COMMUNITY HEALTH PARTNERSHIP OF SANTA CLARA COUNTY INCORPORATED: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH PARTNERSHIP OF SANTA CLARA COUNTY INCORPORATED (EIN 77-0352645)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-13
IRS object ID
202011959349303681
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)
Return2020-07-13T14:14:05-07:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN270697222PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RS ASSOCIATESBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13918 JAMIE PLAddressLine1Txt
CitySAN RAMONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP945825895ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN770352645EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH PARTNERSHIP INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone4085566605PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11401 PARKMOOR AVENUEAddressLine1Txt
CitySAN JOSECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95126ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDOLORES ALVARADOPersonNm
Person TitleCEOPersonTitleTxt
Signature2020-07-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRS AssociatesPreparerPersonNm
PTINP00970667PTIN
Phone9259971269PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line11401 PARKMOOR AVENUE 200AddressLine1Txt
CitySAN JOSECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95126ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,607,673GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHPSCC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1993FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionCommunity Health Partnership advocates for affordable and accessible health services for our diverse and multicultural communities regardless of socioeconomic, ethnic, religious, or cultural background, and to support our member organizations in achieving these goals. Our member clinics serve 165,435 patients per year.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee22TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,713,438PYContributionsGrantsAmt
CY Contributions Grants$1,599,103CYContributionsGrantsAmt
PY Program Service Revenue$70,320PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,909PYInvestmentIncomeAmt
CY Investment Income$3,332CYInvestmentIncomeAmt
PY Other Revenue$6,472PYOtherRevenueAmt
CY Other Revenue$5,238CYOtherRevenueAmt
PY Total Revenue$1,793,139PYTotalRevenueAmt
CY Total Revenue$1,607,673CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,570,326PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,411,046CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$526,022PYOtherExpensesAmt
CY Other Expenses$567,829CYOtherExpensesAmt
PY Total Expenses$2,096,348PYTotalExpensesAmt
CY Total Expenses$1,978,875CYTotalExpensesAmt
PY Revenues Less Expenses-$303,209PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$371,202CYRevenuesLessExpensesAmt
Total Assets BOY$2,133,169TotalAssetsBOYAmt
Total Assets EOY$1,835,032TotalAssetsEOYAmt
Total Liabilities BOY$248,403TotalLiabilitiesBOYAmt
Total Liabilities EOY$321,468TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,884,766NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,513,564NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCommunity Health Partnership advocates for affordable and accessible health services for our diverse and multicultural communities regardless of socioeconomic, ethnic, religious, or cultural background, and to support our member organizations in achieving these goals. Our member clinics serve 165,435 patients per year.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$830,840ExpenseAmt
DescQuality Improvement leads a creative, solutions-oriented approach to patient-centered health care, advancing systems of data collection and management, and conducting quality improvement programs across our member clinics and health centers.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$336,237ExpenseAmt
DescOTHER PROGRAMS PROVIDE CLINIC SERVICES INCLUDING TECHNICAL SERVICES TO COMMUNITY HEALTH CENTERS TO INCREASE THEIR BUSINESS PRACTICES, QUALITY OF SERVICE DELIVERY AND CORE SERVICES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$269,814ExpenseAmt
DescAccess identifies and address barriers within the healthcare system that prevent access to care, in partnership with funders and government agencies; securing resources across member health centers and community clinics to improve availability of care; and increasing visibility of our members health care services to reach more patients.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$149,320TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$1,586,211TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document20IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee22EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDOLORES ALVARADOPersonNm
Phone4085566605PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11401 PARKMOOR AVENUE STE 200AddressLine1Txt
CitySAN JOSECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95126ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
REYMUNDO ESPINOZA
CO-CHAIR2.000.00Yes (X)$0$0$0
Sarita Kohli
VIce Chair2.000.00Yes (X)$0$0$0
Jatinderpal Sahi
BOARD MEMBER1.000.00Yes (X)$0$0$0
Dominique Lee
BOARD MEMBERS1.000.00Yes (X)$0$0$0
EDDIE CHAN
Treasurer2.000.00Yes (X)$0$0$0
LUISA BUADA
BOARD MEMBER1.000.00Yes (X)$0$0$0
Stephanie Kleinheinz
BOARD MEMBER1.000.00Yes (X)$0$0$0
Ken Graham
Board Member1.000.00Yes (X)$0$0$0
Sonya Tetnowski
BOARD MEMBER1.000.00Yes (X)$0$0$0
Stacy Cross
Board Member1.000.00Yes (X)$0$0$0
Cathryn Hyde
Board Member40.000.00$78,148$0$0Yes (X)
DOLORES ALVARADO
CEO40.000.00$123,883$0$0Yes (X)
ELENA ALCALA
Deputy Director40.000.00$97,788$0$0Yes (X)
KENT IMAI
MEDICAL DR.40.000.00$66,480$0$0Yes (X)
CARLOS JIMENEZ
Accountant40.000.00$82,634$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$448,933TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Membership Dues$69,000MembershipDuesAmt
Government Grants$1,103,161GovernmentGrantsAmt
All Other Contributions$426,942AllOtherContributionsAmt
Total Contributions$1,599,103TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescCONSULTING HEALTH SERVICEDesc
Business900099BusinessCd
FieldValueIRS element (for citing)
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,332TotalRevenueColumnAmt
Related Or Exempt Func Income$3,332RelatedOrExemptFuncIncomeAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLENEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$5,238TotalRevenueColumnAmt
Related Or Exempt Func Income$5,238RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,238OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,607,673TotalRevenueColumnAmt
Related Or Exempt Func Income$8,570RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$457,879TotalAmt
Program Services$425,561ProgramServicesAmt
Management And General$32,318ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$713,927TotalAmt
Program Services$663,538ProgramServicesAmt
