SOUTHLAND INTEGRATED SERVICES INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHLAND INTEGRATED SERVICES INC (EIN 95-3403526)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-15
- IRS object ID
- 202242279349305154
- Schema version
- 2020v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-15T18:30:18-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 330783700 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PDM LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3460 TORRANCE BLVD STE 200 | AddressLine1Txt |
| City | TORRANCE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953403526 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHLAND INTEGRATED SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 7146207001 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9862 CHAPMAN AVE | AddressLine1Txt |
| City | GARDEN GROVE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92841 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TRICIA THAO NGUYEN | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7146207007 | PhoneNum |
| Signature | 2022-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TRICIA | PersonFirstNm |
| Person Last | THAO NGUYEN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANTHONY BOZANIC CPA | PreparerPersonNm |
| PTIN | P01314417 | PTIN |
| Phone | 3105404118 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TRICIA THAO NGUYEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9862 CHAPMAN AVE | AddressLine1Txt |
| City | GARDEN GROVE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92841 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,398,395 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SOUTHLANDINTEGRATED.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1979 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE MEDICAL, DENTAL, BEHAVIORAL HEALTH & OTHER SOCIAL SERVICES TO ORANGE COUNTY COMMUNITY | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 99 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $478,067 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,198,310 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,193,858 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,005,661 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,593,242 | CYProgramServiceRevenueAmt |
| PY Investment Income | $131,675 | PYInvestmentIncomeAmt |
| CY Investment Income | $116,665 | CYInvestmentIncomeAmt |
| PY Other Revenue | $390,867 | PYOtherRevenueAmt |
| CY Other Revenue | $494,630 | CYOtherRevenueAmt |
| PY Total Revenue | $6,726,513 | PYTotalRevenueAmt |
| CY Total Revenue | $9,398,395 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,069,560 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,138,179 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,581 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,780,370 | PYOtherExpensesAmt |
| CY Other Expenses | $2,085,515 | CYOtherExpensesAmt |
| PY Total Expenses | $5,849,930 | PYTotalExpensesAmt |
| CY Total Expenses | $6,223,694 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $876,583 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,174,701 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $18,748,899 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,420,063 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,590,097 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,086,560 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,158,802 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,333,503 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE MEDICAL, DENTAL, BEHAVIORAL HEALTH AND SOCIAL SERVICE PROGRAMS TO PEOPLE IN NEED IN ORANGE COUNTY. (SEE SCH O) | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,346,597 | ExpenseAmt |
| Revenue | $3,593,242 | RevenueAmt |
| Desc | OUR MISSION IS TO IMPROVE THE WELL-BEING OF ORANGE COUNTY'S DIVERSE POPULATION THROUGH OUTREACH, EDUCATION AND COMMUNITY HEALTH SERVICES. WE ARE A TRUSTED AND DEPENDABLE COMMUNITY RESOURCE FOR MORE THAN 40 YEARS, PROVIDING PROGRAMS AND SERVICES THAT ADVOCATE, SUPPORT, AND STRENGTHENS FAMILIES IN ORANGE COUNTY. OUR FEDERALLY QUALIFIED HEALTH CENTER (FQHC) INTEGRATES BEHAVIORAL HEALTH SERVICES AND COMPREHENSIVE SOCIAL SERVICE PROGRAMS WITH MEDICAL AND DENTAL SERVICES DEDICATED TO SERVING THE NEEDS OF THE MOST VULNERABLE RESIDENTS OF ORANGE COUNTY. | Desc |
| Total Program Service Expenses | $5,346,597 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 27 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 99 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
| Other | Yes (X) | OtherInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRICIA THAO NGUYEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7146207007 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1618 W FIRST STREET | AddressLine1Txt |
| City | SANTA ANA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92703 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| CHRISTINE NGUYEN MBA | |||||||
| CHAIRWOMAN | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NGOC TINH NGUYEN | |||||||
| VICE CHAIRWOMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| AN DINH | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MINH LUONG ESQ | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ASIA CUNNINGHAM | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOSEINA MCKENZIE | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PHILLIP DANG NGUYEN | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR DAVID MAI | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR TUAN ANH PHAN | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KEVIN RODGERS | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR KEVIN KHAI TIEU | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TRICIA NGUYEN | |||||||
