FURP.ORG / PUBLIC DATA EXPLORER

VALLEY COMMUNITY HEALTHCARE: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
VALLEY COMMUNITY HEALTHCARE (EIN 23-7050082)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-02-11
IRS object ID
201510429349300726
Schema version
2013v4.0
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)
Return2015-02-11T13:05:43-06:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN952302617PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SINGERLEWAK LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110960 WILSHIRE BLVD STE 700AddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code900243783ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237050082EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VALLEY COMMUNITY CLINICBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlVALLBusinessNameControlTxt
Phone8187631718PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16801 COLDWATER CANYON AVE NO 1BAddressLine1
CityNORTH HOLLYWOODCity
StateCAState
ZIP Code916055162ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAULA WILSONPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8187631718PhoneNum
Signature2015-02-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNANAZ BENYAMINIPreparerPersonNm
PTINP00666808PTIN
Phone3104773924PhoneNum
Preparation2015-02-04PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPAULA WILSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16801 COLDWATER CANYON AVE NO 1BAddressLine1
CityNORTH HOLLYWOODCity
StateCAState
ZIP Code916055162ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$14,051,348GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.VALLEYCOMMUNITYCLINIC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1970FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionA NONPROFIT COMPREHENSIVE NEIGHBORHOOD HEALTH CENTER IN THE SAN FERNANDO VALLEY.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee252TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$68,117TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$14,351NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,040,780PYContributionsGrantsAmt
CY Contributions Grants$3,241,758CYContributionsGrantsAmt
PY Program Service Revenue$9,106,480PYProgramServiceRevenueAmt
CY Program Service Revenue$10,544,813CYProgramServiceRevenueAmt
PY Investment Income$40PYInvestmentIncomeAmt
CY Investment Income$30CYInvestmentIncomeAmt
PY Other Revenue$57,469PYOtherRevenueAmt
CY Other Revenue$91,740CYOtherRevenueAmt
PY Total Revenue$11,204,769PYTotalRevenueAmt
CY Total Revenue$13,878,341CYTotalRevenueAmt
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$6,981,838PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,031,520CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$48,000PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$44,093CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$456,586CYTotalFundraisingExpenseAmt
PY Other Expenses$4,178,001PYOtherExpensesAmt
CY Other Expenses$3,925,026CYOtherExpensesAmt
PY Total Expenses$11,207,839PYTotalExpensesAmt
CY Total Expenses$13,000,639CYTotalExpensesAmt
PY Revenues Less Expenses-$3,070PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$877,702CYRevenuesLessExpensesAmt
Total Assets BOY$9,852,406TotalAssetsBOYAmt
Total Assets EOY$10,092,985TotalAssetsEOYAmt
Total Liabilities BOY$3,747,315TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,110,192TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,105,091NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,982,793NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF VCC IS TO ENHANCE THE WELL-BEING OF THE COMMUNITY BY PROVIDING HIGH QUALITY, CULTURALLY SENSITIVE PRIMARY MEDICAL CARE AND RELATED HEALTH SERVICES TO THOSE IN NEED, REGARDLESS OF THEIR ABILITY TO PAY.SUPPLEMENTING ITS PRIMARY CARE, VCC ALSO PROVIDES CHRONIC DISEASE MANAGEMENT, OPTOMETRY, DENTAL, NUTRITION EDUCATION, PEDIATRICS, WOMEN'S HEALTH, PRENATAL, MENTAL HEALTH AND COUNSELING SERVICES, A NATIONALLY RECOGNIZED YOUTH/TEEN EDUCATION PROGRAM AND WELLNESS EDUCATION. VCC'S MODEL OF CARE, EDUCATION AND CULTURALLY SENSITIVE PROGRAMS IS DESIGNED TO PROMOTE WELLNESS AND PREVENTATIVE CARE FOR THE ENTIRE SAN FERNANDO VALLEY COMMUNITY, HELPING DELIVER BETTER PATIENT OUTCOMES, MORE COST-EFFECTIVE SERVICES AND A STRONGER HEALTHCARE SYSTEM.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,878,153ExpenseAmt
Revenue$7,036,046RevenueAmt
DescPRIMARY CARE (66,104 MEDICAL VISITS) INCLUDES AN ARRAY OF SERVICES THAT ENCOMPASSES NOT ONLY PRIMARY HEALTH CARE BUT CHRONIC DISEASE MANAGEMENT, WOMEN'S HEALTH AND PRENATAL CARE, PODIATRY, NUTRITION, PEDIATRICS, AND COMPREHENSIVE ADOLESCENT MEDICINE PROGRAM IN CONJUNCTION WITH OUR NATIONALLY-RECOGNIZED TEEN CLINIC PROGRAM.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,805,390ExpenseAmt
