WESTMINSTER FREE CLINIC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
WESTMINSTER FREE CLINIC (EIN 77-0563241)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-08-21
IRS object ID
201502339349300230
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-08-21T15:04:29-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

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 BOULEVARD-SUITE 1660AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP900102481ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

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
Signature2015-08-20SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN BOVARD MIRONPreparerPersonNm
PTINP01358141PTIN
Phone2136393550PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

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$1,775,541GrossReceiptsAmt
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 Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers355TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$939,676PYContributionsGrantsAmt
CY Contributions Grants$1,759,806CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$3,821PYInvestmentIncomeAmt
CY Investment Income$2,303CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$6,525CYOtherRevenueAmt
PY Total Revenue$943,497PYTotalRevenueAmt
CY Total Revenue$1,768,634CYTotalRevenueAmt
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$254,393PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$286,816CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$50,816CYTotalFundraisingExpenseAmt
PY Other Expenses$695,454PYOtherExpensesAmt
CY Other Expenses$1,111,838CYOtherExpensesAmt
PY Total Expenses$949,847PYTotalExpensesAmt
CY Total Expenses$1,398,654CYTotalExpensesAmt
PY Revenues Less Expenses-$6,350PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$369,980CYRevenuesLessExpensesAmt
Total Assets BOY$1,197,349TotalAssetsBOYAmt
Total Assets EOY$1,562,301TotalAssetsEOYAmt
Total Liabilities BOY$5,028TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,192,321NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,562,301NetAssetsOrFundBalancesEOYAmt
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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$786,202ExpenseAmt
DescPRIMARY HEALTH CARE--OFFERED TO APPROXIMATELY 100 PATIENTS EACH CLINIC NIGHT BY VOLUNTEER DOCTORS AND NURSES FROM 6 PM TO 10 PM, (4-5 PM CHECK-IN). SERVICES ARE PROVIDED ON A FIRST-COME-FIRST-SERVE BASIS, EXCEPT FOR CHILDREN, WHO TAKE PRIORITY. DOCTORS' SERVICES ARE NON-INVASIVE AND INCLUDE DIAGNOSIS, WRITING PRESCRIPTIONS AND MAKING REFERRALS. LAB TESTS, AND DIAGNOSTIC TESTS ARE PAID FOR AT DISCOUNTED RATES BY THE CLINIC TO PROVIDE THE DOCTORS WITH MORE INFORMATION. OTHER PRIMARY HEALTH CARE SERVICES INCLUDE: BI-MONTHLY IMMUNIZATIONS, FLU SHOTS AND TB TESTING, WEEKLY BLOOD PRESSURE AND BLOOD GLUCOSE TESTING, DENTAL SCREENING AND EDUCATION, CHIROPRACTIC & PHYSICAL THERAPY SERVICES, MENTAL HEALTH COUNSELING, NUTRITION COUNSELING, REFERRALS, A FAMILY LITERACY PROGRAM CALLED REACH OUT AND READ, HEALTH EDUCATION CLASSES AND REFERRALS FOR FREE GLASSES AND MAMMOGRAMS. MEDICAL VOLUNTEERS INCLUDE DOCTORS, NURSE PRACTITIONERS, NURSES, PHARMACISTS, CHIROPRACTORS, PHYSICAL THERAPISTS, DENTISTS, PHLEBOTOMISTS, MEDICAL TECHNOLOGISTS, PSYCHOLOGISTS, COUNSELORS, HEALTH EDUCATORS AND A DIETITIAN. ALL CLINIC SERVICES LISTED ARE FREE-OF-CHARGE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$227,046ExpenseAmt
DescTEEN HEALTHCARE INTERNSHIP TRAINING AND EDUCATION PROGRAM--THIS PROGRAM OFFERS LOCAL TEENS AN OPPORTUNITY TO BE MENTORED BY HEALTHCARE PROFESSIONALS VOLUNTEERING AT THE CLINIC TO IMPROVE THE MEDICAL WELFARE OF FELLOW COMMUNITY MEMBERS WHO DO NOT HAVE HEALTH INSURANCE AND ACCESS TO HEALTHCARE. OVER 80 LOCAL HIGH SCHOOL STUDENTS FROM NEWBURY PARK, THOUSAND OAKS, OAK PARK, MOORPARK, SIMI VALLEY AND WESTLAKE HIGH SCHOOLS (50% ARE MINORITY LOW INCOME TEENS WHO HAVE DREAMS OF PURSUING CAREERS IN HEALTHCARE) HAVE THE OPPORTUNITY TO VOLUNTEER AND ASSIST DIRECTLY WITH THE DELIVERY OF PATIENT SERVICES, AND ALSO RECEIVE EDUCATION, FIELDTRIPS, TRAINING IN HEALTHCARE FIELDS, AS WELL AS MENTORING AND JOB SHADOWING OPPORTUNITIES. IT IS A 2-YEAR COMMITMENT FOR THE STUDENT, WITH MOST STAYING LONGER. THE STUDENTS ENJOY HELPING THEIR COMMUNITY AND BEING PART OF A MEDICAL TEAM. 100% OF OUR GRADUATING STUDENTS ARE ATTENDING COLLEGE. FOR MANY, THEY ARE THE FIRST IN THEIR FAMILY TO DO SO.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$207,833ExpenseAmt
DescHEALTH ADVOCACY (CASE MANAGEMENT)--THIS PROGRAM CREATES LINKAGES TO COMMUNITY RESOURCES, LEVERAGES HEALTH CARE AT A DISCOUNTED RATE OR FOR FREE FROM LOCAL MEDICAL SPECIALISTS, DENTISTS AND OPTOMETRISTS. FOR EXAMPLE OUR OPTOMETRISTS PROVIDE FREE EYE EXAMS AND GLASSES FOR THE CHILDREN AND ADULTS WE REFER TO THEM. WE PARTNER WITH LOCAL SCHOOLS TO MAKE SURE ALL CHILDREN RECEIVE THE VISION CARE AND GLASSES THEY NEED TO SUCCEED. THE CASE MANAGER ALSO SETS UP PATIENT APPOINTMENTS AND HELPS PATIENTS FOLLOW THROUGH WITH THEIR PLAN OF CARE PROVIDED BY OUR DOCTORS. ELIGIBLE PATIENTS ARE ALSO ASSISTED WITH THE PAPERWORK RELATED TO MEDI-CAL, MEDICARE, AND SSI. WFC HAS CERTIFIED EDUCATORS TO HELP PEOPLE LEARN ABOUT COVERED CA SO THEY CAN SEE IF THEY QUALIFY. OUR GOAL IS TO SERVE THOSE WITH NO OTHER OPTIONS. IT MAKES IT POSSIBLE FOR SOME PATIENTS TO OBTAIN INSURANCE THEY DID NOT THINK THEY WERE ELIGIBLE FOR, OR FOR WHICH THEY DIDN'T KNOW HOW TO FILL OUT THE CORRECT PAPERS. THE CASE MANAGER ALSO CREATES PARTNERSHIPS WITH PHARMACEUTICAL AND MEDICAL SUPPLY COMPANIES (EG. THE PATIENT ASSISTANCE PROGRAM (PAP)) TO ACCESS FREE MEDICATIONS AND OTHER SUPPLIES FOR PATIENTS WITH CHRONIC HEALTH CONDITIONS. SHE ADVISES FOR PATIENTS IN A NUMBER OF WAYS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)

