WOMEN'S COMMUNITY CLINIC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- WOMEN'S COMMUNITY CLINIC (EIN 45-5447335)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-21
- IRS object ID
- 201841419349300624
- Schema version
- 2016v3.0
- 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 | 2018-05-21T11:30:50-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 946214841 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Armanino LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12657 Alcosta Blvd Ste 500 | AddressLine1Txt |
| City | San Ramon | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 945834600 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455447335 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Women's Community Clinic | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WOME | BusinessNameControlTxt |
| Phone | 4153797800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1833 Fillmore Street 3rd Floor | AddressLine1Txt |
| City | San Francisco | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94115 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Tony Duong | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4157623700 | PhoneNum |
| Signature | 2018-05-21 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Katy Brown | PreparerPersonNm |
| PTIN | P00650274 | PTIN |
| Phone | 9257902600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Carlina Hansen | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1833 Fillmore Street 3rd Floor | AddressLine1Txt |
| City | San Francisco | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94115 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,618,336 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WOMENSCOMMUNITYCLINIC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2014 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF THE WOMEN'S COMMUNITY CLINIC IS TO IMPROVE THE HEALTH AND WELL-BEING OF WOMEN AND GIRLS. WE BELIEVE PREVENTIVE, EDUCATIONAL CARE IS ESSENTIAL TO LIFELONG HEALTH AND THAT ALL WOMEN DESERVE EXCELLENT HEALTH CARE, REGARDLESS OF THEIR ABILITY TO PAY. WE WORK HARD TO ENSURE THAT EACH CLIENT FEELS COMFORTABLE AND SAFE USING HER VOICE TO DIRECT THE CARE SHE RECEIVES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 20 | VotingMembersIndependentCnt |
| Total Employee | 44 | TotalEmployeeCnt |
| Total Volunteers | 117 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,115,148 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,741,768 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $796,063 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $792,432 | CYProgramServiceRevenueAmt |
| PY Investment Income | $601 | PYInvestmentIncomeAmt |
| CY Investment Income | $478 | CYInvestmentIncomeAmt |
| PY Other Revenue | $48,855 | PYOtherRevenueAmt |
| CY Other Revenue | $81,299 | CYOtherRevenueAmt |
| PY Total Revenue | $2,960,667 | PYTotalRevenueAmt |
| CY Total Revenue | $2,615,977 | 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 | $1,929,856 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,090,851 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $288,264 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,271,350 | PYOtherExpensesAmt |
| CY Other Expenses | $1,010,933 | CYOtherExpensesAmt |
| PY Total Expenses | $3,201,206 | PYTotalExpensesAmt |
| CY Total Expenses | $3,101,784 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$240,539 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$485,807 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,981,136 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,487,181 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $333,944 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $325,796 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,647,192 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,161,385 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of the Women's Community Clinic is to improve the health and well-being of women and girls. We believe preventive, educational care is essential to lifelong health and that all women deserve excellent health care, regardless of their ability to pay. We work hard to ensure that each client feels comfortable and safe using her voice to direct the care she receives. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,123,186 | ExpenseAmt |
| Revenue | $853,629 | RevenueAmt |
| Desc | Our Integrated Women's Health Program provides a full range of client-centered clinical services, including acute and chronic primary care, sexual and reproductive health services, integrated mental health counseling, and referrals to onsite prenatal care. Experienced clinicians work together with our health workforce trainees to foster total mental, emotional and physical wellness for our clients. Our treatments are culturally sensitive, evidence-based, and tailored to each client's individual needs and circumstances. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $340,900 | ExpenseAmt |
| Desc | Our Workforce Development Programming keeps our services cost-effective while providing valuable training to the next generation of Bay Area healthcare providers, leaders, and advocates. Approximately 80% of workforce trainees go on to pursue degrees in the health professions, taking with them the Clinic's philosophies of client-centered whole person care. The Clinic's Western Addition Health Training (WAHT) Program is specifically designed to provide career training and development opportunities for African-American women from the Western Addition. The program trains emerging health leaders and contributes to the elimination of health disparities for African American women and girls in San Francisco. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $136,513 | ExpenseAmt |
| Desc | Our Outreach Program provides homeless and marginally housed women in San Francisco's Mission District with health education, safer sex and hygiene supplies, safer drug use kits, nutritional support, case management, and direct referrals to health and other wrap-around social services. Our Outreach team runs a weekly drop-in center and a ten-week long series of health education workshops as a way to further engage homeless women in accessing services, connecting with peers and fostering health and well-being. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $2,600,599 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 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 | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 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 | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 44 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 20 | 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 | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Tony Duong CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4157623700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1563 Mission St | AddressLine1Txt |
| City | San Francisco | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94103 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| Rachael Kagan | ||||||
| Vice Chair, Chair | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Min Matson Thru 117 | ||||||
