VALLEY COMMUNITY HEALTHCARE: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY COMMUNITY HEALTHCARE (EIN 23-7050082)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-02
- IRS object ID
- 201921229349301587
- 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 | 2019-05-02T17:15:49-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 951777440 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREEN HASSON & JANKS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10990 WILSHIRE BLVD 16TH FLOOR | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 900243929 | 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 | 237050082 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY COMMUNITY HEALTHCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VALL | BusinessNameControlTxt |
| Phone | 8187631718 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6801 COLDWATER CANYON AVENUE | AddressLine1Txt |
| City | NORTH HOLLYWOOD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91605 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAULA WILSON | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 8187631718 | PhoneNum |
| Signature | 2019-04-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LIZBETH G NEVAREZ | PreparerPersonNm |
| PTIN | P01399868 | PTIN |
| Phone | 3108731600 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 38.186.35.254 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-04-23 | IPDt |
| IP Tm | 15:17:22 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 6D01638DAE8D868EB136283B9222ABE2A2B9AA10 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 1E5C2E37194314C3A47C760AEAFDC059525B6175 | 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 | PAULA WILSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6801 COLDWATER CANYON AVENUE | AddressLine1Txt |
| City | NORTH HOLLYWOOD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91605 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,692,985 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VALLEYCOMMUNITYHEALTHCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1970 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | A NONPROFIT COMPREHENSIVE NEIGHBORHOOD HEALTH CENTER IN THE SAN FERNANDO VALLEY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 326 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,578,023 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,115,436 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,585,261 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,290,435 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,506 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,445 | CYInvestmentIncomeAmt |
| PY Other Revenue | $211,262 | PYOtherRevenueAmt |
| CY Other Revenue | -$45,112 | CYOtherRevenueAmt |
| PY Total Revenue | $21,376,052 | PYTotalRevenueAmt |
| CY Total Revenue | $22,362,204 | 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 | $11,938,323 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,645,316 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $390,180 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,369,656 | PYOtherExpensesAmt |
| CY Other Expenses | $7,569,520 | CYOtherExpensesAmt |
| PY Total Expenses | $18,307,979 | PYTotalExpensesAmt |
| CY Total Expenses | $22,214,836 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,068,073 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $147,368 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,025,277 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,561,102 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,406,725 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,795,182 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,618,552 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,765,920 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF VCH IS TO ENHANCE THE WELL-BEING OF THE COMMUNITY BY PROVIDING HIGH QUALITY, CULTURALLY SENSITIVE PRIMARY MEDICAL CARE AND RELATED HEALTH SERVICES TO THOSE IN NEED, REGARDLESS OF THEIR ABILITY TO PAY SUPPLEMENTING ITS PRIMARY CARE. VCH ALSO PROVIDES CHRONIC DISEASE MANAGEMENT, OPTOMETRY, DENTAL, NUTRITION EDUCATION, PEDIATRICS, WOMEN'S HEALTH, PRENATAL, MENTAL HEALTH AND COUNSELING SERVICES, A NATIONALLY RECOGNIZED YOUTH/TEEN EDUCATION PROGRAM AND WELLNESS EDUCATION. VCH'S MODEL OF CARE, EDUCATION AND CULTURALLY SENSITIVE PROGRAMS IS DESIGNED TO PROMOTE WELLNESS AND PREVENTATIVE CARE FOR THE ENTIRE SAN FERNANDO VALLEY COMMUNITY, HELPING DELIVER BETTER PATIENT OUTCOMES, MORE COST EFFECTIVE SERVICES AND A STRONGER HEALTHCARE SYSTEM. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,581,372 | ExpenseAmt |
| Revenue | $12,706,797 | RevenueAmt |
| Desc | PRIMARY CARE (69,014 MEDICAL VISITS) INCLUDES AN ARRAY OF SERVICES THAT ENCOMPASSES NOT ONLY PRIMARY HEALTH CARE BUT CHRONIC DISEASE MANAGEMENT, WOMEN'S HEALTH AND PRENATAL CARE, PODIATRY, NUTRITION, PEDIATRICS, AND COMPREHENSIVE ADOLESCENT MEDICINE PROGRAM IN CONJUNCTION WITH OUR NATIONALLY-RECOGNIZED TEEN CLINIC PROGRAM. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,698,906 | ExpenseAmt |
| Revenue | $2,425,008 | RevenueAmt |
