ILLUMINATION HEALTH HOME: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ILLUMINATION HEALTH HOME (EIN 71-1047686)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-10
- IRS object ID
- 201443149349301899
- Schema version
- 2013v3.0
- 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 I
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-10T16:04:03-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 330639599 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Stephens Reidinger & Beller LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 Dove Street Suite 890 | AddressLine1 |
| City | Newport Beach | City |
| State | CA | State |
| ZIP Code | 92660 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 711047686 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Illumination Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ILLU | BusinessNameControlTxt |
| Phone | 9492730555 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2691 Richter Avenue Suite 107 | AddressLine1 |
| City | Irvine | City |
| State | CA | State |
| ZIP Code | 92606 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Paul Cho | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9492730555 | PhoneNum |
| Signature | 2014-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | David R Stephens | PreparerPersonNm |
| PTIN | P00339728 | PTIN |
| Phone | 9497527400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Paul Leon | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2691 Richter Ave 107 | AddressLine1 |
| City | Irvine | City |
| State | CA | State |
| ZIP Code | 92606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,576,464 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.ifhomeless.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2008 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | Provide housing and healthcare services to break or prevent the cycle of homelessness. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 60 | TotalEmployeeCnt |
| Total Volunteers | 4300 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,838,706 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,395,757 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,314,255 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,812,473 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $123,327 | PYOtherRevenueAmt |
| CY Other Revenue | $189,804 | CYOtherRevenueAmt |
| PY Total Revenue | $3,276,288 | PYTotalRevenueAmt |
| CY Total Revenue | $3,398,034 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $104,082 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $63,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,347,520 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,509,578 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $303,265 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,791,512 | PYOtherExpensesAmt |
| CY Other Expenses | $1,817,294 | CYOtherExpensesAmt |
| PY Total Expenses | $3,243,114 | PYTotalExpensesAmt |
| CY Total Expenses | $3,389,872 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $33,174 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,162 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $759,751 | TotalAssetsBOYAmt |
| Total Assets EOY | $842,119 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $566,570 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $640,776 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $193,181 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $201,343 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Our 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,903,422 | ExpenseAmt |
| Grant | $63,000 | GrantAmt |
| Revenue | $3,398,034 | RevenueAmt |
| Desc | Provide housing,social services and healthcare services to homeless individuals and families. | Desc |
| Total Program Service Expenses | $2,903,422 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | 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 | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | 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 | 66 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 60 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | Yes (1) | NondeductibleContributionsInd |
| Nondeductible Contri Discl | Yes (1) | NondeductibleContriDisclInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 |
| Own Website | Yes (X) | OwnWebsiteInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Paul Cho | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9492730559 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2691 Richter Avenue Suite 107 | AddressLine1 |
| City | Irvine | City |
| State | CA | State |
| ZIP Code | 92606 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| Michael Haynes | ||||||
| Vice Chairman | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Jack Toan | ||||||
| Chairman | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Aiko Tan | ||||||
| Secretary | 40.00 | Yes (X) | Yes (X) | $65,833 | $0 | $0 |
| Paul Cho | ||||||
| Treasurer | 40.00 | Yes (X) | Yes (X) | $91,211 | $0 | $0 |
| Paul Leon | ||||||
| CEO | 40.00 | Yes (X) | Yes (X) | $115,107 | $0 | $0 |
| Alan Epperson | ||||||
| Board director | 3.00 | Yes (X) | $0 | $0 | $0 | |
| Ripa Arora MD | ||||||
| Board director | 3.00 | Yes (X) | $0 | $0 | $0 | |
| Larry Haynes | ||||||
| Board director | 3.00 | Yes (X) | $0 | $0 | $0 | |
| Scott Kelly | ||||||
| Board director | 3.00 | Yes (X) | $0 | $0 | $0 | |
| Greg Pena | ||||||
| Board director | 3.00 | Yes (X) | $0 | $0 | $0 | |
| Ginny Ripslinger | ||||||
| Board director | 3.00 | Yes (X) | $0 | $0 | $0 | |
| Barbara Scheinman | ||||||
| Board director | 3.00 | Yes (X) | $0 | $0 | $0 | |
| Mary Niven | ||||||
| Board director | 3.00 | Yes (X) | $0 | $0 | $0 | |
| Tony Rotundo | ||||||
| Board director | 3.00 | Yes (X) | $0 | $0 | $0 | |
| Kaltana Ramakrishnan | ||||||
| Board director | 3.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $272,151 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $38,628 | FundraisingAmt |
| All Other Contributions | $1,357,129 | AllOtherContributionsAmt |
| Noncash Contributions | $269,845 | NoncashContributionsAmt |
| Total Contributions | $1,395,757 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Program service fees | Desc |
| Business | 624200 | BusinessCd |
| Total Revenue Column | $1,812,473 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,812,473 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,812,473 | TotalProgramServiceRevenueAmt |
