JWCH INSTITUTE INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- JWCH INSTITUTE INC (EIN 95-2289916)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-08-18
- IRS object ID
- 202542309349301639
- Schema version
- 2023v6.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-08-18T18:49:15-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 330700332 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VASQUEZ & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 655 N CENTRAL AVE STE 1550 | AddressLine1Txt |
| City | GLENDALE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952289916 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JWCH INSTITUTE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JWCH | BusinessNameControlTxt |
| Phone | 3232014516 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5650 JILLSON STREET | AddressLine1Txt |
| City | COMMERCE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90040 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEANNE LAM | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3232014516 | PhoneNum |
| Signature | 2025-08-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | REGINA L PRINCE CPA | PreparerPersonNm |
| PTIN | P00576936 | PTIN |
| Phone | 2138731700 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JEANNE LAM | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5650 JILLSON STREET | AddressLine1Txt |
| City | COMMERCE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90040 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $146,342,710 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.JWCHINSTITUTE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1960 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH STATUS AND WELL BEING OF UNDERSERVED SEGMENTS OF THE POPULATION OF LOS ANGELES AREA THROUGH THE DIRECT PROVISION OR COORDINATION OF HEALTH CARE, HEALTH EDUCATION SERVICES AND RESEARCH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1364 | TotalEmployeeCnt |
| Total Volunteers | 94 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $61,150,991 | PYContributionsGrantsAmt |
| CY Contributions Grants | $52,856,636 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $77,278,945 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $92,451,630 | CYProgramServiceRevenueAmt |
| PY Investment Income | $151,279 | PYInvestmentIncomeAmt |
| CY Investment Income | $829,405 | CYInvestmentIncomeAmt |
| PY Other Revenue | $35,104 | PYOtherRevenueAmt |
| CY Other Revenue | $94,056 | CYOtherRevenueAmt |
| PY Total Revenue | $138,616,319 | PYTotalRevenueAmt |
| CY Total Revenue | $146,231,727 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $117,439 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $130,069 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $79,597,390 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $90,826,405 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $110,983 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $34,817,072 | PYOtherExpensesAmt |
| CY Other Expenses | $41,319,377 | CYOtherExpensesAmt |
| PY Total Expenses | $114,531,901 | PYTotalExpensesAmt |
| CY Total Expenses | $132,275,851 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $24,084,418 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $13,955,876 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $118,823,569 | TotalAssetsBOYAmt |
| Total Assets EOY | $137,730,666 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $36,174,209 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $41,074,142 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $82,649,360 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $96,656,524 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE SPECIFIC PURPOSES OF THIS ORGANIZATION ARE:(A) TO PROVIDE OUTPATIENT PRIMARY HEALTH SERVICE IN UNDERSERVED AREAS AND/OR FOR MEDICALLY UNDERSERVED POPULATIONS AS A COMMUNITY CLINIC. (B) TO DEVELOP, PROMOTE, AND MANAGE HEALTH CARE FACILITIES, SERVICES, AND PROGRAMS WITH AN EMPHASIS ON COMPREHENSIVE HEALTH CARE, PREVENTATIVE MEDICINE, AND HEALTH MAINTENANCE. (C) TO EDUCATE THE PUBLIC ON THE PRINCIPLES OF HEALTH PROTECTION AND PROMOTE OTHER PROJECTS IN THE INTEREST OF THE PUBLIC'S HEALTH. (D) TO ENGAGE IN ANCILLARY MEDICAL, REHABILITATION, AND RESIDENTIAL TREATMENT PROGRAMS FOR UNDERSERVED POPULATIONS.(E) TO PROMOTE MUTUALLY ACCEPTABLE AND SATISFYING RELATIONSHIPS BETWEEN THE ORGANIZATION AND OTHER PROVIDERS OF HEALTH CARE TO DEVELOP AN EFFICIENT AND EFFECTIVE DELIVERY OF HEALTH CARE. (F) TO PARTICIPATE IN AND COOPERATE WITH ANY GOVERNMENTAL AGENCY OR OTHER ORGANIZATION ENGAGED IN SIMILAR OR LIKE ACTIVITIES. (G) TO ENGAGE IN SUCH OTHER ACTIVITIES AS DIRECTED BY THE BOARD. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $81,301,153 | ExpenseAmt |
| Revenue | $90,559,820 | RevenueAmt |
