CLINICA MSR OSCAR A ROMERO: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: CLINICA MSR OSCAR A ROMERO (EIN 95-3881333)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-02
IRS object ID: 201801229349301910
Schema version: 2016v3.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule I
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-02T15:09:18-05:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFTONLARSONALLEN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	20 E THOMAS RD STE 2300	AddressLine1Txt
City	PHOENIX	CityNm
State Abbreviation	AZ	StateAbbreviationCd
ZIP	85012	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	953881333	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CLINICA MSR OSCAR A ROMERO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CLIN	BusinessNameControlTxt
Phone	3239871401	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	123 SOUTH ALVARADO STREET	AddressLine1Txt
City	LOS ANGELES	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90057	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CARLOS A VAQUERANO	PersonNm
Person Title	PRESIDENT & CEO	PersonTitleTxt
Phone	3239871401	PhoneNum
Signature	2018-05-01	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KURT BENNION	PreparerPersonNm
PTIN	P01469618	PTIN
Phone	6022662248	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	67.137.57.251	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2018-05-01	IPDt
IP Tm	11:18:57	IPTm
IP Timezone	PD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	81CD31B431919A6BAB86B87CF81D7AAD5B2A23A8	AtSubmissionCreationDeviceId
At Submission Filing Device Id	58F051F63F335AB1BDDE6F7A5C9B4348934A8A50	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	CARLOS A VAQUERANO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	123 SOUTH ALVARADO STREET	AddressLine1Txt
City	LOS ANGELES	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90057	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$13,770,038	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CLINICAROMERO.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1983	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	PROVIDE QUALITY, AFFORDABLE AND CULTURALLY SENSITIVE HEALTH CARE AND OTHER SERVICES TO THE UNINSURED, INSURED AND UNDERSERVED COMMUNITIES OF GREATER LOS ANGELES.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	164	TotalEmployeeCnt
Total Volunteers	62	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,846,918	PYContributionsGrantsAmt
CY Contributions Grants	$4,066,782	CYContributionsGrantsAmt
PY Program Service Revenue	$8,086,242	PYProgramServiceRevenueAmt
CY Program Service Revenue	$8,460,873	CYProgramServiceRevenueAmt
PY Investment Income	$783	PYInvestmentIncomeAmt
CY Investment Income	-$90,576	CYInvestmentIncomeAmt
PY Other Revenue	$463,952	PYOtherRevenueAmt
CY Other Revenue	$1,220,835	CYOtherRevenueAmt
PY Total Revenue	$12,397,895	PYTotalRevenueAmt
CY Total Revenue	$13,657,914	CYTotalRevenueAmt
PY Grants And Similar Paid	$10,850	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$44,944	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$7,900,751	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$8,656,888	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$141,588	CYTotalFundraisingExpenseAmt
PY Other Expenses	$4,361,271	PYOtherExpensesAmt
CY Other Expenses	$4,763,528	CYOtherExpensesAmt
PY Total Expenses	$12,272,872	PYTotalExpensesAmt
CY Total Expenses	$13,465,360	CYTotalExpensesAmt
PY Revenues Less Expenses	$125,023	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$192,554	CYRevenuesLessExpensesAmt
Total Assets BOY	$8,072,664	TotalAssetsBOYAmt
Total Assets EOY	$7,905,185	TotalAssetsEOYAmt
Total Liabilities BOY	$5,366,299	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,184,959	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,706,365	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,720,226	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	OUR MISSION IS TO PROVIDE QUALITY, AFFORDABLE AND CULTURALLY SENSITIVE HEALTH CARE AND OTHER SERVICES TO THE UNINSURED, INSURED AND UNDERSERVED COMMUNITIES OF GREATER LOS ANGELES REGARDLESS OF THEIR ABILITY TO PAY BY UPHOLDING THE LEGACY AND (CONTINUED IN SCHEDULE O) TRADITION OF MONSENOR OSCAR A. ROMERO AND EDUCATING AND EMPOWERING SALVADORAN AND OTHER COMMUNITY MEMBERS THROUGH COMMUNITY ORGANIZING, HEALTH EDUCATION AND SOCIAL JUSTICE AND EXCHANGE PROGRAMS IN EL SALVADOR.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$7,595,391	ExpenseAmt
Grant	$44,944	GrantAmt
Revenue	$5,404,971	RevenueAmt
