BLESSING COMMUNITY HEALTH CENTER: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- BLESSING COMMUNITY HEALTH CENTER (EIN 83-2558659)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-03
- IRS object ID
- 202503079349303550
- Schema version
- 2024v5.2
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-03T15:39:29-06:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 330700332 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VASQUEZ COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 655 N CENTRAL AVE STE 1550 | AddressLine1Txt |
| City | GLENDALE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 832558659 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLESSING COMMUNITY HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BLES | BusinessNameControlTxt |
| Phone | 9194339700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3972 N WATERMAN AVENUE SUITE 104 | AddressLine1Txt |
| City | SAN BERNARDINO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92404 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR BAHRAM SHAHANGIAN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9194339700 | PhoneNum |
| Signature | 2025-10-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | REGINA L PRINCE CPA | PreparerPersonNm |
| PTIN | P00576936 | PTIN |
| Phone | 2138731700 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DR BAHRAM SHAHANGIAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3972 N WATERMAN AVENUE SUITE 104 | AddressLine1Txt |
| City | SAN BERNARDINO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92404 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,002,176 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BLESSINGCHC.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2018 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION'S MISSION IS TO ENHANCE THE HEALTH AND WELLBEING OF ALL THE MEMBERS OF OUR COMMUNITY THROUGH COMPREHENSIVE PREVENTIVE MEDICAL INTERVENTIONS AND TO PROVIDE QUALITY HEALTHCARE SERVICES TO IMPROVE LIVES FOR ALL INDIVIDUALS WITH AN EMPHASIS ON THE MEDICALLY UNDERSERVED BY PROVIDING TREATMENT, EDUCATION, AND RESOURCES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 25 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $358,747 | PYContributionsGrantsAmt |
| CY Contributions Grants | $15,552 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $531,837 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,986,624 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $890,584 | PYTotalRevenueAmt |
| CY Total Revenue | $3,002,176 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $506,395 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $970,672 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $321,158 | PYOtherExpensesAmt |
| CY Other Expenses | $1,729,704 | CYOtherExpensesAmt |
| PY Total Expenses | $827,553 | PYTotalExpensesAmt |
| CY Total Expenses | $2,700,376 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $63,031 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $301,800 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $528,231 | TotalAssetsBOYAmt |
| Total Assets EOY | $733,170 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $723,488 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $730,816 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$195,257 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,354 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | BLESSING COMMUNITY HEALTH CENTER'S CORE MISSION IS TO PROVIDE CARING, AFFORDABLE, HIGH-QUALITY PREVENTATIVE MEDICAL INTERVENTIONS AND SUPPORTIVE SERVICES TO EVERYONE, WITH A SPECIAL COMMITMENT TO UNINSURED, LOW-INCOME AND MEDICALLY UNDERSERVED PEOPLE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,412,938 | ExpenseAmt |
| Revenue | $2,986,624 | RevenueAmt |
