WESTMINSTER FREE CLINIC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
WESTMINSTER FREE CLINIC (EIN 77-0563241)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-07-18
IRS object ID
201801999349301200
Schema version
2017v2.3
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)
Return2018-07-18T16:48:36-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN320530003PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1QUIGLEY & MIRONBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13550 WILSHIRE BLVD1660AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90010ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

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 Line15560 NAPOLEON AVENUEAddressLine1Txt
CityOAK PARKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91377ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLISA SAFAEINILIPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8052418366PhoneNum
Signature2018-07-18SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonARMEN GRIGORIANPreparerPersonNm
PTINP01582463PTIN
Phone2136393550PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLISA SAFAEINILIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15560 NAPOLEON AVENUEAddressLine1Txt
CityOAK PARKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91377ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,207,603GrossReceiptsAmt
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 Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee5TotalEmployeeCnt
Total Volunteers400TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,695,824PYContributionsGrantsAmt
CY Contributions Grants$1,175,161CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,241PYInvestmentIncomeAmt
CY Investment Income$2,949CYInvestmentIncomeAmt
PY Other Revenue$20,010PYOtherRevenueAmt
CY Other Revenue$27,218CYOtherRevenueAmt
PY Total Revenue$1,718,075PYTotalRevenueAmt
CY Total Revenue$1,205,328CYTotalRevenueAmt
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$318,917PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$328,552CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$45,083CYTotalFundraisingExpenseAmt
PY Other Expenses$1,156,554PYOtherExpensesAmt
CY Other Expenses$957,934CYOtherExpensesAmt
PY Total Expenses$1,475,471PYTotalExpensesAmt
CY Total Expenses$1,286,486CYTotalExpensesAmt
PY Revenues Less Expenses$242,604PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$81,158CYRevenuesLessExpensesAmt
Total Assets BOY$1,695,721TotalAssetsBOYAmt
Total Assets EOY$1,604,318TotalAssetsEOYAmt
Total Liabilities BOY$13,646TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,401TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,682,075NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,600,917NetAssetsOrFundBalancesEOYAmt
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$858,283ExpenseAmt
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 MEDICAL 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 CARE, DENTAL AND VISION CARE. THE ORGANIZATION IS 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 31, 2017, OVER 8,000 LOCAL PEOPLE WERE SERVED; 82% OF PATIENTS WERE BETWEEN 18 AND 61 YEARS OF AGE, AND 62% OF PATIENTS WERE WOMEN AND CHILDREN.FREE SERVICES INCLUDE PRIMARY CARE, PHYSICAL THERAPY AND CHIROPRACTIC SERVICES, PODIATRY, CASE MANAGEMENT, NUTRITION COUNSELING, DENTAL SCREENING AND EDUCATION, WITH 187 RECEIVING FREE TREATMENT; REFERRALS WITH THE ORGANIZATION'S NETWORK OF SPECIALTY CARE PROVIDERS INCLUDES FREE EYE EXAMS AND GLASSES FOR OVER 100 CLIENTS AS WELL. VOLUNTEER OPHTHALMOLOGISTS SCREEN PATIENTS AT THE ORGANIZATION FOR CATARACTS, GLAUCOMA, AND DIABETIC RETINOPATHY AND PROVIDE FREE CATARACT SURGERY AT THEIR PRACTICE. MENTAL HEALTH SERVICES INCLUDE A WEEKLY GRIEF & LOSS PROGRAM CALLED START AGAIN, NOT OVER , IN ADDITION TO ONE-ON-ONE AND GROUP COUNSELING. ELECTRONIC HEALTH RECORDS (EHR) TRACK PATIENT PROGRESS AND ENHANCE THE CLINIC'S CAPACITY AND QUALITY OF CARE. THE ORGANIZATION SERVES AS A COMMUNITY CENTER TO SUPPORT THE WHOLE HEALTH OF THE PERSON 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 ORGANIZATON'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 CENTER. ITS SERVICES FIT INTO FOUR CATEGORIES: 1) MEDICAL; 2) WHOLE-PERSON-CENTERED PREVENTIVE HEALTH; 3) PATHWAYS TO SELF-RELIANCE, AND 4) HEALTH & EDUCATION EQUITY & ADVOCACY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$144,134ExpenseAmt
