WESTMINSTER FREE CLINIC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
WESTMINSTER FREE CLINIC (EIN 77-0563241)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-09-06
IRS object ID
201732499349301678
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)
Return2017-09-06T21:57:21-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN320530003PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1QUIGLEY & MIRON CPA'SBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13550 WILSHIRE BLVD1660AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90010ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN770563241EIN

Business Name BusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line15560 NAPOLEON AVENUEAddressLine1Txt
CityOAK PARKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91377ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLISA SAFAEINILIPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8052418366PhoneNum
Signature2017-09-06SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT A LYONPreparerPersonNm
PTINP01327482PTIN
Phone2136393550PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address99.88.83.161IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-09-06IPDt
IP Tm19:54:17IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id81B70EFBCD9629ABBF56E7CB9576B449176385C4AtSubmissionCreationDeviceId
At Submission Filing Device Id81B70EFBCD9629ABBF56E7CB9576B449176385C4AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLISA SAFAEINILIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15560 NAPOLEON AVENUEAddressLine1Txt
CityOAK PARKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91377ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,723,277GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.WESTMINSTERCLINIC.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE FREE MEDICAL CARE TO THE HOMELESS AND UNINSURED WORKING POOR RESIDENTS OF EAST VENTURA COUNTY, CA.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers400TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,108,912PYContributionsGrantsAmt
CY Contributions Grants$1,695,824CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,599PYInvestmentIncomeAmt
CY Investment Income$2,241CYInvestmentIncomeAmt
PY Other Revenue$42,002PYOtherRevenueAmt
CY Other Revenue$20,010CYOtherRevenueAmt
PY Total Revenue$1,153,513PYTotalRevenueAmt
CY Total Revenue$1,718,075CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$308,851PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$318,917CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$44,575CYTotalFundraisingExpenseAmt
PY Other Expenses$967,492PYOtherExpensesAmt
CY Other Expenses$1,156,554CYOtherExpensesAmt
PY Total Expenses$1,276,343PYTotalExpensesAmt
CY Total Expenses$1,475,471CYTotalExpensesAmt
PY Revenues Less Expenses-$122,830PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$242,604CYRevenuesLessExpensesAmt
Total Assets BOY$1,439,471TotalAssetsBOYAmt
Total Assets EOY$1,695,721TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$13,646TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,439,471NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,682,075NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE FREE MEDICAL CARE TO THE HOMELESS AND UNINSURED WORKING POOR RESIDENTS OF EAST VENTURA COUNTY, CA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,056,707ExpenseAmt
