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ILLUMINATION HEALTH HOME: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
ILLUMINATION HEALTH HOME (EIN 71-1047686)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-02-15
IRS object ID
201730479349300733
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-02-15T00:00:00-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN330639599PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Stephens Reidinger & Beller LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11301 Dove Street Suite 890AddressLine1Txt
CityNewport BeachCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92660ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN711047686EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Illumination FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlILLUBusinessNameControlTxt
Phone9492730555PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12691 Richter Avenue Suite 107AddressLine1Txt
CityIrvineCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92606ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPaul ChoPersonNm
Person TitleCFOPersonTitleTxt
Phone9492730555PhoneNum
Signature2017-02-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDavid R StephensPreparerPersonNm
PTINP00339728PTIN
Phone9497527400PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPaul LeonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12691 Richter Ave 107AddressLine1Txt
CityIrvineCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92606ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,418,426GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.ifhomeless.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2008FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionProvide housing and healthcare services to break or prevent the cycle of homelessness.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee93TotalEmployeeCnt
Total Volunteers2000TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$704,539PYContributionsGrantsAmt
CY Contributions Grants$1,461,461CYContributionsGrantsAmt
PY Program Service Revenue$1,366,973PYProgramServiceRevenueAmt
CY Program Service Revenue$4,150,111CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$357,730PYOtherRevenueAmt
CY Other Revenue$530,453CYOtherRevenueAmt
PY Total Revenue$2,429,242PYTotalRevenueAmt
CY Total Revenue$6,142,025CYTotalRevenueAmt
PY Grants And Similar Paid$487,767PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,447,292CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,015,753PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,825,576CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$266,101CYTotalFundraisingExpenseAmt
PY Other Expenses$749,858PYOtherExpensesAmt
CY Other Expenses$1,356,944CYOtherExpensesAmt
PY Total Expenses$2,253,378PYTotalExpensesAmt
CY Total Expenses$5,629,812CYTotalExpensesAmt
PY Revenues Less Expenses$175,864PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$512,213CYRevenuesLessExpensesAmt
Total Assets BOY$1,129,357TotalAssetsBOYAmt
Total Assets EOY$2,335,739TotalAssetsEOYAmt
Total Liabilities BOY$976,966TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,671,135TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$152,391NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$664,604NetAssetsOrFundBalancesEOYAmt
MissionOur vision is to break the cycle of homelessness. Our public/private partnership combines healthcare and mental health services with housing and social services to reduce the impacts of homelessness and reduce people's vulerability to future homelessness.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,708,005ExpenseAmt
Grant$1,447,292GrantAmt
Revenue$6,142,025RevenueAmt
DescProvide housing,social services and healthcare services to homeless individuals and families.Desc
Total Program Service Expenses$4,708,005TotalProgramServiceExpensesAmt
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 Footnote0IncludeFIN48FootnoteInd
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 ActivitiesYes (1)FundraisingActivitiesInd
Gaming ActivitiesYes (1)GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
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 Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document72IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee93EmployeeCnt
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
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
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
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Paul ChoBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9492730559PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12691 Richter Avenue Suite 107AddressLine1Txt
CityIrvineCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92606ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Michael Haynes
