WESTMINSTER FREE CLINIC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
WESTMINSTER FREE CLINIC (EIN 77-0563241)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-04
IRS object ID
201923089349302197
Schema version
2018v3.1
Note
A later return for the same period supersedes this one.
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-04T15:59:40-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN954656881PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1QUIGLEY & MIRONBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13550 WILSHIRE BLVD 1660AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90010ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN770563241EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WESTMINSTER FREE CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWESTBusinessNameControlTxt
Phone8052418366PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12673 SAN MIGUEL CIRCLEAddressLine1Txt
CityTHOUSAND OAKSCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91360ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLISA SAFAEINILIPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8052418366PhoneNum
Signature2019-11-04SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN BOVARD MIRONPreparerPersonNm
PTINP01358141PTIN
Phone2136393550PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address99.88.83.161IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-04IPDt
IP Tm13:57:19IPTm
IP TimezonePSIPTimezoneCd
Federal Original Submission Id9656012019296034be03FederalOriginalSubmissionId
Federal Original Submission Id2019-10-23FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC1988052032BF7E796496D37049D37B62C620639AtSubmissionCreationDeviceId
At Submission Filing Device IdC1988052032BF7E796496D37049D37B62C620639AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-01-14 16:20:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Amended ReturnYes (X)AmendedReturnInd
Principal OfficerLISA SAFAEINILIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12673 SAN MIGUEL CIRCLEAddressLine1Txt
CityTHOUSAND OAKSCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91360ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,824,887GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.WESTMINSTERCLINIC.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE FREE MEDICAL CARE TO THE HOMELESS AND UNINSURED WORKING POOR RESIDENTS OF EAST VENTURA COUNTY, CA.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers400TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,175,161PYContributionsGrantsAmt
CY Contributions Grants$1,807,864CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,949PYInvestmentIncomeAmt
CY Investment Income$2,996CYInvestmentIncomeAmt
PY Other Revenue$27,218PYOtherRevenueAmt
CY Other Revenue$12,423CYOtherRevenueAmt
PY Total Revenue$1,205,328PYTotalRevenueAmt
CY Total Revenue$1,823,283CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$328,552PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$329,559CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$37,627CYTotalFundraisingExpenseAmt
PY Other Expenses$957,934PYOtherExpensesAmt
CY Other Expenses$976,615CYOtherExpensesAmt
PY Total Expenses$1,286,486PYTotalExpensesAmt
CY Total Expenses$1,306,174CYTotalExpensesAmt
PY Revenues Less Expenses-$81,158PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$517,109CYRevenuesLessExpensesAmt
Total Assets BOY$1,604,318TotalAssetsBOYAmt
Total Assets EOY$2,121,198TotalAssetsEOYAmt
Total Liabilities BOY$3,401TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,172TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,600,917NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,118,026NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE FREE MEDICAL CARE TO THE HOMELESS AND UNINSURED WORKING POOR RESIDENTS OF EAST VENTURA COUNTY, CA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$890,511ExpenseAmt