DescOVER 90 TEENS (50% OF WHOM ARE LOW-INCOME AND BILINGUAL) ARE ENROLLED IN THE ORGANIZATION'S TWO-YEAR TEEN HEALTH ACADEMY & 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 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$149,466ExpenseAmt
DescTHE ORGANIZATION'S COMMUNITY OUTREACH, LED BY BILINGUAL TEEN INTERNS IN SALUD, SCREENS PEOPLE IN THE COMMUNITY FOR DIABETES AND HIGH BLOOD PRESSURE, AND WORKS 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$1,151,883TotalProgramServiceExpensesAmt
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 ActivitiesYes (1)GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
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 Document34IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee5EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
CASSANDRA BUENROSTRO
DIRECTOR2.50Yes (X)$0$0$0
JULIE MARTIN
DIRECTOR2.50Yes (X)$0$0$0
DR JOHN SULLIVAN
DIRECTOR1.30Yes (X)$0$0$0
JEFF WITTEN
DIRECTOR2.50Yes (X)$0$0$0
WILLIAM T VINSON ESQ
CHAIRMAN1.30Yes (X)$0$0$0Yes (X)
MANUEL VALDEZ
CHIEF FINANCIAL OFFICER4.00Yes (X)$0$0$0Yes (X)
DR STEVEN KAMAJIAN
PRESIDENT3.00Yes (X)$0$0$0Yes (X)
URSULA DOIDIC RN
DIRECTOR2.50Yes (X)$0$0$0
CYNTHIA M VINSON
CHIEF ACTING OFFICER/DIREC10.00Yes (X)$0$0$0Yes (X)
MOLLIE VALESTRINO RD
DIRECTOR2.50Yes (X)$0$0$0
AMANDA M VINSON ESQ
SECRETARY (NON-VOTING)2.50$0$0$0Yes (X)
LISA SAFAEINILI
EXECUTIVE DIRECTOR60.00$132,561$0$14,129Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$132,561TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$14,129TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$169,000GovernmentGrantsAmt
All Other Contributions$1,006,161AllOtherContributionsAmt
Noncash Contributions$542,862NoncashContributionsAmt
Total Contributions$1,175,161TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,949TotalRevenueColumnAmt
Exclusion$2,949ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$29,493GamingGrossIncomeAmt
Gaming Direct Expenses$2,275GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,218TotalRevenueColumnAmt
Exclusion$27,218ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,205,328TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$30,167ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$146,690TotalAmt
Program Services$122,339ProgramServicesAmt
Management And General$10,430ManagementAndGeneralAmt
Fundraising$13,921FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$146,941TotalAmt
Program Services$122,550ProgramServicesAmt
Management And General$10,459ManagementAndGeneralAmt
Fundraising$13,932FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,949TotalAmt
Program Services$4,556ProgramServicesAmt
Management And General$3,299ManagementAndGeneralAmt
Fundraising$3,094FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$23,972TotalAmt
Program Services$19,993ProgramServicesAmt
Management And General$1,705ManagementAndGeneralAmt
Fundraising$2,274FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$43,344TotalAmt
Management And General$43,344ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$198,218TotalAmt
Program Services$184,800ProgramServicesAmt
Management And General$6,709ManagementAndGeneralAmt
Fundraising$6,709FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$23,748TotalAmt
Program Services$17,907ProgramServicesAmt
Management And General$1,528ManagementAndGeneralAmt
Fundraising$4,313FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,996TotalAmt
Program Services$9,996ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,120TotalAmt
Program Services$10,120ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,502TotalAmt
Management And General$5,502ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,854TotalAmt
Program Services$7,384ProgramServicesAmt
Management And General$630ManagementAndGeneralAmt
Fundraising$840FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$18,106TotalAmt
Program Services$15,879ProgramServicesAmt
Management And General$2,227ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$598,872$598,872
STIPEND$31,460$31,460
TRAINING & DEVELOPMENT$4,027$4,027
VOLUNTEER APPRECIATION$3,687$3,687