| Fundraising Gross Income | $329,820 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $38,628 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $178,430 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $151,390 | TotalRevenueColumnAmt |
| Exclusion | $151,390 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Misc rentals | Desc |
| Business | 531110 | BusinessCd |
| Total Revenue Column | $38,414 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $38,414 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $38,414 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,398,034 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,850,887 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $151,390 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,000 | TotalAmt |
| Program Services | $63,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $272,151 | TotalAmt |
| Program Services | $217,721 | ProgramServicesAmt |
| Management And General | $54,430 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,030,647 | TotalAmt |
| Program Services | $818,097 | ProgramServicesAmt |
| Management And General | $36,200 | ManagementAndGeneralAmt |
| Fundraising | $176,350 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,033 | TotalAmt |
| Program Services | $64,629 | ProgramServicesAmt |
| Management And General | $5,673 | ManagementAndGeneralAmt |
| Fundraising | $8,731 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,747 | TotalAmt |
| Program Services | $102,725 | ProgramServicesAmt |
| Management And General | $8,706 | ManagementAndGeneralAmt |
| Fundraising | $16,316 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,623 | TotalAmt |
| Program Services | $161,207 | ProgramServicesAmt |
| Management And General | $3,405 | ManagementAndGeneralAmt |
| Fundraising | $10,011 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,022 | TotalAmt |
| Program Services | $2,531 | ProgramServicesAmt |
| Management And General | $243 | ManagementAndGeneralAmt |
| Fundraising | $29,248 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,548 | TotalAmt |
| Program Services | $85,991 | ProgramServicesAmt |
| Management And General | $8,729 | ManagementAndGeneralAmt |
| Fundraising | $5,828 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,195 | TotalAmt |
| Program Services | $14,442 | ProgramServicesAmt |
| Management And General | $686 | ManagementAndGeneralAmt |
| Fundraising | $3,067 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,529 | TotalAmt |
| Program Services | $13,836 | ProgramServicesAmt |
| Management And General | $10,095 | ManagementAndGeneralAmt |
| Fundraising | $1,598 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,966 | TotalAmt |
| Management And General | $6,959 | ManagementAndGeneralAmt |
| Fundraising | $7 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,261 | TotalAmt |
| Program Services | $37,383 | ProgramServicesAmt |
| Management And General | $3,107 | ManagementAndGeneralAmt |
| Fundraising | $5,771 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,850 | TotalAmt |
| Program Services | $48,863 | ProgramServicesAmt |
| Management And General | $12,669 | ManagementAndGeneralAmt |
| Fundraising | $6,318 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Direct client care | $719,268 | $719,268 | ||
| Donated materials and s | $261,688 | $261,688 | ||
| Vacation expense | $81,511 | $66,088 | $5,398 | $10,025 |
| Supplies | $50,019 | $38,311 | $4,750 | $6,958 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,814 | TotalAmt |
| Program Services | $187,642 | ProgramServicesAmt |
| Management And General | $22,135 | ManagementAndGeneralAmt |
| Fundraising | $23,037 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,389,872 | TotalAmt |
| Program Services | $2,903,422 | ProgramServicesAmt |
| Management And General | $183,185 | ManagementAndGeneralAmt |
| Fundraising | $303,265 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $204,391 | BOYAmt |
| EOY | $150,941 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $344,306 | BOYAmt |
| EOY | $388,640 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,881 | BOYAmt |
| EOY | $66,827 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,640 | BOYAmt |
| EOY | $72,948 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $220,742 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $87,036 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,110 | BOYAmt |
| EOY | $133,706 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,423 | BOYAmt |
| EOY | $29,057 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $759,751 | BOYAmt |
| EOY | $842,119 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $351,958 | BOYAmt |
| EOY | $279,134 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,612 | BOYAmt |
| EOY | $47,112 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $53,329 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,000 | BOYAmt |
| EOY | $261,201 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $566,570 | BOYAmt |
| EOY | $640,776 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,223 | BOYAmt |
| EOY | $162,913 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $128,958 | BOYAmt |
| EOY | $38,430 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $193,181 | BOYAmt |
| EOY | $201,343 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $759,751 | BOYAmt |
| EOY | $842,119 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $8,162 | 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 | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,940 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $76,145 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,855,676 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,960,159 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,725,577 | CurrentTaxYearAmt |
| Total | $5,621,497 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $2,939 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,789,338 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,314,255 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,812,473 | CurrentTaxYearAmt |
| Total | $4,919,005 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,940 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $79,084 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,645,014 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,274,414 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,538,050 | CurrentTaxYearAmt |