DescSINCE 1994, WESTMINSTER FREE CLINIC (ORGANIZATION) HAS BEEN AN INNOVATIVE NON-PROFIT WHOSE MISSION IS TO PROVIDE FREE MEDICAL CARE (INCLUDING LABS, DIAGNOSTIC TESTS LIKE MAMMOGRAMS, AND MEDICATIONS) TO THE UNINSURED, HOMELESS AND WORKING POOR OF OUR COMMUNITY THROUGH CARING, COMPASSION, COMMUNITY PARTNERSHIPS, EDUCATION AND STUDENT TRAINING. IT IS THE GOAL OF THE ORGANIZATION TO PROVIDE: 1) EASY ACCESS TO FREE HEALTH CARE TO HARD-TO-REACH POPULATIONS FACING TRANSPORTATION, LANGUAGE, CULTURAL AND FINANCIAL BARRIERS TO CARE; AND 2) PROVIDE HIGH SCHOOL STUDENTS WITH A PATHWAY TO CAREERS IN HEALTH THROUGH EXPOSURE AND HANDS-ON TRAINING IN THE DELIVERY OF HEALTH, DENTAL AND VISION CARE. WFC A NONPROFIT HEALTH AND HUMAN SERVICES ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE). DURING THE YEAR ENDED DECEMBER, 2018, OVER 8,000 LOCAL PEOPLE WERE SERVED THROUGH WESTMINSTER FREE CLINIC, 64% OF WHOM ARE WOMEN AND GIRLS. 83% OF ALL PATIENTS ARE BETWEEN 18 AND 61 YEARS OF AGE.FREE SERVICES INCLUDE PRIMARY CARE, MEDICATIONS, LABS, MAMMOGRAMS, PHYSICAL THERAPY AND CHIROPRACTIC SERVICES, PODIATRY, CASE MANAGEMENT, ACUPUNCTURE, NUTRITION COUNSELING, DENTAL SERVICES INCLUDING CLEANINGS, EDUCATION AND X-RAYS, WITH FREE AND DISCOUNTED DENTAL TREATMENT PROVIDED BY OUR COMMUNITY PARTNERS; REFERRALS WITH THE ORGANIZATION'S NETWORK OF SPECIALTY CARE PROVIDERS INCLUDE FREE EYE EXAMS AND GLASSES AND MUCH MORE. VOLUNTEER OPHTHALMOLOGISTS SCREEN PATIENTS AT THE ORGANIZATION FOR CATARACTS, GLAUCOMA, AND DIABETIC RETINOPATHY AND PROVIDE FREE CATARACT SURGERY AT THEIR PRACTICE. IN ADDITION TO ONE-ON-ONE AND GROUP COUNSELING, MENTAL HEALTH SERVICES INCLUDE A WEEKLY GRIEF & LOSS PROGRAM CALLED START AGAIN, NOT OVER AND PARENT EMPOWERMENT CLASSES THAT ADDRESS DOMESTIC VIOLENCE, RAISING HEALTHY CHILDREN AND SIGNS AND SYMPTOMS OF DEPRESSION, ANXIETY AND TEEN SUICIDE. ELECTRONIC HEALTH RECORDS (EHR) AND ELECTRONIC DENTAL RECORDS TRACK PATIENT PROGRESS AND ENHANCE THE CLINIC'S CAPACITY AND QUALITY OF CARE. THE ORGANIZATION TAKES A WHOLE PERSON APPROACH TO HEALTH INCLUDING WEEKLY ZUMBA/YOGA CLASSES, FOOD DISTRIBUTION THROUGH FOODSHARE, WEEKLY COOKING DEMONSTRATIONS THROUGH THE ORGANIZATION'S HEALTH EDUCATION CLASS, HEALTH LITERACY ACTIVITIES, HOMEWORK HELP, CLOTHING DISTRIBUTION, AND OVER 600 BACKPACKS WITH SCHOOL SUPPLIES FOR STUDENTS. THESE ACTIVITIES ARE ALL PART OF THE ORGANIZATION'S PREVENTION STRATEGIES TO ADDRESS ALL SOCIAL DETERMINANTS OF HEALTH WHICH AFFECT PEOPLE'S HEALTH AND ABILITY TO THRIVE. THE ORGANIZATION SERVES AS A COMMUNITY CARE CENTER WITH FOUR KEY AREAS: 1) MEDICAL, DENTAL, VISION, AND MENTAL HEALTH; 2) WHOLE-PERSON-CENTERED PREVENTIVE HEALTH; 3) PATHWAYS TO SELF-RELIANCE THROUGH HIGH SCHOOL AND COLLEGE HEALTHCARE TRAINING AND EDUCATION PROGRAM, AND 4) HEALTH & EDUCATION EQUITY & ADVOCACY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$149,546ExpenseAmt
DescOVER 100 TEENS (OVER 50% OF WHOM ARE LOW-INCOME, BILINGUAL AND MINORITIES) ARE ENROLLED IN THE ORGANIZATION'S TWO-YEAR TEEN HEALTHCARE TRAINING & INTERNSHIP PROGRAM THAT ASSISTS PHYSICIANS IN THE DELIVERY OF CARE AND OFFERS HANDS-ON-TRAINING IN BASIC CLINICAL SKILLS PREPARING STUDENTS FOR CAREERS IN HEALTHCARE AND THE OPPORTUNITY TO HELP THEIR COMMUNITY. COLLEGE AND CAREER COUNSELING, FREE SAT/ACT PREP CLASSES AND MATH TUTORING RESULT IN OVER 95% ENROLLMENT OF THE ORGANIZATION'S STUDENTS IN COLLEGE OR A UNIVERSITY AFTER GRADUATION. AS PART OF THEIR INTERNSHIP AT WFC, INTERESTED STUDENTS CAN COMPLETE THE REQUIREMENTS TO BECOME A CERTIFIED MEDICAL ASSISTANT.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$155,079ExpenseAmt
DescTHE ORGANIZATION'S COMMUNITY OUTREACH, LED BY BILINGUAL TEEN INTERNS IN SALUD, SERVE AS COMMUNITY HEALTH WORKERS AND SCREENS PEOPLE IN THE COMMUNITY FOR DIABETES AND HIGH BLOOD PRESSURE. THEY ALSO WORK WITH LATINO MARKETS IN FIVE CITIES TO OFFER HEALTHIER FOOD OPTIONS. THE ORGANIZATION'S CORAZONES SANOS (HEALTHY HEARTS) PROGRAM AND DIABETIC SPECIALTY CLINIC EMPOWER CLINIC PATIENTS TO TAKE CHARGE OF THEIR HEALTH, BECOME HEALTH LITERATE, EDUCATE OTHERS, AND RECEIVE THE EXTRA SUPPORT THEY NEED TO ACHIEVE POSITIVE HEALTH OUTCOMES. SALUD STUDENTS ALSO FOCUS ON EDUCATION EQUITY AND PROVIDE PRESENTATIONS TO ENGLISH LEARNING PARENTS, AS WELL AS SCHOOL ADMINISTRATORS AND TEACHERS TO HELP THEM KNOW THE CHALLENGES FIRST GENERATION STUDENTS FACE, WHAT THEY NEED TO SUCCEED, AND HOW PARENTS CAN HELP. THEY ALSO SHARE THEIR OWN COLLEGE GOALS AND ACADEMIC SUCCESSES AND CREATE PARENTAL AWARENESS OF A-G REQUIREMENTS FOR THEIR CHILDREN TO BE ELIGIBLE TO APPLY TO A 4-YEAR COLLEGE. THE SALUD STUDENTS' GOAL IS TO CREATE A COLLEGE-GOING CULTURE IN THE LATINO COMMUNITY, AND TO BREAK DOWN BARRIERS TO SUCCESS FOR LOW-INCOME STUDENTS. THE LEVEL OF ONE'S EDUCATION IS AN IMPORTANT SOCIAL DETERMINANT OF HEALTH AND LONGEVITY.