| CEO | 40.00 | Yes (X) | $185,146 | $0 | $15,097 | ||
| BRENDA TRAN | |||||||
| CFO | 40.00 | Yes (X) | $132,342 | $0 | $6,313 | ||
| THUY ANH NGUYEN | |||||||
| CMO | 40.00 | Yes (X) | $221,594 | $0 | $13,204 | ||
| KELLY TRAN | |||||||
| COO | 40.00 | Yes (X) | $26,733 | $0 | $506 | ||
| OLIVIA DAO NGUYEN | |||||||
| DENTIST, DENTAL DIRECTOR | 40.00 | $182,955 | $0 | $10,292 | Yes (X) | ||
| PHUONG HOANG NGUYEN | |||||||
| NURSE PRACTITIONER | 40.00 | $147,040 | $0 | $11,002 | Yes (X) | ||
| DONNY NGOC TRAN | |||||||
| PROVIDER | 40.00 | $155,830 | $0 | $11,247 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,051,640 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $67,661 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,125,885 | GovernmentGrantsAmt |
| All Other Contributions | $1,067,973 | AllOtherContributionsAmt |
| Noncash Contributions | $7,450 | NoncashContributionsAmt |
| Total Contributions | $5,193,858 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES | 624100 | $3,575,722 | $3,575,722 |
| PROGRAM SERVICES | 624100 | $17,520 | $17,520 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,593,242 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $116,665 | TotalRevenueColumnAmt |
| Exclusion | $116,665 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $494,630 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $494,630 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $494,630 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $478,067 | UnrelatedBusinessRevenueAmt |
| Exclusion | $16,563 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,398,395 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,593,242 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $478,067 | UnrelatedBusinessRevenueAmt |
| Exclusion | $133,228 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $680,446 | TotalAmt |
| Program Services | $571,266 | ProgramServicesAmt |
| Management And General | $109,180 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,791,324 | TotalAmt |
| Program Services | $2,699,486 | ProgramServicesAmt |
| Management And General | $90,105 | ManagementAndGeneralAmt |
| Fundraising | $1,733 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $384,480 | TotalAmt |
| Program Services | $359,637 | ProgramServicesAmt |
| Management And General | $24,704 | ManagementAndGeneralAmt |
| Fundraising | $139 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,929 | TotalAmt |
| Program Services | $266,527 | ProgramServicesAmt |
| Management And General | $15,269 | ManagementAndGeneralAmt |
| Fundraising | $133 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $350,119 | TotalAmt |
| Program Services | $299,209 | ProgramServicesAmt |
| Management And General | $50,910 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,206 | TotalAmt |
| Program Services | $9,351 | ProgramServicesAmt |
| Management And General | $300 | ManagementAndGeneralAmt |
| Fundraising | $555 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,062 | TotalAmt |
| Program Services | $135,202 | ProgramServicesAmt |
| Management And General | $23,860 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,026 | TotalAmt |
| Program Services | $117,307 | ProgramServicesAmt |
| Management And General | $8,719 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,001 | TotalAmt |
| Program Services | $85,030 | ProgramServicesAmt |
| Management And General | $13,971 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,232 | TotalAmt |
| Program Services | $1,047 | ProgramServicesAmt |
| Management And General | $185 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,751 | TotalAmt |
| Management And General | $17,751 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,480 | TotalAmt |
| Management And General | $254,480 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $242,524 | TotalAmt |
| Program Services | $206,145 | ProgramServicesAmt |
| Management And General | $36,379 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,503 | TotalAmt |
| Program Services | $93,829 | ProgramServicesAmt |
| Management And General | $18,653 | ManagementAndGeneralAmt |
| Fundraising | $21 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL AND DENTAL SUPP | $289,820 | $289,820 | |
| CLEANING AND LANDSCAPIN | $93,405 | $79,394 | $14,011 |
| EQUIPMENT | $86,382 | $73,425 | $12,957 |
| MISCELLANEOUS | $79,105 | $79,105 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,899 | TotalAmt |
| Program Services | $59,922 | ProgramServicesAmt |
| Management And General | $103,977 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,223,694 | TotalAmt |
| Program Services | $5,346,597 | ProgramServicesAmt |
| Management And General | $874,516 | ManagementAndGeneralAmt |
| Fundraising | $2,581 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,284,009 | BOYAmt |
| EOY | $1,407,523 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,804,100 | BOYAmt |
| EOY | $7,565,889 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $764,989 | BOYAmt |
| EOY | $1,665,659 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,602 | BOYAmt |
| EOY | $5,000 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,592,426 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,828,514 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,775,973 | BOYAmt |
| EOY | $10,763,912 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,226 | BOYAmt |
| EOY | $12,080 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,748,899 | BOYAmt |
