MANIFEST MEDEX: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MANIFEST MEDEX (EIN 27-2367522)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201733199349302263
- 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 | 2017-11-15T15:52:12-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 952662063 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROGERS ANDERSON MALODY & SCOTT LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 735 E CARNEGIE DRIVE SUITE 100 | AddressLine1Txt |
| City | SAN BERNARDINO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92408 | 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 | 272367522 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INLAND EMPIRE EHR RESOURCE CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INLA | BusinessNameControlTxt |
| Phone | 5106831333 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6001 Shellmound St No 500 | AddressLine1Txt |
| City | Emeryville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94608 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Greg LeClaire | PersonNm |
| Person Title | CFO OF MANIFEST MEDEX | PersonTitleTxt |
| Phone | 5106831309 | PhoneNum |
| Signature | 2017-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LEENA SHANBHAG CPA MST | PreparerPersonNm |
| PTIN | P00807571 | PTIN |
| Phone | 9098890871 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 173.227.38.201 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-14 | IPDt |
| IP Tm | 13:45:16 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 125CFCEEC3FA99BD2E18A128BA5EDA3D17C71DEF | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | B403B3FBACB4E0E25F43C15E035622E48B5371FE | 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) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | Greg LeClaire | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6001 Shellmound St Suite 500 | AddressLine1Txt |
| City | Emeryville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94608 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,586,652 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.ieehrc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Other Organization Dsc | ELECT | OtherOrganizationDsc |
| Formation | 2010 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE ASSISTANCE AND DIRECTION TO VARIOUS ORGANIZATIONS FOR THE SUCCESSFUL IMPLEMENTATION OF ELECTRONIC HEALTH RECORDS PROCEDURES WITHIN THE MEDICAL COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $502,560 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,000,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,602,592 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $586,652 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $4,105,152 | PYTotalRevenueAmt |
| CY Total Revenue | $1,586,652 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,865,185 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,240,695 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,680,712 | PYOtherExpensesAmt |
| CY Other Expenses | $2,926,573 | CYOtherExpensesAmt |
| PY Total Expenses | $3,545,897 | PYTotalExpensesAmt |
| CY Total Expenses | $4,167,268 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $559,255 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,580,616 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,917,605 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,028,728 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,258,241 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,505,210 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $659,364 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$7,476,482 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE ASSISTANCE AND DIRECTION TO VARIOUS ORGANIZATIONS FOR THE SUCCESSFUL IMPLEMENTATION OF ELECTRONIC HEALTH RECORDS PROCEDURES WITHIN THE MEDICAL COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,081,513 | ExpenseAmt |
| Revenue | $586,652 | RevenueAmt |
| Desc | FACILITATES ACCESS TO AND RETRIEVAL OF CLINICAL INFORMATION AMONG DISPARATE HEALTH CARE INFORMATION SYSTEMS PROVIDING MORE TIMELY, EFFICIENT, EFFECTIVE, EQUITABLE, PATIENT-CENTERED CARE. | Desc |
| Total Program Service Expenses | $3,081,513 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | 0 | Form8899Filedind |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Greg LeClaire | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5106831333 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6001 Shellmound St Suite 500 | AddressLine1Txt |
| City | Emeryville | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94608 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MICHAEL DEERING | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ALISON ELSNER | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER HANCOCK MD | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KURT HUBLER | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TAREK MAHDI MD | ||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DOLORES L GREEN | ||||||||
| CEO | 5.00 | $0 | $315,039 | $39,537 | 35.00 | Yes (X) | ||
| BRADLEY GILBERT MD | ||||||||
| CHAIRMAN | 2.50 | $0 | $0 | $0 | Yes (X) | |||
| LEROY OUNANIAN MD | ||||||||
| SECRETARY/TREASURER | 2.50 | $0 | $0 | $0 | Yes (X) | |||
| KASHIF MIRZA | ||||||||
| EMPLOYEE | 40.00 | $157,000 | $0 | $6,775 | Yes (X) | |||
| LEO PAK | ||||||||
| EMPLOYEE | 40.00 | $260,662 | $0 | $6,626 | Yes (X) | |||
| JOMO K STARKE | ||||||||
| EMPLOYEE | 40.00 | $152,100 | $0 | $6,489 | Yes (X) | |||
| KATHERINE G THUNHOLM | ||||||||
| EMPLOYEE | 40.00 | $143,881 | $0 | $16,147 | Yes (X) | |||
| NICHOLAS YARKER | ||||||||
| EMPLOYEE | 40.00 | $115,751 | $0 | $4,097 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $829,394 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $315,039 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $79,671 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ORION HEALTH INC | |||||
| 100 WILSHIRE BLVD 1900 | SANTA MONICA | CA | 90401 | HEALTH CARE SOFTWARE | $1,130,799 |
| VERINOVUM | |||||
| 16 EASE 16TH STREET 500 | TULSA | OK | 74119 | HEALTH INFORMATION DATA EXCHANGE | $285,000 |
| THE KOBLE GROUP | |||||
| 3535 S 31ST ST 205 | GRAND FORKS | ND | 58201 | INTEGRATION ENGINEERING | $102,180 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $1,000,000 | AllOtherContributionsAmt |
| Total Contributions | $1,000,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HEALTH INFORMATION EXC | Desc |
| Business | 519100 | BusinessCd |
| Total Revenue Column | $586,652 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $586,652 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $586,652 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,586,652 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $586,652 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,240,695 | TotalAmt |
| Program Services | $339,044 | ProgramServicesAmt |
| Management And General | $901,651 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,334 | TotalAmt |
| Program Services | $88,400 | ProgramServicesAmt |
| Management And General | $58,934 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,935 | TotalAmt |
| Program Services | $49,935 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,000 | TotalAmt |
| Management And General | $8,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,153 | TotalAmt |
| Program Services | $20,940 | ProgramServicesAmt |
| Management And General | $29,213 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,747 | TotalAmt |
| Program Services | $1,048 | ProgramServicesAmt |
| Management And General | $699 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,204 | TotalAmt |
| Program Services | $24,291 | ProgramServicesAmt |
| Management And General | $10,913 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,991 | TotalAmt |
| Management And General | $21,991 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,824 | TotalAmt |
| Program Services | $37,094 | ProgramServicesAmt |
| Management And General | $24,730 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,464 | TotalAmt |
| Program Services | $2,078 | ProgramServicesAmt |
| Management And General | $1,386 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,102 | TotalAmt |
| Program Services | $13,261 | ProgramServicesAmt |
| Management And General | $8,841 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,572 | TotalAmt |
| Program Services | $69,387 | ProgramServicesAmt |
| Management And General | $8,185 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,030 | TotalAmt |
| Program Services | $16,818 | ProgramServicesAmt |
| Management And General | $11,212 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| SAAS FEES | $1,243,654 | $1,243,654 |
| LOSS ON CONTRACTS | $768,900 | $768,900 |
| BAD DEBT EXPENSE | $406,663 | $406,663 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,167,268 | TotalAmt |
| Program Services | $3,081,513 | ProgramServicesAmt |
| Management And General | $1,085,755 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,174,708 | BOYAmt |
| EOY | $303,813 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $731,680 | BOYAmt |
| EOY | $1,088,399 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,217 | BOYAmt |
