LA CLINICA DE LA RAZA INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- LA CLINICA DE LA RAZA INC (EIN 94-1744108)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201411359349309201
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule J
- Schedule K
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-15T16:46:36-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910189318 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SECOND STREET 9TH FLOOR | AddressLine1 |
| City | SAN FRANCISCO | City |
| State | CA | State |
| ZIP Code | 94105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941744108 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LA CLINICA DE LA RAZA INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LACL | NameControl |
| Phone | 5105354000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1515 FRUITVALE AVENUE | AddressLine1 |
| City | OAKLAND | City |
| State | CA | State |
| ZIP Code | 946012322 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PATRICIA AGUILERA | Name |
| Title | CFO | Title |
| Phone | 5105354000 | Phone |
| Date Signed | 2014-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RENIE BURBANK | Name |
| PTIN | P00159653 | PTIN |
| Phone | 4159561500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PATRICIA AGUILERA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1515 FRUITVALE AVENUE | AddressLine1 |
| City | OAKLAND | City |
| State | CA | State |
| ZIP Code | 946012322 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 82632755 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.LACLINICA.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1971 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | LA CLINICA DE LA RAZA, INC. IS A PRIVATE, NON-PROFIT CORPORATION THAT PROVIDES COMPREHENSIVE MEDICAL SERVICES TO INDIVIDUALS IN NEED THROUGHOUT THE BAY AREA, REGARDLESS OF RACE, AGE OR ABILITY TO PAY. OUR SERVICES INCLUDE MEDICAL, DENTAL, OPTICAL, WOMEN'S HEALTH, PRENATAL AND POSTNATAL CARE, PREVENTIVE MEDICINE, HEALTH AND NUTRITION EDUCATION, ADOLESCENT SERVICES, MENTAL HEALTH, BEHAVIORAL HEALTH SERVICES, CASE MANAGEMENT, REFERRAL SERVICES, PHARMACY, RADIOLOGY AND LABORATORY SERVICES. WE DELIVER OUR MEDICAL CARE IN WHATEVER LANGUAGE OUR PATIENTS SPEAK, TO ENSURE ALL OF OUR PATIENTS FEEL WELCOME AND COMFORTABLE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1054 | TotalNbrEmployees |
| Total Nbr Volunteers | 214 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 28692976 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 28420815 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 52669270 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 53353962 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 403556 | InvestmentIncomePriorYear |
| Investment Income Current Year | 441569 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 574104 | OtherRevenuePriorYear |
| Other Revenue Current Year | 338247 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 82339906 | TotalRevenuePriorYear |
| Total Revenue Current Year | 82554593 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 56224127 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 62625607 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 348336 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 23119637 | OtherExpensePriorYear |
| Other Expenses Current Year | 23302287 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 79343764 | TotalExpensesPriorYear |
| Total Expenses Current Year | 85927894 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2996142 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3373301 | RevenuesLessExpensesCY |
| Total Assets BOY | 66470605 | TotalAssetsBOY |
| Total Assets EOY | 63657301 | TotalAssetsEOY |
| Total Liabilities BOY | 23357118 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 24315389 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 43113487 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 39341912 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO IMPROVE THE QUALITY OF LIFE OF THE DIVERSE COMMUNITIES WE SERVE BY PROVIDING CULTURALLY APPROPRIATE, HIGH QUALITY, AND ACCESSIBLE HEALTH CARE FOR ALL. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 41675965 | Expense |
| Revenue | 35717489 | Revenue |
| Description | MEDICAL - THE MEDICAL CLINIC PROVIDED BASIC HEALTH CARE FOR PEOPLE OF ALL AGES SUCH AS FAMILY MEDICINE, INTERNAL MEDICINE PEDIATRICS, AND OBSTETRICS-GYNECOLOGY. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 15634518 | Expense |
| Revenue | 14279980 | Revenue |
| Description | DENTAL - THE DENTAL CLINIC PROVIDED THE FOLLOWING DENTAL SERVICE SUCH AS DENTAL HYGIENE, GENERAL DENTISTRY, ORTHODONTICS, PERIODONTICS, PEDODONTICS, ENDODONTICS, AND ORAL SURGERY. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6043544 | Expense |
| Revenue | 3356493 | Revenue |
