ARROYO VISTA FAMILY HEALTH FOUNDATION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- ARROYO VISTA FAMILY HEALTH FOUNDATION (EIN 95-3514918)
- Tax period
- 2020-04-01 to 2021-03-31
- Filed
- 2021-12-17
- IRS object ID
- 202103519349300325
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-12-17T14:59:58-06:00 | ReturnTs |
| Tax Period End | 2021-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 952302617 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SINGERLEWAK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10960 WILSHIRE BOULEVARD 7TH FLOOR | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 900243783 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953514918 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARROYO VISTA FAMILY HEALTH FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ARRO | BusinessNameControlTxt |
| Phone | 3232545291 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6000 N FIGUEROA STREET | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90042 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JLORRAINE ESTRADAS | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3232545291 | PhoneNum |
| Signature | 2021-12-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JLORRAINE | PersonFirstNm |
| Person Last | ESTRADAS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LIOR TEMKIN | PreparerPersonNm |
| PTIN | P00748170 | PTIN |
| Phone | 3104773924 | PhoneNum |
| Preparation | 2021-12-14 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | 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 | JLORRAINE ESTRADAS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6000 N FIGUEROA STREET | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90042 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,443,040 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ARROYOVISTA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1980 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO MEET THE CURRENT AND FUTURE HEALTH NEEDS OF GREATER NORTHEAST LOS ANGELES BY PROVIDING HIGH QUALITY, COMPREHENSIVE AND AFFORDABLE HEALTH SERVICES IN A COMPASSIONATE AND FINANCIALLY RESPONSIBLE MANNER. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 239 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,483,823 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,589,627 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,702,145 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,313,314 | CYProgramServiceRevenueAmt |
| PY Investment Income | $188,190 | PYInvestmentIncomeAmt |
| CY Investment Income | $48,039 | CYInvestmentIncomeAmt |
| PY Other Revenue | $565,428 | PYOtherRevenueAmt |
| CY Other Revenue | $1,492,060 | CYOtherRevenueAmt |
| PY Total Revenue | $18,939,586 | PYTotalRevenueAmt |
| CY Total Revenue | $20,443,040 | 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 | $16,000,285 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $15,112,111 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $26,169 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,844,855 | PYOtherExpensesAmt |
| CY Other Expenses | $4,827,161 | CYOtherExpensesAmt |
| PY Total Expenses | $21,845,140 | PYTotalExpensesAmt |
| CY Total Expenses | $19,939,272 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,905,554 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $503,768 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $26,664,584 | TotalAssetsBOYAmt |
| Total Assets EOY | $30,889,113 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,923,174 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,068,009 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $22,741,410 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $22,821,104 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO MEET THE CURRENT AND FUTURE HEALTH NEEDS OF GREATER NORTHEAST LOS ANGELES BY PROVIDING HIGH QUALITY, COMPREHENSIVE AND AFFORDABLE HEALTH SERVICES IN A COMPASSIONATE AND FINANCIALLY RESPONSIBLE MANNER. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $16,051,697 | ExpenseAmt |
| Revenue | $12,784,374 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $16,051,697 | 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 | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 38 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 239 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 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 |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN L ANSALDO CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3232545291 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6000 N FIGUEROA STREET | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90042 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 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 |