DescDesc
MI FAMILIA: A FAMILY DIABETES MANAGEMENT AND EDUCATION PROGRAM--THIS PROGRAM ASSISTS PARENTS WHO HAVE TYPE 2 DIABETES WITH EDUCATION AND EARLY TREATMENT. THE PURPOSE OF THIS PROGRAM IS ALSO TO HELP PREVENT CHILDREN FROM GETTING DIABETES LIKE THEIR PARENTS. HIGH SCHOOL INTERNS AND A COLLEGE STUDENT WORK IN PARTNERSHIP WITH THE BI-LINGUAL 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 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 MEASURES, 5)WEEKLY NUTRITION CLASSES AND FOOD DEMONSTRATIONS, 6) VISITS WITH THE DIETITIAN, 7) FREE MEDICATIONS, GLUCOMETER AND TEST STRIPS, 8) APPOINTMENTS WITH OUR PODIATRIST AND OPHTHALMOLOGIST. ALL SERVICES ARE PROVIDED IN SPANISH.
TEEN PROMOTORES HEALTH OUTREACH & ADVOCACY PROGRAM--THE NEED TO IDENTIFY PEOPLE EARLIER WITH CHRONIC DISEASE ISSUES LIKE DIABETES AND HIGH BLOOD PRESSURE HAS BEEN EVIDENT FOR A LONG TIME. THROUGH FUNDING RECEIVED SPECIFICALLY FOR THIS PURPOSE, WFC PARTNERS WITH THE BUSINESS COMMUNITY WHO HAVE UNINSURED EMPLOYEES AT THEIR WORKPLACE (E-HIP) AND LOCATIONS NEARBY WHERE PEOPLE ARE ALREADY GOING (E.G. THE LAUNDROMAT, LATINO MARKETS) TO PROVIDE FREE BLOOD PRESSURE, AND BLOOD SUGAR SCREENING AS WELL AS HEALTH EDUCATION AND RESOURCE REFERRAL. WE HAVE ALSO BEEN ABLE TO IMPLEMENT ENVIRONMENTAL CHANGE STRATEGIES (HEAL) (E.G. LATINO MARKETS OFFERING DIABETIC FRIENDLY FOOD CHOICES THAT WE ARE TELLING THE PATIENTS THEY SHOULD EAT) SO CLIENTS ARE ACTUALLY ABLE TO CHANGE THEIR EATING HABITS THE WAY THE DOCTORS, DIETITIAN AND HEALTH EDUCATORS AT OUR CLINIC CLASSES ARE TELLING THEM TO (E.G. DRINK 1% OR SKIM MILK INSTEAD OF WHOLE MILK). OUR TEEN "PROMOTORES" INTERNS WHO ARE ALREADY TRAINED INTERNS AT OUR CLINIC ARE INVOLVED IN ALL ASPECTS OF THE PROGRAM PLANNING, MARKETING, EVALUATION, ASSESSMENT AND DIRECT SERVICE. THE STUDENTS ARE INSTRUMENTAL IN THE PROGRAM'S SUCCESS. A BI-LINGUAL HEALTH EDUCATOR RUNS THE PROGRAM AND WE HAVE MANY STORIES OF PEOPLE WITH BLOOD SUGARS OVER 400 (200 OR LOWER IS ACCEPTABLE FOR NON-FASTING PERSONS) AND PEOPLE WITH VERY HIGH BLOOD PRESSURE WHO DID NOT KNOW ABOUT THEIR SERIOUS HEALTH SITUATION UNTIL THEY ATTENDED ONE OF OUR SCREENINGS. THE MAJORITY ARE NOW PATIENTS AT OUR FREE CLINIC AND GETTING THEIR HEALTH CONDITIONS UNDER CONTROL.
Z-TAP : A FAMILY VIOLENCE PREVENTION & MENTAL HEALTH AWARENESS TRAIN-THE-TRAINER PROGRAM--THE Z-TAP (ZONTA TRAINING AND ADVOCACY PROGRAM) IS DESIGNED TO TRAIN WOMEN FROM OUR COMMUNITY TO BECOME COMMUNITY EDUCATORS. PARTICIPANTS ARE ENROLLED IN AN 8-WEEK TRAINING COURSE WHERE THEY LEARN FAMILY VIOLENCE PREVENTION TECHNIQUES, AS WELL AS THE WARNING SIGNS FOR MENTAL ILLNESS, ANXIETY, DEPRESSION, SUICIDE AND DOMESTIC VIOLENCE. THOSE INTERESTED ARE THEN PLACED INTO TEACHING GROUPS WHERE THEY ARE MENTORED AND SUPERVISED TO LEAD TRAININGS IN THEIR COMMUNITY AND TEACH OTHERS WHAT THEY HAVE LEARNED. THESE CLASSES ARE CURRENTLY TAUGHT IN SPANISH AND EMPOWER THE PARTICIPANTS TO BE COMMUNITY LEADERS. THE PROGRAM EMPOWERS WOMEN WHO MAY BE IN DOMESTIC VIOLENCE SITUATIONS TO HELP THEMSELVES, THEIRCHILDREN AND THEIR COMMUNITY. THE PROGRAM IS OFFERED AT TITLE 1 SCHOOLS, CHURCHES AND OTHER LOCATIONS WHERE PARENTS NATURALLY CONGREGATE. THE PROGRAM WAS DEVELOPED BY THE AMERICAN PSYCHOLOGICAL ASSOCIATION AND HAS BEEN EFFECTIVE ACROSS THE COUNTRY. OVER 300 WOMEN HAVE BEEN TRAINED BY WFC SO FAR. FUNDING FOR THE PROGRAM COMES FROM ZONTA OF THE CONEJO HTTP://WWW.ZONTACV.ORG.
MENTAL HEALTH COUNSELING--THE WFC COUNSELOR IS SPANISH AND ENGLISH SPEAKING. FAMILY, GROUP SESSIONS AND INDIVIDUAL COUNSELING ARE PROVIDED DURING CLINIC HOURS. THE COUNSELOR ALSO WORKS CLOSELY WITH WFC PHYSICIANS TO ADDRESS HEALTH CONDITIONS BROUGHT ON BY PSYCHOLOGICAL ISSUES. CLIENT VISITS AVERAGE 4-5 SESSIONS.
