SAMARITAN HOUSE: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
SAMARITAN HOUSE (EIN 23-7416272)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-05-20
IRS object ID
202011419349300911
Schema version
2018v3.1
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

FieldValueIRS element (for citing)
Return2020-05-20T09:18:55-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN941254756PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HOOD & STRONG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1275 BATTERY ST STE 900AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94111ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237416272EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAMARITAN HOUSEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSAMABusinessNameControlTxt
Phone6503414081PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14031 PACIFIC BLVDAddressLine1Txt
CitySAN MATEOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94403ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOLIE BOUPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone6503414081PhoneNum
Signature2020-05-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMAGA E KISRIEVPreparerPersonNm
PTINP01008919PTIN
Phone4157810793PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.201.128.66IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-12IPDt
IP Tm18:10:10IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id324EE495E5EA55ACDB618541587E7D69582FAC64AtSubmissionCreationDeviceId
At Submission Filing Device Id0FD9DDE82EC6D4B8065AB7615AF10F25757ED51FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBART A CHARLOWPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14031 PACIFIC BLVDAddressLine1Txt
CitySAN MATEOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94403ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$14,263,502GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SAMARITANHOUSESANMATEO.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1974FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE SUPPORTIVE SERVICES FOR ALL MEMBERS OF OUR COMMUNITY IN NEED.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent22VotingMembersIndependentCnt
Total Employee98TotalEmployeeCnt
Total Volunteers2000TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,865,656PYContributionsGrantsAmt
CY Contributions Grants$13,195,527CYContributionsGrantsAmt
PY Program Service Revenue$73,490PYProgramServiceRevenueAmt
CY Program Service Revenue$80,812CYProgramServiceRevenueAmt
PY Investment Income$189,686PYInvestmentIncomeAmt
CY Investment Income$178,187CYInvestmentIncomeAmt
PY Other Revenue$837,376PYOtherRevenueAmt
CY Other Revenue$633,130CYOtherRevenueAmt
PY Total Revenue$11,966,208PYTotalRevenueAmt
CY Total Revenue$14,087,656CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,948,534PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,539,915CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,089,072CYTotalFundraisingExpenseAmt
PY Other Expenses$6,074,730PYOtherExpensesAmt
CY Other Expenses$6,967,352CYOtherExpensesAmt
PY Total Expenses$11,023,264PYTotalExpensesAmt
CY Total Expenses$12,507,267CYTotalExpensesAmt
PY Revenues Less Expenses$942,944PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,580,389CYRevenuesLessExpensesAmt
Total Assets BOY$15,629,868TotalAssetsBOYAmt
Total Assets EOY$17,734,140TotalAssetsEOYAmt
Total Liabilities BOY$1,184,081TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,583,237TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,445,787NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,150,903NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE MOBILIZE THE RESOURCES OF OUR COMMUNITY TO HELP THOSE AMONG US WHO ARE IN NEED. OUR DEDICATED PROFESSIONAL STAFF AND VOLUNTEERS WORK TOGETHER TO PROVIDE FOOD, ACCESS TO SHELTER, HOUSING AND EMERGENCY ASSISTANCE, HEALTHCARE, AND A BROAD RANGE OF SUPPORTIVE SERVICES. WE PRESERVE DIGNITY, PROMOTE SELF-SUFFICIENCY, AND PROVIDE HOPE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,279,100ExpenseAmt
Grant$0GrantAmt