|---|---|---|---|---|---|---|---|
| PETER FERNANDEZ | |||||||
| BOARD MEMBER | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL GARRETT | |||||||
| BOARD MEMBER | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| MARIA DEL ROSARIO MARTINEZ | |||||||
| BOARD MEMBER | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| TERESITA MEZA | |||||||
| BOARD MEMBER | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| NATO FLORES | |||||||
| BOARD MEMBER | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| SERGIO TEJADILLA | |||||||
| BOARD TREASURER / MEMBER | 2.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ROGER ESTRADA | |||||||
| BOARD PRESIDENT / MEMBER | 2.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| RACHAEL LOPEZ-KINNEY | |||||||
| BOARD SECRETARY / MEMBER | 2.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| CARLOS ZARAGOZA ESQ | |||||||
| BOARD VICE-PRESIDENT / MEM | 2.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JOHN L ANSALDO | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $177,363 | $0 | $9,635 | Yes (X) | ||
| J LORRAINE ESTRADAS RN | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | $279,403 | $0 | $13,059 | Yes (X) | ||
| THUY Q PHAM MD | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | $303,579 | $0 | $13,409 | Yes (X) | ||
| HASSAN HALAWI MD | |||||||
| PHYSICIAN | 40.00 | $207,618 | $0 | $16,951 | Yes (X) | ||
| FRANKLIN NGUYEN MD | |||||||
| PHYSICIAN | 40.00 | $235,916 | $0 | $12,958 | Yes (X) | ||
| AANAL DESAI | |||||||
| PHYSICIAN | 32.00 | $162,678 | $0 | $144 | Yes (X) | ||
| NAJMA QAMAR | |||||||
| PHYSICIAN | 32.00 | $182,014 | $0 | $72 | Yes (X) | ||
| ERIN KIMBERLY HERNDON MD | |||||||
| PHYSICIAN | 40.00 | $158,032 | $0 | $9,786 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,706,603 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $76,014 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 31 | 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 |
|---|---|---|---|---|---|
| LATARA ENTERPRISE INC | |||||
| 1716 W HOLT AVENUE | POMONA | CA | 91768 | CLINICAL LABORATORY & PATHOLOGY SERVICES | $271,792 |
| HUNTINGTON EL SERENO LLC | |||||
| 948 THAYER AVENUE | LOS ANGELES | CA | 90024 | FACILITY RENT | $228,830 |
| WELLPARTNER LLC - A CVS HEALTH COMPANY | |||||
| 20800 SW 115TH AVE SUITE 100 | TUALATIN | OR | 97602 | PHARMACEUTICALS SERVICES | $156,436 |
| ROCHELLE CAROLYN KASTEN | |||||
| 4138 VICASA DRIVE | CALABASAS | CA | 91302 | CONSULTANT | $119,127 |
| CHG COMPANIES INC | |||||
| POBOX 972651 | DALLAS | TX | 75397 | PROVIDER SERVICES | $112,723 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,480,858 | GovernmentGrantsAmt |
| All Other Contributions | $1,108,769 | AllOtherContributionsAmt |
| Noncash Contributions | $469,544 | NoncashContributionsAmt |
| Total Contributions | $7,589,627 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT FEES | 621400 | $8,469,621 | $8,469,621 |
| INCENTIVE-BASED REVENUE | 621400 | $2,843,693 | $2,843,693 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,313,314 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $48,039 | TotalRevenueColumnAmt |
| Exclusion | $48,039 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $21,000 | 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 | $21,000 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,000 | TotalRevenueColumnAmt |
| Exclusion | $21,000 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,471,060 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,471,060 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,471,060 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,443,040 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,784,374 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $69,039 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $846,203 | TotalAmt |
| Program Services | $260,837 | ProgramServicesAmt |
| Management And General | $584,266 | ManagementAndGeneralAmt |
| Fundraising | $1,100 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,877,399 | TotalAmt |
| Program Services | $10,177,625 | ProgramServicesAmt |
| Management And General | $1,683,910 | ManagementAndGeneralAmt |
| Fundraising | $15,864 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,756,200 | TotalAmt |
| Program Services | $1,461,954 | ProgramServicesAmt |
| Management And General | $291,903 | ManagementAndGeneralAmt |
| Fundraising | $2,343 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $632,309 | TotalAmt |