Desc	CLINICA ROMERO PROVIDES LOW-COST COMPREHENSIVE PRIMARY CARE AND DISEASE PREVENTION SERVICES FOR MEN, WOMEN AND CHILDREN OF ALL AGES. OUR DOCTORS STRIVE TO PROVIDE THE BEST LEVEL OF CARE IN ORDER TO IMPROVE THE QUALITY OF LIFE OF ALL PATIENTS. SERVICES INCLUDE: EXAMS: COMPLETE MEDICAL EXAMINATIONS.CANCER SCREENINGS: LAB TESTS, ULTRASOUNDS.CHRONIC DISEASE MANAGEMENT: MEDICATIONS AND LIFESTYLE REGIMENS FOR AVOIDING COMPLICATIONS ASSOCIATED WITH ASTHMA, HEART DISEASE, HYPERTENSION, HIGH BLOOD PRESSURE AND DIABETES.FAMILY PLANNING: PROGRAMS TO ASSIST YOUNG AND BEGINNING FAMILIES.(CONTINUED IN SCHEDULE O)PRENATAL CARE: PRENATAL CLASSES AND NUTRITIONAL GUIDANCE.PEDIATRICS: WELL-CHILD VISITS FOR HEALTHY GROWTH AND DEVELOPMENT.VACCINATIONS: PEDIATRIC IMMUNIZATIONS AND ADULT VACCINES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,959,498	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,952,463	RevenueAmt
Desc	CLINICA IS COMMITTED TO PROVIDING PRESCRIPTION MEDICATION THAT FITS WITHIN A PATIENT'S BUDGET. OUR PHARMACEUTICAL STAFF IS COMMITTED TO PROVIDING ACCURATE AND EASY TO UNDERSTAND INFORMATION REGARDING THE MEDICATION PRESCRIBED TO OUR PATIENTS. SERVICES INCLUDE:ON-SITE FILLING OF PRESCRIPTIONS.PRESCRIPTION REFILLS.MEDICATION MANAGEMENT IN COORDINATION WITH PRIMARY CARE PHYSICIAN.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,275,978	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,103,439	RevenueAmt
Desc	CLINICA ROMERO PROVIDES A LOW-COST DENTAL SERVICES FOR ADULTS AND CHILDREN IN A FRIENDLY ENVIRONMENT THAT PUTS OUR PATIENTS AT EASE. GOOD ORAL HEALTH REQUIRES REGULAR DENTAL EXAMINATION AND MAINTENANCE TO HELP PREVENT AND MANAGE DISEASE. OUR TEAM SPECIALIZES IN PREVENTATIVE CARE AND PROVIDES THE FOLLOWING SERVICES:SERVICES FOR ADULTS:COMPLETE ORAL EXAMINATIONS INCLUDING X-RAYS.PREVENTATIVE SERVICES AND PERIODIC PERIODONTAL MAINTENANCE TREATMENT:PROPHYLAXIS (CLEANINGS) AND NON-SURGICAL PERIODONTAL TREATMENT (SCALING AND ROOT PLANING), ORAL HYGIENE EDUCATION(CONTINUED IN SCHEDULE O)RESTORATIVE SERVICES:RESTORATION FILLINGS, CANAL TREATMENT LIMITED TO ANTERIOR TEETH, SIMPLE EXTRACTIONSSERVICES FOR CHILDREN:COMPLETE ORAL EXAMINATIONS AND X-RAYSPREVENTATIVE SERVICES:PROPHYLAXIS (CLEANINGS), FLUORIDE VARNISH APPLICATIONS, SEALANTS, ORAL HYGIENE EDUCATIONRESTORATIVE SERVICES:RESTORATION FILLINGS, PULPOTOMIES, STAINLESS STEEL CROWNS, SPACE MAINTAINERS, SIMPLE EXTRACTIONS	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$10,830,867	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	0	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	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	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	Yes (1)	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	79	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	164	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
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	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	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
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	0	WhistleblowerPolicyInd
Document Retention Policy	0	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	Yes (X)	OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SANDRA ROSSATO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2132012745	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	123 SOUTH ALVARADO STREET	AddressLine1Txt
City	LOS ANGELES	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90057	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CARLOS VAQUERANO
PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
RAFAEL SWEET ESQ
VICE PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
KRYSSIA CAMPOS
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
MARCELO VILLAGOMEZ
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
GABRIEL AGUILA-NOLAZCO
MEMBER (THROUGH APRIL 2017)	1.00	Yes (X)		$0	$0	$0
JOSE AMBROCIO AGUILAR
MEMBER	1.00	Yes (X)		$0	$0	$0
LORENA BERNARDO
MEMBER	1.00	Yes (X)		$0	$0	$0
MARIA ELENA GARCIA
MEMBER (THROUGH APRIL 2017)	1.00	Yes (X)		$0	$0	$0
KEITH MARTIN MSW
MEMBER	1.00	Yes (X)		$0	$0	$0
VENTURA MENDOZA
MEMBER (THROUGH APRIL 2017)	1.00	Yes (X)		$0	$0	$0
YAMILET MARISOL MONCADA
MEMBER	1.00	Yes (X)		$0	$0	$0
SANDRA RODRIGUEZ
MEMBER	1.00	Yes (X)		$0	$0	$0
ADALY UGALDE
MEMBER	1.00	Yes (X)		$0	$0	$0
SANDRA ROSSATO
EXECUTIVE DIRECTOR	40.00		Yes (X)	$174,008	$0	$6,720
CHRISTINA BUGARIN
FINANCE DIRECTOR	32.00		Yes (X)	$80,286	$0	$500
DR SAMUEL PIERCE
MEDICAL DIRECTOR	40.00		Yes (X)	$140,461	$0	$1,200
DR RODNEY SAMAAN