Revenue$33,210RevenueAmt
DescCLIENT AND FOOD SERVICES: CLIENT ASSISTANCE PROGRAMS PROVIDE A BROAD RANGE OF SERVICES INCLUDING CASE MANAGEMENT, FOOD SERVICES, TRANSPORTATION, FINANCIAL EMPOWERMENT SERVICES, TAX PREPARATION, CHILDREN AND TEEN CLOTHING, BENEFITS ASSISTANCE, INFORMATION AND REFERRALS. THIS PROGRAM PROVIDED CASE MANAGEMENT SERVICES TO 3,352 HOUSEHOLDS. WE FILED TAX RETURNS FOR 225 FAMILIES, RESULTING IN EARNED INCOME TAX CREDITS (EITC) TOTALING $90,064 AS WELL AS CHILD TAX CREDITS (CTC) AND ADDITIONAL CHILD TAX CREDITS (ACTC) TOTALING OF $133,763. OUR HIGH-QUALITY ESSENTIAL FOOD SERVICES INCLUDE 198,377 FRESHLY PREPARED HOT MEALS AND MORE THAN 62,000 BAGS OF GROCERIES WHICH EQUATES TO 1,375,622 MEALS ANNUALLY FOR PEOPLE IN NEED. SAMARITAN HOUSE SERVED OVER 4,200 COMMUNITY MEMBERS, INCLUDING 3,592 CHILDREN AND YOUTH, DURING THE 2018 HOLIDAY PROGRAM. THE KIDS CLOSET DISTRIBUTED 54,206 ITEMS OF NEW AND SLIGHTLY USED CLOTHING TO KIDS AND TEENS. MORE THAN 2,100 NEW BACKPACKS FILLED WITH GRADE-APPROPRIATE SUPPLIES WERE DISTRIBUTED TO FAMILIES TO MAKE SURE THAT KIDS ARE PREPARED FOR SCHOOL. IN ADDITION TO EXPENDITURES LISTED HERE, SAMARITAN HOUSE ALSO SERVES AS THE FISCAL SPONSOR FOR THE SEASON OF SHARING FUND, WHICH DISTRIBUTED MORE THAN $772,283 TO 257 FAMILIES IN EMERGENCY FINANCIAL ASSISTANCE FUNDS TO LOW-INCOME FAMILIES ON BEHALF OF SEVEN NONPROFIT ORGANIZATIONS SERVING UNDUPLICATED REGIONS IN SAN MATEO COUNTY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,264,954ExpenseAmt
Grant$0GrantAmt
Revenue$54,406RevenueAmt
DescFREE MEDICAL AND DENTAL CLINICS: FREE MEDICAL AND DENTAL CLINICS IN SAN MATEO AND REDWOOD CITY PROVIDE MORE THAN 8,955 PATIENT VISITS DURING THE YEAR TO UNINSURED LOW-INCOME INDIVIDUALS. THE TWO CLINICS RELY ON AN INNOVATIVE VOLUNTEER-BASED MODEL OF SERVICE THAT USES VOLUNTEER MEDICAL PROFESSIONALS, INCLUDING PHYSICIANS, NURSES, DENTISTS, NURSE PRACTIONERS, INTERPRETERS, AND OTHER CLINICAL AND ADMINISTRATIVE VOLUNTEERS TO OPERATE THE CLINIC. VOLUNTEERS CONTRIBUTED 9,237 VOLUNTEER HOURS DURING THE YEAR. IN OUR FOOD PHARMACIES AT EACH FREE CLINIC, PHYSICIANS WRITE FOOD PRESCRIPTIONS FOR LOW-INCOME, UNINSURED PATIENTS WITH DIABETES. PATIENTS CAN THEN FILL THEIR PRESCRIPTIONS WEEKLY, BY PICKING UP THE HEALTHY FOOD FOR THEIR WHOLE FAMILY RIGHT AT THE CLINIC WHERE THEY RECEIVE THEIR MEDICAL CARE. THROUGH OUR FOOD PHARMACIES, WE DISTRIBUTED OVER 6,800 BAGS OF FOOD TO MORE THAN 330 HOUSEHOLDS (903 INDIVIDUALS).Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,370,035ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescSAFE HARBOR SHELTER:SAFE HARBOR IS A 90-BED HOMELESS SHELTER PROVIDING EMERGENCY/TRANSITIONAL HOUSING AND SUPPORTIVE SERVICES FOR HOMELESS MEN AND WOMEN. SUPPORTIVE SERVICES INCLUDE: CASE MANAGEMENT, ACCESS TO COMMUNITY SERVICES, EMPLOYMENT AND FINANCIAL COUNSELING, MENTAL HEALTH SERVICES, SUPPORT GROUPS, HEALTH SERVICES, TRANSPORTATION, HYGIENE SUPPLIES, FOOD, BENEFITS ASSISTANCE, HOUSING ASSISTANCE REFERRALS, INFORMATION, REFERRAL AND ACCESS TO OTHER RESOURCES AS NEEDED. A TOTAL OF 31,865 NIGHTS OF SHELTER WERE PROVIDED TO 488 UNDUPLICATED INDIVIDUALS DURING THE YEAR.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$2,529,713ExpenseAmt
Grant$0GrantAmt
Revenue$30,905RevenueAmt
DescHOMELESSNESS PREVENTION SERVICES: HOMELESSNESS PREVENTION SERVICES TARGET FAMILIES AT IMMINENT RISK OF BECOMING HOMELESS. THE PROGRAM PROVIDES RENTAL AND DEPOSIT ASSISTANCE, UTILITY ASSISTANCE, TRANSPORTATION AND OTHER CRITICAL FAMILY NEEDS IN ORDER FOR FAMILIES TO STABLIZE THEIR HOUSING SITUATION. A TOTAL OF 426 FAMILIES WERE PREVENTED FROM BECOMING HOMELESS BY RECEIVING EMERGENCY FINANCIAL ASSISTANCE.WORKER RESOURCE CENTER:PROVIDES A LOCATION FOR TEMPORARY LABORERS AND POTENTIAL EMPLOYERS TO MEET. WORKERS RECEIVE LANGUAGE TRAINING, REFERRALS AND OTHER SUPPORTIVE SERVICES. DURING THE FISCAL YEAR, THERE WERE MORE THAN 5,000 JOBS MATCHED. COORDINATED ENTRY SYSTEM:SAMARITAN HOUSE SERVES AS THE LEAD AGENCY OF THE NEWLY IMPLEMENTED COORDINATED ENTRY SYSTEM (CES) TO PREVENT HOMELESSNESS IN SAN MATEO