| Vice Chair, Chair | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Suga Hickox | ||||||
| Vice Chair | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Gulnora Zakirova | ||||||
| Treasurer | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Lisa Koblentz Thru 117 | ||||||
| Secretary | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Paul Pitts | ||||||
| Secretary | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Stacy Aldinger Thru 1216 | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Rhea Boyd | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Catherine Dower Thru 117 | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Jen Elias | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Michalea Gonzalez | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Stephanie Haney Thru 916 | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Rochelle Hayes Neutra | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Shannon Malloy | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Patricia Martell | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Brenda Solorzano | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Kitty Torres Thru 716 | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Ellen Chaitin | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Bryan Graham | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Kathy Holmes | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Debbie Koski | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Jim McElwee | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Melyssa Mendoza | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Karen Pointer | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Trisha Walsh | ||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Vitka Eisen | ||||||
| EXEcutive Director(STARTING 6/1/17) | 36.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Carlina Hansen | ||||||
| Executive Director | 36.00 | Yes (X) | Yes (X) | $105,080 | $0 | $11,841 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $105,080 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $11,841 | 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 |
| Fundraising | $985 | FundraisingAmt |
| Government Grants | $577,992 | GovernmentGrantsAmt |
| All Other Contributions | $1,162,791 | AllOtherContributionsAmt |
| Total Contributions | $1,741,768 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Program Service Fees | Desc |
| Business | 624110 | BusinessCd |
| Total Revenue Column | $792,432 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $792,432 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $792,432 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $478 | TotalRevenueColumnAmt |
| Exclusion | $478 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $61,197 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $61,197 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,197 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $61,197 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $985 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $498 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$498 | TotalRevenueColumnAmt |
| Exclusion | -$498 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,387 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $1,861 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$474 | TotalRevenueColumnAmt |
| Exclusion | -$474 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Miscellaneous Revenue | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $21,074 | TotalRevenueColumnAmt |
| Exclusion | $21,074 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $21,074 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,615,977 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $853,629 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $20,580 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,439 | TotalAmt |
| Program Services | $72,112 | ProgramServicesAmt |
| Management And General | $22,375 | ManagementAndGeneralAmt |
| Fundraising | $30,952 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,586,950 | TotalAmt |
| Program Services | $1,385,921 | ProgramServicesAmt |
| Management And General | $49,757 | ManagementAndGeneralAmt |
| Fundraising | $151,272 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,114 | TotalAmt |
| Program Services | $33,602 | ProgramServicesAmt |
| Management And General | $2,137 | ManagementAndGeneralAmt |
| Fundraising | $5,375 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,231 | TotalAmt |
| Program Services | $148,784 | ProgramServicesAmt |
| Management And General | $6,014 | ManagementAndGeneralAmt |
| Fundraising | $19,433 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,117 | TotalAmt |
| Program Services | $136,295 | ProgramServicesAmt |
| Management And General | $11,196 | ManagementAndGeneralAmt |
| Fundraising | $15,626 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,025 | TotalAmt |
| Management And General | $26,025 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,209 | TotalAmt |
| Program Services | $117,222 | ProgramServicesAmt |
| Management And General | $7,974 | ManagementAndGeneralAmt |
| Fundraising | $5,013 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,911 | TotalAmt |
| Program Services | $15,739 | ProgramServicesAmt |
| Management And General | $417 | ManagementAndGeneralAmt |
| Fundraising | $2,755 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,788 | TotalAmt |
| Program Services | $140,371 | ProgramServicesAmt |
| Management And General | $2,760 | ManagementAndGeneralAmt |
| Fundraising | $5,657 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $279,378 | TotalAmt |
| Program Services | $255,449 | ProgramServicesAmt |
| Management And General | $7,714 | ManagementAndGeneralAmt |
| Fundraising | $16,215 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,961 | TotalAmt |
| Program Services | $15,452 | ProgramServicesAmt |
| Management And General | $460 | ManagementAndGeneralAmt |
| Fundraising | $1,049 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,619 | TotalAmt |
| Program Services | $23,943 | ProgramServicesAmt |
| Management And General | $499 | ManagementAndGeneralAmt |
| Fundraising | $3,177 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,032 | TotalAmt |
| Program Services | $44,624 | ProgramServicesAmt |
| Management And General | $1,442 | ManagementAndGeneralAmt |
| Fundraising | $2,966 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,399 | TotalAmt |
| Program Services | $738 | ProgramServicesAmt |
| Management And General | $39,661 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Supplies | $192,940 | $190,417 | $773 | $1,750 |
| Taxes & Fees | $44,825 | $2,133 | $31,803 | $10,889 |
| Other Program Expenses | $35,846 | $17,797 | $1,914 | $16,135 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,101,784 | TotalAmt |
| Program Services | $2,600,599 | ProgramServicesAmt |
| Management And General | $212,921 | ManagementAndGeneralAmt |
| Fundraising | $288,264 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $435,869 | BOYAmt |
