WESTMINSTER FREE CLINIC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
WESTMINSTER FREE CLINIC (EIN 77-0563241)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-09-05
IRS object ID
201432489349300953
Schema version
2013v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-09-05T20:54:54-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN954656881PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1QUIGLEY & MIRON CPA'SBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13550 WILSHIRE BOULEVARD-SUITE 1660AddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code900102481ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN770563241EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WESTMINSTER FREE CLINICBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlWESTBusinessNameControlTxt
Phone8052418366PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15560 NAPOLEON AVENUEAddressLine1
CityOAK PARKCity
StateCAState
ZIP Code91377ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLISA SAFAEINILIPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8052418366PhoneNum
Signature2014-08-31SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN BOVARD MIRONPreparerPersonNm
PTINP01358141PTIN
Phone2136393550PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLISA SAFAEINILIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15560 NAPOLEON AVENUEAddressLine1
CityOAK PARKCity
StateCAState
ZIP Code91377ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$943,497GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.WESTMINSTERCLINIC.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE FREE MEDICAL CARE TO THE HOMELESS AND UNINSURED WORKING POOR RESIDENTS OF EAST VENTURA COUNTY, CA.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers335TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$811,320PYContributionsGrantsAmt
CY Contributions Grants$939,676CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$6,721PYInvestmentIncomeAmt
CY Investment Income$3,821CYInvestmentIncomeAmt
PY Other Revenue-$5,594PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$812,447PYTotalRevenueAmt
CY Total Revenue$943,497CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$223,620PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$254,393CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$45,909CYTotalFundraisingExpenseAmt
PY Other Expenses$455,055PYOtherExpensesAmt
CY Other Expenses$695,454CYOtherExpensesAmt
PY Total Expenses$678,675PYTotalExpensesAmt
CY Total Expenses$949,847CYTotalExpensesAmt
PY Revenues Less Expenses$133,772PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,350CYRevenuesLessExpensesAmt
Total Assets BOY$1,039,959TotalAssetsBOYAmt
Total Assets EOY$1,197,349TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,028TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,039,959NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,192,321NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE FREE MEDICAL CARE TO THE HOMELESS AND UNINSURED WORKING POOR RESIDENTS OF EAST VENTURA COUNTY, CA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$337,832ExpenseAmt