COUNTY. CES PROVIDES A STANDARDIZED APPROACH TO THE COMPREHENSIVE ASSESSMENT OF THE HOUSING AND SERVICE NEEDS OF HOMELESS INDIVIDUALS AND FAMILIES AND REFERRAL OF SUCH PERSONS TO APPROPRIATE AVAILABLE RESOURCES THAT ARE NEEDED TO END THEIR HOMELESSNESS. DURING THE FISCAL YEAR, THE PROGRAM SERVED 1,837 HOUSEHOLDS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$2,529,713TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$30,905TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$10,443,802TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document351IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee98EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member22IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOLIE BOUBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6505230810PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14031 PACIFIC BLVDAddressLine1Txt
CitySAN MATEOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94403ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MIKE AYDELOTT
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
DAVINA HURT
VICE PRESIDENT2.00Yes (X)Yes (X)$0$0$0
SUSAN KETCHAM
TREASURER2.00Yes (X)Yes (X)$0$0$0
JUDITH POWELL PHD
SECRETARY2.00Yes (X)Yes (X)$0$0$0
BRIAN ARMENIO
BOARD MEMBER2.00Yes (X)$0$0$0
DUNCAN BEARDSLEY
BOARD MEMBER2.00Yes (X)$0$0$0
SOPHIE COLE MD
BOARD MEMBER2.00Yes (X)$0$0$0
LARRY P DUGONI
BOARD MEMBER2.00Yes (X)$0$0$0
BILL FREEMAN
BOARD MEMBER2.00Yes (X)$0$0$0
RONALD GRANVILLE
BOARD MEMBER2.00Yes (X)$0$0$0
PHILIP GREGORY
BOARD MEMBER2.00Yes (X)$0$0$0
MICHAEL JACKSON
BOARD MEMBER2.00Yes (X)$0$0$0
LAURIE MAY
BOARD MEMBER2.00Yes (X)$0$0$0
ALEXANDER MOLDANADO MD
BOARD MEMBER2.00Yes (X)$0$0$0
MARIA NADEL
BOARD MEMBER2.00Yes (X)$0$0$0
LANA PIERCE
BOARD MEMBER2.00Yes (X)$0$0$0
SUE RINGOEN
BOARD MEMBER2.00Yes (X)$0$0$0
CLIFF ROBBINS
BOARD MEMBER2.00Yes (X)$0$0$0
FAYE STAR
BOARD MEMBER2.00Yes (X)$0$0$0
JASON TING
BOARD MEMBER2.00Yes (X)$0$0$0
MASSY SAFAI MD
BOARD MEMBER2.00Yes (X)$0$0$0
RAVI SINHA
BOARD MEMBER2.00Yes (X)$0$0$0
BART A CHARLOW
CHIEF EXECUTIVE OFFICER40.00Yes (X)$192,548$0$15,817
JOLIE BOU
CHIEF FINANCIAL OFFICER40.00Yes (X)$133,453$0$908
JASON WONG
DIRECTOR OF CLINIC SERVICES40.00$188,188$0$9,334Yes (X)
LAURA BENT
CHIEF OPERATING OFFICER40.00$130,325$0$7,361Yes (X)
MARY DUNBAR
DIRECTOR OF DEVELOPMENT40.00$120,434$0$0Yes (X)
JACKIE MCGRATH
ADVANCE SERVICE PROVIDER40.00$106,511$0$14,029Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$871,459TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$47,449TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THREESPOT LLCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1806 7TH STREET NW 201AddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20001ZIPCd
FieldValueIRS element (for citing)
ServicesWEBSITE DESIGNServicesDesc
Compensation$140,140CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$5,177,469GovernmentGrantsAmt
All Other Contributions$8,018,058AllOtherContributionsAmt
Noncash Contributions$3,388,500NoncashContributionsAmt
Total Contributions$13,195,527TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
DENTAL & OPTOMETRY COPAY624200$47,602$47,602
CONTRACTED MEALS424200$33,210$33,210
FieldValueIRS element (for citing)
Total Program Service Revenue$80,812TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$145,221TotalRevenueColumnAmt
Exclusion$145,221ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$161,724RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$161,724RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$161,724TotalRevenueColumnAmt
Exclusion$161,724ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$68,530SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$35,564SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$32,966SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,966TotalRevenueColumnAmt
Exclusion$32,966ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$564,585FundraisingGrossIncomeAmt
Fundraising Direct Expenses$140,282FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$424,303TotalRevenueColumnAmt
