FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES INC (EIN 95-1641454)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-04-26
- IRS object ID
- 201641179349301209
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-04-26T18:29:37-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 330783700 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PDM LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3460 TORRANCE BLVD STE 200 | AddressLine1Txt |
| City | TORRANCE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951641454 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FAMI | BusinessNameControlTxt |
| Phone | 5629289600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6501 SOUTH GARFIELD AVENUE | AddressLine1Txt |
| City | BELL GARDENS | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90201 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RAQUEL VILLA | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5629289600 | PhoneNum |
| Signature | 2016-04-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANTHONY P BOZANIC CPA | PreparerPersonNm |
| PTIN | P01314417 | PTIN |
| Phone | 3105404118 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RAQUEL VILLA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6501 SOUTH GARFIELD AVENUE | AddressLine1Txt |
| City | BELL GARDENS | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,881,947 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FHCCGLA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1925 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE LOW-COST HEALTH CARE SERVICES TO FAMILIES IN THE GREATER LOS ANGELES AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 126 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,887,225 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,228,823 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,496,314 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,316,346 | CYProgramServiceRevenueAmt |
| PY Investment Income | $457 | PYInvestmentIncomeAmt |
| CY Investment Income | $35 | CYInvestmentIncomeAmt |
| PY Other Revenue | $281,487 | PYOtherRevenueAmt |
| CY Other Revenue | $336,743 | CYOtherRevenueAmt |
| PY Total Revenue | $5,665,483 | PYTotalRevenueAmt |
| CY Total Revenue | $5,881,947 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,832,556 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,568,607 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $61,262 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,123,627 | PYOtherExpensesAmt |
| CY Other Expenses | $1,987,646 | CYOtherExpensesAmt |
| PY Total Expenses | $5,956,183 | PYTotalExpensesAmt |
| CY Total Expenses | $5,556,253 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$290,700 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $325,694 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,363,492 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,451,769 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,834,231 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,596,814 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $529,261 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $854,955 | NetAssetsOrFundBalancesEOYAmt |
| Mission | FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES AIMS TO ENHANCE THE QUALITY OF LIFE FOR MEN, WOMEN, AND CHILDREN IN THE GREATER LOS ANGELES AREA THROUGH THE PROVISION OF HIGH QUALITY, ACCESSIBLE AND AFFORDABLE HEALTH CARE SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,720,247 | ExpenseAmt |
| Revenue | $3,316,346 | RevenueAmt |
| Desc | THE ORGANIZATION RECEIVES VARIOUS GRANTS AND CONTRACTS FROM GOVERNMENTAL AGENCIES IN ORDER TO OPERATE FIVE LOS ANGELES AREA COMMUNITY HEALTH CLINICS IN BELL GARDENS, HAWAIIAN GARDENS, DOWNEY, AND MAYWOOD. THE ORGANIZATION FOCUSES ON PROVIDING FREE AND LOW-COST PRIMARY HEALTH CARE AND FAMILY PLANNING SERVICES, RECEIVING OVER 42,000 PATIENTS VISITS PER YEAR. THESE PATIENTS ARE PREDOMINANTLY LATINO IMMIGRANTS RESIDING WITHIN THE ORGANIZATION'S AREA OF OPERATIONS IN LOS ANGELES COUNTY. THE ORGANIZATION PROVIDES COMPREHENSIVE SERVICES IN GENERAL MEDICINE, WOMEN'S HEALTH, DIABETES, ASTHMA TREATMENT, IMMUNIZATIONS, FAMILY PLANNING, AND COMMUNITY OUTREACH. | Desc |
| Total Program Service Expenses | $4,720,247 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 43 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 126 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | YERYCA RAMOS | PersonNm |
| Phone | 5627765010 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6501 S GARFIELD | AddressLine1Txt |
| City | BELL GARDENS | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90201 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JORGE VENTURA | |||||||
| BOARD CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARIE BAGWELL | |||||||
| VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MAYRA MAJANO | |||||||
| TREASURER/SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JACKIE DERIMOW | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK LESTER | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT HOOPER | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| GLADYS MUNOZ | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SERGIO BUENO | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARIA L HERNANDEZ | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| IGNACIO RAMIREZ | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ALBERT PACHECO | |||||||
| CEO/LEFT IN OCT 2014 | 40.00 | Yes (X) | $130,596 | $0 | $0 | ||
| FELIZ NUNEZ | |||||||
| CMO/LEFT IN OCT 2014 | 40.00 | Yes (X) | $144,453 | $0 | $0 | ||
| BROOKE ALEXANDER | |||||||
| CMO/STARTED IN 2015 | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| RAQUEL VILLA | |||||||
| CEO/COO | 40.00 | Yes (X) | $84,938 | $0 | $0 | ||
| YERYCA RAMOS | |||||||
| CFO | 40.00 | Yes (X) | $79,400 | $0 | $0 | ||
| MADHURI PETKAR | |||||||
| MD | 32.00 | $107,000 | $0 | $0 | Yes (X) | ||
| JOSEPHINE BORROMEO | |||||||
| NP | 40.00 | $109,808 | $0 | $0 | Yes (X) | ||
