,103,362 | 0 | Yes (1) | Yes (1) | Yes (1) | $82,000 | $4,021,362 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 29 | ContributionCnt |
| Noncash Contributions Rpt F990 | $852,531 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN SCHEDULE M, PART I, COLUMN (B). | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT TAX PREPARER IN CONJUNCTION WITH THE ORGANIZATION'S FINANCE AND ACCOUNTING DEPARTMENT. UPON REVIEW AND APPROVAL BY THE FINANCE AND ACCOUNTING DEPARTMENT, THE FORM 990 IS THEN REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD AND THEN SENT ELECTRONICALLY TO ALL MEMBERS OF THE BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WHICH COVERS DIRECTORS, OFFICERS, AND EMPLOYEES WHO CAN INFLUENCE THE ACTIONS OF LA CLINICA; ALL SUCH INDIVIDUALS ARE REQUIRED TO COMPLETE A "CONFLICT OF INTEREST QUESTIONNAIRE & DISCLOSURE STATEMENT" ANNUALLY. IN THE EVENT A CONFLICT OF INTEREST IS IDENTIFIED, DISCLOSURE SHOULD BE MADE TO THE COMPLIANCE OFFICER (OR IF SHE OR HE IS THE ONE WITH THE CONFLICT, THEN TO THE BOARD CHAIR), WHO SHALL BRING THE MATTER TO THE ATTENTION OF THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD. TRANSACTIONS WITH PARTIES WITH WHOM CONFLICTING INTEREST EXISTS MAY BE UNDERTAKEN ONLY IF ALL THE FOLLOWING ARE OBSERVED: (I) THE CONFLICTING INTEREST IS FULLY DISCLOSED; (II) THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION; (III) A COMPETITIVE BID OR COMPARABLE CALCULATION EXISTS, AND IS ACCORDANCE WITH LA CLINICA'S PROCUREMENT POLICY; AND (IV) THE BOARD OR A DULY CONSTITUTED COMMITTEE THEREOF, HAS DETERMINED THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. THE DECISION OF THE BOARD OR COMMITTEE IS DOCUMENTED WITHIN THE BOARD/COMMITTEE MEETING MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE SALARY FOR THE CEO IS DETERMINED BY THE MEMBERS OF THE BOARD OF DIRECTORS, WHICH CONSISTS ENTIRELY OF INDEPENDENT PERSONS. SALARIES FOR OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS DETERMINED BY THE CEO. BOTH THE BOARD OF DIRECTORS AND THE CEO UTILIZE COMPARABILITY DATA WHEN MAKING COMPENSATION DECISIONS, AND ALSO TAKE INTO ACCOUNT THE SIZE AND COMPLEXITY OF THE COMPARABLE ORGANIZATIONS, THE EMPLOYEE'S TENURE, AND OTHER SUCH INFORMATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE AUDITED FINANCIAL STATEMENTS ARE DISTRIBUTED UPON REQUEST. THE GOVERNING/ORGANIZING DOCUMENTS ARE AVAILABLE ON THE WEBSITE AT WWW.LACLINICA.ORG. THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LA CLINICA VALLEJO GEORGIA STREET PROPERTY OWNER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 22210 | AddressLine1Txt |
| City | OAKLAND | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 946232210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 831342199 | EIN |
| Primary Activities | NMTC FINANCING FOR NEW HEALTH CARE FACILITY IN VALLEJO, CA | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LA CLINICA DE LA RAZA INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| LA CLINICA VALLEJO GEORGIA STREET PROPERTY OWNER | ||
| B | $2,962,452 | BOOK / ACTUAL VALUE |
| LA CLINICA VALLEJO GEORGIA STREET PROPERTY OWNER | ||
| K | $345,000 | BOOK / ACTUAL VALUE |