DescPRIMARY HEALTH CARE--OFFERED TO APPROXIMATELY 100 PATIENTS EACH CLINIC NIGHT BY VOLUNTEER DOCTORS AND NURSES FROM 6 PM TO 10 PM, (4-5 PM CHECK-IN). SERVICES ARE PROVIDED ON A FIRST-COME-FIRST-SERVE BASIS, EXCEPT FOR CHILDREN, WHO TAKE PRIORITY. DOCTORS' SERVICES ARE NON-INVASIVE AND INCLUDE DIAGNOSIS, WRITING PRESCRIPTIONS AND MAKING REFERRALS. LAB TESTS, AND DIAGNOSTIC TESTS ARE PAID FOR AT DISCOUNTED RATES BY THE CLINIC TO PROVIDE THE DOCTORS WITH MORE INFORMATION. OTHER PRIMARY HEALTH CARE SERVICES INCLUDE: BI-MONTHLY IMMUNIZATIONS, FLU SHOTS AND TB TESTING, WEEKLY BLOOD PRESSURE AND BLOOD GLUCOSE TESTING, DENTAL SCREENING AND EDUCATION, CHIROPRACTIC & PHYSICAL THERAPY SERVICES, MENTAL HEALTH COUNSELING, NUTRITION COUNSELING, REFERRALS, A FAMILY LITERACY PROGRAM CALLED REACH OUT AND READ, HEALTH EDUCATION CLASSES AND REFERRALS FOR FREE GLASSES AND MAMMOGRAMS. MEDICAL VOLUNTEERS INCLUDE DOCTORS, NURSE PRACTITIONERS, NURSES, PHARMACISTS, CHIROPRACTORS, PHYSICAL THERAPISTS, DENTISTS, PHLEBOTOMISTS, MEDICAL TECHNOLOGISTS, PSYCHOLOGISTS, COUNSELORS, HEALTH EDUCATORS AND A DIETITIAN. ALL CLINIC SERVICES LISTED ARE FREE-OF-CHARGE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$230,000ExpenseAmt
DescTEEN HEALTHCARE INTERNSHIP TRAINING AND EDUCATION PROGRAM--THIS PROGRAM OFFERS LOCAL TEENS AN OPPORTUNITY TO BE MENTORED BY HEALTHCARE PROFESSIONALS VOLUNTEERING AT THE CLINIC TO IMPROVE THE MEDICAL WELFARE OF FELLOW COMMUNITY MEMBERS WHO DO NOT HAVE HEALTH INSURANCE AND ACCESS TO HEALTHCARE. OVER 80 LOCAL HIGH SCHOOL STUDENTS FROM NEWBURY PARK, THOUSAND OAKS, OAK PARK, MOORPARK, SIMI VALLEY AND WESTLAKE HIGH SCHOOLS (50% ARE MINORITY LOW INCOME TEENS WHO HAVE DREAMS OF PURSUING CAREERS IN HEALTHCARE) HAVE THE OPPORTUNITY TO VOLUNTEER AND ASSIST DIRECTLY WITH THE DELIVERY OF PATIENT SERVICES, AND ALSO RECEIVE EDUCATION, FIELDTRIPS, TRAINING IN HEALTHCARE FIELDS, AS WELL AS MENTORING AND JOB SHADOWING OPPORTUNITIES. IT IS A 2-YEAR COMMITMENT FOR THE STUDENT, WITH MOST STAYING LONGER. THE STUDENTS ENJOY HELPING THEIR COMMUNITY AND BEING PART OF A MEDICAL TEAM. 100% OF OUR GRADUATING STUDENTS ARE ATTENDING COLLEGE. FOR MANY, THEY ARE THE FIRST IN THEIR FAMILY TO DO SO.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$67,181ExpenseAmt
DescHEALTH ADVOCACY (CASE MANAGEMENT)--THIS PROGRAM CREATES LINKAGES TO COMMUNITY RESOURCES, LEVERAGES HEALTH CARE AT A DISCOUNTED RATE OR FOR FREE FROM LOCAL MEDICAL SPECIALISTS, DENTISTS AND OPTOMETRISTS. FOR EXAMPLE OUR OPTOMETRISTS PROVIDE FREE EYE EXAMS AND GLASSES FOR THE CHILDREN AND ADULTS WE REFER TO THEM. WE PARTNER WITH LOCAL SCHOOLS TO MAKE SURE ALL CHILDREN RECEIVE THE VISION CARE AND GLASSES THEY NEED TO SUCCEED. THE CASE MANAGER ALSO SETS UP PATIENT APPOINTMENTS AND HELPS PATIENTS FOLLOW THROUGH WITH THEIR PLAN OF CARE PROVIDED BY OUR DOCTORS. ELIGIBLE PATIENTS ARE ALSO ASSISTED WITH THE PAPERWORK RELATED TO MEDI-CAL, MEDICARE, AND SSI. WFC HAS CERTIFIED EDUCATORS TO HELP PEOPLE LEARN ABOUT COVERED CA SO THEY CAN SEE IF THEY QUALIFY. OUR GOAL IS TO