DescSINCE 1994, WESTMINSTER FREE CLINIC (ORGANIZATION) HAS BEEN AN INNOVATIVE NON-PROFIT WHOSE MISSION IS TO PROVIDE FREE MEDICAL CARE (INCLUDING LABS, DIAGNOSTIC TESTS LIKE MAMMOGRAMS, AND MEDICATIONS) TO THE UNINSURED, HOMELESS AND WORKING POOR OF OUR COMMUNITY THROUGH CARING, COMPASSION, COMMUNITY PARTNERSHIPS, EDUCATION AND STUDENT TRAINING. IT IS THE GOAL OF THE ORGANIZATION TO PROVIDE: 1) EASY ACCESS TO FREE MEDICAL CARE TO HARD-TO-REACH POPULATIONS FACING TRANSPORTATION, LANGUAGE, CULTURAL AND FINANCIAL BARRIERS TO CARE; AND 2) PROVIDE HIGH SCHOOL STUDENTS WITH A PATHWAY TO CAREERS IN HEALTH THROUGH EXPOSURE AND HANDS-ON TRAINING IN THE DELIVERY OF HEALTH CARE. THE IS A NONPROFIT HEALTH AND HUMAN SERVICES ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE). DURING THE YEAR ENDED DECEMBER, 2016, OVER 7,000 LOCAL PEOPLE WERE SERVED, 62% OF WHOM ARE WOMEN AND CHILDREN. DURING THE YEAR ENDED DECEMBER 2015 OVER 6,000 LOCAL PEOPLE WERE SERVED, 68% OF WHOM ARE WOMEN AND CHILDREN.FREE SERVICES INCLUDE PRIMARY CARE, PHYSICAL THERAPY AND CHIROPRACTIC SERVICES, PODIATRY, CASE MANAGEMENT, NUTRITION COUNSELING, DENTAL SCREENING AND EDUCATION, WITH 187 RECEIVING FREE TREATMENT; REFERRALS WITH THE ORGANIZATION'S NETWORK OF SPECIALTY CARE PROVIDERS INCLUDES FREE EYE EXAMS AND GLASSES FOR OVER 100 CLIENTS AS WELL. VOLUNTEER OPHTHALMOLOGISTS SCREEN PATIENTS AT THE ORGANIZATION FOR CATARACTS, GLAUCOMA, AND DIABETIC RETINOPATHY AND PROVIDE FREE CATARACT SURGERY AT THEIR PRACTICE. MENTAL HEALTH SERVICES INCLUDE A WEEKLY GRIEF & LOSS PROGRAM CALLED START AGAIN, NOT OVER , IN ADDITION TO ONE-ON-ONE AND GROUP COUNSELING. ELECTRONIC HEALTH RECORDS (EHR) TRACK PATIENT PROGRESS AND ENHANCE THE CLINIC'S CAPACITY AND QUALITY OF CARE. THE ORGANIZATION SERVES AS A COMMUNITY CENTER TO SUPPORT THE WHOLE HEALTH OF THE PERSON INCLUDING WEEKLY ZUMBA/YOGA CLASSES, FOOD DISTRIBUTION THROUGH FOODSHARE, WEEKLY COOKING DEMONSTRATIONS THROUGH THE ORGANIZATION'S HEALTH EDUCATION CLASS, HEALTH LITERACY ACTIVITIES, HOMEWORK HELP, CLOTHING DISTRIBUTION, AND BACKPACKS WITH SCHOOL SUPPLIES FOR STUDENTS. THESE ACTIVITIES ARE ALL PART OF THE ORGANIZATON'S PREVENTION STRATEGIES TO ADDRESS ALL SOCIAL DETERMINANTS OF HEALTH WHICH AFFECT PEOPLE'S HEALTH AND ABILITY TO THRIVE. THE ORGANIZATION SERVES AS A COMMUNITY CENTER. ITS SERVICES FIT INTO FOUR CATEGORIES: 1) MEDICAL; 2) WHOLE-PERSON-CENTERED PREVENTIVE HEALTH; 3) PATHWAYS TO SELF-RELIANCE, AND 4) HEALTH & EDUCATION EQUITY & ADVOCACY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$107,983ExpenseAmt
DescOVER 87 TEENS (50% OF WHOM ARE LOW-INCOME AND BILINGUAL) ARE ENROLLED IN THE ORGANIZATION'S TWO-YEAR TEEN HEALTH ACADEMY & INTERNSHIP PROGRAM THAT ASSISTS PHYSICIANS IN THE DELIVERY OF CARE AND OFFERS HANDS-ON-TRAINING IN BASIC CLINICAL SKILLS PREPARING STUDENTS FOR CAREERS IN HEALTHCARE AND THE OPPORTUNITY TO HELP THEIR COMMUNITY. COLLEGE AND CAREER COUNSELING, FREE SAT/ACT PREP CLASSES AND MATH TUTORING RESULT IN 95% ENROLLMENT OF THE ORGANIZATION'S STUDENTS IN COLLEGE OR A UNIVERSITY AFTER GRADUATION. AS PART OF THEIR INTERNSHIP AT WFC, INTERESTED STUDENTS CAN COMPLETE THE REQUIREMENTS TO BECOME A CERTIFIED MEDICAL ASSISTANT.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$179,686ExpenseAmt
DescTHE ORGANIZATION'S COMMUNITY OUTREACH, LED BY BILINGUAL TEEN INTERNS IN SALUD, SCREENS PEOPLE IN THE COMMUNITY FOR DIABETES AND HIGH BLOOD PRESSURE, AND WORKS WITH LATINO MARKETS IN FIVE CITIES TO OFFER HEALTHIER FOOD OPTIONS. THE ORGANIZATION'S CORAZONES SANOS (HEALTHY HEARTS) PROGRAM AND DIABETIC SPECIALTY CLINIC EMPOWER CLINIC PATIENTS TO TAKE CHARGE OF THEIR HEALTH, BECOME HEALTH LITERATE, EDUCATE OTHERS, AND RECEIVE THE EXTRA SUPPORT THEY NEED TO ACHIEVE POSITIVE HEALTH OUTCOMES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescANOTHER PUBLIC HEALTH PROGRAM OFFERED BY THE ORGANIZATION IS A SEVEN-WEEK PARAPROFESSIONAL VICTIMIZATION PREVENTION TRAINING PROGRAM, CALLED Z-TAP (ZONTA-FUNDED TRAINING & ADVOCACY PROGRAM). THIS TRAIN-THE-TRAINER PROGRAM WAS FOUNDED IN 2006 BY THE ZONTA CLUB OF THE CONEJO VALLEY AREA, CALIFORNIA, AND THROUGH WHICH MORE THAN 650 LOW-INCOME WOMEN HAVE BEEN TRAINED, AND NUMEROUS DOMESTIC VIOLENCE SITUATIONS HAVE BEEN RESOLVED. FREE INDIVIDUAL MENTAL HEALTH COUNSELING IS OFFERED WEEKLY AT THE CLINIC IN SPANISH AND ENGLISH FOR PEOPLE NEEDING FURTHER SUPPORT.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,344,376TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming ActivitiesYes (1)GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document37IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee4EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKAREN YTURRALDEPersonNm
