VALLEY COMMUNITY HEALTHCARE: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- VALLEY COMMUNITY HEALTHCARE (EIN 23-7050082)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-09
- IRS object ID
- 201711299349302626
- Schema version
- 2015v3.0
- 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 G
- Schedule J
- Schedule K
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-09T15:49:57-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 952302617 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SINGERLEWAK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10960 WILSHIRE BLVD STE 700 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 900243783 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | 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 |
| Business Name Line2 | (FKA VALLEY COMMUNITY CLINIC) | BusinessNameLine2Txt |
| 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 AVE NO 1B | AddressLine1Txt |
| City | NORTH HOLLYWOOD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 916055162 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAULA WILSON | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 8187631718 | PhoneNum |
| Signature | 2017-04-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NAZANIN BENYAMINI | PreparerPersonNm |
| PTIN | P00666808 | PTIN |
| Phone | 3104773924 | PhoneNum |
| Preparation | 2017-04-27 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 AVE NO 1B | AddressLine1Txt |
| City | NORTH HOLLYWOOD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 916055162 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $18,429,787 | 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 | 318 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $164,120 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$99,543 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,256,297 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,703,802 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,704,114 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,431,449 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,443 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $121,028 | PYOtherRevenueAmt |
| CY Other Revenue | $188,759 | CYOtherRevenueAmt |
| PY Total Revenue | $15,082,882 | PYTotalRevenueAmt |
| CY Total Revenue | $18,324,010 | 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 | $10,141,923 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,825,468 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $390,054 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,183,487 | PYOtherExpensesAmt |
| CY Other Expenses | $5,688,328 | CYOtherExpensesAmt |
| PY Total Expenses | $14,325,410 | PYTotalExpensesAmt |
| CY Total Expenses | $17,513,796 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $757,472 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $810,214 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,529,465 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,644,000 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,789,200 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,093,521 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,740,265 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,550,479 | 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 | $9,867,289 | ExpenseAmt |
| Revenue | $12,747,179 | RevenueAmt |
| Desc | PRIMARY CARE (67,338 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 | $2,287,435 | ExpenseAmt |
| Revenue | $2,021,057 | RevenueAmt |
| Desc | SPECIALTY SERVICES (24,554 VISITS) COVERS DENTAL HEALTH CARE, BEHAVIORAL HEALTH SERVICES AND LONG-TERM COUNSELING AND OPTOMETRY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $809,895 | ExpenseAmt |
| Revenue | $740,931 | RevenueAmt |
| Desc | THE HIV/AIDS PROGRAM (361 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 | $288,526 | ExpenseAmt |
| Revenue | $922,282 | 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 | $288,526 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $922,282 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $13,253,145 | 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 | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 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 | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | 33 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 318 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 |
| Other | Yes (X) | OtherInd |
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 AVE SUITE 1B | AddressLine1Txt |
| City | NORTH HOLLYWOOD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 916055162 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| ALAIN BERGER | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SHASHI BHATIA | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| LARRY FLETCHER | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ESTEBAN MARTINEZ | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SHARI FLAUGHER | |||||||
| MEMBER AT-LARGE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| KIM PRETTI | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| HARRIET ROLNICK | |||||||
| MEMBER AT-LARGE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK WILLIAMS | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MARILYN AMIS | |||||||
| CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| VICTOR BERRELLEZ | |||||||
| VICE CHAIR AND TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| CARLOS GARCIA | |||||||
| CHAIR EMERITUS | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| LIZ MILAN | |||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| EDUARDO GONZALEZ | |||||||