SERVE THOSE WITH NO OTHER OPTIONS. IT MAKES IT POSSIBLE FOR SOME PATIENTS TO OBTAIN INSURANCE THEY DID NOT THINK THEY WERE ELIGIBLE FOR, OR FOR WHICH THEY DIDN'T KNOW HOW TO FILL OUT THE CORRECT PAPERS. THE CASE MANAGER ALSO CREATES PARTNERSHIPS WITH PHARMACEUTICAL AND MEDICAL SUPPLY COMPANIES (EG. THE PATIENT ASSISTANCE PROGRAM (PAP)) TO ACCESS FREE MEDICATIONS AND OTHER SUPPLIES FOR PATIENTS WITH CHRONIC HEALTH CONDITIONS. SHE ADVICES FOR PATIENTS IN A NUMBER OF WAYS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)

ExpenseExpenseAmtDescDesc
$103,000MI FAMILIA: A FAMILY DIABETES MANAGEMENT AND EDUCATION PROGRAM--THIS PROGRAM ASSISTS PARENTS WHO HAVE TYPE 2 DIABETES WITH EDUCATION AND EARLY TREATMENT. THE PURPOSE OF THIS PROGRAM IS ALSO TO HELP PREVENT CHILDREN FROM GETTING DIABETES LIKE THEIR PARENTS. HIGH SCHOOL INTERNS AND A COLLEGE STUDENT WORK IN PARTNERSHIP WITH THE BI-LINGUAL HEALTH EDUCATOR AND DIETITIAN TO IMPLEMENT THE PROGRAM. PROGRAM PARTICIPANTS ARE ENCOURAGED TO GET INVOLVED TOO. WHILE THEY ARE HELPING THEY ARE ALSO LEARNING HOW THEY CAN IMPROVE THEIR OWN FAMILY'S HEALTH. THE PROGRAM INCLUDES: 1) PERSONAL DIETARY AND EXERCISE PLANNING, GOAL SETTING AND MONITORING, 2)QUARTERLY LAB TESTS 3) WEEKLY GLUCOSE FINGER STICKS 4) WEIGHT AND CIRCUMFERENCE MEASURES, 5)WEEKLY NUTRITION CLASSES AND FOOD DEMONSTRATIONS, 6) VISITS WITH THE DIETITIAN, 7) FREE MEDICATIONS, GLUCOMETER AND TEST STRIPS, 8) APPOINTMENTS WITH OUR PODIATRIST AND OPHTHALMOLOGIST. ALL SERVICES ARE PROVIDED IN SPANISH.
$35,000TEEN PROMOTORES HEALTH OUTREACH & ADVOCACY PROGRAM--THE NEED TO IDENTIFY PEOPLE EARLIER WITH CHRONIC DISEASE ISSUES LIKE DIABETES AND HIGH BLOOD PRESSURE HAS BEEN EVIDENT FOR A LONG TIME. THROUGH FUNDING RECEIVED SPECIFICALLY FOR THIS PURPOSE, WFC PARTNERS WITH THE BUSINESS COMMUNITY WHO HAVE UNINSURED EMPLOYEES AT THEIR WORKPLACE (E-HIP) AND LOCATIONS NEARBY WHERE PEOPLE ARE ALREADY GOING (E.G. THE LAUNDRY MAT, LATINO MARKETS) TO PROVIDE FREE BLOOD PRESSURE, AND BLOOD SUGAR SCREENING AS WELL AS HEALTH EDUCATION AND RESOURCE REFERRAL. WE HAVE ALSO BEEN ABLE TO IMPLEMENT ENVIRONMENTAL CHANGE STRATEGIES (HEAL) (E.G. LATINO MARKETS OFFERING DIABETIC FRIENDLY FOOD CHOICES THAT WE ARE TELLING THE PATIENTS THEY SHOULD EAT) SO CLIENTS ARE ACTUALLY ABLE TO CHANGE THEIR EATING HABITS THE WAY THE DOCTORS, DIETITIAN AND HEALTH EDUCATORS AT OUR CLINIC CLASSES ARE TELLING THEM TO (E.G. DRINK 1% OR SKIM MILK INSTEAD OF WHOLE MILK). OUR TEEN "PROMOTORES" INTERNS WHO ARE ALREADY TRAINED INTERNS AT OUR CLINIC ARE INVOLVED IN ALL ASPECTS OF THE PROGRAM PLANNING, MARKETING, EVALUATION, ASSESSMENT AND DIRECT SERVICE. THE STUDENTS ARE INSTRUMENTAL IN THE PROGRAM'S SUCCESS. A BI-LINGUAL HEALTH EDUCATOR RUNS THE PROGRAM AND WE HAVE MANY STORIES OF PEOPLE WITH BLOOD SUGARS OVER 400 (200 OR LOWER IS ACCEPTABLE FOR NON-FASTING PERSONS) AND PEOPLE WITH VERY HIGH BLOOD PRESSURE WHO DID NOT KNOW ABOUT THEIR SERIOUS HEALTH SITUATION UNTIL THEY ATTENDED ONE OF OUR SCREENINGS. THE MAJORITY ARE NOW PATIENTS AT OUR FREE CLINIC AND GETTING THEIR HEALTH CONDITIONS UNDER CONTROL.
