WESTSIDE FAMILY HEALTHCARE INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- WESTSIDE FAMILY HEALTHCARE INC (EIN 22-2488654)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-10-09
- IRS object ID
- 201722829349300612
- 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 | 2017-10-09T11:10:41-04:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 203934956 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHISMAN GIORDANO & ASSOCIATES LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 CONTINENTAL DR STE 210 | AddressLine1Txt |
| City | NEWARK | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 197134330 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222488654 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTSIDE FAMILY HEALTHCARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 3026568292 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 WATER STREET SUITE 200 | AddressLine1Txt |
| City | WILMINGTON | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 19801 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LOLITA A LOPEZ FACHE | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 3026568292 | PhoneNum |
| Signature | 2017-10-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOSEPH A GIORDANO CPA | PreparerPersonNm |
| PTIN | P00578904 | PTIN |
| Phone | 3022660202 | PhoneNum |
| Preparation | 2017-10-04 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | A7C5D6A724A04B973C2053CEB65C0BEAAFF2FE7D | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | A76CE1565370236FCC1670FCBDFC7D3BCE634F18 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LOLITA A LOPEZ FACHE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 WATER STREET SUITE 200 | AddressLine1Txt |
| City | WILMINGTON | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 19801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,921,528 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WESTSIDEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | DE | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH OF OUR COMMUNITIES BY PROVIDING EQUAL ACCESS TO QUALITY HEALTHCARE, REGARDLESS OF ABILITY TO PAY | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 297 | TotalEmployeeCnt |
| Total Volunteers | 85 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $9,560,509 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,522,649 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,482,050 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,844,268 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$86,846 | PYInvestmentIncomeAmt |
| CY Investment Income | -$47,130 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,113,494 | PYOtherRevenueAmt |
| CY Other Revenue | $531,273 | CYOtherRevenueAmt |
| PY Total Revenue | $22,069,207 | PYTotalRevenueAmt |
| CY Total Revenue | $22,851,060 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $15,332,289 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,394,249 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $21,959 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,563,838 | PYOtherExpensesAmt |
| CY Other Expenses | $6,699,656 | CYOtherExpensesAmt |
| PY Total Expenses | $21,896,127 | PYTotalExpensesAmt |
| CY Total Expenses | $23,093,905 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $173,080 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$242,845 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,852,412 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,820,373 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,480,288 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,691,094 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,372,124 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,129,279 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO IMPROVE THE HEALTH OF OUR COMMUNITIES BY PROVIDING EQUAL ACCESS TO QUALITY HEALTHCARE, REGARDLESS OF ABILITY TO PAY | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,750,846 | ExpenseAmt |
| Revenue | $2,411,953 | RevenueAmt |
| Desc | DENTAL CARE SERVICES ARE PROVIDED AT WESTSIDE FAMILY HEALTHCARE INC'S WILMINGTON AND DOVER OFFICES. WESTSIDE FAMILY HEALTHCARE INC PROVIDES PREVENTIVE, RESTORATIVE, AND ANESTHETIC CARE TO ENHANCE THE PATIENT'S QUALITY OF LIFE AND SELF IMAGE. IN 2016, THE DENTAL PROVIDERS HAD 13,900 VISITS. THE TOTAL DENTAL PRACTICE CONSISTS OF 3,923 PATIENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,154,320 | ExpenseAmt |
| Revenue | $1,154,320 | RevenueAmt |
| Desc | WESTSIDE FAMILY HEALTHCARE INC OFFERS A COMMUNITY BASED PRECONCEPTION, PRENATAL, AND MATERNITY CARE PROGRAM THAT PROVIDES MEDICAL CARE, HOSPITAL DELIVERY, AND EDUCATION ON PREGNANCY, CHILDBIRTH, EARLY CHILDHOOD DEVELOPMENT AND CARE, SAFETY, PARENTING, AND NUTRITION. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $14,450,279 | ExpenseAmt |
