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BLESSING COMMUNITY HEALTH CENTER: Form 990EZ, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BLESSING COMMUNITY HEALTH CENTER (EIN 83-2558659)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-09-08
IRS object ID
202232519349200823
Schema version
2021v4.0
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)
Return2022-09-08T11:08:29-07:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN813192545PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ODESHO VARDEH COMPANY AN ACCOUNTANCY CORPORATIONBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19010 CORBIN AVE STE 12AAddressLine1Txt
CityNORTHRIDGECityNm
State AbbreviationCAStateAbbreviationCd
ZIP91324ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN832558659EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BLESSING COMMUNITY HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBLESBusinessNameControlTxt
Phone9194339700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13972 N WATERMAN AVENUE SUITE 104AddressLine1Txt
CitySAN BERNARDINOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92404ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR BAHRAM SHAHANGIANPersonNm
Person TitleChairmanPersonTitleTxt
Signature2022-09-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDR BAHRAMPersonFirstNm
Person LastSHAHANGIANPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonODESHO VARDEHPreparerPersonNm
PTINP00972022PTIN
Phone8187834855PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website Addresswww.BlessingCHC.comWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$16,777GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$11,000ContributionsGiftsGrantsEtcAmt
Program Service Revenue$5,777ProgramServiceRevenueAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$16,777TotalRevenueAmt
Salaries Other Comp Empl Bnft$73,822SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$800FeesAndOtherPymtToIndCntrctAmt
Printing Publications Postage$119PrintingPublicationsPostageAmt
Other Expenses Total$118,695OtherExpensesTotalAmt
Total Expenses$193,436TotalExpensesAmt
Excess Or Deficit For Year-$176,659ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$8,527NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$168,132NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$14,138BOYAmt
EOY$104,225EOYAmt

Land And Buildings LandAndBuildingsGrp

FieldValueIRS element (for citing)
BOY$104,977BOYAmt
EOY$97,734EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$12,412BOYAmt
EOY$12,909EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$131,527BOYAmt
EOY$214,868EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$123,000BOYAmt
EOY$383,000EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$8,527BOYAmt
EOY-$168,132EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeTO PROVIDE OUR COMMUNITY QUALITY COMPREHENSIVE MEDICAL SERVICES AND DIABETES SELF-CARE MANAGEMENT EDUCATION TO PROMOTE HEALTH AND REINFORCE HEALTHY BEHAVIORS THROUGH LIFESTYLE CHANGES.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomTO FUNDING STARTUP COSTS FOR THE NON FOR PROFIT ORGANIZATION.DescriptionProgramSrvcAccomTxt
Program Service Expenses$147,363ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$147,363TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
MS GITA AMINLOO
CEO0$9,231
DR BAHRAM SHAHANGIAN
Chairman0$0
MS Yana Pacheco
Secretary0$0
MS Yana Nisnevich
VICE Chairman0$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDR BAHRAM SHAHANGIANPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line114468 DUNBAR PLACEAddressLine1Txt
CitySherman OaksCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91423ZIPCd
FieldValueIRS element (for citing)
Phone8184860890PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Community TrustYes (X)CommunityTrustInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$24,015CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$64,500CurrentTaxYearMinus1YearAmt
Current Tax Year$11,000CurrentTaxYearAmt
Total$99,515TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$24,015CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$64,500CurrentTaxYearMinus1YearAmt
Current Tax Year$11,000CurrentTaxYearAmt
Total$99,515TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$99,515PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$99,515TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind
Public Support CY1700.00000PublicSupportCY170Pct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1001Advertising and Promotion $3178
Other Expenses.1002Office Expenses $250
Other Expenses.1009Depreciation $8758
Other Expenses.1012Insurance $1311
Other Expenses.1RENT $39217
Other Expenses.2OUTSOURCED SERVICES $30722
Other Expenses.3MEDICAL SUPPLIES $14514
Other Expenses.4PAYROLL TAXES EXPENSES $6963
Other Expenses.5INTERNET $5520
Other Expenses.6SMALL MEDICAL EQUIPMENT $2692
Other Expenses.7SECURITY EXPENSES $1530
Other Expenses.8PROFESSIONAL FEES $984
Other Expenses.9ELECTRICITY $869
Other Expenses.10MEAL $723
Other Expenses.11LICENSES AND PERMITS $449
Other Expenses.12JANITORIAL EXPENSES $400
Other Expenses.13REPAIRS AND MAINTENANCE $350
Other Expenses.14BANK SERVICE CHARGE $265
Other Assets.1003Machinery and Equipment - Beginning $8912 Machinery and Equipment - Ending $9409
Other Assets.1RENT DEPOSIT - Beginning $3500 RENT DEPOSIT - Ending $3500
Total Liabilities.1006Payable to Officers, Directors, Etc. - Beginning $100000 Payable to Officers, Directors, Etc. - Ending $360000
Total Liabilities.1LOAN PAYABLE - SBA DISASTER LOAN - Beginning $23000 LOAN PAYABLE - SBA DISASTER LOAN - Ending $23000

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