HARBOR COMMUNITY CLINIC INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- HARBOR COMMUNITY CLINIC INC (EIN 23-7103245)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-02-22
- IRS object ID
- 201900539349301180
- Schema version
- 2017v2.3
- 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 | 2019-02-22T19:07:31-06:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 330783700 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PDM LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3460 TORRANCE BLVD STE 200 | AddressLine1Txt |
| City | TORRANCE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237103245 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARBOR COMMUNITY CLINIC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HARB | BusinessNameControlTxt |
| Phone | 3105478241 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 593 WEST 6TH STREET | AddressLine1Txt |
| City | SAN PEDRO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90731 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TAMRA KING | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3105478241 | PhoneNum |
| Signature | 2019-02-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANTHONY P BOZANIC CPA | PreparerPersonNm |
| PTIN | P01314417 | PTIN |
| Phone | 3105404118 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 64.183.112.46 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-02-22 | IPDt |
| IP Tm | 15:01:10 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 6100595947F2C56822133FA001DBA701B74366D3 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 060F7C2A28BD2E04D17DD6AE29CD1DAFB3125F6D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TAMRA KING | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 593 WEST 6TH STREET | AddressLine1Txt |
| City | SAN PEDRO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90731 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,635,066 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HARBORCOMMUNITYCLINIC.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2005 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE NO COST TO LOW COST MEDICAL CARE TO THE WORKING POOR AND THEIR FAMILIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 56 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,194,460 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,369,329 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,231,045 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,125,750 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $88,647 | PYOtherRevenueAmt |
| CY Other Revenue | $139,987 | CYOtherRevenueAmt |
| PY Total Revenue | $5,514,152 | PYTotalRevenueAmt |
| CY Total Revenue | $5,635,066 | 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 | $2,741,948 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,099,718 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $35,960 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,502,809 | PYOtherExpensesAmt |
| CY Other Expenses | $2,282,675 | CYOtherExpensesAmt |
| PY Total Expenses | $5,244,757 | PYTotalExpensesAmt |
| CY Total Expenses | $5,382,393 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $269,395 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $252,673 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,164,975 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,336,129 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,060,621 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $979,102 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,104,354 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,357,027 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE NO COST TO LOW COST PRIMARY CARE, MENTAL HEALTH COUNSELING, AND OTHER SOCIAL SERVICES TO THE WORKING POOR AND THEIR FAMILIES THROUGH ITS MEDICAL AND PEDIATRIC CLINICS IN THE HARBOR AREA OF GREATER LOS ANGELES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,512,557 | ExpenseAmt |
| Revenue | $4,265,737 | RevenueAmt |
| Desc | FROM TWO LOCATIONS IN THE LOS ANGELES HARBOR AREA, THE ORGANIZATION PROVIDES NO COST TO LOW COST MEDICAL CARE TO INDIVIDUALS AND THEIR FAMILIES WHO DO NOT HAVE ACCESS TO ANY OTHER MEDICAL CARE. THE MAJORITY OF ITS PATIENTS ARE THE WORKING POOR: PEOPLE WHO ARE EMPLOYED BUT WHOSE EMPLOYMENT DOES NOT PROVIDE MEDICAL INSURANCE. SERVICES INCLUDE QUALITY PRIMARY MEDICAL CARE, MENTAL HEALTH COUNSELING, AND OTHER SOCIAL SERVICES THROUGH ITS MEDICAL AND PEDIATRIC CLINICS IN THE HARBOR AREA OF GREATER LOS ANGELES. THE ORGANIZATION CURRENTLY OPERATES AS AN APPROVED FEDERALLY QUALIFIED HEALTH CENTER. THE ORGANIZATION SERVICED APPROXIMATELY 25,000 PATIENT VISITS DURING FISCAL 2018. | Desc |
| Total Program Service Expenses | $4,512,557 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 37 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 56 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | YESSENIA HENRIQUEZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3105478241 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 593 WEST 6TH STREET | AddressLine1Txt |
| City | SAN PEDRO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90731 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 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 |
|---|---|---|---|---|---|---|---|
| JULIE VAN WERT | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BIANCA BANKS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MIKE LANSING | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DEBORAH OLSON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ALAN WEINFELD | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHAD SPARKS MD | |||||||
| CHAIRPERSON | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DORA JACILDO | |||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ARCHANA SHARMA | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| IDA MAE TAYLOR | |||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ANTHONY COLLINS | |||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TAMRA KING | |||||||
| CEO | 40.00 | $164,155 | $0 | $7,584 | Yes (X) | ||
| DR UDUAK ILUORE | |||||||