| Revenue | $19,355,255 | RevenueAmt |
| Desc | FQHC: WESTSIDE FAMILY HEALTHCARE INC IS A JOINT COMMISSION ACCREDITED COMMUNITY HEALTH CENTER WITH OFFICES LOCATED IN DELAWARE. THE STAFF PROVIDES FAMILY MEDICAL, OB/GYN, AND DENTAL CARE FOR INDIVIDUALS OF ALL AGES. THEIR MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES BY PROVIDING EQUAL ACCESS TO QUALITY HEALTHCARE, REGARDLESS OF ABILITY TO PAY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $18,355,445 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 297 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DONNA M GOODMAN CMPE | PersonNm |
| Phone | 3026568292 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 WATER STREET SUITE 200 | AddressLine1Txt |
| City | WILMINGTON | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 19801 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| THOMAS A SWEENEY MD | |||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NORMAN D GRIFFITHS ESQUIRE | |||||||
| 1ST VICE-CHA | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KEVIN M BAIRD ESQUIRE | |||||||
| 2ND VICE-CHA | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BERYL BARMORE | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAVID R LEWIS CPA | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CONNIE MONTANA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CAROL A DILUZIO CPA CGMA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JANICE TILDON-BURTON MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARIA L PEREZ | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MILTON DELGADO EDD MBA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WANDA M LOPEZ | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| REV AARON R MOORE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD CARROLL ESQ | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TERRY RICHARD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TERESA HASSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DONNITA SCOTT MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SUSAN COLETTI ESQUIRE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LOLITA A LOPEZ FACHE | |||||||
| PRESIDENT & | 40.00 | Yes (X) | $228,743 | $0 | $34,172 | ||
| THOMAS STEPHENS MD | |||||||
| CMO | 40.00 | Yes (X) | $221,391 | $0 | $15,143 | ||
| DONNA M GOODMANCMPE | |||||||
| VP & CFO/COO | 40.00 | Yes (X) | $161,950 | $0 | $12,793 | ||
| TERESA CHEEK ESQ | |||||||
| CHIEF LEGAL | 40.00 | Yes (X) | $144,166 | $0 | $14,264 | ||
| ROGER KANE DDS | |||||||
| DENTIST | 40.00 | $190,631 | $0 | $16,549 | Yes (X) | ||
| ADRIAN IVAN WILSON DO | |||||||
| PHYSICIAN | 40.00 | $187,011 | $0 | $15,169 | Yes (X) | ||
| VANI SINGH MD | |||||||
| PHYSICIAN | 40.00 | $171,169 | $0 | $505 | Yes (X) | ||
| ALIREZA PIRESTANI DO | |||||||
| PHYSICIAN | 40.00 | $146,385 | $0 | $12,288 | Yes (X) | ||
| JAMIE JOHNSON GELLOCK DO | |||||||
| PHYSICIAN | 40.00 | $145,532 | $0 | $10,096 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,596,978 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $130,979 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 17 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EMPOWER RETIREMENT | |||||
| PO BOX 1700 | DENVER | CO | 80201 | 401K | $888,118 |
| PMG CONSULTING INC | |||||
| 700 SCHOOL STREET | PAWTUCKET | RI | 02860 | BILLING SERVICE | $555,302 |
| SANOFI PASTEUR INC | |||||
| 12458 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | MEDICATIONS | $328,694 |
| CHRISTIANA CARE HEALTH SYSTEM | |||||
| PO BOX 1668 | WILMINGTON | DE | 19899 | PROVIDERS | $304,476 |
| AMERISOURCE BERGEN DRUG CORP | |||||
| PO BOX 29808 | NEW YORK | NY | 100879808 | MEDICATIONS | $286,768 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $48,119 | FundraisingAmt |
| Government Grants | $9,340,156 | GovernmentGrantsAmt |
| All Other Contributions | $134,374 | AllOtherContributionsAmt |
| Total Contributions | $9,522,649 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $11,119,923 | $11,119,923 |
| PHARMACY REVENUE | 621110 | $1,724,345 | $1,724,345 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,844,268 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,646 | TotalRevenueColumnAmt |
| Exclusion | $11,646 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $58,776 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$58,776 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$58,776 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$58,776 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $48,119 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $11,692 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$11,692 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $542,965 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $542,965 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $542,965 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,851,060 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,328,457 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $11,646 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $756,250 | TotalAmt |
