WESTMINSTER FREE CLINIC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
WESTMINSTER FREE CLINIC (EIN 77-0563241)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-07-11
IRS object ID
201611939349300896
Schema version
2015v2.1
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)
Return2016-07-11T18:49:50-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN954656881PreparerFirmEIN

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 Begin2015-01-01TaxPeriodBeginDt

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
Signature2016-06-26SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN BOVARD MIRONPreparerPersonNm
PTINP01358141PTIN
Phone2136393550PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

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$1,159,598GrossReceiptsAmt
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 Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers375TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,759,806PYContributionsGrantsAmt
CY Contributions Grants$1,108,912CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,303PYInvestmentIncomeAmt
CY Investment Income$2,599CYInvestmentIncomeAmt
PY Other Revenue$6,525PYOtherRevenueAmt
CY Other Revenue$42,002CYOtherRevenueAmt
PY Total Revenue$1,768,634PYTotalRevenueAmt
CY Total Revenue$1,153,513CYTotalRevenueAmt
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$286,816PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$308,851CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$52,239CYTotalFundraisingExpenseAmt
PY Other Expenses$1,111,838PYOtherExpensesAmt
CY Other Expenses$967,492CYOtherExpensesAmt
PY Total Expenses$1,398,654PYTotalExpensesAmt
CY Total Expenses$1,276,343CYTotalExpensesAmt
PY Revenues Less Expenses$369,980PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$122,830CYRevenuesLessExpensesAmt
Total Assets BOY$1,562,301TotalAssetsBOYAmt
Total Assets EOY$1,439,471TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,562,301NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,439,471NetAssetsOrFundBalancesEOYAmt
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 SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$749,489ExpenseAmt
DescSINCE 1994, WESTMINSTER FREE CLINIC (ORGANIZATION) HAS BEEN AN INNOVATIVE ORGANIZATION 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 ORGANIZATION 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 31, 2015 OVER 7,000 LOCAL PEOPLE WERE SERVED, 61% OF WHOM ARE WOMEN AND CHILDREN. DURING THE YEAR ENDED DECEMBER 31, 2014 OVER 6,000 LOCAL PEOPLE WERE SERVED, 68% OF WHOM ARE WOMEN AND CHILDREN.SERVICES INCLUDE PRIMARY CARE, CASE MANAGEMENT, MENTAL HEALTH AND NUTRITION COUNSELING, DENTAL SCREENING, AND REFERRALS TO THE ORGANIZATION'S NETWORK OF SPECIALTY CARE PROVIDERS INCLUDING FREE EYE EXAMS AND GLASSES. 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 FOOD SHARE, 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 ORGANIZATION'S PREVENTION STRATEGIES TO ADDRESS ALL THINGS RELATED TO PEOPLE'S HEALTH AND WELL-BEING. THE ORGANIZATION SERVES AS A COMMUNITY CENTER. ITS SERVICES FIT INTO THREE CATEGORIES: 1) MEDICAL; 2) WHOLE-PERSON-CENTERED HEALTH; AND 3) PATHWAYS TO SELF-RELIANCE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$156,610ExpenseAmt
DescOVER 80 TEENS (50% OF WHOM ARE LOW-INCOME AND BILINGUAL) ARE ENROLLED IN THE ORGANIZATION'S TWO-YEAR TEEN INTERNSHIP & TRAINING 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$212,542ExpenseAmt
DescTHE ORGANIZATION'S COMMUNITY OUTREACH, LED BY BILINGUAL TEEN INTERNS IN OUR SALUD PROGRAM, SCREENS PEOPLE IN THE COMMUNITY FOR DIABETES AND HIGH BLOOD PRESSURE, AND WORKS WITH LATINO MARKETS TO OFFER HEALTHIER FOOD OPTIONS. THE ORGANIZATION'S DIABETES MANAGEMENT AND EDUCATION PROGRAM AND LEADERS OF CHANGE WEIGHT LOSS PROGRAM EMPOWER CLINIC PATIENTS TO TAKE CHARGE OF THEIR HEALTH, 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 AN EIGHT-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 600 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$1,118,641TotalProgramServiceExpensesAmt
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 Document33IRPDocumentCnt
IRP Document W2 G1IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
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 Contributions0QuidProQuoContributionsInd
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 (12 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
ALICIA RINCON
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/DIRECTOR10.00Yes (X)$0$0$0Yes (X)
AMANDA M VINSON ESQ
SECRETARY (NON-VOTING)2.50$0$0$0Yes (X)
LISA SAFAEINILI
EXECUTIVE DIRECTOR60.00$130,478$0$10,697Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$130,478TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$10,697TotalOtherCompensationAmt
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$179,022GovernmentGrantsAmt
All Other Contributions$929,890AllOtherContributionsAmt
Noncash Contributions$568,547NoncashContributionsAmt
Total Contributions$1,108,912TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,599TotalRevenueColumnAmt
Exclusion$2,599ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$48,087GamingGrossIncomeAmt
Gaming Direct Expenses$6,085GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$42,002TotalRevenueColumnAmt
Exclusion$42,002ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,153,513TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$44,601ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$141,175TotalAmt
Program Services$91,764ProgramServicesAmt
Management And General$21,176ManagementAndGeneralAmt
Fundraising$28,235FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$138,535TotalAmt
Program Services$124,159ProgramServicesAmt
Management And General$10,450ManagementAndGeneralAmt
Fundraising$3,926FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,629TotalAmt
Program Services$4,391ProgramServicesAmt
Management And General$1,386ManagementAndGeneralAmt
Fundraising$852FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$22,512TotalAmt
Program Services$17,488ProgramServicesAmt
Management And General$2,512ManagementAndGeneralAmt
Fundraising$2,512FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$42,714TotalAmt
Management And General$42,714ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$177,970TotalAmt
Program Services$161,908ProgramServicesAmt
Management And General$8,031ManagementAndGeneralAmt
Fundraising$8,031FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$41,151TotalAmt
Program Services$28,598ProgramServicesAmt
Management And General$4,109ManagementAndGeneralAmt
Fundraising$8,444FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,159TotalAmt
Program Services$9,159ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,600TotalAmt
Program Services$6,600ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,063TotalAmt
Management And General$6,063ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,144TotalAmt
Program Services$1,666ProgramServicesAmt
Management And General$239ManagementAndGeneralAmt
Fundraising$239FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$17,733TotalAmt
Program Services$15,506ProgramServicesAmt
Management And General$2,227ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$625,083$625,083
STIPEND$22,345$22,345
TRAINING & DEVELOPMENT$8,174$8,174
VOLUNTEER APPRECIATION$6,556$6,556

