2022-05-13T18:03:03-05:00 2021-06-30 410746749 CLIFTONLARSONALLEN LLP 20 E THOMAS RD STE 2300 PHOENIX AZ 85012 990 2020-07-01 953881333 CLINICA MSR OSCAR A ROMERO CLIN 2132012606 2032 MARENGO STREET LOS ANGELES CA 90033 CARLOS A VAQUERANO CEO 2132012606 2022-05-12 1 CARLOS VAQUERANO 999009999 KURT BENNION P01469618 6022662248 2022-05-12 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z CARLOS A VAQUERANO 2032 MARENGO STREET LOS ANGELES CA 90033 16952669 0 X WWW.CLINICAROMERO.COM X 1983 CA PROVIDE QUALITY, AFFORDABLE AND CULTURALLY SENSITIVE HEALTH CARE AND OTHER SERVICES TO THE UNINSURED, INSURED AND UNDERSERVED COMMUNITIES OF GREATER LOS ANGELES. 11 11 186 90 0 0 6933835 6941287 7997850 10002989 580 654 273020 7739 15205285 16952669 0 0 0 0 9706346 10532443 131490 198160 318245 4445577 5435171 14283413 16165774 921872 786895 7366321 9317953 4579225 5743962 2787096 3573991 X OUR MISSION IS TO PROVIDE QUALITY, AFFORDABLE AND CULTURALLY SENSITIVE HEALTH CARE AND OTHER SERVICES TO THE UNINSURED, INSURED AND UNDERSERVED COMMUNITIES OF GREATER LOS ANGELES REGARDLESS OF THEIR ABILITY TO PAY BY UPHOLDING THE LEGACY AND (CONTINUED IN SCHEDULE O) TRADITION OF MONSENOR OSCAR A. ROMERO AND EDUCATING AND EMPOWERING SALVADORAN AND OTHER COMMUNITY MEMBERS THROUGH COMMUNITY ORGANIZING, HEALTH EDUCATION AND SOCIAL JUSTICE AND EXCHANGE PROGRAMS IN EL SALVADOR. 0 0 10910184 0 7408763 CLINICA ROMERO PROVIDES LOW-COST COMPREHENSIVE PRIMARY CARE AND DISEASE PREVENTION SERVICES FOR MEN, WOMEN AND CHILDREN OF ALL AGES. OUR DOCTORS STRIVE TO PROVIDE THE BEST LEVEL OF CARE IN ORDER TO IMPROVE THE QUALITY OF LIFE OF ALL PATIENTS. SERVICES INCLUDE:EXAMS: COMPLETE MEDICAL EXAMINATIONSCANCER SCREENINGS: LAB TESTS, ULTRASOUNDSCHRONIC DISEASE MANAGEMENT: MEDICATIONS AND LIFESTYLE REGIMENS FOR AVOIDING COMPLICATIONS ASSOCIATED WITH ASTHMA, HEART DISEASE, HYPERTENSION, HIGH BLOOD PRESSURE AND DIABETESFAMILY PLANNING: PROGRAMS TO ASSIST YOUNG AND BEGINNING FAMILIES PRENATAL CARE: PRENATAL CLASSES AND NUTRITIONAL GUIDANCEPEDIATRICS: WELL-CHILD VISITS FOR HEALTHY GROWTH AND DEVELOPMENTVACCINATIONS: PEDIATRIC IMMUNIZATIONS AND ADULT VACCINESWE PROVIDE MEDICAL, DENTAL, MENTAL HEALTH, AND SUBSTANCE USE DISORDER HEALTH CARE SERVICES TO HOMELESS POPULATION. WE ALSO PROVIDE MOBILE SHOWERS AND DISTRIBUTE HYGIENE PRODUCTS, CLOTHES AND FOOD TO THE POPULATION. 