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,000TotalAmt
Program Services$2,000ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,286,486TotalAmt
Program Services$1,151,883ProgramServicesAmt
Management And General$89,520ManagementAndGeneralAmt
Fundraising$45,083FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$898,153BOYAmt
EOY$869,257EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$142,242BOYAmt
EOY$142,285EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$166,668BOYAmt
EOY$95,868EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$15,631BOYAmt
EOY$15,631EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$58,863LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$21,023LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$32,871BOYAmt
EOY$37,840EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$440,156BOYAmt
EOY$443,437EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,695,721BOYAmt
EOY$1,604,318EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$13,646BOYAmt
EOY$3,401EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,646BOYAmt
EOY$3,401EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,487,152BOYAmt
EOY$1,447,751EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$194,923BOYAmt
EOY$153,166EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,682,075BOYAmt
EOY$1,600,917EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,695,721BOYAmt
EOY$1,604,318EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$81,158ReconcilationRevenueExpnssAmt
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$929,212CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,759,806CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,108,912CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,694,324CurrentTaxYearMinus1YearAmt
Current Tax Year$1,175,161CurrentTaxYearAmt
Total$6,667,415TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$929,212CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,759,806CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,108,912CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,694,324CurrentTaxYearMinus1YearAmt
Current Tax Year$1,175,161CurrentTaxYearAmt
Total$6,667,415TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,217,882SubstantialContributorsTotAmt
Public Support Total170$5,449,533PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,821CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,303CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,599CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,241CurrentTaxYearMinus1YearAmt
Current Tax Year$2,949CurrentTaxYearAmt
Total$13,913TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$6,449CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$42,002CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,510CurrentTaxYearMinus1YearAmt
Current Tax Year$27,218CurrentTaxYearAmt
Total$97,179TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$76CurrentTaxYearMinus3YearsAmt
Total$76TotalAmt
FieldValueIRS element (for citing)
Total Support$6,778,583TotalSupportAmt
Public Support CY1700.80390PublicSupportCY170Pct
Public Support PY1700.77200PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,040OtherCostOrOtherBasisAmt
Depreciation$19,032DepreciationAmt
Book Value$26,008BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,823OtherCostOrOtherBasisAmt
Depreciation$1,991DepreciationAmt
Book Value$11,832BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$37,840TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,653,990TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$1,448,662DonatedServicesAndUseFcltsAmt
Revenue Not Reported$1,448,662RevenueNotReportedAmt
Revenue Subtotal$1,205,328RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,205,328TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,735,148TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$1,448,662DonatedServicesUseFcltsAmt
Expenses Not Reported$1,448,662ExpensesNotReportedAmt
Expenses Subtotal$1,286,486ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,286,486TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING 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, 2017. 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.ExplanationTxt

Schedule G IRS990ScheduleG

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$29,493GrossRevenueOtherGamingAmt
Oth Direct Expnss Other Gaming$2,275OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming0VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming$29,493GrossRevenueTotalGamingAmt
Oth Direct Expnss Total Gaming$2,275OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$2,275DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$27,218NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedCAStatesWhereGamingConductedCd
LicensedYes (1)LicensedInd
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With NonmembersYes (1)GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Gaming Own Facility1.00000GamingOwnFacilityPct
Individual With BooksKAREN YTURRALDEIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line15288 MEADOW RIDGE COURTAddressLine1Txt
CityCAMARILLOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93012ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game Rev0CntrctWith3rdPrtyForGameRevInd
Charitable Distribution Rqr0CharitableDistributionRqrInd

Schedule M IRS990ScheduleM

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution50000ContributionCnt
Noncash Contributions Rpt F990$88,808NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4672ContributionCnt
Noncash Contributions Rpt F990$454,054NoncashContributionsRptF990Amt
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 (7 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 184,800. MANAGEMENT AND GENERAL EXPENSES 6,709. FUNDRAISING EXPENSES 6,709. TOTAL EXPENSES 198,218.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION'S BOARD OF DIRECTORS HAS RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT AUDITOR, SUBJECT TO THE APPROVAL OF THE BOARD. THIS RESPONSIBILITY IS UNCHANGED FROM THE PRIOR YEAR.

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