| Program Services | $519,672 | ProgramServicesAmt |
| Management And General | $111,794 | ManagementAndGeneralAmt |
| Fundraising | $843 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,034 | TotalAmt |
| Management And General | $12,034 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,553 | TotalAmt |
| Management And General | $86,553 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $491,310 | TotalAmt |
| Program Services | $317,042 | ProgramServicesAmt |
| Management And General | $168,249 | ManagementAndGeneralAmt |
| Fundraising | $6,019 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $359,752 | TotalAmt |
| Program Services | $42,419 | ProgramServicesAmt |
| Management And General | $317,333 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $804,771 | TotalAmt |
| Program Services | $545,025 | ProgramServicesAmt |
| Management And General | $259,746 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,870 | TotalAmt |
| Program Services | $4,584 | ProgramServicesAmt |
| Management And General | $1,286 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $316,484 | TotalAmt |
| Program Services | $212,511 | ProgramServicesAmt |
| Management And General | $103,973 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,012 | TotalAmt |
| Program Services | $61,180 | ProgramServicesAmt |
| Management And General | $77,832 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $1,731,583 | $1,716,937 | $14,646 |
| UTILITIES | $451,019 | $343,689 | $107,330 |
| LABORATORY | $250,001 | $250,001 | $0 |
| REPAIRS AND MAINTENANCE | $118,889 | $102,872 | $16,017 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,883 | TotalAmt |
| Program Services | $35,349 | ProgramServicesAmt |
| Management And General | $24,534 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,939,272 | TotalAmt |
| Program Services | $16,051,697 | ProgramServicesAmt |
| Management And General | $3,861,406 | ManagementAndGeneralAmt |
| Fundraising | $26,169 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $365,625 | BOYAmt |
| EOY | $1,021,600 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,973,984 | BOYAmt |
| EOY | $17,627,033 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $264,294 | BOYAmt |
| EOY | $262,213 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,117,067 | BOYAmt |
| EOY | $1,032,539 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,010,203 | BOYAmt |
| EOY | $2,602,841 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,687,729 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,364,036 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,598,460 | BOYAmt |
| EOY | $4,323,693 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,334,951 | BOYAmt |
| EOY | $4,019,194 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,664,584 | BOYAmt |
| EOY | $30,889,113 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,169,679 | BOYAmt |
| EOY | $2,417,313 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $720 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,752,775 | BOYAmt |
| EOY | $5,650,696 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,923,174 | BOYAmt |
| EOY | $8,068,009 | 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 | $18,152,475 | BOYAmt |
| EOY | $18,602,146 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,588,935 | BOYAmt |
| EOY | $4,218,958 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,741,410 | BOYAmt |
| EOY | $22,821,104 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,664,584 | BOYAmt |
| EOY | $30,889,113 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $503,768 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,085 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | -$315,757 | DonatedServicesAndUseFcltsAmt |
| Prior Period Adjustments | -$105,232 | 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 | 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 | $5,396,332 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,089,852 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,122,755 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,483,823 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,589,627 | CurrentTaxYearAmt |
| Total | $28,682,389 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,396,332 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,089,852 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,122,755 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,483,823 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,589,627 | CurrentTaxYearAmt |