| Desc | JWCH INSTITUTE, INC., DBA WESLEY HEALTH CENTERS (JWCH OR WESLEY) IS APPROVED AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND PROVIDES A FULL CONTINUUM OF CARE FOR MEN, WOMEN AND CHILDREN IN THE LOS ANGELES AREA. THE SERVICES INCLUDE PRIMARY HEALTH CARE, BEHAVIORAL HEALTH CARE, HOMELESS HEALTH CARE, HIV SERVICES, ORAL HEALTH CARE, PHARMACY SERVICES, VISION CARE AND SUPPORTIVE SERVICES WHICH INCLUDES OUR CHRONIC DISEASE CASE MANAGEMENT, YOUTH SERVICES, HOUSING ASSISTANCE, HEALTH EDUCATION, NUTRITIONAL ASSISTANCE AND RESEARCH. THE WESLEY HEALTH CENTERS ARE PLACES OF EXCELLENCE FOR YOU AND YOUR FAMILY. THROUGH THE 17 AREA HEALTH CENTERS, THE ORGANIZATION PROVIDES COMPREHENSIVE MEDICAL CARE, PHYSICAL EXAMS, ROUTINE SCREENINGS AND TREATMENT OF INJURIES AND ILLNESSES FOR MEN, WOMEN, AND CHILDREN OF LOS ANGELES COUNTY.THE WEINGART CLINIC AT CENTER FOR COMMUNITY HEALTH PROVIDED 51,410 MEDICAL VISIT ASSESSMENTS TO LOW INCOME AND HOMELESS INDIVIDUALS. 7,445 PATIENTS RECEIVED HEALTH CARE SERVICES AT THE CLINIC INCLUDING PRIMARY CARE, X-RAYS, EKGS, FAMILY PLANNING, MALE WELLNESS, CASE MANAGEMENT, HIV TESTING, MENTAL HEALTH, AND DENTAL SERVICES.THE BELLFLOWER HEALTH CENTER PROVIDES PRIMARY CARE SERVICES TO LOW INCOME INDIVIDUALS REGARDLESS OF ABILITY TO PAY. ALL PRIMARY CARE SERVICES FOR FAMILIES, WOMEN AND CHILDREN WILL BE AVAILABLE. CASE MANAGEMENT, MENTAL HEALTH, AND OPTOMETRY SERVICES WILL BE PROVIDED ON SITE AS WELL AS ACCESS TO ELIGIBILITY ASSISTANCE FOR PUBLIC MEDICAL BENEFITS PROGRAMS. BELLFLOWER HEALTH CENTER PROVIDED 33,147 MEDICAL VISITS TO 6,549 PATIENTS. THE DOWNTOWN WOMEN'S CENTER CLINIC SERVES HOMELESS WOMEN AND PROVIDES PRIMARY HEALTH CARE SERVICES, REPRODUCTIVE HEALTH SERVICES, CANCER SCREENING AND ACCESS TO SPECIALTY CARE AND MENTAL HEALTH. THE JWCH CLINIC IS EMBEDDED IN THIS HOMELESS RESIDENTIAL FACILITY AND PROVIDED 292 PATIENTS 722 MEDICAL VISITS. THE DOWNEY CLINIC PROVIDED 26,866 MEDICAL VISITS TO 6,084 PATIENTS. SERVICES PROVIDED AT THE DOWNEY CLINIC INCLUDED PRIMARY CARE, FAMILY PLANNING SERVICES & PROCEDURES, BEHAVIORAL HEALTH SERVICES, COMPREHENSIVE PRENATAL SERVICES, OB/GYN SERVICES, PODIATRY, HIV/STD TESTING & TREATMENT, AND GERIATRIC PRIMARY CARE SERVICES. THE WESLEY HEALTH CENTERS-HACIENDA HEIGHTS PROVIDED 10,680 VISITS TO 2,124 PATIENTS. SERVICES OFFERED AT THE HACIENDA HEIGHTS CLINIC INCLUDED PRIMARY CARE, FAMILY & PEDIATRIC MEDICINE, CHIROPRACTIC SERVICES, REPRODUCTIVE HEALTH, OB/GYN, BEHAVIORAL HEALTH, SUBSTANCE ABUSE SERVICES, HIV/STD TESTING & TREATMENT, PREP SERVICES, AND LABORATORY SERVICES. THE WESLEY HEALTH CENTERS-LYNWOOD (NEW) PROVIDED 33,690 MEDICAL VISITS TO 5,756 PATIENTS. SERVICES OFFERED AT THE NEW LYNWOOD CLINIC INCLUDED PRIMARY CARE, FAMILY MEDICINE, DENTAL/ORAL HEALTH, BEHAVIORAL HEALTH, CHIROPRACTIC SERVICES, HIV/STD TESTING & TREATMENT, PREP SERVICES, PODIARY, AND LABORATORY.JWCH CLINIC AT BELL GARDENS PROVIDED 23,885 VISITS TO 4,669 PATIENTS FOR MEDICAL SERVICES IN THE MOST INDIGENT AREA IN LA COUNTY. THE FOLLOWING SERVICES ARE OFFERED: FAMILY MEDICINE, FAMILY PLANNING, COMPREHENSIVE PRENATAL CARE, PEDIATRICS, OBSTETRICS, X-RAYS, EKGS, MALE WELLNESS SERVICES, HIV TESTING AND LABORATORY SERVICES.THE LYNWOOD PRIMARY CARE CLINIC PROVIDED 14,091 VISITS TO 3,615 PATIENTS RESIDING IN LYNWOOD AND THE SURROUNDING AREA OF COMPTON. BECAUSE THE MAJORITY OF THE CLINIC'S CLIENTELE ARE PEOPLE OF CHILDBEARING AGE, THEIR PRIMARY NEEDS INCLUDE FAMILY PLANNING SERVICES AND ACCESS TO ADEQUATE PRENATAL CARE. IN ADDITION, THE WOMEN ARE AT HIGH RISK OF CERVICAL CANCER, MAKING SCREENING AND TREATMENT OF SEXUALLY TRANSMITTED INFECTIONS AN IMPORTANT SERVICE AT THE CLINIC. THE FOLLOWING SERVICES ARE OFFERED: PHYSICAL/GYNECOLOGICAL EXAMINATIONS, SCREENING FOR CERVICAL AND BREAST CANCER, DIAGNOSIS AND TREATMENT OF SEXUALLY TRANSMITTED DISEASES, PREGNANCY TESTING AND REFERRALS FOR PRENATAL SERVICES, BIRTH CONTROL METHODS, DIAGNOSIS AND TREATMENT OF COMMON GYNECOLOGICAL PROBLEMS, HEALTH EDUCATION, REFERRALS FOR OTHER HEALTH AND SOCIAL SERVICES AS NEEDED.THE NORWALK CLINIC PROVIDED 35,817 VISITS TO 7,300 PATIENTS FOR MEDICAL SERVICES IN THE MOST INDIGENT AREA IN LA COUNTY. THE FOLLOWING SERVICES ARE OFFERED: FAMILY MEDICINE, FAMILY PLANNING, COMPREHENSIVE PRENATAL CARE, PEDIATRICS, OBSTETRICS, X-RAYS, EKGS, MALE WELLNESS SERVICES, HIV TESTING AND LABORATORY SERVICES. THE VERMONT CLINIC PROVIDED 37,513 VISITS TO 7,478 HOMELESS PATIENTS. THE CLINIC OFFERS MEDICAL SERVICES TO HOMELESS AND MEDICALLY INDIGENT PERSONS INCLUDING FAMILY MEDICINE, FAMILY PLANNING, CHILD HEALTH DISABILITY PREVENTION, PEDIATRICS, GERIATRIC PRIMARY CARE, EKGS. SPECIALTY REFERRALS, HIV TESTING, AND LABORATORY SERVICES.THE ANTELOPE VALLEY CLINICS CONSISTED OF WESLEY HEALTH CENTERS (LANCASTER), WESLEY HEALTH CENTERS (PALMDALE CENTRAL) AND WESLEY HEALTH CENTERS (PALMDALE EAST). THEY PROVIDED A COMBINED TOTAL OF 143,033 VISITS TO A TOTAL OF 37,586 PATIENTS. THE FOLLOWING SERVICES ARE OFFERED: PRIMARY HEALTH CARE, REPRODUCTIVE HEALTH, DENTAL & ORAL HEALTH, BEHAVIORAL HEALTH, PEDIATRICS, PODIATRY, ENDOCRINOLOGY, DERMATOLOGY, DRUG, ALCOHOL AND OPIOID DETOX SERVICES, LABORATORY SERVICES, AND SPECIALTY REFERRALS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $18,910,663 | ExpenseAmt |
| Revenue | $1,658,039 | RevenueAmt |
