FURP.ORG / PUBLIC DATA EXPLORER

NORTHEAST VALLEY HEALTH CORPORATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
NORTHEAST VALLEY HEALTH CORPORATION (EIN 23-7120632)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-08-02
IRS object ID
201612159349301001
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)
Return2016-08-02T12:33:12-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN330700332PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1VASQUEZ & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1801 S GRAND AVE SUITE 400AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90017ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237120632EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHEAST VALLEY HEALTH CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone8188981388PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11172 NORTH MACLAY AVENUEAddressLine1Txt
CitySAN FERNANDOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91340ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPATRICIA MORAGAPersonNm
Person TitleCFOPersonTitleTxt
Phone8188981388PhoneNum
Signature2016-07-27SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGILBERT R VASQUEZPreparerPersonNm
PTINP00743144PTIN
Phone2138731700PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPATRICIA MORAGAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11172 NORTH MACLAY AVENUEAddressLine1Txt
CitySAN FERNANDOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91340ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$77,361,628GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NEVHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE MEDICAL SERVICES PRIMARILY TO THE INDIGENT AND UNDER SERVED OF LOS ANGELES COUNTY.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee944TotalEmployeeCnt
Total Volunteers53TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$35,310,868PYContributionsGrantsAmt
CY Contributions Grants$32,378,891CYContributionsGrantsAmt
PY Program Service Revenue$39,085,515PYProgramServiceRevenueAmt
CY Program Service Revenue$44,108,597CYProgramServiceRevenueAmt
PY Investment Income$738PYInvestmentIncomeAmt
CY Investment Income$1,070CYInvestmentIncomeAmt
PY Other Revenue$1,319,173PYOtherRevenueAmt
CY Other Revenue$810,188CYOtherRevenueAmt
PY Total Revenue$75,716,294PYTotalRevenueAmt
CY Total Revenue$77,298,746CYTotalRevenueAmt
PY Grants And Similar Paid$3,130,921PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,229,870CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$49,291,411PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$52,750,911CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$297,607CYTotalFundraisingExpenseAmt
PY Other Expenses$17,936,925PYOtherExpensesAmt
CY Other Expenses$19,590,407CYOtherExpensesAmt
PY Total Expenses$70,359,257PYTotalExpensesAmt
CY Total Expenses$75,571,188CYTotalExpensesAmt
PY Revenues Less Expenses$5,357,037PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,727,558CYRevenuesLessExpensesAmt
Total Assets BOY$24,858,122TotalAssetsBOYAmt
Total Assets EOY$24,142,314TotalAssetsEOYAmt
Total Liabilities BOY$10,330,348TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,886,982TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,527,774NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,255,332NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF NORTHEAST VALLEY HEALTH CORPORATION IS TO PROVIDE COMPREHENSIVE, HIGH QUALITY AND SAFE HEALTH CARE SERVICES TO THE RESIDENTS OF LOS ANGELES COUNTY, PARTICULARLY IN THE SAN FERNANDO AND SANTA CLARITA VALLEYS WITH SPECIAL CONCERN FOR MEDICALLY UNDER-SERVED AND LOW INCOME POPULATIONS. SERVICES ARE DELIVERED IN A MANNER THAT IS SENSITIVE TO THE ECONOMIC, CULTURAL AND SOCIAL NEEDS OF THE COMMUNITY. NORTHEAST VALLEY HEALTH CORPORATION PROVIDES ADVOCACY FOR HEALTH SERVICES, LEADERSHIP IN THE AREAS OF HEALTH CARE DELIVERY AND HEALTH PROFESSIONAL TRAINING, RESEARCH AND HEALTH EDUCATION AND PURSUES DYNAMIC HEALTH CARE PROGRAMS TO MEET THE NEEDS OF THE COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$68,654,248ExpenseAmt