| Total | $28,682,389 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $28,682,389 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $108,776 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $167,837 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $205,213 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $188,190 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $48,039 | CurrentTaxYearAmt |
| Total | $718,055 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $259,925 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $537,358 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $422,853 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $544,428 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,471,060 | CurrentTaxYearAmt |
| Total | $3,235,624 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $32,636,068 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $68,623,580 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.87890 | PublicSupportCY170Pct |
| Public Support PY170 | 0.90410 | 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 | 2015 OTHER INCOME 266772 2016 OTHER INCOME 259925 2017 OTHER INCOME 537358 2018 OTHER INCOME 423043 2019 OTHER INCOME 544428 2020 OTHER INCOME 1471060 | 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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $529,084 | OtherCostOrOtherBasisAmt |
| Book Value | $529,084 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,081,168 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,984,957 | DepreciationAmt |
| Book Value | $3,096,211 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,387,090 | OtherCostOrOtherBasisAmt |
| Depreciation | $763,889 | DepreciationAmt |
| Book Value | $623,201 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,324,659 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,260,077 | DepreciationAmt |
| Book Value | $64,582 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $365,728 | OtherCostOrOtherBasisAmt |
| Depreciation | $355,113 | DepreciationAmt |
| Book Value | $10,615 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,323,693 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CONTRIBUTION RECEIVABLE | Desc |
| Book Value | $4,019,194 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,019,194 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTY PAYERS | $2,913,316 |
| SBA LOAN PAYABLE | $2,737,380 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,650,696 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $20,439,955 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$3,085 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$3,085 | RevenueNotReportedAmt |
| Revenue Subtotal | $20,443,040 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $20,443,040 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $20,255,029 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $315,757 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $315,757 | ExpensesNotReportedAmt |
| Expenses Subtotal | $19,939,272 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $19,939,272 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE FOUNDATION HAS BEEN DESIGNATED AS TAX EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), IS ALSO 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. HOWEVER, THE FOUNDATION IS SUBJECT TO INCOME TAXES ON ANY NET INCOME THAT IS DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON, AND 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, AND IN THE OPINION OF MANAGEMENT, IS NOT MATERIAL TO THE BASIC FINANCIAL STATEMENTS TAKEN AS A WHOLE. THE FOUNDATION RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE FOUNDATION HAS DETERMINED THAT THERE ARE NO UNRECOGNIZED TAX BENEFITS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THUY Q PHAM MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $303,579 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $13,409 | $0 | $316,988 | $0 | $0 | $0 |
| J LORRAINE ESTRADAS RN | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $256,057 | $0 | $23,346 | $0 | $0 | $0 | $0 | $0 | $13,059 | $0 | $292,462 | $0 | $0 | $0 |
| FRANKLIN NGUYEN MD | ||||||||||||||
| PHYSICIAN | $235,916 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $12,958 | $0 | $248,874 | $0 | $0 | $0 |
| HASSAN HALAWI MD | ||||||||||||||
| PHYSICIAN | $207,618 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $16,951 | $0 | $224,569 | $0 | $0 | $0 |
| JOHN L ANSALDO | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $177,363 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,635 | $0 | $186,998 | $0 | $0 | $0 |
| NAJMA QAMAR | ||||||||||||||