| RORY BUTLER | |||||||
| PA | 40.00 | $130,528 | $0 | $0 | Yes (X) | ||
| LILIAN KOE | |||||||
| MD | 40.00 | $129,595 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $916,318 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ADVANCED CONTRACTORS | |||||
| 935 W 223RD ST | TORRANCE | CA | 90502 | CONSTRUCTION | $463,793 |
| FOUNDATION LABORATORY | |||||
| 1716 W HOLT AVE | POMONA | CA | 91768 | LABORATORY | $138,712 |
| QUALITY SYSTEMS INC | |||||
| 18111 VON KARMAN AVE STE 700 | IRVINE | CA | 92612 | SOFTWARE/LICENSES | $103,093 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,812,586 | GovernmentGrantsAmt |
| All Other Contributions | $416,237 | AllOtherContributionsAmt |
| Total Contributions | $2,228,823 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $3,316,346 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,316,346 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,316,346 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35 | TotalRevenueColumnAmt |
| Exclusion | $35 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $193,881 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $193,881 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $193,881 | TotalRevenueColumnAmt |
| Exclusion | $193,881 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $142,862 | TotalRevenueColumnAmt |
| Exclusion | $142,862 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $142,862 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,881,947 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,316,346 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $336,778 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $350,336 | TotalAmt |
| Program Services | $196,222 | ProgramServicesAmt |
| Management And General | $130,814 | ManagementAndGeneralAmt |
| Fundraising | $23,300 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,530,586 | TotalAmt |
| Program Services | $2,232,757 | ProgramServicesAmt |
| Management And General | $297,829 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $426,558 | TotalAmt |
| Program Services | $359,642 | ProgramServicesAmt |
| Management And General | $63,466 | ManagementAndGeneralAmt |
| Fundraising | $3,450 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $261,127 | TotalAmt |
| Program Services | $220,163 | ProgramServicesAmt |
| Management And General | $38,852 | ManagementAndGeneralAmt |
| Fundraising | $2,112 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,700 | TotalAmt |
| Management And General | $19,700 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $530,095 | TotalAmt |
| Program Services | $441,234 | ProgramServicesAmt |
| Management And General | $56,461 | ManagementAndGeneralAmt |
| Fundraising | $32,400 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,799 | TotalAmt |
| Program Services | $24,479 | ProgramServicesAmt |
| Management And General | $4,320 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,532 | TotalAmt |
| Program Services | $218,053 | ProgramServicesAmt |
| Management And General | $38,479 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,274 | TotalAmt |
| Program Services | $80,983 | ProgramServicesAmt |
| Management And General | $14,291 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,785 | TotalAmt |
| Program Services | $97,567 | ProgramServicesAmt |
| Management And General | $17,218 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,813 | TotalAmt |
| Program Services | $10,891 | ProgramServicesAmt |
| Management And General | $1,922 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,608 | TotalAmt |
| Program Services | $4,767 | ProgramServicesAmt |
| Management And General | $841 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,211 | TotalAmt |
| Program Services | $120,029 | ProgramServicesAmt |
| Management And General | $21,182 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216,977 | TotalAmt |
| Program Services | $184,430 | ProgramServicesAmt |
| Management And General | $32,547 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,127 | TotalAmt |
| Program Services | $64,708 | ProgramServicesAmt |
| Management And General | $11,419 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| LABORATORY AND X-RAY | $154,516 | $154,516 | |
| PHARMACUETICALS | $92,880 | $92,880 | |
| MEDICAL SUPPLIES | $72,980 | $72,980 | |
| MINOR EQUIPMENT | $62,057 | $52,748 | $9,309 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,292 | TotalAmt |
| Program Services | $91,198 | ProgramServicesAmt |
| Management And General | $16,094 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,556,253 | TotalAmt |
| Program Services | $4,720,247 | ProgramServicesAmt |
| Management And General | $774,744 | ManagementAndGeneralAmt |
| Fundraising | $61,262 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $294,609 | BOYAmt |
| EOY | $73,648 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $260,967 | BOYAmt |
| EOY | $515,788 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $384,516 | BOYAmt |
| EOY | $373,242 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,988 | BOYAmt |
| EOY | $18,760 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,825 | BOYAmt |
| EOY | $203,183 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,464,164 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,210,031 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,253,991 | BOYAmt |
| EOY | $3,254,133 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,596 | BOYAmt |
| EOY | $13,015 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,363,492 | BOYAmt |
| EOY | $4,451,769 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $642,620 | BOYAmt |
| EOY | $438,601 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,500 | BOYAmt |
| EOY | $18,436 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,184,111 | BOYAmt |
| EOY | $3,139,777 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,834,231 | BOYAmt |
| EOY | $3,596,814 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $329,261 | BOYAmt |