Treasurer3.00Yes (X)Yes (X)$0$0$0
Jack Toan
Board director3.00Yes (X)$0$0$0
Paul Leon
CEO50.00Yes (X)Yes (X)$112,733$0$0
Ripu Arora MD
Board director3.00Yes (X)$0$0$0
Larry Haynes
Board director3.00Yes (X)$0$0$0
Scott Kelly
Secretary3.00Yes (X)Yes (X)$0$0$0
Beth MacLean
Board director3.00Yes (X)$0$0$0
Ginny Ripslinger
Vice Chairman3.00Yes (X)Yes (X)$0$0$0
Barbara Scheinman
Board director3.00Yes (X)$0$0$0
Mary Niven
Chairman3.00Yes (X)Yes (X)$0$0$0
Alison Gokal
Board director3.00Yes (X)$0$0$0
Walt Lynch
Board director3.00Yes (X)$0$0$0
Robert Warren
Board director3.00Yes (X)$0$0$0
Michael Cupps
Board director3.00Yes (X)$0$0$0
Mark Scher
Board director3.00Yes (X)$0$0$0
Nikan Khatibi
Board director3.00Yes (X)$0$0$0
Paul Cho
COO/CFO50.00Yes (X)$95,090$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$207,823TotalReportableCompFromOrgAmt
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
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Membership Dues$5,000MembershipDuesAmt
Fundraising$131,176FundraisingAmt
All Other Contributions$1,325,285AllOtherContributionsAmt
Noncash Contributions$617,682NoncashContributionsAmt
Total Contributions$1,461,461TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescProgram service feesDesc
Business624200BusinessCd
Total Revenue Column$4,150,111TotalRevenueColumnAmt
Related Or Exempt Func Income$4,150,111RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,150,111TotalProgramServiceRevenueAmt
Fundraising Gross Income$704,366FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$131,176ContriRptFundraisingEventAmt
Fundraising Direct Expenses$276,401FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$427,965TotalRevenueColumnAmt
Exclusion$427,965ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$34,500GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,500TotalRevenueColumnAmt
Exclusion$34,500ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$34,428GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,428TotalRevenueColumnAmt
Related Or Exempt Func Income$34,428RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMisc rentalsDesc
Business531110BusinessCd
Total Revenue Column$33,560TotalRevenueColumnAmt
Related Or Exempt Func Income$33,560RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$33,560OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,142,025TotalRevenueColumnAmt
Related Or Exempt Func Income$4,218,099RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$462,465ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,447,292TotalAmt
Program Services$1,447,292ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$207,823TotalAmt
Program Services$127,811ProgramServicesAmt
Management And General$41,565ManagementAndGeneralAmt
Fundraising$38,447FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,120,782TotalAmt
Program Services$1,803,038ProgramServicesAmt
Management And General$267,569ManagementAndGeneralAmt
Fundraising$50,175FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$281,516TotalAmt
Program Services$204,197ProgramServicesAmt
Management And General$54,928ManagementAndGeneralAmt
Fundraising$22,391FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$215,455TotalAmt
Program Services$164,734ProgramServicesAmt
Management And General$42,486ManagementAndGeneralAmt
Fundraising$8,235FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$241,343TotalAmt
Program Services$72,712ProgramServicesAmt
Management And General$120,530ManagementAndGeneralAmt
Fundraising$48,101FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$24,066TotalAmt
Program Services$3,656ProgramServicesAmt
Fundraising$20,410FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$271,573TotalAmt
Program Services$245,157ProgramServicesAmt
Management And General$16,173ManagementAndGeneralAmt
Fundraising$10,243FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$61,008TotalAmt
Program Services$41,577ProgramServicesAmt
Management And General$18,279ManagementAndGeneralAmt
Fundraising$1,152FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,861TotalAmt
Program Services$1,893ProgramServicesAmt
Management And General$2,410ManagementAndGeneralAmt
Fundraising$558FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$19,516TotalAmt
Program Services$4,891ProgramServicesAmt
Management And General$14,625ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$93,467TotalAmt
Program Services$75,708ProgramServicesAmt
Management And General$9,347ManagementAndGeneralAmt
Fundraising$8,412FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$120,386TotalAmt
Program Services$91,587ProgramServicesAmt
Management And General$19,931ManagementAndGeneralAmt
Fundraising$8,868FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Temporary help$102,330$101,885$445
Repairs and maintenance$76,558$71,990$4,568
Supplies$63,880$47,145$5,999$10,736
Utilities$54,919$50,452$4,467