| PHYSICIAN | $182,014 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $72 | $0 | $182,086 | $0 | $0 | $0 |
| ERIN KIMBERLY HERNDON MD | ||||||||||||||
| PHYSICIAN | $158,032 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,786 | $0 | $167,818 | $0 | $0 | $0 |
| AANAL DESAI | ||||||||||||||
| PHYSICIAN | $162,678 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $144 | $0 | $162,822 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $469,544 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: | MADE FOR THE COMMUNITY, BY THE COMMUNITY, ARROYO VISTA FAMILY HEALTH CENTER IS A NON-PROFIT COMMUNITY HEALTH CENTER GOVERNED BY A CONSUMER BOARD OF DIRECTORS WITH A TRUSTED TEAM OF HEALTHCARE PROFESSIONALS SERVING THE GREATER NORTHEAST LOS ANGELES SINCE 1981. WE ARE LICENSED BY THE STATE OF CALIFORNIA DEPARTMENT OF HEALTH SERVICES. AS A FEDERALLY QUALIFIED HEALTH CENTER, FUNDING IS PROVIDED THROUGH PUBLIC HEALTH SERVICES ACT, SECTION 330, WITH ADDITIONAL FUNDING FROM LOS ANGELES COUNTY AND PRIVATE SOURCES. WE ARE ACCREDITED BY THE JOINT COMMISSION, WHICH MEANS THAT ARROYO VISTA HAS BEEN RIGOROUSLY INSPECTED, TESTED AND EVALUATED. WE ARE NATIONALLY RECOGNIZED FOR THE HIGHEST LEVEL OF PATIENT SAFETY AND QUALITY OF CARE. AS A CERTIFIED PRIMARY CARE MEDICAL HOME BY THE JOINT COMMISSION, WE FOLLOW CARE COORDINATION AND INTERDISCIPLINARY TEAM CARE MODEL FOR THE PROVISION OF SERVICES. FROM OUR HUMBLE BEGINNING IN 1981 AS A SMALL STOREFRONT CLINIC, WE HAVE GROWN TO A NETWORK OF FOUR HEALTH CENTERS AND A MOBILE CLINIC SERVING EVERY MEMBER OF THE COMMUNITY, WITH OVER 79,000 PATIENT VISITS IN 2020. ARROYO VISTA PROVIDES A COMPREHENSIVE RANGE OF MEDICAL, DENTAL, OPTOMETRY, BEHAVIORAL HEALTH, IMAGING, AND PHARMACEUTICAL SERVICES. OUR SERVICES ARE DESIGNED FOR ALL AGES, FROM INFANTS AND CHILDREN, TO TEENS, ADULTS, AND THE ELDERLY. MANY SERVICES ARE PROVIDED AT NO COST, INCLUDING HEALTH EDUCATION, ANNUAL FLU VACCINE CLINICS, IMMUNIZATIONS FOR CHILDREN, AND ANNUAL HEALTH FAIR SCREENINGS. WE ALSO PROVIDE TRANSPORTATION ASSISTANCE AND APPLICATION SUPPORT FOR MEDI-CAL, MEDICARE, MHLA AND COVERED CA. SERVICES ARE PROVIDED TO OUR VALUED PATIENTS REGARDLESS OF ABILITY TO PAY. PATIENTS WITH OR WITHOUT INSURANCE, MEDI-CAL AND MEDICARE... EVERYONE IS WELCOME AT ARROYO VISTA. OUR SERVICES ARE PROVIDED IN A CULTURALLY SENSITIVE, LINGUISTICALLY APPROPRIATE AND COMPASSIONATE MANNER. MANY OF OUR DOCTORS, NURSES, AND ADMINISTRATIVE STAFF COME FROM THE LOCAL COMMUNITY, AND MANY OF US INCLUDING OUR BOARD MEMBERS ARE ALSO PATIENTS OF ARROYO VISTA. |
| FORM 990, PART VI, SECTION B, LINE 11B | EXPLANATION: THE INFORMATIONAL RETURN IS PREPARED BY AN OUTSIDE ACCOUNTANT. IT IS THEN REVIEWED BY THE CFO. ONCE APPROVED, THE RETURN IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE IT IS E-FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | EXPLANATION: ARROYO VISTA BOARD MEMBERS SHALL COMPLETE A DIRECTOR QUESTIONNAIRE ANNUALLY CONFIRMING THEIR INDEPENDENT STATUS AND COMPLIANCE WITH THE AGENCY'S CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | EXPLANATION: ARROYO VISTA'S PERSONNEL COMMITTEE HAS RESPONSIBILITY FOR THE REVIEW OF PERSONNEL POLICIES AND PROCEDURES INCLUDING COMPENSATION AND BENEFIT PROGRAMS. ARROYO VISTA EXECUTIVE COMMITTEE'S RESPONSIBILITIES INCLUDE YEARLY EVALUATION OF THE CHIEF EXECUTIVE OFFICER'S PERFORMANCE AND COMPENSATION, WHICH IS THEN PRESENTED TO THE FULL BOARD OF DIRECTORS FOR FINAL REVIEW AND APPROVAL. OTHER OFFICERS AND KEY EMPLOYEES UNDERGO AN ANNUAL APPRAISAL REVIEW TO DETERMINE PROMOTION TO A HIGHER PAY LEVEL OR FOR MERIT INCREASES. THE CEO WILL MAKE THE DECISION ON MERIT INCREASES BASED ON THE SUPERVISOR'S AND/OR EXECUTIVE'S RECOMMENDATION AND EMPLOYEE PERFORMANCE AT THE TIME OF THE APPRAISAL REVIEW. |
| FORM 990, PART VI, SECTION C, LINE 19 | EXPLANATION: ARROYO VISTA MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST, AND TO INDEPENDENT AUDITORS DURING THEIR ANNUAL INDEPENDENT FINANCIAL AUDIT. |
| FORM 990, PART X, LINE 15, OTHER ASSETS | AT MARCH 31, 2018, THE FOUNDATION HAD A RECEIVABLE THAT REPRESENTED UNCONDITIONAL PROMISES TO USE THE FACILITY LOCATED AT 6000 NORTH FIGUEROA STREET, LOS ANGELES, CA 90042, FROM THE CITY OF LOS ANGELES, DEPARTMENT OF GENERAL SERVICES (THE "CITY"). THE INITIAL TERM OF THE AGREEMENT WAS FOR THE RENT-FREE USE OF THE BUILDING FOR 20 YEARS STARTING IN JUNE 1987. THE AGREEMENT WAS AMENDED IN OCTOBER 2014, AND THE LEASE WAS RENEWED FOR ANOTHER 15 YEARS AT A NOMINAL RENT OF $1 PER YEAR. THE FOUNDATION USES THE PREMISES FOR THE PRIMARY OBJECTIVE OF PROVIDING HEALTH CARE SERVICES TO THE COMMUNITY. AS OF MARCH 31, 2021, THE BALANCE FOR THE RECEIVABLE IS $4,019,194. |