| Desc | THE ORGANIZATION SERVES THE COMMUNITY THROUGH THE FOLLOWING PROGRAMS:(A) MEDICAL SERVICES INCLUDE: GENERAL PRIMARY MEDICAL CARE, DIAGNOSTIC LABORATORY, SCREENINGS, VOLUNTARY FAMILY PLANNING, IMMUNIZATIONS, WELL CHILD SERVICES, GYNECOLOGICAL SERVICES, POSTPARTUM CARE, PREVENTATIVE DENTAL, PHARMACEUTICAL SERVICES, CASE MANAGEMENT, ELIGIBILITY SERVICES, HEALTH EDUCATION, OUTREACH.(B) MEDICAL TELEHEALTH SERVICES INCLUDE: GENERAL WELLNESS VISITS, LAB TEST OR X-RAY RESULTS, MANAGEMENT OF CHRONIC CONDITIONS, COUNSELING ABOUT DIAGNOSTIC AND THERAPEUTIC OPTIONS, PRESCRIPTION MANAGEMENT, NUTRITION COUNSELING. SEE SCHEDULE O PAGE 33.(C) DENTAL: BASIC DENTAL SCREENINGS AND RECOMMENDATIONS FOR PREVENTIVE INTERVENTION, DIAGNOSTIC IMAGING, ORAL HYGIENE INSTRUCTION AND RELATED ORAL HEALTH EDUCATION, TOPICAL APPLICATION OF FLUORIDES, SEALANTS, PERIODONTAL THERAPIES.(D) BEHAVIORAL HEALTH - THE ORGANIZATION IS COMMITTED AND OFFERS AN ARRAY OF MENTAL AND BEHAVIORAL HEALTH SERVICES TO CARE AND SUPPORT THE YOUNG ADULTS TO ELDERLY'S WHILE MEETING INDIVIDUALS NEEDS AND THEIR FAMILIES WHO SUFFER WITH MILD TO SEVERE MENTAL HEALTH DISORDERS. IN ADDITION TO TREATMENT WITH PSYCHOTROPIC MEDICATIONS , THE ORGANIZATION OFFERS PSYCHOTHERAPY SESSIONS TO TREAT MORE MILD MENTAL HEALTH DISORDERS RELATED TO STRESSFUL LIFE EVENTS SUCH AS (E.G., DIVORCE), WORK AND SCHOOL PROBLEMS, ANGER, RELATIONSHIP ISSUES, AND FAMILY RELATED ISSUES, WHICH CAN BRING OUT SYMPTOMS THAT INCLUDE DEPRESSION, ANXIETY, SLEEP DIFFICULTY, AND FATIGUE. THE ORGANIZATION ALSO ASSISTS IN PROVIDING A COMPREHENSIVE TREATMENT TO INDIVIDUALS AND FAMILIES WITH CO-OCCURRING SUBSTANCE USE DISORDERS BY FOLLOWING MAT PROTOCOLS AND INTEGRATING MEDICAL CARE AS APPROPRIATE.(E) FAMILY PLANNING, ACCESS, CARE, AND TREATMENT (FAMILY PACT) PROGRAM PROVIDES FAMILY PLANNING AND REPRODUCTIVE HEALTH SERVICES AT NO COST TO CALIFORNIA'S LOW-INCOME RESIDENTS. THE PURPOSE OF FAMILY PLANNING IS TO PROVIDE WOMEN AND MEN A MEANS BY WHICH THEY DECIDE FOR THEMSELVES THE NUMBER, TIMING, AND SPACING OF THEIR CHILDREN. FAMILY PACT SERVES OVER 1 MILLION INCOME-ELIGIBLE MEN AND WOMEN OF CHILDBEARING AGE THROUGH A NETWORK OF 2,400 PUBLIC AND PRIVATE PROVIDERS. THE ORGANIZATION'S SERVICES INCLUDES: COMPREHENSIVE FAMILY PLANNING SERVICES, CONTRACEPTION, PREGNANCY TESTING, STERILIZATION, SEXUALLY TRANSMITTED INFECTION (STI) TESTING, AND LIMITED CANCER SCREENING SERVICES.(F) COVID-19 TREATMENT: THE ORGANIZATION OFFERS TREATMENTS FOR PEOPLE THAT INFECTED WITH COVID. THESE TREATMENTS MAY HELP INDIVIDUALS AVOID SEVERE ILLNESS, HOSPITALIZATION, AND DEATH. THE PATIENTS AT WILL BE ABLE TO GET TESTED FOR COVID-19 AT THE ORGANIZATION'S LOCATION. AND IF THE PATIENT IS POSITIVE FROM COVID, AND IF TREATMENTS ARE APPROPRIATE FOR THEM, THEY WILL BE RECEIVING THE COVID-19 ANTIVIRAL MEDICATION.(G) PRESUMPTIVE ELIGIBILITY FOR PREGNANT WOMEN (PE4PW): THIS PROGRAM IS DESIGNED TO PROVIDE IMMEDIATE, TEMPORARY COVERAGE FOR PRENATAL CARE TO LOW-INCOME PREGNANT PATIENTS PENDING A FORMAL MEDI-CAL APPLICATION. ANY PATIENT WHO THINKS THEY ARE PREGNANT AND WHOSE FAMILY INCOME IS UNDER A CERTAIN AMOUNT IS ELIGIBLE FOR PE4PW.(H) VACCINES FOR CHILDREN (VFC): THIS PROGRAM HELPS FAMILIES BY PROVIDING VACCINES AT NO COST TO PROVIDERS WHO SERVE ELIGIBLE CHILDREN FROM BIRTH THROUGH 18 YEARS OF AGE. THE VFC PROGRAM HAS EARNED HIGH MARKS FROM CALIFORNIA DOCTORS FOR MAKING IT EASY TO PROVIDE HIGH-QUALITY CARE TO THEIR PATIENTS.(I) CHILD HEALTH & DISABILITY PREVENTION: THIS PROVIDES COMPLETE HEALTH ASSESSMENTS FOR THE EARLY DETECTION AND PREVENTION OF DISEASE AND DISABILITIES FOR LOW-INCOME CHILDREN AND YOUTH. A HEALTH ASSESSMENT CONSISTS OF A HEALTH HISTORY, PHYSICAL EXAMINATION, DEVELOPMENTAL ASSESSMENT, NUTRITIONAL ASSESSMENT, DENTAL ASSESSMENT, VISION AND HEARING TESTS, A TUBERCULIN TEST, LABORATORY TESTS, IMMUNIZATIONS, HEALTH EDUCATION/ANTICIPATORY GUIDANCE, AND REFERRAL FOR ANY NEEDED DIAGNOSIS AND TREATMENT.THIS PROGRAM OVERSEES THE SCREENING AND FOLLOW-UP COMPONENTS OF THE FEDERALLY MANDATED EARLY AND PERIODIC SCREENING, DIAGNOSIS, AND TREATMENT (EPSDT) PROGRAM FOR MEDI-CAL ELIGIBLE CHILDREN AND YOUTH.THE ORGANIZATION SERVED 2,278 PATIENTS DURING 2024. | Desc |
| Total Program Service Expenses | $2,412,938 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 25 | 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 | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | 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 | DR BAHRAM SHAHANGIAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8184860890 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14468 DUNBAR PLACE | AddressLine1Txt |
| City | SHERMAN OAKS | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91423 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| JOEL CARRASCO | ||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SAM JAVANMARD | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JORDY RAMOS | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| STEVE BAYAT | ||||||
| DIRECTOR (UNTIL 05/29/24) | 1.00 | Yes (X) | $0 | $0 | $0 | |