| MEDICAL DIRECTOR | 32.00 | $243,542 | $0 | $7,380 | Yes (X) | ||
| YESSENIA HENRIQUEZHIRED 1217 | |||||||
| CFO | 40.00 | $7,500 | $0 | $0 | Yes (X) | ||
| CYNTHIA ULM | |||||||
| PROVIDER | 32.00 | $126,796 | $0 | $0 | Yes (X) | ||
| DR PARVANEH DELBAKHSH | |||||||
| PROVIDER | 40.00 | $145,238 | $0 | $7,176 | Yes (X) | ||
| DR AHMAD KHALIFA | |||||||
| PROVIDER | 16.00 | $102,952 | $0 | $0 | Yes (X) | ||
| DR VIJAYAKUMAR PRAVEEN | |||||||
| PROVIDER | 24.00 | $123,023 | $0 | $0 | Yes (X) | ||
| DR MAITEEN PUMPUANG | |||||||
| PROVIDER | 32.00 | $149,407 | $0 | $0 | Yes (X) | ||
| NATHALIE RODRIGUEZ | |||||||
| PROVIDER | 40.00 | $115,187 | $0 | $5,556 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,177,800 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $27,696 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | 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 |
|---|---|---|---|---|---|
| GREG FACTOR & ASSOCIATES LLC | |||||
| 316 NORTH ROSSMORE AVE 505 | LOS ANGELES | CA | 90004 | FQHC COMPLIANCE | $261,416 |
| PMG PRIORITY MANAGEMENT SERVICES | |||||
| 700 SCHOOL STREET | PAWTUCKER | RI | 02860 | MEDICAL BILLING | $239,031 |
| HITCARE | |||||
| 1310 REDWOOD WAY SUITE 125 | PATALUMA | CA | 94954 | IT | $233,676 |
| MCKESSON MEDICAL SURGICAL | |||||
| PO BOX 100884 | ATLANTA | GA | 30384 | MEDICAL SUPPLIES | $121,318 |
| QUEST DIAGNOSTICS | |||||
| PO BOX 912411 | PASADENA | CA | 91110 | LABORATORY | $103,815 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $835,359 | GovernmentGrantsAmt |
| All Other Contributions | $533,970 | AllOtherContributionsAmt |
| Noncash Contributions | $15,073 | NoncashContributionsAmt |
| Total Contributions | $1,369,329 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE | 621400 | $3,635,412 | $3,635,412 |
| HEALTH PLAN INCENTIVES | 621400 | $490,338 | $490,338 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,125,750 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $139,987 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $139,987 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $139,987 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,635,066 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,265,737 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $467,076 | TotalAmt |
| Program Services | $384,026 | ProgramServicesAmt |
| Management And General | $67,770 | ManagementAndGeneralAmt |
| Fundraising | $15,280 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,229,116 | TotalAmt |
| Program Services | $1,894,749 | ProgramServicesAmt |
| Management And General | $334,367 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,103 | TotalAmt |
| Program Services | $158,981 | ProgramServicesAmt |
| Management And General | $28,056 | ManagementAndGeneralAmt |
| Fundraising | $1,066 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,423 | TotalAmt |
| Program Services | $182,072 | ProgramServicesAmt |
| Management And General | $32,130 | ManagementAndGeneralAmt |
| Fundraising | $1,221 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,285 | TotalAmt |
| Program Services | $46,628 | ProgramServicesAmt |
| Management And General | $11,657 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,400 | TotalAmt |
| Program Services | $16,320 | ProgramServicesAmt |
| Management And General | $4,080 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $702,679 | TotalAmt |
| Program Services | $547,429 | ProgramServicesAmt |
| Management And General | $136,857 | ManagementAndGeneralAmt |
| Fundraising | $18,393 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,729 | TotalAmt |
| Program Services | $14,237 | ProgramServicesAmt |
| Management And General | $9,492 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,017 | TotalAmt |
| Program Services | $163,710 | ProgramServicesAmt |
| Management And General | $62,307 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,216 | TotalAmt |
| Program Services | $249,234 | ProgramServicesAmt |
| Management And General | $43,982 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,962 | TotalAmt |
| Program Services | $116,264 | ProgramServicesAmt |
| Management And General | $8,698 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,628 | TotalAmt |
| Program Services | $7,334 | ProgramServicesAmt |
| Management And General | $1,294 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,345 | TotalAmt |
| Program Services | $34,293 | ProgramServicesAmt |
| Management And General | $6,052 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,015 | TotalAmt |
| Program Services | $105,413 | ProgramServicesAmt |
| Management And General | $18,602 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,814 | TotalAmt |
| Program Services | $54,242 | ProgramServicesAmt |
| Management And General | $9,572 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DRUGS AND MEDICAL SUPPL | $186,939 | $186,939 | |
| LABORATORY FEES | $95,694 | $95,694 | |
| REPAIRS AND MAINTENANCE | $64,816 | $55,094 | $9,722 |
| IN-KIND PHARMACEUTICALS | $15,073 | $15,073 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,063 | TotalAmt |
| Program Services | $184,825 | ProgramServicesAmt |
| Management And General | $49,238 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,382,393 | TotalAmt |
| Program Services | $4,512,557 | ProgramServicesAmt |
| Management And General | $833,876 | ManagementAndGeneralAmt |
| Fundraising | $35,960 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $751,350 | BOYAmt |
| EOY | $563,873 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $200,000 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,000 | BOYAmt |
| EOY | $106,006 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $529,627 | BOYAmt |
| EOY | $590,429 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,212 | BOYAmt |
| EOY | $15,710 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,881,967 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,039,256 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,821,786 | BOYAmt |
| EOY | $1,842,711 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $17,400 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,164,975 | BOYAmt |