| Desc | RECUPERATIVE CARE PROGRAM. THE RECUPERATIVE CARE PROGRAM PROVIDES BED SPACE FOR 286 PATIENTS. PATIENTS MUST BE HOMELESS, HAVE AN ACUTE MEDICAL CONDITION, AND BE MEDICALLY AND PHYSICALLY STABLE. THIS RESPITE PROGRAM PROVIDES MEDICAL CARE, CASE MANAGEMENT, PERSONAL CARE, 3 MEALS PER DAY, ACCESS TO LONG-TERM HOUSING RESOURCES AND PLACEMENT, AND REUNIFICATION SERVICES FOR CLIENTS WHO HAVE FALLEN OUT OF TOUCH WITH THEIR FAMILY OR SUPPORT NETWORK. WESLEY ALSO PROVIDES THESE PATIENTS WITH TRANSPORTATION TO AND FROM MEDICAL VISITS AND TO SPECIALISTS AND OTHER SOCIAL SERVICES AGENCIES IN THE COUNTY. IN ADDITION TO THE NURSING CARE AVAILABLE IN RECUPERATIVE CARE, THE WEINGART CENTER AND BELL SHELTER SITES THAT HOUSE THE PROGRAM OFFER MANY OTHER SERVICES TO HELP BREAK THE CYCLE OF HOMELESSNESS, INCLUDING HOUSING PLACEMENT, SUBSTANCE ABUSE TREATMENT, HEALTH EDUCATION, AND COUNSELING SERVICES. RECUPERATIVE CARE PROGRAMS INCLUDE THE ZONAL AVENUE, MLK, AND THE SAN JULIAN OASIS CARE CENTERS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,449,441 | ExpenseAmt |
| Desc | BPHC-HEALTH CARE CENTER CLUSTER. JWCH IS ONE OF THE LARGEST HOMELESS HEALTH CARE PROVIDERS IN LOS ANGELES COUNTY AND PROVIDES SPECIALIZED CARE AND PROGRAMMING AIMED AT CARING FOR THE UNIQUE NEEDS OF THE PATIENTS EXPERIENCING HOMELESSNESS. THE ORGANIZATION PROVIDES THESE SERVICES AT THE DEDICATED ONE-STOP-SHOP HOMELESS HEALTH CARE CLINICS, MINI-CLINICS CO-LOCATED WITHIN HOUSING, RECUPERATIVE CARE FACILITIES, AND THROUGH THE INNOVATIVE STREET MEDICINE PROGRAM WHICH TRAVELS BEYOND THE TRADITIONAL CLINIC WALLS TO DELIVER CARE RIGHT WHERE THE PATIENTS NEED IT. THE HOMELESS HEALTH LOCATIONS ARE FRIENDLY AND WELCOMING AND OFFER PATIENTS ACCESS TO THE FULL SUITE OF COMPREHENSIVE HEALTH CARE SERVICES AS WELL AS SPECIALIZED SERVICES SUCH AS FOOD PANTRY, SHOWER FACILITIES, MAIL ROOM, HOUSING NAVIGATION, AMONG OTHERS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,265,393 | ExpenseAmt |
| Grant | $130,069 | GrantAmt |
| Revenue | $233,771 | RevenueAmt |
| Desc | AIDS PREVENTION & EDUCATION - PROVIDES PREVENTION, EDUCATION, AND REFERRALS TO TREATMENT AMONG HIGH RISK POPULATIONS. SUBSTANCE ABUSE TREATMENT - THE MINI 12 STEP HOUSE OFFERS RESIDENTIAL AND OUTPATIENT SUBSTANCE ABUSE TREATMENT FOR WOMEN AND WOMEN WITH CHILDREN FOR ALCOHOL AND DRUG ABUSE. THE PROGRAM OFFERS AN INTENSIVE RESIDENTIAL PROGRAM FOR WOMEN WHICH INVOLVES SUBSTANCE ABUSE TREATMENT IN INDIVIDUAL AND GROUP CLASSES, CASE MANAGEMENT, MENTAL HEALTH AND REFERRAL TO MEDICAL CARE AND COMMUNITY SUPPORT SERVICES. THE RESIDENTIAL PROGRAM CAN ACCOMODATE UP TO 31 WOMEN DAILY IN THIS 24-HOUR FACILITY. THE OUTPATIENT PROGRAM OFFERS A LONGER TERM PROGRAM FOR MEN AND WOMEN BASED ON THE 12 STEP PROGRAM OF ALCOHOL AND DRUG ABSTENTION. THE PROGRAM IS SUPPORTED BY NUMEROUS LOCAL AND STATE GRANTS SPECIFICALLY FOR ALCOHOL AND DRUG TREATMENT.OTHER PROGRAM SERVICES - PROVIDES EMERGENCY AND TRANSITIONAL HOUSING SERVICES TO PEOPLE LIVING WITH HIV/AIDS WITH 18 BEDS NIGHTLY LOCATED AT SRO HOUSING TRUST. THE SERVICES INCLUDE: COMPLETE PSYCHOSOCIAL ASSESSMENT, INDIVIDUAL CARE PLAN DEVELOPMENT, APPROPRIATE REFERRALS TO HOUSING, MENTAL HEALTH AND DRUG TREATMENT, MEALS AND NUTRITIONAL SUPPLEMENTATION, AND HYGIENE ITEMS AND CLOTHING. JWCH ALSO OPERATES A STREET MEDICINE TEAM AND TWO MOBILE MEDICAL UNITS WHICH PROVIDE CARE TO PERSONS ON THE STREETS.CARE - CDC - JWCH'S CARE PROGRAM OR (CULTURALLY-AFFIRMING, RESPONSIVE EMPOWERMENT PROJECT) PROVIDES HIV TESTING AND HEALTH EDUCATION ACTIVITIES TO PERSONS AT HIGH RISK OF ACQUIRING HIV IN SKID ROW. HE MAJORITY OF THE PARTICIPANTS ARE HOMELESS OR FORMERLY HOMELESS PERSONS, LIVING IN SHELTERS, MISSIONS AND ON THE STREETS. PARTICIPANTS ARE PROVIDED RAPID HIV TESTING, IMMEDIATE ACCESS TO MEDICAL SPECIALISTS AND EDUCATION TO ASSIST THEM IN HEALTHY LIVING.HIV CASE MANAGEMENT - PROVIDES HIV MEDICAL CARE THROUGH CASE MANAGEMENT, COUNSELING AND TESTING, PREVENTION EDUCATION, REFERRALS TO EMERGENCY AND TRANSITIONAL HOUSING. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $13,265,393 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $130,069 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $233,771 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $119,926,650 | 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 | Yes (1) | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | 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 | Yes (1) | 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 | 161 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1364 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEANNE LAM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3232014516 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5650 JILLSON STREET | AddressLine1Txt |
| City | COMMERCE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90040 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ANNETTE SULLIVAN | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER EWING | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| EDUARDO SAUCEDO | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| HERBERT TORRANCE | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOE CASTEL | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| KATHLEEN J HOUSE | ||||||||