Phone8053836636PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
JUDY JONES RN
DIRECTOR2.50Yes (X)$0$0$0
JULIE MARTIN
DIRECTOR2.50Yes (X)$0$0$0
DR JOHN SULLIVAN
DIRECTOR1.30Yes (X)$0$0$0
JEFF WITTEN
DIRECTOR2.50Yes (X)$0$0$0
WILLIAM T VINSON ESQ
CHAIRMAN1.30Yes (X)$0$0$0Yes (X)
MANUEL VALDEZ
CHIEF FINANCIAL OFFICER4.00Yes (X)$0$0$0Yes (X)
DR STEVEN KAMAJIAN
PRESIDENT3.00Yes (X)$0$0$0Yes (X)
DENISSE RIVERA
DIRECTOR2.50Yes (X)$0$0$0
CYNTHIA M VINSON
CHIEF ACTING OFFICER/DIREC10.00Yes (X)$0$0$0Yes (X)
AMANDA M VINSON ESQ
SECRETARY (NON-VOTING)2.50$0$0$0Yes (X)
LISA SAFAEINILI
EXECUTIVE DIRECTOR60.00$130,479$0$11,695Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$130,479TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$11,695TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$173,560GovernmentGrantsAmt
All Other Contributions$1,522,264AllOtherContributionsAmt
Noncash Contributions$783,054NoncashContributionsAmt
Total Contributions$1,695,824TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,241TotalRevenueColumnAmt
Exclusion$2,241ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$25,212GamingGrossIncomeAmt
Gaming Direct Expenses$5,202GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,010TotalRevenueColumnAmt
Exclusion$20,010ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,718,075TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$22,251ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$142,174TotalAmt
Program Services$92,413ProgramServicesAmt
Management And General$21,326ManagementAndGeneralAmt
Fundraising$28,435FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$143,779TotalAmt
Program Services$143,779ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,375TotalAmt
Program Services$7,415ProgramServicesAmt
Management And General$1,682ManagementAndGeneralAmt
Fundraising$1,278FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$22,589TotalAmt
Program Services$18,828ProgramServicesAmt
Management And General$1,612ManagementAndGeneralAmt
Fundraising$2,149FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$41,092TotalAmt
Management And General$41,092ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$188,787TotalAmt
Program Services$178,899ProgramServicesAmt
Management And General$4,944ManagementAndGeneralAmt
Fundraising$4,944FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$32,698TotalAmt
Program Services$23,514ProgramServicesAmt
Management And General$1,539ManagementAndGeneralAmt
Fundraising$7,645FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,162TotalAmt
Program Services$10,162ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,200TotalAmt
Program Services$7,200ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,803TotalAmt
Management And General$8,803ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,302TotalAmt
Program Services$1,085ProgramServicesAmt
Management And General$93ManagementAndGeneralAmt
Fundraising$124FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$16,963TotalAmt
Program Services$16,221ProgramServicesAmt
Management And General$742ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$806,115$806,115
STIPEND$27,400$27,400
TRAINING & DEVELOPMENT$9,345$9,345
VOLUNTEER APPRECIATION$4,687$4,687