Exclusion$424,303ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$9,394GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,394TotalRevenueColumnAmt
Exclusion$9,394ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
ADMINISTRATIVE FEES561000$30,905$30,905
OTHER REVENUE900099$6,804$6,804
FieldValueIRS element (for citing)
Other Revenue Total$37,709OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,087,656TotalRevenueColumnAmt
Related Or Exempt Func Income$111,717RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$780,412ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$570,282TotalAmt
Program Services$432,423ProgramServicesAmt
Management And General$74,587ManagementAndGeneralAmt
Fundraising$63,272FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,051,232TotalAmt
Program Services$3,042,139ProgramServicesAmt
Management And General$546,850ManagementAndGeneralAmt
Fundraising$462,243FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$68,483TotalAmt
Program Services$58,665ProgramServicesAmt
Management And General$5,110ManagementAndGeneralAmt
Fundraising$4,708FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$500,648TotalAmt
Program Services$428,877ProgramServicesAmt
Management And General$37,354ManagementAndGeneralAmt
Fundraising$34,417FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$349,270TotalAmt
Program Services$262,272ProgramServicesAmt
Management And General$47,146ManagementAndGeneralAmt
Fundraising$39,852FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$34,029TotalAmt
Management And General$34,029ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$55,150TotalAmt
Program Services$1,530ProgramServicesAmt
Management And General$53,620ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$51,512TotalAmt
Program Services$15,251ProgramServicesAmt
Management And General$1,988ManagementAndGeneralAmt
Fundraising$34,273FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$289,618TotalAmt
Program Services$189,913ProgramServicesAmt
Management And General$31,163ManagementAndGeneralAmt
Fundraising$68,542FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$401,527TotalAmt
Program Services$368,808ProgramServicesAmt
Management And General$21,325ManagementAndGeneralAmt
Fundraising$11,394FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$62,428TotalAmt
Program Services$43,156ProgramServicesAmt
Management And General$14,789ManagementAndGeneralAmt
Fundraising$4,483FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,589TotalAmt
Program Services$7,466ProgramServicesAmt
Management And General$1,123ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$267,405TotalAmt
Program Services$233,760ProgramServicesAmt
Management And General$19,067ManagementAndGeneralAmt
Fundraising$14,578FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$78,319TotalAmt
Program Services$59,732ProgramServicesAmt
Management And General$14,082ManagementAndGeneralAmt
Fundraising$4,505FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
IN-KIND FOOD/BUS PASSES$3,388,500$3,388,500
CLIENT ASSIST FOOD, CLO$1,027,293$1,027,105$188
OUTSIDE SERVICES$542,629$306,342$46,540$189,747
REPAIRS AND MAINTENANCE$288,736$253,039$21,963$13,734

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$471,617TotalAmt
Program Services$324,824ProgramServicesAmt
Management And General$3,469ManagementAndGeneralAmt
Fundraising$143,324FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,507,267TotalAmt
Program Services$10,443,802ProgramServicesAmt
Management And General$974,393ManagementAndGeneralAmt
Fundraising$1,089,072FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,563,376BOYAmt
EOY$4,350,022EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,064,972BOYAmt
EOY$1,136,539EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$168,436BOYAmt
EOY$278,890EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,699,761LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,180,031LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,616,299BOYAmt
EOY$7,519,730EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,035,256BOYAmt