Revenue$1,540,251RevenueAmt
DescSPECIALTY SERVICES (11,048 VISITS) COVERS DENTAL HEALTH CARE, BEHAVIORAL HEALTH SERVICES AND LONG-TERM COUNSELING AND OPTOMETRY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$932,462ExpenseAmt
Revenue$820,509RevenueAmt
DescTHE HIV/AIDS PROGRAM (339 VISITS), WHICH INCLUDES TESTING, EDUCATION AND OUTREACH, IS ALSO THE OLDEST HIV TESTING SITE IN THE SAN FERNANDO VALLEY, WITH ON-SITE TESTING AVAILABLE SINCE 1987, THE FIRST YEAR SUCH TESTING WAS MADE AVAILABLE TO THE PUBLIC. SINCE THAT TIME THE CLINIC HAS CONTINUOUSLY PROVIDED TESTING TO POPULATIONS AT RISK, INCLUDING GAY MEN, BI-SEXUAL MEN, TEENS OF BOTH GENDERS, AND WOMEN.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$253,417ExpenseAmt
Revenue$471,339RevenueAmt
DescVALLEY COMMUNITY CLINIC ALSO OFFERS VARIOUS HEALTH EDUCATION CLASSES DESIGNED TO MEET THE COMMUNITY'S GREATEST NEEDS. MOST NOTABLE ARE THE NUTRITION AND PRENATAL CLASSES FOR OUR EXPECTING MOTHERS AS WELL AS A ROBUST HEALTH EDUCATION PROGRAM FOR TEENS THROUGHOUT THE SAN FERNANDO VALLEY DESIGNED SPECIFICALLY TO ADDRESS SENSITIVE TEEN ISSUES.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$253,417TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$471,339TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$9,869,422TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
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 Document39IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee252EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LEE HUEYBusinessNameLine1
FieldValueIRS element (for citing)
Phone8187631718PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16801 COLDWATER CANYON AVE SUITE 1BAddressLine1
CityNORTH HOLLYWOODCity
StateCAState
ZIP Code916055162ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ALAIN BERGER
BOARD MEMBER2.00Yes (X)$0$0$0
GEORGE CROSBY
BOARD MEMBER2.00Yes (X)$0$0$0
SHARI FLAUGHER
BOARD MEMBER2.00Yes (X)$0$0$0
LARRY FLETCHER
BOARD MEMBER2.00Yes (X)$0$0$0
ESTEBAN MARTINEZ
BOARD MEMBER2.00Yes (X)$0$0$0
LIZ MILAN
MEMBER AT-LARGE2.00Yes (X)$0$0$0
KIM PRETTI
BOARD MEMBER2.00Yes (X)$0$0$0
KIRSTEN TELLEZ
BOARD MEMBER2.00Yes (X)$0$0$0
MARK WILLIAMS
MEMBER AT-LARGE2.00Yes (X)$0$0$0
MARILYN AMIS
VICE CHAIR2.00Yes (X)$0$0$0Yes (X)
VICTOR BERRELLEZ
SECRETARY2.00Yes (X)$0$0$0Yes (X)
CARLOS GARCIA
CHAIR2.00Yes (X)$0$0$0Yes (X)
FABIO VASCO
TREASURER2.00Yes (X)$0$0$0Yes (X)
ROBERT BERMAN UNTIL 042014
CHIEF FINANCIAL OFFICER40.00$108,641$0$5,309Yes (X)
EDUARDO GONZALEZ
CHIEF OPERATING OFFICER40.00$120,255$0$5,309Yes (X)
ROGER PEEKS
CHIEF MEDICAL OFFICER40.00$187,645$0$5,309Yes (X)
PAULA WILSON
PRESIDENT AND CHIEF EXECUT40.00$202,626$0$6,349Yes (X)
SHAHAB BANAYAN
PHYSICIAN40.00$157,329$0$5,309Yes (X)
LAZARO CHAPA
PHYSICIAN40.00$142,414$0$5,309Yes (X)
SANDRA GREENBERG
PHYSICIAN40.00$123,575$0$5,309Yes (X)
JILL HUGHES
PHYSICIAN30.00$115,391$0$5,309Yes (X)
LISA ZEELANDER
PHYSICIAN36.00$131,324$0$5,309Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,289,200TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$48,821TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
QUEST DIAGNOSTICS
FILE NO 50368LOS ANGELESCA90074LAB SERVICES$260,825
MARTIN FLETCHER & ASSOCIATES
PO BOX 742499ATLANTAGA303742513MEDICAL STAFF SUPPORT$220,559
CITY SERVICE PAVING INC
920 LAWRENCE STPLACENTIACA92870GENERAL CONTRACTOR$175,100
QUALITY SYSTEMS INC
PO BOX 511456LOS ANGELESCA90051SOFTWARE SUPPORT$169,326
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Fundraising$51,476FundraisingAmt
Government Grants$1,822,668GovernmentGrantsAmt
All Other Contributions$1,367,614AllOtherContributionsAmt
Noncash Contributions$123,378NoncashContributionsAmt
Total Contributions$3,241,758TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
THIRD PARTY REIMBURSEMENTS621400$7,658,028$7,658,028
GOVERNMENT PROGRAMS621400$1,663,952$1,663,952
PROGRAM FEES621400$1,222,833$1,222,833
FieldValueIRS element (for citing)
Total Program Service Revenue$10,544,813TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$30TotalRevenueColumnAmt
Exclusion$30ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$202,856RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$111,116RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$91,740RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$91,740TotalRevenueColumnAmt
Unrelated Business Revenue$68,117UnrelatedBusinessRevenueAmt
Exclusion$23,623ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$61,891FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$51,476ContriRptFundraisingEventAmt
Fundraising Direct Expenses$61,891FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,878,341TotalRevenueColumnAmt
Related Or Exempt Func Income$10,544,813RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$68,117UnrelatedBusinessRevenueAmt
Exclusion$23,653ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$640,248TotalAmt
Program Services$280,337ProgramServicesAmt
Management And General$257,036ManagementAndGeneralAmt
Fundraising$102,875FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,273,476TotalAmt
Program Services$6,054,316ProgramServicesAmt
Management And General$1,049,261ManagementAndGeneralAmt
Fundraising$169,899FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$462,934TotalAmt
Program Services$379,045ProgramServicesAmt
Management And General$72,116ManagementAndGeneralAmt
Fundraising$11,773FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$654,862TotalAmt
Program Services$531,330ProgramServicesAmt
Management And General$101,817ManagementAndGeneralAmt
Fundraising$21,715FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$47,157TotalAmt
Management And General$47,157ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$44,093TotalAmt
Fundraising$44,093FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$714,860TotalAmt
Program Services$498,027ProgramServicesAmt
Management And General$194,172ManagementAndGeneralAmt
Fundraising$22,661FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$62,183TotalAmt
Program Services$34,543ProgramServicesAmt
Management And General$706ManagementAndGeneralAmt
Fundraising$26,934FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$262,967TotalAmt
Program Services$212,723ProgramServicesAmt
Management And General$50,244ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$226,906TotalAmt
Program Services$140,998ProgramServicesAmt
Management And General$83,032ManagementAndGeneralAmt
Fundraising$2,876FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$38,165TotalAmt
Program Services$35,156ProgramServicesAmt
Management And General$2,507ManagementAndGeneralAmt
Fundraising$502FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$74,268TotalAmt
Program Services$74,268ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$280TotalAmt
Management And General$280ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$438,568TotalAmt
Program Services$122,127ProgramServicesAmt
Management And General$316,441ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$233,648TotalAmt
Program Services$91,859ProgramServicesAmt
Management And General$137,897ManagementAndGeneralAmt
Fundraising$3,892FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SERVICES/SUPPLI$752,578$751,784$794
LABORATORY FEES$532,599$455,090$24,662$52,847
REPAIRS & MAINTENANCE$174,272$38,167$23,066$113,039
TECHNICAL ASSISTANCE$145,142$35,988$844$108,310

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$221,433TotalAmt
Program Services$133,664ProgramServicesAmt
Management And General$87,769ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,000,639TotalAmt
Program Services$9,869,422ProgramServicesAmt
Management And General$2,674,631ManagementAndGeneralAmt
Fundraising$456,586FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,913,480BOYAmt
EOY$2,556,829EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$14,979BOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$648,828BOYAmt
EOY$207,851EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$899,558BOYAmt
EOY$1,163,114EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$137,055BOYAmt
EOY$157,500EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$336,479BOYAmt
EOY$379,399EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,560,920LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,932,628LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,902,027BOYAmt
EOY$5,628,292EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,852,406BOYAmt
EOY$10,092,985EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$735,464BOYAmt
EOY$917,700EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,936,270BOYAmt
EOY$1,901,275EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,075,581BOYAmt
EOY$291,217EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,747,315BOYAmt
EOY$3,110,192EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,853,424BOYAmt
EOY$6,764,039EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$251,667BOYAmt
EOY$218,754EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,105,091BOYAmt
EOY$6,982,793EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,852,406BOYAmt
EOY$10,092,985EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$877,702ReconcilationRevenueExpnssAmt