| Desc | SPECIALTY SERVICES (20,708 VISITS) COVERS DENTAL HEALTH CARE, BEHAVIORAL HEALTH SERVICES AND LONG-TERM COUNSELING AND OPTOMETRY DURING THE CURRENT FISCAL YEAR. THE ORGANIZATION SPUN OFF ITS BEHAVIORAL HEALTH SERVICES AND LONG TERM COUSELING SERVICES INTO AN UNRELATED TAX EXEMPT ORGANIZATION. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $910,235 | ExpenseAmt |
| Revenue | $1,015,631 | RevenueAmt |
| Desc | THE HIV/AIDS PROGRAM (503 VISITS), WHICH INCLUDES TESTING, EDUCATION AND OUTREACH, IS ALSO THE OLDEST HIV TESTING SITE IN THE SAN FERNANDO VALLEY. WITH ON-SITE TESTING AVAILABLE SINCE 1987, THE FIRST YEAR SUCH TESTING WAS MADE AVAILABLE TO THE PUBLIC. SINCE THAT TIME THE CLINIC HAS CONTINUOUSLY PROVIDED TESTING TO POPULATIONS AT RISK, INCLUDING GAY MEN, BI-SEXUAL MEN, TEENS OF BOTH GENDERS, AND WOMEN. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $203,686 | ExpenseAmt |
| Revenue | $142,999 | RevenueAmt |
| Desc | VALLEY COMMUNITY HEALTHCARE ALSO OFFERS VARIOUS HEALTH EDUCATION CLASSES DESIGNED TO MEET THE COMMUNITY'S GREATEST NEEDS. MOST NOTABLE ARE THE NUTRITION AND PRENATAL CLASSES FOR OUR EXPECTING MOTHERS AS WELL AS A ROBUST HEALTH EDUCATION PROGRAM FOR TEENS THROUGHOUT THE SAN FERNANDO VALLEY DESIGNED SPECIFICALLY TO ADDRESS SENSITIVE TEEN ISSUES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $203,686 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $142,999 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $16,394,199 | 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 | 0 | 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 | Yes (1) | 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 | 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 | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 326 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEE HUEY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8187631718 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6801 COLDWATER CANYON AVENUE | AddressLine1Txt |
| City | NORTH HOLLYWOOD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91605 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| VICTOR BERRELLEZ | |||||||||
| CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARILYN AMIS MD | |||||||||
| PAST IMMEDIATE CHAIR (LEFT BEFORE 6/30/18) | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SHARI FLAUGHER | |||||||||
| VICE CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ELISSA MILLER | |||||||||
| SECRETARY | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARK GOLDBERG | |||||||||
| TREASURER | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PAM RICHARDSON | |||||||||
| MEMBER AT-LARGE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KIM PRETTI | |||||||||
| MEMBER AT-LARGE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SHASHI BHATIA | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ESTEBAN MARTINEZ | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| TAMI PERKINS | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| VREZHUI MISSAKIAN | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| REBECCA THOMPSON ESQ | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES HICKEN | |||||||||
| BOARD MEMBER (LEFT BEFORE 6/30/18) | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MARIO GONZALEZ | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| TONY HASCHKE | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PAULA WILSON | |||||||||
| PRESIDENT & CEO | 40.00 | 0.00 | Yes (X) | $253,017 | $0 | $13,540 | |||
| LEE HUEY | |||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 0.00 | Yes (X) | $151,113 | $0 | $5,377 | |||
| ROGER PEEKS | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0.00 | $236,333 | $0 | $10,713 | Yes (X) | |||
| EDUARDO GONZALEZ | |||||||||
| CHIEF OPERATING OFFICER | 40.00 | 0.00 | $150,068 | $0 | $8,441 | Yes (X) | |||
| RENEE POOLE | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $208,942 | $0 | $8,973 | Yes (X) | |||
| JILL HUGHES | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $184,954 | $0 | $826 | Yes (X) | |||
| ANDREA GOINGS | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $179,828 | $0 | $9,286 | Yes (X) | |||
| LISA ZEELANDER | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $170,404 | $0 | $10,395 | Yes (X) | |||
| NAEEMAH GHAFUR | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $169,568 | $0 | $6,027 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,704,227 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $73,578 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 18 | 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 |
|---|---|---|---|---|---|
| STAFF CARE INC | |||||
| 8840 CYPRESS WATERS BLVD 300 | COPPELL | TX | 75019 | LOCUM TENENS STAFFING | $388,153 |
| VISTA STAFFING SOLUTION INC | |||||
| FILE 50834 | LOS ANGELES | CA | 90074 | LOCUM TENENS STAFFING | $310,761 |
| BARTON ASSOCIATES INC | |||||
| PO BOX 417844 | BOSTON | MA | 02241 | LOCUM TENENS STAFFING | $213,349 |
| GREEN MANAGEMENT CONSULTING GROUP | |||||
| 4433 ROMERO DR STE 101 | TARZANA | CA | 91356 | INTERIM CMO/CONSULTING | $157,300 |
| MED TECH SOLUTIONS | |||||
| 25060 AVE STANFORD STE 250 | VALENCIA | CA | 91355 | ENGINEER CONSULTING SERVICES | $111,008 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $90,348 | FundraisingAmt |
