LIFELONG MEDICAL CARE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LIFELONG MEDICAL CARE (EIN 94-2502308)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201431359349308638
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-15T17:35:33-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN111986323EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MARCUM LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1101 MONTGOMERY STREET 1900AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94104ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN942502308EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LIFELONG MEDICAL CAREBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLIFENameControl
Phone5107046010Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12344 6TH STREETAddressLine1
CityBERKELEYCity
StateCAState
ZIP Code94710ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKANWAR SINGHName
TitleCFOTitle
Phone5109814100Phone
Date Signed2014-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBARBARA A BONDName
PTINP00294787PTIN
Phone4154326200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKANWAR SINGHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12344 6TH STREETAddressLine1
CityBERKELEYCity
StateCAState
ZIP Code94710ZIPCode
FieldValueIRS element (for citing)
Gross Receipts50663739GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LIFELONGMEDICAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HIGH QUALITY MEDICAL, HEALTH AND SOCIAL SERVICES TO UNDERSERVED PEOPLE OF ALL AGES; CREATE MODELS OF CARE FOR THE ELDERLY AND PEOPLE WITH DISABILITIES; AND TO ADVOCATE FOR CONTINUOUS IMPROVEMENTS IN THE HEALTH OF ITS COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees747TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year13566844ContributionsGrantsPriorYear
Contributions Grants Current Year17582823ContributionsGrantsCurrentYear
Program Service Revenue Prior Year25127696ProgramServiceRevenuePriorYear
Program Service Revenue CY31064020ProgramServiceRevenueCY
Investment Income Prior Year387InvestmentIncomePriorYear
Investment Income Current Year653InvestmentIncomeCurrentYear
Other Revenue Prior Year2164413OtherRevenuePriorYear
Other Revenue Current Year1911207OtherRevenueCurrentYear
Total Revenue Prior Year40859340TotalRevenuePriorYear
Total Revenue Current Year50558703TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year30684625SalariesEtcPriorYear
Salaries Etc Current Year38275813SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year181384TotalFundrsngExpCurrentYear
Other Expense Prior Year9378810OtherExpensePriorYear
Other Expenses Current Year11774524OtherExpensesCurrentYear
Total Expenses Prior Year40063435TotalExpensesPriorYear
Total Expenses Current Year50050337TotalExpensesCurrentYear
Revenues Less Expenses Prior Year795905RevenuesLessExpensesPriorYear
Revenues Less Expenses CY508366RevenuesLessExpensesCY
Total Assets BOY34409543TotalAssetsBOY
Total Assets EOY37296875TotalAssetsEOY
Total Liabilities BOY18468152TotalLiabilitiesBOY
Total Liabilities EOY20847118TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY15941391NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16449757NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HIGH QUALITY MEDICAL, HEALTH AND SOCIAL SERVICES TO UNDERSERVED PEOPLE OF ALL AGES; CREATE MODELS OF CARE FOR THE ELDERLY AND PEOPLE WITH DISABILITIES; AND TO ADVOCATE FOR CONTINUOUS IMPROVEMENTS IN THE HEALTH OF ITS COMMUNITIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense39755176Expense
Revenue33052113Revenue
DescriptionLMC PROVIDES MEDICAL, BEHAVIOR HEALTH AND SOCIAL SERVICES TO PEOPLE OF ALL AGES, PROMOTES INDEPENDENT LIVING FOR HEALTHY AND DISABLED ELDERS, AS WELL AS FOR THE DISABLED OF ALL AGES, BY OFFERING PRIMARY MEDICAL CARE INTEGRATED WITH COMPREHENSIVE SOCIAL SERVICES.Description
Total Program Service Expense39755176TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096107NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees747NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KANWAR SINGHBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5109814100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12344 6TH STREETAddressLine1
CityBERKELEYCity
StateCAState
ZIP Code94710ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
GEORGIA LACY
CHAIRMAN1.00X000
RON ADLER
VICE CHAIRMAN1.00X000
SCOTT SPORTE
TREASURER1.00X000
MARTY LYNCH
CEO40.00X20308800X
JUDY TURIEL
BOARD MEMBER1.00X000
ROBERTA BROOKS
BOARD MEMBER1.00X000
CHRIS KIEFER
BOARD MEMBER1.00X000
GLORIA FLORES-GARCIA
BOARD MEMBER1.00X000
JENNY ALEXICH
BOARD MEMBER1.00X000
JAMES JOHNSON JR
BOARD MEMBER1.00X000
GUADALUPE RAMIREZ
BOARD MEMBER1.00X000
DIANNA CHAMBERS-BEAMON
BOARD MEMBER1.00X000
PATRICIA CARSON-SUSSMAN
BOARD MEMBER1.00X000
JANET HOWLEY
PAST CHAIRMAN1.00X000
KEVIN WILLIAMS
BOARD MEMBER1.00X000
NANCY THREATT
SECRETARY1.00X000
JOHN JENKINS
BOARD MEMBER1.00X000
DL POOLE
BOARD MEMBER1.00X000
LISA SCHILLING
BOARD MEMBER1.00X000
JOHN E MARQUEZ
BOARD MEMBER1.00X000
ROBBIE HURTADO
BOARD MEMBER1.00X000
BRENDA SHIPP
COO40.0011818000X
RICK CLARK