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescANOTHER PUBLIC HEALTH PROGRAM OFFERED BY THE ORGANIZATION IS A SEVEN-WEEK PARAPROFESSIONAL VICTIMIZATION PREVENTION TRAINING PROGRAM, CALLED Z-TAP (ZONTA-FUNDED TRAINING & ADVOCACY PROGRAM). THIS TRAIN-THE-TRAINER PROGRAM WAS FOUNDED IN 2006 THROUGH FUNDING FROM ZONTA CLUB OF THE CONEJO VALLEY AREA, CALIFORNIA, AND THROUGH WHICH MORE THAN 1000 LOW-INCOME WOMEN HAVE BEEN TRAINED, AND NUMEROUS DOMESTIC VIOLENCE SITUATIONS HAVE BEEN RESOLVED. FREE INDIVIDUAL MENTAL HEALTH COUNSELING IS OFFERED WEEKLY AT THE CLINIC IN SPANISH AND ENGLISH FOR PEOPLE NEEDING FURTHER SUPPORT AS WELL AS WEEKLY START AGAIN NOT OVER GRIEF AND LOSS CLASSES. A HEALTHY HEARTS KIDS CLUB DESIGNED AND LEAD BY SALUD TEENS OFFERS A WEEKLY KID-FRIENDLY CURRICULUM ADDRESSING HEALTHY EATING AND ACTIVE LIVING AND EMOTIONAL WELL-BEING THAT MIRRORS WHAT THEIR PARENTS ARE LEARNING IN THE CORAZONES SANOS (HEALTHY HEARTS) PROGRAM. THE PROGRAM ALSO PROVIDES HOME-WORK HELP, FREE PLAY AND A LITERACY PROGRAM. IT RUNS WHILE PARENTS ARE PARTICIPATING IN THE MANY ONE-STOP SERVICES OFFERED.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,195,136TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document40IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee4EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKAREN YTURRALDEPersonNm
Phone8053836636PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15288 MEADOWRIDGE CTAddressLine1Txt
CityCAMARILLOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93012ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DR STEVEN KAMAJIAN
PRESIDENT3.00Yes (X)Yes (X)$0$0$0
MANUEL VALDEZ
CHIEF FINANCIAL OFFICER4.00Yes (X)Yes (X)$0$0$0
CYNTHIA M VINSON
CHIEF ACTING OFFICER/DIREC10.00Yes (X)Yes (X)$0$0$0
WILLIAM T VINSON ESQ
CHAIRMAN1.30Yes (X)Yes (X)$0$0$0
URSULA DOIDIC RN
DIRECTOR2.50Yes (X)$0$0$0
CASSANDRA LOPEZ
DIRECTOR2.50Yes (X)$0$0$0
JULIE MARTIN
DIRECTOR2.50Yes (X)$0$0$0
DR JOHN SULLIVAN
DIRECTOR1.30Yes (X)$0$0$0
ALEJANDRA TOLEDO
DIRECTOR2.50Yes (X)$0$0$0
MOLLIE VALESTRINO RD
DIRECTOR2.50Yes (X)$0$0$0
JEFF WITTEN
DIRECTOR2.50Yes (X)$0$0$0
LISA SAFAEINILI
EXECUTIVE DIRECTOR60.00Yes (X)$135,478$0$16,126
AMANDA M VINSON ESQ
SECRETARY (NON-VOTING)2.50Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$135,478TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$16,126TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$231,896GovernmentGrantsAmt
All Other Contributions$1,575,968AllOtherContributionsAmt
Noncash Contributions$608,254NoncashContributionsAmt
Total Contributions$1,807,864TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,996TotalRevenueColumnAmt
Exclusion$2,996ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$14,027GamingGrossIncomeAmt
Gaming Direct Expenses$1,604GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,423TotalRevenueColumnAmt
Exclusion$12,423ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,823,283TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$15,419ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$151,604TotalAmt
Program Services$126,438ProgramServicesAmt
Management And General$10,779ManagementAndGeneralAmt
Fundraising$14,387FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$137,879TotalAmt
Program Services$114,701ProgramServicesAmt
Management And General$9,940ManagementAndGeneralAmt
Fundraising$13,238FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$16,070TotalAmt
Program Services$13,368ProgramServicesAmt
Management And General$1,158ManagementAndGeneralAmt
Fundraising$1,544FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$24,006TotalAmt
Program Services$19,996ProgramServicesAmt