Grant$3,229,870GrantAmt
Revenue$44,801,294RevenueAmt
DescNORTHEAST VALLEY HEALTH CORPORATION (NEVHC) IS A FEDERALLY FUNDED COMMUNITY HEALTH CENTER SERVING LOW INCOME AND MEDICALLY UNDERSERVED RESIDENTS OF LOS ANGELES COUNTY. NEVHC OPERATES 14 LICENSED COMMUNITY CLINICS, 14 WOMEN, INFANT, AND CHILDREN (WIC) PROGRAM CLINICS AND A SUBSTANCE ABUSE PROGRAMS THROUGHOUT SAN FERNANDO AND SANTA CLARITA VALLEYS. NEVHC EMPLOYS OVER 850 STAFF INCLUDING LICENSED INDEPENDENT PRACTITIONERS SUCH AS PHYSICIANS, DENTISTS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, LICENSED CLINICAL SOCIAL WORKERS AND PSYCHOLOGISTS, IN ADDITION TO MANY OTHER HEALTH PROFESSIONALS AND SUPPORT STAFF, TO CARRY OUT ITS WORK AS A SAFETY-NET PROVIDER. IN 2015, NEVHC CLINICS PROVIDED OVER 250,000 MEDICAL, DENTAL AND BEHAVIORAL HEALTH VISITS TO 85,860 RESIDENTS OF THE SAN FERNANDO AND SANTA CLARITA VALLEYS. 82% OF NEVHC'S PATIENTS LIVE BELOW 100% OF THE FEDERAL POVERTY LEVEL AND 99% LIVE BELOW 200% OF THE FEDERAL POVERTY LEVEL. AT NEVHC, LOW INCOME PATIENTS PAY FOR THEIR SERVICES BASED ON ABILITY TO PAY GUIDELINES. NEVHC HEALTH CENTERS RANGE FROM LARGE MULTI SERVICE PRIMARY CARE SITES TO SMALLER HEALTH CENTERS PROVIDING FOR THE NEEDS OF SPECIAL POPULATIONS SUCH AS STUDENTS AT HIGH RISK SCHOOLS, THE HOMELESS, AND MEN AND WOMEN WHO ARE HIV+ AND WIC. WIC -NEVHC BECAME THE LOCAL AGENCY FOR THE WOMEN, INFANT AND CHILDREN'S PROGRAM IN 1986. NEVHC WIC CLINICS CURRENTLY HAVE A CASELOAD OF 60,400 PARTICIPANTS WHICH INCLUDE PREGNANT AND BREASTFEEDING WOMEN, AND THEIR INFANTS AND CHILDREN UP TO THE AGE OF 5, IN ADDITION TO PROVIDING NUTRITIONAL COUNSELING. WIC IS A CRITICAL FOOD SECURITY PROGRAM THAT PROVIDES VOUCHERS THAT CAN BE USED AT LOCAL MARKETS TO BUY HEALTHY FOODS SUCH AS MILK, CHEESE, WHOLE GRAINS AND FRESH FRUITS AND VEGETABLES. WIC IS ALSO A STRONG ADVOCATE FOR BREAST FEEDING, AND UTILIZES CERTIFIED LACTATION CONSULTANTS AND PEER COUNSELORS TO SUPPORT MOTHERS WHO ARE BREASTFEEDING. COURT STATE DUI-NEVHC CURRENTLY OPERATES A DRIVING UNDER THE INFLUENCE (DUI) PROGRAM. THE DUI PROGRAM OFFERS 6 WEEK, 3 MONTH, 6 MONTH AND 18 MONTH PROGRAMS OF INDIVIDUAL AND GROUP EDUCATION IN ENGLISH AND SPANISH TO INDIVIDUALS REFERRED BY COURTS TO COMPLETE THEIR DUI SENTENCE. COOPERATIVE HEALTH CARE FOR THE HOMELESS NETWORK (CHCHN), IN ADDITION TO PROVIDING SERVICES TO THE HOMELESS IN THE SAN FERNANDO AND SANTA CLARITA VALLEYS, NEVHC SERVES AS THE LEAD AGENCY FOR A COALITION OF AGENCIES THROUGHOUT LOS ANGELES COUNTY PROVIDING HEALTH CARE SERVICES TO OVER 16,691 HOMELESS MEN, WOMEN AND CHILDREN ANNUALLY.Desc
Total Program Service Expenses$68,654,248TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
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 ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
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 Document58IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee944EmployeeCnt
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 Members16GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
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 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

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PATRICIA MORAGABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8188981388PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11172 NORTH MACLAY AVENUEAddressLine1Txt