| EOY | $554,955 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,000 | BOYAmt |
| EOY | $300,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $529,261 | BOYAmt |
| EOY | $854,955 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,363,492 | BOYAmt |
| EOY | $4,451,769 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $325,694 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,311,588 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,533,175 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,378,336 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,887,225 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,228,823 | CurrentTaxYearAmt |
| Total | $8,339,147 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,115,428 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,107,476 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,779,176 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,496,314 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,316,346 | CurrentTaxYearAmt |
| Total | $16,814,740 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $50,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $50,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $70,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $65,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $50,000 | CurrentTaxYearAmt |
| Total | $285,000 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,477,016 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,690,651 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,227,512 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,448,539 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,595,169 | CurrentTaxYearAmt |
| Total | $25,438,887 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $25,438,887 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $127,336 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $128,151 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $159,536 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $166,111 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $193,916 | CurrentTaxYearAmt |
| Total | $775,050 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $127,336 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $128,151 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $159,536 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $166,111 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $193,916 | CurrentTaxYearAmt |
| Total | $775,050 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $130,123 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $97,801 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $230,744 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $115,833 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $142,862 | CurrentTaxYearAmt |
| Total | $717,363 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,734,475 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,916,603 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,617,792 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,730,483 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,931,947 | CurrentTaxYearAmt |
| Total | $26,931,300 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.94460 | PublicSupportCY509Pct |
| Public Support PY509 | 0.93700 | PublicSupportPY509Pct |
| Investment Income CY | 0.02880 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02850 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,210,204 | OtherCostOrOtherBasisAmt |
| Book Value | $1,210,204 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,060,360 | OtherCostOrOtherBasisAmt |
| Depreciation | $691,822 | DepreciationAmt |
| Book Value | $1,368,538 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $704,389 | OtherCostOrOtherBasisAmt |
| Depreciation | $201,957 | DepreciationAmt |
| Book Value | $502,432 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $63,898 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,108 | DepreciationAmt |
| Book Value | $23,790 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $425,313 | OtherCostOrOtherBasisAmt |
| Depreciation | $276,144 | DepreciationAmt |
| Book Value | $149,169 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,254,133 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $5,931,947 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $50,000 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $50,000 | RevenueNotReportedAmt |
| Revenue Subtotal | $5,881,947 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $5,881,947 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,606,253 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $50,000 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $50,000 | ExpensesNotReportedAmt |
| Expenses Subtotal | $5,556,253 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $5,556,253 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE CLINIC RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT OF BEING SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. TO DATE, THE CLINIC HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS. THE CLINIC RECOGNIZES POTENTIAL ACCRUED INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS IN INCOME TAX EXPENSE. DURING THE YEAR ENDED JUNE 30, 2015, THE CLINIC DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE FORM 990 PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD MEMBERS SIGN A WRITTEN CONFLICT OF INTEREST AND DISCLOSURE STATEMENT AND POLICY EACH YEAR IN WRITING. THE EMPLOYEES ARE NOTIFIED BY AGREEING TO THE ANNUAL CONFLICT OF INTEREST POLICY IN THE EMPLOYEE HANDBOOK EACH YEAR. |
| FORM 990, PART VI, SECTION B, LINE 15 | EACH YEAR THE BOARD APPROVES THE SALARIES OF MANAGEMENT, INCLUDING THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER, THROUGH THE BOARD MEETING MINUTES. THE ANNUAL SALARIES ARE COMPARED TO INDUSTRY STANDARDS FOR FIVE COMPARABLE HEALTH CARE CENTERS OF COMPARABLE SIZE IN THE AREA. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |