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BAY AREA COMMUNITY HEALTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BAY AREA COMMUNITY HEALTH (EIN 23-7255435)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201321359349306602
Schema version
2011v1.5
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)
Timestamp2013-05-15T14:12:13-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN111986323EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MARCUM LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1101 MONTGOMERY STREET 1900AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94104ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237255435EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TRI-CITY HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTRI-NameControl
Phone5107708133Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line139500 LIBERTY STREETAddressLine1
CityFREMONTCity
StateCAState
ZIP Code94538ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameZETTIE PAGEName
TitleCEOTitle
Phone5107708133Phone
Date Signed2013-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBARBARA A BONDName
PTINP00294787PTIN
Phone4159819400Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonZETTIE PAGENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line139465 PASEO PADRE PKWY 3400AddressLine1
CityFREMONTCity
StateCAState
ZIP Code94538ZIPCode
FieldValueIRS element (for citing)
Gross Receipts20837323GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.TRI-CITYHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1970YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTCHC IS COMMITTED TO DELIVERING EXCELLENT HEALTH SERVICES IN A CARING, NURTURING, AND RESPECTFUL ATMOSPHERE; WE PROMOTE OPTIMAL HEALTH, ELIMINATE PREVENTABLE DISEASES, AND IMPROVE THE QUALITY OF LIFE FOR EVERY INDIVIDUAL AND FAMILY IN OUR COMMUNITY. TCHC PROVIDES A WIDE SPECTRUM OF HEALTH EDUCATION, HEALTHCARE, AND SOCIAL SERVICES TO EVERYONE, WITHOUT REGARD TO FINANCIAL POSITION, ETHNICITY, LANGUAGE, CULTURE, SEXUAL ORIENTATION OR ANY OTHER CRITERION. TCHC IS A FISCALLY RESPONSIBLE, INDEPENDENT, NOT-FOR-PROFIT COMMUNITY HEALTH CENTER AND A KEY MEMBER OF OUR COMMUNITY'S VITAL HEALTH SAFETY-NET.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees261TotalNbrEmployees
Total Nbr Volunteers83TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7708232ContributionsGrantsPriorYear
Contributions Grants Current Year10805861ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10638344ProgramServiceRevenuePriorYear
Program Service Revenue CY9562554ProgramServiceRevenueCY
Investment Income Prior Year1769InvestmentIncomePriorYear
Investment Income Current Year472InvestmentIncomeCurrentYear
Other Revenue Prior Year15095OtherRevenuePriorYear
Other Revenue Current Year468436OtherRevenueCurrentYear
Total Revenue Prior Year18363440TotalRevenuePriorYear
Total Revenue Current Year20837323TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12245961SalariesEtcPriorYear
Salaries Etc Current Year13783030SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year673671TotalFundrsngExpCurrentYear
Other Expense Prior Year5522621OtherExpensePriorYear
Other Expenses Current Year7099157OtherExpensesCurrentYear
Total Expenses Prior Year17768582TotalExpensesPriorYear
Total Expenses Current Year20882187TotalExpensesCurrentYear
Revenues Less Expenses Prior Year594858RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-44864RevenuesLessExpensesCY
Total Assets BOY10744331TotalAssetsBOY
Total Assets EOY10483576TotalAssetsEOY
Total Liabilities BOY4055613TotalLiabilitiesBOY
Total Liabilities EOY4405586TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6688718NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6077990NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTRI-CITY IS A FISCALLY RESPONSIBLE NON-PROFIT HEALTH CENTER PROVIDING A DIVERSE SPECTRUM OF EDUCATION, HEALTHCARE AND SOCIAL SERVICES. WE ARE A FREE STANDING COMMUNITY HEALTH CENTER AND MEMBER OF A KEY SERVICE PROVIDER NETWORK WHO SERVE EVERYONE WITHOUT REGARD TO FINANCIAL POSITION, ETHNICITY, LANGUAGE, CULTURE, SEXUAL ORIENTATION OR ANY OTHER CRITERION. WITH A COMMITMENT TO SERVE IN A CARING, NURTURING ATMOSPHERE, WE STRIVE TO PROMOTE OPTIMAL HEALTH, ELIMINATE PREVENTABLE DISEASES, AND IMPROVE THE QUALITY OF LIFE FOR EVERY INDIVIDUAL AND FAMILY IN OUR SOUTH, EASTERN AND CENTRAL ALAMEDA COUNTY COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense15697401Expense
Revenue10030990Revenue
DescriptionTO PROVIDE PRIMARY AND PREVENTATIVE HEALTH CARE AND RELATED MEDICAL AND HEALTH EDUCATION SERVICES TO PERSONS OF EVERY AGE. TO PROVIDE QUALITY HEALTH CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY.Description
Total Program Service Expense15697401TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096233NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees261NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5107708133TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line139500 LIBERTY STREETAddressLine1
CityFREMONTCity
StateCAState
ZIP Code95438ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
KIM DOUGLAS
PRESIDENT1.00X000
ROBERT WYCKOFF
VICE PRESIDENT1.00X000
CHRIS BROWN
TREASURER1.00X000
BRENDA QUILLIN
SECRETARY1.00X000
ANA ISABEL ALVAREZ
BOARD MEMBER1.00X000
MARILYN CAMPO
BOARD MEMBER1.00X000
ELAINE NAGEL
BOARD MEMBER1.00X000
DIANA PADILLA
BOARD MEMBER1.00X000
XOCHITL PASAYE
BOARD MEMBER1.00X000
STEPHANIE REDDELL
BOARD MEMBER1.00X000
LONA RUSS
BOARD MEMBER1.00X000
KATHLEEN A LIEVRE
CEO37.5014706400X
TED SHIMANUKI
CFO37.5012435000X
FRANCISCO CARPIO JR
PHYSICIAN37.5015060400X
ARUNA REDDY
PHYSICIAN37.5013633700X
DURRIYAH MOGRI
PHYSICIAN37.5015734300X
NIKHAT NAZNEEN
PHYSICIAN37.5014455500X
KHANH DO
PHYSICIAN37.5012117500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org981428TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K14NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
M BARAKZOY DDS INC
38056 MARTHA AVENUEFREMONTCA94536DENTAL SERVICES1019430
ALAMEDA COUNTY MEDICAL CENTER
1411 EAST 31ST STREETOAKLANDCA94602HEALTHCARE - HIV424454
OMNI CONSTRUCTION SERVICES INC
533 AIRPORT BOULEVARD 555BURLINGAMECA94010CONSTRUCTION349623
DATAWAY INC
180 REDWOOD STREET SUITE 300SAN FRANCISCOCA94102COMPUTER SOFTWARE & HARDWARE344373
QUEST DIAGNOSTICS
PO BOX 515002SACRAMENTOCA95851MEDICAL SERVICES302641
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Government Grants9053704GovernmentGrants
All Other Contributions1752157AllOtherContributions
Noncash Contributions105821NoncashContributions
Total Contributions10805861TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT & THIRD PARTYDescription
Business Code621400BusinessCode
Total Revenue Column9562554TotalRevenueColumn
Related Or Exempt Function Income9562554RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9562554TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column472TotalRevenueColumn
Exclusion$472ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Business Code621400BusinessCode
Total Revenue Column468436TotalRevenueColumn
Related Or Exempt Function Income468436RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue468436TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20837323TotalRevenueColumn
Related Or Exempt Function Income10030990RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$472ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total981428Total
Program Services762576ProgramServices
Management And General171980ManagementAndGeneral
Fundraising46872Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9615507Total
Program Services7471313ProgramServices
Management And General1684972ManagementAndGeneral
Fundraising459222Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3186095Total
Program Services2492884ProgramServices
Management And General575644ManagementAndGeneral
Fundraising117567Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3115981Total
Program Services2808535ProgramServices
Management And General302264ManagementAndGeneral
Fundraising5182Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total15545Total
Program Services7649ProgramServices
Management And General7533ManagementAndGeneral
Fundraising363Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total708522Total
Program Services48297ProgramServices
Management And General660225ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total261416Total
Program Services127447ProgramServices
Management And General124373ManagementAndGeneral
Fundraising9596Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total104602Total
Program Services7621ProgramServices
Management And General96954ManagementAndGeneral
Fundraising27Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total378680Total
Program Services115222ProgramServices
Management And General258533ManagementAndGeneral
Fundraising4925Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total44293Total
Program Services27348ProgramServices
Management And General16945ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUPPLIES151873613603771506567703
CLIENT EXPENSES2140571053281037314998
BAD DEBT EXPENSE14320670465693973344
TELEPHONE12786662917619632986

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total466253Total
Program Services229422ProgramServices
Management And General225945ManagementAndGeneral
Fundraising10886Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20882187Total
Program Services15697401ProgramServices
Management And General4511115ManagementAndGeneral
Fundraising673671Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY394282BOY
EOY-116629EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1962959BOY
EOY321756EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY500214BOY
EOY1167003EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3479610BOY
EOY3322889EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY198296BOY
EOY207615EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY96471BOY
EOY54108EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7832224LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2336862LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4077252BOY
EOY5495362EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY35247BOY
EOY31472EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10744331BOY
