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ILLUMINATION HEALTH HOME: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
ILLUMINATION HEALTH HOME (EIN 71-1047686)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-04
IRS object ID
201533089349301678
Schema version
2014v5.0
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)
Return2015-11-04T18:22:36-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

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 Begin2014-01-01TaxPeriodBeginDt

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
Signature2015-11-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDavid R StephensPreparerPersonNm
PTINP00339728PTIN
Phone9497527400PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

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$4,264,744GrossReceiptsAmt
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 Body18VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee80TotalEmployeeCnt
Total Volunteers2000TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,395,757PYContributionsGrantsAmt
CY Contributions Grants$1,750,927CYContributionsGrantsAmt
PY Program Service Revenue$1,812,473PYProgramServiceRevenueAmt
CY Program Service Revenue$2,137,069CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$853CYInvestmentIncomeAmt
PY Other Revenue$189,804PYOtherRevenueAmt
CY Other Revenue$215,939CYOtherRevenueAmt
PY Total Revenue$3,398,034PYTotalRevenueAmt
CY Total Revenue$4,104,788CYTotalRevenueAmt
PY Grants And Similar Paid$63,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,509,578PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,946,124CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$425,999CYTotalFundraisingExpenseAmt
PY Other Expenses$1,817,294PYOtherExpensesAmt
CY Other Expenses$2,383,480CYOtherExpensesAmt
PY Total Expenses$3,389,872PYTotalExpensesAmt
CY Total Expenses$4,329,604CYTotalExpensesAmt
PY Revenues Less Expenses$8,162PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$224,816CYRevenuesLessExpensesAmt
Total Assets BOY$842,119TotalAssetsBOYAmt
Total Assets EOY$1,006,110TotalAssetsEOYAmt
Total Liabilities BOY$640,776TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,029,583TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$201,343NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$23,473NetAssetsOrFundBalancesEOYAmt
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$3,684,244ExpenseAmt
Revenue$4,104,788RevenueAmt
DescProvide housing,social services and healthcare services to homeless individuals and families.Desc
Total Program Service Expenses$3,684,244TotalProgramServiceExpensesAmt
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 FundraisingYes (1)ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org 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 Document75IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee80EmployeeCnt
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 Members18GoverningBodyVotingMembersCnt
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 (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Michael Haynes
Board director3.00Yes (X)$0$0$0
Jack Toan
Board director3.00Yes (X)$0$0$0
Aiko Tan
Secretary50.00Yes (X)$56,398$0$0Yes (X)
Paul Cho
Treasurer50.00Yes (X)$72,997$0$0Yes (X)
Paul Leon
CEO50.00Yes (X)$88,170$0$0Yes (X)
Alan Epperson
Vice Chairman3.00Yes (X)$0$0$0Yes (X)
Ripu Arora MD
Board director3.00Yes (X)$0$0$0
Larry Haynes
Board director3.00Yes (X)$0$0$0
Scott Kelly
Board director3.00Yes (X)$0$0$0
Greg Pena
Board director3.00Yes (X)$0$0$0
Ginny Ripslinger
Board director3.00Yes (X)$0$0$0
Barbara Scheinman
Board director3.00Yes (X)$0$0$0
Mary Niven
Chairman3.00Yes (X)$0$0$0Yes (X)
Tony Rotundo
Board director3.00Yes (X)$0$0$0
Kalpana Ramakrishnan
Board director3.00Yes (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
FieldValueIRS element (for citing)
Total Reportable Comp From Org$217,565TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$129,939FundraisingAmt
All Other Contributions$1,620,988AllOtherContributionsAmt
Noncash Contributions$322,344NoncashContributionsAmt
Total Contributions$1,750,927TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescProgram service feesDesc
Business624200BusinessCd
Total Revenue Column$2,137,069TotalRevenueColumnAmt
Related Or Exempt Func Income$2,137,069RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,137,069TotalProgramServiceRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$4,936OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$4,083OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$853OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$853TotalRevenueColumnAmt
Related Or Exempt Func Income$853RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$314,763FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$129,939ContriRptFundraisingEventAmt
Fundraising Direct Expenses$155,873FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$158,890TotalRevenueColumnAmt
Exclusion$158,890ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMisc rentalsDesc
Business531110BusinessCd
Total Revenue Column$57,049TotalRevenueColumnAmt
Related Or Exempt Func Income$57,049RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$57,049OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,104,788TotalRevenueColumnAmt
Related Or Exempt Func Income$2,194,971RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$158,890ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$217,565TotalAmt
Program Services$133,761ProgramServicesAmt
Management And General$43,513ManagementAndGeneralAmt
Fundraising$40,291FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,443,208TotalAmt
Program Services$1,260,483ProgramServicesAmt
Management And General$43,167ManagementAndGeneralAmt
Fundraising$139,558FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$121,798TotalAmt
Program Services$103,893ProgramServicesAmt
Management And General$5,341ManagementAndGeneralAmt
Fundraising$12,564FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$163,553TotalAmt
Program Services$138,049ProgramServicesAmt
Management And General$9,426ManagementAndGeneralAmt
Fundraising$16,078FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$135,950TotalAmt
Program Services$60,194ProgramServicesAmt
Management And General$38,140ManagementAndGeneralAmt
Fundraising$37,616FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$24,896TotalAmt
Program Services$4,745ProgramServicesAmt
Management And General$669ManagementAndGeneralAmt
Fundraising$19,482FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$224,576TotalAmt
Program Services$208,205ProgramServicesAmt
Management And General$9,958ManagementAndGeneralAmt
Fundraising$6,413FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$28,422TotalAmt
Program Services$22,345ProgramServicesAmt
Management And General$2,933ManagementAndGeneralAmt
Fundraising$3,144FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$22,649TotalAmt
Program Services$9,771ProgramServicesAmt
Management And General$12,459ManagementAndGeneralAmt
Fundraising$419FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,255TotalAmt
Program Services$1,275ProgramServicesAmt
Management And General$8,980ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$64,130TotalAmt
Program Services$53,035ProgramServicesAmt
Management And General$3,592ManagementAndGeneralAmt
Fundraising$7,503FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$114,155TotalAmt
Program Services$95,872ProgramServicesAmt
Management And General$5,936ManagementAndGeneralAmt
Fundraising$12,347FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Direct client care$998,474$994,030$1,264$3,180
Donated materials and s$201,499$117,127$84,372
Bad debt expense$190,164$190,164
Vacation expense$80,342$63,982$5,296$11,064