| EOY | $21,420,063 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $471,441 | BOYAmt |
| EOY | $447,534 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $733,334 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,305,776 | BOYAmt |
| EOY | $5,884,534 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $812,880 | BOYAmt |
| EOY | $21,158 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,590,097 | BOYAmt |
| EOY | $7,086,560 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,158,802 | BOYAmt |
| EOY | $14,333,503 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,158,802 | BOYAmt |
| EOY | $14,333,503 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,748,899 | BOYAmt |
| EOY | $21,420,063 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,174,701 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,963,281 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,001,440 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,250,627 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,198,310 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,193,858 | CurrentTaxYearAmt |
| Total | $17,607,516 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,963,281 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,001,440 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,250,627 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,198,310 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,193,858 | CurrentTaxYearAmt |
| Total | $17,607,516 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $17,607,516 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $134,889 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $321,347 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $362,011 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $481,542 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $611,295 | CurrentTaxYearAmt |
| Total | $1,911,084 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $19,518,600 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $16,560,470 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.90210 | PublicSupportCY170Pct |
| Public Support PY170 | 0.91360 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,891,595 | OtherCostOrOtherBasisAmt |
| Book Value | $4,891,595 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,057,865 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,445,729 | DepreciationAmt |
| Book Value | $4,612,136 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,234,601 | OtherCostOrOtherBasisAmt |
| Depreciation | $197,269 | DepreciationAmt |
| Book Value | $1,037,332 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $62,958 | OtherCostOrOtherBasisAmt |
| Depreciation | $51,963 | DepreciationAmt |
| Book Value | $10,995 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $345,407 | OtherCostOrOtherBasisAmt |
| Depreciation | $133,553 | DepreciationAmt |
| Book Value | $211,854 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,763,912 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | TENANT SECURITY DEPOSITS | Desc |
| Amt | $21,158 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $21,158 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $9,403,010 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $4,615 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $4,615 | RevenueNotReportedAmt |
| Revenue Subtotal | $9,398,395 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $9,398,395 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,228,309 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $4,615 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $4,615 | ExpensesNotReportedAmt |
| Expenses Subtotal | $6,223,694 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $6,223,694 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT OF BEING SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. TO DATE, THE ORGANIZATION HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS. THE ORGANIZATION RECOGNIZES POTENTIAL ACCRUED INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS IN INCOME TAX EXPENSE. DURING THE PERIOD ENDED SEPTEMBER 30, 2021, THE ORGANIZATION DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRICIA NGUYEN | ||||||||||||||
| CEO | $185,146 | $0 | $0 | $0 | $0 | $0 | $4,629 | $0 | $10,468 | $0 | $200,243 | $0 | $0 | $0 |
| THUY ANH NGUYEN | ||||||||||||||
| CMO | $221,594 | $0 | $0 | $0 | $0 | $0 | $2,770 | $0 | $10,434 | $0 | $234,798 | $0 | $0 | $0 |
| OLIVIA DAO NGUYEN | ||||||||||||||
| DENTIST, DENTAL DIRECTOR | $182,955 | $0 | $0 | $0 | $0 | $0 | $4,024 | $0 | $6,268 | $0 | $193,247 | $0 | $0 | $0 |
| PHUONG HOANG NGUYEN | ||||||||||||||
| NURSE PRACTITIONER | $147,040 | $0 | $0 | $0 | $0 | $0 | $1,892 | $0 | $9,110 | $0 | $158,042 | $0 | $0 | $0 |
| DONNY NGOC TRAN | ||||||||||||||
| PROVIDER | $155,830 | $0 | $0 | $0 | $0 | $0 | $779 | $0 | $10,468 | $0 | $167,077 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE CEO, CFO, AND BOARD MEMBERS REVIEW FORM 990 PRIOR TO FILING WITH THE TAX AUTHORITIES |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY AT A BOARD MEETING |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD MEMBERS DISCUSS AND REVIEW THE SALARY STUDY FROM CPCA TO DETERMINE THE CEO'S SALARY. |
| FORM 990, PART VI, SECTION C, LINE 18 | APPLICATIONS AND RETURNS ARE AVAILABLE ON THE OFFICE OF THE ATTORNEY GENERAL'S WEBSITE, AND GUIDESTAR.ORG ALSO POSTS NONPROFIT REPORTS AND RETURNS |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION IS SUBJECT TO THE PUBLIC RECORDS ACT AND COMPLIES WITH THAT STATUTE |
| FORM 990, PART XII, LINE 2C | THE PROCESS IS SIMILAR TO PRIOR YEAR. |
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