| VICE CHAIRPERSON | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| KEITH TERASAKI MD | ||||||||
| CHAIRPERSON | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| LAWRENCE FERNANDEZ JR | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARIA PADRON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARIE S TORRES PHD LCSW | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SHEILA SHIMA EATON | ||||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SILVIA L HERNANDEZ | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TOM GRODE | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ALVARO BALLESTEROS | ||||||||
| CEO | 40.00 | $481,822 | $0 | $20,026 | Yes (X) | |||
| ANDY IRIE | ||||||||
| CHIEF ADMINISTRATIVE OFFICER | 40.00 | $218,743 | $0 | $15,568 | Yes (X) | |||
| JEANNE LAM | ||||||||
| CFO | 40.00 | $268,259 | $0 | $13,074 | Yes (X) | |||
| ANA ORTIZ | ||||||||
| CHIEF DENTAL OFFICER | 40.00 | $249,052 | $0 | $17,425 | Yes (X) | |||
| BENJAMIN MONROE | ||||||||
| MEDICAL DIRECTOR/OB/GYN | 40.00 | $240,405 | $0 | $15,086 | Yes (X) | |||
| BRENDA L VELASQUEZ | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | $235,344 | $0 | $16,827 | Yes (X) | |||
| HAROLD GLEN SAN AGUSTIN | ||||||||
| ASSO. MEDICAL DIRECTOR-HIV | 40.00 | $271,860 | $0 | $18,790 | Yes (X) | |||
| KIM TRAN | ||||||||
| DIRECTOR OF QUALITY ASSURANCE | 40.00 | $214,274 | $0 | $15,214 | Yes (X) | |||
| LINDA AROUS | ||||||||
| ASSOCIATE MEDICAL DIRECTOR | 40.00 | $271,713 | $0 | $18,645 | Yes (X) | |||
| PAUL GREGERSON | ||||||||
| CMO | 40.00 | $436,024 | $0 | $13,995 | Yes (X) | |||
| PAUL ROUND | ||||||||
| ASSO. MEDICAL DIRECTOR | 40.00 | $311,779 | $0 | $9,026 | Yes (X) | |||
| PHILIP LE | ||||||||
| ASSOCIATE MEDICAL DIRECTOR | 40.00 | $300,503 | $0 | $19,913 | Yes (X) | |||
| TIEN DANG | ||||||||
| CIO | 40.00 | $215,937 | $0 | $15,991 | Yes (X) | |||
| ARIEL MONSANTO GAVINO | ||||||||
| MEDICAL DIRECTOR PSYCHIATRY | 40.00 | $385,470 | $0 | $20,537 | Yes (X) | |||
| JUHI AMREEN UDDIN | ||||||||
| PHYSICIAN SPECIALIST PED | 40.00 | $256,006 | $0 | $6,993 | Yes (X) | |||
| LUCIEN ALEXANDRE | ||||||||
| PHYSICIAN SPECIALIST | 40.00 | $263,354 | $0 | $15,619 | Yes (X) | |||
| OLUWAMUYIWA O BOLONDURO | ||||||||
| PHYSICIAN SPECIALIST | 40.00 | $421,459 | $0 | $13,914 | Yes (X) | |||
| PAWEL KASZUBOWSKI | ||||||||
| PHYSICIAN SPECIALIST | 40.00 | $254,762 | $0 | $9,653 | Yes (X) | |||
| ROBILA ASHFAQ | ||||||||
| PHYSICIAN SPECIALIST | 40.00 | $264,812 | $0 | $18,029 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,561,578 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $294,325 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 131 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COY BUILDER | |||||
| 11555 TELEGRAPH ROAD | SANTA FE SPRINGS | CA | 90670 | RENOVATION | $775,186 |
| TRIO COMMUNITY MEALS LLC | |||||
| PO BOX 742992 | ATLANTA | GA | 303742992 | MEAL SERVICES | $479,359 |
| CITIGUARD INC | |||||
| 22736 VANOWEN ST SUITE 300 | WEST HILLS | CA | 91307 | SECURITY GUARD SERVICES | $305,760 |
| SOUTHERN SOUL LA | |||||
| 358 W 38TH STREET | LOS ANGELES | CA | 90037 | MEAL SERVICES | $246,075 |
| REGENTS OF THE UNIVERSITY OF CALIFORNIA | |||||
| 400 MINOR HALL | BERKELEY | CA | 947202020 | RETINAL SCREENING SERVICES | $175,018 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $164,909 | FundraisingAmt |
| Government Grants | $47,710,164 | GovernmentGrantsAmt |
| All Other Contributions | $4,981,563 | AllOtherContributionsAmt |
| Noncash Contributions | $1,590,000 | NoncashContributionsAmt |
| Total Contributions | $52,856,636 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES, NET | 621400 | $82,091,340 | $82,091,340 |
| PHARMACY REVENUES | 621400 | $7,113,988 | $7,113,988 |
| IPA REVENUES | 621400 | $2,248,336 | $2,248,336 |
| OTHER PROGRAM REVENUE | 621400 | $997,966 | $997,966 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $92,451,630 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $829,405 | TotalRevenueColumnAmt |
| Exclusion | $829,405 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $94,056 | 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 | $94,056 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $94,056 | TotalRevenueColumnAmt |
| Exclusion | $94,056 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $110,983 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $164,909 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $110,983 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $146,231,727 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $92,451,630 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $923,461 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,069 | TotalAmt |
| Program Services | $130,069 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,417,487 | TotalAmt |
| Program Services | $4,089,117 | ProgramServicesAmt |
| Management And General | $328,370 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,868,133 | TotalAmt |
| Program Services | $65,929,602 | ProgramServicesAmt |