Management And General$1,719ManagementAndGeneralAmt
Fundraising$2,291FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$44,231TotalAmt
Management And General$44,231ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$146,566TotalAmt
Program Services$144,896ProgramServicesAmt
Management And General$716ManagementAndGeneralAmt
Fundraising$954FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$40,673TotalAmt
Program Services$36,123ProgramServicesAmt
Management And General$1,279ManagementAndGeneralAmt
Fundraising$3,271FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,540TotalAmt
Program Services$8,779ProgramServicesAmt
Management And General$755ManagementAndGeneralAmt
Fundraising$1,006FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,234TotalAmt
Program Services$5,209ProgramServicesAmt
Fundraising$25FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,561TotalAmt
Program Services$7,965ProgramServicesAmt
Management And General$685ManagementAndGeneralAmt
Fundraising$911FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$18,128TotalAmt
Program Services$15,979ProgramServicesAmt
Management And General$2,149ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$609,266$609,266
LABORATORY/DIAGNOSTIC S$50,784$50,784
STIPEND$34,440$34,440
VOLUNTEER APPRECIATION$3,695$3,695

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,497TotalAmt
Program Services$3,497ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,306,174TotalAmt
Program Services$1,195,136ProgramServicesAmt
Management And General$73,411ManagementAndGeneralAmt
Fundraising$37,627FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$869,257BOYAmt
EOY$1,318,655EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$142,285BOYAmt
EOY$142,328EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$95,868BOYAmt
EOY$139,759EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$30,490EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$15,631BOYAmt
EOY$15,474EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$58,863LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$30,584LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$37,840BOYAmt
EOY$28,279EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$443,437BOYAmt
EOY$446,213EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,604,318BOYAmt
EOY$2,121,198EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,401BOYAmt
EOY$3,172EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,401BOYAmt
EOY$3,172EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,447,751BOYAmt
EOY$1,603,643EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$153,166BOYAmt
EOY$514,383EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,600,917BOYAmt
EOY$2,118,026EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,604,318BOYAmt
EOY$2,121,198EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$517,109ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,759,806CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,108,912CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,694,324CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,175,161CurrentTaxYearMinus1YearAmt
Current Tax Year$1,807,864CurrentTaxYearAmt
Total$7,546,067TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,759,806CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,108,912CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,694,324CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,175,161CurrentTaxYearMinus1YearAmt
Current Tax Year$1,807,864CurrentTaxYearAmt
Total$7,546,067TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,888,292SubstantialContributorsTotAmt
Public Support Total170$5,657,775PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,303CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,599CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,241CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,949CurrentTaxYearMinus1YearAmt
Current Tax Year$2,996CurrentTaxYearAmt
Total$13,088TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,449CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42,002CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,510CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,218CurrentTaxYearMinus1YearAmt