$7,000Z-TAP : A FAMILY VIOLENCE PREVENTION & MENTAL HEALTH AWARENESS TRAIN-THE-TRAINER PROGRAM--THE Z-TAP (ZONTA TRAINING AND ADVOCACY PROGRAM) IS DESIGNED TO TRAIN WOMEN FROM OUR COMMUNITY TO BECOME COMMUNITY EDUCATORS. PARTICIPANTS ARE ENROLLED IN AN 8-WEEK TRAINING COURSE WHERE THEY LEARN FAMILY VIOLENCE PREVENTION TECHNIQUES, AS WELL AS THE WARNING SIGNS FOR MENTAL ILLNESS, ANXIETY, DEPRESSION, SUICIDE AND DOMESTIC VIOLENCE. THOSE INTERESTED ARE THEN PLACED INTO TEACHING GROUPS WHERE THEY ARE MENTORED AND SUPERVISED TO LEAD TRAININGS IN THEIR COMMUNITY AND TEACH OTHERS WHAT THEY HAVE LEARNED. THESE CLASSES ARE CURRENTLY TAUGHT IN SPANISH AND EMPOWER THE PARTICIPANTS TO BE COMMUNITY LEADERS. THE PROGRAM EMPOWERS WOMEN WHO MAY BE IN DOMESTIC VIOLENCE SITUATIONS TO HELP THEMSELVES, THEIRCHILDREN AND THEIR COMMUNITY. THE PROGRAM IS OFFERED AT TITLE 1 SCHOOLS, CHURCHES AND OTHER LOCATIONS WHERE PARENTS NATURALLY CONGREGATE. THE PROGRAM WAS DEVELOPED BY THE AMERICAN PSYCHOLOGICAL ASSOCIATION AND HAS BEEN EFFECTIVE ACROSS THE COUNTRY. OVER 300 WOMEN HAVE BEEN TRAINED BY WFC SO FAR. FUNDING FOR THE PROGRAM COMES FROM ZONTA OF THE CONEJO HTTP://WWW.ZONTACV.ORG.
$36,739MENTAL HEALTH COUNSELING--THE WFC COUNSELOR IS SPANISH AND ENGLISH SPEAKING. FAMILY, GROUP SESSIONS AND INDIVIDUAL COUNSELING ARE PROVIDED DURING CLINIC HOURS. THE COUNSELOR ALSO WORKS CLOSELY WITH WFC PHYSICIANS TO ADDRESS HEALTH CONDITIONS BROUGHT ON BY PSYCHOLOGICAL ISSUES. CLIENT VISITS AVERAGE 4-5 SESSIONS.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$181,739TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$816,752TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee4EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKAREN YTURRALDEPersonNm
Phone8053836636PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15288 MEADOWRIDGE CTAddressLine1
CityCAMARILLOCity
StateCAState
ZIP Code93012ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DR STEVEN KAMAJIAN
PRESIDENT3.00Yes (X)Yes (X)$0$0$0
WILLIAM T VINSON ESQ
CHAIRMAN1.30Yes (X)Yes (X)$0$0$0
JUDY JONES RN
DIRECTOR2.50Yes (X)$0$0$0
JULIE MARTIN
DIRECTOR2.50Yes (X)$0$0$0
ALICIA RINCON
DIRECTOR2.50Yes (X)$0$0$0
MANUAL VALDEZ
CHIEF FINANCIAL OFFICER4.00Yes (X)Yes (X)$0$0$0
DR JOHN SULLIVAN
DIRECTOR1.30Yes (X)$0$0$0
CYNTHIA M VINSON MFT
CHIEF ACTING OFFICER6.30Yes (X)Yes (X)$0$0$0
CYNTHIA B HUGHES EDD PNP
DIRECTOR2.50Yes (X)$0$0$0
LISA SAFAEINILI
EXECUTIVE DIRECTOR60.00Yes (X)$121,771$0$17,730
AMANDA M VINSON ESQ
SECRETARY (N0N-VOTING)2.50Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$121,771TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$17,730TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$226,946GovernmentGrantsAmt
All Other Contributions$712,730AllOtherContributionsAmt
Noncash Contributions$404,243NoncashContributionsAmt
Total Contributions$939,676TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,821TotalRevenueColumnAmt
Exclusion$3,821ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$943,497TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,821ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$139,501TotalAmt
Program Services$84,077ProgramServicesAmt
Management And General$27,712ManagementAndGeneralAmt
Fundraising$27,712FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$96,484TotalAmt
Program Services$96,484ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$18,408TotalAmt
Program Services$14,300ProgramServicesAmt
Management And General$2,054ManagementAndGeneralAmt
Fundraising$2,054FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$18,757TotalAmt
Management And General$8,879ManagementAndGeneralAmt
Fundraising$9,878FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$37,079TotalAmt
Management And General$37,079ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$127,080TotalAmt
Program Services$127,080ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$27,595TotalAmt
Program Services$12,433ProgramServicesAmt
Management And General$9,144ManagementAndGeneralAmt
Fundraising$6,018FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,200TotalAmt
Program Services$7,200ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,210TotalAmt
Program Services$1,716ProgramServicesAmt
