ST JOHNS COMMUNITY HEALTH: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ST JOHNS COMMUNITY HEALTH (EIN 95-4067758)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-17
- IRS object ID
- 201423219349306887
- Schema version
- 2013v3.1
- 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 I
- Schedule J
- Schedule K
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-17T14:01:23-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1 |
| City | SPRINGFIELD | City |
| State | MO | State |
| ZIP Code | 658062523 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 954067758 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOHN'S WELL CHILD AND FAMILY CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ELIZABETH MEISLER | InCareOfNm |
| Business Name Control | STJO | BusinessNameControlTxt |
| Phone | 3235411600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5701 S HOOVER STREET | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90037 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELIZABETH MEISLER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3235411600 | PhoneNum |
| Signature | 2014-11-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Brian D Todd | PreparerPersonNm |
| PTIN | P00422601 | PTIN |
| Phone | 3235411600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAMES MANGIA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5701 S HOOVER STREET | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90037 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $34,177,033 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.wellchild.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1993 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO DELIVER HIGH-QUALITY PRIMARY AND PREVENTATIVE MEDICAL, DENTAL AND MENTAL HEALTH SERVICES IN SOUTH LOS ANGELES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 363 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $16,325,046 | PYContributionsGrantsAmt |
| CY Contributions Grants | $14,837,264 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,184,039 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $19,336,244 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$1,649 | PYInvestmentIncomeAmt |
| CY Investment Income | -$10,833 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$113,878 | PYOtherRevenueAmt |
| CY Other Revenue | -$65,814 | CYOtherRevenueAmt |
| PY Total Revenue | $32,393,558 | PYTotalRevenueAmt |
| CY Total Revenue | $34,096,861 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $702,025 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $663,471 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $15,091,010 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,054,274 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $135,002 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $178,080 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $830,905 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,843,793 | PYOtherExpensesAmt |
| CY Other Expenses | $12,852,853 | CYOtherExpensesAmt |
| PY Total Expenses | $26,771,830 | PYTotalExpensesAmt |
| CY Total Expenses | $31,748,678 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,621,728 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,348,183 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $27,704,299 | TotalAssetsBOYAmt |
| Total Assets EOY | $33,446,218 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,339,535 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,733,271 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,364,764 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $18,712,947 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO ELIMINATE HEALTH DISPARITIES AND FOSTER COMMUNITY WELL-BEING BY PROVIDING AND PROMOTING THE HIGHEST QUALITY CARE IN SOUTH LOS ANGELES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $22,509,023 | ExpenseAmt |
| Grant | $663,471 | GrantAmt |