| Program Services | $22,139 | ProgramServicesAmt |
| Management And General | $734,111 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,874,324 | TotalAmt |
| Program Services | $10,424,599 | ProgramServicesAmt |
| Management And General | $2,427,766 | ManagementAndGeneralAmt |
| Fundraising | $21,959 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $326,761 | TotalAmt |
| Program Services | $251,183 | ProgramServicesAmt |
| Management And General | $75,578 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,393,493 | TotalAmt |
| Program Services | $1,083,796 | ProgramServicesAmt |
| Management And General | $309,697 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,043,421 | TotalAmt |
| Program Services | $803,434 | ProgramServicesAmt |
| Management And General | $239,987 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,427 | TotalAmt |
| Program Services | $2,742 | ProgramServicesAmt |
| Management And General | $685 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,501 | TotalAmt |
| Program Services | $32,401 | ProgramServicesAmt |
| Management And General | $8,100 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,387,581 | TotalAmt |
| Program Services | $1,126,289 | ProgramServicesAmt |
| Management And General | $261,292 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,475 | TotalAmt |
| Program Services | $101,236 | ProgramServicesAmt |
| Management And General | $30,239 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,755 | TotalAmt |
| Program Services | $142,261 | ProgramServicesAmt |
| Management And General | $42,494 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,050,861 | TotalAmt |
| Program Services | $809,163 | ProgramServicesAmt |
| Management And General | $241,698 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,385 | TotalAmt |
| Program Services | $83,456 | ProgramServicesAmt |
| Management And General | $24,929 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,341 | TotalAmt |
| Program Services | $63,403 | ProgramServicesAmt |
| Management And General | $18,938 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $602,714 | TotalAmt |
| Program Services | $509,231 | ProgramServicesAmt |
| Management And General | $93,483 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,419 | TotalAmt |
| Program Services | $137,382 | ProgramServicesAmt |
| Management And General | $41,037 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACY | $1,073,912 | $1,073,912 | |
| CONTRACT SERVICES | $516,276 | $516,276 | |
| SUPPLIES MEDICAL & DENTAL | $391,317 | $391,317 | |
| REP, MAINT & REPLACEMENTS | $281,695 | $216,905 | $64,790 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $665,997 | TotalAmt |
| Program Services | $564,320 | ProgramServicesAmt |
| Management And General | $101,677 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,093,905 | TotalAmt |
| Program Services | $18,355,445 | ProgramServicesAmt |
| Management And General | $4,716,501 | ManagementAndGeneralAmt |
| Fundraising | $21,959 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,272 | BOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,626,508 | BOYAmt |
| EOY | $2,930,300 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $208,407 | BOYAmt |
| EOY | $206,447 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,658,007 | BOYAmt |
| EOY | $1,809,411 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,021 | BOYAmt |
| EOY | $105,507 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,912,371 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,373,599 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,995,036 | BOYAmt |
| EOY | $5,538,772 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,795 | BOYAmt |
| EOY | $89,112 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,366 | BOYAmt |
| EOY | $140,824 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,852,412 | BOYAmt |
| EOY | $10,820,373 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,652,411 | BOYAmt |
| EOY | $1,995,440 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,720,212 | BOYAmt |
| EOY | $1,601,543 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,665 | BOYAmt |
| EOY | $94,111 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,480,288 | BOYAmt |
| EOY | $3,691,094 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,154,664 | BOYAmt |
| EOY | $7,077,907 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $217,460 | BOYAmt |
| EOY | $51,372 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,372,124 | BOYAmt |
| EOY | $7,129,279 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,852,412 | BOYAmt |