ASSOCIATE MEDICAL DIRECTOR	32.00		Yes (X)	$134,735	$0	$0
DR JOHN NGUYEN MD
OBGYN	40.00			$152,010	$0	$0	Yes (X)
DR FERNANDO RODRIGUEZ DDS
DENTAL DIRECTOR	40.00			$137,540	$0	$300	Yes (X)
JAMEY COREY
PHARMACIST	40.00			$128,640	$0	$300	Yes (X)
DEISY MENDOZA
PHYSICIAN ASSISTANT	40.00			$124,840	$0	$0	Yes (X)
DR MARIA AYALA MD
PHYSICIAN	24.00			$109,680	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,182,200	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$9,020	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	14	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
OCHIN
1881 SW NAITO PKWY	PORTLAND	OR	97201	EMR SERVICES	$265,144
7 LAYER IT SOLUTIONS INC
17701 CHATSWORTH ST	GRANADA HILLS	CA	91344	IT SERVICES	$142,863

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	2	CntrctRcvdGreaterThan100KCnt
Government Grants	$4,008,331	GovernmentGrantsAmt
All Other Contributions	$58,451	AllOtherContributionsAmt
Total Contributions	$4,066,782	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAL SERVICES	621110	$5,404,971	$5,404,971
PHARMACY	621110	$1,952,463	$1,952,463
DENTAL SERVICES	621110	$1,103,439	$1,103,439

Field	Value	IRS element (for citing)
Total Program Service Revenue	$8,460,873	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$959	TotalRevenueColumnAmt
Exclusion	$959	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,506	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$20,589	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$16,083	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$16,083	TotalRevenueColumnAmt
Exclusion	-$16,083	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$91,535	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$91,535	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$91,535	TotalRevenueColumnAmt
Exclusion	-$91,535	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER INCOME	Desc
Business	900099	BusinessCd
Total Revenue Column	$1,236,918	TotalRevenueColumnAmt
Exclusion	$1,236,918	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,236,918	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,657,914	TotalRevenueColumnAmt
Related Or Exempt Func Income	$8,460,873	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,130,259	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$12,450	TotalAmt
Program Services	$12,450	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$32,494	TotalAmt
Program Services	$32,494	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$629,000	TotalAmt
Program Services	$106,500	ProgramServicesAmt
Management And General	$522,500	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$6,116,222	TotalAmt
Program Services	$5,245,714	ProgramServicesAmt
Management And General	$834,856	ManagementAndGeneralAmt
Fundraising	$35,652	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,319,614	TotalAmt
Program Services	$1,043,706	ProgramServicesAmt
Management And General	$249,654	ManagementAndGeneralAmt
Fundraising	$26,254	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$592,052	TotalAmt
Program Services	$468,265	ProgramServicesAmt
Management And General	$112,008	ManagementAndGeneralAmt
Fundraising	$11,779	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$13,842	TotalAmt
Management And General	$13,842	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$74,521	TotalAmt
Management And General	$74,521	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$791,912	TotalAmt
Program Services	$648,378	ProgramServicesAmt
Management And General	$86,951	ManagementAndGeneralAmt
Fundraising	$56,583	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$47,032	TotalAmt
Program Services	$39,781	ProgramServicesAmt
Management And General	$7,164	ManagementAndGeneralAmt
Fundraising	$87	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$267,992	TotalAmt
Program Services	$165,254	ProgramServicesAmt
Management And General	$101,114	ManagementAndGeneralAmt
Fundraising	$1,624	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$300,179	TotalAmt
Program Services	$231,679	ProgramServicesAmt
Management And General	$67,532	ManagementAndGeneralAmt
Fundraising	$968	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$129,646	TotalAmt
Program Services	$64,916	ProgramServicesAmt
Management And General	$63,826	ManagementAndGeneralAmt
Fundraising	$904	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$612,367	TotalAmt
Program Services	$489,281	ProgramServicesAmt
Management And General	$118,144	ManagementAndGeneralAmt
Fundraising	$4,942	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$118,600	TotalAmt
Program Services	$59,385	ProgramServicesAmt
Management And General	$58,388	ManagementAndGeneralAmt
Fundraising	$827	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PROGRAM EXPENSES	$1,756,009	$1,740,480	$15,206	$323
DUES AND SUBSCRIPTIONS	$376,321	$331,912	$44,407	$2
MISCELLANEOUS	$220,175	$110,246	$108,394	$1,535
MAINTENANCE AND REPAIRS	$54,932	$40,426	$14,398	$108

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,465,360	TotalAmt
Program Services	$10,830,867	ProgramServicesAmt
Management And General	$2,492,905	ManagementAndGeneralAmt
Fundraising	$141,588	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$986,976	BOYAmt
EOY	$688,158	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$363,462	BOYAmt
EOY	$387,596	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,997,765	BOYAmt
EOY	$2,156,161	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$25,785	BOYAmt
EOY	$25,329	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$50,989	BOYAmt
EOY	$32,835	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$9,289,910	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$4,674,804	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$4,646,731	BOYAmt
EOY	$4,615,106	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$956	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,072,664	BOYAmt
EOY	$7,905,185	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$940,154	BOYAmt
EOY	$1,000,397	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$266,826	BOYAmt
EOY	$7,527	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$4,159,319	BOYAmt
EOY	$4,177,035	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,366,299	BOYAmt
EOY	$5,184,959	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,341,815	BOYAmt
EOY	$2,222,027	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$364,550	BOYAmt
EOY	$498,199	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,706,365	BOYAmt
EOY	$2,720,226	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,072,664	BOYAmt
EOY	$7,905,185	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$192,554	ReconcilationRevenueExpnssAmt
Prior Period Adjustments	-$178,693	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,762,794	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,060,684	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,619,153	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,846,918	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,066,782	CurrentTaxYearAmt
Total	$17,356,331	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,762,794	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,060,684	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,619,153	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,846,918	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,066,782	CurrentTaxYearAmt
Total	$17,356,331	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$17,356,331	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$75,069	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$133,130	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$62,547	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$74,849	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,465	CurrentTaxYearAmt
Total	$351,060	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$47,949	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$180,448	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$378,315	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$409,907	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,236,918	CurrentTaxYearAmt
Total	$2,253,537	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$19,960,928	TotalSupportAmt
Gross Receipts Rltd Activities	$36,419,957	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.86950	PublicSupportCY170Pct
Public Support PY170	0.91750	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	FormAndLineReferenceDesc
Explanation	OTHER INCOME MEANINGFUL USE REVENUE	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,618,324	OtherCostOrOtherBasisAmt
Book Value	$1,618,324	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,346,596	OtherCostOrOtherBasisAmt
Depreciation	$2,376,978	DepreciationAmt
Book Value	$1,969,618	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$760,622	OtherCostOrOtherBasisAmt
Depreciation	$340,492	DepreciationAmt
Book Value	$420,130	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,564,368	OtherCostOrOtherBasisAmt
Depreciation	$1,957,334	DepreciationAmt
Book Value	$607,034	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$4,615,106	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$13,678,503	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$20,589	OtherRevenueAmt