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$223,037TotalAmt
Program Services$152,280ProgramServicesAmt
Management And General$32,384ManagementAndGeneralAmt
Fundraising$38,373FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,629,812TotalAmt
Program Services$4,708,005ProgramServicesAmt
Management And General$655,706ManagementAndGeneralAmt
Fundraising$266,101FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$45,486BOYAmt
EOY$533,160EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$658,020BOYAmt
EOY$437,544EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$46,779BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$42,049BOYAmt
EOY$33,994EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,597,415LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$288,576LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$304,376BOYAmt
EOY$1,308,839EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$32,647BOYAmt
EOY$22,202EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,129,357BOYAmt
EOY$2,335,739EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$340,292BOYAmt
EOY$817,569EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$6,000BOYAmt
EOY$13,523EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$172,537BOYAmt
EOY$73,376EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$458,137BOYAmt
EOY$766,667EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$976,966BOYAmt
EOY$1,671,135EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$42,027BOYAmt
EOY$590,180EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$110,364BOYAmt
EOY$74,424EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$152,391BOYAmt
EOY$664,604EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,129,357BOYAmt
EOY$2,335,739EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$512,213ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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 RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,855,676CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,960,159CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,725,577CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,065,690CurrentTaxYearMinus1YearAmt
Current Tax Year$2,200,327CurrentTaxYearAmt
Total$9,807,429TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,789,338CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,314,255CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,812,473CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,137,069CurrentTaxYearMinus1YearAmt
Current Tax Year$4,150,111CurrentTaxYearAmt
Total$11,203,246TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,645,014CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,274,414CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,538,050CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,202,759CurrentTaxYearMinus1YearAmt
Current Tax Year$6,350,438CurrentTaxYearAmt
Total$21,010,675TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$21,010,675PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,645,014CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,274,414CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,538,050CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,202,759CurrentTaxYearMinus1YearAmt
Current Tax Year$6,350,438CurrentTaxYearAmt
Total$21,010,675TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$475,000OtherCostOrOtherBasisAmt
Book Value$475,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$57,572OtherCostOrOtherBasisAmt
Depreciation$11,690DepreciationAmt
Book Value$45,882BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$179,509OtherCostOrOtherBasisAmt
Depreciation$97,165DepreciationAmt
Book Value$82,344BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$275,953OtherCostOrOtherBasisAmt
Depreciation$105,245DepreciationAmt
Book Value$170,708BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$609,381OtherCostOrOtherBasisAmt
Depreciation$74,476DepreciationAmt
Book Value$534,905BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,308,839TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$6,918,105TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$499,679DonatedServicesAndUseFcltsAmt
Other Revenue$276,401OtherRevenueAmt
Revenue Not Reported$776,080RevenueNotReportedAmt
Revenue Subtotal$6,142,025RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,142,025TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,405,892TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$499,679DonatedServicesUseFcltsAmt
Other Expenses Included$276,401OtherExpensesIncludedAmt
Expenses Not Reported$776,080ExpensesNotReportedAmt
Expenses Subtotal$5,629,812ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,629,812TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part XI, Line 2d - Other Adjustments:Fundraising events expenses 276,401.