| WALTER BENZ | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MONICA NIETO CASTILLANOS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RENE ZAMBEL | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| NAVID RAD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JORDAN SAMUELS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SHIRLEY ZARZOSO | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MINOU ATAEI | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| GITA AMINLOO | ||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $101,435 | $0 | $0 | |
| BAHRAM SHAHANGIAN | ||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $67,307 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $168,742 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $15,552 | GovernmentGrantsAmt |
| Total Contributions | $15,552 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAL SERVICES | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $2,986,624 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,986,624 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,986,624 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,002,176 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,986,624 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,742 | TotalAmt |
| Program Services | $134,150 | ProgramServicesAmt |
| Management And General | $34,592 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $708,371 | TotalAmt |
| Program Services | $563,155 | ProgramServicesAmt |
| Management And General | $145,216 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,259 | TotalAmt |
| Program Services | $14,516 | ProgramServicesAmt |
| Management And General | $3,743 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,300 | TotalAmt |
| Program Services | $59,864 | ProgramServicesAmt |
| Management And General | $15,436 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,127 | TotalAmt |
| Program Services | $17,205 | ProgramServicesAmt |
| Management And General | $922 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,080 | TotalAmt |
| Program Services | $198,560 | ProgramServicesAmt |
| Management And General | $7,520 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,468 | TotalAmt |
| Program Services | $2,468 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,822 | TotalAmt |
| Program Services | $6,170 | ProgramServicesAmt |
| Management And General | $14,652 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,096 | TotalAmt |
| Program Services | $51,005 | ProgramServicesAmt |
| Management And General | $6,091 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,513 | TotalAmt |
| Program Services | $35,093 | ProgramServicesAmt |
| Management And General | $18,420 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,118 | TotalAmt |
| Management And General | $28,118 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,112 | TotalAmt |
| Program Services | $1,002 | ProgramServicesAmt |
| Management And General | $8,110 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,609 | TotalAmt |
| Program Services | $4,459 | ProgramServicesAmt |
| Management And General | $1,150 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CREDIT LOSS EXPENSE | $1,312,917 | $1,312,917 | |
| MEDICAL SUPPLIES | $12,360 | $12,360 | |
| TAXES AND LICENSES | $1,999 | $1,999 | |
| OTHER EXPENSES | $1,468 | $1,468 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15 | TotalAmt |
| Program Services | $14 | ProgramServicesAmt |
| Management And General | $1 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,700,376 | TotalAmt |
| Program Services | $2,412,938 | ProgramServicesAmt |
| Management And General | $287,438 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,657 | BOYAmt |
| EOY | $530,406 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,845 | BOYAmt |
| EOY | $97,707 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,742 | BOYAmt |
| EOY | $8,182 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $133,665 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $40,290 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,487 | BOYAmt |
| EOY | $93,375 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,500 | BOYAmt |
| EOY | $3,500 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $528,231 | BOYAmt |
| EOY | $733,170 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,740 | BOYAmt |
| EOY | $64,506 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $687,936 | BOYAmt |