| Management And General | $4,938,531 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,939,851 | TotalAmt |
| Program Services | $1,631,589 | ProgramServicesAmt |
| Management And General | $308,262 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,872,267 | TotalAmt |
| Program Services | $6,621,284 | ProgramServicesAmt |
| Management And General | $1,250,983 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,728,667 | TotalAmt |
| Program Services | $4,818,324 | ProgramServicesAmt |
| Management And General | $910,343 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,497 | TotalAmt |
| Program Services | $238,206 | ProgramServicesAmt |
| Management And General | $20,303 | ManagementAndGeneralAmt |
| Fundraising | $1,988 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,501 | TotalAmt |
| Program Services | $111,104 | ProgramServicesAmt |
| Management And General | $9,470 | ManagementAndGeneralAmt |
| Fundraising | $927 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,818,587 | TotalAmt |
| Program Services | $11,721,662 | ProgramServicesAmt |
| Management And General | $999,075 | ManagementAndGeneralAmt |
| Fundraising | $97,850 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,588 | TotalAmt |
| Program Services | $42,363 | ProgramServicesAmt |
| Management And General | $29,198 | ManagementAndGeneralAmt |
| Fundraising | $27 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,468,800 | TotalAmt |
| Program Services | $2,026,623 | ProgramServicesAmt |
| Management And General | $437,918 | ManagementAndGeneralAmt |
| Fundraising | $4,259 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $411,780 | TotalAmt |
| Program Services | $338,028 | ProgramServicesAmt |
| Management And General | $73,042 | ManagementAndGeneralAmt |
| Fundraising | $710 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,750,903 | TotalAmt |
| Program Services | $3,446,879 | ProgramServicesAmt |
| Management And General | $304,024 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,946 | TotalAmt |
| Program Services | $288,430 | ProgramServicesAmt |
| Management And General | $46,516 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,227 | TotalAmt |
| Program Services | $147,798 | ProgramServicesAmt |
| Management And General | $64,381 | ManagementAndGeneralAmt |
| Fundraising | $48 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $846,100 | TotalAmt |
| Program Services | $500,688 | ProgramServicesAmt |
| Management And General | $345,087 | ManagementAndGeneralAmt |
| Fundraising | $325 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,007,817 | TotalAmt |
| Program Services | $1,755,065 | ProgramServicesAmt |
| Management And General | $252,752 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $663,621 | TotalAmt |
| Program Services | $774 | ProgramServicesAmt |
| Management And General | $662,847 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL AND LABORATORY | $10,940,238 | $10,940,238 | ||
| PATIENT WELFARE | $2,464,784 | $2,464,784 | ||
| REPAIRS AND MAINTENANCE | $831,577 | $684,085 | $147,492 | |
| FEES | $720,704 | $432,116 | $285,769 | $2,819 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,393,707 | TotalAmt |
| Program Services | $1,567,822 | ProgramServicesAmt |
| Management And General | $823,855 | ManagementAndGeneralAmt |
| Fundraising | $2,030 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,275,851 | TotalAmt |
| Program Services | $119,926,650 | ProgramServicesAmt |
| Management And General | $12,238,218 | ManagementAndGeneralAmt |
| Fundraising | $110,983 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,254,717 | BOYAmt |
| EOY | $7,216,780 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,587,713 | BOYAmt |
| EOY | $24,400,654 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,996,899 | BOYAmt |
| EOY | $8,809,139 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,149,486 | BOYAmt |
| EOY | $27,533,910 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $848,317 | BOYAmt |
| EOY | $267,883 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,593 | BOYAmt |
| EOY | $281,532 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $64,181,465 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,098,880 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,814,602 | BOYAmt |
| EOY | $53,082,585 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,061,731 | BOYAmt |
| EOY | $5,661,019 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,974,511 | BOYAmt |
| EOY | $10,477,164 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,823,569 | BOYAmt |
| EOY | $137,730,666 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,327,891 | BOYAmt |
| EOY | $3,395,101 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,848,493 | BOYAmt |
| EOY | $656,861 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,425,958 | BOYAmt |
| EOY | $22,768,112 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,571,867 | BOYAmt |
| EOY | $14,254,068 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,174,209 | BOYAmt |
| EOY | $41,074,142 | 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 | $79,656,187 | BOYAmt |
