STRATEGY STUDIO / PUBLIC DATA EXPLORER

FAMILIES TOGETHER OF ORANGE COUNTY: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
FAMILIES TOGETHER OF ORANGE COUNTY (EIN 20-0310654)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-07-20
IRS object ID
201802019349300810
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

FieldValueIRS element (for citing)
Return2018-07-20T11:39:37-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN330783700PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PDM LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13460 TORRANCE BLVD STE 200AddressLine1Txt
CityTORRANCECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90503ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN200310654EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FAMILIES TOGETHER OF ORANGE COUNTYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFAMIBusinessNameControlTxt
Phone7146659890PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1661 W 1ST ST NO G-2AddressLine1Txt
CityTUSTINCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92780ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALEX ROSSELPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone7146659890PhoneNum
Signature2018-07-19SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTHONY P BOZANIC CPAPreparerPersonNm
PTINP01314417PTIN
Phone3105404118PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerALEX ROSSELPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1661 W 1ST ST NO G-2AddressLine1Txt
CityTUSTINCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92780ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,961,302GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.FAMILIESTOGETHEROC.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE COMMUNITY MEMBERS WITH SERVICES PERTAINING TO HEALTH, WELLNESS, & PRACTICAL SERVICES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee26TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$57,857CYContributionsGrantsAmt
PY Program Service Revenue$648,373PYProgramServiceRevenueAmt
CY Program Service Revenue$1,903,445CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$648,373PYTotalRevenueAmt
CY Total Revenue$1,961,302CYTotalRevenueAmt
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$233,073PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$873,959CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$455,354PYOtherExpensesAmt
CY Other Expenses$888,038CYOtherExpensesAmt
PY Total Expenses$688,427PYTotalExpensesAmt
CY Total Expenses$1,761,997CYTotalExpensesAmt
PY Revenues Less Expenses-$40,054PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$199,305CYRevenuesLessExpensesAmt
Total Assets BOY$72,165TotalAssetsBOYAmt
Total Assets EOY$474,171TotalAssetsEOYAmt
Total Liabilities BOY$182,776TotalLiabilitiesBOYAmt
Total Liabilities EOY$427,375TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$110,611NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$46,796NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION IS DEDICATED TO ASSIST INDIVIDUALS AND FAMILIES IN OVERCOMING OBSTACLES AND SERVING AS THE BRIDGE BETWEEN THE PEOPLE WITHIN OUR COMMUNITY AND THE SERVICES THAT THEY NEED AS PERTAINING TO HEALTH, WELLNESS, AND PRACTICAL SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,502,344ExpenseAmt
Revenue$1,903,445RevenueAmt
DescFAMILIES TOGETHER OF ORANGE COUNTY IS A FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE THAT IS DEDICATED TO ASSIST IN OVERCOMING OBSTACLES AND SERVING AS THE BRIDGE BETWEEN THE PEOPLE WITHIN OUR COMMUNITY AND THE SERVICES THAT THEY NEED AS PERTAINING TO HEALTH, WELLNESS, AND PRACTICAL SERVICES AND WHILE SO DOING EMPOWER INDIVIDUALS TO DEVELOP FURTHER PERSONAL AND FAMILIAL SUCCESS, AS WELL AS PARTICIPATE IN GIVING A HAND UP TO THEIR NEIGHBORS. THE ORGANIZATION PROVIDED LOW COST OR FREE MEDICAL CARE TO 10,754 PATIENTS DURING 2017.Desc
Total Program Service Expenses$1,502,344TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
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 Required0ScheduleJRequiredInd
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 Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document25IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee26EmployeeCnt
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
DAF Excess Business Holdings0DAFExcessBusinessHoldingsInd
Taxable Distributions0TaxableDistributionsInd
Distribution To Donor0DistributionToDonorInd
Indoor Tanning Services0IndoorTanningServicesInd
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 Chapters0LocalChaptersInd
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 CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STEPHEN MURPHY CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7146583000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1661 W 1ST ST G-2AddressLine1Txt
CityTUSTINCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92780ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
KAREN LEE
CHAIR0.50Yes (X)Yes (X)$0$0$0
SOLEDAD RIVERA
VICE CHAIR0.50Yes (X)Yes (X)$0$0$0
SUNNIE MATHES
SECRETARY0.50Yes (X)Yes (X)$0$0$0
NAYELI MORENO
MEMBER0.50Yes (X)$0$0$0
ALICE MALDONADO
MEMBER0.50Yes (X)$0$0$0
PATRICIA CALVO
MEMBER0.50Yes (X)$0$0$0
ISMAEL LOPEZ
MEMBER0.50Yes (X)$0$0$0
JAMES WARREN
MEMBER0.50Yes (X)$0$0$0
MARIA PINZON
MEMBER0.50Yes (X)$0$0$0
DOMINIC RABANAL
MEMBER0.50Yes (X)$0$0$0
ARACELI CAZALES
MEMBER0.50Yes (X)$0$0$0
ALEX ROSSEL
PRESIDENT, CEO, INTERIM COO40.00Yes (X)$121,565$0$0
LOWELL GORDON MD MBA
CMO40.00Yes (X)$59,800$0$0
STEPHEN MURPHY CPA
CFO20.00Yes (X)$45,000$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$226,365TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonCHUCK LEWISPersonNm