| Government Grants | $5,281,408 | GovernmentGrantsAmt |
| All Other Contributions | $743,680 | AllOtherContributionsAmt |
| Noncash Contributions | $213,206 | NoncashContributionsAmt |
| Total Contributions | $6,115,436 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| THIRD-PARTY REIMBURSEMENT FOR SER | 621400 | $13,242,360 | $13,242,360 |
| PROGRAM FEES | 621400 | $3,048,075 | $3,048,075 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,290,435 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,445 | TotalRevenueColumnAmt |
| Exclusion | $1,445 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $269,244 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $302,953 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$33,709 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$33,709 | TotalRevenueColumnAmt |
| Exclusion | -$33,709 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $90,348 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $27,828 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$27,828 | TotalRevenueColumnAmt |
| Exclusion | -$27,828 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $16,425 | TotalRevenueColumnAmt |
| Exclusion | $16,425 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $16,425 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,362,204 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,290,435 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$43,667 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $903,929 | TotalAmt |
| Program Services | $717,553 | ProgramServicesAmt |
| Management And General | $165,921 | ManagementAndGeneralAmt |
| Fundraising | $20,455 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,606,885 | TotalAmt |
| Program Services | $9,261,433 | ProgramServicesAmt |
| Management And General | $2,079,804 | ManagementAndGeneralAmt |
| Fundraising | $265,648 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,442 | TotalAmt |
| Program Services | $149,326 | ProgramServicesAmt |
| Management And General | $63,632 | ManagementAndGeneralAmt |
| Fundraising | $3,484 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $954,929 | TotalAmt |
| Program Services | $658,817 | ProgramServicesAmt |
| Management And General | $280,742 | ManagementAndGeneralAmt |
| Fundraising | $15,370 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $963,131 | TotalAmt |
| Program Services | $770,496 | ProgramServicesAmt |
| Management And General | $169,763 | ManagementAndGeneralAmt |
| Fundraising | $22,872 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,379 | TotalAmt |
| Management And General | $92,379 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,200 | TotalAmt |
| Management And General | $59,200 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,476 | TotalAmt |
| Program Services | $3,104 | ProgramServicesAmt |
| Management And General | $78,372 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,908 | TotalAmt |
| Program Services | $19,123 | ProgramServicesAmt |
| Management And General | $13,738 | ManagementAndGeneralAmt |
| Fundraising | $7,047 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $275,069 | TotalAmt |
| Program Services | $81,856 | ProgramServicesAmt |
| Management And General | $184,463 | ManagementAndGeneralAmt |
| Fundraising | $8,750 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $587,863 | TotalAmt |
| Program Services | $62,685 | ProgramServicesAmt |
| Management And General | $524,715 | ManagementAndGeneralAmt |
| Fundraising | $463 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,408 | TotalAmt |
| Program Services | $18,984 | ProgramServicesAmt |
| Management And General | $59,386 | ManagementAndGeneralAmt |
| Fundraising | $38 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,785 | TotalAmt |
| Program Services | $31,742 | ProgramServicesAmt |
| Management And General | $2,501 | ManagementAndGeneralAmt |
| Fundraising | $542 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,924 | TotalAmt |
| Program Services | $38,906 | ProgramServicesAmt |
| Management And General | $76,590 | ManagementAndGeneralAmt |
| Fundraising | $4,428 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,912 | TotalAmt |
| Management And General | $63,912 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $797,293 | TotalAmt |
| Program Services | $286,245 | ProgramServicesAmt |
| Management And General | $511,048 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,443 | TotalAmt |
| Program Services | $93,177 | ProgramServicesAmt |
| Management And General | $5,266 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICINE & SUPPLIES | $2,345,988 | $2,314,177 | $31,811 | $0 |
| CLINICAL SERVICES | $1,573,414 | $1,041,059 | $491,272 | $41,083 |
| LABORATORY FEES | $452,513 | $452,491 | $22 | $0 |
| REPAIRS & MAINTENANCE | $209,437 | $34,439 | $174,998 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $659,508 | TotalAmt |
| Program Services | $358,586 | ProgramServicesAmt |
| Management And General | $300,922 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,214,836 | TotalAmt |
| Program Services | $16,394,199 | ProgramServicesAmt |
