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CENTRAL NEIGHBORHOOD HEALTH FOUNDATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CENTRAL NEIGHBORHOOD HEALTH FOUNDATION (EIN 75-2986675)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-17
IRS object ID
202121379349311452
Schema version
2019v5.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-05-17T22:43:54-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN330700332PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1VASQUEZ & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1655 N CENTRAL AVE STE 1550AddressLine1Txt
CityGLENDALECityNm
State AbbreviationCAStateAbbreviationCd
ZIP91203ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN752986675EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL NEIGHBORHOOD HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone3232345000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1714 WEST OLYMPIC BLVD NO 801AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90015ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKENNETH ORDUNAPersonNm
Person TitleCEOPersonTitleTxt
Phone3232345000PhoneNum
Signature2021-05-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLYNN D BOSTERPreparerPersonNm
PTINP00440365PTIN
Phone2138731700PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKENNETH ORDUNAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1714 WEST OLYMPIC BLVDAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90015ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$14,237,920GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionORGANIZATION PROVIDES HEALTHCARE TO THE UNDERSERVED POPULATION IN THE SOUTHERN CALIFORNIA AREA.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee138TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,423,487PYContributionsGrantsAmt
CY Contributions Grants$2,558,123CYContributionsGrantsAmt
PY Program Service Revenue$8,538,378PYProgramServiceRevenueAmt
CY Program Service Revenue$11,499,527CYProgramServiceRevenueAmt
PY Investment Income$2,783PYInvestmentIncomeAmt
CY Investment Income$2,967CYInvestmentIncomeAmt
PY Other Revenue$193,479PYOtherRevenueAmt
CY Other Revenue$177,303CYOtherRevenueAmt
PY Total Revenue$10,158,127PYTotalRevenueAmt
CY Total Revenue$14,237,920CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,738,002PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,904,794CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,399,657PYOtherExpensesAmt
CY Other Expenses$5,268,101CYOtherExpensesAmt
PY Total Expenses$11,137,659PYTotalExpensesAmt
CY Total Expenses$12,172,895CYTotalExpensesAmt
PY Revenues Less Expenses-$979,532PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,065,025CYRevenuesLessExpensesAmt
Total Assets BOY$7,153,244TotalAssetsBOYAmt
Total Assets EOY$10,566,158TotalAssetsEOYAmt
Total Liabilities BOY$4,364,234TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,629,923TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,789,010NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,936,235NetAssetsOrFundBalancesEOYAmt
MissionORGANIZATION PROVIDES HEALTHCARE TO THE UNDERSERVED POPULATION IN SOUTHERN CALIFORNIA AREA UNDER SPONSORED COMMUNITY PROGRAMS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$9,211,075ExpenseAmt
DescPROVIDING MEDICAL CARE TO THE UNDERSERVED IN THE SOUTHERN CALIFORNIA AREA.Desc
Total Program Service Expenses$9,211,075TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document32IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee138EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHUKWUKA A CHIDI CPABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2135365815PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1714 WEST OLYMPIC BLVD STE 801AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90015ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
WANDA THOMPSON
BOARD SECRETARY12.00Yes (X)Yes (X)$0$0$0
TYRONE DEVANCE
BOARD MEMBER12.00Yes (X)$0$0$0
RASHID THOMPSON
BOARD MEMBER12.00Yes (X)$0$0$0
JAMES MACKEY
BOARD CHAIR12.00Yes (X)Yes (X)$0$0$0
RICHARD MAYER
BOARD TREASURER12.00Yes (X)Yes (X)$0$0$0
VICTOR GARCIA
BOARD MEMBER12.00Yes (X)$0$0$0
MARY WINNERS
BOARD VICE CHAIR12.00Yes (X)Yes (X)$0$0$0
OSCAR LOPEZ
BOARD MEMBER12.00Yes (X)$0$0$0
CRYSTAL LAUTRUP
BOARD MEMBER12.00Yes (X)$0$0$0
FRANK YBARRA
BOARD MEMBER12.00Yes (X)$0$0$0
NANCY OCHOA
BOARD MEMBER12.00Yes (X)$0$0$0
KENNETH M ORDUNA
CEO40.00Yes (X)$272,796$0$0
ABDOULAYE DIOP
MEDICAL DIRECTOR40.00Yes (X)$249,986$0$0
ELEANOR PEREZ
CHIEF OPERATING OFFICER40.00$153,607$0$0Yes (X)
KEULEYA R BLE
CHIEF QUALITY OFFICER40.00$129,729$0$0Yes (X)
HUBERT GUTIERREZ
DIRECTOR OF HEALTHCARE COM40.00$115,731$0$0Yes (X)
MEHRY GHARIB
PHYSICIAN40.00$234,608$0$0Yes (X)
FREDERICK N THOMAS
PHYSICIAN40.00$200,644$0$0Yes (X)
FREDERICK WILLIAMS
PHYSICIAN40.00$208,626$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,565,727TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K14IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MARBASCAL INC
900 W OLYMPIC BLVD STE 38CLOS ANGELESCA90015LESSOR$278,100
KARISMAAT CORP
2700 W MANCHESTER BLVDINGLEWOODCA90305LESSOR$275,796
FOUNTAIN SECURITY SERVICES INC
2930 W IMPERIAL HWY STE 510INGLEWOODCA90303SECURITY$232,238
JORGESEN LAW OFFICE APC
1217 W WHITTIER BLVDMONTEBELLOCA90640LEGAL SERVICE$198,575
OCHIN INC
1881 SW NAITO PARKWAYPORTLANDOR97201COMPUTER SUPPORT$184,911
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Government Grants$1,628,384GovernmentGrantsAmt
All Other Contributions$929,739AllOtherContributionsAmt
Total Contributions$2,558,123TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621110$9,270,102$9,270,102
CAPITATION621110$1,551,672$1,551,672
INCENTIVES621110$677,753$677,753
FieldValueIRS element (for citing)
Total Program Service Revenue$11,499,527TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,967TotalRevenueColumnAmt
Exclusion$2,967ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
340B INCOME900099$131,420$131,420
MISCELLANEOUS INCOME900099$45,883$45,883
FieldValueIRS element (for citing)
Other Revenue Total$177,303OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,237,920TotalRevenueColumnAmt
Related Or Exempt Func Income$11,676,830RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,967ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,745,110TotalAmt
Program Services$4,652,820ProgramServicesAmt
Management And General$1,092,290ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$711,750TotalAmt
Program Services$547,382ProgramServicesAmt
Management And General$164,368ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$447,934TotalAmt
Program Services$362,770ProgramServicesAmt
Management And General$85,164ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$913,878TotalAmt
Program Services$476,541ProgramServicesAmt
Management And General$437,337ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$38,823TotalAmt
Program Services$38,823ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$150,889TotalAmt
Program Services$107,525ProgramServicesAmt
Management And General$43,364ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,465,912TotalAmt
Program Services$1,207,817ProgramServicesAmt
Management And General$258,095ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$109,729TotalAmt
Program Services$50,971ProgramServicesAmt
Management And General$58,758ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$34,677TotalAmt
Management And General$34,677ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$481,602TotalAmt
Program Services$433,316ProgramServicesAmt
Management And General$48,286ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$79,149TotalAmt
Program Services$36,588ProgramServicesAmt
Management And General$42,561ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL COST$762,506$755,215$7,291
EQUIPMENT MAINTENANCE &$379,617$333,891$45,726
SETTLEMENT EXPENSES$370,000$370,000
TELEPHONE EXPENSE$138,966$66,808$72,158

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$342,353TotalAmt
Program Services$140,608ProgramServicesAmt
Management And General$201,745ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,172,895TotalAmt
Program Services$9,211,075ProgramServicesAmt
Management And General$2,961,820ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$602,709BOYAmt
EOY$1,443,432EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$33,397BOYAmt
EOY$450,498EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$810,813BOYAmt
EOY$1,870,872EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,057BOYAmt
EOY$104,596EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,217,427LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$949,309LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$931,926BOYAmt
EOY$1,268,118EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,931,804BOYAmt
EOY$1,655,800EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,828,538BOYAmt
EOY$3,772,842EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,153,244BOYAmt
EOY$10,566,158EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$861,960BOYAmt
EOY$1,091,303EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$380,873BOYAmt
EOY$335,473EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$843,020BOYAmt
EOY$1,265,473EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,278,381BOYAmt
EOY$1,937,674EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,364,234BOYAmt
EOY$4,629,923EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,789,010BOYAmt
EOY$5,936,235EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,789,010BOYAmt
EOY$5,936,235EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,153,244BOYAmt
EOY$10,566,158EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,065,025ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$1,082,200OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Community TrustYes (X)CommunityTrustInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,776,439CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,372,263CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,858,039CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,423,487CurrentTaxYearMinus1YearAmt
Current Tax Year$3,640,323CurrentTaxYearAmt
Total$14,070,551TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,776,439CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,372,263CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,858,039CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,423,487CurrentTaxYearMinus1YearAmt