EOY10483576EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1913602BOY
EOY2141887EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY397061BOY
EOY504380EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1313276BOY
EOY1238309EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY431674BOY
EOY521010EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4055613BOY
EOY4405586EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6402241BOY
EOY5966818EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY286477BOY
EOY111172EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6688718BOY
EOY6077990EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10744331BOY
EOY10483576EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-44864ReconcilationRevenueExpenses
Reconcilation Other Changes-565864ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5721380CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5950482CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8137037CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7708232CurrentTaxYearMinus1Year
Current Tax Year10826734CurrentTaxYear
Total38343865Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5721380CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5950482CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8137037CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7708232CurrentTaxYearMinus1Year
Current Tax Year10826734CurrentTaxYear
Total38343865Total
FieldValueIRS element (for citing)
Public Support Total17038343865PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12322CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18271CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2525CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1769CurrentTaxYearMinus1Year
Current Tax Year427CurrentTaxYear
Total35314Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7440CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years348CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1840CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15095CurrentTaxYearMinus1Year
Current Tax Year468908CurrentTaxYear
Total493631Total
FieldValueIRS element (for citing)
Total Support38872810TotalSupport
Public Support Pertcentage1700.98640PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99780PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis901172OtherCostOrOtherBasis
Book Value901172BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3989912OtherCostOrOtherBasis
Depreciation1096463Depreciation
Book Value2893449BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis101576OtherCostOrOtherBasis
Depreciation75718Depreciation
Book Value25858BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2304901OtherCostOrOtherBasis
Depreciation1164681Depreciation
Book Value1140220BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis534663OtherCostOrOtherBasis
Book Value534663BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5495362TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOTHER LIABILITIESDescription
Amount$521,010Amount
FieldValueIRS element (for citing)
Total Of Amounts521010TotalOfAmounts
Total Revenue20837323TotalRevenue
Total Expenses20882187TotalExpenses
Excess Or Deficit For Year-44864ExcessOrDeficitForYear
Other-$565,864OtherAmount
Total Adjustments-565864TotalAdjustments
Excess Or Deficit Per FS-610728ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt20290332TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities18873DonatedSrvcAndUseOfFacilities
Other Revenues-565864OtherRevenues
Revenue Not Rptd F990-546991RevenueNotRptdF990
Revenue Subtotal20837323RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99020837323TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20901060TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities18873DonatedServicesUseOfFacilities
Expenses Not Rptd F99018873ExpensesNotRptdF990
Expenses Subtotal20882187ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99020882187TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:NET ASSETS RELEASED FROM RESTRICTIONS -565,864.
PART XII, LINE 2D - OTHER ADJUSTMENTS:NET ASSETS RELEASED FROM RESTRICTIONS -565,864.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
FRANCISCO CARPIO JR
1248800002572400000150604000
DURRIYAH MOGRI
154117000322600000157343000

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionSUPPLIES AND EQUIPMENTDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990105821NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE, AS DELEGATED BY THE BOARD OF DIRECTORS, BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CYES, THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. ALL EMPLOYEES SIGN A CONFLICT OF INTEREST QUESTIONNAIRE WHEN HIRED.
FORM 990, PART VI, SECTION B, LINE 15PAY GRADES ARE ESTABLISHED THROUGH INDEPENDENT ENTITIES, MARKET RESEARCH, AND EMPLOYMENT AGENCIES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC BY WRITTEN OR VERBAL REQUEST.
FORM 990, PART XI, LINE 5:NET ASSETS RELEASED FROM RESTRICTIONS -565,864. TOTAL TO FORM 990, PART XI, LINE 5: -565,864.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:NO CHANGES WERE MADE TO THE OVERSIGHT PROCESS OR SELECTION PROCESS.