| Management And General | $5,430,457 | ManagementAndGeneralAmt |
| Fundraising | $390,180 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,723,496 | BOYAmt |
| EOY | $4,827,761 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,972,246 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,287 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,541,696 | BOYAmt |
| EOY | $973,099 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $370,815 | BOYAmt |
| EOY | $299,446 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,662 | BOYAmt |
| EOY | $87,964 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,761,736 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,361,150 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,200,321 | BOYAmt |
| EOY | $5,400,586 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,025,277 | BOYAmt |
| EOY | $14,561,102 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $813,028 | BOYAmt |
| EOY | $1,082,977 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,569,147 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,687,655 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,550 | BOYAmt |
| EOY | $24,550 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,406,725 | BOYAmt |
| EOY | $2,795,182 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,618,552 | BOYAmt |
| EOY | $11,750,920 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $15,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,618,552 | BOYAmt |
| EOY | $11,765,920 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,025,277 | BOYAmt |
| EOY | $14,561,102 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $147,368 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,241,758 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,256,297 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,703,802 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,578,023 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,115,436 | CurrentTaxYearAmt |
| Total | $14,895,316 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,544,813 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,704,114 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,431,449 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,585,261 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,290,435 | CurrentTaxYearAmt |
| Total | $75,556,072 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,786,571 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,960,411 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,135,251 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,163,284 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,405,871 | CurrentTaxYearAmt |
| Total | $90,451,388 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $90,451,388 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $202,886 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $210,650 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $270,076 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $281,810 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $270,689 | CurrentTaxYearAmt |
| Total | $1,236,111 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $202,886 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $210,650 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $270,076 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $281,810 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $270,689 | CurrentTaxYearAmt |
| Total | $1,236,111 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $16,425 | CurrentTaxYearAmt |
| Total | $16,425 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,989,457 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,171,061 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,405,327 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,445,094 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,692,985 | CurrentTaxYearAmt |
| Total | $91,703,924 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98630 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98590 | PublicSupportPY509Pct |
| Investment Income CY | 0.01350 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01410 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,925,500 | OtherCostOrOtherBasisAmt |
| Book Value | $1,925,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,574,500 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,504,781 | DepreciationAmt |
| Book Value | $2,069,719 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,231,175 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,318,189 | DepreciationAmt |
| Book Value | $912,986 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,030,561 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,538,180 | DepreciationAmt |
| Book Value | $492,381 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,400,586 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEPOSITS | Desc |