| EOY | $10,820,373 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$242,845 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SUPPLEMENTAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | THE DEFINITION FOR A HOSPITAL FOR SCHEDULE A (FORM 990) PUBLIC STATUS AND PUBLIC SUPPORT PART I, LINE 3 AND THE DEFINITION OF A HOSPITAL FOR SCHEDULE H (FORM 990) ARE NOT THE SAME. WESTSIDE FAMILY HEALTHCARE, INC. IS NOT REQUIRED TO BE LICENSED, REGISTERED AND IS NOT RECOGNIZED BY THE STATE OF DELAWARE AS A HOSPITAL. ACCORDINGLY, WESTSIDE FAMILY HEALTHCARE, INC. IS AN EXEMPT ORGANIZATION AND SCHEDULE H IS NOT REQUIRED. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $105,748 | BeginningYearBalanceAmt |
| Contributions | $6,425 | ContributionsAmt |
| Investment Earnings Or Losses | $9,189 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $849 | AdministrativeExpensesAmt |
| End Year Balance | $120,513 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $108,015 | BeginningYearBalanceAmt |
| Contributions | $3,690 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,779 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $4,178 | AdministrativeExpensesAmt |
| End Year Balance | $105,748 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $97,014 | BeginningYearBalanceAmt |
| Contributions | $5,175 | ContributionsAmt |
| Investment Earnings Or Losses | $7,320 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,494 | AdministrativeExpensesAmt |
| End Year Balance | $108,015 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $90,237 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $7,837 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,060 | AdministrativeExpensesAmt |
| End Year Balance | $97,014 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $83,658 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $7,174 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $595 | AdministrativeExpensesAmt |
| End Year Balance | $90,237 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,202,135 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,634,792 | DepreciationAmt |
| Book Value | $4,567,343 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,455,841 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,066,406 | DepreciationAmt |
| Book Value | $389,435 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,735,507 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,346,241 | DepreciationAmt |
| Book Value | $389,266 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $518,888 | OtherCostOrOtherBasisAmt |
| Depreciation | $326,160 | DepreciationAmt |
| Book Value | $192,728 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,538,772 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED LEASE INCENTIVE | Desc |
| Amt | $94,111 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $94,111 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $22,862,752 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $22,862,752 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$11,692 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$11,692 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $22,851,060 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $23,105,597 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $23,105,597 | ExpensesSubtotalAmt |
| Other Expenses Not Included | -$11,692 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$11,692 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $23,093,905 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | THE PRINCIPAL, INTEREST AND EARNINGS OF THE FUNDS INVESTED ARE DESIGNATED FOR LONG-TERM INVESTMENT ONLY, AND NOT TO BE USED WITHOUT THE BOARD OF DIRECTORS APPROVAL. |
| SCHEDULE D, PAGE 3, PART X | WESTSIDE FAMILY HEALTHCARE IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; THEREFORE NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE FINANCIAL STATEMENTS. IN ADDITION, THE ENTITY HAS BEEN CLASSIFIED AS ONE THAT IS NOT A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) OF THE INTERNAL REVENUE CODE AND QUALIFIES FOR DEDUCTIBLE CONTRIBUTIONS AS PROVIDED IN SECTION 170(B)(1)(A)(VI). ALTHOUGH THE ENTITY IS NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES, THE ENTITY IS REQUIRED TO ADHERE TO THE GUIDELINES OF ASC 740 "ACCOUNTING FOR INCOME TAXES", WHICH APPLIES TO ALL ENTITIES INCLUDING THOSE THAT ARE TAX EXEMPT UNDER SECTION 501(C)(3). ASC 740 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. ASC 740 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENTS RECOGNITION, MEASUREMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. MANAGEMENT HAS REVIEWED ITS CURRENT AND PAST FEDERAL INCOME TAX POSITIONS AND HAS DETERMINED, BASED ON CLEAR AND UNAMBIGIOUS TAX LAW AND REGULATIONS, THAT THE TAX POSITIONS TAKEN ARE CERTAIN AND THAT THERE IS NO LIKELIHOOD THAT A MATERIAL TAX ASSESSMENT WOULD BE MADE IF THE RESPECTIVE GOVERNMENT AGENCY EXAMINED TAX RETURNS SUBJECT TO AUDIT. ACCORDINGLY, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED. CURRENTLY, THE DECEMBER 31, 2013, 2014 AND 2015 TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. HOWEVER, THE ENTITY IS NOT CURRENTLY UNDER AUDIT NOR HAS THE ENTITY BEEN CONTACTED BY THIS JURISDICTION. ANY INTEREST AND PENALTIES RELATED TO INCOME TAXES WOULD BE RECORDED IN INCOME TAX EXPENSE. THERE ARE NO INTEREST AND PENALTIES AS OF DECEMBER 31, 2016 AND 2015. |