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$2,761,860CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,804,754CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,559,511CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,040,780CurrentTaxYearMinus1YearAmt
Current Tax Year$3,241,758CurrentTaxYearAmt
Total$14,408,663TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,761,860CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,804,754CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,559,511CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,040,780CurrentTaxYearMinus1YearAmt
Current Tax Year$3,241,758CurrentTaxYearAmt
Total$14,408,663TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$233,755SubstantialContributorsTotAmt
Public Support Total170$14,174,908PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$288,208CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$276,956CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$278,564CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$170,288CurrentTaxYearMinus1YearAmt
Current Tax Year$202,886CurrentTaxYearAmt
Total$1,216,902TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$20,000CurrentTaxYearMinus3YearsAmt
Total$20,000TotalAmt
FieldValueIRS element (for citing)
Total Support$15,645,565TotalSupportAmt
Gross Receipts Rltd Activities$36,299,828GrossReceiptsRltdActivitiesAmt
Public Support CY1700.90600PublicSupportCY170Pct
Public Support PY1700.87570PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
Explanation2010 OTHER INCOME 20000ExplanationTxt

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,965,756BeginningYearBalanceAmt
End Year Balance$1,965,756EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,965,756BeginningYearBalanceAmt
End Year Balance$1,965,756EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,965,756BeginningYearBalanceAmt
End Year Balance$1,965,756EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,105,000BeginningYearBalanceAmt
Other Expenditures$139,244OtherExpendituresAmt
End Year Balance$1,965,756EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,250,000BeginningYearBalanceAmt
Contributions$1,000,000ContributionsAmt
Other Expenditures$1,145,000OtherExpendituresAmt
End Year Balance$2,105,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,925,500OtherCostOrOtherBasisAmt
Book Value$1,925,500BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,674,500OtherCostOrOtherBasisAmt
Depreciation$1,138,166DepreciationAmt
Book Value$2,536,334BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,134,341OtherCostOrOtherBasisAmt
Depreciation$546,569DepreciationAmt
Book Value$587,772BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,826,579OtherCostOrOtherBasisAmt
Depreciation$1,247,893DepreciationAmt
Book Value$578,686BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,628,292TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
SECURITY INTEREST COLDWATER$266,667
DEPOSITS$24,550
FieldValueIRS element (for citing)
Total Liability$291,217TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$14,431,412TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$380,064DonatedServicesAndUseFcltsAmt
Other Revenue$173,007OtherRevenueAmt
Revenue Not Reported$553,071RevenueNotReportedAmt
Revenue Subtotal$13,878,341RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$13,878,341TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,553,710TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$380,064DonatedServicesUseFcltsAmt
Other Expenses Included$173,007OtherExpensesIncludedAmt
Expenses Not Reported$553,071ExpensesNotReportedAmt
Expenses Subtotal$13,000,639ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,000,639TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:IN JUNE 2006, THE FASB ISSUED ASC TOPIC NO. 740-10, FORMERLY FASB INTERPRETATION NO. ("FIN") 48, "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT NO. 109" ("ASC 740-10"), WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ASC 740-10 PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ASC 740-10 REQUIRES THAT AN ORGANIZATION RECOGNIZE IN THE FINANCIAL STATEMENTS THE IMPACT OF THE TAX POSITION IF THAT POSITION WILL MORE LIKELY THAN NOT BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. ASC 740-10 ALSO PROVIDES GUIDANCE RELATED TO DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES AND DISCLOSURE. DURING THE YEAR ENDED JUNE 30, 2014, THE CLINIC PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS AND DID NOT NOTE ANY MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS OR WHICH MAY HAVE AN EFFECT ON ITS TAXEXEMPT STATUS. THE CLINIC'S INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION FOR ALL TAX YEARS ENDED ON OR AFTER JUNE 30, 2010 WITH REGARDS TO ALL TAX POSITIONS AND THE RESULTS REPORTED.
PART XI, LINE 2D - OTHER ADJUSTMENTS:INTEREST EXPENSE RELATED TO RENTAL INCOME 111,116. SPECIAL EVENT EXPENSE 61,891.
PART XII, LINE 2D - OTHER ADJUSTMENTS:INTEREST EXPENSE RELATED TO RENTAL INCOME 111,116. SPECIAL EVENT EXPENSE 61,891.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty0AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1CAPITALQUESTBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line14662 GRAVELLY HILLS ROADAddressLine1
CityLOUISVILLECity
StateTNState
ZIP Code37777ZIPCode
FieldValueIRS element (for citing)
ActivityLONG-TERM FUNDRAISING CAMPAIGNActivityTxt
Fundraiser Control Of Funds0FundraiserControlOfFundsInd
Gross Receipts$64,318GrossReceiptsAmt
Retained By Contractor$44,093RetainedByContractorAmt
Net To Organization$20,225NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$64,318TotalGrossReceiptsAmt
Total Retained By Contractors$44,093TotalRetainedByContractorsAmt
Total Net To Organization$20,225TotalNetToOrganizationAmt
Licensed StatesCALicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1LAUGHTER IS THE BEST MEDICINENameOfEvent1Amt
Gross Receipts Event1$113,367GrossReceiptsEvent1Amt
Charitable Contri Event1$51,476CharitableContriEvent1Amt
Gross Revenue Event1$61,891GrossRevenueEvent1Amt
Rent Facility Costs Event1$22,799RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$39,092OtherDirectExpensesEvent1Amt
Gross Receipts Total$113,367GrossReceiptsTotalAmt
Charitable Contributions Tot$51,476CharitableContributionsTotAmt
Gross Revenue Total Events$61,891GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$22,799RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$39,092OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$61,891DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
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 Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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
ROGER PEEKS
CHIEF MEDICAL OFFICER$187,645$0$0$0$0$0$0$0$5,309$0$192,954$0$0$0
PAULA WILSON
PRESIDENT AND CHIEF EXECUT$192,626$0$10,000$0$0$0$0$0$6,349$0$208,975$0$0$0
SHAHAB BANAYAN
PHYSICIAN$157,329$0$0$0$0$0$0$0$5,309$0$162,638$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA HEALTH FACILITY FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN946001347BondIssuerEIN
CUSIP13033LFR3CUSIPNum
Bond Issued2010-03-24BondIssuedDt
Issue Price$2,040,000IssuePriceAmt
PurposeREFINANCE OF OBLIGATIONS TO PURCHASE A MEDICAL BUILDING.PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$2,040,000TotalProceedsAmt
Refunding Escrow$182,000RefundingEscrowAmt
Issuance Costs From Proceeds$285,523IssuanceCostsFromProceedsAmt
Other Spent Proceeds$1,572,477OtherSpentProceedsAmt
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$123,378NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenuesTxt
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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:VALLEY COMMUNITY CLINIC (VCC) IS A NON-PROFIT COMPREHENSIVE NEIGHBORHOOD HEALTH CENTER IN THE SAN FERNANDO VALLEY, PROVIDING PATIENT-CENTERED PRIMARY MEDICAL CARE AND RELATED HEALTH SERVICES TO HELP INDIVIDUALS AND THEIR FAMILIES GET WELL, STAY WELL AND LIVE A HEALTHY LIFE, REGARDLESS OF THEIR ABILITY TO PAY. FOUNDED IN 1970 AS THE "FAMILY DOCTOR" FOR THE VALLEY'S WORKING POOR AND OTHER UNINSURED, VCC TODAY SERVES NEARLY 25,000 LOW-INCOME PATIENTS WHO UTILIZE MORE THAN 75,000 ANNUAL PATIENT VISITS AT ITS MAIN CAMPUS IN NORTH HOLLYWOOD AND AT 2 SATELLITE LOCATIONS. VCC MAKES A DIFFERENCE IN THOUSANDS OF LIVES EACH YEAR BY PROVIDING COST-EFFECTIVE, QUALITY HEALTH CARE AND SPECIALTY PROGRAMS TO THOSE WHO OTHERWISE WOULD HAVE NOWHERE TO TURN FOR MEDICAL CARE AND ADVICE. THE MISSION OF VCC IS TO ENHANCE THE WELL-BEING OF THE COMMUNITY BY PROVIDING HIGH QUALITY, CULTURALLY SENSITIVE PRIMARY MEDICAL CARE AND RELATED HEALTH SERVICES TO THOSE IN NEED, REGARDLESS OF THEIR ABILITY TO PAY. SUPPLEMENTING ITS PRIMARY CARE, VCC ALSO PROVIDES CHRONIC DISEASE MANAGEMENT, OPTOMETRY, DENTAL, NUTRITION EDUCATION, PEDIATRICS, WOMEN'S HEALTH, PRENATAL, MENTAL HEALTH AND COUNSELING SERVICES, A NATIONALLY RECOGNIZED YOUTH/TEEN EDUCATION PROGRAM AND WELLNESS EDUCATION. VCC'S MODEL OF CARE, EDUCATION AND CULTURALLY SENSITIVE PROGRAMS IS DESIGNED TO PROMOTE WELLNESS AND PREVENTATIVE CARE FOR THE ENTIRE SAN FERNANDO VALLEY COMMUNITY, HELPING DELIVER BETTER PATIENT OUTCOMES, MORE COST-EFFECTIVE SERVICES AND A STRONGER HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM, WHICH IS THEN FIRST REVIEWED INTERNALLY BY MANAGEMENT. THEN IT IS PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR REVIEW. ONCE THE FORM 990 IS APPROVED, THEN IT IS MADE AVAILABLE TO THE ENTIRE BOARD OF DIRECTORS AND ELECTRONICALLY FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS ANNUALLY REVIEWS THE CONFLICT OF INTEREST POLICY. AT THIS TIME, EACH MEMBER IS ASKED TO SIGN THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION ANNUALLY PARTICIPATES IN A STATEWIDE COMPENSATION COMPARISON SURVEY OF COMMUNITY HEALTH CENTERS AND USES THIS DATA TO SET COMPENSATION FOR MOST STAFF POSITIONS. THE CEO AND THE CFO COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTOR'S EXECUTIVE COMMITTEE. THE CEO COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE ON AN ANNUAL BASIS. THE CFO COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE ON A SEMI-ANNUAL BASIS. THE COMPENSATION PROCESS INVOLVES SALARY COMPARISONS, PERFORMANCE REVIEWS, AND BUDGET CONSIDERATIONS. THE COMPENSATION PACKAGE IS THEN PRESENTED FOR THE FULL BOARD OF DIRECTORS' APPROVAL.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION'S FORM 990 IS AVAILABLE FOR PUBLIC INSPECTION ON WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION A, LINE 1ATHE EXECUTIVE COMMITTEE CONSISTS OF SEVERAL BOARD MEMBERS AND ACTS AT THE BEHEST OF THE FULL BOARD. THE BOARD DELAGATED THE RESPONSIBILITY TO DETERMINE CEO COMPENSATION TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE ALSO IS AUTHORIZED TO ACT ON BEHALF OF THE BOARD ON AN AD HOC BASIS.