| EOY | $3,605,739 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $97,097 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $66,320 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $30,777 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,917,605 | BOYAmt |
| EOY | $5,028,728 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $233,438 | BOYAmt |
| EOY | $882,190 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,014,520 | BOYAmt |
| EOY | $11,517,329 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,283 | BOYAmt |
| EOY | $105,691 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,258,241 | BOYAmt |
| EOY | $12,505,210 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $659,364 | BOYAmt |
| EOY | -$7,476,482 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $659,364 | BOYAmt |
| EOY | -$7,476,482 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,917,605 | BOYAmt |
| EOY | $5,028,728 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,580,616 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$5,555,230 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $708,666 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,720,147 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $511,907 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $502,560 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,000,000 | CurrentTaxYearAmt |
| Total | $4,443,280 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $708,666 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,720,147 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $511,907 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $502,560 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,000,000 | CurrentTaxYearAmt |
| Total | $4,443,280 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $4,443,280 | PublicSupportTotal170Amt |
| Total Support | $4,443,280 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $7,759,605 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 1.00000 | PublicSupportCY170Pct |
| Public Support PY170 | 1.00000 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,019 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,393 | DepreciationAmt |
| Book Value | $13,626 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,078 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,927 | DepreciationAmt |
| Book Value | $17,151 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $30,777 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED PARTIES | Desc |
| Amt | $105,691 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $105,691 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOLORES L GREEN | ||||||||||||||
| CEO | $0 | $315,039 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $39,537 | $0 | $354,576 | $0 | $0 |
| KASHIF MIRZA | ||||||||||||||
| EMPLOYEE | $157,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,775 | $0 | $163,775 | $0 | $0 | $0 |
| LEO PAK | ||||||||||||||
| EMPLOYEE | $260,662 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,626 | $0 | $267,288 | $0 | $0 | $0 |
| JOMO K STARKE | ||||||||||||||
| EMPLOYEE | $152,100 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,489 | $0 | $158,589 | $0 | $0 | $0 |
| KATHERINE G THUNHOLM | ||||||||||||||
| EMPLOYEE | $143,881 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $16,147 | $0 | $160,028 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| BRADLEY GILBERT MD | |||
| DIRECTOR | $1,974,843 | (1) ONE-TIME CONTRIBUTION AND (2) ONGOING CONTRACT RELATED TO INLAND EMPIRE HEALTH PLAN'S PARTICIPATION IN THE ORGANIZATION'S HIE. | 0 |
| MICHAEL DEERING | |||
| DIRECTOR | $1,974,843 | (1) ONE-TIME CONTRIBUTION AND (2) ONGOING CONTRACT RELATED TO INLAND EMPIRE HEALTH PLAN'S PARTICIPATION IN THE ORGANIZATION'S HIE. | 0 |
| Tarek Mahdi | |||
| DIRECTOR | $3,300 | ONGOING CONTRACT RELATED TO RIVERSIDE FAMILY PHYSICIANS' PARTICIPATION IN THE ORGANIZATION'S HIE | 0 |
| DOLORES GREEN | |||
| EXECUTIVE DIRECTOR | $2,046,699 | CEO OF RIVERSIDE COUNTY MEDICAL ASSOCIATION AND FOUNDATION ADMINISTRATION SERVICES, INC. FOR ONGOING ADMINISTRATIVE AND PROFESSIONAL EMPLOYER ORGANIZATION SERVICES. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Brad Gilbert MD and Michael Deering are both board members for IEEHRRC, and they are both executive officers for Inland Empire Health Plan. |
| Form 990, Part VI, Section B, line 11b | Management received the tax return from its tax professionals, reviewed it, and then provided it to its board of directors for review before filing. |
| Form 990, Part VI, Section B, line 12c | OFFICERS AND DIRECTORS ARE REQUIRED TO COMPLETE NEW DISCLOSURE DOCUMENTS ANNUALLY. |