| CHIEF OPERATING OFFICER | 40.00 | $150,720 | $0 | $7,884 | Yes (X) | ||
| LEE HUEY | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $144,758 | $0 | $6,598 | Yes (X) | ||
| ROGER PEEKS | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | $208,895 | $0 | $6,875 | Yes (X) | ||
| PAULA WILSON | |||||||
| PRESIDENT AND CHIEF EXECUT | 40.00 | $237,164 | $0 | $12,998 | Yes (X) | ||
| SHAHAB BANAYAN | |||||||
| PHYSICIAN | 40.00 | $168,743 | $0 | $7,278 | Yes (X) | ||
| LAZARO CHAPA | |||||||
| PHYSICIAN | 40.00 | $161,776 | $0 | $6,992 | Yes (X) | ||
| SARO KHAJEHGIAN | |||||||
| PHYSICIAN | 40.00 | $161,178 | $0 | $5,339 | Yes (X) | ||
| YULIANA SOE | |||||||
| PHYSICIAN | 40.00 | $155,122 | $0 | $6,682 | Yes (X) | ||
| JILL HUGHES | |||||||
| PHYSICIAN | 40.00 | $167,387 | $0 | $5,339 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,555,743 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $65,985 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | 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 |
|---|---|---|---|---|---|
| QUEST DIAGNOSTICS | |||||
| FILE NO 50368 | LOS ANGELES | CA | 90074 | LAB WORK | $336,771 |
| STAFF CARE INC | |||||
| 8840 CYPRESS WATERS BLVD 300 | COPPELL | TX | 75019 | EMPLOYMENT SERVICES | $294,478 |
| VISTA STAFFING SOLUTIONS INC | |||||
| 275 EAST 200 SOUTH | SALT LAKE CITY | UT | 84111 | EMPLOYMENT SERVICES | $207,748 |
| QUALITY SYSTEMS INC | |||||
| PO BOX 511456 | LOS ANGELES | CA | 90051 | SOFTWARE SUPPORT | $195,031 |
| MCKESSON MEDICAL SURGICAL | |||||
| 16043 EL PRADO ROAD | CHINO | CA | 91708 | BIOTECHNOLOGY SERVICES | $174,099 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $35,595 | FundraisingAmt |
| Government Grants | $834,233 | GovernmentGrantsAmt |
| All Other Contributions | $833,974 | AllOtherContributionsAmt |
| Noncash Contributions | $232,166 | NoncashContributionsAmt |
| Total Contributions | $1,703,802 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| THIRD PARTY REIMBURSEMENTS | 621400 | $11,460,114 | $11,460,114 |
| GOVERNMENT PROGRAMS | 621400 | $3,384,920 | $3,384,920 |
| PROGRAM FEES | 621400 | $1,586,415 | $1,586,415 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,431,449 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $270,076 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $81,317 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $188,759 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $188,759 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $164,120 | UnrelatedBusinessRevenueAmt |
| Exclusion | $24,639 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $24,460 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $35,595 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $24,460 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,324,010 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,431,449 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $164,120 | UnrelatedBusinessRevenueAmt |
| Exclusion | $24,639 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $805,670 | TotalAmt |
| Program Services | $334,429 | ProgramServicesAmt |
| Management And General | $369,512 | ManagementAndGeneralAmt |
| Fundraising | $101,729 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,499,951 | TotalAmt |
| Program Services | $7,932,140 | ProgramServicesAmt |
| Management And General | $1,448,483 | ManagementAndGeneralAmt |
| Fundraising | $119,328 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,553 | TotalAmt |
| Management And General | $79,553 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $642,903 | TotalAmt |
| Program Services | $576,118 | ProgramServicesAmt |
| Management And General | $55,118 | ManagementAndGeneralAmt |
| Fundraising | $11,667 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $797,391 | TotalAmt |
| Program Services | $656,472 | ProgramServicesAmt |
| Management And General | $123,180 | ManagementAndGeneralAmt |
| Fundraising | $17,739 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,369 | TotalAmt |
| Program Services | $118 | ProgramServicesAmt |
| Management And General | $43,251 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,242,302 | TotalAmt |
| Program Services | $961,115 | ProgramServicesAmt |
| Management And General | $264,704 | ManagementAndGeneralAmt |
| Fundraising | $16,483 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,562 | TotalAmt |
| Program Services | $24,700 | ProgramServicesAmt |
| Fundraising | $35,862 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,167 | TotalAmt |
| Program Services | $123,565 | ProgramServicesAmt |
| Management And General | $72,047 | ManagementAndGeneralAmt |
| Fundraising | $18,555 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,812 | TotalAmt |
| Program Services | $101,891 | ProgramServicesAmt |
| Management And General | $160,921 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,969 | TotalAmt |
| Program Services | $44,983 | ProgramServicesAmt |
| Management And General | $2,383 | ManagementAndGeneralAmt |
| Fundraising | $603 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,489 | TotalAmt |
| Program Services | $86,489 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,894 | TotalAmt |
| Management And General | $82,894 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $531,903 | TotalAmt |
| Program Services | $283,266 | ProgramServicesAmt |
| Management And General | $248,637 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,632 | TotalAmt |
| Program Services | $187,597 | ProgramServicesAmt |
| Management And General | $40,074 | ManagementAndGeneralAmt |
| Fundraising | $3,961 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SERVICES/SUPPLI | $1,263,017 | $1,204,489 | $56,818 | $1,710 |
