COMMUNITY HEALTH INITIATIVE OF ORANGE COUNTY: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH INITIATIVE OF ORANGE COUNTY (EIN 47-2671013)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-01-30
IRS object ID
201740309349300644
Schema version
2015v3.0
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)
Return2017-01-30T12:43:44-06:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN330158349PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LINK MURREL & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118831 BARDEEN AVENUE STE 200AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP926121520ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN472671013EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH INITIATIVE OFBusinessNameLine1Txt
Business Name Line2ORANGE COUNTYBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone7146194044PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11505 E 17TH ST NO 121AddressLine1Txt
CitySANTA ANACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92705ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGEORGINA MALDONADOPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7146194044PhoneNum
Signature2017-01-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCRAIG W MURRELPreparerPersonNm
PTINP00969203PTIN
Phone9492611120PhoneNum
Preparation2017-01-30PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Initial ReturnYes (X)InitialReturnInd
Principal OfficerGEORGINA MALDONADOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11505 E 17TH ST NO 121AddressLine1Txt
CitySANTA ANACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92705ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$997,031GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHIOC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2015FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionCHI OC'S MISSION IS TO CONNECT ALL ORANGE COUNTY RESIDENTS TO AFFORDABLE HEALTHCARE COVERAGE.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee17TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$987,753CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$7,678CYOtherRevenueAmt
CY Total Revenue$995,431CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$559,864CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$14,207CYTotalFundraisingExpenseAmt
CY Other Expenses$353,507CYOtherExpensesAmt
CY Total Expenses$913,371CYTotalExpensesAmt
CY Revenues Less Expenses$82,060CYRevenuesLessExpensesAmt
Total Assets EOY$528,446TotalAssetsEOYAmt
Total Liabilities EOY$72,985TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances EOY$455,461NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE HELP GUIDE VULNERABLE POPULATIONS OF ALL AGES, THROUGH THE PROCESS OF CONNNECTING TO, UTILIZING, AND MAINTAINING HEALTHCARE COVERAGE. WE SPECIALIZE IN REACHING UNDERSERVED RACIAL AND ETHNIC MINORITY GROUPS, AS WELL AS ECONOMICALLY AND EVIRONMENTALLY DISADVANTAGED COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$728,542ExpenseAmt
DescCHI OC DEPLOYS ENROLLMENT COORDINATORS TO INFORM, EDUCATE AND EMPOWER RESIDENTS THROUGH OUR COMMUNITY HEALTH ACCESS PROGRAM. COVERING OUTREACH, ENROLLMENT AND CASE MANAGEMENT, IMPLEMENTATION INCLUDES THE FOLLOWING STEPS:OUTREACH: COORDINATORS CONDUCT OUTREACH AND HEALTH INSURANCE LITERACY EFFORTS IN HARD-TO-REACH, LOW-INCOME AND MINORITY COMMUNITIES, OFFERING INFORMATION IN MULTIPLE LANGUAGES. ENROLLMENT: CLIENTS ARE ASSISTED WITH ENTERING THEIR INFORMATION IN A DATABASE TO DETERMINE ELIGIBILITY FOR 18 HEALTH AND SOCIAL SERVICE PROGRAMS. CLIENTS CAN LEARN ABOUT AND ENROLL IN VARIETY OF PROGRAMS IN A SINGLE VISIT. CASE MANAGEMENT: THIS PROCESS PROVIDES REGULAR CONTACT FOR UP TO ONE YEAR TO HELP RESIDENTS VERIFY ONGOING ELIGIBILITY, FIND MEDICAL PROFESSIONALS, MAKE APPOINTMENTS, MITIGATE ANY BARRIERS TO CARE AND RENEW COVERAGE FOR THE NEXT YEAR.Desc
Total Program Service Expenses$728,542TotalProgramServiceExpensesAmt
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 LiabilitiesYes (1)ReportOtherLiabilitiesInd
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 Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee17EmployeeCnt
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 Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind0Form8899Filedind
Form1098 C Filed0Form1098CFiledInd
DAF Excess Business Holdings0DAFExcessBusinessHoldingsInd
Taxable Distributions0TaxableDistributionsInd
Distribution To Donor0DistributionToDonorInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
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 Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGEORGINA MALDONADOPersonNm
Phone7146194044PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11505 E 17TH ST SUITE 121AddressLine1Txt
CitySANTA ANACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92705ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ANDREWS DOROTHY
BOARD CHAIR4.00Yes (X)Yes (X)$0$0$0
BEAR LIZ
BOARD MEMBER1.00Yes (X)$0$0$0
CRUZ GALLEGOS RITA
BOARD MEMBER1.00Yes (X)$0$0$0
MALDONADO GEORGINA
EXECUTIVE DIRECTOR40.00Yes (X)Yes (X)$11,770$0$0
ROBINSON NINA
BOARD MEMBER1.00Yes (X)$0$0$0
ROBLES GABRIELA
TREASURER3.00Yes (X)Yes (X)$0$0$0
VARGO CHERYL
SECRETARY2.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$11,770TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$141,719GovernmentGrantsAmt
All Other Contributions$846,034AllOtherContributionsAmt
Total Contributions$987,753TotalContributionsAmt
Fundraising Gross Income$9,278FundraisingGrossIncomeAmt
Fundraising Direct Expenses$1,600FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,678TotalRevenueColumnAmt
Exclusion$7,678ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$995,431TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$7,678ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$62,491TotalAmt
Program Services$58,116ProgramServicesAmt
Management And General$1,250ManagementAndGeneralAmt
Fundraising$3,125FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$413,614TotalAmt
Program Services$391,194ProgramServicesAmt
Management And General$22,378ManagementAndGeneralAmt
Fundraising$42FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$83,759TotalAmt
Program Services$76,943ProgramServicesAmt
Management And General$6,182ManagementAndGeneralAmt
Fundraising$634FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$38,581TotalAmt
Program Services$14,225ProgramServicesAmt
Management And General$20,356ManagementAndGeneralAmt
Fundraising$4,000FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$102,614TotalAmt
Program Services$25,549ProgramServicesAmt
Management And General$77,065ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$26,925TotalAmt
Program Services$26,925ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,132TotalAmt
Fundraising$4,132FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$18,080TotalAmt
Program Services$12,279ProgramServicesAmt
Management And General$5,801ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$18,736TotalAmt
Program Services$14,793ProgramServicesAmt
Management And General$3,943ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,652TotalAmt
Program Services$1,525ProgramServicesAmt
Management And General$3,127ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,208TotalAmt
Program Services$1,875ProgramServicesAmt
Management And General$2,333ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,586TotalAmt
Program Services$361ProgramServicesAmt
Management And General$4,225ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,311TotalAmt
Program Services$1,563ProgramServicesAmt
Management And General$4,748ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
GRANTS - OTHER 501(C) O$90,206$90,206
TELEPHONE AND INTERNET$24,124$10,594$13,530
TRAINING AND RECRUITMEN$2,433$378$2,055
SPECIAL EVENT$2,274$2,274

