MANIFEST MEDEX: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
MANIFEST MEDEX (EIN 27-2367522)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-05-13
IRS object ID
201531339349303743
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)
Return2015-05-13T14:41:37-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN330313836PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MACHER & CLARK CPA'SBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13689 ARLINGTON AVENUEAddressLine1Txt
CityRIVERSIDECityNm
State AbbreviationCAStateAbbreviationCd
ZIP925063938ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN272367522EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INLAND EMPIRE EHR RESOURCE CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlINLABusinessNameControlTxt
Phone9516863343PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13993 JURUPA AVENUEAddressLine1Txt
CityRIVERSIDECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92506ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDOLORES GREENPersonNm
Person TitleC E OPersonTitleTxt
Phone9516863343PhoneNum
Signature2015-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID C MACHER CPAPreparerPersonNm
PTINP00058198PTIN
Phone9517870330PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDOLORES GREENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13993 JURUPA AVENUEAddressLine1Txt
CityRIVERSIDECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92506ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,152,827GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization OtherYes (X)TypeOfOrganizationOtherInd
Other Organization DscELECTRONIC HEALTH RECORD RESOURCE CTOtherOrganizationDsc
Formation2010FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTHE SPECIFIC PURPOSE OF THIS CORPORATION IS TO RECEIVE AND ADMINISTER FUNDS AND OTHER PROPERTY TO ADVANCE AND SUPPORT THE ACCESSIBILITY AND USAGE OF ELECTRONIC HEALTH RECORDS THROUGHTOUT THE INLAND EMPIRE REGION OF CALIFORNIA, TO ADVANCE AND SUPPORT THE SUCCESSFUL IMPLEMENTATION OF ELECTRONIC HEALTH RECORDS IN THE MEDICAL COMMUNITY, AND TO DO ALL THINGS APPROPRIATE TO FURTHER SUCH PURPOSE.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,720,147PYContributionsGrantsAmt
CY Contributions Grants$511,907CYContributionsGrantsAmt
PY Program Service Revenue$1,929,441PYProgramServiceRevenueAmt
CY Program Service Revenue$1,640,920CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$3,649,588PYTotalRevenueAmt
CY Total Revenue$2,152,827CYTotalRevenueAmt
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$661,049PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$695,664CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,738,480PYOtherExpensesAmt
CY Other Expenses$2,239,653CYOtherExpensesAmt
PY Total Expenses$3,399,529PYTotalExpensesAmt
CY Total Expenses$2,935,317CYTotalExpensesAmt
PY Revenues Less Expenses$250,059PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$782,490CYRevenuesLessExpensesAmt
Total Assets BOY$1,931,489TotalAssetsBOYAmt
Total Assets EOY$1,266,920TotalAssetsEOYAmt
Total Liabilities BOY$1,048,890TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,166,811TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$882,599NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$100,109NetAssetsOrFundBalancesEOYAmt
MissionTO ADMINISTER FUNDS FROM GOVERNMENTAL AGENCIES AND COMMUNITY ORGANIZATIONS THAT WILL BE USED FOR THE SUCCESSFUL IMPLEMENTATION OF ELECTRONIC HEALTH RECORDS PROCEDURES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,928,004ExpenseAmt
Revenue$1,640,920RevenueAmt
DescCALHIPSO AWARD, SACRAMENTO, CALIFORNIA AND HEALTH INFORMATION EXCHANGE SERVICE FEES.Desc
Total Program Service Expenses$2,928,004TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
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 Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
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 Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
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
DAF Excess Business Holdings0DAFExcessBusinessHoldingsInd
Taxable Distributions0TaxableDistributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
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 CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INLAND EMPIRE EHR RESOURCE CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9516863343PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13993 JURUPA AVENUEAddressLine1Txt
CityRIVERSIDECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92506ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BRADLEY GILBERT MD
CHAIRMAN OF THE BOARD2.50Yes (X)Yes (X)$0$0$0
DOLORES L GREEN
C E O5.00Yes (X)Yes (X)$0$0$0
LEROY OUNANIAN MD
SECRETARY TREASURER2.50Yes (X)Yes (X)$0$0$0
MICHAEL DEERING MD
MEMBER1.00Yes (X)$0$0$0
CHRISTOPHER HANCOCK MD
MEMBER1.00Yes (X)$0$0$0
WILLIAM HENNING DO
MEMBER1.00Yes (X)$0$0$0
TAREK MAHDI MD
MEMBER1.00Yes (X)$0$0$0
JAMES PETERSON
MEMBER1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$479,844GovernmentGrantsAmt
All Other Contributions$32,063AllOtherContributionsAmt
Total Contributions$511,907TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescH.I. EXCHANGE SERVICESDesc
Business519100BusinessCd
Total Revenue Column$1,640,920TotalRevenueColumnAmt
Related Or Exempt Func Income$1,640,920RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,640,920TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,152,827TotalRevenueColumnAmt
Related Or Exempt Func Income$1,640,920RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$695,664TotalAmt
Program Services$695,664ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,713TotalAmt
Program Services$2,400ProgramServicesAmt
Management And General$7,313ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$457TotalAmt
Program Services$457ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$15,139TotalAmt
Program Services$15,139ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,574TotalAmt
Program Services$7,574ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$51,000TotalAmt
Program Services$51,000ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$18,565TotalAmt
Program Services$18,565ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$18,913TotalAmt
Program Services$18,913ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PLATINUM SERVICE PARTNE$1,818,524$1,818,524
FIDUCIARY AGENT EXPENSE$101,239$101,239
BAD DEBTS$100,180$100,180
ERX EXPENSES$40,000$40,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$58,349TotalAmt
Program Services$58,349ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,935,317TotalAmt
Program Services$2,928,004ProgramServicesAmt
Management And General$7,313ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$737,432BOYAmt
EOY$660,318EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,185,735BOYAmt
EOY$597,720EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,322BOYAmt
EOY$8,882EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,931,489BOYAmt
EOY$1,266,920EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$294,154BOYAmt
EOY$969,226EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$754,736BOYAmt
EOY$197,585EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,048,890BOYAmt
EOY$1,166,811EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$882,599BOYAmt
EOY$100,109EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$882,599BOYAmt
EOY$100,109EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,931,489BOYAmt
EOY$1,266,920EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$782,490ReconcilationRevenueExpnssAmt
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$175,034CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$404,558CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$708,666CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,720,147CurrentTaxYearMinus1YearAmt
Current Tax Year$511,907CurrentTaxYearAmt
Total$3,520,312TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$175,034CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$404,558CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$708,666CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,720,147CurrentTaxYearMinus1YearAmt
Current Tax Year$511,907CurrentTaxYearAmt
Total$3,520,312TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$3,520,312PublicSupportTotal170Amt
Total Support$3,520,312TotalSupportAmt
Public Support CY1701.00000PublicSupportCY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DEFERRED REVENUE$188,467
OTHER ACCRUED LIABILITIES$9,118
FieldValueIRS element (for citing)
Total Liability$197,585TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$2,152,827TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$2,152,827RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,152,827TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,935,317TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,935,317ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,935,317TotalExpensesPerForm990Amt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescNON CASH CONTRIBUTIONSDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$32,063NoncashContributionsRptF990Amt
Method Of Determining RevenuesESTIMATEDMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 33:FormAndLineReferenceDesc
ExplanationRECOGNIZED FAIR VALUE OF SERVICES (OCCUPANCY COSTS) PERFORMED FOR THE ORGANIZATION.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION'S MANAGEMENT DUTIES ARE PERFORMED BY THE MANAGEMENT OF RIVERSIDE COUNTY MEDICAL ASSOCIATION (RCMA) MANAGEMENT PERSONNEL. THE ORGANIZATION REIMBURSES THE RCMA, OR ITS DESIGNEE, FOR THE SERVICES OF ADMINISTRATION AND PROGRAM SERVICE PERSONNEL.
FORM 990, PART VI, SECTION B, LINE 11COPY OF FORM 990 IS SENT TO THE CEO WHO REVIEWS IT AND GIVES IT TO A BOARD MEMBER FOR REVIEW AND APPROVAL BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY OFFICERS/DIRECTORS ARE REQUIRED TO COMPLETE NEW DISCLOSURE DOCUMENTS.
FORM 990, PART VI, SECTION C, LINE 18FORM 990 IS AVAILABLE AT THE CENTER'S OFFICE IN RIVERSIDE, CALIFORNIA UPON REQUEST
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AT THE CENTER'S OFFICE IN RIVERSIDE, CALIFORNIA UPON REQUEST
990, PART XII, LINE 2CTHE BOARD CONSIDERS THE FINANCIAL STATEMENT AND TAX RETURN FOR COMPLETENESS.

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