| LABORATORY FEES | $529,530 | $529,530 | ||
| TECHNICAL ASSISTANCE | $431,556 | $15,643 | $415,308 | $605 |
| REPAIRS & MAINTENANCE | $240,535 | $47,866 | $192,669 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $419,591 | TotalAmt |
| Program Services | $142,734 | ProgramServicesAmt |
| Management And General | $215,045 | ManagementAndGeneralAmt |
| Fundraising | $61,812 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,513,796 | TotalAmt |
| Program Services | $13,253,145 | ProgramServicesAmt |
| Management And General | $3,870,597 | ManagementAndGeneralAmt |
| Fundraising | $390,054 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,617,730 | BOYAmt |
| EOY | $3,778,098 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $369,118 | BOYAmt |
| EOY | $131,287 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,334,897 | BOYAmt |
| EOY | $1,803,789 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,967 | BOYAmt |
| EOY | $156,965 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,933 | BOYAmt |
| EOY | $80,771 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,806,616 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,113,526 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,940,820 | BOYAmt |
| EOY | $5,693,090 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,529,465 | BOYAmt |
| EOY | $11,644,000 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $967,903 | BOYAmt |
| EOY | $1,402,701 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,630,080 | BOYAmt |
| EOY | $1,599,603 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $191,217 | BOYAmt |
| EOY | $91,217 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,789,200 | BOYAmt |
| EOY | $3,093,521 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,673,265 | BOYAmt |
| EOY | $8,455,487 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,000 | BOYAmt |
| EOY | $94,992 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,740,265 | BOYAmt |
| EOY | $8,550,479 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,529,465 | BOYAmt |
| EOY | $11,644,000 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $810,214 | 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,559,511 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,040,780 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,241,758 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,256,297 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,703,802 | CurrentTaxYearAmt |
| Total | $12,802,148 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,559,511 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,040,780 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,241,758 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,256,297 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,703,802 | CurrentTaxYearAmt |
| Total | $12,802,148 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $29,282 | SubstantialContributorsTotAmt |
| Public Support Total170 | $12,772,866 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $278,564 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $170,288 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $202,886 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $210,650 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $270,076 | CurrentTaxYearAmt |
| Total | $1,132,464 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $13,934,612 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $54,674,363 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.91660 | PublicSupportCY170Pct |
| Public Support PY170 | 0.91780 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,965,756 | BeginningYearBalanceAmt |
| End Year Balance | $1,965,756 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,965,756 | BeginningYearBalanceAmt |
| End Year Balance | $1,965,756 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,965,756 | BeginningYearBalanceAmt |
| End Year Balance | $1,965,756 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,965,756 | BeginningYearBalanceAmt |
| End Year Balance | $1,965,756 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,965,756 | BeginningYearBalanceAmt |
| End Year Balance | $1,965,756 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
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 | $1,321,473 | DepreciationAmt |
| Book Value | $2,253,027 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,686,211 | OtherCostOrOtherBasisAmt |
| Depreciation | $896,824 | DepreciationAmt |
| Book Value | $789,387 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,620,405 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,895,229 | DepreciationAmt |
| Book Value | $725,176 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,693,090 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| SECURITY INTEREST COLDWATER | $66,667 |
| DEPOSITS | $24,550 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $91,217 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $18,543,687 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $113,900 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $105,777 | OtherRevenueAmt |
| Revenue Not Reported | $219,677 | RevenueNotReportedAmt |
| Revenue Subtotal | $18,324,010 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $18,324,010 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $17,733,473 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $113,900 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $105,777 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $219,677 | ExpensesNotReportedAmt |