| EOY | $3,336,129 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $478,153 | BOYAmt |
| EOY | $418,337 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $582,468 | BOYAmt |
| EOY | $531,904 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $28,861 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,060,621 | BOYAmt |
| EOY | $979,102 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,074,354 | BOYAmt |
| EOY | $2,148,647 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,000 | BOYAmt |
| EOY | $208,380 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,104,354 | BOYAmt |
| EOY | $2,357,027 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,164,975 | BOYAmt |
| EOY | $3,336,129 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $252,673 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | $610,251 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $523,893 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,053,114 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,194,460 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,369,329 | CurrentTaxYearAmt |
| Total | $4,751,047 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $610,251 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $523,893 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,053,114 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,194,460 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,369,329 | CurrentTaxYearAmt |
| Total | $4,751,047 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $44,935 | SubstantialContributorsTotAmt |
| Public Support Total170 | $4,706,112 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $99 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $59 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3 | CurrentTaxYearMinus2YearsAmt |
| Total | $161 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,778 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $148,134 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $108,511 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $88,647 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $139,987 | CurrentTaxYearAmt |
| Total | $502,057 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $5,253,265 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $15,393,490 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.89580 | PublicSupportCY170Pct |
| Public Support PY170 | 0.91110 | 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 | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME IS PRIMARILY CONSISTED OF PHARMACEUTICAL-RELATED REVENUE. | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $376,328 | OtherCostOrOtherBasisAmt |
| Book Value | $376,328 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,648,464 | OtherCostOrOtherBasisAmt |
| Depreciation | $489,623 | DepreciationAmt |
| Book Value | $1,158,841 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $108,401 | OtherCostOrOtherBasisAmt |
| Depreciation | $60,117 | DepreciationAmt |
| Book Value | $48,284 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $547,726 | OtherCostOrOtherBasisAmt |
| Depreciation | $457,904 | DepreciationAmt |
| Book Value | $89,822 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $201,048 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,612 | DepreciationAmt |
| Book Value | $169,436 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,842,711 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED RENT | Desc |
| Amt | $28,861 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $28,861 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $5,672,566 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $37,500 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $37,500 | RevenueNotReportedAmt |
| Revenue Subtotal | $5,635,066 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $5,635,066 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,419,893 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $37,500 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $37,500 | ExpensesNotReportedAmt |
| Expenses Subtotal | $5,382,393 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $5,382,393 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | HCC RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT OF BEING SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. TO DATE, THE ORGANIZATION HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS. HCC RECOGNIZES POTENTIAL ACCRUED INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS IN INCOME TAX EXPENSE. DURING THE YEAR ENDED JUNE 30, 2018, HCC DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALITIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TAMRA KING | ||||||||||||||
| CEO | $164,155 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,584 | $0 | $171,739 | $0 | $0 | $0 |
| DR UDUAK ILUORE | ||||||||||||||
| MEDICAL DIRECTOR | $243,542 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,380 | $0 | $250,922 | $0 | $0 | $0 |
| DR PARVANEH DELBAKHSH | ||||||||||||||
| PROVIDER | $145,238 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,176 | $0 | $152,414 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE FORM 990 PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS DISCUSSES POTENTIAL CONFLICTS OF INTEREST AMONGST ITS MEMBERS ON AN ANNUAL BASIS. THE EMPLOYEES ARE NOTIFIED BY AGREEING TO THE ANNUAL CONFLICT OF INTEREST POLICY IN THE EMPLOYEE HANDBOOK EACH YEAR. |
| FORM 990, PART VI, SECTION B, LINE 15 | EACH YEAR THE BOARD APPROVES THE EXECUTIVE DIRECTOR'S SALARY THROUGH THE BOARD MEETING MINUTES. THE ANNUAL SALARY IS COMPARED TO INDUSTRY STANDARDS FOR COMPARABLE HEALTH CARE CENTERS OF COMPARABLE SIZE IN THE AREA. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONSULTANTS & MARKETING: PROGRAM SERVICE EXPENSES 476,289. MANAGEMENT AND GENERAL EXPENSES 119,072. FUNDRAISING EXPENSES 18,393. TOTAL EXPENSES 613,754. CONTRACT SVCS- MEDICAL: PROGRAM SERVICE EXPENSES 71,140. MANAGEMENT AND GENERAL EXPENSES 17,785. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 88,925. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. |