1352701 0 2076766 CLINICA IS COMMITTED TO PROVIDING PRESCRIPTION MEDICATION THAT FITS WITHIN A PATIENT'S BUDGET. OUR PHARMACEUTICAL STAFF IS COMMITTED TO PROVIDING ACCURATE AND EASY TO UNDERSTAND INFORMATION REGARDING THE MEDICATION PRESCRIBED TO OUR PATIENTS. SERVICES INCLUDE:ON-SITE FILLING OF PRESCRIPTIONSPRESCRIPTION REFILLS MEDICATION MANAGEMENT IN COORDINATION WITH PRIMARY CARE PHYSICIAN 887534 0 517460 CLINICA ROMERO PROVIDES A LOW-COST DENTAL SERVICES FOR ADULTS AND CHILDREN IN A FRIENDLY ENVIRONMENT THAT PUTS OUR PATIENTS AT EASE. GOOD ORAL HEALTH REQUIRES REGULAR DENTAL EXAMINATION AND MAINTENANCE TO HELP PREVENT AND MANAGE DISEASE. OUR TEAM SPECIALIZES IN PREVENTATIVE CARE AND PROVIDES THE FOLLOWING SERVICES:SERVICES FOR ADULTS:COMPLETE ORAL EXAMINATIONS INCLUDING X-RAYSPREVENTATIVE SERVICES AND PERIODIC PERIODONTAL MAINTENANCE TREATMENT: PROPHYLAXIS (CLEANINGS) AND NON-SURGICAL PERIODONTAL TREATMENT (SCALING AND ROOT PLANING), ORAL HYGIENE EDUCATIONRESTORATIVE SERVICES: RESTORATION FILLINGS, CANAL TREATMENT LIMITED TO ANTERIOR TEETH, SIMPLE EXTRACTIONSSERVICES FOR CHILDREN:COMPLETE ORAL EXAMINATIONS AND X-RAYSPREVENTATIVE SERVICES: PROPHYLAXIS (CLEANINGS), FLUORIDE VARNISHAPPLICATIONS, SEALANTS, ORAL HYGIENE EDUCATIONRESTORATIVE SERVICES: RESTORATION FILLINGS, PULPOTOMIES, STAINLESS STEEL CROWNS, SPACE MAINTAINERS, SIMPLE EXTRACTIONSDUE TO THE COVID OUTBREAK, WE CLOSED OUR DENTAL LOCATON AT 2032 MARENGO STREET IN MAY 2020. WE ARE PREPARED TO REOPEN THE SITE IN 2022. 13150419 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 473 0 186 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 CA X VANIA BOYADJIAN 2132012734 2032 MARENGO STREET LOS ANGELES CA 90033 MARCELO VILLAGOMEZ BOARD PRESIDENT 1.00 X X 0 0 0 DOUGLAS CARRANZA BOARD VICE PRESIDENT 1.00 X X 0 0 0 PADRE ALFREDO PALACIOS BOARD SECRETARY 1.00 X X 0 0 0 DR SONIA MOLINA BOARD TREASURER 1.00 X X 0 0 0 ARMANDO CARRANZA BOARD MEMBER 1.00 X 0 0 0 MARIN CASTILLO BOARD MEMBER 1.00 X 0 0 0 SANTOS ROMINA FERNANDEZ DE BUDDE, BOARD MEMBER 1.00 X 0 0 0 MARIO HERCULES BOARD MEMBER 1.00 X 0 0 0 SANDRA RODRIGUEZ BOARD MEMBER 1.00 X 0 0 0 JOSE LINO RUIZ BOARD MEMBER 1.00 X 0 0 0 MARITZA ZAMBRANO BOARD MEMBER 1.00 X 0 0 0 CARLOS VAQUERANO EXECUTIVE DIRECTOR & CEO 40.00 X 185235 0 18980 DR FERNANDO RODRIGUEZ DDS DENTAL DIRECTOR 40.00 X 147101 0 1950 DON GARCIA MEDICAL DIRECTOR 40.00 X 260250 0 3380 GUISELA JUAREZ OPERATIONS DIRECTOR 40.00 X 109811 0 2080 VANIA BOYADJIAN FINANCE DIRECTOR 40.00 X 114203 0 2080 JAMEY COREY PHARMACY DIRECTOR 32.00 X 135991 0 650 DEISY MENDOZA PHYSICIAN ASSISTANT 40.00 X 148794 0 780 ISABEL CORTEZ REVENUE CYCLE DIRECTOR, BUSINESS DEVELOPMENT 40.00 X 121857 0 2080 SANDRA CHOKRON GARNEAU MD PHYSICIAN 24.00 X 140272 0 780 RONITA SAEED-NOORANI PHARMACIST IN-CHARGE 40.00 X 133477 0 0 1496991 0 