CFO40.0014350800X
BARBARA TOWNER-WINCHESTER
CMO40.0019438000X
BETSY AMI
IT DIRECTOR40.0010901300X
RACHEL FOGEL
MD26.0015999302476X
LESTER LOVE
AMD40.001670430242X
JABARI JONES
PSYCHIATRIST40.0016672004481X
FLOYD HUEN
MD32.00160398017252X
JOSHUA KAYMAN
AMD BEHAVORIAL HEALTH40.0015754009212X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1579863TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation33663TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
QUEST DIAGNOSTICS
PO BOX 5018PORTLANDOR972085018MEDICAL439992
MACARTHUR BOULEVARD ASSOCIATION DBA FOOT
10700 MACARTHUR BLVD SUITE 200OAKLANDCA94605RENTS321978
RICHARD AIRAUDI
137 BURGESS COURTDANVILLECA94526CONSULTANT SERV.126928
THE REGENTS OF UCSF
333 CALIFORNIA ST SUITE 380SAN FRANCISCOCA94143MEDICAL111630
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Fundraising Events166542FundraisingEvents
Government Grants14085114GovernmentGrants
All Other Contributions3331167AllOtherContributions
Noncash Contributions217433NoncashContributions
Total Contributions17582823TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT AND THIRD PARTY FEEDescription
Business Code621300BusinessCode
Total Revenue Column31064020TotalRevenueColumn
Related Or Exempt Function Income31064020RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue31064020TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column653TotalRevenueColumn
Exclusion$653ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events28150GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events166542CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses105036FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-76886TotalRevenueColumn
Exclusion-$76,886ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code621300BusinessCode
Total Revenue Column1988093TotalRevenueColumn
Related Or Exempt Function Income1988093RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1988093TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column50558703TotalRevenueColumn
Related Or Exempt Function Income33052113RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$76,233ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1613526Total
Program Services1310819ProgramServices
Management And General297012ManagementAndGeneral
Fundraising5695Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total28086222Total
Program Services22817088ProgramServices
Management And General5170006ManagementAndGeneral
Fundraising99128Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total863442Total
Program Services703524ProgramServices
Management And General156908ManagementAndGeneral
Fundraising3010Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4474727Total
Program Services3645963ProgramServices
Management And General813166ManagementAndGeneral
Fundraising15598Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3237896Total
Program Services2638206ProgramServices
Management And General588404ManagementAndGeneral
Fundraising11286Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total85987Total
Management And General85987ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total9484Total
Program Services5869ProgramServices
Management And General3615ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total58472Total
Program Services37093ProgramServices
Management And General21379ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total362695Total
Program Services247005ProgramServices
Management And General116827ManagementAndGeneral
Fundraising-1137Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total70125Total
Program Services44811ProgramServices
Management And General25347ManagementAndGeneral
Fundraising-33Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1388467Total
Program Services1326990ProgramServices
Management And General61477ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total189149Total
Program Services87693ProgramServices
Management And General100662ManagementAndGeneral
Fundraising794Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total23090Total
Program Services10705ProgramServices
Management And General12288ManagementAndGeneral
Fundraising97Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total174325Total
Program Services26246ProgramServices
Management And General148079ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total951337Total
Program Services444266ProgramServices
Management And General507071ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total199481Total
Program Services107425ProgramServices
Management And General92056ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
CONSULTANT AND CONTRACT1675690111592353699722770
MEDICAL, DENTAL AND OTH12573341242834145000
MISCELLANEOUS10722893528397162773173
PHARMACEUTICALS784794755323294710

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3471805Total
Program Services2834554ProgramServices
Management And General616248ManagementAndGeneral
Fundraising21003Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total50050337Total
Program Services39755176ProgramServices
Management And General10113777ManagementAndGeneral
Fundraising181384Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9690554BOY
EOY10206211EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY568BOY
EOY2968EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1542403BOY
EOY2349061EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7589497BOY
EOY6774149EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY60519BOY
EOY107817EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY121689BOY
EOY205740EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis23165502LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7962131LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10485725BOY
EOY15203371EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4918588BOY
EOY2447558EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY34409543BOY
EOY37296875EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3939773BOY
EOY4340847EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY151222BOY
EOY78063EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY13131316BOY
EOY15223721EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1245841BOY
EOY1204487EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY18468152BOY
EOY20847118EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15263201BOY
EOY15809983EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY678190BOY
EOY639774EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15941391BOY
EOY16449757EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY34409543BOY
EOY37296875EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses508366ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8406700CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9592317CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11055550CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13824491CurrentTaxYearMinus1Year
Current Tax Year17365390CurrentTaxYear
Total60244448Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8406700CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9592317CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11055550CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13824491CurrentTaxYearMinus1Year
Current Tax Year17365390CurrentTaxYear
Total60244448Total
FieldValueIRS element (for citing)
Public Support Total17060244448PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27177CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years488CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2137CurrentTaxYearMinus1Year
Current Tax Year653CurrentTaxYear
Total30461Total
FieldValueIRS element (for citing)
Total Support60274909TotalSupport
Public Support Pertcentage1700.99950PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99490PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1531500OtherCostOrOtherBasis
Book Value1531500BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4634495OtherCostOrOtherBasis
Book Value4634495BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis5971059OtherCostOrOtherBasis
Book Value5971059BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2890179OtherCostOrOtherBasis
Book Value2890179BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8138269OtherCostOrOtherBasis
Depreciation7962131Depreciation
Book Value176138BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings15203371TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DEPOSITS54928
OTHER RECEIVABLES560219
RISK POOL RECEIVABLE388416
THIRD PARTY SETTLEMENTS1443995
FieldValueIRS element (for citing)
Total Book Value Other Assets2447558TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
AGENCY PDACTIVE$491
DUE TO STATE (UNCLAIMED PROPERTY)$28,333
DUE TO ASHBY VILLAGE$170,437
DUE TO WBFP$99,789
ELDER'S ACTUALIZATION PROJECT$14,775
NPV FOR PURCHASE - LT$844,434
WBFP NURSING COST - LONGTERM$46,228
FieldValueIRS element (for citing)
Total Of Amounts1204487TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt50422559TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities313487DonatedSrvcAndUseOfFacilities
Other Revenues105036OtherRevenues
Revenue Not Rptd F990418523RevenueNotRptdF990
Revenue Subtotal50004036RevenueSubtotal
Other Revenues Not Included554667OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt554667RevenueNotRptdOnFinStmt
Total Revenue Per Form99050558703TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt49914193TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities313487DonatedServicesUseOfFacilities
Other Expenses Included105036OtherExpensesIncluded
Expenses Not Rptd F990418523ExpensesNotRptdF990
Expenses Subtotal49495670ExpensesSubtotal
Other Expenses Not Included554667OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt554667ExpensesNotRptdOnFinStmt
Total Expenses Per Form99050050337TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:EFFECTIVE JULY 1, 2009, THE ORGANIZATION ADOPTED NEWLY ISSUED GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. UNDER THIS NEW GUIDANCE, THE ORGANIZATION UTILIZES A TWO-STEP APPROACH TO RECOGNIZING AND MEASURING UNCERTAIN TAX POSITIONS. AS OF JUNE 30, 2013, THERE WERE NO LIABILITIES RECORDED FOR UNRECOGNIZED TAX BENEFITS RELATED TO TAX POSITIONS TAKEN IN THE CURRENT YEAR.
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSES RECLASSIFIED 105,036.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 554,667.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSES RECLASSIFIED 105,036.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 554,667.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1FUNDRAISINGNameOfEvent1
Gross Receipts Event1107692GrossReceiptsEvent1
Charitable Contributions Event195042CharitableContributionsEvent1
Gross Revenue Event112650GrossRevenueEvent1
Other Direct Expenses Event175726OtherDirectExpensesEvent1
Name Of Event2FUNDRAISINGNameOfEvent2
Gross Receipts Event287000GrossReceiptsEvent2
Charitable Contributions Event271500CharitableContributionsEvent2
Gross Revenue Event215500GrossRevenueEvent2
Other Direct Expenses Event229310OtherDirectExpensesEvent2
Gross Receipts Total194692GrossReceiptsTotal
Charitable Contributions Total166542CharitableContributionsTotal
Gross Revenue Total Events28150GrossRevenueTotalEvents
Other Direct Expenses Total Events105036OtherDirectExpensesTotalEvents
Direct Expense Summary Events105036DirectExpenseSummaryEvents
Net Income Summary-76886NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARTY LYNCH
CEO203088000000000203088000
BARBARA TOWNER-WINCHESTER
CMO194380000000000194380000
RACHEL FOGEL
MD159993000000024760162469000
LESTER LOVE
AMD16704300000002420167285000
JABARI JONES
PSYCHIATRIST166720000000044810171201000
FLOYD HUEN
MD1603980000000172520177650000
JOSHUA KAYMAN
AMD BEHAVORIAL HEALTH157540000000092120166752000

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990217433NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 12CTHE PROCEDURES TAKEN TO MONITOR AND ENFORCE CONFLICT OF INTEREST IS BASED UPON REQUESTING SIGNED DECLARATIONS FROM BOARD MEMBERS ANNUALLY AND SELF-REPORTING FOR BOARD AND EMPLOYEES.
FORM 990, PART VI, SECTION B, LINE 15PERIODIC MARKET STUDIES ARE COMPLETED TO EVALUATE PAY FOR THE POSITION WITHIN OUR AREA. ANNUAL EVALUATIONS ARE COMPLETED BY THE SUPERVISING PERSON. BOARD REVIEWS CEO'S PERFORMANCE AND DETERMINES COMPENSATION. CEO ALSO REVIEWS MARKET RATE INFORMATION FOR THE CFO AND RECOMMENDS ANNUAL COMPENSATION. THE CFO'S SALARY IS REVIEWED AND APPROVED BY THE BOARD AS REQUIRED IN CALIFORNIA'S INTEGRITY ACT.
FORM 990, PART VI, SECTION C, LINE 19WHEN DOCUMENTS ARE REQUESTED, THE REQUEST IS FORWARDED TO THE RESPONSIBLE INDIVIDUAL TO PROCESS THE REQUEST WHETHER BY E-MAIL OR POSTAGE MAIL.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION'S OVERSIGHT PROCESS OR SELECTION PROCESS WAS NOT CHANGED DURING THIS TAX YEAR.

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