| Revenue | $16,151,249 | RevenueAmt |
| Desc | COMPREHENSIVE MEDICAL SERVICES REVENUE INCLUDES PATIENT SERVICE REVENUE OF $16.2 MILLION AND GRANTS & CONTRIBUTION REVENUE OF $5.6 MILLION. THE SERVICE LINE INCLUDES PRIMARY CARE, WELL BABY & CHILD, IMMUNIZATIONS, ASTHMA CARE, TREATMENT & MANAGEMENT OF HIGH BLOOD PRESSURE AND OTHER CHRONIC CONDITIONS, PHYSICAL EXAMS & ROUTINE SCREENINGS, FAMILY PLANNING, PRENATAL AND POST DELIVERY CARE, SEXUALLY TRANSMITTED DISEASE DIAGNOSIS AND TREATMENT, HIGH-RISK YOUTH SERVICES, DIABETIC CARE INCLUDING NUTRITION & FITNESS, PODIATRY, RETINOPATHY & CANCER SCREENINGS, DIAGNOSTIC & LABORATORY PROCEDURES, AND PHARMACY SERVICES. MEDICAL SERVICES HAD 142,149 PATIENT VISITS DURING 2013. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,264,095 | ExpenseAmt |
| Revenue | $2,342,137 | RevenueAmt |
| Desc | COMPREHENSIVE DENTAL SERVICES REVENUE INCLUDES PATIENT SERVICE REVENUE OF $2.3 MILLION AND GRANTS & CONTRIUBTION REVENUE OF $380,000. THE SERVICE LINE INCLUDES PRIMARY CARE FOR CHILDREN AND ADULTS, X-RAYS, CLEANINGS AND EXAMS, FILLINGS, SEALANTS, FLUORIDE TREATMENT, PERIODONTAL TREATMENT AND ORTHODONTIC SCREENINGS, DENTAL HEALTH EDUCATION, PERIODONTAL TREATMENT, AND ORTHODONTIC SCREENINGS. DENTAL SERVICES HAD 24,033 PATIENT VISITS DURING 2013. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $657,441 | ExpenseAmt |
| Revenue | $471,744 | RevenueAmt |
| Desc | COMPREHENSIVE MENTAL HEALTH SERVICES REVENUE INCLUDES PATIENT SERVICE REVENUE OF $471,000 AND GRANTS & CONTRIBUTION REVENUE OF $760,000. THE SERVICE LINE INCLUDES CRISIS INTERVENTION COUNSELING, GROUP SESSIONS FOR YOUTH, SHORT-TERM THERAPY, GROUP THERAPY FOR ADULTS, AND INDIVIDUAL THERAPY. MENTAL HEALTH SERVICES HAD 5,385 PATIENT VISITS DURING 2013. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $517,199 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $371,114 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $26,947,758 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (true) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 77 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 363 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELIZABETH MEISLER | PersonNm |
| Phone | 3235411600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5701 S HOOVER STREET | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90037 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| MARION DOUGLAS | |||||||
| CHAIR | 1.0 | Yes (X) | Yes (X) | $0 | $0 | ||
| BILL DAWE | |||||||
| FINANCE COMMITTEE VICE-CHAIR | 1.0 | Yes (X) | Yes (X) | $0 | $0 | ||
| DONALD YOUNG | |||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | |||
| TIM NEIMAN | |||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | |||
| LILIA GARCIA | |||||||
| VICE CHAIR | 1.0 | Yes (X) | Yes (X) | $0 | $0 | ||
| CLAUDIA DE LEON | |||||||
| SECRETARY/TREASURER | 1.0 | Yes (X) | Yes (X) | $0 | $0 | ||
| LEONOR GUZMAN | |||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | |||
| MARTHA ORTIZ | |||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | |||
| MARTA LILIA RAMOS | |||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | |||
| PATRICIA ESCAMILLA | |||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | |||
| LAWRENCE R YOUNG | |||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | |||
| CARMEN FLORES | |||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | |||
| MARIA BENEL CORAZON SE | |||||||
| BOARD MEMBER | 1.0 | Yes (X) | $0 | $0 | |||
| JAMES MANGIA | |||||||
| CEO | 40.0 | Yes (X) | $270,000 | $0 | $16,703 | ||
| ELIZABETH MEISLER | |||||||
| CFO | 40.0 | Yes (X) | $210,948 | $0 | $11,162 | ||
| ROSA ANGELICA RODRIGUEZ | |||||||
| FAMILY PRACTICE PHYSICIAN | 40.0 | $177,239 | $0 | $5,559 | Yes (X) | ||
| ROLANDO BARAHONA | |||||||
| DIRECTOR OF FUND DEVELOPMENT | 40.0 | $217,695 | $0 | $16,492 | Yes (X) | ||
| LINDA TIGNER-WEEKES | |||||||
| PEDIATRICIAN | 40.0 | $187,838 | $0 | $19,688 | Yes (X) | ||
| SHAHIDA BAIG | |||||||
| FAMILY PRACTICE PHYSICIAN | 40.0 | $159,137 | $0 | $17,888 | Yes (X) | ||
| FARID HASSANPOUR | |||||||
| CHIEF MEDICAL OFFICER | 40.0 | $251,013 | $0 | $23,589 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,473,870 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $111,081 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 32 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| ServicesServicesDesc | CompensationCompensationAmt |
|---|---|
| MICHAEL BERALDDSINC | |
| DENTAL | $191,820 |
| MARTIN FLETCHER ASSOC | |
| STAFFING | $103,107 |
| CANDICE SHERMAN | |
| INTERIM COO | $123,773 |
| JAN POINT | |
| JANITORIAL SERVICE | $164,950 |
| SONIA KRISHNA | |
| PSYCHIATRIST | $108,494 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $80,703 | FundraisingAmt |
| Government Grants | $11,145,605 | GovernmentGrantsAmt |
| All Other Contributions | $3,610,956 | AllOtherContributionsAmt |
| Noncash Contributions | $923,607 | NoncashContributionsAmt |
| Total Contributions | $14,837,264 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient service revenue | 624100 | $18,958,128 | $18,958,128 |
| EHR INCENTIVE REVENUE | 624100 | $289,000 | $289,000 |
| PHARMACY | 446110 | $39,863 | $39,863 |
| OTHER REVENUE | 900099 | $49,253 | $49,253 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $19,336,244 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $10,833 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$10,833 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$10,833 | TotalRevenueColumnAmt |
| Exclusion | -$10,833 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $3,525 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $80,703 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $69,339 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$65,814 | TotalRevenueColumnAmt |
| Exclusion | -$65,814 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,096,861 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $19,336,244 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$76,647 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $663,471 | TotalAmt |
| Program Services | $663,471 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $508,813 | TotalAmt |
| Management And General | $508,813 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,554,357 | TotalAmt |
| Program Services | $12,885,043 | ProgramServicesAmt |
| Management And General | $1,232,301 | ManagementAndGeneralAmt |
| Fundraising | $437,013 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,760,878 | TotalAmt |
| Program Services | $1,542,390 | ProgramServicesAmt |
| Management And General | $168,420 | ManagementAndGeneralAmt |
| Fundraising | $50,068 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,230,226 | TotalAmt |
| Program Services | $1,060,794 | ProgramServicesAmt |
| Management And General | $134,997 | ManagementAndGeneralAmt |
| Fundraising | $34,435 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $373,142 | TotalAmt |
| Management And General | $373,142 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,097 | TotalAmt |
| Management And General | $102,097 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,080 | TotalAmt |
| Fundraising | $178,080 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,246,263 | TotalAmt |
| Program Services | $4,675,357 | ProgramServicesAmt |
| Management And General | $560,060 | ManagementAndGeneralAmt |
| Fundraising | $10,846 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,200 | TotalAmt |
| Management And General | $7,200 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,343,610 | TotalAmt |
| Program Services | $1,040,938 | ProgramServicesAmt |
| Management And General | $234,985 | ManagementAndGeneralAmt |
| Fundraising | $67,687 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $470,032 | TotalAmt |
| Program Services | $417,939 | ProgramServicesAmt |
| Management And General | $49,627 | ManagementAndGeneralAmt |
| Fundraising | $2,466 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,019,788 | TotalAmt |
| Program Services | $977,332 | ProgramServicesAmt |
| Management And General | $38,240 | ManagementAndGeneralAmt |
| Fundraising | $4,216 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,770 | TotalAmt |
| Program Services | $77,830 | ProgramServicesAmt |
| Management And General | $52,787 | ManagementAndGeneralAmt |
| Fundraising | $24,153 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,169 | TotalAmt |
| Program Services | $47,514 | ProgramServicesAmt |
| Management And General | $54,862 | ManagementAndGeneralAmt |
| Fundraising | $6,793 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $402,852 | TotalAmt |
| Program Services | $271,918 | ProgramServicesAmt |
| Management And General | $128,299 | ManagementAndGeneralAmt |
| Fundraising | $2,635 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,445,890 | TotalAmt |
| Program Services | $1,184,309 | ProgramServicesAmt |
| Management And General | $250,103 | ManagementAndGeneralAmt |
| Fundraising | $11,478 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,326 | TotalAmt |
| Program Services | $22,682 | ProgramServicesAmt |
| Management And General | $4,424 | ManagementAndGeneralAmt |
| Fundraising | $220 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $1,917,336 | $1,917,336 | ||
| LICENSES, DUES, SUBSCRIPTIONS | $115,465 | $45,660 | $68,990 | $815 |
| RECRUITING & RETENTION | $111,076 | $111,076 | ||
| MISCELLANEOUS | $6,837 | $6,169 | $668 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,748,678 | TotalAmt |
| Program Services | $26,947,758 | ProgramServicesAmt |
| Management And General | $3,970,015 | ManagementAndGeneralAmt |
| Fundraising | $830,905 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,044,173 | BOYAmt |
| EOY | $4,546,430 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,346,170 | BOYAmt |
| EOY | $2,492,928 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,361,017 | BOYAmt |
| EOY | $3,526,990 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $214,213 | BOYAmt |
| EOY | $218,468 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $728,610 | BOYAmt |
| EOY | $805,911 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $25,469,994 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,840,395 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,386,274 | BOYAmt |
| EOY | $21,629,599 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $623,842 | BOYAmt |
| EOY | $225,892 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,704,299 | BOYAmt |
| EOY | $33,446,218 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,165,947 | BOYAmt |
| EOY | $4,613,916 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,199,835 | BOYAmt |
| EOY | $5,112,520 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,971,753 | BOYAmt |
| EOY | $5,006,835 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,339,535 | BOYAmt |
| EOY | $14,733,271 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,933,681 | BOYAmt |
| EOY | $15,721,607 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,431,083 | BOYAmt |
| EOY | $2,991,340 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,364,764 | BOYAmt |
| EOY | $18,712,947 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,704,299 | BOYAmt |
| EOY | $33,446,218 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,348,183 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,208,647 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,063,315 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,597,606 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,325,046 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,837,264 | CurrentTaxYearAmt |
| Total | $68,031,878 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,208,647 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,063,315 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,597,606 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,325,046 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,837,264 | CurrentTaxYearAmt |
| Total | $68,031,878 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $348,785 | SubstantialContributorsTotAmt |
| Public Support Total170 | $67,683,093 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $68,031,878 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $64,630,367 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99487 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99080 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1(I) | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAYS DUES TO THE CALIFORNIA PRIMARY CARE ASSOCIATION (CPCA), THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC), AND THE SOUTHSIDE COALITION. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,647,884 | OtherCostOrOtherBasisAmt |
| Book Value | $2,647,884 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,435,131 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,075,625 | DepreciationAmt |
| Book Value | $11,359,506 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $430,957 | OtherCostOrOtherBasisAmt |
| Depreciation | $49,603 | DepreciationAmt |
| Book Value | $381,354 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,602,300 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,421,931 | DepreciationAmt |
| Book Value | $1,180,369 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,353,722 | OtherCostOrOtherBasisAmt |
| Depreciation | $293,236 | DepreciationAmt |
| Book Value | $6,060,486 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,629,599 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $34,681,195 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $64,419 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $64,419 | RevenueNotReportedAmt |
| Revenue Subtotal | $34,616,776 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$519,915 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$519,915 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $34,096,861 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $31,893,269 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $64,419 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $80,172 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $144,591 | ExpensesNotReportedAmt |
| Expenses Subtotal | $31,748,678 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $31,748,678 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X, LINE 2 | UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART XI, LINE 4B | AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $(439,743) CHANGE IN TRNA ( 69,339) SPECIAL EVENTS EXPENSE ( 10,833) LOSS ON DISPOSAL OF PROPERTY AND EQUIPMENT ---------- $(519,915) |
| SCHEDULE D, PART XII, LINE 2D | AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 69,339 SPECIAL EVENTS EXPENSE 10,833 LOSS ON DISPOSAL OF PROPERTY AND EQUIPMENT --------- $ 80,172 |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (true) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp (5 entries)
| ActivityActivityTxt | Fundraiser Control Of FundsFundraiserControlOfFundsInd | Retained By ContractorRetainedByContractorAmt |
|---|---|---|
| TINA CHRISTOPULOS | ||
| GRANTMAKING | false | $15,428 |
| PRIYANTHIE CHANDIMA DESILVA | ||
| FUNDRAISING EVENTS | false | $2,360 |
| KIMBERLY SLEDER | ||
| GRANTMAKING | false | $48,338 |
| ANDREW DAVID ZAPPIN | ||
| FUNDRAISING EVENTS | false | $16,770 |
| PATRICE WAGONHURST | ||
| GRANTMAKING | false | $95,184 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | $178,080 | TotalRetainedByContractorsAmt |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | MOVEABLE FEAST | NameOfEvent1Amt |
| Gross Receipts Event1 | $84,228 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $80,703 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $3,525 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $15,368 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $200 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $500 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $53,271 | OtherDirectExpensesEvent1Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $84,228 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $80,703 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $3,525 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $15,368 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $200 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $500 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $53,271 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $69,339 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$65,814 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (11 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| PUBLIC HEALTH FOUNDATION | |||||||
| 12781 SCHABARUM AVE | IRWINDALE | CA | 91706 | 952557063 | 501(C)(3) | $21,000 | SUPPORT |
| CENTRAL CITY COMMUNITY HEALTH CENTER | |||||||
| 5970 S CENTRAL AVE | LOS ANGELES | CA | 90011 | 954492570 | 501(C)(3) | $50,796 | SUPPORT |
| CLINICA MSR OSCAR A | |||||||
| 2032 MARENGO STREET | LOS ANGELES | CA | 90033 | 953881333 | 501(C)(3) | $76,633 | SUPPORT |
| LAUSDLINCOLN HEIGHTS | |||||||
| 3501 N BROADWAY | LOS ANGELES | CA | 90031 | 956001908 | GOVT | $10,000 | SUPPORT |
| STRATEGIC ACTIONS FOR A JUST ECONOMY | |||||||
| 152 WEST 32ND STREET | LOS ANGELES | CA | 90007 | 931226092 | 501(C)(3) | $65,194 | SUPPORT |
| MATERNAL & CHILD HEALTH | |||||||
| 1111 W 6TH ST 400 | LOS ANGELES | CA | 90017 | 954555879 | 501(C)(3) | $144,308 | SUPPORT |
| ESPERANZA COMMUNITY HOUSING CORP | |||||||
| 2337 S FIGUEROA ST | LOS ANGELES | CA | 90007 | 954230345 | 501(C)(3) | $175,494 | SUPPORT |
| THE CLINIC | |||||||
| 3834 S WESTERN AVE | LOS ANGELES | CA | 90062 | 237351622 | 501(C)(3) | $32,393 | SUPPORT |
| NATIONAL COUNCIL OF NEGRO WOMEN LA VIEW PARK SEC | |||||||
| 3720 W 54TH STREET | LOS ANGELES | CA | 90043 | 530173054 | 501(C)(3) | $16,898 | SUPPORT |
| UC REGENTS | |||||||
| 675 S PARK VIEW ST | LOS ANGELES | CA | 90057 | 956006143 | 501(c)(3) | $10,000 | SUPPORT |
| ASIAN AMERICAN DRUG ABUSE PROGRAM INC | |||||||
| 2900 S CRENSHAW BLVD | LOS ANGELES | CA | 90016 | 952848695 | 501(C)(3) | $12,444 | SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 11 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | GRANT MONITORING: CASH DONATIONS ARE MOSTLY MADE TO MEMBERS OF THE SOUTHSIDE COALITION, A GROUP OF EIGHT NON-PROFITS WHICH RESIDE IN AND SERVE THE SOUTH LA POPULATION. THE ORGANIZATION HAS MISSION ALIGNED ALLIANCES WITH SOUTHSIDE COALITION MEMBERS AND A FEW OTHER LOCAL NON-PROFITS, WITH THE GOAL OF PROVIDING ALL ASPECTS OF CARE TO THE LOCAL POPULATION, INCLUDING HOUSING, LEGAL, MEDICAL, ETC. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES MANGIA | ||||||||||||||
| CEO | $270,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $16,703 | $0 | $286,703 | $0 | $0 | $0 |
| ELIZABETH MEISLER | ||||||||||||||
| CFO | $210,948 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $11,162 | $0 | $222,110 | $0 | $0 | $0 |
| ROSA ANGELICA RODRIGUEZ | ||||||||||||||
| FAMILY PRACTICE PHYSICIAN | $177,239 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,559 | $0 | $182,798 | $0 | $0 | $0 |
| ROLANDO BARAHONA | ||||||||||||||
| DIRECTOR OF FUND DEVELOPMENT | $217,695 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $16,492 | $0 | $234,187 | $0 | $0 | $0 |
| LINDA TIGNER-WEEKES | ||||||||||||||
| PEDIATRICIAN | $187,838 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19,688 | $0 | $207,526 | $0 | $0 | $0 |
| SHAHIDA BAIG | ||||||||||||||
| FAMILY PRACTICE PHYSICIAN | $159,137 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $17,888 | $0 | $177,025 | $0 | $0 | $0 |
| FARID HASSANPOUR | ||||||||||||||
| CHIEF MEDICAL OFFICER | $184,763 | $0 | $0 | $0 | $66,250 | $0 | $0 | $0 | $23,589 | $0 | $274,602 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | SEVERANCE PAYMENT: THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT IN 2013: - FARID HASSANPOUR $66,250 | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALIFORNIA MUNICIPAL FINANCE AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 201563466 | BondIssuerEIN |
| CUSIP | 13048TMY6 | CUSIPNum |
| Bond Issued | 2011-11-30 | BondIssuedDt |
| Issue Price | $5,360,118 | IssuePriceAmt |
| Purpose | TO REFINANCE 3 BUILDINGS | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $0 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $5,360,118 | TotalProceedsAmt |
| In Reserve Fund | $368,956 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $0 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $0 | CapitalExpendituresAmt |
| Other Spent Proceeds | $4,991,162 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2011 | SubstantialCompletionYr |
| Current Refunding | false | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp |
Cars And Other Vehicles CarsAndOtherVehiclesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $30,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 20 | ContributionCnt |
| Noncash Contributions Rpt F990 | $893,607 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART I, LINE 20, COLUMN (B) | FormAndLineReferenceDesc |
| Explanation | NUMBER OF CONTRIBUTORS: THE ORGANIZATION RECEIVED PHARMACEUTICAL AND MEDICAL SUPPLY CONTRIBUTIONS FROM APPROXIMATELY 20 DONORS IN 2013. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1 | ORGANIZATION'S MISSION: THE MISSION OF ST. JOHN'S WELL CHILD AND FAMILY CENTER IS TO ELIMINATE HEALTH DISPARITIES AND FOSTER COMMUNITY WELL-BEING BY PROVIDING AND PROMOTING THE HIGHEST QUALITY CARE IN SOUTH LOS ANGELES. VISION STATEMENT: ST. JOHN'S WELL CHILD AND FAMILY CENTER WILL BE A LEADER, CATALYST, AND MODEL FOR THE BEST CARE; LONG-TERM COMMUNITY HEALTH IMPROVEMENTS; AND SUSTAINABLE, HEALTH-ENHANCING SYSTEMS AND STRUCTURES IN LOS ANGELES. ST. JOHN'S WELL CHILD AND FAMILY CENTER IS AN INDEPENDENT 501(C)(3) ORGANIZATION THAT WAS FOUNDED IN 1964 AS A SMALL, VOLUNTEER PEDIATRIC CLINIC. OVER THE LAST FIVE DECADES, THE ORGANIZATION HAS EXPANDED TO BECOME ONE OF THE MOST SIGNIFICANT AND COMPREHENSIVE SAFETY-NET PROVIDERS IN LOS ANGELES COUNTY. OUR NETWORK NOW INCLUDES TEN FEDERALLY QUALIFIED HEALTH CENTERS AND SCHOOL-BASED CLINICS THAT SPAN THE BREADTH OF CENTRAL AND SOUTH LOS ANGELES AND COMPTON. ST. JOHN'S PROVIDES PRIMARY AND PREVENTIVE MEDICAL, DENTAL, AND MENTAL HEALTH SERVICES; HEALTH EDUCATION; AND CASE MANAGEMENT FOR MORE THAN 100,000 PATIENT VISITS EACH YEAR. ADDITIONALLY, ST. JOHN'S OPERATES MANY COMMUNITY HEALTH, SOCIAL SERVICE, AND SCHOOL READINESS PROGRAMS THROUGHOUT OUR SERVICE AREA. WE ALSO PROVIDE EARLY CHILDHOOD DEVELOPMENT SERVICES, PARENTING WORKSHOPS, WORKFORCE READINESS TRAINING, AND PARENT/CHILD LITERACY PROJECTS. |
| FORM 990, PART III, LINE 4D | OTHER PROGRAM SERVICES: IN SUPPORT OF OUR PRIMARY AND PREVENTIVE MEDICAL, DENTAL, AND MENTAL HEALTH SERVICES, ST. JOHN'S OFFERS THE FOLLOWING ANCILLARY SERVICES: INSURANCE BENEFITS COUNSELING AND ENROLLMENT, CASE MANAGEMENT, HEALTH EDUCATION, YOUTH DEVELOPMENT PROGRAMS, SCHOOL READINESS PROGRAMS, PARENTING WORKSHOPS, LEGAL SERVICES AND COUNSELING, AND COMMUNITY RESOURCE SERVICES. THESE SUPPORT SERVICES WERE PROVIDED TO 8,626 INDIVIDUALS IN 2013. |
| FORM 990, PART VI, SECTION A, LINE 2 | FAMILY RELATIONSHIPS: CEO, MR. MANGIA, AND HIGHEST COMPENSATED EMPLOYEE, MR. BARAHONA, HAVE A FAMILY RELATIONSHIP. MR. BARAHONA IS ACCOUNTABLE FOR DAY TO DAY ACTIVITIES TO THE COO AND REPORTS DIRECTLY TO THE BOARD OF DIRECTORS. THE BOARD CONDUCTS HIS ANNUAL PERFORMANCE EVALUATION, DECIDES HIS COMPENSATION AND DETERMINES HIS CONTINUING EMPLOYMENT. |
| FORM 990, PART VI, SECTION B, LINE 11B | 990 REVIEW POLICY: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, THE ORGANIZATION'S TOP MANAGEMENT WILL REVIEW THE 990 AND A FINAL DRAFT WILL BE PROVIDED TO THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST POLICY: ST. JOHN'S WELL CHILD AND FAMILY CENTER DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS SHALL NOT PROFIT PERSONALLY FROM THEIR POSITION WITH ST. JOHN'S WELL CHILD AND FAMILY CENTER, AND SHALL NOT BRING THEIR INTERESTS INTO CONFLICT OR COMPETITION WITH THE INTERESTS OF THE ORGANIZATION. CONFLICTS OF INTEREST SHALL INCLUDE ALL ACTUAL, APPARENT AND POTENTIAL CONFLICTS. EACH YEAR, ALL ST. JOHN'S WELL CHILD AND FAMILY CENTER BOARD MEMBERS SHALL SUBMIT A STATEMENT TO THE BOARD DISCLOSING ALL ORGANIZATIONS, FIRMS, ORGANIZATIONS OR ENTERPRISES WHICH COULD BE CONSTRUED AS RELATED TO THE INTEREST OF ST. JOHN'S WELL CHILD AND FAMILY CENTER, IN WHICH THE ST. JOHN'S WELL CHILD AND FAMILY CENTER BOARD MEMBERS, OR PERSONS CLOSE TO HIM/HER, HAS A MATERIAL FINANCIAL INTEREST OR IN WHICH HE/SHE SERVES AS A DIRECTOR, OFFICER OR ADVISOR. ANY ST. JOHN'S WELL CHILD AND FAMILY CENTER BOARD MEMBER AWARE OF ANY TRANSACTION OR CONTRACT BEING CONSIDERED BY ST. JOHN'S WELL CHILD AND FAMILY CENTER WHICH PUTS HIS/HER INTEREST IN POSSIBLE CONFLICT WITH THE ORGANIZATION'S INTERESTS SHALL NOTIFY THE BOARD OF DIRECTORS, COMMITTEE, OR OTHER DECISION MAKERS, OF THE POSSIBLE CONFLICT. THE MATERIAL FACTS AS TO THE TRANSACTION AND THE ST. JOHN'S WELL CHILD AND FAMILY CENTER BOARD MEMBER'S INTEREST SHALL BE FULLY DISCLOSED, AND SHALL BE PROMPTLY RECORDED IN THE BOARD OR COMMITTEE MINUTES. ANY ST. JOHN'S WELL CHILD AND FAMILY CENTER BOARD MEMBER WITH A POSSIBLE CONFLICT OF INTEREST SHALL ABSTAIN FROM VOTING ON THAT MATTER. THE MINUTES OF THE MEETING SHALL REFLECT THE EXISTENCE OF ANY SUCH CONFLICT AND THAT THE ST. JOHN'S WELL CHILD AND FAMILY CENTER BOARD MEMBER DID NOT VOTE OR PARTICIPATE IN THE MATTER IN QUESTION. UPON BEING INFORMED OF A POSSIBLE CONFLICT OF ANY ST. JOHN'S WELL CHILD AND FAMILY CENTER BOARD MEMBER, NO OTHER ST. JOHN'S WELL CHILD AND FAMILY CENTER BOARD MEMBER SHALL APPROVE ANY TRANSACTION UNLESS THAT ST. JOHN'S WELL CHILD AND FAMILY CENTER BOARD MEMBER BELIEVES, IN GOOD FAITH, THAT THE TRANSACTION IS JUST, REASONABLE AND FAVORABLE TO ST. JOHN'S WELL CHILD AND FAMILY CENTER. CORPORATE OFFICERS AND KEY EMPLOYEES ARE ALSO REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15A | COMPENSATION REVIEW: THE COMPENSATION OF THE CEO WAS REVIEWED IN 2013 BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE ORGANIZATION ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO EVALUATE THE CEO'S COMPENSATION AND MAKE A RECOMMENDATION TO THE GOVERNING BODY. THE INDEPENDENT FIRM CONDUCTED THEIR EVALUATION THROUGH CONSULTING SURVEYS OF INDUSTRY STANDARDS FOR EMPLOYEE POSITIONS, INCLUDING THE COMPENSATION AND BENEFITS SURVEY OF THE CENTER FOR NONPROFIT MANAGEMENT AND THE COMPENSATION AND BENEFITS SURVEY FOR THE CALIFORNIA PRIMARY CARE ASSOCIATION. IN ADDITION, RESEARCH WAS CONDUCTED ON SALARY RANGES AND PAY SCALES AT OTHER COMPARABLE COMMUNITY CLINIC OPERATIONS IN LOS ANGELES THROUGH FORM 990S AND INTERVIEWS. THE REVIEW WAS DOCUMENTED IN THE BOARD MINUTES OF THE EXECUTIVE SESSION. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENT DISCLOSURE: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST TO BE VIEWED AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE OR VIA MAIL. |
| FORM 990, PART IX, LINE 11G | OTHER FEES FOR SERVICES: THE ORGANIZATION'S TOTAL OTHER FEES FOR SERVICES ON THE STATEMENT OF FUNCTIONAL EXPENSES IS COMPRISED OF THE FOLLOWING: $1,769,868 PROVIDERS & SPECIALISTS 1,689,211 OUTSIDE CONTRACT SERVICES & FEES 1,123,977 LABORATORY SERVICES 321,781 SECURITY & JANITORIAL SERVICES 200,988 PHARMACY SERVICES 118,572 PROGRAM & DEVELOPMENT SERVICES 36,046 RADIOLOGY SERVICES 9,520 BOARD OF DIRECTORS FEES 6,300 EVALUATION SERVICES --------- $5,276,363 TOTAL |
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