HEALTH QUALITY PARTNERS OF SOUTHERN CALIFORNIA: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH QUALITY PARTNERS OF SOUTHERN CALIFORNIA (EIN 33-0759107)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2020-12-18
- IRS object ID
- 202013539349300706
- Schema version
- 2019v5.1
- 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 | 2020-12-18T08:53:58-06:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330759107 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY CLINICS HEALTH NETWORK | BusinessNameLine1Txt |
| Business Name Line2 | DBA HEALTH QUALITY PARTNERS | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 6195424300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3710 RUFFIN ROAD | AddressLine1Txt |
| City | SAN DIEGO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92123 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HENRY N TUTTLE | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6195424300 | PhoneNum |
| Signature | 2020-12-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2020-12-16 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | HENRY N TUTTLE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3710 RUFFIN ROAD | AddressLine1Txt |
| City | SAN DIEGO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92123 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,388,025 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HQPSOCAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | HQP AIMS TO IMPROVE HEALTH OUTCOMES AMONG THE SAFETY NET POPULATION BY IMPLEMENTING PROGRESSIVE AND COLLABORATIVE PROGRAMS FOR COMMUNITY HEALTH CENTERS AND OTHER SAFETY NET PARTNERS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 5 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,083,869 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,039,409 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $334,434 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $346,322 | CYProgramServiceRevenueAmt |
| PY Investment Income | $400 | PYInvestmentIncomeAmt |
| CY Investment Income | $620 | CYInvestmentIncomeAmt |
| PY Other Revenue | $700 | PYOtherRevenueAmt |
| CY Other Revenue | $1,674 | CYOtherRevenueAmt |
| PY Total Revenue | $5,419,403 | PYTotalRevenueAmt |
| CY Total Revenue | $6,388,025 | 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 | $1,631,125 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,721,159 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,720,821 | PYOtherExpensesAmt |
| CY Other Expenses | $4,277,421 | CYOtherExpensesAmt |
| PY Total Expenses | $5,351,946 | PYTotalExpensesAmt |
| CY Total Expenses | $5,998,580 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $67,457 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $389,445 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,176,359 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,246,444 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,189,325 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $869,965 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$12,966 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $376,479 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | COMMUNITY CLINICS HEALTH NETWORK DBA HEALTH QUALITY PARTNERS OF SOUTHERN CALIFORNIA ("HQP") WAS FOUNDED IN 1993 AND INCORPORATED IN 1997 AS A 501(C)(3) NONPROFIT PUBLIC BENEFIT CORPORATION.HQP IMPLEMENTS PROGRESSIVE, COLLABORATIVE PROGRAMS WITH HEALTH CENTERS AND OTHER SAFETY-NET PARTNERS, RESULTING IN IMPROVED ACCESS TO CARE, QUALITY HEALTH OUTCOMES AND OPERATIONAL EFFICIENCIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,762,816 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | IN FISCAL YEAR 2019-2020, OHI PROVIDERS SCREENED 12,877 CHILDREN AND 1,960 PREGNANT WOMEN FOR ORAL HEALTH NEEDS AND PERFORMED DENTAL EXAMS FOR 12,792 CHILDREN AND 1,582 PREGNANT WOMEN. A TOTAL OF 11,019 CHILDREN AND 1,784 PREGNANT WOMEN RECEIVED TREATMENT FOR IDENTIFIED ORAL HEALTH NEEDS, INCLUDING THOSE CONSIDERED TO BE AT HIGH-RISK FOR DENTAL DISEASE ADDITIONALLY, ORAL HEALTH EDUCATION WAS PROVIDED IN A CLINIC OR COMMUNITY SETTING TO A TOTAL OF 4,726 PREGNANT WOMEN AND PARENTS OF CHILDREN