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,800TotalAmt
Program Services$1,800ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,276,343TotalAmt
Program Services$1,118,641ProgramServicesAmt
Management And General$105,463ManagementAndGeneralAmt
Fundraising$52,239FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$810,661BOYAmt
EOY$748,271EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$142,157BOYAmt
EOY$142,200EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$155,376BOYAmt
EOY$94,338EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,404BOYAmt
EOY$14,548EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,024LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,867LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,301BOYAmt
EOY$2,157EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$435,402BOYAmt
EOY$437,957EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,562,301BOYAmt
EOY$1,439,471EOYAmt

Total Liabilities TotalLiabilitiesGrp

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,017,585BOYAmt
EOY$1,149,466EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$544,716BOYAmt
EOY$290,005EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,562,301BOYAmt
EOY$1,439,471EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,562,301BOYAmt
EOY$1,439,471EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$122,830ReconcilationRevenueExpnssAmt
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$551,228CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$811,320CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$929,212CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,759,806CurrentTaxYearMinus1YearAmt
Current Tax Year$1,108,912CurrentTaxYearAmt
Total$5,160,478TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$551,228CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$811,320CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$929,212CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,759,806CurrentTaxYearMinus1YearAmt
Current Tax Year$1,108,912CurrentTaxYearAmt
Total$5,160,478TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,784,390SubstantialContributorsTotAmt
Public Support Total170$3,376,088PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,301CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,721CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,821CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,303CurrentTaxYearMinus1YearAmt
Current Tax Year$2,599CurrentTaxYearAmt
Total$26,745TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$6,449CurrentTaxYearMinus1YearAmt
Current Tax Year$42,002CurrentTaxYearAmt
Total$48,451TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$76CurrentTaxYearMinus1YearAmt
Total$76TotalAmt
FieldValueIRS element (for citing)
Total Support$5,235,750TotalSupportAmt
Public Support CY1700.64480PublicSupportCY170Pct
Public Support PY1700.72220PublicSupportPY170Pct
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$13,024OtherCostOrOtherBasisAmt
Depreciation$10,867DepreciationAmt
Book Value$2,157BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,157TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,408,391TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$1,254,878DonatedServicesAndUseFcltsAmt
Revenue Not Reported$1,254,878RevenueNotReportedAmt
Revenue Subtotal$1,153,513RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,153,513TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,531,221TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$1,254,878DonatedServicesUseFcltsAmt
Expenses Not Reported$1,254,878ExpensesNotReportedAmt
Expenses Subtotal$1,276,343ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,276,343TotalExpensesPerForm990Amt

