FRIENDS OF FAMILY HEALTH CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- FRIENDS OF FAMILY HEALTH CENTER (EIN 27-1316512)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-15
- IRS object ID
- 201321359349308722
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-15T16:51:09-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330783700 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PDM LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3460 TORRANCE BLVD STE 200 | AddressLine1 |
| City | TORRANCE | City |
| State | CA | State |
| ZIP Code | 90503 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271316512 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRIENDS OF FAMILY HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FRIE | NameControl |
| Phone | 5626900400 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 S IDAHO STREET NO 100 | AddressLine1 |
| City | LA HABRA | City |
| State | CA | State |
| ZIP Code | 90631 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAWN TRAN | Name |
| Title | CFO | Title |
| Phone | 5626900400 | Phone |
| Date Signed | 2013-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ANTHONY P BOZANIC CPA | Name |
| PTIN | P00366806 | PTIN |
| Phone | 3105404118 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DAWN TRAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 S IDAHO ST STE 100 | AddressLine1 |
| City | LA HABRA | City |
| State | CA | State |
| ZIP Code | 90631 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5223607 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.FOFHEALTHCENTER.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2010 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | TO OPERATE A STATE-LICENSED COMMUNITY HEALTH CLINIC IN LA HABRA, CA FOR FAMILIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 54 | TotalNbrEmployees |
| Total Nbr Volunteers | 12 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3411757 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1662220 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1131780 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3561387 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4543537 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5223607 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2459519 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2813774 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 66010 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1915975 | OtherExpensePriorYear |
| Other Expenses Current Year | 1630205 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4375494 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4443979 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 168043 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 779628 | RevenuesLessExpensesCY |
| Total Assets BOY | 743741 | TotalAssetsBOY |
| Total Assets EOY | 1700060 | TotalAssetsEOY |
| Total Liabilities BOY | 341872 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 518563 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 401869 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1181497 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO MAINTAIN AND OPERATE A STATE-LICENSED COMMUNITY HEALTH CLINIC IN LA HABRA FOR FAMILIES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 3557524 | Expense |
| Revenue | 3561387 | Revenue |
| Description | THE ORGANIZATION PROVIDES MEDICAL AND DENTAL SERVICES FOR CHILDREN, AND GENERAL MEDICAL SERVICES FOR ADULTS AND SENIORS REGARDLESS OF WHERE THEY RESIDE. THE ORGANIZATION CONTRACTS DIRECTLY OR INDIRECTLY WITH GOVERNMENTAL AGENCIES AND RECEIVES GRANTS TO SUPPORT SERVICE DELIVERY AND SPECIAL PROGRAMS. | Description |
| Total Program Service Expense | 3557524 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 21 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 54 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DAWN TRAN | NamePerson |
| Telephone Number | 5626900400 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 S IDAHO ST SUITE 100 | AddressLine1 |
| City | LA HABRA | City |
| State | CA | State |
| ZIP Code | 90631 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ROBERT GIRE DDS | |||||||
| BOARD VICE CHAIR | 1.00 | X | X | 0 | 0 | 0 | |
| DORIS BUTLER | |||||||
| BOARD TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| SALVADOR CERVANTES | |||||||
| BOARD CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |
| SANDI BALTES | |||||||
| BOARD SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| REBECCA FRENCH | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MARK CHAVEZ | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DAVID DELEON | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ELIZABETH WALKER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| LINDA VENTO RN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DANIEL RAMIREZ | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JAMES HOPPER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DOROTHY MONTOYA- ROMO | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DAWN TRAN | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | X | 103022 | 0 | 8227 | ||
| BAHRAM BAHREMAND | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | X | 160219 | 0 | 6841 | ||
| WANG SUSAN JENE | |||||||
| DDS | 40.00 | 185438 | 0 | 18142 | X | ||
| ARMAN KAMBIZ | |||||||
| MD | 40.00 | 157302 | 0 | 12295 | X | ||
| NGUYEN MAI-TRAM KIEU | |||||||
| MD | 40.00 | 163246 | 0 | 16477 | X | ||
| RAYA-MORONES RUBY | |||||||
| MD | 40.00 | 172189 | 0 | 23729 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 941416 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 85711 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANTHEM BLUE CROSS | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 60007 | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90060 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | HEALTH INSURANCE | DescriptionOfServices |
| Compensation | 129185 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Government Grants | 394000 | GovernmentGrants |
| All Other Contributions | 1268220 | AllOtherContributions |
| Total Contributions | 1662220 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICES | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 3561387 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3561387 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3561387 | TotalProgramServiceRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5223607 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3561387 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 263241 | Total |
| Program Services | 105296 | ProgramServices |
| Management And General | 157945 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2105407 | Total |
| Program Services | 1979114 | ProgramServices |
| Management And General | 126293 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 264142 | Total |
| Program Services | 232445 | ProgramServices |
| Management And General | 31697 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 180984 | Total |
| Program Services | 159266 | ProgramServices |
| Management And General | 21718 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15000 | Total |
| Management And General | 15000 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 613729 | Total |
| Program Services | 192313 | ProgramServices |
| Management And General | 355406 | ManagementAndGeneral |
| Fundraising | 66010 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12813 | Total |
| Management And General | 12813 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96914 | Total |
| Program Services | 81285 | ProgramServices |
| Management And General | 15629 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 239428 | Total |
| Program Services | 210697 | ProgramServices |
| Management And General | 28731 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21818 | Total |
| Program Services | 18545 | ProgramServices |
| Management And General | 3273 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1013 | Total |
| Program Services | 861 | ProgramServices |
| Management And General | 152 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1737 | Total |
| Management And General | 1737 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75081 | Total |
| Program Services | 63819 | ProgramServices |
| Management And General | 11262 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140425 | Total |
| Program Services | 123574 | ProgramServices |
| Management And General | 16851 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| IMMUNIZATION | 141045 | 141045 | |
| MEDICAL SUPPLIES & LAB | 127737 | 127737 | |
| EQUIPMENT RENTAL | 121784 | 107170 | 14614 |
| WASTE MGMT | 14366 | 12211 | 2155 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7315 | Total |
| Program Services | 2146 | ProgramServices |
| Management And General | 5169 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4443979 | Total |
| Program Services | 3557524 | ProgramServices |
| Management And General | 820445 | ManagementAndGeneral |
| Fundraising | 66010 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82659 | BOY |
| EOY | 56562 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 458344 | BOY |
| EOY | 1363325 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49183 | BOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 231046 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 99191 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 143017 | BOY |
| EOY | 131855 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 137780 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10538 | BOY |
| EOY | 10538 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 743741 | BOY |
| EOY | 1700060 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 313262 | BOY |
| EOY | 343865 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28610 | BOY |
| EOY | 51357 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 123341 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 341872 | BOY |
| EOY | 518563 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 401869 | BOY |
| EOY | 1181497 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 401869 | BOY |
| EOY | 1181497 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 743741 | BOY |
| EOY | 1700060 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 779628 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 2077482 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4543537 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5223607 | CurrentTaxYear |
| Total | 11844626 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 2077482 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4543537 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5223607 | CurrentTaxYear |
| Total | 11844626 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 11844626 | PublicSupportTotal170 |
| Total Support | 11844626 | TotalSupport |
| First5 Years170 | X | First5Years170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 225031 | OtherCostOrOtherBasis |
| Depreciation | 96785 | Depreciation |
| Book Value | 128246 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6015 | OtherCostOrOtherBasis |
| Depreciation | 2406 | Depreciation |
| Book Value | 3609 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 131855 | TotalOfBookValueLandBuildings |
| Tot Revenue Etc Audited Fincl Stmt | 5223607 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 5223607 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 5223607 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 4443979 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 4443979 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 4443979 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | THE ORGANIZATION RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT OF BEING SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. TO DATE, THE ORGANIZATION HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS. THE ORGANIZATION RECOGNIZES POTENTIAL ACCRUED INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS IN INCOME TAX EXPENSE. DURING THE YEAR ENDED DECEMBER 31, 2012, THE ORGANIZATION DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BAHRAM BAHREMAND | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | 130219 | 0 | 30000 | 0 | 0 | 0 | 0 | 0 | 6841 | 0 | 167060 | 0 | 0 | 0 |
| WANG SUSAN JENE | ||||||||||||||
| DDS | 174334 | 0 | 11104 | 0 | 0 | 0 | 13908 | 0 | 4234 | 0 | 203580 | 0 | 0 | 0 |
| ARMAN KAMBIZ | ||||||||||||||
| MD | 147677 | 0 | 9625 | 0 | 0 | 0 | 11795 | 0 | 500 | 0 | 169597 | 0 | 0 | 0 |
| NGUYEN MAI-TRAM KIEU | ||||||||||||||
| MD | 159839 | 0 | 3407 | 0 | 0 | 0 | 12243 | 0 | 4234 | 0 | 179723 | 0 | 0 | 0 |
| RAYA-MORONES RUBY | ||||||||||||||
| MD | 161610 | 0 | 10579 | 0 | 0 | 0 | 12914 | 0 | 10815 | 0 | 195918 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE TAX RETURN IS PRESENTED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD OF DIRECTORS MEMBERS SIGN THE CONFLICT OF INTEREST STATEMENTS CONFIRMING THAT THEY UNDERSTAND THE CONFLICT OF INTEREST POLICY. THE SECRETARY OF THE BOARD MONITORS THIS PROCEDURE TO ASSURE THAT THERE ARE NO CONFLICTS OF INTEREST. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS APPROVES THE AUDITED FINANCIAL STATEMENTS AS OF DECEMBER 31, 2012. IN ADDITION, THE BOARD APPROVES THE SALARIES, WAGES, AND OTHER COMPENSATION PAID TO TOP MANAGEMENT EMPLOYEES. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION PROVIDES ANY GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS UPON REQUEST. TAX RETURNS ARE ALSO AVAILABLE ON GUIDESTAR. | |
| FORM 990, PART IX, LINE 11G | PROF FEES- IHA: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 321,468. FUNDRAISING EXPENSES 66,010. TOTAL EXPENSES 387,478. PROF FEES: PROGRAM SERVICE EXPENSES 192,313. MANAGEMENT AND GENERAL EXPENSES 33,938. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 226,251. | OTHER FEES |