| EOY | $643,946 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,812 | BOYAmt |
| EOY | $22,364 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $723,488 | BOYAmt |
| EOY | $730,816 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$195,257 | BOYAmt |
| EOY | $2,354 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$195,257 | BOYAmt |
| EOY | $2,354 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $528,231 | BOYAmt |
| EOY | $733,170 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $301,800 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$104,189 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $108,593 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,588 | DepreciationAmt |
| Book Value | $76,005 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,072 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,702 | DepreciationAmt |
| Book Value | $17,370 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $93,375 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $3,002,176 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,002,176 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,002,176 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,700,376 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,700,376 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,700,376 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701D OF THE CALIFORNIA REVENUE AND TAXATION CODE. THE ORGANIZATION HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) OF THE INTERNAL REVENUE CODE. INCOME GENERATED FROM ACTIVITIES UNRELATED TO THE ORGANIZATION'S EXEMPT PURPOSE IS SUBJECT TO TAX UNDER IRC SECTION 511. FOR THE YEAR ENDED DECEMBER 31, 2024, NO SUCH UNRELATED BUSINESS INCOME WAS REPORTED AND, THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN MADE. THE ORGANIZATION FOLLOWS THE PROVISION OF UNCERTAIN TAX POSITIONS AS ADDRESSED IN FASB ACCOUNTING STANDARDS CODIFICATION. THE ORGANIZATION RECOGNIZES ACCRUED INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS AS PART OF THE INCOME TAX PROVISION, WHEN APPLICABLE. THE ORGANIZATION BELIEVES THAT IT HAS TAKEN NO SIGNIFICANT UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED DECEMBER 31, 2024. | ExplanationTxt |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan To OrganizationLoanToOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| GITA AMINLOO | |||||||
| CEO OF THE ORGANIZATION | FUNDING OF OPERATIONS OF THE ORGANIZATION | Yes (X) | $100,000 | $100,000 | 0 | Yes (1) | Yes (1) |
| BAHRAM SHAHANGIAN | |||||||
| CFO OF THE ORGANIZATION | FUNDING OF OPERATIONS OF THE ORGANIZATION | Yes (X) | $189,602 | $178,189 | 0 | Yes (1) | Yes (1) |
| BAHRAM SHAHANGIAN | |||||||
| OWNER OF DDS SHAHANGIAN, INC. | FUNDING OF OPERATIONS OF THE ORGANIZATION | Yes (X) | $367,000 | $365,757 | 0 | Yes (1) | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $643,946 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A DRAFT FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, WHICH IS THEN REVIEWED BY THE CEO AND CFO; ADJUSTMENTS ARE MADE, AS NECESSARY. THE COMPLETE FORM 990 IS THEN PROVIDED AND REVIEWED WITH THE ENTIRE GOVERNING BODY PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. UNDER THE POLICY "INTERESTED PERSONS" INCLUDE ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, DIRECTLY OR INDIRECTLY, THROUGH BUSINESS, INVESTMENT, OR FAMILY: 1) OWNERSHIP OR INVESTMENT INTEREST IN ANY ENTITY WITH WHICH THE CORPORATION HAS A TRANSACTION OR ARRANGEMENT 2) A COMPENSATION ARRANGEMENT WITH THE ORGANIZATION OR WITH ANY ENTITY OR INDIVIDUAL WITH WHICH THE CORPORATION HAS A TRANSACTION OR ARRANGEMENT, OR 3) A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH ANY ENTITY OR INDIVIDUAL WITH WHICH THE CORPORATION IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY THE FOLLOWING PROCEDURES: (A) DUTY TO DISCLOSE. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER POTENTIAL CONFLICT OF INTEREST AND ALL MATERIAL FACTS TO THE BOARD AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. (B) DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS. AFTER DISCLOSURE OF THE POTENTIAL CONFLICT OF INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHOULD LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHOULD DECIDE IF A CONFLICT OF INTEREST EXISTS. (C) PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST: 1. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE WILL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE POTENTIAL CONFLICT OF INTEREST. 