AGES ZERO THROUGH FIVE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $855,882 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | IN FISCAL YEAR 2019-2020, THE BEHAVIORAL HEALTH AND PRIMARY CARE INTEGRATION PROJECT SERVED MORE PEOPLE (888) THAN IN ANY PREVIOUS YEAR OTHER THAN FY 18-19, SUBSTANTIATING ITS ONGOING IMPORTANCE TO THE COMMUNITY. THE PROGRAM ALSO HOSTED THE 10TH ANNUAL INTEGRATION SUMMIT WHICH WAS ATTENDED BY LEADERSHIP AND CLINICIANS FROM THE PRIMARY CARE, MENTAL HEALTH AND SUD TREATMENT SYSTEMS OF CARE AND WAS RATED EXCELLENT OR GOOD BY 97% OF THOSE ATTENDEES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $819,990 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | THE SOCAL OPTIMIZATION OF SBIRT (SOS) PROJECT, WHICH BEGAN IN NOVEMBER 2018 AND RUNS FOR FIVE YEARS, UNIFORMLY OPTIMIZES AND STANDARDIZES SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) SERVICES AT FQHCS IN SAN DIEGO, RIVERSIDE AND IMPERIAL COUNTIES TO PREVENT AND REDUCE ALCOHOL AND OTHER SUBSTANCE MISUSE AMONG ADOLESCENTS (AGES 12-17) AND ADULTS (AGES 18+) IN PRIMARY CARE AND COMMUNITY HEALTH SETTINGS. THIS PROJECT IS FUNDED BY THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,175,683 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $346,322 | RevenueAmt |
| Desc | HQP HAS MANY OTHER PROGRAMS INCLUDING ADMINISTERING FUNDS SO OUR HEALTH CENTERS CAN HIRE NAVIGATORS TO ENROLL PATIENTS IN MEDICAID AND COVERED CALIFORNIA FUNDED BY CMS AND COVERED CALIFORNIA. HEALTH CENTER CONTROLLED NETWORK FUNDING FROM HRSA IS USED FOR THE FOLLOWING CORE AREAS: ENHANCE THE PATIENT AND PROVIDER EXPERIENCES, ADVANCE INTEROPERABILITY, AND USE DATA TO ENHANCE VALUE. OTHER PROGRAMS INCLUDE CHRONIC PAIN MANAGEMENT, MANAGED CARE CONTRACTING AND ANSWERING/CALL CENTER SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,175,683 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $346,322 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $5,614,371 | 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 | 0 | 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 | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | 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 | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| 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 | 0 | QuidProQuoContributionsInd |
| 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 | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | 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 | 0 | 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 | FRANK WHELAN CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6195424300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3710 RUFFIN ROAD | AddressLine1Txt |
| City | SAN DIEGO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92123 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| SPARKLE BARNES | ||||||||
| EVP, CHIEF STRATEGY OFFICE | 2.00 | 38.00 | Yes (X) | $0 | $273,487 | $8,306 | ||
| TRACY GARMER | ||||||||
| COO | 3.00 | 37.00 | Yes (X) | $0 | $232,472 | $17,008 | ||
| TIMOTHY FRASER | ||||||||
| VP, GOVERNMENTAL AFFAIRS | 0.00 | 40.00 | Yes (X) | $0 | $192,396 | $10,731 | ||
| RASAUN ROBINSON | ||||||||
| VICE PRESIDENT OF SALES | 0.00 | 40.00 | Yes (X) | $0 | $177,435 | $12,281 | ||
| NICOLE HOWARD | ||||||||
| EVP, CHIEF ADVANCEMENT OFFICER | 0.00 | 40.00 | Yes (X) | $0 | $175,837 | $12,986 | ||
| HENRY N TUTTLE | ||||||||
| CEO | 6.00 | 34.00 | $0 | $365,130 | $23,244 | Yes (X) | ||
| FRANK WHELAN | ||||||||
| CFO | 4.00 | 36.00 | $0 | $213,471 | $12,144 | Yes (X) | ||
| RAKESH PATEL | ||||||||
| HCP BOD PRESIDENT | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| ROBERTA FEINBERG | ||||||||
| VICE PRESIDENT | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| CONNIE KIRK | ||||||||
| TREASURER | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| LORI HOLEMAN | ||||||||
| SECRETARY | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| JUDITH SHAPLIN | ||||||||
| DIRECTOR | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,630,228 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $96,700 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| RYAN WATKINS DDS | |||||