Management And General$50,389ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$135,813TotalAmt
Program Services$105,119ProgramServicesAmt
Management And General$30,694ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$103,427TotalAmt
Program Services$100,846ProgramServicesAmt
Management And General$2,581ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$67,575TotalAmt
Program Services$10,000ProgramServicesAmt
Management And General$57,575ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$44,505TotalAmt
Program Services$37,589ProgramServicesAmt
Management And General$6,916ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$16,696TotalAmt
Program Services$6,487ProgramServicesAmt
Management And General$10,209ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$19,143TotalAmt
Management And General$19,143ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$19,768TotalAmt
Management And General$19,768ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACTUAL SERVICES$341,436$232,781$108,655
TELEPHONE$19,308$1,150$18,158
PRINTING$16,175$24$16,151
SUPPLIES$10,921$2,880$8,041

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,302TotalAmt
Program Services$236ProgramServicesAmt
Management And General$12,066ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,978,875TotalAmt
Program Services$1,586,211ProgramServicesAmt
Management And General$392,664ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$587,265BOYAmt
EOY$314,074EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$506,521BOYAmt
EOY$508,497EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$972,272BOYAmt
EOY$958,687EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$15,517BOYAmt
EOY$19,978EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$78,209LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$50,955LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$45,052BOYAmt
EOY$27,254EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,542BOYAmt
EOY$6,542EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,133,169BOYAmt
EOY$1,835,032EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$242,203BOYAmt
EOY$320,528EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,200BOYAmt
EOY$940EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$248,403BOYAmt
EOY$321,468EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$813,464BOYAmt
EOY$831,964EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,071,302BOYAmt
EOY$681,600EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,884,766BOYAmt
EOY$1,513,564EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,133,169BOYAmt
EOY$1,835,032EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$371,202ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$5,401,052CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,039,400CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,003,455CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,713,438CurrentTaxYearMinus1YearAmt
Current Tax Year$1,599,103CurrentTaxYearAmt
Total$17,756,448TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,401,052CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,039,400CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,003,455CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,713,438CurrentTaxYearMinus1YearAmt
Current Tax Year$1,599,103CurrentTaxYearAmt
Total$17,756,448TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$17,756,448PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,687CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,234CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,069CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,909CurrentTaxYearMinus1YearAmt
Current Tax Year$3,332CurrentTaxYearAmt
Total$13,231TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$35,240CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,084CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,317CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$76,792CurrentTaxYearMinus1YearAmt
Current Tax Year$5,238CurrentTaxYearAmt
Total$148,671TotalAmt
FieldValueIRS element (for citing)
Total Support$17,918,350TotalSupportAmt
Public Support CY1700.99100PublicSupportCY170Pct
Public Support PY1700.99090PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,658OtherCostOrOtherBasisAmt
Depreciation$3,136DepreciationAmt
Book Value$4,522BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$63,222OtherCostOrOtherBasisAmt
Depreciation$43,273DepreciationAmt
Book Value$19,949BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,329OtherCostOrOtherBasisAmt
Depreciation$4,546DepreciationAmt
Book Value$2,783BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$27,254TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFERRED RENTDesc
Amt$940Amt
FieldValueIRS element (for citing)
Total Liability$940TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,607,673TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$1,607,673RevenueSubtotalAmt
Total Revenue Per Form990$1,607,673TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,978,875TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,978,875ExpensesSubtotalAmt
Total Expenses Per Form990$1,978,875TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationGAAP provides accounting and disclosure guidance about positions taken by an organization in its tax returns that might be uncertain. Management has considered its tax positions and believes that all of the positions taken by the Organization in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. The Organizations federal returns for the years ended June 30, 2017, 2016 and 2015 are subject to examination by federal taxing authorities, generally for three years after they are filed. The Organizations state returns for the years ended June 30, 2017, 2016, 2015 and 2014 are subject to examination by state taxing authorities, generally for four years after they are filed.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d: Other Program Services DescriptionOTHER PROGRAM SERVICES 4: OTHER PROGRAMS PROVIDE CLINIC SERVICES INCLUDING TECHNICAL SERVICES TO COMMUNITY HEALTH CENTERS TO INCREASE THEIR BUSINESS PRACTICES, QUALITY OF SERVICE DELIVERY AND CORE SERVICES.
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe 990 is reviewed by CEO, CFO and senior accountant. It is subsequently forwarded to the Finance Committee.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsTHE BOARD MEMBERS REVIEW AND SIGN THE CONFLICT OF INTEREST ON A YEARLY BASIS
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementTHE BOARD USES THE ANNUAL CALIFORNIA PRIMARY CARE ASSOCIATION SALARY SURVEY AS A GUIDELINE FOR SALARIES.
Form 990, Part VI, Line 18: Explanation of Other Means Forms Available For Public InspectionTHE FINANCIAL STATEMENTS AND THE 990 ARE AVAILABLE TO THE PUBLIC THROUGH THE 990 POSTED ON GUIDESTAR. WE WILL POST OUR ANNUAL AUDIT ON OUR OWN WEBSITE.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTHE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST,AND FINANCIAL STATEMENTS ARE AVAILABLE ON REQUEST

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