| Total | $10,540,502 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $10,540,502 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,940 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $79,084 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,645,014 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,274,414 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,538,050 | CurrentTaxYearAmt |
| Total | $10,540,502 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $98,402 | OtherCostOrOtherBasisAmt |
| Depreciation | $36,052 | DepreciationAmt |
| Book Value | $62,350 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $74,133 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,066 | DepreciationAmt |
| Book Value | $39,067 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,207 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,918 | DepreciationAmt |
| Book Value | $32,289 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $133,706 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $3,849,179 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $272,715 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $178,430 | OtherRevenueAmt |
| Revenue Not Reported | $451,145 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,398,034 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,398,034 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,841,017 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $272,715 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $178,430 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $451,145 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,389,872 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,389,872 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 2d - Other Adjustments: | Fundraising events expenses 178,430. |
| Part XII, Line 2d - Other Adjustments: | Fundraising events expenses 178,430. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kristin Martin | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Timberland | AddressLine1 |
| City | Alisa Viejo | City |
| State | CA | State |
| ZIP Code | 92656 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | Gala dinner and Carnival for Kids | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $368,448 | GrossReceiptsAmt |
| Retained By Contractor | $70,000 | RetainedByContractorAmt |
| Net To Organization | $298,448 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $368,448 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $70,000 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $298,448 | TotalNetToOrganizationAmt |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Gala Dinner | NameOfEvent1Amt |
| Gross Receipts Event1 | $338,231 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $15,551 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $322,680 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $51,454 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $104,630 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | Other | NameOfEvent2Amt |
| Gross Receipts Event2 | $30,217 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $23,077 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $7,140 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $723 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $477 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $21,146 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $368,448 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $38,628 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $329,820 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $52,177 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $477 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $125,776 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $178,430 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $151,390 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Itegrated Community Healthcare Solutions | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8352 Commonwealth Ave | AddressLine1 |
| City | Buena Park | City |
| State | CA | State |
| ZIP Code | 90621 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 030437935 | RecipientEIN |
| Cash Grant | $63,000 | CashGrantAmt |
| Purpose Of Grant | Build community clinic | PurposeOfGrantTxt |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Paul Cho | PersonNm |
| Relationship With Org | Treasurer | RelationshipWithOrgTxt |
| Loan Purpose | Unpaid expenses of an officer | LoanPurposeTxt |
| Loan To Organization | Yes (X) | LoanToOrganizationInd |
| Original Principal | $53,329 | OriginalPrincipalAmt |
| Balance Due | $53,329 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | 0 | BoardOrCommitteeApprovalInd |
| Written Agreement | 0 | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $53,329 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | 2 board members | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Directors | RelationshipDescriptionTxt |
| Transaction | $245,150 | TransactionAmt |
| Transaction | Service fee income -2 Board members are on the Board of Integrated Community Healthcare Solutions | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $228,937 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Thrift store value | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | Eyeglass fram | 500 | $27,495 | fair market value |
| Yes (X) | Medicine | 1 | $7,754 | |
| Yes (X) | Other | 2 | $5,659 |
| 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 (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11 | The 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 12c | The 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 15 | The 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 19 | Financial 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Healthcare Solutions | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8352 Commonwealth Ave | AddressLine1 |
| City | Buena Park | City |
| State | CA | State |
| ZIP Code | 90064 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Community Clinic | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | None | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Community Healthcare Solutions | ||
| B | $63,000 | cash |
| Community Healthcare Solutions | ||
| L | $245,150 | cash |