EAST BAY INSTITUTE FOR RESEARCH AND EDUCATION INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
EAST BAY INSTITUTE FOR RESEARCH AND EDUCATION INC (EIN 68-0177975)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-05-30
IRS object ID
202031519349300508
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)
Return2020-05-30T15:07:35-07:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FISCAL THERAPYBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1940 N CIRCLE DRAddressLine1Txt
CityDIAMOND SPRINGSCityNm
State AbbreviationCAStateAbbreviationCd
ZIP956199715ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN680177975EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1East Bay Institute for Research and EducationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlEASTBusinessNameControlTxt
Phone9168432713PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1908AddressLine1Txt
CityRancho CordovaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95741ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJohn C JohnsonPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Phone9168432713PhoneNum
Signature2019-12-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBradley E YoungPreparerPersonNm
PTINP00698811PTIN
Phone9163373284PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address107.77.211.154IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-30IPDt
IP Tm15:07:26IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6FD8E3D473D0E2A9F278EB630EDCAEBCD8C6703CAtSubmissionCreationDeviceId
At Submission Filing Device Id80F2EEB1916CBEA4D015AE81E21DBD799A237101AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJohn C JohnsonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1908AddressLine1Txt
CityRancho CordovaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95741ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$882,350GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.EBIRE.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1988FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTo promote medical research and related education for charitable, scientific, and educational purposes consistent with Title 38 U.S.C. 4161-4178.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee19TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$933,132PYContributionsGrantsAmt
CY Contributions Grants$882,261CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$62PYInvestmentIncomeAmt
CY Investment Income$89CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$933,194PYTotalRevenueAmt
CY Total Revenue$882,350CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$486,588PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$470,055CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$435,811PYOtherExpensesAmt
CY Other Expenses$369,367CYOtherExpensesAmt
PY Total Expenses$922,399PYTotalExpensesAmt
CY Total Expenses$839,422CYTotalExpensesAmt
PY Revenues Less Expenses$10,795PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$42,928CYRevenuesLessExpensesAmt
Total Assets BOY$433,807TotalAssetsBOYAmt
Total Assets EOY$416,462TotalAssetsEOYAmt
Total Liabilities BOY$263,227TotalLiabilitiesBOYAmt
Total Liabilities EOY$155,149TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$170,580NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$261,313NetAssetsOrFundBalancesEOYAmt
MissionTo promote medical research and related education for charitable, scientific, and educational purposes consistent with Title 38 U.S.C. 4161-4178.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$616,879ExpenseAmt
Grant$0GrantAmt
Revenue$666,293RevenueAmt
DescResearch programs which are for charitable, scientific, and educational purposes Results are open to the public through various journal publications for public benefit.Desc
Total Program Service Expenses$616,879TotalProgramServiceExpensesAmt
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 EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
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
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 EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee19EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
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
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJohn JohnsonPersonNm
Phone9168432713PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1908AddressLine1Txt
CityRancho CordovaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95741ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeInd
David Stockwell
Director1.00Yes (X)$0$0$0
William Cahill
Director1.00Yes (X)$0$0$0
Dawn Schwenke
Director/President1.00Yes (X)$0$0$0Yes (X)
Harry Moos
Director1.00Yes (X)$0$0$0
Paramita Ghosh
Director1.00Yes (X)$0$0$0
Raja Jagadeesan
Director1.00Yes (X)$0$0$0
Regina Godbout
Director1.00Yes (X)$0$0$0
Jason Gardiner
Director/Secty-Treas1.00Yes (X)$0$0$0Yes (X)
John C Johnson
CEO32.00$75,884$0$17,751Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$75,884TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$17,751TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Related Organizations$30,600RelatedOrganizationsAmt
All Other Contributions$851,661AllOtherContributionsAmt
Noncash Contributions$30,600NoncashContributionsAmt
Total Contributions$882,261TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$89TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$89ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$882,350TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$89ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$93,635TotalAmt
Program Services$0ProgramServicesAmt
Management And General$93,635ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$336,165TotalAmt
Program Services$305,911ProgramServicesAmt
Management And General$30,254ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,201TotalAmt
Program Services$2,379ProgramServicesAmt
Management And General$822ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$37,054TotalAmt
Program Services$28,300ProgramServicesAmt
Management And General$8,754ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$645TotalAmt
Program Services$645ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$38,875TotalAmt
Program Services$0ProgramServicesAmt
Management And General$38,875ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$196,935TotalAmt
Program Services$191,644ProgramServicesAmt
Management And General$5,291ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,120TotalAmt
Program Services$406ProgramServicesAmt
Management And General$2,714ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$30,600TotalAmt
Program Services$0ProgramServicesAmt
Management And General$30,600ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,891TotalAmt
Program Services$3,689ProgramServicesAmt
Management And General$202ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Program Supplies$40,083$39,583$500$0
Training and Education$25,534$23,880$1,654$0
Dues and Subscriptions$8,238$4,836$3,402$0
Subject Compensation$14,557$14,557$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,889TotalAmt
Program Services$1,049ProgramServicesAmt
Management And General$5,840ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$839,422TotalAmt
Program Services$616,879ProgramServicesAmt
Management And General$222,543ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$219,258BOYAmt
EOY$193,827EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$213,399BOYAmt
EOY$216,960EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,150BOYAmt
EOY$5,675EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$433,807BOYAmt
EOY$416,462EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$188,142BOYAmt
EOY$132,026EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$75,085BOYAmt
EOY$23,123EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$263,227BOYAmt
EOY$155,149EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$170,580BOYAmt
EOY$261,313EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$170,580BOYAmt
EOY$261,313EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$433,807BOYAmt
EOY$416,462EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$42,928ReconcilationRevenueExpnssAmt
Prior Period Adjustments$47,805PriorPeriodAdjustmentsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Medical Research OrganizationYes (X)MedicalResearchOrganizationInd

Hospital Name And Address HospitalNameAndAddressGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1VA Norcal Health Care SystemBusinessNameLine1Txt
FieldValueIRS element (for citing)
CityMatherCityNm
State AbbreviationCAStateAbbreviationCd
FieldValueIRS element (for citing)
Other Support Sum$0OtherSupportSumAmt
Public Support CY1700PublicSupportCY170Pct
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 6Article II, Section 8 of the East Bay Institute for Research and Education's By-Laws established members of the Corporation
Pt VI, Line 7aArticle II, Section 9 of the By-Laws establishes that members of the Corporation are responsible for recommendations to the Board of Directors, by means of resolutions passed by majority vote.
Pt VI, Line 7bArticle II, Section 9 of the By-Laws establishes that members of the Corporation are responsible for recommendations to the Board of Directors, by means of resolutions passed by majority vote.
Pt VI, Line 11bThe Form 990 is reviewed by the Executive Director prior to filing.
Pt VI, Line 12cMonitoring and enforcing the conflict of interest policy is achieved through, but not limited to: Training, Auditing, and/or Elimination of potential conflict of interest and annual certification of policy compliance.
Pt VI, Line 15aCompensation is determined through independent subject experts and is based on historical trends for similar organizations, experience, skills, and knowledge.
Pt VI, Line 15bCompensation is determined through independent subject experts and is based on historical trends for similar organizations, experience, skills, and knowledge.
Pt VI, Line 19Governing documents, conflict of interest policy and financial statements are available to the public upon request.
Pt XINet Assets Released from restrictions.
Form 990, Part IX, Line 24ePayroll Fees 778. 0. 778. 0.
Form 990, Part IX, Line 24ePostage 1427. 959. 468. 0.
Form 990, Part IX, Line 24ePrinting 75. 75. 0. 0.
Form 990, Part IX, Line 24eDirectors and Officers Insurance 3450. 0. 3450. 0.
Form 990, Part IX, Line 24eTaxes and Licenses 299. 0. 299. 0.
Form 990, Part IX, Line 24eBank Fees 860. 15. 845. 0.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1VA Northern California Health CareBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110535 Hospital WayAddressLine1Txt
CityMatherCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95655ZIPCd
FieldValueIRS element (for citing)
EIN942674840EIN
Primary ActivitiesHealthcare to VeteransPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Exempt Code Section501(c)(1)ExemptCodeSectionTxt
Public Charity Status170(B)(1)(A)(III)PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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