FieldValueIRS element (for citing)
Total Program Service Expenses$1,221,081TotalProgramServiceExpensesAmt
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 Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash 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 Document15IRPDocumentCnt
IRP Document W2 G1IRPDocumentW2GCnt
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 (10 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)
AMANDA M VINSON ESQ
SECRETARY (NON-VOTING)2.50$0$0$0Yes (X)
LISA SAFAEINILI
EXECUTIVE DIRECTOR60.00$124,639$0$10,581Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$124,639TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$10,581TotalOtherCompensationAmt
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$177,398GovernmentGrantsAmt
All Other Contributions$1,582,408AllOtherContributionsAmt
Noncash Contributions$784,038NoncashContributionsAmt
Total Contributions$1,759,806TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,303TotalRevenueColumnAmt
Exclusion$2,303ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$13,356GamingGrossIncomeAmt
Gaming Direct Expenses$6,907GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,449TotalRevenueColumnAmt
Exclusion$6,449ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$76TotalRevenueColumnAmt
Exclusion$76ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$76OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,768,634TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,828ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$135,220TotalAmt
Program Services$87,893ProgramServicesAmt
Management And General$20,283ManagementAndGeneralAmt
Fundraising$27,044FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$124,466TotalAmt
Program Services$112,490ProgramServicesAmt
Management And General$9,104ManagementAndGeneralAmt
Fundraising$2,872FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,065TotalAmt
Program Services$2,802ProgramServicesAmt
Management And General$896ManagementAndGeneralAmt
Fundraising$367FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$23,065TotalAmt
Program Services$17,917ProgramServicesAmt
Management And General$2,574ManagementAndGeneralAmt
Fundraising$2,574FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$41,929TotalAmt
Management And General$41,929ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$119,281TotalAmt
Program Services$103,098ProgramServicesAmt
Management And General$8,092ManagementAndGeneralAmt
Fundraising$8,091FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$25,783TotalAmt
Program Services$12,070ProgramServicesAmt
Management And General$4,153ManagementAndGeneralAmt
Fundraising$9,560FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,998TotalAmt
Program Services$1,298ProgramServicesAmt
Management And General$8,700ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,584TotalAmt
Program Services$7,498ProgramServicesAmt
Management And General$43ManagementAndGeneralAmt
Fundraising$43FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,193TotalAmt
Management And General$9,193ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,375TotalAmt
Program Services$1,845ProgramServicesAmt
Management And General$265ManagementAndGeneralAmt
Fundraising$265FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$18,613TotalAmt
Program Services$16,386ProgramServicesAmt
Management And General$2,227ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$838,640$838,640
VOLUNTEER APPRECIATION$19,298$19,298
STIPEND$10,781$10,781
TRAINING & DEVELOPMENT$4,763$4,763