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1360 E FIRST STREET 198AddressLine1Txt
CityTUSTINCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92780ZIPCd
FieldValueIRS element (for citing)
ServicesRENTServicesDesc
Compensation$124,983CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$57,857GovernmentGrantsAmt
Total Contributions$57,857TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICAL SERVICESDesc
Business621300BusinessCd
Total Revenue Column$1,903,445TotalRevenueColumnAmt
Related Or Exempt Func Income$1,903,445RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,903,445TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,961,302TotalRevenueColumnAmt
Related Or Exempt Func Income$1,903,445RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$226,365TotalAmt
Program Services$181,092ProgramServicesAmt
Management And General$45,273ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$614,598TotalAmt
Program Services$503,486ProgramServicesAmt
Management And General$111,112ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$32,996TotalAmt
Program Services$26,397ProgramServicesAmt
Management And General$6,599ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$40,523TotalAmt
Program Services$32,419ProgramServicesAmt
Management And General$8,104ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,099TotalAmt
Program Services$1,679ProgramServicesAmt
Management And General$420ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$368,918TotalAmt
Program Services$365,106ProgramServicesAmt
Management And General$3,812ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$54,103TotalAmt
Program Services$43,282ProgramServicesAmt
Management And General$10,821ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$99,606TotalAmt
Program Services$79,685ProgramServicesAmt
Management And General$19,921ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$146,762TotalAmt
Program Services$117,410ProgramServicesAmt
Management And General$29,352ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,343TotalAmt
Program Services$10,674ProgramServicesAmt
Management And General$2,669ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$13,056TotalAmt
Program Services$10,445ProgramServicesAmt
Management And General$2,611ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$12,589TotalAmt
Program Services$10,071ProgramServicesAmt
Management And General$2,518ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$28,538TotalAmt
Program Services$22,830ProgramServicesAmt
Management And General$5,708ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$15,897TotalAmt
Program Services$12,718ProgramServicesAmt
Management And General$3,179ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$54,832$54,832
PATIENT TRANSPORTATION$20,990$16,792$4,198
EQUIPMENT$13,280$10,624$2,656
TAXES, LICENSES AND FEE$3,502$2,802$700

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,761,997TotalAmt
Program Services$1,502,344ProgramServicesAmt
Management And General$259,653ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$2,036BOYAmt
EOY$137,078EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$74,201BOYAmt
EOY$223,895EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$136,024LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$28,537LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$107,487EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$5,711EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$72,165BOYAmt
EOY$474,171EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$38,179BOYAmt
EOY$194,836EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$60,970BOYAmt
EOY$29,385EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$203,154EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$83,627BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$182,776BOYAmt
EOY$427,375EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY-$110,611BOYAmt
EOY$46,796EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$110,611BOYAmt
EOY$46,796EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$72,165BOYAmt
EOY$474,171EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$199,305ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$41,898PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$57,857CurrentTaxYearAmt
Total$57,857TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year$57,857CurrentTaxYearAmt
Total$57,857TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$57,857PublicSupportTotal170Amt
Total Support$57,857TotalSupportAmt
Gross Receipts Rltd Activities$3,207,925GrossReceiptsRltdActivitiesAmt
Public Support CY1701.00000PublicSupportCY170Pct
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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,800OtherCostOrOtherBasisAmt
Depreciation$960DepreciationAmt
Book Value$3,840BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$131,224OtherCostOrOtherBasisAmt
Depreciation$27,577DepreciationAmt
Book Value$103,647BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$107,487TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,961,302TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$1,961,302RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,961,302TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,761,997TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,761,997ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,761,997TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION 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. THE ORGANIZATION RECOGNIZES POTENTIAL ACCURED INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS IN INCOME TAX EXPENSE. DURING THE YEAR ENDED DECEMBER 31, 2017, THE ORGANIZATION DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonALEX ROSSELPersonNm
Relationship With OrgCEORelationshipWithOrgTxt
Loan PurposeUNSECURED NOTE PAYABLE FOR THE PURPOSES OF STARTING THE ORGANIZATION.LoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$71,799OriginalPrincipalAmt
Balance Due$29,385BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$29,385TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonALEX ROSSELPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionCEORelationshipDescriptionTxt
Transaction$71,799TransactionAmt
TransactionUNSECURED NOTE PAYABLE FOR THE PURPOSES OF STARTING THE ORGANIZATION.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS REVIEWED BY THE MANAGEMENT AND BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CWITH BOARD MEMBERS AT THE BEGINNING OF EVERY BOARD MEETING ANY CONFLICTS ARE DISCUSSED AND RESOLVED.
FORM 990, PART VI, SECTION B, LINE 15THE CEO'S AND MANAGEMENT'S EMPLOYMENT CONTRACTS DETAILS ARE RESOLVED AT THE BOARD MEETING.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND THE AUDITED FINANCIAL STATEMS ARE AVAIALABE UPON REQUEST.
FORM 990, PART IX, LINE 11GMEDICAL CONSULTANTS: PROGRAM SERVICE EXPENSES 266,456. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 266,456. MEDICAL BILLING: PROGRAM SERVICE EXPENSES 83,402. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,402. PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 15,248. MANAGEMENT AND GENERAL EXPENSES 3,812. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,060.
990 PAGE 12, PART XI, LINE 8DURING THE ORGANIZATION'S FIRST FINANCIAL STATEMENT AUDIT FOR 2017, THE ORGANIZATION DISCOVERED AN ERROR IN ACCOUNTING FOR PATIENT SERVICE RECEIVABLES AS OF DECEMBER 31, 2016. THUS, THE BEGINNING NET ASSETS FOR THE YEAR ENDED DECEMBER 31, 2017, WAS REDUCED BY $41,898.