EOY$4,091,579EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$181,529BOYAmt
EOY$357,380EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$15,629,868BOYAmt
EOY$17,734,140EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$708,088BOYAmt
EOY$972,790EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$11,649BOYAmt
EOY$3,978EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$301,749BOYAmt
EOY$267,808EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$162,595BOYAmt
EOY$338,661EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,184,081BOYAmt
EOY$1,583,237EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,497,779BOYAmt
EOY$15,360,627EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$948,008BOYAmt
EOY$790,276EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,445,787BOYAmt
EOY$16,150,903EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,629,868BOYAmt
EOY$17,734,140EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,580,389ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$124,727NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,047,938CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,179,001CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,535,282CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,865,656CurrentTaxYearMinus1YearAmt
Current Tax Year$13,195,527CurrentTaxYearAmt
Total$53,823,404TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,047,938CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,179,001CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,535,282CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,865,656CurrentTaxYearMinus1YearAmt
Current Tax Year$13,195,527CurrentTaxYearAmt
Total$53,823,404TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$3,420,900SubstantialContributorsTotAmt
Public Support Total170$50,402,504PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$203,570CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$239,145CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$225,297CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$256,028CurrentTaxYearMinus1YearAmt
Current Tax Year$306,945CurrentTaxYearAmt
Total$1,230,985TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$224,731CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$326,578CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$408,097CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$506,477CurrentTaxYearMinus1YearAmt
Current Tax Year$580,783CurrentTaxYearAmt
Total$2,046,666TotalAmt
FieldValueIRS element (for citing)
Total Support$57,101,055TotalSupportAmt
Gross Receipts Rltd Activities$814,732GrossReceiptsRltdActivitiesAmt
Public Support CY1700.88270PublicSupportCY170Pct
Public Support PY1700.71200PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationGROSS INCOME FROM FUNDRAISING EVENTS - 2014 AMOUNT: $ 224,731. 2015 AMOUNT: $ 326,578. 2016 AMOUNT: $ 408,097. 2017 AMOUNT: $ 506,477. 2018 AMOUNT: $ 564,585. GROSS INCOME FROM GAMING ACTIVITIES - 2014 AMOUNT: $ 0. 2015 AMOUNT: $ 0. 2016 AMOUNT: $ 0. 2017 AMOUNT: $ 0. 2018 AMOUNT: $ 9,394. OTHER REVENUE - 2014 AMOUNT: $ 0. 2015 AMOUNT: $ 0. 2016 AMOUNT: $ 0. 2017 AMOUNT: $ 0. 2018 AMOUNT: $ 6,804.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,882,459OtherCostOrOtherBasisAmt
Book Value$1,882,459BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,697,871OtherCostOrOtherBasisAmt
Depreciation$2,024,284DepreciationAmt
Book Value$4,673,587BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,072,465OtherCostOrOtherBasisAmt
Depreciation$342,926DepreciationAmt
Book Value$729,539BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$832,372OtherCostOrOtherBasisAmt
Depreciation$658,498DepreciationAmt
Book Value$173,874BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$214,594OtherCostOrOtherBasisAmt
Depreciation$154,323DepreciationAmt
Book Value$60,271BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,519,730TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
FUNDS HELD IN TRUST$249,781
CLIENT ACCOUNTS - SAFE HARBOR$85,853
OTHER CURRENT LIABILITIES$3,027
FieldValueIRS element (for citing)