| EOY | $396,486 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $867,577 | BOYAmt |
| EOY | $548,213 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $406,448 | BOYAmt |
| EOY | $257,607 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,239 | BOYAmt |
| EOY | $169,833 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,486 | BOYAmt |
| EOY | $1,577 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,260 | BOYAmt |
| EOY | $44,598 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,103,972 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,047,334 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,028 | BOYAmt |
| EOY | $56,638 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,229 | BOYAmt |
| EOY | $12,229 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,981,136 | BOYAmt |
| EOY | $1,487,181 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $333,944 | BOYAmt |
| EOY | $325,796 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $333,944 | BOYAmt |
| EOY | $325,796 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,300,828 | BOYAmt |
| EOY | $829,863 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $346,364 | BOYAmt |
| EOY | $331,522 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,647,192 | BOYAmt |
| EOY | $1,161,385 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,981,136 | BOYAmt |
| EOY | $1,487,181 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$485,807 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $2,243,499 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,115,148 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,742,266 | CurrentTaxYearAmt |
| Total | $6,100,913 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $2,243,499 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,115,148 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,742,266 | CurrentTaxYearAmt |
| Total | $6,100,913 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $103,236 | SubstantialContributorsTotAmt |
| Public Support Total170 | $5,997,677 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $494 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $601 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $478 | CurrentTaxYearAmt |
| Total | $1,573 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $13,673 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $57,177 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,461 | CurrentTaxYearAmt |
| Total | $93,311 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $6,195,797 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $2,540,445 | GrossReceiptsRltdActivitiesAmt |
| First5 Years170 | Yes (X) | First5Years170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10, Explanation of Other Income: | FormAndLineReferenceDesc |
| Explanation | Sale of Inventory - 2014 Amount: $ 1,418. 2015 Amount: $ 635. 2016 Amount: $ 1,387. Other Income - 2014 Amount: $ 12,255. 2015 Amount: $ 5,467. 2016 Amount: $ 21,074. Gross Income from Fund Raising - 2015 Amount: $ 51,075. | ExplanationTxt |
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 | $795,385 | OtherCostOrOtherBasisAmt |
| Depreciation | $795,385 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $308,587 | OtherCostOrOtherBasisAmt |
| Depreciation | $251,949 | DepreciationAmt |
| Book Value | $56,638 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $56,638 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,889,445 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $272,970 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $272,970 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,616,475 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$498 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$498 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,615,977 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,375,252 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $272,970 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $272,970 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,102,282 | ExpensesSubtotalAmt |
| Other Expenses Not Included | -$498 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$498 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,101,784 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | THE CLINIC HAS RECEIVED NOTIFICATION FROM THE INTERNAL REVENUE SERVICE AND THE STATE OF CALIFORNIA THAT IT QUALIFIES FOR TAX-EXEMPT STATUS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 27301(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE, RESPECTIVELY. THE CLINIC RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED, AND CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE CLINIC HAS EVALUATED ITS CURRENT TAX POSITIONS AND HAS CONCLUDED THAT AS OF JUNE 30, 2017, THE CLINIC DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS FOR WHICH A RESERVE WOULD BE NECESSARY. |
| Part XI, Line 4b - Other Adjustments: | Fund raising expense -498. |
| Part XII, Line 4b - Other Adjustments: | Fund raising expense -498. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11b | The organization's finance department reviews the Form 990 in detail prior to filing with the IRS. A copy of the return is provided to Healthright 360(successor entity) prior to filing. |
| Form 990, Part VI, Section B, line 12c | In connection with any actual or possible conflict of interest, an interested person must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors or their representatives. The remaining board or committee members shall decide if a conflict of interest exists. When addressing the conflict of interest, an interested person may make a presentation to the Board or committee, but after the presentation, he/she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement involving the possible conflict of interest. If a more advantageous transaction or arrangement is not reasonably possible under circumstances not producing a conflict of interest, a majority vote of the disinterested directors determines whether the transaction is in the Company's best interest. If, after hearing a member's response and after making further investigation as warranted by the circumstances, the Board of Directors or committee determines the member has failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action. |
| Form 990, Part VI, Section B, line 15 | The governance committee acts on behalf of the board in setting executive compensation guidelines and making recommendations with respect to the compensation of principal administrators by reviewing the annual base salary levels and evaluations as applicable. The committee shall document the basis for the determination of reasonable compensation, including performance evaluations and market data. The compensation committee may delegate, with committee oversight, certain aspects of its duties to qualified third parties (e.g. compensation or evaluation support consultants). Any proposals for such work shall be reviewed and approved by the committee. |
| Form 990, Part VI, Section C, line 19 | The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. |
| Form 990, Part XII, Line 2c: | The process has not changed. |
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