APAIT Health Center: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- APAIT Health Center (EIN 27-3973081)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-14
- IRS object ID
- 201421349349204652
- Schema version
- 2012v2.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-14T03:37:50-00:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MTB Accountancy Group LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5120 Goldleaf Circle Suite 180 | AddressLine1 |
| City | Los Angeles | City |
| State | CA | State |
| ZIP Code | 90056 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273973081 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | APAIT Health Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | APAI | NameControl |
| Phone | 2135531830 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1730 W Olympic Boulevard | AddressLine1 |
| City | Los Angeles | City |
| State | CA | State |
| ZIP Code | 90015 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Judy Candelario President | Name |
| Title | President | Title |
| Date Signed | 2014-05-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Samyr Codio | Name |
| Phone | 3232964366 | Phone |
| Date Prepared | 2014-05-14 | DatePrepared |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Web Site | www.apaitonline.org | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 50158 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 50158 | ContributionsGiftsGrantsEtc |
| Total Revenue | 50158 | TotalRevenue |
| Fees And Oth Pymt To Ind Contractors | 295608 | FeesAndOthPymtToIndContractors |
| Other Expenses Total | 35473 | OtherExpensesTotal |
| Total Expenses | 331081 | TotalExpenses |
| Excess Or Deficit For Year | -280923 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | -557200 | NetAssetsOrFundBalancesBOY |
| Other Changes In Net Assets | 557199 | OtherChangesInNetAssets |
| Net Assets Or Fund Balances EOY | -280924 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10575 | BOY |
| EOY | 57902 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53265 | BOY |
| EOY | 53265 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63840 | BOY |
| EOY | 111167 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 621040 | BOY |
| EOY | 392091 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -557200 | BOY |
| EOY | -280924 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | See Schedule O | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | Program Service Accomplishments APAIT Health Center is a comprehensive primary care health center that envisions to advocate, educate and achieve optimal health and well-being for medically underserved communities. Its mission | DescriptionProgramServiceAccom |
| Program Service Expenses | 331081 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 331081 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (14 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|
| Brian Shen MD | ||
| Chairperson | 002.00 | 0 |
| Lois Takahashi PHD | ||
| Co-Chair | 002.00 | 0 |
| Yolanda Mationg | ||
| Co-Chair | 002.00 | 0 |
| Don Kincey | ||
| Vice-Chair | 002.00 | 0 |
| Jury Candelario | ||
| President | 002.00 | 0 |
| Glen Pacheco | ||
| Treasurer | 002.00 | 0 |
| Sanjay Chhugani MBA | ||
| Secretary | 002.00 | 0 |
| John Eckman | ||
| Member At Large | 002.00 | 0 |
| Laurent Sy MBA | ||
| Member At Large | 002.00 | 0 |
| Herbert K Hatanaka DSW | ||
| Honorary Member | 002.00 | 0 |
| Michael Close | ||
| Member | 002.00 | 0 |
| Tatsuya Fushimi | ||
| Member | 002.00 | 0 |
| Steve Gonzalez Attorney | ||
| Member | 002.00 | 0 |
| Mick Sullivan DDS | ||
| Member | 002.00 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Organization Dissolved Etc | false | OrganizationDissolvedEtc |
| Did Org File Form1120 POL This Year | false | DidOrgFileForm1120POLThisYear |
| Made Loans To From Officers | false | MadeLoansToFromOfficers |
| Tax Imposed Under IRC4911 | 0 | TaxImposedUnderIRC4911 |
| Tax Imposed Under IRC4912 | 0 | TaxImposedUnderIRC4912 |
| Tax Imposed Under IRC4955 | 0 | TaxImposedUnderIRC4955 |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | The Organization | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1730 W Olympic Boulevard | AddressLine1 |
| City | Los Angeles | City |
| State | CA | State |
| ZIP Code | 90015 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2135531825 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccount |
| Foreign Office | false | ForeignOffice |
| Maintain Any Donor Advised Funds | false | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | false | DoesOrgHaveHospital |
| Tanning Services Provided | false | TanningServicesProvided |
| Form720 Filed | false | Form720Filed |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Engage Political Cmpgn Activities | false | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | false | EngageInLobbyingActivities |
| Operating School | false | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | false | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | true | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| Public Support Pertcentage170 | 0.00000 | PublicSupportPertcentage170 |
| Public Support Percentage509 | 0.00000 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
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 O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| ExplanationExplanation |
|---|
| Form 990-EZ, Part I, Line 16, Other Expenses Overhead Allocation 35,473 |
| Form 990-EZ, Part I, Line 20, Net Assets To adjust and write-off prior year payables 557,199 |
| Form 990-EZ, Part II, Line 24, Other Assets Equipment Beginning of year 53,265, End of year 53,265 |
| Form 990-EZ, Part II, Line 26, Liabilities Note payable Beginning of year 621,040, End of year 392,091 |
| Form 990-EZ Part III Primary Exempt Purpose - APAIT Health Center is a comprehensive primary care health center that envisions to advocate, educate and achieve optimal health and well-being for medically underserved communities. Its mission is to positively impact the quality of life for medically underserved communities living with or at risk HIV/AIDS and other health disparities through a seamless continuum of culturally competent and linguistically appropriate services in the Southern California region. APAIT Health Centers approach is an integrated health care model in an outpatient setting with services including family practice, obstetrics and gynecology OBGYN, pediatrics, behaviorial health mental health and substance use treatment, HIV/AIDS and infectious disease, occupational and physical therapy, and geriatric medicine. |
| Form 990-EZ Part III Line 28 Program Service Accomplishments APAIT Health Center is a comprehensive primary care health center that envisions to advocate, educate and achieve optimal health and well-being for medically underserved communities. Its mission is to positively impact the quality of life for medically underserved communities living with or at risk HIV/AIDS and other health disparities through a seamless continuum of culturally competent and linguistically appropriate services in the Southern California region. APAIT Health Centers approach is an integrated health care model in an outpatient setting with services including family practice, obstetrics and gynecology OBGYN, pediatrics, behaviorial health mental health and substance use treatment, HIV/AIDS and infectious disease, occupational and physical therapy, and geriatric medicine. |
| Form 990-EZ Part V Information Regarding Personal Benefit Contracts The organization did not, during the year, receive any funds, directly, or indirectly, to pay premiums on a personal benefit contract. |
| Form 990-EZ The organization did not, during the year, receive any funds, directly, or indirectly, to pay premiums on a personal benefit contract. |
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