Total Liability$338,661TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,868,188TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$124,727NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$1,689,834DonatedServicesAndUseFcltsAmt
Revenue Not Reported$1,814,561RevenueNotReportedAmt
Revenue Subtotal$14,053,627RevenueSubtotalAmt
Investment Expenses Not Incld$34,029InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$34,029RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$14,087,656TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,163,072TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$1,689,834DonatedServicesUseFcltsAmt
Expenses Not Reported$1,689,834ExpensesNotReportedAmt
Expenses Subtotal$12,473,238ExpensesSubtotalAmt
Investment Expenses Not Incld2$34,029InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$34,029ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$12,507,267TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS A TAX-EXEMPT ORGANIZATION UNDER THE PROVISIONS OF THE INTERNAL REVENUE CODE, SECTION 501(C)(3), AND THE CALIFORNIA REVENUE AND TAXATION CODE, SECTION 23701D. ACCORDINGLY, NO PROVISION FOR FEDERAL AND STATE INCOME TAXES HAS BEEN REFLECTED IN THESE FINANCIAL STATEMENTS. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD MAINTAINED ITS TAX-EXEMPT STATUS AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1MAIN EVENTEvent1Nm
Gross Receipts Event1$564,585GrossReceiptsEvent1Amt
Gross Revenue Event1$564,585GrossRevenueEvent1Amt
Non Cash Prizes Event1$2,430NonCashPrizesEvent1Amt
Rent Facility Costs Event1$81,829RentFacilityCostsEvent1Amt
Entertainment Event1$9,920EntertainmentEvent1Amt
Other Direct Expenses Event1$46,103OtherDirectExpensesEvent1Amt
Gross Receipts Total$564,585GrossReceiptsTotalAmt
Gross Revenue Total Events$564,585GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$2,430NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$81,829RentFcltyCostsTotalEventsAmt
Entertainment Total Events$9,920EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$46,103OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$140,282DirectExpenseSummaryEventsAmt
Net Income Summary$424,303NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BART A CHARLOW
CHIEF EXECUTIVE OFFICER$192,548$0$0$0$0$0$879$0$14,938$0$208,365$0$0$0
JASON WONG
DIRECTOR OF CLINIC SERVICES$188,188$0$0$0$0$0$877$0$8,457$0$197,522$0$0$0

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$318,674NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$2,588,786NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution9ContributionCnt
Noncash Contributions Rpt F990$400,195NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescBUS VOUCHERSDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$80,845NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHIS COLUMN REPRESENTS THE NUMBER OF DONORS, NOT THE NUMBER OF ITEMS DONATED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FINANCE COMMITTEE OF THE BOARD REVIEWS THE FORM 990 BEFORE IT IS FILED AND THE FULL BOARD OF DIRECTORS IS PROVIDED WITH A COMPLETE COPY OF THE RETURN BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE EXECUTIVE AND NOMINATING/GOVERNANCE COMMITTEES OF THE BOARD REVIEW THE CONFLICT OF INTEREST POLICY ANNUALLY. ALL BOARD MEMBERS AND KEY STAFF SIGN A NEW CONFLICT OF INTEREST STATEMENT EACH YEAR. THE FORMS ARE REVIEWED AND KEPT WITH THE BOARD MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION IS REVIEWED ANNUALLY FOR THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER BY THE BOARD EXECUTIVE COMMITTEE AND THE FULL BOARD. COMPARATIVE SALARY DATA IS USED FROM THE NON-PROFIT COMPENSATION ASSOCIATES FAIR PAY FOR NORTHERN CALIFORNIA NON-PROFITS FOR BOTH POSITIONS. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS CONDUCTS AN ANNUAL REVIEW OF THE CHIEF EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON WRITTEN OR ELECTRONIC REQUEST FOR THE SAME PERIOD OF TIME SET FORTH IN SEC. 6104(D). ANNUAL FINANCIAL STATEMENTS AND ANNUAL TAX FORM 990 ARE POSTED ON ITS WEBSITE.

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