Revenue Not Reported	$20,589	RevenueNotReportedAmt
Revenue Subtotal	$13,657,914	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$13,657,914	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$13,485,949	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$20,589	OtherExpensesIncludedAmt
Expenses Not Reported	$20,589	ExpensesNotReportedAmt
Expenses Subtotal	$13,465,360	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$13,465,360	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	CLINICA IS A NONPROFIT CORPORATION, EXEMPT FROM THE PAYMENT OF INCOME TAXES UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701(D). ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR INCOME TAXES. HOWEVER, CLINICA IS SUBJECT TO INCOME TAXES ON ANY NET INCOME THAT IS DERIVED FROM A TRADE OR BUSINESS NOT IN FURTHERANCE OF THE PURPOSES FOR WHICH IT WAS GRANTED EXEMPTION. NO INCOME TAX PROVISION HAS BEEN RECORDED AS THE NET INCOME, IF ANY, FROM ANY UNRELATED TRADE OR BUSINESS IN THE OPINION OF MANAGEMENT, IS NOT MATERIAL TO THE FINANCIAL STATEMENTS TAKEN AS A WHOLE. CLINICA FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THIS STANDARD HAS NO EFFECT ON THE FINANCIAL STATEMENTS. CLINICA'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 20,589.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 20,589.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	PROGRAM SERVICES	TypeOfActivitiesConductedTxt
Specific Services Provided	SUPPORT HEALTH SERVICES TO THE PUBLIC	SpecificServicesProvidedTxt
Region Total Expenditures	$32,494	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$32,494	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$32,494	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Purpose Of Grant	SUPPORT HEALTHCARE SERVICES AND HEALTHY CHILDREN	PurposeOfGrantTxt
Non Cash Assistance	$32,494	NonCashAssistanceAmt
Description Of Non Cash Asst	RESPIRATORY MACHINE AND PLAYGROUND EQUIPMENT	DescriptionOfNonCashAsstTxt
Valuation Method Used	FMV	ValuationMethodUsedDesc

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE RECIPIENTS SENT PHOTOGRAPHS OF THE DONATED EQUIPMENT BEING USED FOR THE INTENDED PURPOSES.	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	AMOUNTS GIVEN WERE SPONSORSHIPS FOR LOCAL CHARITIES. ALL AMOUNTS GIVEN WERE INTENDED FOR GENERAL OPERATING SUPPORT AND NO MONITORING OCCURRED SUBSEQUENT TO THE EVENT.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 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
SANDRA ROSSATO
EXECUTIVE DIRECTOR	$174,008	$0	$0	$0	$0	$0	$0	$0	$6,720	$0	$180,728	$0	$0	$0
DR JOHN NGUYEN MD
OBGYN	$152,010	$0	$0	$0	$0	$0	$0	$0	$0	$0	$152,010	$0	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS AND IMMEDIATE PAST PRESIDENT OF THE BOARD OF DIRECTORS. THE EXECUTIVE DIRECTOR AND OTHER NON-DIRECTORS MAY BE DESIGNATED AS NON-VOTING ADVISORS TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE EXERCISES SUCH AUTHORITY AS IS DELEGATED TO IT BY THE BOARD OF DIRECTORS AND CAN ACT IN THE BOARD'S ABSENCE DURING AN EMERGENCY IF THE FULL BOARD IS UNABLE TO MEET.
FORM 990, PART VI, SECTION B, LINE 11B	CLINICA MSR OSCAR A ROMERO'S OUTSIDE AUDITORS AND FINANCIAL STAFF PREPARED THE FORM 990. THE FORM WAS THEN REVIEWED BY THE FINANCE DIRECTOR AND THE EXECUTIVE DIRECTOR, THEN BY THE FINANCE COMMITTEE, THEN BY THE FULL BOARD OF DIRECTORS BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	CLINICA MSR OSCAR A ROMERO (CMOAR) REQUIRES ALL EMPLOYEES TO DISCLOSE, AT LEAST ANNUALLY, ALL SOURCES OF INCOME FROM COMPENSATION OR FROM OWNERSHIP OF EVERY OUTSIDE ENTITY THAT (A) SOLD, SUPPLIED OR PROVIDED SERVICES (B) OPERATED A COMPETING ENTERPRISE OR (C) PROVIDED GOODS OR SERVICES TO CMOAR IN THE LAST SIX MONTHS. CMOAR ALSO REQUIRES ALL DIRECTORS TO ANNUALLY SIGN A STATEMENT AFFIRMING (A) RECEIPT OF CMOAR CONFLICT OF INTEREST POLICY (B) UNDERSTANDING OF THE POLICY AND (C) AGREEMENT WITH THE POLICY. CMOAR CONFLICT OF INTEREST POLICY DESCRIBES HOW CMOAR WILL RESOLVE POSSIBLE CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD REVIEWED ALL OF THE OFFICERS' COMPENSATION, INCLUDING THAT OF THE EXECUTIVE DIRECTOR. THE BOARD REVIEWED DATA OF COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED NONPROFIT EXECUTIVES. THE OCCURRENCE OF THESE DELIBERATION ARE NOTED IN THE BOARD MINUTES. THIS PROCESS LAST OCCURRED IN 2017.
FORM 990, PART VI, SECTION C, LINE 18	IN ADDITION TO BEING AVAILABLE UPON REQUEST, THE ORGANIZATION'S FORM 990 IS AVAILABLE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.