| 3039 KEFFERSPM STREET STE A | CARLSBAD | CA | 92008 | DENTAL SPECIALTY SERVICES | $135,400 |
| US TELECOM SERVICES INC | |||||
| PO BOX 30102 | SALT LAKE CITY | UT | 84130 | TELEPHONE ANSWERING SERVICES | $120,031 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $570,716 | RelatedOrganizationsAmt |
| Government Grants | $5,463,693 | GovernmentGrantsAmt |
| All Other Contributions | $5,000 | AllOtherContributionsAmt |
| Total Contributions | $6,039,409 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| ANSWERING/CALL CENTER | 561000 | $178,552 | $178,552 |
| MANAGED CARE CONTRACTI | 561000 | $156,100 | $156,100 |
| CONSULTING | 561000 | $9,600 | $9,600 |
| TRAINING | 561000 | $2,070 | $2,070 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $346,322 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $620 | TotalRevenueColumnAmt |
| Exclusion | $620 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,674 | TotalRevenueColumnAmt |
| Exclusion | $1,674 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,674 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,388,025 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $346,322 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,294 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,503 | TotalAmt |
| Management And General | $26,503 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,474,776 | TotalAmt |
| Program Services | $1,285,451 | ProgramServicesAmt |
| Management And General | $189,325 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,915 | TotalAmt |
| Program Services | $32,528 | ProgramServicesAmt |
| Management And General | $4,387 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,694 | TotalAmt |
| Program Services | $68,824 | ProgramServicesAmt |
| Management And General | $9,870 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,271 | TotalAmt |
| Program Services | $90,403 | ProgramServicesAmt |
| Management And General | $13,868 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,291 | TotalAmt |
| Program Services | $3,315 | ProgramServicesAmt |
| Management And General | $18,976 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,352 | TotalAmt |
| Management And General | $20,352 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,324,841 | TotalAmt |
| Program Services | $3,316,811 | ProgramServicesAmt |
| Management And General | $8,030 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,886 | TotalAmt |
| Program Services | $21,181 | ProgramServicesAmt |
| Management And General | $3,705 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,159 | TotalAmt |
| Program Services | $150,580 | ProgramServicesAmt |
| Management And General | $8,579 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,480 | TotalAmt |
| Program Services | $85,645 | ProgramServicesAmt |
| Management And General | $49,835 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,499 | TotalAmt |
| Program Services | $9,359 | ProgramServicesAmt |
| Management And General | $140 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,884 | TotalAmt |
| Program Services | $7,539 | ProgramServicesAmt |
| Management And General | $1,345 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,312 | TotalAmt |
| Program Services | $19,517 | ProgramServicesAmt |
| Management And General | $19,795 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| TREATMENT POOLS | $472,146 | $472,146 | |
| CLINIC TRAINING | $32,736 | $32,736 | |
| STAFF DEVELOPMENT & TRA | $16,933 | $9,866 | $7,067 |
| EQUIPMENT RENTAL | $6,414 | $5,593 | $821 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,488 | TotalAmt |
| Program Services | $2,877 | ProgramServicesAmt |
| Management And General | $1,611 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,998,580 | TotalAmt |
| Program Services | $5,614,371 | ProgramServicesAmt |
| Management And General | $384,209 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,727 | BOYAmt |
| EOY | $368,448 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $933,106 | BOYAmt |
| EOY | $816,425 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,683 | BOYAmt |