| Expenses Subtotal | $17,513,796 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $17,513,796 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | IN JUNE 2006, THE FASB ISSUED ASC TOPIC NO. 740-10, FORMERLY FASB INTERPRETATION NO. ("FIN") 48, "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT NO. 109" ("ASC 740-10"), WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ASC 740-10 PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ASC 740-10 REQUIRES THAT AN ORGANIZATION RECOGNIZE IN THE FINANCIAL STATEMENTS THE IMPACT OF THE TAX POSITION IF THAT POSITION WILL MORE LIKELY THAN NOT BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. ASC 740-10 ALSO PROVIDES GUIDANCE RELATED TO DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES AND DISCLOSURE. DURING THE YEAR ENDED JUNE 30, 2016, THE CLINIC PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS AND DID NOT NOTE ANY MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS OR WHICH MAY HAVE AN EFFECT ON ITS TAXEXEMPT STATUS. THE CLINIC'S INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION FOR ALL TAX YEARS ENDED ON OR AFTER JUNE 30, 2012 WITH REGARDS TO ALL TAX POSITIONS AND THE RESULTS REPORTED. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | INTEREST EXPENSE RELATED TO RENTAL INCOME 23,706. SPECIAL EVENT EXPENSE 24,460. DEPRECIATION EXPENSE RELATED TO RENTAL INCOME 57,611. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | INTEREST EXPENSE RELATED TO RENTAL INCOME 23,706. SPECIAL EVENT EXPENSE 24,460. DEPRECIATION EXPENSE RELATED TO RENTAL INCOME 57,611. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CASINO NIGHT | Event1Nm |
| Gross Receipts Event1 | $60,055 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $35,595 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $24,460 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $250 | NonCashPrizesEvent1Amt |
| Food And Beverage Event1 | $11,440 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $2,180 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $10,590 | OtherDirectExpensesEvent1Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Total | $60,055 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $35,595 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $24,460 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $250 | NonCashPrizesTotalEventsAmt |
| Food And Beverage Total Events | $11,440 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $2,180 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $10,590 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $24,460 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $0 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| 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 | 0 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EDUARDO GONZALEZ | ||||||||||||||
| CHIEF OPERATING OFFICER | $150,720 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,884 | $0 | $158,604 | $0 | $0 | $0 |
| LEE HUEY | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $144,758 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,598 | $0 | $151,356 | $0 | $0 | $0 |
| ROGER PEEKS | ||||||||||||||
| CHIEF MEDICAL OFFICER | $208,895 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,875 | $0 | $215,770 | $0 | $0 | $0 |
| PAULA WILSON | ||||||||||||||
| PRESIDENT AND CHIEF EXECUT | $227,164 | $0 | $10,000 | $0 | $0 | $0 | $0 | $0 | $12,998 | $0 | $250,162 | $0 | $0 | $0 |
| SHAHAB BANAYAN | ||||||||||||||
| PHYSICIAN | $168,743 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,278 | $0 | $176,021 | $0 | $0 | $0 |
| LAZARO CHAPA | ||||||||||||||
| PHYSICIAN | $161,776 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,992 | $0 | $168,768 | $0 | $0 | $0 |
| SARO KHAJEHGIAN | ||||||||||||||
| PHYSICIAN | $161,178 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,339 | $0 | $166,517 | $0 | $0 | $0 |
| YULIANA SOE | ||||||||||||||
| PHYSICIAN | $155,122 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,682 | $0 | $161,804 | $0 | $0 | $0 |
| JILL HUGHES | ||||||||||||||
| PHYSICIAN | $167,387 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,339 | $0 | $172,726 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALIFORNIA HEALTH FACILITY FINANCE AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 946001347 | BondIssuerEIN |
| CUSIP | 13033LFR3 | CUSIPNum |
| Bond Issued | 2010-03-24 | BondIssuedDt |
| Issue Price | $2,040,000 | IssuePriceAmt |
| Purpose | REFINANCE OF OBLIGATIONS TO PURCHASE A MEDICAL BUILDING. | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $2,040,000 | TotalProceedsAmt |
| Refunding Escrow | $182,000 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $285,523 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $1,572,477 | OtherSpentProceedsAmt |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (1) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $232,166 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST | 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 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM, WHICH IS THEN FIRST REVIEWED INTERNALLY BY MANAGEMENT. THEN IT IS PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR REVIEW. ONCE THE FORM 990 IS APPROVED, THEN IT IS MADE AVAILABLE TO THE ENTIRE BOARD OF DIRECTORS AND ELECTRONICALLY FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS ANNUALLY REVIEWS THE CONFLICT OF INTEREST POLICY. AT THIS TIME, EACH MEMBER IS ASKED TO SIGN THE POLICY. |
| 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 DIRECTOR'S EXECUTIVE COMMITTEE. 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. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION'S FORM 990 IS AVAILABLE FOR PUBLIC INSPECTION ON WWW.GUIDESTAR.ORG. |
| 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. |