2. THE CHAIR OF THE BOARD OR COMMITTEE, IF APPROPRIATE, APPOINTS A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE POTENTIAL CONFLICT OF INTEREST. 3. AFTER EXERCISING DUE DILIGENCE, THE BOARD MAKES A FINAL DETERMINATION ON THE POTENTIAL CONFLICT OF INTEREST. (D) VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY: 1. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHOULD INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. 2. IF, AFTER HEARING THE RESPONSE OF THE MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT TAKES APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. (E) ANNUAL STATEMENTS: EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS ANNUALLY SIGNS A STATEMENT, WHICH AFFIRMS THAT SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES, WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. (F) PERIODIC REVIEWS: TO ENSURE THAT THE CORPORATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX, PERIODIC REVIEWS ARE CONDUCTED. THE PERIODIC REVIEWS, INCLUDES THE FOLLOWING SUBJECTS: (1) WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULTS OF ARM'S-LENGTH BARGAINING. (2) WHETHER ACQUISITIONS OF PHYSICIAN PRACTICES AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. (3) WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER THE CORPORATION'S CHARITABLE PURPOSES, AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. (4) WHETHER AGREEMENTS TO PROVIDE HEALTHCARE AND AGREEMENTS WITH OTHER HEALTHCARE PROVIDERS, EMPLOYEES, AND THIRD-PARTY PAYORS FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. |
| FORM 990, PART VI, SECTION B, LINE 15 | BLESSING COMMUNITY HEALTH CENTER'S BOARD OF DIRECTORS HAS A PROCESS FOR REVIEWING AND APPROVING THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND OTHER OFFICERS AND KEY EMPLOYEES ON A REGULAR BASIS TO DETERMINE IT IS FAIR AND REASONABLE WITH THE GOAL OF RETAINING EMPLOYEES AT COMPENSATION LEVELS WITHIN APPROPRIATE MARKET RANGE. THE PROCESS FOR DETERMINING THE COMPENSATION PAID TO THE CEO INCLUDES THE APPROVAL OF THE COMPENSATION ARRANGEMENT IN ADVANCE, BY THE BOARD OF DIRECTORS, WITH ALL PERSONS WITH A CONFLICT OF INTEREST ABSTAINING FROM THE BOARD'S DELIBERATION AND DISCUSSION. THE BOARD REVIEWS DATA OF COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED NONPROFIT EXECUTIVES AT SIMILARLY SITUATED ENTITIES. THE DOCUMENTATION OF THE BOARD INCLUDES THE TERMS OF THE TRANSACTION AND THE DATE OF APPROVAL, THE MEMBERS WHO WERE PRESENT DURING THE DEBATE AND VOTE ON THE TRANSACTION, A DESCRIPTION OF THE COMPARABLE DATA AND HOW IT WAS OBTAINED, AND DOCUMENTATION OF THE BASIS FOR THE DETERMINATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | SECURITY EXPENSES: PROGRAM SERVICE EXPENSES 245. MANAGEMENT AND GENERAL EXPENSES 6. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 251. BILLING SERVICES: PROGRAM SERVICE EXPENSES 5,308. MANAGEMENT AND GENERAL EXPENSES 126. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,434. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 850. MANAGEMENT AND GENERAL EXPENSES 20. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 870. CREDENTIALING SERVICES: PROGRAM SERVICE EXPENSES 896. MANAGEMENT AND GENERAL EXPENSES 21. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 917. ANSWERING SERVICES: PROGRAM SERVICE EXPENSES 2,994. MANAGEMENT AND GENERAL EXPENSES 71. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,065. OTHER CONSULTING FEES: PROGRAM SERVICE EXPENSES 83,562. MANAGEMENT AND GENERAL EXPENSES 4,476. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 88,038. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 10,340. MANAGEMENT AND GENERAL EXPENSES 554. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,894. CONTRACTOR: PROGRAM SERVICE EXPENSES 89,361. MANAGEMENT AND GENERAL EXPENSES 2,127. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 91,488. JANITORIAL EXPENSE: PROGRAM SERVICE EXPENSES 4,888. MANAGEMENT AND GENERAL EXPENSES 116. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,004. RECRUITMENT SERVICES: PROGRAM SERVICE EXPENSES 116. MANAGEMENT AND GENERAL EXPENSES 3. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 119. |
| FORM 990, PART IX, LINE 24E | STAFF DEVELOPMENT: PROGRAM SERVICE EXPENSES 14. MANAGEMENT AND GENERAL EXPENSES 1. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15. |
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