| EOY | $48,136 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,843 | BOYAmt |
| EOY | $12,997 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $438 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,176,359 | BOYAmt |
| EOY | $1,246,444 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $600,869 | BOYAmt |
| EOY | $631,146 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $588,456 | BOYAmt |
| EOY | $238,819 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,189,325 | BOYAmt |
| EOY | $869,965 | 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 | -$12,966 | BOYAmt |
| EOY | $376,479 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$12,966 | BOYAmt |
| EOY | $376,479 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,176,359 | BOYAmt |
| EOY | $1,246,444 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $389,445 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,631,481 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,157,854 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,373,743 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,083,869 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,039,409 | CurrentTaxYearAmt |
| Total | $27,286,356 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,122,003 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $375,763 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $298,800 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $334,434 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $346,322 | CurrentTaxYearAmt |
| Total | $2,477,322 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $2,556 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $756 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $700 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,674 | CurrentTaxYearAmt |
| Total | $5,686 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,753,484 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,536,173 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,673,299 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,419,003 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,387,405 | CurrentTaxYearAmt |
| Total | $29,769,364 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $29,769,364 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $400 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $620 | CurrentTaxYearAmt |
| Total | $1,020 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $400 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $620 | CurrentTaxYearAmt |
| Total | $1,020 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $575 | CurrentTaxYearMinus4YearsAmt |
| Total | $575 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,754,059 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,536,173 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,673,299 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,419,403 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,388,025 | CurrentTaxYearAmt |
| Total | $29,770,959 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99990 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RELATED PARTY PAYABLE | Desc |
| Amt | $238,819 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $238,819 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | COMMUNITY CLINICS HEALTH NETWORK IS A PUBLIC CHARITY AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE. COMMUNITY CLINICS HEALTH NETWORK BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE RETURNS OF ORGANIZATION EXEMPT FROM INCOME TAX, THE LIMITED LIABILITY COMPANY AND CORPORATION TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2020, 2019, 2018, 2017, AND 2016 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND STATE TAXING AUTHORITIES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SPARKLE BARNES | ||||||||||||||
| EVP, CHIEF STRATEGY OFFICE | $0 | $247,277 | $0 | $26,210 | $0 | $0 | $0 | $8,092 | $0 | $214 | $0 | $281,793 | $0 | $0 |
| TRACY GARMER | ||||||||||||||
| COO | $0 | $210,606 | $0 | $21,866 | $0 | $0 | $0 | $7,057 | $0 | $9,951 | $0 | $249,480 | $0 | $0 |
| TIMOTHY FRASER | ||||||||||||||