CitySAN FERNANDOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91340ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
STELLA MENDOZA
TREASURER1.00Yes (X)Yes (X)$0$0$0
MARK HOFFMANDO MBA
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
THEODORE G BRADPIECE
VICE CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
ELI PERDIDO
BOARD MEMBER1.00Yes (X)$0$0$0
ANTHONY PENA
BOARD MEMBER1.00Yes (X)$0$0$0
PAUL BOGIN
BOARD MEMBER1.00Yes (X)$0$0$0
KURT CABRERA-MILLER
SECRETARY1.00Yes (X)Yes (X)$0$0$0
DIANE MOREY
BOARD MEMBER1.00Yes (X)$0$0$0
RENEE PARSLOW
BOARD MEMBER1.00Yes (X)$0$0$0
SHANNON LUND
BOARD MEMBER1.00Yes (X)$0$0$0
BARBARA MILTEER
BOARD MEMBER1.00Yes (X)$0$0$0
PAUL MOELLER
BOARD MEMBER1.00Yes (X)$0$0$0
GLORIA MARQUEZ-MONTES
BOARD MEMBER1.00Yes (X)$0$0$0
JINHEE KIM
BOARD MEMBER1.00Yes (X)$0$0$0
MARIE ANGIE PACHECO
BOARD MEMBER1.00Yes (X)$0$0$0
KIMBERLY WYARD
BOARD MEMBER/CEO40.00Yes (X)Yes (X)$231,765$0$67,047
PATRICIA MORAGA
CFO40.00Yes (X)$171,989$0$60,459
RICHARD SEIDMAN
CMO40.00Yes (X)$302,816$0$47,830
THERESA NITESCU
COO40.00Yes (X)$171,279$0$62,244
MARGARET NATARAJAN
PHYSICIAN40.00$199,618$0$39,641Yes (X)
JESSE D SANDERS JR
PHYSICIAN40.00$200,394$0$49,634Yes (X)
ZEINA HIJAZI
PHYSICIAN40.00$216,993$0$40,941Yes (X)
CHRISTINE LIM-FUN CHAN PARK
PHYSICIAN40.00$200,844$0$39,355Yes (X)
BORZOUYEH POURSHARIF
PHYSICIAN40.00$229,978$0$41,911Yes (X)
STEPHEN GUTIERREZ
IT DIRECTOR40.00$132,332$0$44,867Yes (X)
SAMUEL D ROCK
CONTROLLER40.00$123,876$0$43,228Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,181,884TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$537,157TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K59IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
INTERTEX GENERAL CONTRACTORS
28338 CONSTELLATION RD 900VALENCIACA91355CONSTRUCTION SERVICES$868,456
QUALITY SYSTEMS INC
PO BOX 511449LOS ANGELESCA90051SOFTWARE MAINTENANCE$385,425
PRIMEX CLINICAL LAB
16742 STAGG ST UNIT 120VAN NUYSCA91406LAB SERVICES$364,682
MILLENIUM MAINTENANCE SYSTEM
26007 HUNTINGTON LANE 11VALENCIACA91355CLEANING SERVICES$301,009
ACCESS CONTROL SECURITY INC
18317 NAPA STREETNORTHRIDGECA91325SECURITY SERVICES$230,325
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Government Grants$24,863,892GovernmentGrantsAmt
All Other Contributions$7,514,999AllOtherContributionsAmt
Noncash Contributions$5,212,392NoncashContributionsAmt
Total Contributions$32,378,891TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGED CARE624100$29,021,116$29,021,116
NET PATIENT REVENUE624100$15,087,481$15,087,481
FieldValueIRS element (for citing)
Total Program Service Revenue$44,108,597TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,070TotalRevenueColumnAmt
Exclusion$1,070ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$180,373FundraisingGrossIncomeAmt
Fundraising Direct Expenses$62,882FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$117,491TotalRevenueColumnAmt
Exclusion$117,491ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HITECH ACT INCENTIVES900099$416,500$416,500
OTHER INCOME900099$276,197$276,197
FieldValueIRS element (for citing)
Other Revenue Total$692,697OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$77,298,746TotalRevenueColumnAmt
Related Or Exempt Func Income$44,801,294RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$118,561ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,229,870TotalAmt
Program Services$3,229,870ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$877,849TotalAmt
Program Services$877,849ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$40,548,385TotalAmt
Program Services$36,578,573ProgramServicesAmt
Management And General$3,786,577ManagementAndGeneralAmt
Fundraising$183,235FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,324,677TotalAmt
Program Services$10,268,123ProgramServicesAmt
Management And General$1,008,654ManagementAndGeneralAmt
Fundraising$47,900FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,521,627TotalAmt
Program Services$1,059,605ProgramServicesAmt
Management And General$459,561ManagementAndGeneralAmt
Fundraising$2,461FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,135,366TotalAmt
Program Services$3,673,498ProgramServicesAmt
Management And General$461,838ManagementAndGeneralAmt
Fundraising$30FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$37,558TotalAmt
Management And General$37,558ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$663,025TotalAmt
Program Services$562,836ProgramServicesAmt
Management And General$100,189ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$307,368TotalAmt
Program Services$224,777ProgramServicesAmt
Management And General$82,591ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DONATED PHARMACEUTICALS$5,198,127$5,198,127
SUPPLIES$4,113,766$4,036,197$68,461$9,108
EQUIPMENT MAINTENANCE &$1,916,846$1,697,552$215,908$3,386
GENERAL & ADMINISTRATIV$909,892$591,815$268,263$49,814

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$786,832TotalAmt
Program Services$655,426ProgramServicesAmt
Management And General$129,733ManagementAndGeneralAmt
Fundraising$1,673FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$75,571,188TotalAmt
Program Services$68,654,248ProgramServicesAmt
Management And General$6,619,333ManagementAndGeneralAmt
Fundraising$297,607FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$787,831BOYAmt
EOY$3,428,169EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$455,732BOYAmt
EOY$855,781EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,186,087BOYAmt
EOY$4,198,952EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,100,684BOYAmt
EOY$7,355,863EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$858,490BOYAmt
EOY$839,919EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$332,381BOYAmt
EOY$225,307EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$17,086,256LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,064,826LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,925,656BOYAmt
EOY$7,021,430EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$211,261BOYAmt
EOY$216,893EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$24,858,122BOYAmt
EOY$24,142,314EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,095,072BOYAmt
EOY$6,654,870EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$821,994BOYAmt
EOY$728,011EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,413,282BOYAmt
EOY$504,101EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,330,348BOYAmt
EOY$7,886,982EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,634,962BOYAmt
EOY$15,794,942EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$892,812BOYAmt
EOY$460,390EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,527,774BOYAmt
EOY$16,255,332EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,858,122BOYAmt
EOY$24,142,314EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,727,558ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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 RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

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$33,682,209CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,261,990CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,724,134CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$35,427,769CurrentTaxYearMinus1YearAmt
Current Tax Year$32,496,382CurrentTaxYearAmt
Total$162,592,484TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$450,024CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$464,599CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$464,599CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$492,924CurrentTaxYearMinus1YearAmt
Current Tax Year$622,633CurrentTaxYearAmt
Total$2,494,779TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$34,132,233CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,726,589CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,188,733CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$35,920,693CurrentTaxYearMinus1YearAmt
Current Tax Year$33,119,015CurrentTaxYearAmt
Total$165,087,263TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$165,087,263PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,638CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$470CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$563CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$738CurrentTaxYearMinus1YearAmt
Current Tax Year$1,070CurrentTaxYearAmt
Total$6,479TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,805CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$39,770CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,202,274CurrentTaxYearMinus1YearAmt
Current Tax Year$692,697CurrentTaxYearAmt
Total$1,937,546TotalAmt
FieldValueIRS element (for citing)
Total Support$167,031,288TotalSupportAmt
Gross Receipts Rltd Activities$198,170,518GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98840PublicSupportCY170Pct
Public Support PY1700.99170PublicSupportPY170Pct
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings MembersYes (1)MailingsMembersInd
Mailings Members$700MailingsMembersAmt
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$11,674DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$12,374TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1FormAndLineReferenceDesc
Explanation1B-THE NORTHEAST VALLEY HEALTH CORPORATION (NEVHC) ENGAGES IN THE FOLLOWING LOBBYING ACTIVITIES: REVIEWING AND MONITORING FEDERAL, STATE AND LOCAL INDUSTRY ASSOCIATION LEGISLATION AND ISSUES THAT DIRECTLY AFFECT COMMUNITY HEALTH CENTERS, THE WOMEN, INFANT & CHILDREN (WIC) PROGRAM, SAFETY NET HEALTHCARE PROVIDERS AND THE PATIENT POPULATIONS THAT NEVHC SERVES, INCLUDING THE HIV/AIDS AND HOMELESS POPULATION. PRIORITY ISSUES ARE BROUGHT TO THE NEVHC BOARD OF DIRECTORS' PLANNING AND DEVELOPMENT COMMITTEE FOR REVIEW AND APPROVAL. THE BOARD OF DIRECTORS IS GIVEN A MONTHLY "KEY LEGISLATION" REPORT FOR IT'S REVIEW. FOLLOWING THIS REVIEW THE BOARD MAY ELECT TO SUPPORT/OPPOSE RELEVANT LEGISLATION THROUGH THE SUBMISSION OF LETTERS TO THE APPROPRIATE LEGISLATORS. ACTIVITIES ALSO INCLUDE WORKING IN CONJUCTION WITH OTHER COMMUNITY HEALTH PARTNERS. FOR EXAMPLE, NEVHC PARTNERS WITH THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER (NACHC), CALIFORNIA PRIMARY CARE ASSOCIATION (CPCA), HEALTH PLUS ADVOCATES, AND COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY (CCALAC), IN SENDING LETTERS, E-MAILS, AND MAKING CALLS TO LOCAL ELECTED AND OFFICE HOLDERS REGARDING SPECIFIC LEGISLATION AND ISSUES. 1D-A HOLIDAY MAILING WAS SENT TO DONORS AND PROSPECTIVE DONORS SELECTED FROM NEVHC DATA BASE. 1G & H-NEVHC STAFF ATTENDS THE ANNUAL POLICY AND ISSUES FORUM SPONSORED BY NACHC IN WASHINGTON, DC. THE DELEGATION ATTENDING INCLUDES MEMBERS OF THE NEVHC BOARD, THE CEO AND THE GOVERNMENTAL AND COMMUNITY RELATIONS OFFICER. MEETINGS WITH U.S. REPRESENTATIVES AND THEIR STAFF ARE ARRANGED TO UPDATE THEM ON NEVHC'S PROGRESS AND PROGRAMS IN THEIR DISTRICTS AND TO DISCUSS ISSUES AND CHALLENGES FACING COMMUNITY HEALTH CENTERS. IN ADDITION, THE GOVERNMENTAL AND COMMUNITY RELATIONS OFFICER ATTENDS THE "DAY AT THE CAPITAL" CONFERENCE IN SACRAMENTO SPONSORED BY THE CPCA, A STATEWIDE ASSOCIATION OF COMMUNITY HEALTH CENTERS AND COMMUNITY CLINICS. PERIODIC LEGISLATIVE ACTION ALERTS ARE GENERATED BY THE NATIONAL, STATE AND LOCAL ASSOCIATIONS WHICH CALL FOR SUPPORTING OR OPPOSING SPECIFIC LEGISLATION THAT AFFECT COMMUNITY HEALTH CENTERS.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$253,187OtherCostOrOtherBasisAmt
Book Value$253,187BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,746,987OtherCostOrOtherBasisAmt
Depreciation$3,484,920DepreciationAmt
Book Value$4,262,067BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,719,097OtherCostOrOtherBasisAmt
Depreciation$768,957DepreciationAmt
Book Value$950,140BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,366,985OtherCostOrOtherBasisAmt
Depreciation$5,810,949DepreciationAmt
Book Value$1,556,036BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,021,430TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$77,921,379TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$622,633DonatedServicesAndUseFcltsAmt
Revenue Not Reported$622,633RevenueNotReportedAmt
Revenue Subtotal$77,298,746RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$77,298,746TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$76,193,821TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$622,633DonatedServicesUseFcltsAmt
Expenses Not Reported$622,633ExpensesNotReportedAmt
Expenses Subtotal$75,571,188ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$75,571,188TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationNEVHC RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION, THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2015 OR 2014.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1AWARD RECEPTION NIGHT UNDER THE STAEvent1Nm
Gross Receipts Event1$60,315GrossReceiptsEvent1Amt
Gross Revenue Event1$60,315GrossRevenueEvent1Amt
Non Cash Prizes Event1$844NonCashPrizesEvent1Amt
Food And Beverage Event1$17,380FoodAndBeverageEvent1Amt
Entertainment Event1$3,191EntertainmentEvent1Amt
Other Direct Expenses Event1$8,114OtherDirectExpensesEvent1Amt
Event2ADULT WELLNESS CENTER NAMINGEvent2Nm
Gross Receipts Event2$45,000GrossReceiptsEvent2Amt
Gross Revenue Event2$45,000GrossRevenueEvent2Amt
Other Direct Expenses Event2$17,299OtherDirectExpensesEvent2Amt
Other Events Total5OtherEventsTotalCnt
Gross Receipts Other Events$75,058GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$75,058GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$3,076NonCashPrizesOtherEventsAmt
Food And Beverage Other Events$463FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$12,515OthDirectExpnssOtherEventsAmt
Gross Receipts Total$180,373GrossReceiptsTotalAmt
Gross Revenue Total Events$180,373GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$3,920NonCashPrizesTotalEventsAmt
Food And Beverage Total Events$17,843FoodAndBeverageTotalEventsAmt
Entertainment Total Events$3,191EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$37,928OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$62,882DirectExpenseSummaryEventsAmt
Net Income Summary$117,491NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
CENTRAL CITY COMMUNITY HEALTH CENTER
5970 S CENTRAL AVELOS ANGELESCA90001954492570501(C)(3)$103,711BOOKHOMELESS HEALTH CARE
CHILDREN HOSPITAL LOS ANGELES
4650 SUNSET BLVDLOS ANGELESCA90027951690977501(C)(3)$331,233BOOKHOMELESS HEALTH CARE
CITY HELP INC
2301 BELLEVUE AVELOS ANGELESCA90026954658573501(C)(3)$204,503BOOKHOMELESS HEALTH CARE
CLINICA MSR ALVARADO
123 S ALVARADO STLOS ANGELESCA90057953881333501(C)(3)$148,495BOOKHOMELESS HEALTH CARE
CLINICA MSR OSCAR A ROMERO
2032 MARENGO STLOS ANGELESCA90033953881333501(C)(3)$151,165BOOKHOMELESS HEALTH CARE
COMMUNITY HEALTH ALLIANCE OF PASADENA
1855 N FAIROAKS AVE STE 200PASADENACA91103954536824501(C)(3)$60,980BOOKHOMELESS HEALTH CARE
EAST VALLEY COMMUNITY HEALTH
420 S GLENDORA AVENUEWEST COVINACA91790937068586501(C)(3)$114,554BOOKHOMELESS HEALTH CARE
HOMELESS HEALTH CARE LA
2330 BEVERLY BLVDLOS ANGELESCA90057954074970501(C)(3)$205,745BOOKHOMELESS HEALTH CARE
JWCH INSTRITUTE INC
1910 W SUNSET BLVD STE 650LOS ANGELESCA90026952289916501(C)(3)$246,065BOOKHOMELESS HEALTH CARE
REGENTS OF THE UNIVERSITY
405 HILGARD AVELOS ANGELESCA90095092530369GOVERNMENT$375,836BOOKHOMELESS HEALTH CARE
SABAN FREE CLINIC
8405 BEVERLY BLVDLOS ANGELESCA90048952539105501(C)(3)$213,183BOOKHOMELESS HEALTH CARE
CHILDREN'S CLINIC
2801 ATLANTIC AVELOS ANGELESCA90806951643332501(C)(3)$115,608BOOKHOMELESS HEALTH CARE
USC SCHOOL OF DENTISTRY
UNIVERSITY GARDENS STE 205LOS ANGELESCA900898006951642394501(C)(3)$369,085BOOKHOMELESS HEALTH CARE
VENICE FAMILY CLINIC
604 ROSE AVENUEVENICECA90291952769432501(C)(3)$562,698BOOKHOMELESS HEALTH CARE
JWCH INSTITUTE INC
1910 W SUNSET BLVD STE 650LOS ANGELESCA90026952289916501(C)(3)$4,829BOOKDIVERT HOMELESS FREQUENT HOSPITAL USER TO MEDICAL HOME
PROVIDENCE HEALTH & SERVICES
6801 COLDWATER CANYON AVENORTH HOLLYWOODCA91605510216589501(C)(3)$22,179BOOKOUTREACH AND ENROLLMENT

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE COOPERATIVE HEALTH CARE FOR THE HOMELESS NETWORK (CHCHN) ADMINISTRATOR ENSURES COMPLIANCE WITH THE CHCHN CONTRACT AND FEDERAL REQUIREMENTS RELATED TO THE HEALTH CARE FOR THE HOMELESS (HCH) PROGRAM. ALL SUB-RECIPIENTS RECEIVING HCH FUNDS ARE REQUIRED TO SUBMIT DOCUMENTS TO DEMONSTRATE PROPER USAGE OF FUNDS AND SATISFACTORY PROVISION OF HOMELESS HEALTH CARE SERVICES. THE CHCHN ADMINISTRATOR REVIEWS ALL SUB-RECIPIENT SUBMISSIONS, INCLUDING, BUT NOT LIMITED TO, PERIODIC QUALITY IMPROVEMENT AND UTILIZATION REPORTS, INVOICES AND BUDGETS. SUB-RECIPIENTS ARE REQUIRED TO ATTEND PERIODIC MEETINGS/TRAININGS AND PROVIDE ANNUAL FINANCIAL AUDITS AND PROOF OF PROFESSIONAL LIABILITY/MEDICAL MALPRACTICE INSURANCE CERTIFICATES. SUB-RECIPIENT'S ELIGIBILITY OF CONTINUED HCH FUNDS IS PREDICATED ON THE SUB-RECIPIENT'S SATISFACTORY PERFORMANCE AND COMPLIANCE WITH ALL CHCHN AND FEDERAL REQUIREMENTS. ALL HCH FUNDS ARE UTILIZED FOR THE SOLE PURPOSE OF PROVIDING COMPREHENSIVE HOMELESS HEALTH CARE SERVICES (I.E., STAFF SALARIES AND HCH-RELATED EXPENDITURES). TECHNICAL ASSISTANCE IS PROVIDED WHEN NECESSARY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KIMBERLY WYARD
BOARD MEMBER/CEO$226,752$0$0$0$5,013$0$12,747$0$54,300$0$298,812$0$0$0
PATRICIA MORAGA
CFO$168,452$0$0$0$3,537$0$9,459$0$51,000$0$232,448$0$0$0
RICHARD SEIDMAN
CMO$274,755$0$6,611$0$21,450$0$16,655$0$31,175$0$350,646$0$0$0
THERESA NITESCU
COO$167,614$0$0$0$3,665$0$9,420$0$52,824$0$233,523$0$0$0
MARGARET NATARAJAN
PHYSICIAN$196,801$0$0$0$2,817$0$10,979$0$28,662$0$239,259$0$0$0
JESSE D SANDERS JR
PHYSICIAN$196,194$0$2,850$0$1,350$0$10,707$0$38,927$0$250,028$0$0$0
ZEINA HIJAZI
PHYSICIAN$203,633$0$0$0$13,360$0$11,935$0$29,006$0$257,934$0$0$0
CHRISTINE LIM-FUN CHAN PARK
PHYSICIAN$190,940$0$0$0$9,904$0$10,709$0$28,646$0$240,199$0$0$0
BORZOUYEH POURSHARIF
PHYSICIAN$224,740$0$4,805$0$433$0$12,649$0$29,262$0$271,889$0$0$0
STEPHEN GUTIERREZ
IT DIRECTOR$129,579$0$0$0$2,753$0$7,278$0$37,589$0$177,199$0$0$0
SAMUEL D ROCK
CONTROLLER$123,876$0$0$0$0$0$6,813$0$36,415$0$167,104$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6THE AMOUNT WITHHELD FROM QUARTERLY PAYMENTS OF THE PROVIDER INCENTIVE PLAN EARNINGS FOR 2015, WAS ACCRUED AND WAS CONTINGENT ON THE ORGANIZATION'S NET EARNINGS.
PART I, LINE 7THE ORGANIZATION HAS A MEDICAL PROVIDER INCENTIVE PLAN IN PLACE WHICH WAS APPROVED BY THE BOARD. THE INCENTIVES ARE BASED ON THE PROVIDERS PRODUCTIVITY, THE PROVIDERS MUST EXCEED SPECIFIED THRESHOLDS BEFORE GETTING PAID. THE ORGANIZATION PAID INCENTIVES TO PROVIDERS DURING THE YEAR.

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$5,212,392NoncashContributionsRptF990Amt
Method Of Determining RevenuesCURRENT PRICE RATESMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED AND REVISED AS NECESSARY BY THE MANAGEMENT STAFF AND CORPORATE LEGAL COUNSEL, AND ANY CHANGES CONSIDERED NECESSARY ARE INCORPORATED. THE FORM 990, ALONG WITH MANAGEMENT'S RECOMMENDATION FOR APPROVAL, IS THEN PRESENTED TO THE BOARD OF DIRECTORS AUDIT COMMITTEE. THE AUDIT COMMITTEE REVIEWS THE FORM AND IF THEY APPROVE, THE COMMITTEE RECOMMENDS APPROVAL TO THE FULL BOARD. ANY CHANGES REQUIRED BY THE AUDIT COMMITTEE ARE INCORPORATED INTO THE FORM BEFORE IT IS PRESENTED TO THE BOARD. THE BOARD IS FURNISHED WITH A COPY OF THE FORM 990, WITH THE RECOMMENDATION OF THE AUDIT COMMITTEE. THE BOARD GENERALLY ACCEPTS THE AUDIT COMMITTE'S RECOMMENDATION. AFTER BOARD ACCEPTANCE, THE FORM IS SIGNED AND FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY VIA ITS ANNUAL MANDATORY "CODE OF CONDUCT" POLICY TRAINING. THE ANNUAL TRAINING CONSISTS OF A LIVE PRESENTATION WHICH REVIEWS THE POLICY. IN ADDITION ALL KEY EMPLOYEES, OFFICERS AND DIRECTORS ARE REQUIRED TO DISCLOSE ANNUALLY ALL BUSINESS AND FAMILY RELATIONSHIPS WHICH MIGHT POTENTIALLY CREATE A CONFLICT OF INTEREST. THIS IS DONE BY THE COMPLETION OF A DISCLOSURE FORM ON WHICH ANY SUCH INTEREST MUST BE DESCRIBED. THE FORM IS COMPLETED AND SIGNED ON AN ANNUAL BASIS. IF A CONFLICT ARISES, THE PERSON WITH THE CONFLICT IS NOT ALLOWED TO PARTICIPATE IN THE DISCUSSION OR TO VOTE ON THE TRANSACTION. THERE HAVE BEEN NO INCIDENCES OF CONFLICT DURING THE REPORTING YEAR.
FORM 990, PART VI, SECTION B, LINE 15EVERY TWO TO THREE YEARS, THE ORGANIZATION HIRES A COMPENSATION CONSULTANT TO CONDUCT A SALARY SURVEY, GENERALLY CONSIST OF A REVIEW & OTHER LIKE ORGANIZATIONS WITHIN THE MARKET". THE SURVEY REPORT INCLUDES THE CONSULTANT'S RECOMMENDATIONS. THE RECOMMENDATIONS ARE PRESENTED TO THE BOARD FOR REVIEW. THIS REPORT IS THEN USED AS THE BASIS FOR SETTING SALARY RANGES FOR EXEMPT STAFF POSITIONS. IN ADDITION TO APPROVING THE SALARY RANGES FOR THE EXEMPT STAFF POSITIONS, THE BOARD OF DIRECTORS APPROVES THE SPECIFIC SALARY OF THE CEO AND OF THE CFO. ANY CHANGES TO THESE SALARIES ARE SPECIALLY REVIEWED AND APPROVED BY THE BOARD BEFORE THEY ARE IMPLEMENTED. IN 2014, BASED ON RECOMMENDATION FROM THE COMPENSATION CONSULTANT, SALARY RANGES FOR EXEMPT STAFF WERE REVISED. BASED ON THE NEW SALARY RANGES, THE BOARD APPROVED MARKET ADJUSTMENT TO BOTH THE CEO & CFO SALARIES. MANAGEMENT STAFF INCLUDING CEO AND CFO RECEIVED A .5% INCREASE EFFECTIVE JANUARY 6, 2014, AND A 1.5% INCREASE EFFECTIVE MAY 1, 2014. IN 2015 THE CEO AND CFO RECEIVED A COST OF LIVING INCREASE OF 1.5% ON 05/01/2015.
FORM 990, PART VI, SECTION C, LINE 19THE AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. THE ORGANIZATION ARTICLES OF INCORPORATION AND BY-LAWS ARE AVAILABLE UPON REQUEST. OTHER INTERNAL DOCUMENTS ARE NOT ROUTINELY MADE AVAILABLE.