| Description | ANCILLARY - THE ANCILLARY DEPARTMENT INCLUDES IN-PATIENT, PHARMACY, RADIOLOGY, AND LABORATORY SERVICES. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6299292 | Expense |
| Revenue | 0 | Revenue |
| Description | EYE - THE EYE DEPARTMENT OFFERS OPTOMETRY AND OPTHALMOLOGY SERVICES. MENTAL HEALTH - THE MENTAL HEALTH DEPARTMENT OFFERS COUNSELING SERVICES FOR CHILDREN AND ADULTS. COMMUNITY HEALTH EDUCATION - THE COMMUNITY HEALTH EDUCATION DEPARTMENT OFFERS CLASSES, SUPPORT GROUPS AND OTHER ACTIVITIES ON VARIOUS HEALTH TOPICS. THE CLINIC PROVIDES NUTRITIONAL PROGRAMS SUCH AS THERAPEUTIC NUTRITIONAL COUNSELING, NUTRITION EDUCATION, WOMEN, INFANT, AND CHILDREN (WIC) PROGRAM. THESE SERVICES ARE PROVIDED TO COMMUNITY RESIDENTS AND PATIENTS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 6299292 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 69653319 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 123 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1054 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | PATRICIA AGUILERA | NamePerson |
| Telephone Number | 5105352915 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1515 FRUITVALE AVENUE | AddressLine1 |
| City | OAKLAND | City |
| State | CA | State |
| ZIP Code | 946012322 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| RAMON TERRAZAS MD MPH | |||||||
| PRESIDENT | 1.00 | X | X | 0 | 0 | 0 | |
| PETER MANOLEAS | |||||||
| VICE PRESIDENT | 1.00 | X | X | 0 | 0 | 0 | |
| AMY PREVEDEL | |||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| ANDREW PETERSON | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| FRANCIS AVALOS | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MARIA ESPINOZA | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| NORMA GUERRERO | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| AISHA HAMPTON-BOWSER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| YVONNE HUDSON-HARMON | |||||||
| PARLIAMENTARIAN | 1.00 | X | 0 | 0 | 0 | ||
| JOANN INTILI | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| BOB KATTER | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| REV RODNEY LEGGETT | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| LUZ LIZARDO | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MICHAEL MOORE | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JILL NOONAN | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JORGE PEREZ | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ANDREW PETERSON | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| PAUL SWENSON | |||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JANE C GARCIA | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | X | 244252 | 0 | 72657 | ||
| BRUCE CARP | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | X | 146870 | 0 | 26129 | ||
| PATRICIA ZAYAS | |||||||
| MEDICAL DIRECTOR | 40.00 | X | 198257 | 0 | 23537 | ||
| JORGE S SIOPACK | |||||||
| PHYSICIAN - OB | 40.00 | 307615 | 0 | 21217 | X | ||
| SUSAN SYKES | |||||||
| OB/GYN, ASSOCIATE MEDICAL | 40.00 | 219842 | 0 | 21105 | X | ||
| EDWARD ROTHMAN | |||||||
| DENTIST | 40.00 | 206094 | 0 | 23551 | X | ||
| THOMAS HALLIGAN | |||||||
| DPTY CHIEF MEDICAL OFFICER | 40.00 | 217181 | 0 | 17743 | X | ||
| LISA MONTANG | |||||||
| PHYSICIAN, ASSOC. MEDICAL DIR | 40.00 | 186592 | 0 | 28133 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1726703 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 234072 | TotalOtherCompensation |
| Number Individuals GT100 K | 84 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MTS HEALTHCARE | |||||
| 27943 SECO CANYON ROAD 127 | SANTA CLARITA | CA | 91350 | SOFTWARE CONSULTANT | 259808 |
| QUALITY SYSTEMS INC | |||||
| P O BOX 511449 | LOS ANGELES | CA | 90051 | SOFTWARE CONSULTANT | 240631 |
| TDF CONSTRUCTION | |||||
| 868 MADIGAN AVENUE | CONCORD | CA | 94518 | CONSTRUCTION SERVICES | 154625 |
| NOR CAL MEDICAL TEMPS | |||||
| P O BOX 736 | TIBURON | CA | 94920 | PHARMACY TEMP | 151409 |
| MACMAN MANAGEMENT LLC | |||||
| 5068 BISSETT WAY | SACRAMENTO | CA | 95835 | ADMINISTRATIVE CONSULTANT | 149991 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Fundraising Events | 130000 | FundraisingEvents |
| Government Grants | 22097050 | GovernmentGrants |
| All Other Contributions | 6193765 | AllOtherContributions |
| Noncash Contributions | 1609670 | NoncashContributions |
| Total Contributions | 28420815 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 621400 | 49107606 | 49107606 |
| CAPITATION REVENUE | 621400 | 3568327 | 3568327 |
| OTHER OPERATING REV | 621400 | 678029 | 678029 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 53353962 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 441569 | TotalRevenueColumn |
| Exclusion | $441,569 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 78750 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 130000 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 78162 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 588 | TotalRevenueColumn |
| Exclusion | $588 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| OTHER INCOME | 900099 | 332073 | $332,073 |
| MEDICAL RECORDS | 621400 | 5586 | $5,586 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 337659 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 82554593 | TotalRevenueColumn |
| Related Or Exempt Function Income | 53353962 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $779,816 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 728154 | Total |
| Management And General | 728154 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49042599 | Total |
| Program Services | 40985888 | ProgramServices |
| Management And General | 7856723 | ManagementAndGeneral |
| Fundraising | 199988 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1220906 | Total |
| Program Services | 1054418 | ProgramServices |
| Management And General | 160928 | ManagementAndGeneral |
| Fundraising | 5560 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8262713 | Total |
| Program Services | 6888936 | ProgramServices |
| Management And General | 1339693 | ManagementAndGeneral |
| Fundraising | 34084 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3371235 | Total |
| Program Services | 2818329 | ProgramServices |
| Management And General | 541934 | ManagementAndGeneral |
| Fundraising | 10972 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1408070 | Total |
| Program Services | 913151 | ProgramServices |
| Management And General | 490561 | ManagementAndGeneral |
| Fundraising | 4358 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77666 | Total |
| Management And General | 77666 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78171 | Total |
| Management And General | 78171 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4608285 | Total |
| Program Services | 3622446 | ProgramServices |
| Management And General | 985247 | ManagementAndGeneral |
| Fundraising | 592 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 147785 | Total |
| Program Services | 49007 | ProgramServices |
| Management And General | 97881 | ManagementAndGeneral |
| Fundraising | 897 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9828297 | Total |
| Program Services | 8463010 | ProgramServices |
| Management And General | 1331819 | ManagementAndGeneral |
| Fundraising | 33468 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 874442 | Total |
| Program Services | 30695 | ProgramServices |
| Management And General | 843312 | ManagementAndGeneral |
| Fundraising | 435 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2707746 | Total |
| Program Services | 2162896 | ProgramServices |
| Management And General | 537632 | ManagementAndGeneral |
| Fundraising | 7218 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 232645 | Total |
| Program Services | 109352 | ProgramServices |
| Management And General | 118756 | ManagementAndGeneral |
| Fundraising | 4537 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 232963 | Total |
| Program Services | 42800 | ProgramServices |
| Management And General | 146058 | ManagementAndGeneral |
| Fundraising | 44105 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 548390 | Total |
| Program Services | 548390 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1669146 | Total |
| Program Services | 1373791 | ProgramServices |
| Management And General | 295355 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 290314 | Total |
| Program Services | 11445 | ProgramServices |
| Management And General | 278869 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| EDUCATIONAL ALLOWANCE | 245941 | 228239 | 16549 | 1153 |
| PROGRAM ACTIVITY | 51131 | 50200 | 931 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 301295 | Total |
| Program Services | 300326 | ProgramServices |
| Fundraising | 969 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85927894 | Total |
| Program Services | 69653319 | ProgramServices |
| Management And General | 15926239 | ManagementAndGeneral |
| Fundraising | 348336 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 191208 | BOY |
| EOY | 223461 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8766157 | BOY |
| EOY | 4132267 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3189962 | BOY |
| EOY | 3706697 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6133261 | BOY |
| EOY | 10736606 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 718849 | BOY |
| EOY | 479917 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1660896 | BOY |
| EOY | 383266 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 44542771 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 12996608 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31790531 | BOY |
| EOY | 31546163 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13886007 | BOY |
| EOY | 12306527 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 133734 | BOY |
| EOY | 142397 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66470605 | BOY |