| VP, GOVERNMENTAL AFFAIRS | $0 | $174,288 | $0 | $18,108 | $0 | $0 | $0 | $6,420 | $0 | $4,311 | $0 | $203,127 | $0 | $0 |
| RASAUN ROBINSON | ||||||||||||||
| VICE PRESIDENT OF SALES | $0 | $147,088 | $0 | $30,347 | $0 | $0 | $0 | $6,697 | $0 | $5,584 | $0 | $189,716 | $0 | $0 |
| NICOLE HOWARD | ||||||||||||||
| EVP, CHIEF ADVANCEMENT OFFICER | $0 | $161,269 | $0 | $14,568 | $0 | $0 | $0 | $3,431 | $0 | $9,555 | $0 | $188,823 | $0 | $0 |
| HENRY N TUTTLE | ||||||||||||||
| CEO | $0 | $337,562 | $0 | $27,568 | $0 | $0 | $0 | $8,810 | $0 | $14,434 | $0 | $388,374 | $0 | $0 |
| FRANK WHELAN | ||||||||||||||
| CFO | $0 | $186,689 | $0 | $26,782 | $0 | $0 | $0 | $6,346 | $0 | $5,798 | $0 | $225,615 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PRESENTED TO THE AUDIT COMMITTEE AS WELL AS THE CEO AND CFO OF THE ORGANIZATION. AT THAT TIME, THE CEO AND CFO WILL REVIEW THE FORM 990 WITH THE AUDIT COMMITTEE. ANY NECESSARY CHANGES WILL THEN BE UPDATED ON THE FORM. AFTER FINAL APPROVAL BY THE AUDIT COMMITTEE, CEO AND CFO, IT IS PRESENTED TO THE BOARD FOR APPROVAL. ONCE APPROVED THE FORM IS SIGNED, DATED AND SUBMITTED BY THE FILING DATE. |
| FORM 990, PART VI, SECTION B, LINE 12C | ON AN ANNUAL BASIS, THE HEALTH CENTER PARTNERS AND ITS SUBSIDIARIES SHALL BE RESPONSIBLE FOR OBTAINING A SIGNED CONFLICT OF INTEREST FORM FROM EACH STAFF MEMBER. SIGNED FORMS SHALL BE RETAINED BY THE HEALTH CENTER PARTNERS. STAFF MEMBERS WHO DISCLOSE CONFLICTS, EITHER NOW OR FOR THOSE ARISING LATER DURING THE YEAR, MUST NOT PARTICIPATE IN DISCUSSIONS OR VOTES RELATING TO THE AREA OF THE CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15A | HEALTH QUALITY PARTNERS DOES NOT FILE W-2'S. ALL WAGES ARE PAID BY ITS PARENT COMPANY HEALTH CENTER PARTNERS (HCP). THE HCP BOARD OF DIRECTORS OR THE HCP PERSONNEL COMMITTEE WILL REVIEW AND APPROVE COMPENSATION, PROVIDED THAT PERSONS WITH CONFLICTS OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED IN THIS REVIEW AND APPROVAL. COMPENSATION WILL BE REVIEWED AND APPROVED USING DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS, WHEN THIS INFORMATION IS AVAILABLE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FORMS 990 AND 1023 ARE AVAILABLE UPON REQUEST IN COMPLIANCE WITH REGULATIONS SECTIONS 301.6104(D). OUR APPLICATION FOR RECOGNITION OF EXEMPTION AND OUR ANNUAL INFORMATION RETURNS ARE AVAILABLE FOR PUBLIC INSPECTION WITHOUT CHARGE AT OUR OFFICES DURING REGULAR BUSINESS HOURS. EACH ANNUAL INFORMATION RETURN IS AVAILABLE FOR A PERIOD OF 3 YEARS BEGINNING ON THE DATE THE RETURN IS REQUIRED TO BE FILED OR IS ACTUALLY FILED, WHICHEVER IS LATER. AND WE WILL PROVIDE A COPY WITHOUT CHARGE, OTHER THAN A REASONABLE FEE FOR REPRODUCTION AND ACTUAL POSTAGE COSTS, OF ALL OR ANY PART OF ANY APPLICATION OR RETURN REQUIRED TO BE MADE AVAILABLE FOR PUBLIC INSPECTION TO ANY INDIVIDUAL WHO MAKES A REQUEST FOR SUCH COPY IN PERSON OR IN WRITING. |
| FORM 990, PART IX, LINE 11G | CONSULTING FEES: PROGRAM SERVICE EXPENSES 156,652. MANAGEMENT AND GENERAL EXPENSES 8,030. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 164,682. SUBCONTRACTORS: PROGRAM SERVICE EXPENSES 3,160,159. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,160,159. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COUNCIL OF COMMUNITY CLINICS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3710 RUFFIN ROAD | AddressLine1Txt |
| City | SAN DIEGO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92123 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953008850 | EIN |
| Primary Activities | SUPPORT COMMUNITY HEALTH CLINICS AND CENTERS | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 10 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COUNCIL OF COMMUNITY CLINICS SERVICES CORPORATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3710 RUFFIN ROAD | AddressLine1Txt |
| City | SAN DIEGO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92123 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330566238 | EIN |
| Primary Activities | GROUP PURCHASING | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COUNCIL OF COMMUNITY CLINICS | ||
| O | $1,721,159 | COST |
| COUNCIL OF COMMUNITY CLINICS | ||
| C | $570,716 | COST |
Comments