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, 2015. 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$25,312GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming$1,750CashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming$1,389OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming0VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming$25,312GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$1,750CashPrizesTotalGamingAmt
Oth Direct Expnss Total Gaming$1,389OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$3,139DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$22,173NetGamingIncomeSummaryAmt
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
Noncash Contributions Rpt F990$70,200NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$498,347NoncashContributionsRptF990Amt
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 (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 21. LLEGANDO A LA META WEIGHT LOSS PROGRAM: THIS IS A TRAIN-THE-TRAINER PROGRAM WHERE WE TEACH PATIENTS WITH WEIGHT ISSUES HOW TO HELP OTHERS IN THEIR FAMILY OR COMMUNITY LOSE WEIGHT AND/OR EAT HEALTH TO PREVENT WEIGHT GAIN, WHILE THEY PRACTICE ON THEMSELVES. 2. SALUD (STUDENT ADVOCATES LEADING UPLIFTING DECISIONS): SALUD IS A WORD THAT MEANS HEALTH IN SPANISH. THE GROUP (CURRENTLY 29 BILINGUAL HIGH SCHOOL CLINIC INTERNS WHOSE FAMILIES ARE PATIENTS OF THE CLINIC) WAS FORMED TO BENEFIT THE MAJORITY OF OUR PATIENT POPULATION AND EMPOWER THE YOUTH OF THE LATINO COMMUNITY TO BE LEADERS AND ADVOCATES FOR HEALTH. IN THE PROCESS THE STUDENTS ARE CHANGING THE FOOD OPTIONS IN THE VENTURA COUNTY COMMUNITIES THEY COME FROM AND DRIVING BUSINESS TO THE LATINO MARKETS WILLING TO OFFER HEART HEALTHY, DIABETIC FRIENDLY FOODS TO THE ORGANIZATION'S PATIENTS AND THE GENERAL COMMUNITY. THE STUDENTS HAVE CREATED A BUSINESS MODEL THAT BENEFITS EVERYONE AND PROMOTES HEALTH FOR EVERYONE. LEADERSHIP TRAINING, BUDGETING AND PROGRAM DESIGN AND IMPLEMENTATION ARE ALL PART OF THE STUDENT EXPERIENCE AS THEY COME UP WITH NEW IDEAS OF HOW TO ADVOCATE FOR THEIR COMMUNITY'S HEALTH. 3. CORAZONES SANOS (HEALTHY HEARTS) PROGRAM: THIS PROGRAM ASSISTS ADULTS AND CHILDREN AT RISK FOR HEART DISEASE, INCLUDING THOSE WHO HAVE TYPE 2 DIABETES, WITH EDUCATION AND EARLY TREATMENT. THIS PROGRAM ALSO HELPS PREVENT CHILDREN FROM GETTING HEART DISEASE/DIABETES LIKE THEIR PARENTS. HIGH SCHOOL INTERNS AND A COLLEGE STUDENT WORK IN PARTNERSHIP WITH THE BILINGUAL PROGRAM COORDINATOR, HEALTH EDUCATOR AND DIETITIAN TO IMPLEMENT THE PROGRAM. PROGRAM PARTICIPANTS ARE ENCOURAGED TO GET INVOLVED TOO. WHILE THEY ARE HELPING THEY ARE ALSO LEARNING HOW THEY CAN IMPROVE THEIR OWN FAMILY'S HEALTH. THE COMPREHENSIVE PROGRAM INCLUDES: 1) PERSONAL DIETARY AND EXERCISE PLANNING, GOAL SETTING AND MONITORING, 2) QUARTERLY LAB TESTS, 3) WEEKLY GLUCOSE FINGER STICKS, 4) WEIGHT AND CIRCUMFERENCE MEASURING, 5) WEEKLY NUTRITION CLASSES AND FOOD DEMONSTRATIONS, 6) VISITS WITH THE DIETICIAN, 7) FREE MEDICATIONS, GLUCOMETER AND TEST STRIPS WHEN NEEDED, 8) APPOINTMENTS WITH OUR PODIATRIST AND OPHTHALMOLOGIST, 9) FREE FRUITS AND VEGETABLES, AS WELL AS ZUMBA AND YOGA EXERCISE CLASSES. 4. YOGA STRESS REDUCTION CLASSES IN SPANISH 5. START AGAIN, NOT OVER GRIEF & LOSS CLASSES IN SPANISH 6. NEW WEBSITE AT WWW.WESTMINSTERCLINIC.ORG 7. NEW CLINIC VIDEOS ON WESTMINSTER FREE CLINIC YOUTUBE CHANNEL
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 11THE 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 161,908. MANAGEMENT AND GENERAL EXPENSES 8,031. FUNDRAISING EXPENSES 8,031. TOTAL EXPENSES 177,970.
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.
FORM 990, PART XI, LINE 3DURING THE YEAR ENDED DECEMBER 31, 2015, THE ORGANIZATION INCURRED AN OVERALL CHANGE IN NET ASSETS (DEFICIT) AMOUNTING TO ($122,830). THIS CURRENT YEAR DEFICIT RESULTS FROM A MULTI-YEAR GRANT AS WELL AS PURPOSE RESTRICTED CONTRIBUTIONS RECEIVED NEAR YEAR-END 2014 WHICH WERE EXPENDED IN THE CURRENT FISCAL YEAR, AS DESIGNATED BY THE GRANT AGREEMENT.

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