| EOY | $93,841,248 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,993,173 | BOYAmt |
| EOY | $2,815,276 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,649,360 | BOYAmt |
| EOY | $96,656,524 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,823,569 | BOYAmt |
| EOY | $137,730,666 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $13,955,876 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $51,288 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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 | $32,041,442 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $43,043,545 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,098,844 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $61,150,991 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52,856,636 | CurrentTaxYearAmt |
| Total | $230,191,458 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $32,041,442 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $43,043,545 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,098,844 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $61,150,991 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52,856,636 | CurrentTaxYearAmt |
| Total | $230,191,458 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $230,191,458 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,572 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,938 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $85,179 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $186,383 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $923,461 | CurrentTaxYearAmt |
| Total | $1,215,533 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $119,500 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year | $110,983 | CurrentTaxYearAmt |
| Total | $230,483 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $231,637,474 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $360,418,624 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99380 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98980 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - FUNDRAISING INCOME - 2019 AMOUNT: $ 119,500. 2023 AMOUNT: $ 110,983. | ExplanationTxt |
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 | $21,209,619 | OtherCostOrOtherBasisAmt |
| Book Value | $21,209,619 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,558,510 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,697,296 | DepreciationAmt |
| Book Value | $26,861,214 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,692,866 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,401,584 | DepreciationAmt |
| Book Value | $2,291,282 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,720,470 | OtherCostOrOtherBasisAmt |
| Book Value | $2,720,470 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $53,082,585 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSIT | $633,185 |
| ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS | $5,046,874 |
| RIGHT-OF-USE ASSETS | $4,797,105 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,477,164 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| PAYROLL & RELATED LIABILITIES | $8,053,470 |
| ESTIMATED AMOUNTS DUE TO THIRD PARTY PAYERS | $1,304,760 |
| LEASE LIABILITIES | $4,717,796 |
| FINANCE LIABILITIES | $178,042 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $14,254,068 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $146,283,015 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $51,288 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $51,288 | RevenueNotReportedAmt |
| Revenue Subtotal | $146,231,727 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $146,231,727 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $132,275,851 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $132,275,851 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $132,275,851 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS EXEMPT FROM TAXATION UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701D AND IS GENERALLY NOT SUBJECT TO INCOME TAXES. THE ORGANIZATION IS CLASSIFIED AS A PUBLIC CHARITY PURSUANT TO SECTIONS 509(A)(1) AND 170(B)(1)(A)(VI). US GAAP PRESCRIBE A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AND THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED RELATE TO THE ORGANIZATION'S CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE ARE SUBSTANTIAL UNRELATED TRADE OR BUSINESS INCOME ACTIVITIES WHICH WOULD AFFECT CONTINUED TAX-EXEMPT STATUS OR PRODUCE MATERIAL INCOME TAX. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS, BASED ON THE TECHNICAL MERITS OF THE POSITION, WILL MORE-LIKELY-THAN-NOT BE SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION. THEREFORE, NO DISCLOSURES OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE ORGANIZATION'S INCOME TAX RETURNS REMAIN SUBJECT TO EXAMINATION GENERALLY FOR THREE AND FOUR YEARS AFTER THEY WERE FILED FOR FEDERAL AND STATE, RESPECTIVELY. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | WESLEY BENEFIT DINNER | Event1Nm |