Part XII, Line 2d - Other Adjustments:Fundraising events expenses 276,401.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Gala DinnerEvent1Nm
Gross Receipts Event1$718,462GrossReceiptsEvent1Amt
Charitable Contri Event1$118,867CharitableContriEvent1Amt
Gross Revenue Event1$599,595GrossRevenueEvent1Amt
Other Direct Expenses Event1$262,327OtherDirectExpensesEvent1Amt
Event2Designer RunwayEvent2Nm
Gross Receipts Event2$73,729GrossReceiptsEvent2Amt
Charitable Contri Event2$7,286CharitableContriEvent2Amt
Gross Revenue Event2$66,443GrossRevenueEvent2Amt
Other Direct Expenses Event2$7,286OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$43,351GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$5,023CharitableContriOtherEventsAmt
Gross Revenue Other Events$38,328GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$6,788OthDirectExpnssOtherEventsAmt
Gross Receipts Total$835,542GrossReceiptsTotalAmt
Charitable Contributions Tot$131,176CharitableContributionsTotAmt
Gross Revenue Total Events$704,366GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$276,401OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$276,401DirectExpenseSummaryEventsAmt
Net Income Summary$427,965NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$34,500GrossRevenueOtherGamingAmt
Volunteer Labor Other GamingYes (1)VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming1.00000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$34,500GrossRevenueTotalGamingAmt
Net Gaming Income Summary$34,500NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedCAStatesWhereGamingConductedCd
LicensedYes (1)LicensedInd
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With Nonmembers0GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Cntrct With3rd Prty For Game Rev0CntrctWith3rdPrtyForGameRevInd
Charitable Distribution Rqr0CharitableDistributionRqrInd

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeHousing, food, transportationGrantTypeTxt
Recipient4244RecipientCnt
Cash Grant$1,225,381CashGrantAmt
Non Cash Assistance$221,911NonCashAssistanceAmt
Valuation Method UsedBookValuationMethodUsedDesc
Non Cash AssistanceFood, clothing, diapers, gift cardsNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationAssistance, including housing, food, and transportation, were provided to homeless families. The assistance provided is tracked and recoded monthly which is then accumulated into a database used for reporting.ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonPaul ChoPersonNm
Relationship With OrgTreasurerRelationshipWithOrgTxt
Loan PurposeUnpaid expenses of an officerLoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$162,190OriginalPrincipalAmt
Balance Due$73,376BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written Agreement0WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$73,376TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
Person2 board membersPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionDirectorsRelationshipDescriptionTxt
Transaction$51,939TransactionAmt
TransactionService fee income -2 Board members are on the Board of Integrated Community Healthcare SolutionsTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$373,431NoncashContributionsRptF990Amt
Method Of Determining RevenuesThrift store valueMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$15,000NoncashContributionsRptF990Amt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Fundraising items5$131,176fair market value
Yes (X)Furniture & other7$53,150fair market value
Yes (X)Eyeglasses3$25,110fair market value
Yes (X)Toys3$19,815fair market value
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11The Finance Committee reviews the completed Form 990 and makes a recommendation to the full board for approval. A copy is made available for any board members who want to receive a copy.
Form 990, Part VI, Section B, line 12cThe conflict of interest policy is signed annually by the members of the Board and reviewed by the Financial committee Chair and Chairman of the Board. If there is an apparent conflict of interest it is investigated immediately by the head of the Finance committee. If the governing board or committee has reasonable cause to believe a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. If, after hearing the member's response and after making further investigation as warranted by the circumstances, the governing board or committee determines the members has failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action.
Form 990, Part VI, Section B, line 15The review procedures for the CEO are: the CFO is asked to provide comparable salaries from the most recent edition of Compensation & Benefits Survey from the Center for Nonprofit Management. This information is reviewed periodically by the Board Chair and is available upon request for other Board members. The Board may also ask for information from other similar nonprofits whose CEO/ED performs similar duties, i.e. fund development, grant writing, etc. At a regular Board meeting the Chair solicited input from Board members regarding the CEO performance and the Board established the CEO's compensation for the year. The Chair and CEO may wish to establish goals for the following year at that time or at another meeting, for example, in conjunction with the annual budget.
Form 990, Part VI, Section C, line 19Financial statement is made available on our website and through Guidestar.org. Governing documents, including conflict of interest policy, are made available at our main office to anyone who wants to review.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Integrated Community Healthcare SolutionsBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18352 Commonwealth AveAddressLine1Txt
CityBuena ParkCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90064ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesCommunity ClinicPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NoneBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Integrated Community Healthcare SolutionsBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeLTransactionTypeTxt
Involved$51,939InvolvedAmt
Method Of Amount DeterminationcashMethodOfAmountDeterminationTxt