| SCHEDULE D, PAGE 4, PART XI, LINE 4B | DIFFERENCE DUE TO NETTING OF FUNDRAISING INCOME & EXPENSES -11,692 |
| SCHEDULE D, PAGE 4, PART XII, LINE 4B | DIFFERENCE DUE TO NETTING OF FUNDRAISING INCOME & EXPENSES -11,692 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | 5K & 10K RACE | Event1Nm |
| Gross Receipts Event1 | $48,119 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $48,119 | CharitableContriEvent1Amt |
| Other Direct Expenses Event1 | $11,692 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $48,119 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $48,119 | CharitableContributionsTotAmt |
| Oth Direct Expnss Total Events | $11,692 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $11,692 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$11,692 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| LOLITA A LOPEZ FACHE | |||||
| PRESIDENT & CEO | $198,743 | $30,000 | $26,078 | $8,094 | $262,915 |
| THOMAS STEPHENS MD | |||||
| CMO | $206,391 | $15,000 | $8,936 | $6,207 | $236,534 |
| DONNA M GOODMANCMPE | |||||
| VP & CFO/COO | $141,950 | $20,000 | $6,586 | $6,207 | $174,743 |
| TERESA CHEEK ESQ | |||||
| CHIEF LEGAL AND HR | $129,166 | $15,000 | $6,170 | $8,094 | $158,430 |
| ROGER KANE DDS | |||||
| DENTIST | $190,631 | $7,990 | $8,559 | $207,180 | |
| ADRIAN IVAN WILSON DO | |||||
| PHYSICIAN | $187,011 | $7,687 | $7,482 | $202,180 | |
| VANI SINGH MD | |||||
| PHYSICIAN | $171,169 | $505 | $171,674 | ||
| ALIREZA PIRESTANI DO | |||||
| PHYSICIAN | $146,385 | $6,030 | $6,258 | $158,673 | |
| JAMIE JOHNSON GELLOCK DO | |||||
| PHYSICIAN | $145,532 | $3,820 | $6,276 | $155,628 | |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DON JESSE JR CONTRACTOR INC | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | OFFICER SPOUSE | RelationshipDescriptionTxt |
| Transaction | $884 | TransactionAmt |
| Transaction | GEN CONST. OVERSIGHT | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 | UNDER REGULATION 1.263(A)-1(F), THE TAXPAYER HEREBY ELECTS TO APPLY THE DE MINIMIS SAFE HARBOR ELECTION TO ALL QUALIFYING PROPERTY PLACED IN SERVICE DURING THE TAX YEAR. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS REVIEWED BY THE CFO AND THE BOARD TREASURER IN DRAFT FORM. ONCE THE FINAL DRAFT IS COMPLETE, THE CFO PRESENTS IT TO THE FINANCE COMMITTEE FOR APPROVAL. THE FINANCE COMMITTEE APPROVES THE 990 AND RECOMMENDS IT TO THE ENTIRE BOARD FOR APPROVAL. ONCE THE BOARD APPROVES THE FINAL DRAFT, IT IS SUBMITTED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | WESTSIDE HAS A COMPLIANCE OFFICER WHO REVIEWS SITUATIONS THAT MAY NOT COMPLY WITH THE CONFLICT OF INTEREST POLICY AS THEY ARISE. ALL NEW BOARD MEMBERS ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST POLICY PRIOR TO PERFORMING THEIR DUTIES, AND ALL EXISTING BOARD MEMBERS SIGN THE POLICY ANNUALLY. IF IT IS DETERMINED THAT THE POLICY HAS BEEN BROKEN, THE INDIVIDUAL IS REMOVED FROM THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE PRESIDENT AND CEO'S SALARY, SALARY RANGE AND INCENTIVE PAYMENT IS DETERMINED BY THE EXECUTIVE COMMITTEE, SUBJECT TO FINAL APPROVAL BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD OF DIRECTORS. THE COMMITTEE SETS THESE MEASURES UTILIZING ALL OR A COMBINATION OF THE FOLLOWING: A REVIEW OF CEO SALARIES FROM SIMILAR ORGANIZATIONS AND NATIONAL AND REGIONAL HEALTH CENTERS, CONSULTING FORM 990 FOR SIMILAR ORGANIZATIONS, ENGAGING INDEPENDENT COMPENSATION CONSULTANTS, AND AN EVALUATION OF THE PERFORMANCE OF THE PRESIDENT AND CEO DURING THE YEAR BY THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE COMPENSATION OF OFFICERS IS DETERMINED BY THE PRESIDENT AND CEO. THE CEO SETS COMPENSATION BASED ON A REVIEW OF SALARIES FROM SIMILAR ORGANIZATIONS AND NATIONAL AND REGIONAL HEALTH CENTERS AND AN EVALUATION OF THE PERFORMANCE OF THE OFFICERS DURING THE YEAR PRIOR. |
| FORM 990, PAGE 6, PART VI, LINE 19 | ALL GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE KEPT ON FILE IN THE ADMINISTRATION OFFICE, AND ARE AVAILABLE UPON REQUEST. IN ADDITION, FORM 990 IS AVAILABLE ON GUIDESTAR.ORG WEBSITE FOR PUBLIC REVIEW. |
| FORM 990, PART XI, LINE 9 | DIFFERENCE DUE TO NETTING OF FUNDRAISING INCOME & EXPENSES 11,692 DIFFERENCE DUE TO NETTING OF FUNDRAISING INCOME & EXPENSES -11,692 |
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