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CLINICAS DE SALUD DEL PUEBLO INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CLINICAS DE SALUD DEL PUEBLO INC (EIN 95-2657324)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-26
IRS object ID
201342119349300794
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-07-26T13:48:20-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN202707086EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TCA Partners LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11111 E Herndon Avenue Suite 211AddressLine1
CityFresnoCity
StateCAState
ZIP Code93720ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN952657324EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Clinicas de Salud Del Pueblo IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCLINNameControl
Phone7603449951Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11166 K StreetAddressLine1
CityBrawleyCity
StateCAState
ZIP Code92227ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameYvonne BellName
TitleCEOTitle
Phone7603449951Phone
Date Signed2013-07-31DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJeremy WareName
PTINP00642659PTIN
Phone5594317708Phone
Date Prepared2013-07-03DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonYvonne BellNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11166 K StreetAddressLine1
CityBrawleyCity
StateCAState
ZIP Code92227ZIPCode
FieldValueIRS element (for citing)
Gross Receipts26669996GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.cdsdp.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1970YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionClinicas is the safety net provider for Imperial and Eastern Riverside Counties providing primary health care to low income and medically underserved populations. We provide comprehensive, preventative and treatment services, pediatric, adult medicine, family planning, perinatal care, health education, HIV testing and treatment, and some laboratory services. Clinicas de Salud manages the Women, Infant and Childrens food voucher and nutrition eduction program in Imperial County.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees435TotalNbrEmployees
Total Nbr Volunteers120TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6931074ContributionsGrantsPriorYear
Contributions Grants Current Year6185165ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18953666ProgramServiceRevenuePriorYear
Program Service Revenue CY19164726ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year704216OtherRevenuePriorYear
Other Revenue Current Year1320105OtherRevenueCurrentYear
Total Revenue Prior Year26588956TotalRevenuePriorYear
Total Revenue Current Year26669996TotalRevenueCurrentYear
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 Year19578165SalariesEtcPriorYear
Salaries Etc Current Year19138725SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year8780104OtherExpensePriorYear
Other Expenses Current Year7472673OtherExpensesCurrentYear
Total Expenses Prior Year28358269TotalExpensesPriorYear
Total Expenses Current Year26611398TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1769313RevenuesLessExpensesPriorYear
Revenues Less Expenses CY58598RevenuesLessExpensesCY
Total Assets BOY11432487TotalAssetsBOY
Total Assets EOY11325847TotalAssetsEOY
Total Liabilities BOY9048869TotalLiabilitiesBOY
Total Liabilities EOY8883631TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2383618NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2442216NetAssetsOrFundBalancesEOY
Mission DescriptionClinicas is the safety net provider for Imperial and Eastern Riverside Counties providing primary health care to low income and medically underserved populations. We provide comprehensive, preventative and treatment services, pediatric, adult medicine, family planning, perinatal care, health education, HIV testing and treatment, and some laboratory services. Clinicas de Salud manages the Women, Infant and Childrens food voucher and nutrition eduction program in Imperial County. Clinicas provided services to 52,899 users which included 191,663 patient visits.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense17635030Expense
Grants0Grants
Revenue26669996Revenue
DescriptionClinicas is the safety net provider for Imperial and Eastern Riverside Counties providing primary health care to low income and medically underserved populations. We provide comprehensive, preventative and treatment services, pediatric, adult medicine, family planning, perinatal care, health education, HIV testing and treatment, and some laboratory services. Clinicas de Salud manages the Women, Infant and Childrens food voucher and nutrition eduction program in Imperial County. Clinicas provided services to over 52,899 users which included over 191,663 patient visits.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense17635030TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
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 Liabilities0ReportOtherLiabilities
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 Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109634NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees435NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
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

FieldValueIRS element (for citing)
Name PersonGloria Santillan CFONamePerson
Telephone Number7603449951TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11166 K StreetAddressLine1
CityBrawleyCity
StateCAState
ZIP Code92227ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Miguel Miranda
President10X000
Rebecca Terrazas Baxter
Vice President10X000
Nidia Carranza
Treasurer10X000
Elizabeth Moreno
Secretary10X000
Victor M Nava
Director10X000
Sherri Smotherman
Director10X000
Alma Estrada
Director10X000
Raymond Leon
Director10X000
Shirley Chronister
Director10X000
Isidoro Romero
Director10X000
Gene Bumbera
Director10X000
Jessie De Los Santos
Director10X000
Sergio Cardenas
Director10X000
Francisca Castro
Director10X000
Juan De Lara
Director10X000
Afshan Nuri Baig MD
Chief Medical Officer40019508100X
Mary Jean Fisher
Chief Operations Officer40011449700X
Yvonne Bell
CEO40020471700X
Gloria Santillan
CFO40012155400X
Kevin Donnelly
MD40016602500X
Leon Yan
MD40016579000X
Ovbiye Idemundia
MD40017391400X
Michael Price
MD40037558300X
Larry Francis
Pharmacist40018993300X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1707094TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K37NumberIndividualsGT100K
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 ServicesDescriptionOfServicesCompensationCompensationBusiness Name Line2NameOfContractor/NameBusiness/BusinessNameLine2
Staff Care Inc
5001 Statman DriveIrvingTX75063Medical & health care payments120513
Paradigm Solutions Group
166 East 14000 South Suite 130DraperUT84020Locum Tenen Physicians373381
CHG Companies Inc
PO Box 972651DallasTX75397Locum Tenem Physicians284918CompHealth
Veerinder Anand
1318 Imperial AvenueEl CentroCA92243Physician190785
Delta Locum Tenems
1755 Wittington PlaceDallasTX75234Locum Tenem Physician106799
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants5663450GovernmentGrants
All Other Contributions521715AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions6185165TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient Service RevenueDescription
Business Code621400BusinessCode
Total Revenue Column19164726TotalRevenueColumn
Related Or Exempt Function Income19164726RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue19164726TotalProgramServiceRevenue