Current Tax Year$12,423CurrentTaxYearAmt
Total$109,602TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$76CurrentTaxYearMinus4YearsAmt
Total$76TotalAmt
FieldValueIRS element (for citing)
Total Support$7,668,833TotalSupportAmt
Public Support CY1700.73780PublicSupportCY170Pct
Public Support PY1700.80390PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,863OtherCostOrOtherBasisAmt
Depreciation$30,584DepreciationAmt
Book Value$28,279BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$28,279TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,454,838TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$1,629,951DonatedServicesAndUseFcltsAmt
Other Revenue$1,604OtherRevenueAmt
Revenue Not Reported$1,631,555RevenueNotReportedAmt
Revenue Subtotal$1,823,283RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,823,283TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,937,729TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$1,629,951DonatedServicesUseFcltsAmt
Other Expenses Included$1,604OtherExpensesIncludedAmt
Expenses Not Reported$1,631,555ExpensesNotReportedAmt
Expenses Subtotal$1,306,174ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,306,174TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:ACCOUNTING STANDARDS REQUIRE AN ORGANIZATION TO EVALUATE ITS TAX POSITIONS AND PROVIDE FOR A LIABILITY FOR ANY POSITIONS THAT WOULD NOT BE CONSIDERED 'MORE LIKELY THAN NOT' TO BE UPHELD UNDER A TAX AUTHORITY EXAMINATION. MANAGEMENT HAS EVALUATED ITS TAX POSITIONS AND HAS CONCLUDED THAT A PROVISION FOR A TAX LIABILITY IS NOT NECESSARY AT DECEMBER 31, 2018. GENERALLY, THE ORGANIZATION'S INFORMATION RETURNS REMAIN OPEN FOR EXAMINATION FOR A PERIOD OF THREE (FEDERAL) OR FOUR (STATE OF CALIFORNIA) YEARS FROM THE DATE OF FILING.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RAFFLE EXPENSE INCLUDED IN THE AUDIT 1,604.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RAFFLE EXPENSE INCLUDED IN THE AUDIT 1,604.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonLISA SAFAEINILIPersonNm
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$135,478BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$16,126NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$151,604TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule M IRS990ScheduleM

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution35654ContributionCnt
Noncash Contributions Rpt F990$107,471NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4672ContributionCnt
Noncash Contributions Rpt F990$500,783NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2WILLIAM VINSON, CYNTHIA VINSON, AND AMANDA VINSON ARE RELATED FAMILY MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS PRESENTED, REVIEWED, AND APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO ITS FILING.
FORM 990, PART VI, SECTION B, LINE 12CAT THE TIME A NEW BOARD MEMBER JOINS THE BOARD OF DIRECTORS, THEY ARE INFORMED OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. PRIOR TO A VOTE ON ANY BOARD ISSUE, VOTING BOARD MEMBERS ARE TO IDENTIFY ANY POTENTIAL CONFLICT OF INTEREST RELATING TO THEIR PARTICIPATION IN THE VOTE BEFORE THE BOARD AND ABSTAIN FROM VOTING WHERE A CONFLICT OF INTEREST IS CONSIDERED TO EXIST.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S BOARD OF DIRECTORS REVIEW AND APPROVE THE COMPENSATION PAID TO ALL OF THE ORGANIZATION'S EMPLOYEES DURING THE BOARD OF DIRECTOR'S BUDGET MEETINGS, OR WHENEVER A NEW OFFICER OR KEY EMPLOYEE IS HIRED.
FORM 990, PART VI, SECTION C, LINE 19FINANCIALS STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE FINANCIAL STATEMENTS ARE MADE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART IX, LINE 11GPROGRAM CONSULTANTS: PROGRAM SERVICE EXPENSES 144,896. MANAGEMENT AND GENERAL EXPENSES 716. FUNDRAISING EXPENSES 954. TOTAL EXPENSES 146,566.
FORM 990, PART XII, LINE 2C:DURING 2018, THERE WAS NO CHANGE IN THE OVERSIGHT PROCESS OF THE AUDIT OR THE SELECTION PROCESS OF INDEPENDENT ACCOUNTANTS.
AMEMDED RETURNRETURN WAS AMENDED TO REFLECT A CHANGE OF ADDRESS ON PAGE 1, SECTION C.

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