32760 17 0 1 0 7 LAYER IT SOLUTIONS INC 17701 CHATSWORTH ST GRANADA HILLS CA 91344 IT SERVICES 379498 FUNES SECURITY 1241 S SOTO STREET LOS ANGELES CA 90023 SECURITY SERVICES 244297 SALEF 421 S BIXEL STREET SUITE A LOS ANGELES CA 90017 OUTREACH SERVICES 232167 OCHIN 1881 SW NAITO PARKWAY PORTLAND OR 97201 EMR SERVICES 218085 QUEST DIAGNOSTIC PO BOX 912411 PASADENA CA 91110 LABORATORY SERVICES 211065 8 6918219 23068 6941287 MEDICAL SERVICES 621110 7926223 7926223 PHARMACY 621110 2076766 2076766 10002989 654 654 OTHER INCOME 900099 7739 7739 7739 16952669 10002989 0 8393 867392 162642 704750 7361059 6503821 840507 16731 94118 78660 15392 66 1498242 1261466 235719 1057 711632 594757 116378 497 83188 83188 96040 96040 198160 198160 904609 713747 94484 96378 77981 29800 48084 97 622743 530252 90191 2300 275023 262985 11869 169 402353 335720 65581 1052 14350 5484 8848 18 13409 5124 8268 17 131204 50139 80903 162 401136 342071 58408 657 78424 29969 48358 97 MEDICAL SUPPLIES 1075995 1075995 PROGRAM EXPENSES 1056575 1010328 45597 650 DUES AND SUBSCRIPTIONS 101869 87721 14148 MAINTENANCE AND REPAIRS 57017 53209 3724 84 43255 16529 26673 53 16165774 13150419 2697110 318245 1013546 1869377 639323 1087761 573015 1124636 45857 48545 47998 183812 9478430 4474608 5046582 5003822 7366321 9317953 740695 1462448 519797 1522726 3308733 2758788 10000 4579225 5743962 X 1784988 1174842 1002108 2399149 2787096 3573991 7366321 9317953 786895 0 X 0 1 X 1 1 1 X 4066782 5142967 5382383 6933835 6941287 28467254 4066782 5142967 5382383 6933835 6941287 28467254 28467254 5465 1500 7490 4929 654 20038 1236918 654570 200727 282913 7739 2382867 30870159 43899158 0.92220 0.89810 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1618324 1618324 3941517 2627363 1314154 1795560 237277 1558283 2047923 1609968 437955 75106 75106 5003822 X 16952669 0 16952669 0 16952669 16165774 0 16165774 0 16165774 PART X, LINE 2: CLINICA IS A NONPROFIT CORPORATION, EXEMPT FROM THE PAYMENT OF INCOME TAXES UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701(D). ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR INCOME TAXES. HOWEVER, CLINICA IS SUBJECT TO INCOME TAXES ON ANY NET INCOME THAT IS DERIVED FROM A TRADE OR BUSINESS NOT IN FURTHERANCE OF THE PURPOSES FOR WHICH IT WAS GRANTED EXEMPTION. NO INCOME TAX PROVISION HAS BEEN RECORDED AS THE NET INCOME, IF ANY, FROM ANY UNRELATED TRADE OR BUSINESS IN THE OPINION OF MANAGEMENT, IS NOT MATERIAL TO THE FINANCIAL STATEMENTS TAKEN AS A WHOLE. CLINICA FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THIS STANDARD HAS NO EFFECT ON THE FINANCIAL