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMeaningful UseDescription
Business Code621400BusinessCode
Total Revenue Column658750TotalRevenueColumn
Related Or Exempt Function Income658750RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column661355TotalRevenueColumn
Related Or Exempt Function Income661355RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1320105TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column26669996TotalRevenueColumn
Related Or Exempt Function Income20484831RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total14599401Total
Program Services11059009ProgramServices
Management And General3540392ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2567512Total
Program Services1818979ProgramServices
Management And General748533ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1971812Total
Program Services1477948ProgramServices
Management And General493864ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total34951Total
Management And General34951ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total8072Total
Management And General8072ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total16300Total
Management And General16300ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total26960Total
Program Services11216ProgramServices
Management And General15744ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total756Total
Program Services725ProgramServices
Management And General31ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total127652Total
Program Services12712ProgramServices
Management And General114940ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2067412Total
Program Services162770ProgramServices
Management And General1904642ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total389308Total
Program Services234880ProgramServices
Management And General154428ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total83942Total
Program Services34662ProgramServices
Management And General49280ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total177650Total
Program Services123ProgramServices
Management And General177527ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total715280Total
Management And General715280ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total202124Total
Program Services64665ProgramServices
Management And General137459ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Medical Supplies11046139360511685620
Purchased Services- Medical14191331342106770270
Repairs and Maintenance368480774642910160

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total730040Total
Program Services401720ProgramServices
Management And General328320ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total26611398Total
Program Services17635030ProgramServices
Management And General8976368ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY401762BOY
EOY598442EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY13467BOY
EOY250375EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY512559BOY
EOY726799EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2205338BOY
EOY2500131EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY329787BOY
EOY300667EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13069061LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6469859LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7219213BOY
EOY6599202EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY143492BOY
EOY143492EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY606869BOY
EOY206739EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11432487BOY
EOY11325847EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2849281BOY
EOY2756998EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1190358BOY
EOY435255EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3300000BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY555369BOY
EOY4224433EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1153861BOY
EOY1466945EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9048869BOY
EOY8883631EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2383618BOY
EOY2442216EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2383618BOY
EOY2442216EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11432487BOY
EOY11325847EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses58598ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
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 Years5824354CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5853675CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7781472CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6931074CurrentTaxYearMinus1Year
Current Tax Year6185165CurrentTaxYear
Total32575740Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5824354CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5853675CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7781472CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6931074CurrentTaxYearMinus1Year
Current Tax Year6185165CurrentTaxYear
Total32575740Total
FieldValueIRS element (for citing)
Public Support Total17032575740PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23012CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4907CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10231CurrentTaxYearMinus2Years
Current Tax Year11CurrentTaxYear
Total38161Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years218896CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years103008CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years260633CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year704216CurrentTaxYearMinus1Year
Current Tax Year1320094CurrentTaxYear
Total2606847Total
FieldValueIRS element (for citing)
Total Support35220748TotalSupport
Public Support Pertcentage1700.92490PublicSupportPertcentage170
Public Support Pertcent Prior Year0.95755PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationNoneGeneralExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis10578361OtherCostOrOtherBasis
Depreciation4795363Depreciation
Book Value5782998BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis2445407OtherCostOrOtherBasis
Depreciation1674496Depreciation
Book Value770911BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis45293OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value45293BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6599202TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt26669996TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal26669996RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99026669996TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt26611398TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal26611398ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99026611398TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
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 (7 entries)

TitleTitleBase 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
Afshan Nuri Baig MD
Chief Medical Officer195081000000072600202341000
Yvonne Bell
CEO2047170000000149510219668000
Kevin Donnelly
MD16602500000006180166643000
Leon Yan
MD165790000000072600173050000
Ovbiye Idemundia
MD173914000000036300177544000
Michael Price
MD375583000000094120384995000
Larry Francis
Pharmacist189933000000042210194154000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bThe amounts reported on the 990 are based on the audit submitted and approved by the audit committee which is subject to approval and then presented to the board for approval.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cCompliance is disclosed annually.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15Auditor is requested to perform an independent study of salaries for CEO, Medical Director and CFO and make recommendations.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Available upon request