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MISSION CITY COMMUNITY NETWORK INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MISSION CITY COMMUNITY NETWORK INC (EIN 95-4226189)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-10-19
IRS object ID
201222939349300717
Schema version
2011v1.2
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)
Timestamp2012-10-19T11:33:13-07:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN954226189EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Mission City Community Network IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMISSNameControl
Phone8188953100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line115206 Parthenia StreetAddressLine1
CityNorth HillsCity
StateCAState
ZIP Code91343ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNik GuptaName
TitleCEO/CFOTitle
Phone8188953100Phone
Date Signed2012-10-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJeremy WareName
PTINP00642659PTIN
Phone5594317708Phone
Date Prepared2012-10-11DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonNik GuptaNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line115206 Parthenia StreetAddressLine1
CityNorth HillsCity
StateCAState
ZIP Code91343ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11210861GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.mccn.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTo provide, advocate and model quality healthcare and social services for the uninsured and low income families in communities of Los Angeles CountyActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees152TotalNbrEmployees
Total Nbr Volunteers1TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1572690ContributionsGrantsPriorYear
Contributions Grants Current Year1397641ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6493445ProgramServiceRevenuePriorYear
Program Service Revenue CY9730619ProgramServiceRevenueCY
Investment Income Prior Year5008InvestmentIncomePriorYear
Investment Income Current Year82601InvestmentIncomeCurrentYear
Other Revenue Prior Year74811OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year8145954TotalRevenuePriorYear
Total Revenue Current Year11210861TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3694912SalariesEtcPriorYear
Salaries Etc Current Year5133980SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2894096OtherExpensePriorYear
Other Expenses Current Year4168857OtherExpensesCurrentYear
Total Expenses Prior Year6589008TotalExpensesPriorYear
Total Expenses Current Year9302837TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1556946RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1908024RevenuesLessExpensesCY
Total Assets BOY13624895TotalAssetsBOY
Total Assets EOY15606646TotalAssetsEOY
Total Liabilities BOY1289189TotalLiabilitiesBOY
Total Liabilities EOY1362916TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12335706NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14243730NetAssetsOrFundBalancesEOY
Mission DescriptionTo promote, advocate and model quality healthcareMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense8165655Expense
Grants0Grants
Revenue9730619Revenue
DescriptionTo provide, advocate and model quality healthcare and social services for the uninsured and low income families in communities of Los Angeles CountyDescription
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense8165655TotalProgramServiceExpense
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109680NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding0ComplianceWithBackupWitholding
Number Of Employees152NumberOfEmployees
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonNik GuptaNamePerson
Telephone Number8188953100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line115206 Parthenia StreetAddressLine1
CityNorth HillsCity
StateCAState
ZIP Code91343ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Gurdip Malik
Chairperson1.00X000
Surinder Singh
Treasurer1.00X000
Anthony Dao
Secretary1.00X000
Jacqueline Alikhaani
Director1.00X000
Vivian Flores
Director1.00X000
Sidney Gold
Director1.00X000
Monica Herera
Director1.00X000
Mirna Mazariegos
Director1.00X000
Aida Vlught
Director1.00X000
Jacqueline Guinn
CMO32.00139929050X
Nik Gupta
CEO/CFO60655854020100X
Jerry Scharlin
COO40.001247970727X
Edward Bryne
Nurse Practitioner40.00103772050X
Joy Jackson
Family Practitioner36.0010703203612X
Sheelah Muhammad
Physician Assistant40.00105460011364X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1236844TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation35903TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
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
Pinnacle Contracting Corporation
21800 Burbank BlvdWoodland HillsCA91367Building Construction1502705
Allcare Behavioral Services
PO Box 17000EncinoCA91416Psychology Services715240
Staff Care
PO Box 281923AtlantaGA30384Locums291772
A Davtian MD
1016 Old Phillips RoadGlendaleCA91207Psychiatrist141814
Medical Science Laboratory
PO Box 4662AnaheimCA92803Patient Service131241
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants1169274GovernmentGrants
All Other Contributions228367AllOtherContributions
Noncash Contributions13440NoncashContributions
Total Contributions1397641TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient Service RevenueDescription
Business Code621400BusinessCode
Total Revenue Column9730619TotalRevenueColumn
Related Or Exempt Function Income9730619RelatedOrExemptFunctionIncome
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 Revenue9730619TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column82601TotalRevenueColumn
Related Or Exempt Function Income82601RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