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,645TotalAmt
Program Services$2,016ProgramServicesAmt
Management And General$3,629ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$913,371TotalAmt
Program Services$728,542ProgramServicesAmt
Management And General$170,622ManagementAndGeneralAmt
Fundraising$14,207FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$279,223EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$229,368EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$5,896EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$7,931EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$56,117LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$52,192LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$3,925EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,103EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$528,446EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$70,914EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,071EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$72,985EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
EOY$146,930EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$308,531EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$455,461EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$528,446EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$82,060ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$373,401OtherChangesInNetAssetsAmt
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year$987,752CurrentTaxYearAmt
Total$987,752TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year$9,278CurrentTaxYearAmt
Total$9,278TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year$997,030CurrentTaxYearAmt
Total$997,030TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$997,030PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year$997,030CurrentTaxYearAmt
Total$997,030TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

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)
Investment Cost Or Other Basis$56,117InvestmentCostOrOtherBasisAmt
Depreciation$52,192DepreciationAmt
Book Value$3,925BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,925TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO OCCAADesc
Amt$2,071Amt
FieldValueIRS element (for citing)
Total Liability$2,071TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,033,062TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$37,632DonatedServicesAndUseFcltsAmt
Revenue Not Reported$37,632RevenueNotReportedAmt
Revenue Subtotal$995,430RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$995,430TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$951,002TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$37,632DonatedServicesUseFcltsAmt
Expenses Not Reported$37,632ExpensesNotReportedAmt
Expenses Subtotal$913,370ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$913,370TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationCHI OC FOLLOWS THE ACCOUNTING FOR UNCERTAINITY IN INCOME TAXES RECOGNIZED IN A NONPUBLIC ENTITY'S FINANCIAL STATEMENTS. IT DETAILS HOW ENTITIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS THAT HAVE BEEN OR ARE EXPECTED TO BE TAKEN. AS SUCH FINANCIAL STATEMENTS WILL REFLECT EXPECTED FUTURE TAX CONSEQUENCES OF UNCERTAIN TAX POSITIONS PRESUMING THE TAXING AUTHORITIES' FULL KNOWLEDGE OF THE POSITION AND ALL RELEVANT FACTS. THERE WAS NO IMPACT TO CHI OC'S FINANCIAL STATEMENTS AS A RESULT OF THSE PROVISIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 HAS BEEN PROVIDED TO ALL MEMBERS OF THE BOARD FOR APPROVAL BEFORE THE FILING OF THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION ENSURES THAT THE POLICY OF CONFLICT OF INTEREST IS DISSEMINATED TO ALL AND REGULARLY REVISITED DURING IMPORTANT DECISIONS AFFECTING IT.
FORM 990, PART VI, SECTION B, LINE 15ATHERE IS A COMMITTEE THAT SETS THE ANNUAL COMPENSATION, WHICH IS TO BE BASED IN PART ON COMPARABLE MARKET DATA AND MUST BE APPROVED BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CONTRIBUTION OF NET ASSETS FROM EMANCIPATION 373,401.
FORM 990, PART XI, LINE 9, CHANGE IN NET ASSETS:ON NOVEMBER 1, 2015,COMMUNITY HEALTH INITIATIVE OF ORANGE COUNTY (CHI OC)WAS EMANCIPATED AND BEGAN OPERATING INDEPENDENTLY. AS A RESULT, ONEOC SEGREGATED THE FOLLOWING ASSETS AND LIABILITIES BELONGING TO CHIOC: CASH $233,007 RECEIVABLES 131,162 PREPAID EXPENSES 1,600 DEPOSITS 1,938 ACCOUNTS PAYABLE (1,805) PROPERTY AND EQUIPMENT 7,499 TOTAL $373,401

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