| Form 990, Part VI, Section C, line 19 | AVAILABLE UPON REQUEST |
| Part XI: LINE 8 PRIOR PERIOD ADJUSTMENT | Net assets at the beginning of 2016 have been adjusted to correct an error made in previous years. THE ADJUSTMENTS WERE NECESSARY FOR THE ORGANIZATION'S FINANCIAL STATEMENTS TO BE STATED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. The organization PREMATURELY recorded revenues and the costs association with these revenues before they were fully allowed to be recognized IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. The effect of this restatement was a net increase in deferred revenues of $7,713,885 and an increase in deferred costs of $2,138,835. The restatements of deferred revenues and costs resulted in an increase and decrease of related revenues and expenses, RESPECTIVELY. ThE RESTATEMENT also caused an increase of accounts receivable IN THE AMOUNT OF $92,426 DUE TO THE DISCOVERY OF PREVIOUSLY UNBILLED INVOICES. ALSO, IT WAS DETERMINED THAT AN INCREASE TO ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS REQUIRED IN THE AMOUNT OF $72,080. The organization ALSO expensed property, plant and equipment that should have been capitalized. The effect of this restatement resulted in an increase of property, plant and equipment and accumulated depreciation of $97,097 and $45,857, respectively. Other items PREMATURELY expensed in previous years resulted in an increase of prepaid expenses for $20,040. THE ORGANIZATION DETERMINED SEVERAL ITEMS IN ACCOUNTS PAYABLE THAT NEEDED TO BE RECLASSIFIED AS ACCRUED LIABILITIES. THIS RESULTED IN A DECREASE OF ACCOUNTS PAYABLE AND AN INCREASE OF ACCRUED EXPENSES BY $95,484. ALSO, 59 CONTRACTS THAT WERE ENTERED INTO DID NOT HAVE ANY FEES FOR SUBSCRIPTIONS OR IMPLEMENTATION SERVICES ASSOCIATED WITH THEM. HOWEVER, THE ORGANIZATION WAS REQUIRED TO RECORD AN ACCRUAL FOR THE ESTIMATED LOSSED IT INCURRED AND WERE ASSOCIATED WITH THE CONTRACTS. THEREFORE, AN ACCRUAL FOR ESTIMATED LOSS ON CONTRACTS WAS ESTABLISHED, WHICH CREATED AN ADDITIONAL INCREASE OF ACCRUED EXPENSES OF $71,806, FOR A TOTAL INCREASE OF ACCRUED EXPENSES OF $167,290. The cumulative effect on the net assets and net income for the prior period WAS a decrease of $5,555,230 and $1,244,965, respectively. |
| Form 990 | THE ORGANIZATION'S FINANCIAL STATEMENTS ARE CURRENTLY BEING AUDITED BY INDEPENDENT ACCOUNTANTS. HOWEVER, DUE TO THE INCREASED WORK ASSOCIATED WITH A FINANCIAL RESTATEMENT, THESE ACCOUNTANTS WERE NOT ABLE TO COMPLETE THEIR AUDIT BEFORE THE DATE THE TAX RETURN WAS REQUIRED TO BE FILED. THEREFORE, THE TAX RETURN IS BASED ON THE PRELIMINARY FINANCIAL INFORMATION, AND WILL NEED TO BE AMENDED UPON THE COMPLETION AND ISSUANCE OF THE AUDITED FINANCIAL STATEMENTS TO INCORPORATE THE AUDITED FINANCIAL INFORMATION INTO THE RETURN, INCLUDING IN SCHEDULE D. FORM 990; SUBSEQUENT EVENTS CALIFORNIA INTERGATED DATA EXCHANGE, INC. MERGED INTO INLAND EMPIRE E.H.R. RESOURCE CENTER ON MARCH 1, 2017; THE NAME OF THE MERGED ENTITY IS MANIFEST MEDEX WHICH CONTINUES TO OPERATE USING THE FEDERAL IDENTIFICATION NUMBER THAT THE RETURN IS FILED UNDER. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| RIVERSIDE COUNTY MEDICAL ASSOCIATION | ||||||||||
| 3993 JURUPA AVE | RIVERSIDE | CA | 92506 | 951596515 | ENHANCE MEDICAL PROFESSION | CA | 501(c)(6) | N/A | 0 | |
| RIVERSIDE COUNTY FOUNDATION FOR MEDICAL CARE | ||||||||||
| 3993 JURUPA AVE | RIVERSIDE | CA | 92506 | 952116615 | ADMNISTRATION OF HEALTH CARE | CA | 501(c)(4) | N/A | 0 | |
| RIVERSIDE PHYSICIANS MEMORIAL FOUNDATION | ||||||||||
| 3993 JURUPA AVE | RIVERSIDE | CA | 92506 | 956080778 | PROVIDING MEDICAL SERVICES | CA | 501(c)(3) | N/A | 0 | Line 7 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| FOUNDATION ADMINISTRATIVE SERVICES INC | |||||||||
| 3993 JURUPA AVE | RIVERSIDE | CA | 92506 | 330884425 | ADMINISTRATIVE SERVICES | CA | N/A | C | 0 |
| INLAND EMPIRE FOUNDATION FOR MEDICAL CARE | |||||||||
| 3993 JURUPA AVE | RIVERSIDE | CA | 92506 | 201034709 | SERVICE FOR MEDICAL CARE | CA | N/A | C | 0 |
| UFMC HEALTH SERVICES INC | |||||||||
| 3993 JURUPA AVE | RIVERSIDE | CA | 92506 | 943016912 | ADMINISTRATIVE SERVICES | CA | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| FOUNDATION ADMINISTRATIVE SERVICES INC | ||
| O | $1,790,996 | FMV |
| RIVERSIDE COUNTY FOUNDATION FOR MEDICAL CARE | ||
| K | $61,825 | FMV |
| RIVERSIDE COUNTY FOUNDATION FOR MEDICAL CARE | ||
| P | $87,898 | FMV |
| RIVERSIDE COUNTY MEDICAL ASSOCIATION | ||
| P | $149,722 | FMV |
| FOUNDATION ADMINISTRATIVE SERVICES INC | ||
| P | $3,062 | FMV |
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