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,600TotalAmt
Program Services$3,600ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,398,654TotalAmt
Program Services$1,221,081ProgramServicesAmt
Management And General$126,757ManagementAndGeneralAmt
Fundraising$50,816FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$520,022BOYAmt
EOY$810,661EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$142,108BOYAmt
EOY$142,157EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$72,123BOYAmt
EOY$155,376EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,146BOYAmt
EOY$14,404EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,024LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,723LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,676BOYAmt
EOY$4,301EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$442,274BOYAmt
EOY$435,402EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,197,349BOYAmt
EOY$1,562,301EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,028BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,028BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$947,135BOYAmt
EOY$1,017,585EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$245,186BOYAmt
EOY$544,716EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,192,321BOYAmt
EOY$1,562,301EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,197,349BOYAmt
EOY$1,562,301EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$369,980ReconcilationRevenueExpnssAmt
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$691,101CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$551,228CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$811,320CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$929,212CurrentTaxYearMinus1YearAmt
Current Tax Year$1,759,806CurrentTaxYearAmt
Total$4,742,667TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$691,101CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$551,228CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$811,320CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$929,212CurrentTaxYearMinus1YearAmt
Current Tax Year$1,759,806CurrentTaxYearAmt
Total$4,742,667TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,295,586SubstantialContributorsTotAmt
Public Support Total170$3,447,081PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,982CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,301CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,721CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,821CurrentTaxYearMinus1YearAmt
Current Tax Year$2,303CurrentTaxYearAmt
Total$30,128TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$76CurrentTaxYearAmt
Total$76TotalAmt
FieldValueIRS element (for citing)
Total Support$4,772,871TotalSupportAmt
Gross Receipts Rltd Activities$6,449GrossReceiptsRltdActivitiesAmt
Public Support CY1700.72220PublicSupportCY170Pct
Public Support PY1700.71440PublicSupportPY170Pct
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$8,723DepreciationAmt
Book Value$4,301BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,301TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,902,374TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$1,133,740DonatedServicesAndUseFcltsAmt
Revenue Not Reported$1,133,740RevenueNotReportedAmt
Revenue Subtotal$1,768,634RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,768,634TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,532,394TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$1,133,740DonatedServicesUseFcltsAmt
Expenses Not Reported$1,133,740ExpensesNotReportedAmt
Expenses Subtotal$1,398,654ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,398,654TotalExpensesPerForm990Amt

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, 2014. GENERALLY, THE ORGANIZATION'S INFORMATION RETURNS REMAIN OPEN FOR EXAMINATION THREE (FEDERAL) OR FOUR (STATE OF CALIFORNIA) YEARS FROM THE DATE OF FILING.ExplanationTxt

Schedule M IRS990ScheduleM

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$44,616NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$739,422NoncashContributionsRptF990Amt
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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 XII, LINE 2C:THE ORGANIZATION'S BOARD OF DIRECTORS HAS RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATMENTS AND SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS CHANGED FROM THE PRIOR YEAR.

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