| EOY | 63657301 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7223861 | BOY |
| EOY | 7967309 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1015071 | BOY |
| EOY | 1345916 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9055000 | BOY |
| EOY | 9098249 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4072026 | BOY |
| EOY | 3912755 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1991160 | BOY |
| EOY | 1991160 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23357118 | BOY |
| EOY | 24315389 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41879528 | BOY |
| EOY | 37732083 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1233959 | BOY |
| EOY | 1609829 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43113487 | BOY |
| EOY | 39341912 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66470605 | BOY |
| EOY | 63657301 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -3373301 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -398274 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 22321331 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 24153663 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 26747578 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 28692976 | CurrentTaxYearMinus1Year |
| Current Tax Year | 28420815 | CurrentTaxYear |
| Total | 130336363 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 22321331 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 24153663 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 26747578 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 28692976 | CurrentTaxYearMinus1Year |
| Current Tax Year | 28420815 | CurrentTaxYear |
| Total | 130336363 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 130336363 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 449761 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 352752 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 376592 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 403556 | CurrentTaxYearMinus1Year |
| Current Tax Year | 441569 | CurrentTaxYear |
| Total | 2024230 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 29167 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 32778 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 64326 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 180618 | CurrentTaxYearMinus1Year |
| Current Tax Year | 588 | CurrentTaxYear |
| Total | 307477 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 330161 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 126452 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 103314 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 393486 | CurrentTaxYearMinus1Year |
| Current Tax Year | 337659 | CurrentTaxYear |
| Total | 1291072 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 133959142 | TotalSupport |
| Gross Receipts From Admissions Etc | 236646083 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.97300 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.97390 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 1 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 0 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2085517 | OtherCostOrOtherBasis |
| Book Value | 2085517 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 34254575 | OtherCostOrOtherBasis |
| Depreciation | 8371443 | Depreciation |
| Book Value | 25883132 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7264605 | OtherCostOrOtherBasis |
| Depreciation | 4625165 | Depreciation |
| Book Value | 2639440 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 938074 | OtherCostOrOtherBasis |
| Book Value | 938074 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 31546163 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CONTRACT PAYABLE | Description |
| Amount | $1,991,160 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1991160 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 82935257 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 302502 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 78162 | OtherRevenues |
| Revenue Not Rptd F990 | 380664 | RevenueNotRptdF990 |
| Revenue Subtotal | 82554593 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 82554593 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 86308558 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 302502 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 78162 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 380664 | ExpensesNotRptdF990 |
| Expenses Subtotal | 85927894 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 85927894 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | AS OF JUNE 30, 2013, THE ORGANIZATION HAD NO UNRECOGNIZED TAX POSITIONS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE FINANCIAL STATEMENTS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | UNREALIZED GAIN ON RETIREMENT PLAN SPECIAL EVENT EXPENSES RECLASSIFIED TO REVENUE 78,162. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | SPECIAL EVENT EXPENSES RECLASSIFIED TO REVENUE 78,162. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | YOSHI'S 2012 | NameOfEvent1 |
| Gross Receipts Event1 | 208750 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 130000 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 78750 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 54750 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 2731 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 20681 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 208750 | GrossReceiptsTotal |
| Charitable Contributions Total | 130000 | CharitableContributionsTotal |
| Gross Revenue Total Events | 78750 | GrossRevenueTotalEvents |
| Food And Beverage Total Events | 54750 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 2731 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 20681 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 78162 | DirectExpenseSummaryEvents |
| Net Income Summary | 588 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JANE C GARCIA | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | 244252 | 0 | 0 | 0 | 0 | 0 | 44355 | 0 | 28302 | 0 | 316909 | 0 | 0 | 0 |
| BRUCE CARP | ||||||||||||||
| CHIEF FINANCIAL OFFICER | 146870 | 0 | 0 | 0 | 0 | 0 | 2080 | 0 | 24049 | 0 | 172999 | 0 | 0 | 0 |
| PATRICIA ZAYAS | ||||||||||||||
| MEDICAL DIRECTOR | 198257 | 0 | 0 | 0 | 0 | 0 | 3060 | 0 | 20477 | 0 | 221794 | 0 | 0 | 0 |
| JORGE S SIOPACK | ||||||||||||||
| PHYSICIAN - OB | 307615 | 0 | 0 | 0 | 0 | 0 | 2297 | 0 | 18920 | 0 | 328832 | 0 | 0 | 0 |
| SUSAN SYKES | ||||||||||||||
| OB/GYN, ASSOCIATE MEDICAL | 219842 | 0 | 0 | 0 | 0 | 0 | 2705 | 0 | 18400 | 0 | 240947 | 0 | 0 | 0 |
| EDWARD ROTHMAN | ||||||||||||||
| DENTIST | 206094 | 0 | 0 | 0 | 0 | 0 | 2434 | 0 | 21117 | 0 | 229645 | 0 | 0 | 0 |
| THOMAS HALLIGAN | ||||||||||||||
| DPTY CHIEF MEDICAL OFFICER | 217181 | 0 | 0 | 0 | 0 | 0 | 2080 | 0 | 15663 | 0 | 234924 | 0 | 0 | 0 |
| LISA MONTANG | ||||||||||||||
| PHYSICIAN, ASSOC. MEDICAL DIR | 186592 | 0 | 0 | 0 | 0 | 0 | 2434 | 0 | 25699 | 0 | 214725 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | LA CLINICA CREATED A NON QUALIFY 457(F) BENEFIT PLAN FOR EXECUTIVES IN WHICH JANE GARCIA IS THE ONLY PARTICIPANT. THE AMOUNT OF THE CONTRIBUTION FOR THE 2012 CALENDAR YEAR WAS $41,173.08. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ABAG FINANCE AUTHORITY FOR NONPROFIT CORP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 943130123 | IssuerEIN |
| CUSIP Number | 00037CQV5 | CUSIPNumber |
| Date Issued | 2010-12-30 | DateIssued |
| Issue Price | 3855000 | IssuePrice |
| Description Of Purpose | FINANCING OF MONUMENT HEALTH CLINIC, CONCORD, CA | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | 3855000 | TotalProceeds |
| Amount In Reserve Fund | 3376839 | AmountInReserveFund |
| Capital Expenditures | 478161 | CapitalExpenditures |
| Year Of Subst Completion | 2011 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 0 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 0 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 1 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 0 | NoRebateDue |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqs |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | PART III, LINE 9; PART IV, LINE 7; AND PART V: THE ORGANIZATION IMPLEMENTED WRITTEN PROCEDURES FOR PRIVATE BUSINESS USE, ARBITRAGE, AND TO UNDERTAKE CORRECTIVE ACTION IN CASE THEY IDENTIFIED INVALID USE OF BOND FUNDS. THE POLICIES AND PROCEDURES WERE IMPLEMENTED SHORTLY AFTER THE COMPLETION OF THE REPORTING PERIOD APPLICABLE TO THIS FORM. | Explanation |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 3 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 1609670 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | INVOICE STATEMENT | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 WAS REVIEWED BY THE AUDIT COMMITTEE AND WAS PRESENTED AND REVIEWED BY THE BOARD OF DIRECTORS IN ELECTRONIC FORM BEFORE IT WAS FILED WITH THE INTERNAL REVENUE SERVICE. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS REVIEWED WHEN NEW MEMBERS JOIN THE BOARD OF DIRECTORS. ANNUAL MONITORING IS BEING IMPLEMENTED. | |
| FORM 990, PART VI, SECTION B, LINE 15A | CEO SALARY IS DETERMINED BY BOARD OF DIRECTORS. TOP MANAGEMENT SALARIES ARE DETERMINED BY THE CEO. THE BOARD OF DIRECTORS AND THE CEO USE COMPARABILITY DATA. THE BASIS OF SALARY TAKES INTO ACCOUNT THE SIZE OF THE ORGANIZATION; THE EMPLOYEES TENURE; THE COMPLEXITY OF THE ORGANIZATION; AND, OTHER SUCH INFORMATION. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE AUDITED FINANCIAL STATEMENTS ARE DISTRIBUTED UPON REQUEST. THE GOVERNING/ORGANIZING DOCUMENTS ARE AVAILABLE ON THE WEBSITE AT WWW.LACLINICA.ORG. THE CONFLICT OF INTEREST POLICY IS AVAILABLE ON REQUEST. | |
| FORM 990, PART XII, LINE 2C | THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR. | AUDIT COMMITTEE AND OVERSIGHT |