STATEMENTS. CLINICA'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. X X X 1 ESTRADA DARLEY MILLER GROUP 2581 AREVIA STREET 12 LOS ANGELES CA 90065 GRANT WRITING, PAYPAL FUNDRAISING 0 1200000 107160 1092840 BOODLE ADVISORS LLC 4247 CAMELLIA AVENUE STUDIO CITY CA 91604 FUNDRAISING & STRATEGIC ALLIANCE/PARTNERSHIP SUPPORT 0 1000000 91000 909000 2200000 198160 2001840 CA X 0 0 0 0 0 0 0 0 0 DON GARCIA MEDICAL DIRECTOR 260250 0 0 0 0 0 0 0 3380 0 263630 0 0 0 CARLOS VAQUERANO EXECUTIVE DIRECTOR & CEO 185235 0 0 0 0 0 0 0 18980 0 204215 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS AND IMMEDIATE PAST PRESIDENT OF THE BOARD OF DIRECTORS. THE CEO AND OTHER NON-DIRECTORS MAY BE DESIGNATED AS NON-VOTING ADVISORS TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE (A) EXERCISES SUCH AUTHORITY AS IS DELEGATED TO IT BY THE BOARD OF DIRECTORS AND CAN ACT IN THE BOARD'S ABSENCE DURING AN EMERGENCY IF THE FULL BOARD IS UNABLE TO MEET, (B) HAS OVERSIGHT OVER STRATEGIC PLANNING FOR THE ORGANIZATION, AND (C) WORKS WITH THE CEO AND DEVELOPMENT DEPARTMENT TO OBTAIN FUNDS FROM A BROAD RANGE OF SOURCES IN BOTH THE PUBLIC AND PRIVATE SECTOR. FORM 990, PART VI, SECTION B, LINE 11B CLINICA MSR OSCAR A ROMERO'S OUTSIDE AUDITORS AND FINANCIAL STAFF PREPARED THE FORM 990. THE FORM WAS THEN REVIEWED BY THE FINANCE DIRECTOR AND THE CEO, THEN BY THE FULL BOARD OF DIRECTORS BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CLINICA MSR OSCAR A ROMERO (CMOAR) REQUIRES ALL EMPLOYEES TO DISCLOSE, AT LEAST ANNUALLY, ALL SOURCES OF INCOME FROM COMPENSATION OR FROM OWNERSHIP OF EVERY OUTSIDE ENTITY THAT (A) SOLD, SUPPLIED OR PROVIDED SERVICES (B) OPERATED A COMPETING ENTERPRISE OR (C) PROVIDED GOODS OR SERVICES TO CMOAR IN THE LAST SIX MONTHS. CMOAR ALSO REQUIRES ALL DIRECTORS TO ANNUALLY SIGN A STATEMENT AFFIRMING (A) RECEIPT OF CMOAR CONFLICT OF INTEREST POLICY (B) UNDERSTANDING OF THE POLICY AND (C) AGREEMENT WITH THE POLICY. CMOAR CONFLICT OF INTEREST POLICY DESCRIBES HOW CMOAR WILL RESOLVE POSSIBLE CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWED ALL OF THE OFFICERS' COMPENSATION, INCLUDING THAT OF THE CEO. THE BOARD REVIEWED DATA OF COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED NONPROFIT EXECUTIVES. THE OCCURRENCE OF THESE DELIBERATIONS ARE NOTED IN THE BOARD MINUTES. THIS PROCESS LAST OCCURRED IN 2021. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORMS 990 AND 1023 ARE AVAILABLE UPON REQUEST. FORMS 990 ARE ALSO AVAILABLE ONLINE THROUGH RESOURCES SUCH AS GUIDESTAR AND PROPUBLICA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.