All Other Expenses AllOtherExpensesGrp

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

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,475,471TotalAmt
Program Services$1,344,376ProgramServicesAmt
Management And General$86,520ManagementAndGeneralAmt
Fundraising$44,575FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$748,271BOYAmt
EOY$898,153EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$142,200BOYAmt
EOY$142,242EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$94,338BOYAmt
EOY$166,668EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,548BOYAmt
EOY$15,631EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$45,040LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,169LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,157BOYAmt
EOY$32,871EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$437,957BOYAmt
EOY$440,156EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,439,471BOYAmt
EOY$1,695,721EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$13,646EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$13,646EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,149,466BOYAmt
EOY$1,487,152EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$290,005BOYAmt
EOY$194,923EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,439,471BOYAmt
EOY$1,682,075EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,439,471BOYAmt
EOY$1,695,721EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$242,604ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$811,320CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$929,212CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,759,806CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,108,912CurrentTaxYearMinus1YearAmt
Current Tax Year$1,694,324CurrentTaxYearAmt
Total$6,303,574TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$811,320CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$929,212CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,759,806CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,108,912CurrentTaxYearMinus1YearAmt
Current Tax Year$1,694,324CurrentTaxYearAmt
Total$6,303,574TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,369,689SubstantialContributorsTotAmt
Public Support Total170$4,933,885PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,721CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,821CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,303CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,599CurrentTaxYearMinus1YearAmt
Current Tax Year$2,241CurrentTaxYearAmt
Total$17,685TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$6,449CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,002CurrentTaxYearMinus1YearAmt
Current Tax Year$21,510CurrentTaxYearAmt
Total$69,961TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$76CurrentTaxYearMinus2YearsAmt
Total$76TotalAmt
FieldValueIRS element (for citing)
Total Support$6,391,296TotalSupportAmt
Public Support CY1700.77200PublicSupportCY170Pct
Public Support PY1700.64480PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,040OtherCostOrOtherBasisAmt
Depreciation$12,169DepreciationAmt
Book Value$32,871BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$32,871TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,116,646TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$1,398,571DonatedServicesAndUseFcltsAmt
Revenue Not Reported$1,398,571RevenueNotReportedAmt
Revenue Subtotal$1,718,075RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,718,075TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,874,042TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$1,398,571DonatedServicesUseFcltsAmt
Expenses Not Reported$1,398,571ExpensesNotReportedAmt
Expenses Subtotal$1,475,471ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,475,471TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING STANDARDS REQUIRE AN ORGANIZATION TO EVALUATE ITS TAX POSITIONS AND PROVIDE FOR A LIABILITY FOR ANY POSITIONS THAT WOULD NOT BE CONSIDERED 'MORE LIKELY THAN NOT' TO BE UPHELD UNDER A TAX AUTHORITY EXAMINATION. MANAGEMENT HAS EVALUATED ITS TAX POSITIONS AND HAS CONCLUDED THAT A PROVISION FOR A TAX LIABILITY IS NOT NECESSARY AT DECEMBER 31, 2016. GENERALLY, THE ORGANIZATION'S INFORMATION RETURNS REMAIN OPEN FOR EXAMINATION FOR A PERIOD OF THREE (FEDERAL) OR FOUR (STATE OF CALIFORNIA) YEARS FROM THE DATE OF FILING.ExplanationTxt

Schedule G IRS990ScheduleG

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$25,212GrossRevenueOtherGamingAmt
Oth Direct Expnss Other Gaming$5,202OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming0VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming$25,212GrossRevenueTotalGamingAmt
Oth Direct Expnss Total Gaming$5,202OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$5,202DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$20,010NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedCAStatesWhereGamingConductedCd
LicensedYes (1)LicensedInd
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With NonmembersYes (1)GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Gaming Own Facility1.00000GamingOwnFacilityPct
Individual With BooksKAREN YTURRALDEIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

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

Schedule M IRS990ScheduleM

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution50000ContributionCnt
Noncash Contributions Rpt F990$122,500NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4672ContributionCnt
Noncash Contributions Rpt F990$660,554NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2WILLIAM VINSON, CYNTHIA VINSON, AND AMANDA VINSON ARE RELATED FAMILY MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS PRESENTED, REVIEWED, AND APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO ITS FILING.
FORM 990, PART VI, SECTION B, LINE 12CAT THE TIME A NEW BOARD MEMBER JOINS THE BOARD OF DIRECTORS, THEY ARE INFORMED OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. PRIOR TO A VOTE ON ANY BOARD ISSUE, VOTING BOARD MEMBERS ARE TO IDENTIFY ANY POTENTIAL CONFLICT OF INTEREST RELATING TO THEIR PARTICIPATION IN THE VOTE BEFORE THE BOARD AND ABSTAIN FROM VOTING WHERE A CONFLICT OF INTEREST IS CONSIDERED TO EXIST.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S BOARD OF DIRECTORS REVIEW AND APPROVE THE COMPENSATION PAID TO ALL OF THE ORGANIZATION'S EMPLOYEES DURING THE BOARD OF DIRECTOR'S BUDGET MEETINGS, OR WHENEVER A NEW OFFICER OR KEY EMPLOYEE IS HIRED.
FORM 990, PART VI, SECTION C, LINE 19FINANCIALS STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE FINANCIAL STATEMENTS ARE MADE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART IX, LINE 11GPROGRAM CONSULTANTS: PROGRAM SERVICE EXPENSES 178,899. MANAGEMENT AND GENERAL EXPENSES 4,944. FUNDRAISING EXPENSES 4,944. TOTAL EXPENSES 188,787.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION'S BOARD OF DIRECTORS HAS RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT AUDITOR, SUBJECT TO THE APPROVAL OF THE BOARD. THIS RESPONSIBILITY IS UNCHANGED FROM THE PRIOR YEAR.

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