CENTINELA MEDICAL STAFF INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CENTINELA MEDICAL STAFF INC (EIN 45-0557148)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-10-13
IRS object ID
201702869349300500
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

FieldValueIRS element (for citing)
Return2017-10-13T00:54:36-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN954345215PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JUDGE & JUDGE CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11960 E GRAND AVE SUITE 1225AddressLine1Txt
CityEL SEGUNDOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP902455013ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN450557148EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTINELA MEDICAL STAFF INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone9497688122PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 E HARDY STREETAddressLine1Txt
CityINGLEWOODCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90301ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT B CHESNE MDPersonNm
Person TitleCHIEF OF STAFFPersonTitleTxt
Phone9497688122PhoneNum
Signature2017-09-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL F JUDGEPreparerPersonNm
PTINP00532571PTIN
Phone3103217388PhoneNum
Preparation2017-09-22PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.194.166.134IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-09-22IPDt
IP Tm15:01:59IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id624FCAEDBA5FC484BBA608693BB8ECA4EAD4E157AtSubmissionCreationDeviceId
At Submission Filing Device IdB2DBE2D816D3437A29A972684D0A676225A9120BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT B CHESNE MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 E HARDY STREETAddressLine1Txt
CityINGLEWOODCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90301ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$137,814GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.CENTINELAMED.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROMOTION OF HEALTH AND MEDICAL CARE.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$187,995PYContributionsGrantsAmt
CY Contributions Grants$104,662CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,129PYInvestmentIncomeAmt
CY Investment Income$1,180CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$190,124PYTotalRevenueAmt
CY Total Revenue$105,842CYTotalRevenueAmt
PY Grants And Similar Paid$5,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$60,000PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$60,000CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$74,205PYOtherExpensesAmt
CY Other Expenses$77,780CYOtherExpensesAmt
PY Total Expenses$139,205PYTotalExpensesAmt
CY Total Expenses$142,780CYTotalExpensesAmt
PY Revenues Less Expenses$50,919PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$36,938CYRevenuesLessExpensesAmt
Total Assets BOY$161,409TotalAssetsBOYAmt
Total Assets EOY$124,471TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$161,409NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$124,471NetAssetsOrFundBalancesEOYAmt
MissionPROMOTION OF HEALTH AND MEDICAL CAREMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,950ExpenseAmt
DescPROVIDED RECOGNITION AWARDS AND OTHER ITEMS TO SUPPLEMENT EXEMPT PURPOSE THOUGH EMPLOYEE/STAFF PERSONNEL RECOGNITION.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$5,000ExpenseAmt
Grant$5,000GrantAmt
DescPROVIDED GRANTS TO CHARITABLE ORGANIZATIONS WHICH PROMOTE CAUSES CONSISTENT WITH THE EXEMPT PURPOSE OF THIS ORGANIZATION.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$29,928ExpenseAmt
DescPROVIDED FUNDS FOR THE EDUCATION AND ADDITIONAL CREDENTIALING OF THE HOSPITAL MEDICAL STAFF.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$46,878TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 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 Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
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 Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROBERT B CHESNE MDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3106808195PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1555 E HARDY STREETAddressLine1Txt
CityINGLEWOODCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90301ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ROBERT B CHESNE MD
CHIEF OF STAFF20.00Yes (X)$60,000$0$0
MICHAEL DAWSON MD
CHIEF OF STAFF, ELECT5.00Yes (X)$0$0$0
ALI MORSHEDI-MEIBODI MD
SECRETARY5.00Yes (X)$0$0$0
MARJAN CHEGOUNCHI MD
TREASURER5.00Yes (X)$0$0$0
FIROOZ PAK MD
CHIEF OF STAFF, PAST5.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$60,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$104,662AllOtherContributionsAmt
Noncash Contributions$1,235NoncashContributionsAmt
Total Contributions$104,662TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,468TotalRevenueColumnAmt
Related Or Exempt Func Income$1,468RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$31,684SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$31,972SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$288SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$288TotalRevenueColumnAmt
Related Or Exempt Func Income-$288RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$105,842TotalRevenueColumnAmt
Related Or Exempt Func Income$1,180RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt
Program Services$5,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$60,000TotalAmt
Management And General$60,000ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$27,812TotalAmt
Management And General$27,812ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,025TotalAmt
Management And General$2,025ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,200TotalAmt
Management And General$1,200ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$122TotalAmt
Management And General$122ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
EDUCATION & CREDENTIALI$29,928$29,928
STAFF RECOGNITION & AWA$11,950$11,950
MEMBERS & DUES$2,300$2,300
PROMOTIONS$1,460$1,460

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$983TotalAmt
Management And General$983ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$142,780TotalAmt
Program Services$46,878ProgramServicesAmt
Management And General$95,902ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$101,017BOYAmt
EOY$62,638EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$60,392BOYAmt
EOY$61,833EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$161,409BOYAmt
EOY$124,471EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$161,409BOYAmt
EOY$124,471EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$161,409BOYAmt
EOY$124,471EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$161,409BOYAmt
EOY$124,471EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$36,938ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
Book Value$61,833BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$61,833TotalBookValueSecuritiesAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1ST MARGARETS CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110217 INGLEWOOD AVENUEAddressLine1Txt
CityLENNOXCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90304ZIPCd
FieldValueIRS element (for citing)
Cash Grant$5,000CashGrantAmt
Purpose Of GrantPROVIDE RELIEF AND SUPPORT TO LOW-INCOME PERSONS IN CRISISPurposeOfGrantTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7AMEMBER ELECTION FOR ADDITIONAL MEMBERS A VACANCY IN THE BOARD OF DIRECTORS MAY BE FILLED BY A MAJORITY OF THE REMAINING DIRECTORS, OR IF THE NUMBER OF DIRECTORS THEN IN OFFICE IS LESS THAN A QUORUM, BY (1) THE UNANIMOUS WRITTEN CONSENT OF THE DIRECTORS THEN IN OFFICE, (2) THE AFFIRMATIVE VOTE OF A MAJORITY OF THE DIRECTORS THEN IN OFFICE AT A MEETING HELD PURSUANT TO NOTICE OR WAIVERS OF NOTICE COMPLYING WITH SECTION 5211 OF CALIFORNIA NONPROFIT CORPORATION LAW, OR (3) A SOLE REMAINING DIRECTOR.
FORM 990, PART VI, SECTION B, LINE 11BGOVERNING DOCUMENTS, ECT, AVAILABLE TO PUBLIC THE BOARD OF DIRECTORS REVIEWED THE 2016 FORM 990 BEFORE AUTHORIZING ITS FILING.
FORM 990, PART VI, SECTION C, LINE 19THE BOARD OF DIRECTORS HAVE ENSURED THE COPIES OF THE GOVERNING DOCUMENTS HAVE BEEN MADE AVAILABLE AT THE ORGANIZATION'S PLACE OF BUSINESS UPON WRITTEN OR VERBAL REQUEST OF THE PUBLIC.

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