Current Tax Year$3,640,323CurrentTaxYearAmt
Total$14,070,551TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$3,813,165SubstantialContributorsTotAmt
Public Support Total170$10,257,386PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$2,967CurrentTaxYearAmt
Total$2,967TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$5,606CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,763CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$196,262CurrentTaxYearMinus1YearAmt
Current Tax Year$177,303CurrentTaxYearAmt
Total$388,934TotalAmt
FieldValueIRS element (for citing)
Total Support$14,462,452TotalSupportAmt
Gross Receipts Rltd Activities$40,329,345GrossReceiptsRltdActivitiesAmt
Public Support CY1700.70920PublicSupportCY170Pct
Public Support PY1700.60880PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,217,427OtherCostOrOtherBasisAmt
Depreciation$949,309DepreciationAmt
Book Value$1,268,118BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,268,118TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DEPOSIT$49,271
INVESTMENT PROPERTY$400,000
INTERCOMPANY RECEIVABLE$3,323,571
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,772,842TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
THIRD PARTY SETTLEMENT PAYABLE$1,911,583
ACCRUED INTEREST$26,091
FieldValueIRS element (for citing)
Total Liability$1,937,674TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,320,120TotalRevEtcAuditedFinclStmtAmt
Other Revenue$1,082,200OtherRevenueAmt
Revenue Not Reported$1,082,200RevenueNotReportedAmt
Revenue Subtotal$14,237,920RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$14,237,920TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,172,895TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$12,172,895ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$12,172,895TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE CORPORATION QUALIFIES AS A TAX EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE 23701D. THE CORPORATION HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED RELATE TO THE CORPORATIONS CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE ARE UNRELATED BUSINESS INCOME ACTIVITIES THAT WOULD BE TAXABLE. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS WILL MORE LIKELY THAN NOT (>50%) BE SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURE OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE CORPORATION FILES INFORMATION RETURNS IN THE US FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA. WITH FEW EXCEPTIONS, THE CORPORATION IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2015.
PART XI, LINE 2D - OTHER ADJUSTMENTS:PAYROLL PROTECTION PROGRAM LOAN FORGIVENESS 1,082,200.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KENNETH M ORDUNA
CEO$272,796$0$0$0$0$0$0$0$0$0$272,796$0$0$0
ABDOULAYE DIOP
MEDICAL DIRECTOR$249,986$0$0$0$0$0$0$0$0$0$249,986$0$0$0
ELEANOR PEREZ
CHIEF OPERATING OFFICER$153,607$0$0$0$0$0$0$0$0$0$153,607$0$0$0
MEHRY GHARIB
PHYSICIAN$234,608$0$0$0$0$0$0$0$0$0$234,608$0$0$0
FREDERICK N THOMAS
PHYSICIAN$200,644$0$0$0$0$0$0$0$0$0$200,644$0$0$0
FREDERICK WILLIAMS
PHYSICIAN$208,626$0$0$0$0$0$0$0$0$0$208,626$0$0$0

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan To OrganizationLoanToOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
FATIMA JAHANGIR
FORMER COOWORKING CAPITALYes (X)$140,000$105,4730Yes (1)Yes (1)
BASSET BROWN
FORMER CEOWORKING CAPITALYes (X)$404,236$230,0000Yes (1)Yes (1)
FieldValueIRS element (for citing)
Total Balance Due$335,473TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ABDOULAYE DIOP MD
MEDICAL DIRECTOR$240,092PROVIDE LEASE OF PREMISES, JANITORIAL SERVICES, SECURITY SERVICES AND LEASE OF FURNITURE & EQUIPMENT.0
(no name)
0
(no name)
0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BREVIEW OF FORM 990 WITH BOARD DURING SCHEDULED BOARD MEETINGS AND REVIEW BY TREASURER.
FORM 990, PART VI, SECTION B, LINE 12CCENTRAL NEIGHBORHOOD HEALTH FOUNDATION(CNHF) 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 CNHF IN THE LAST SIX MONTHS. CNHF ALSO REQUIRES ALL DIRECTORS TO ANNUALLY SIGN A STATEMENT AFFIRMING (A) RECEIPT OF CNHF CONFLICT OF INTEREST POLICY (B) UNDERSTANDING OF THE POLICY AND (C) AGREEMENT WITH THE POLICY. CNHF CONFLICT OF INTEREST POLICY DESCRIBES HOW CNHF WILL RESOLVE POSSIBLE CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE AT CORPORATE OFFICE UPON REQUEST DURING NORMAL BUSINESS HOURS.
FORM 990, PART XI, LINE 9:PAYROLL PROTECTION PROGRAM LOAN FORGIVENESS 1,082,200.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1H STREET CLINICBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11329 NORTH H STREETAddressLine1Txt
CitySAN BERNARDINOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92405ZIPCd
FieldValueIRS element (for citing)
EIN208191393EIN
Primary ActivitiesHEALTH CARE CLINICPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Exempt Code Section501 (C)ExemptCodeSectionTxt
Public Charity StatusCOMMUNITY TRUSTPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL NEIGHBORHOOD HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd