SHARE OUR SELVES CORPORATION: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- SHARE OUR SELVES CORPORATION (EIN 95-3222316)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-07-14
- IRS object ID
- 202041969349303459
- Schema version
- 2018v3.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-14T13:40:26-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 951777440 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREEN HASSON & JANKS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10990 WILSHIRE BLVD 16TH FLOOR | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 900243929 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953222316 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHARE OUR SELVES CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SHAR | BusinessNameControlTxt |
| Phone | 9492702100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 SUPERIOR AVENUE | AddressLine1Txt |
| City | COSTA MESA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92627 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTY WARD | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 9492702100 | PhoneNum |
| Signature | 2020-06-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LIZBETH G NEVAREZ | PreparerPersonNm |
| PTIN | P01399868 | PTIN |
| Phone | 3108731600 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 108.233.72.19 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-06-30 | IPDt |
| IP Tm | 14:43:18 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 1E5C2E37194314C3A47C760AEAFDC059525B6175 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHRISTY WARD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 SUPERIOR AVENUE | AddressLine1Txt |
| City | COSTA MESA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92627 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $18,145,801 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SHAREOURSELVES.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1970 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | WE ARE SERVANTS WHO PROVIDE CARE AND ASSISTANCE TO THOSE IN NEED AND ACT AS ADVOCATES FOR CHANGE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 211 | TotalEmployeeCnt |
| Total Volunteers | 1535 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,303,223 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,281,724 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,895,659 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,127,332 | CYProgramServiceRevenueAmt |
| PY Investment Income | $30,631 | PYInvestmentIncomeAmt |
| CY Investment Income | $52,265 | CYInvestmentIncomeAmt |
| PY Other Revenue | $137,536 | PYOtherRevenueAmt |
| CY Other Revenue | $102,105 | CYOtherRevenueAmt |
| PY Total Revenue | $18,367,049 | PYTotalRevenueAmt |
| CY Total Revenue | $17,563,426 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,452,484 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,437,809 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,426,454 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,948,745 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $786,719 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,446,404 | PYOtherExpensesAmt |
| CY Other Expenses | $4,714,479 | CYOtherExpensesAmt |
| PY Total Expenses | $18,325,342 | PYTotalExpensesAmt |
| CY Total Expenses | $18,101,033 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $41,707 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$537,607 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,259,085 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,233,293 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,061,695 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,665,753 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,197,390 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,567,540 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SOS PROVIDES VULNERABLE AND LOW-INCOME FAMILIES AND INDIVIDUALS WITH DIRECT ACCESS TO HEALTH, FOOD AND SAFETY NET SERVICES THEY NEED TO IMPROVE THEIR LIVES. SOS IS THE LARGEST COMMUNITY HEALTH CENTER IN ORANGE COUNTY TO COMBINE WRAP-AROUND SOCIAL SERVICES WITH HEALTHCARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,698,324 | ExpenseAmt |
| Grant | $1,313,529 | GrantAmt |
| Revenue | $11,070,005 | RevenueAmt |
| Desc | CLINICS: ANNUALLY SOS PROVIDES CARE TO APPROXIMATELY 15,000 UNDUPLICATED PATIENTS ACCOUNTING FOR OVER 58,792 PATIENT VISITS. SOS PROVIDES COMPREHENSIVE HEALTHCARE INCLUDING A FULL PROGRAM OF PRIMARY, SPECIALTY, SUB-SPECIALTY, DENTAL, INTEGRATED BEHAVIORAL HEALTH AND COMPLEMENTS ITS OUTPATIENT CARE WITH HOSPITALIST INPATIENT FOLLOW-UPS, TREATMENT ADHERENCE EDUCATION, CLINICAL CASE MANAGEMENT, DISEASE MANAGEMENT, COUNSELING, EDUCATION, AND TESTING. SOS OFFERS ONSITE LAB, NUTRITION AND DISPENSARY SERVICES COMPREHENSIVE QUALITY HEALTHCARE IS PROVIDED AT THREE CLINICAL SITES LOCATED IN COSTA MESA, SANTA ANA, AND LAKE FOREST. SOS IS DESIGNATED AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). FQHCS ARE COMMUNITY-BASED ORGANIZATIONS THAT PROVIDE COMPREHENSIVE PRIMARY CARE AND PREVENTIVE CARE, INCLUDING HEALTH, ORAL, AND MENTAL HEALTH SERVICES TO PERSONS OF ALL AGES, REGARDLESS OF THEIR ABILITY TO PAY OR HEALTH INSURANCE STATUS, IN A MEDICALLY UNDERSERVED AREA (MUA). | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,273,355 | ExpenseAmt |
| Grant | $124,280 | GrantAmt |
| Revenue | $57,327 | RevenueAmt |
| Desc | SOCIAL SERVICES: PROVIDES BOTH CLINICAL AND SOCIAL CASE MANAGEMENT, EMERGENCY FINANCIAL AID, FOOD, LEGAL AID, HOMELESS OUTREACH PROGRAMS, RESOURCE AND LINKAGE TO BENEFIT ENROLLMENT, AND SEASONAL SUPPORT PROGRAMS. PROGRAMS SERVE ALL OF ORANGE COUNTY WITH 75% IN SANTA ANA AND COSTA MESA. RESIDENTS SEEKING SERVICES INCLUDE THE CHRONICALLY DISADVANTAGED AND THOSE ACCESSING SUPPORTIVE SERVICES FOR THE FIRST TIME, CASUALTIES OF THE DEVASTATING RECESSION. S0S'S TARGET POPULATION IS ETHNICALLY DIVERSE AND LIVES AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL; THE HOMELESS, SENIORS ON FIXED INCOMES, THE DISABLED, AND THOSE WITH MENTAL ILLNESS ARE A SIGNIFICANT PORTION OF THE POPULATION SERVED. SOCIAL SERVICES ANNUALLY SERVES OVER 100,000 ORANGE COUNTY RESIDENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $14,971,679 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 129 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 211 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTY WARD CHIEF EXECUTIVE OFFICER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9492702100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20151 SW BIRCH STREET SUITE 250 | AddressLine1Txt |
| City | NEWPORT BEACH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92660 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| DR GWYN P PARRY | |||||||||
| CHAIRMAN EMERITUS | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| WILL KLATTE III | |||||||||
| CHAIRMAN | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MARC HARPER | |||||||||
| VICE-CHAIR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SUSAN BAERG-EPSTEIN | |||||||||
| SECRETARY | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JOHN YOO | |||||||||
| TREASURER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SKI HARRISON | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LAWRENCE N KUGELMAN | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID SNOW | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROSARIO GALEAS | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHELLE CASTANEDA | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ALLYSON BROOKS MD | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MARTHA RIVERA | |||||||||
| MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KAREN MCGLINN | |||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | 0.00 | $247,483 | $0 | $17,694 | Yes (X) | |||
| SERGEY SERGEYEV | |||||||||
| CHIEF FINANCIAL OFFICER (LEFT 9/18) | 40.00 | 0.00 | $167,178 | $0 | $7,810 | Yes (X) | |||
| MARY ANN HUNTSMAN | |||||||||
| CHIEF QUALITY OFFICER | 40.00 | 0.00 | $179,229 | $0 | $16,584 | Yes (X) | |||
| JILA NIKKHAH | |||||||||
| DENTAL DIRECTOR | 40.00 | 0.00 | $194,949 | $0 | $15,200 | Yes (X) | |||
| TERESA FLORES | |||||||||
| ASSOCIATE MEDICAL DIRECTOR | 40.00 | 0.00 | $203,625 | $0 | $12,940 | Yes (X) | |||
| TERESA PRIETO ANGELINO | |||||||||
| ASSOCIATE MEDICAL DIRECTOR | 40.00 | 0.00 | $175,836 | $0 | $14,209 | Yes (X) | |||
| DUC T VU | |||||||||
| DENTIST | 40.00 | 0.00 | $167,890 | $0 | $13,337 | Yes (X) | |||
| DIANE BEYAOJU | |||||||||
| DENTIST | 40.00 | 0.00 | $157,635 | $0 | $19,874 | Yes (X) | |||
| JOHN J DONOGHUE | |||||||||
| CHIEF DEVELOPMENT OFFICER | 40.00 | 0.00 | $146,303 | $0 | $707 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,640,128 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $118,355 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $264,778 | FundraisingAmt |
| Government Grants | $2,735,642 | GovernmentGrantsAmt |
| All Other Contributions | $3,281,304 | AllOtherContributionsAmt |
| Noncash Contributions | $1,000,547 | NoncashContributionsAmt |
| Total Contributions | $6,281,724 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CLINIC REVENUE | 621400 | $10,970,678 | $10,970,678 |
| PHARMACY | 621400 | $99,327 | $99,327 |
| SOCIAL SERVICES | 900099 | $57,327 | $57,327 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,127,332 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,419 | TotalRevenueColumnAmt |
| Exclusion | $24,419 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $508,808 | SecuritiesAmt |
| Other | $22,806 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $483,759 | SecuritiesAmt |
| Other | $20,009 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $25,049 | SecuritiesAmt |
| Other | $2,797 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,846 | TotalRevenueColumnAmt |
| Exclusion | $27,846 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $33,460 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $264,778 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $78,607 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$45,147 | TotalRevenueColumnAmt |
| Exclusion | -$45,147 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $147,252 | TotalRevenueColumnAmt |
| Exclusion | $147,252 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $147,252 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,563,426 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,127,332 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $154,370 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,437,809 | TotalAmt |
| Program Services | $1,437,809 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $798,937 | TotalAmt |
| Program Services | $672,730 | ProgramServicesAmt |
| Management And General | $94,519 | ManagementAndGeneralAmt |
| Fundraising | $31,688 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,333,942 | TotalAmt |
| Program Services | $7,864,399 | ProgramServicesAmt |
| Management And General | $1,094,555 | ManagementAndGeneralAmt |
| Fundraising | $374,988 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,265 | TotalAmt |
| Program Services | $140,437 | ProgramServicesAmt |
| Management And General | $22,365 | ManagementAndGeneralAmt |
| Fundraising | $5,463 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $952,746 | TotalAmt |
| Program Services | $795,177 | ProgramServicesAmt |
| Management And General | $126,634 | ManagementAndGeneralAmt |
| Fundraising | $30,935 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $694,855 | TotalAmt |
| Program Services | $579,938 | ProgramServicesAmt |
| Management And General | $92,356 | ManagementAndGeneralAmt |
| Fundraising | $22,561 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,170 | TotalAmt |
| Management And General | $99,170 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,016 | TotalAmt |
| Management And General | $58,016 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,540 | TotalAmt |
| Management And General | $1,540 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,136,652 | TotalAmt |
| Program Services | $647,210 | ProgramServicesAmt |
| Management And General | $305,682 | ManagementAndGeneralAmt |
| Fundraising | $183,760 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,335 | TotalAmt |
| Program Services | $4,988 | ProgramServicesAmt |
| Management And General | $3,048 | ManagementAndGeneralAmt |
| Fundraising | $299 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $406,981 | TotalAmt |
| Program Services | $304,114 | ProgramServicesAmt |
| Management And General | $62,191 | ManagementAndGeneralAmt |
| Fundraising | $40,676 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,644 | TotalAmt |
| Program Services | $101,449 | ProgramServicesAmt |
| Management And General | $28,049 | ManagementAndGeneralAmt |
| Fundraising | $14,146 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,139,136 | TotalAmt |
| Program Services | $991,073 | ProgramServicesAmt |
| Management And General | $89,218 | ManagementAndGeneralAmt |
| Fundraising | $58,845 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,374 | TotalAmt |
| Program Services | $18,222 | ProgramServicesAmt |
| Management And General | $12,146 | ManagementAndGeneralAmt |
| Fundraising | $6 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,540 | TotalAmt |
| Program Services | $56,652 | ProgramServicesAmt |
| Management And General | $64,555 | ManagementAndGeneralAmt |
| Fundraising | $1,333 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,403 | TotalAmt |
| Program Services | $48,122 | ProgramServicesAmt |
| Management And General | $29,398 | ManagementAndGeneralAmt |
| Fundraising | $2,883 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $603,954 | TotalAmt |
| Program Services | $551,611 | ProgramServicesAmt |
| Management And General | $41,552 | ManagementAndGeneralAmt |
| Fundraising | $10,791 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,942 | TotalAmt |
| Program Services | $57,425 | ProgramServicesAmt |
| Management And General | $49,255 | ManagementAndGeneralAmt |
| Fundraising | $1,262 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| ANCILLARY MEDICAL | $496,619 | $496,619 | ||
| EHR MAINT./HOSTING | $100,752 | $100,605 | $147 | $0 |
| STAFF DEVELOPMENT | $54,877 | $25,370 | $28,910 | $597 |
| EQUIPMENT REPAIR/MAINT. | $33,439 | $23,801 | $6,384 | $3,254 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,105 | TotalAmt |
| Program Services | $53,928 | ProgramServicesAmt |
| Management And General | $32,945 | ManagementAndGeneralAmt |
| Fundraising | $3,232 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,101,033 | TotalAmt |
| Program Services | $14,971,679 | ProgramServicesAmt |
| Management And General | $2,342,635 | ManagementAndGeneralAmt |
| Fundraising | $786,719 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,798 | BOYAmt |
| EOY | $6,861 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $736,769 | BOYAmt |
| EOY | $466,327 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,099 | BOYAmt |
| EOY | $544,500 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,303,453 | BOYAmt |
| EOY | $3,007,123 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,611 | BOYAmt |
| EOY | $8,988 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $693,253 | BOYAmt |
| EOY | $605,230 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,936,227 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,167,069 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,298,151 | BOYAmt |
| EOY | $3,769,158 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $999,351 | BOYAmt |
| EOY | $665,128 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,600 | BOYAmt |
| EOY | $159,978 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,259,085 | BOYAmt |
| EOY | $9,233,293 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,633,266 | BOYAmt |
| EOY | $2,282,200 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,986,283 | BOYAmt |
| EOY | $1,981,063 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $442,146 | BOYAmt |
| EOY | $402,490 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,061,695 | BOYAmt |
| EOY | $4,665,753 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,416,450 | BOYAmt |
| EOY | $3,193,248 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $329,230 | BOYAmt |
| EOY | $922,582 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $451,710 | BOYAmt |
| EOY | $451,710 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,197,390 | BOYAmt |
| EOY | $4,567,540 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,259,085 | BOYAmt |
| EOY | $9,233,293 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$537,607 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $12,757 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$105,000 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,044,567 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,669,610 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,590,276 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,303,223 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,281,724 | CurrentTaxYearAmt |
| Total | $35,889,400 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,044,567 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,669,610 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,590,276 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,303,223 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,281,724 | CurrentTaxYearAmt |
| Total | $35,889,400 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $269,570 | SubstantialContributorsTotAmt |
| Public Support Total170 | $35,619,830 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,718 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,530 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,758 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,943 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,419 | CurrentTaxYearAmt |
| Total | $102,368 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $852 | CurrentTaxYearMinus4YearsAmt |
| Total | $852 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,228 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $64,103 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $136,938 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $171,379 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $147,252 | CurrentTaxYearAmt |
| Total | $528,900 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $36,521,520 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $42,838,278 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97530 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97940 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $547,797 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $30,698 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $578,495 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $538,635 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $9,162 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $547,797 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $515,586 | BeginningYearBalanceAmt |
| Contributions | $5,000 | ContributionsAmt |
| Investment Earnings Or Losses | $18,049 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $538,635 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $489,646 | BeginningYearBalanceAmt |
| Contributions | $5,000 | ContributionsAmt |
| Investment Earnings Or Losses | $20,940 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $515,586 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $488,674 | BeginningYearBalanceAmt |
| Contributions | $2,500 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,528 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $489,646 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.78080 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.21920 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $900,000 | OtherCostOrOtherBasisAmt |
| Book Value | $900,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,624,094 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,778,473 | DepreciationAmt |
| Book Value | $845,621 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,751,452 | OtherCostOrOtherBasisAmt |
| Depreciation | $753,922 | DepreciationAmt |
| Book Value | $997,530 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,660,681 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,634,674 | DepreciationAmt |
| Book Value | $1,026,007 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,769,158 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED RENT | Desc |
| Amt | $402,490 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $402,490 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | SOS HAS ADOPTED AN ENDOWMENT INVESTMENT POLICY, APPROVED BY THE BOARD, FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THESE ENDOWMENT ASSETS OVER THE LONG TERM. THE INVESTMENT POLICY ESTABLISHES AN ACHIEVABLE RETURN OBJECTIVE THROUGH DIVERSIFICATION OF ASSET CLASSES. THE OBJECTIVE IS TO GROW THE AGGREGATE PORTFOLIO VALUE, NET OF SPENDING, AT THE RATE OF INFLATION OVER THE INVESTMENT HORIZON. ACTUAL RETURNS IN ANY GIVEN YEAR MAY VARY FROM THIS AMOUNT. TO SATISFY ITS LONG-TERM RATE OF RETURN OBJECTIVES, SOS RELIES ON A TOTAL RETURN STRATEGY IN WHICH INVESTMENT RETURNS ARE ACHIEVED THROUGH BOTH CAPITAL APPRECIATION (REALIZED AND UNREALIZED) AND CURRENT YIELD (INTEREST AND DIVIDENDS). SOS TARGETS A DIVERSIFIED ASSET ALLOCATION THAT PLACES AN EMPHASIS ON EQUITY INVESTMENTS AND FIXED INCOME SECURITIES TO ACHIEVE ITS LONGTERM RATE OF RETURN OBJECTIVES WITHIN PRUDENT RISK PARAMETERS. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CELEBRITY CHEF | Event1Nm |
| Gross Receipts Event1 | $206,214 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $200,384 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $5,830 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $25,669 | RentFacilityCostsEvent1Amt |
| Entertainment Event1 | $1,175 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $35,521 | OtherDirectExpensesEvent1Amt |
| Event2 | TACO NIGHT | Event2Nm |
| Gross Receipts Event2 | $92,024 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $64,394 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $27,630 | GrossRevenueEvent2Amt |
| Food And Beverage Event2 | $472 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $200 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $15,570 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $298,238 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $264,778 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $33,460 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $25,669 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $472 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $1,375 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $51,091 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $78,607 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$45,147 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|
| RELIEF AND AID ASSISTANCE | 1503 | $452,369 | FMV | FOOD, RENT, UTILITIES, AND GIFT CARDS |
| FOOD INVENTORY | 52605 | $349,440 | FMV | FOOD |
| BACK TO SCHOOL TICKETS | 7600 | $91,200 | FMV | ORANGE COUNTY FAIR TICKETS |
| ADOPT A FAMILY | 1448 | $506,800 | FMV | HOUSEHOLD GOODS |
| SCHOOL SUPPLIES | 4380 | $38,000 | FMV | BAGS OF SCHOOL SUPPLIES |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | INDIVIDUALS WHO REQUIRE FINANCIAL ASSISTANCE ARE REQUIRED TO GO THROUGH A FINANCIAL ASSISTANCE APPLICATION. THE INDIVIDUAL MUST PROVIDE SUPPORTING DOCUMENTS TO SHOW THE NEED FOR ASSISTANCE. THE ORGANIZATION PROVIDES GIFT CARDS AND OTHER HOUSING ASSISTANCE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KAREN MCGLINN | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $207,483 | $0 | $40,000 | $0 | $0 | $0 | $10,922 | $0 | $6,772 | $0 | $265,177 | $0 | $0 | $0 |
| SERGEY SERGEYEV | ||||||||||||||
| CHIEF FINANCIAL OFFICER (LEFT 9/18) | $167,178 | $0 | $0 | $0 | $0 | $0 | $7,514 | $0 | $296 | $0 | $174,988 | $0 | $0 | $0 |
| MARY ANN HUNTSMAN | ||||||||||||||
| CHIEF QUALITY OFFICER | $179,229 | $0 | $0 | $0 | $0 | $0 | $7,455 | $0 | $9,129 | $0 | $195,813 | $0 | $0 | $0 |
| JILA NIKKHAH | ||||||||||||||
| DENTAL DIRECTOR | $194,949 | $0 | $0 | $0 | $0 | $0 | $8,414 | $0 | $6,786 | $0 | $210,149 | $0 | $0 | $0 |
| TERESA FLORES | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $203,625 | $0 | $0 | $0 | $0 | $0 | $6,831 | $0 | $6,109 | $0 | $216,565 | $0 | $0 | $0 |
| TERESA PRIETO ANGELINO | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $175,836 | $0 | $0 | $0 | $0 | $0 | $8,101 | $0 | $6,108 | $0 | $190,045 | $0 | $0 | $0 |
| DUC T VU | ||||||||||||||
| DENTIST | $167,890 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $13,337 | $0 | $181,227 | $0 | $0 | $0 |
| DIANE BEYAOJU | ||||||||||||||
| DENTIST | $157,635 | $0 | $0 | $0 | $0 | $0 | $6,671 | $0 | $13,203 | $0 | $177,509 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | BONUSES FOR THE CEO / EXECUTIVE TEAM ARE APPROVED BY THE BOARD AND ARE BASED ON PERFORMANCE REVIEWS AND MERIT. | ExplanationTxt |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $506,800 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $15,107 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 208000 | ContributionCnt |
| Noncash Contributions Rpt F990 | $349,440 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | BACK TO SCHOOL TICKETS | 1 | $91,200 | FMV |
| Yes (X) | SCHOOL SUPPLIES | 1 | $38,000 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | NONCASH DONATIONS ARE LISTED BY TOTAL NUMBER OF DONOR CONTRIBUTORS. FOOD INVENTORY, LINE 19, IS LISTED BY TOTAL NUMBER OF POUNDS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTE IS COMPRISED OF THE FOLLOWING BOARD MEMBERS: WILL KLATTE III, CHAIRMAN MARC HARPER, VICE-CHAIRMAN SUSAN BAERG EPSTEIN, SECRETARY JOHN YOO, TREASURER |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS FIRST REVIEWED BY MANAGEMENT. A COPY OF THE 990 IS THEN PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | A QUESTIONNAIRE IS DISTRIBUTED TO OFFICERS, DIRECTORS, AND KEY EMPLOYEES ANNUALLY TO DISCLOSE ANY CONFLICTS OF INTERESTS. QUESTIONNAIRES ARE THEN RETURNED TO THE EXECUTIVE DIRECTOR. ANY CONFLICTS THAT ARE DISCLOSED ARE REVIEWED BY THE EXECUTIVE COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15 | BOARD MEMBERS DETERMINE THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES BY GATHERING DATA ON THE COMPENSATION FOR NON-PROFIT ORGANIZATIONS IN ORANGE COUNTY AND SOUTHERN CALIFORNIA. THE DATA IS UTILIZED IN CONJUNCTION WITH THE BOARD MEMBERS' EVALUATION TO PRODUCE A COMPENSATION RECOMMENDATION INDEPENDENTLY, WITHOUT THE PARTICIPATION OF INTERESTED PERSONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | IMPAIRMENT LOSS ON PHYSICIAN PRACTICE -105,000. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE SHARE OUR SELVES FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 SUPERIOR AVENUE | AddressLine1Txt |
| City | COSTA MESA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92627 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 813076983 | EIN |
| Primary Activities | TO SUPPORT SHARE OUR SELVES | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHARE OUR SELVES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Comments