| Amt | $24,550 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $24,550 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $22,692,985 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $22,692,985 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$330,781 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$330,781 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $22,362,204 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $22,545,617 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $330,781 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $330,781 | ExpensesNotReportedAmt |
| Expenses Subtotal | $22,214,836 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $22,214,836 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSE RECLASSIFICATION -302,953. SPECIAL EVENT EXPENSE RECLASSIFICATION -27,828. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE RECLASSIFICATION 302,953. SPECIAL EVENT EXPENSE RECLASSIFICATION 27,828. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | FUNDRAISING | Event1Nm |
| Gross Receipts Event1 | $90,348 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $90,348 | CharitableContriEvent1Amt |
| Other Direct Expenses Event1 | $27,828 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $90,348 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $90,348 | CharitableContributionsTotAmt |
| Oth Direct Expnss Total Events | $27,828 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $27,828 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$27,828 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAULA WILSON | ||||||||||||||
| PRESIDENT & CEO | $237,017 | $0 | $16,000 | $0 | $0 | $0 | $8,250 | $0 | $5,290 | $0 | $266,557 | $0 | $0 | $0 |
| LEE HUEY | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $136,113 | $0 | $15,000 | $0 | $0 | $0 | $4,574 | $0 | $803 | $0 | $156,490 | $0 | $0 | $0 |
| ROGER PEEKS | ||||||||||||||
| CHIEF MEDICAL OFFICER | $220,583 | $0 | $15,750 | $0 | $0 | $0 | $5,514 | $0 | $5,199 | $0 | $247,046 | $0 | $0 | $0 |
| EDUARDO GONZALEZ | ||||||||||||||
| CHIEF OPERATING OFFICER | $135,068 | $0 | $15,000 | $0 | $0 | $0 | $3,434 | $0 | $5,007 | $0 | $158,509 | $0 | $0 | $0 |
| RENEE POOLE | ||||||||||||||
| PHYSICIAN | $188,942 | $0 | $20,000 | $0 | $0 | $0 | $5,058 | $0 | $3,915 | $0 | $217,915 | $0 | $0 | $0 |
| JILL HUGHES | ||||||||||||||
| PHYSICIAN | $179,818 | $0 | $5,136 | $0 | $0 | $0 | $0 | $0 | $826 | $0 | $185,780 | $0 | $0 | $0 |
| ANDREA GOINGS | ||||||||||||||
| PHYSICIAN | $156,823 | $0 | $23,005 | $0 | $0 | $0 | $3,389 | $0 | $5,897 | $0 | $189,114 | $0 | $0 | $0 |
| LISA ZEELANDER | ||||||||||||||
| PHYSICIAN | $141,302 | $0 | $29,102 | $0 | $0 | $0 | $5,235 | $0 | $5,160 | $0 | $180,799 | $0 | $0 | $0 |
| NAEEMAH GHAFUR | ||||||||||||||
| PHYSICIAN | $143,698 | $0 | $25,870 | $0 | $0 | $0 | $679 | $0 | $5,348 | $0 | $175,595 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | BONUSES ARE BASED ON PERFORMANCE REVIEWS AND BUDGET CONSIDERATIONS AND DETERMINED BY THE EXECUTIVE COMMITTEE. | ExplanationTxt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 9 | ContributionCnt |
| Noncash Contributions Rpt F990 | $213,206 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | 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 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | NONCASH DONATIONS ARE LISTED BY TOTAL NUMBER OF DONOR CONTRIBUTIONS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE HAS THE POWER TO VOTE ON MATTERS RELATED TO THE AGENCY. THE EXECUTIVE COMMITTEE IS A REGULAR COMMITTEE OF THE BOARD, AND HAS THE POWER AND AUTHORITY OF THE BOARD, AS DEFINED IN THE ORGANIZATIONAL BY-LAWS, TO ACT ON BEHALF OF THE FULL BOARD. THE EXECUTIVE COMMITTE IS COMPOSED OF 1) VICTOR BERRELLEZ, CHAIR 2) SHARI FLAUGHER, VICE CHAIR 3) ELISSA MILLER, SECRETARY 4) MARK GOLDBERG, TREASURER 5) PAM RICHARDSON, MEMBER AT-LARGE 6) KIM PRETTI, MEMBER AT-LARGE 7) MARILYN AMIS, MD, IMMEDIATE PAST CHAIR. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM, WHICH IS THEN FIRST REVIEWED INTERNALLY BY MANAGEMENT. IT IS THEN PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR REVIEW. ONCE THE FORM 990 IS APPROVED, IT IS MADE AVAILABLE TO THE ENTIRE BOARD OF DIRECTORS AND ELECTRONICALLY FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS MONITORED BY THE ORGANIZATION THROUGH AN ANNUAL DISCLOSURE FORM THAT IS COMPLETED AND SIGNED BY EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS. ANY CONFLICTS THAT SHOULD ARISE ARE REVIEWED BY THE REMAINING BOARD OR COMMITTEE MEMBERS. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION ANNUALLY PARTICIPATES IN A STATEWIDE COMPENSATION COMPARISON SURVEY OF COMMUNITY HEALTH CENTERS AND USES THIS DATA TO SET COMPENSATION FOR MOST STAFF POSITIONS. THE CEO AND THE CFO COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS' EXECUTIVE COMMITTEE, INDEPENDENTLY, WITHOUT THE PARTICIPATION OF INTERESTED PERSONS. THE CEO COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE ON AN ANNUAL BASIS. THE CFO COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE ON A SEMI-ANNUAL BASIS. THE COMPENSATION PROCESS INVOLVES SALARY COMPARISONS, PERFORMANCE REVIEWS, AND BUDGET CONSIDERATIONS. THE COMPENSATION PACKAGE IS THEN PRESENTED FOR THE FULL BOARD OF DIRECTORS' APPROVAL. THE CEO AND HUMAN RESOURCE DEPARTMENT WILL REVIEW COMPENSATION FOR OTHER EMPLOYEES INCLUDE KEY EMPLOYEES. |
| 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. |