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$287,968TotalAmt
Program Services$227,313ProgramServicesAmt
Management And General$28,687ManagementAndGeneralAmt
Fundraising$31,968FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,329,604TotalAmt
Program Services$3,684,244ProgramServicesAmt
Management And General$219,361ManagementAndGeneralAmt
Fundraising$425,999FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$150,941BOYAmt
EOY$120,732EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$388,640BOYAmt
EOY$421,037EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$66,827BOYAmt
EOY$53,462EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$72,948BOYAmt
EOY$77,602EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$456,373LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$150,248LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$133,706BOYAmt
EOY$306,125EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$29,057BOYAmt
EOY$27,152EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$842,119BOYAmt
EOY$1,006,110EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$279,134BOYAmt
EOY$263,001EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$47,112BOYAmt
EOY$245,166EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$53,329BOYAmt
EOY$162,190EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$261,201BOYAmt
EOY$359,226EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$640,776BOYAmt
EOY$1,029,583EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$162,913BOYAmt
EOY-$96,654EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$38,430BOYAmt
EOY$73,181EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$201,343BOYAmt
EOY-$23,473EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$842,119BOYAmt
EOY$1,006,110EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$224,816ReconcilationRevenueExpnssAmt
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$76,145CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,855,676CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,960,159CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,725,577CurrentTaxYearMinus1YearAmt
Current Tax Year$2,065,690CurrentTaxYearAmt
Total$7,683,247TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,939CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,789,338CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,314,255CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,812,473CurrentTaxYearMinus1YearAmt
Current Tax Year$2,137,069CurrentTaxYearAmt
Total$7,056,074TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$79,084CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,645,014CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,274,414CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,538,050CurrentTaxYearMinus1YearAmt
Current Tax Year$4,202,759CurrentTaxYearAmt
Total$14,739,321TotalAmt