| Gross Receipts Event1 | $275,892 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $164,909 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $110,983 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $992 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $39,217 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $33,624 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $5,000 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $32,150 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $275,892 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $164,909 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $110,983 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $992 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $39,217 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $33,624 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $5,000 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $32,150 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $110,983 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $0 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALIFORNIA PRIMARY CARE ASSOCIATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1231 I ST 400 | AddressLine1Txt |
| City | SACRAMENTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95814 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 943215565 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $100,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | TO SUPPORT COMMITTEE TO PROTECT PATIENT ACCESS TO CARE | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION ENTERS INTO WRITTEN AGREEMENTS WITH THE GRANTEES SPECIFYING HOW THE GRANT MONIES ARE TO BE SPENT. THE GRANTEES ARE REQUIRED TO SUBMIT BUDGETS FOR THE GRANTS AND REPORTS ARE OBTAINED QUARTERLY OR SEMI-ANNUALLY TO ENSURE THAT MONIES ARE BEING CONSISTENT WITH THE GRANT TERMS AND THE BUDGET. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 (19 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALVARO BALLESTEROS | ||||||||||||||
| CEO | $446,422 | $0 | $21,000 | $0 | $14,400 | $0 | $13,200 | $0 | $6,826 | $0 | $501,848 | $0 | $0 | $0 |
| PAUL GREGERSON | ||||||||||||||
| CMO | $431,424 | $0 | $1,000 | $0 | $3,600 | $0 | $13,200 | $0 | $795 | $0 | $450,019 | $0 | $0 | $0 |
| OLUWAMUYIWA O BOLONDURO | ||||||||||||||
| PHYSICIAN SPECIALIST | $391,459 | $0 | $30,000 | $0 | $0 | $0 | $7,088 | $0 | $6,826 | $0 | $435,373 | $0 | $0 | $0 |
| ARIEL MONSANTO GAVINO | ||||||||||||||
| MEDICAL DIRECTOR PSYCHIATRY | $384,470 | $0 | $1,000 | $0 | $0 | $0 | $13,200 | $0 | $7,337 | $0 | $406,007 | $0 | $0 | $0 |
| PAUL ROUND | ||||||||||||||
| ASSO. MEDICAL DIRECTOR | $310,779 | $0 | $1,000 | $0 | $0 | $0 | $6,346 | $0 | $2,680 | $0 | $320,805 | $0 | $0 | $0 |
| PHILIP LE | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $299,503 | $0 | $1,000 | $0 | $0 | $0 | $12,575 | $0 | $7,338 | $0 | $320,416 | $0 | $0 | $0 |
| HAROLD GLEN SAN AGUSTIN | ||||||||||||||
| ASSO. MEDICAL DIRECTOR-HIV | $270,860 | $0 | $1,000 | $0 | $0 | $0 | $11,964 | $0 | $6,826 | $0 | $290,650 | $0 | $0 | $0 |
| LINDA AROUS | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $270,713 | $0 | $1,000 | $0 | $0 | $0 | $11,819 | $0 | $6,826 | $0 | $290,358 | $0 | $0 | $0 |
| ROBILA ASHFAQ | ||||||||||||||
| PHYSICIAN SPECIALIST | $263,812 | $0 | $1,000 | $0 | $0 | $0 | $11,203 | $0 | $6,826 | $0 | $282,841 | $0 | $0 | $0 |
| JEANNE LAM | ||||||||||||||
| CFO | $267,259 | $0 | $1,000 | $0 | $0 | $0 | $10,455 | $0 | $2,619 | $0 | $281,333 | $0 | $0 | $0 |
| LUCIEN ALEXANDRE | ||||||||||||||
| PHYSICIAN SPECIALIST | $262,354 | $0 | $1,000 | $0 | $0 | $0 | $8,918 | $0 | $6,701 | $0 | $278,973 | $0 | $0 | $0 |
| ANA ORTIZ | ||||||||||||||
| CHIEF DENTAL OFFICER | $248,052 | $0 | $1,000 | $0 | $0 | $0 | $10,416 | $0 | $7,009 | $0 | $266,477 | $0 | $0 | $0 |
| PAWEL KASZUBOWSKI | ||||||||||||||
| PHYSICIAN SPECIALIST | $253,762 | $0 | $1,000 | $0 | $0 | $0 | $8,183 | $0 | $1,470 | $0 | $264,415 | $0 | $0 | $0 |
| JUHI AMREEN UDDIN | ||||||||||||||
| PHYSICIAN SPECIALIST PED | $255,006 | $0 | $1,000 | $0 | $0 | $0 | $6,350 | $0 | $643 | $0 | $262,999 | $0 | $0 | $0 |
| BENJAMIN MONROE | ||||||||||||||
| MEDICAL DIRECTOR/OB/GYN | $239,405 | $0 | $1,000 | $0 | $0 | $0 | $8,284 | $0 | $6,802 | $0 | $255,491 | $0 | $0 | $0 |
| BRENDA L VELASQUEZ | ||||||||||||||
| CHIEF OPERATING OFFICER | $234,344 | $0 | $1,000 | $0 | $0 | $0 | $9,673 | $0 | $7,154 | $0 | $252,171 | $0 | $0 | $0 |
| ANDY IRIE | ||||||||||||||
| CHIEF ADMINISTRATIVE OFFICER | $214,743 | $0 | $1,000 | $0 | $3,000 | $0 | $8,742 | $0 | $6,826 | $0 | $234,311 | $0 | $0 | $0 |
| TIEN DANG | ||||||||||||||
| CIO | $214,937 | $0 | $1,000 | $0 | $0 | $0 | $9,165 | $0 | $6,826 | $0 | $231,928 | $0 | $0 | $0 |
| KIM TRAN | ||||||||||||||