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
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11210861TotalRevenueColumn
Related Or Exempt Function Income9813220RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total963278Total
Program Services780255ProgramServices
Management And General183023ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3291853Total
Program Services2761175ProgramServices
Management And General530678ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total528253Total
Program Services427946ProgramServices
Management And General100307ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total350596Total
Program Services284023ProgramServices
Management And General66573ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total19498Total
Program Services15796ProgramServices
Management And General3702ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total15500Total
Program Services12557ProgramServices
Management And General2943ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total9252Total
Management And General9252ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2490555Total
Program Services2490555ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total4568Total
Program Services4549ProgramServices
Management And General19ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total201813Total
Program Services163634ProgramServices
Management And General38179ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total72742Total
Program Services58929ProgramServices
Management And General13813ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total689263Total
Program Services572533ProgramServices
Management And General116730ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total33526Total
Program Services27160ProgramServices
Management And General6366ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total31129Total
Program Services25218ProgramServices
Management And General5911ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total7747Total
Management And General7747ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total82188Total
Program Services66582ProgramServices
Management And General15606ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total36243Total
Program Services31674ProgramServices
Management And General4569ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Supplies31073031073000
Professional Fees5935148243111080
Postage and Shipping181481470234460
Equipment Rental and maitenance459693724087290

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total40635Total
Program Services32154ProgramServices
Management And General8481ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9302837Total
Program Services8165655ProgramServices
Management And General1137182ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY434712BOY
EOY419503EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5710033BOY
EOY7269773EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY146244BOY
EOY91418EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1381817BOY
EOY1504116EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY56193BOY
EOY86030EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY289688BOY
EOY396839EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6298621LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec600571LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5108309BOY
EOY5698050EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY497899BOY
EOY140917EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13624895BOY
EOY15606646EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1289189BOY
EOY1362916EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1289189BOY
EOY1362916EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12335706BOY
EOY14243730EOY

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)
BOY12335706BOY
EOY14243730EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13624895BOY
EOY15606646EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1908024ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5520593CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5858347CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1884496CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1572690CurrentTaxYearMinus1Year
Current Tax Year1397641CurrentTaxYear
Total16233767Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5520593CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5858347CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1884496CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1572690CurrentTaxYearMinus1Year
Current Tax Year1397641CurrentTaxYear
Total16233767Total
FieldValueIRS element (for citing)
Public Support Total17016233767PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years214169CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years71017CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30645CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5008CurrentTaxYearMinus1Year
Current Tax Year61797CurrentTaxYear
Total382636Total
FieldValueIRS element (for citing)
Total Support16616403TotalSupport
Public Support Pertcentage1700.97697PublicSupportPertcentage170
Public Support Pertcent Prior Year0.9788PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationNAGeneralExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis2135882OtherCostOrOtherBasis
Book Value2135882BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1321500OtherCostOrOtherBasis
Depreciation106640Depreciation
Book Value1214860BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis36629OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value36629BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1009517OtherCostOrOtherBasis
Depreciation493931Depreciation
Book Value515586BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1795093OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value1795093BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5698050TotalOfBookValueLandBuildings
Total Revenue11210861TotalRevenue
Total Expenses9302837TotalExpenses
Excess Or Deficit For Year1908024ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$0OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS1908024ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11210861TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal11210861RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99011210861TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9302837TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal9302837ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9909302837TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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

FieldValueIRS element (for citing)
Name PersonNik GuptaNamePerson
Base Compensation Filing Org405854BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org250000BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org655854TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bCFO and CEO review the 990 as prepared by the Certified Public Accountant before sending. Board is advised when filed.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cProcedure completed by Kristie Coronado, Operations Manager
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15Compensation range is based on surveys and comparisons from other clinics.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Available upon request