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$14,739,321PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$79,084CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,645,014CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,274,414CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,538,050CurrentTaxYearMinus1YearAmt
Current Tax Year$4,202,759CurrentTaxYearAmt
Total$14,739,321TotalAmt
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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$167,708OtherCostOrOtherBasisAmt
Depreciation$69,350DepreciationAmt
Book Value$98,358BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$174,097OtherCostOrOtherBasisAmt
Depreciation$51,546DepreciationAmt
Book Value$122,551BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$114,568OtherCostOrOtherBasisAmt
Depreciation$29,352DepreciationAmt
Book Value$85,216BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$306,125TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$4,525,891TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$265,230DonatedServicesAndUseFcltsAmt
Other Revenue$155,873OtherRevenueAmt
Revenue Not Reported$421,103RevenueNotReportedAmt
Revenue Subtotal$4,104,788RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,104,788TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,750,707TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$265,230DonatedServicesUseFcltsAmt
Other Expenses Included$155,873OtherExpensesIncludedAmt
Expenses Not Reported$421,103ExpensesNotReportedAmt
Expenses Subtotal$4,329,604ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$4,329,604TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part XI, Line 2d - Other Adjustments:Fundraising events expenses 155,873.
Part XII, Line 2d - Other Adjustments:Fundraising events expenses 155,873.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Email SolicitationsYes (X)EmailSolicitationsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdActivityActivityTxtFundraiser Control Of FundsFundraiserControlOfFundsIndGross ReceiptsGrossReceiptsAmtRetained By ContractorRetainedByContractorAmtNet To OrganizationNetToOrganizationAmt
Kristin Martin
1 TimberlandAlisa ViejoCA92656Gala dinner0$278,655$70,000$208,655
Sunday Sol Events
305 Orange Ave Ste DHuntington BeachCA92648Carnival for Kids0$20,088$9,350$10,738
FieldValueIRS element (for citing)
Total Gross Receipts$298,743TotalGrossReceiptsAmt
Total Retained By Contractors$79,350TotalRetainedByContractorsAmt
Total Net To Organization$219,393TotalNetToOrganizationAmt

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Gala DinnerEvent1Nm
Gross Receipts Event1$278,655GrossReceiptsEvent1Amt
Charitable Contri Event1$44,945CharitableContriEvent1Amt
Gross Revenue Event1$233,710GrossRevenueEvent1Amt
Food And Beverage Event1$2,194FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$107,039OtherDirectExpensesEvent1Amt
Event2Designer RunwayEvent2Nm
Gross Receipts Event2$110,530GrossReceiptsEvent2Amt
Charitable Contri Event2$77,309CharitableContriEvent2Amt
Gross Revenue Event2$33,221GrossRevenueEvent2Amt
Other Direct Expenses Event2$5,079OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$55,517GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$7,685CharitableContriOtherEventsAmt
Gross Revenue Other Events$47,832GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$41,561OthDirectExpnssOtherEventsAmt
Gross Receipts Total$444,702GrossReceiptsTotalAmt
Charitable Contributions Tot$129,939CharitableContributionsTotAmt
Gross Revenue Total Events$314,763GrossRevenueTotalEventsAmt
Food And Beverage Total Events$2,194FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$153,679OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$155,873DirectExpenseSummaryEventsAmt
Net Income Summary$158,890NetIncomeSummaryAmt

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$162,190BalanceDueAmt
Default0DefaultInd
Board Or Committee Approval0BoardOrCommitteeApprovalInd
Written Agreement0WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$162,190TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
Person2 board membersPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionDirectorsRelationshipDescriptionTxt
Transaction$262,897TransactionAmt
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$189,799NoncashContributionsRptF990Amt
Method Of Determining RevenuesThrift store valueMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (5 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Playground Equip1$70,178fair market value
Yes (X)Furniture/appliances5$26,800fair market value
Yes (X)Air conditioner1$20,000fair market value
Yes (X)Eyeglass frames500$11,700fair market value
Yes (X)Other2$3,867fair 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 Line1Community 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 Line1Community Healthcare SolutionsBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeLTransactionTypeTxt
Involved$262,897InvolvedAmt
Method Of Amount DeterminationcashMethodOfAmountDeterminationTxt