| DIRECTOR OF QUALITY ASSURANCE | $208,474 | $0 | $1,000 | $0 | $4,800 | $0 | $8,472 | $0 | $6,742 | $0 | $229,488 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Real Estate Commercial RealEstateCommercialGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,590,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | SALE OF COMPARABLE PROP. | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS REPORTING IN PART I, COLUMN (B), THE NUMBER OF CONTRIBUTIONS RECEIVED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 AND ITS ATTACHMENTS ARE REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE EXTENT OF THE REVIEW INCLUDES A LINE-BY-LINE REVIEW OF THE FORM 990. THE REVIEW IS BASED ON GUIDANCE PROVIDED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. THE FINAL FORM 990 IS THEN PRESENTED TO THE FULL BOARD OF DIRECTORS FOR FINAL REVIEW PRIOR TO SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, AND EXECUTIVE MANAGEMENT OF THE ORGANIZATION ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. EACH BOARD MEMBER AND MEMBER OF THE EXECUTIVE MANAGEMENT STAFF SIGNS AN ANNUAL CONFLICT OF INTEREST STATEMENT. A CONFLICT OF INTEREST POLICY WAS REVIEWED AND HAS BEEN APPROVED BY THE BOARD OF DIRECTORS, AND IS IMPLEMENTED AT THE BOARD MANAGEMENT LEVEL. TRAINING ON THE POLICY WAS ALSO CONDUCTED. DETERMINATIONS OF POTENTIAL CONFLICT OF INTEREST ARE MADE AT THE BOARD LEVEL AND AT THE EXECUTIVE STAFF LEVEL. IF A POTENTIAL CONFLICT IS IDENTIFIED, AGENCY POLICY DICTATES THAT THE SUBJECT INDIVIDUAL SHALL REMOVE THEMSELVES FROM DISCUSSIONS REGARDING THE MATTER AT HAND. ALL CONFLICTS WILL BE DOCUMENTED IN MINUTES OF THE GOVERNING BOARD. ANNUALLY, THE JWCH CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD OF DIRECTORS AS PART OF THE ANNUAL REVIEW OF POLICIES AND PROCEDURES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE JWCH BOARD OF DIRECTORS SETS-UP A COMPENSATION COMMITTEE TO EVALUATE THE CEO'S SALARY BASED ON THE FOLLOWING: AN EXTENSIVE ANNUAL PERFORMANCE REVIEW IS UNDERTAKEN BY THE BOARD OF DIRECTORS VIA THIS COMMITTEE, WITH INPUT BY THE WHOLE BOARD. SHOULD A SALARY INCREASE BE WARRANTED, THE PERFORMANCE EVALUATION IS USED TOGETHER WITH SALARY COMPARISONS OF OTHER COMMUNITY HEALTH CENTERS PROVIDED BY THE CALIFORNIA PRIMARY CARE ASSOCIATION AND THE LOCAL COMMUNITY CLINIC ACCOSIATION TO REVIEW COMPARATIVE COMPENSATION LEVELS. A DETERMINATION IS THEN MADE BASED ON BOTH AND BROUGHT TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO IMPLEMENTATION OF ANY SALARY CHANGES. THE BOARD OF DIRECTORS ONLY SETS THE SALARY FOR THE CEO. THE BOARD OF DIRECTORS REVIEW AND APPROVE A SALARY COMPENSATION GRADE SCHEDULE FOR ALL OTHER AGENCY STAFF, INCLUDING THE CFO. THIS COMPENSATION GRADE SCHEDULE IS PERIODICALLY REVIEWED BY THE BOARD OF DIRECTORS SO THAT SALARIES OF AGENCY STAFF IS CONSISTENT WITH INDUSTRY STANDARDS. THE SETTING OF SALARIES FOR STAFF OTHER THAN THE CEO IS DELEGATED TO THE CEO AND HIS DESIGNEES TOGETHER WITH HUMAN RESOURCES ACCORDING TO THE AFOREMENTIONED SALARY SCHEDULE. THE DELIBERATION AND DECISION ON EACH OF THE COMPENSATION PACKAGES WAS PROPERLY SUBSTANTIATED. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 8,497,842. MANAGEMENT AND GENERAL EXPENSES 724,299. FUNDRAISING EXPENSES 70,938. TOTAL EXPENSES 9,293,079. TRANSPORTATION: PROGRAM SERVICE EXPENSES 301,381. MANAGEMENT AND GENERAL EXPENSES 25,688. FUNDRAISING EXPENSES 2,516. TOTAL EXPENSES 329,585. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 288,924. MANAGEMENT AND GENERAL EXPENSES 24,626. FUNDRAISING EXPENSES 2,412. TOTAL EXPENSES 315,962. OUTSIDE SERVICES SECURITY: PROGRAM SERVICE EXPENSES 507,519. MANAGEMENT AND GENERAL EXPENSES 43,257. FUNDRAISING EXPENSES 4,237. TOTAL EXPENSES 555,013. OUTSIDE SERVICES TRANSLATION: PROGRAM SERVICE EXPENSES 105,286. MANAGEMENT AND GENERAL EXPENSES 8,974. FUNDRAISING EXPENSES 879. TOTAL EXPENSES 115,139. SUBCONTRACTORS: PROGRAM SERVICE EXPENSES 849,378. MANAGEMENT AND GENERAL EXPENSES 72,395. FUNDRAISING EXPENSES 7,090. TOTAL EXPENSES 928,863. OTHER PROFESSIONAL SERVICE: PROGRAM SERVICE EXPENSES 1,171,332. MANAGEMENT AND GENERAL EXPENSES 99,836. FUNDRAISING EXPENSES 9,778. TOTAL EXPENSES 1,280,946. |
| FORM 990, PART IX, LINE 24E | RECRUITMENT: PROGRAM SERVICE EXPENSES 356,471. MANAGEMENT AND GENERAL EXPENSES 335,337. FUNDRAISING EXPENSES 316. TOTAL EXPENSES 692,124. SMALL TOOLS AND SUPPLIES: PROGRAM SERVICE EXPENSES 565,399. MANAGEMENT AND GENERAL EXPENSES 49,458. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 614,857. PROPERTY & SALES TAX: PROGRAM SERVICE EXPENSES 220,336. MANAGEMENT AND GENERAL EXPENSES 145,714. FUNDRAISING EXPENSES 1,438. TOTAL EXPENSES 367,488. LAUNDRY: PROGRAM SERVICE EXPENSES 188,826. MANAGEMENT AND GENERAL EXPENSES 130,144. FUNDRAISING EXPENSES 122. TOTAL EXPENSES 319,092. MEMBERSHIPS & SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 40,803. MANAGEMENT AND GENERAL EXPENSES 85,771. FUNDRAISING EXPENSES 49. TOTAL EXPENSES 126,623. UNIFORMS: PROGRAM SERVICE EXPENSES 62,901. MANAGEMENT AND GENERAL EXPENSES 43,353. FUNDRAISING EXPENSES 41. TOTAL EXPENSES 106,295. PROGRAM EXPENSES: PROGRAM SERVICE EXPENSES 83,642. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 32. TOTAL EXPENSES 83,674. EMPLOYEE ACKNOWLEDGEMENTS: PROGRAM SERVICE EXPENSES 35,316. MANAGEMENT AND GENERAL EXPENSES 24,341. FUNDRAISING EXPENSES 23. TOTAL EXPENSES 59,680. OTHER EXPENSES: PROGRAM SERVICE EXPENSES 14,128. MANAGEMENT AND GENERAL EXPENSES 9,737. FUNDRAISING EXPENSES 9. TOTAL EXPENSES 23,874. |
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