Management And General$247ManagementAndGeneralAmt
Fundraising$247FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,818TotalAmt
Program Services$11,747ProgramServicesAmt
Management And General$2,071ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$454,945$454,945
STIPEND$2,980$2,980
ELECT HEALTH RECORD SYS$2,500$2,500
TRAINING & DEVELOPMENT$1,290$1,290

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$949,847TotalAmt
Program Services$816,752ProgramServicesAmt
Management And General$87,186ManagementAndGeneralAmt
Fundraising$45,909FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$456,777BOYAmt
EOY$520,022EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$576,595BOYAmt
EOY$142,108EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$72,123EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$14,146EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,024LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,348LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$6,676EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,587BOYAmt
EOY$442,274EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,039,959BOYAmt
EOY$1,197,349EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$5,028EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$5,028EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,039,959BOYAmt
EOY$947,135EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$245,186EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,039,959BOYAmt
EOY$1,192,321EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,039,959BOYAmt
EOY$1,197,349EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$6,350ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$246NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$158,466OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$400,474CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$691,101CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$551,228CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$811,320CurrentTaxYearMinus1YearAmt
Current Tax Year$929,212CurrentTaxYearAmt
Total$3,383,335TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$400,474CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$691,101CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$551,228CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$811,320CurrentTaxYearMinus1YearAmt
Current Tax Year$929,212CurrentTaxYearAmt
Total$3,383,335TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$943,129SubstantialContributorsTotAmt
Public Support Total170$2,440,206PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,387CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,982CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,301CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,721CurrentTaxYearMinus1YearAmt
Current Tax Year$3,821CurrentTaxYearAmt
Total$32,212TotalAmt
FieldValueIRS element (for citing)
Total Support$3,415,547TotalSupportAmt
Public Support CY1700.71440PublicSupportCY170Pct
Public Support PY1700.77320PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,024OtherCostOrOtherBasisAmt
Depreciation$6,348DepreciationAmt
Book Value$6,676BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,676TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,197,425TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$246NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$1,253,682DonatedServicesAndUseFcltsAmt
Revenue Not Reported$1,253,928RevenueNotReportedAmt
Revenue Subtotal$943,497RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$943,497TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,203,529TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$1,253,682DonatedServicesUseFcltsAmt
Expenses Not Reported$1,253,682ExpensesNotReportedAmt
Expenses Subtotal$949,847ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$949,847TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING STANDARDS REQUIRE AN ORGANIZATION TO EVALUATE ITS TAX POSITIONS AND PROVIDE FOR A LIABILITY FOR ANY POSITIONS THAT WOULD NOT BE CONSIDERED 'MORE LIKELY THAN NOT' TO BE UPHELD UNDER A TAX AUTHORITY EXAMINATION. MANAGEMENT HAS EVALUATED ITS TAX POSITIONS AND HAS CONCLUDED THAT A PROVISION FOR A TAX LIABILITY IS NOT NECESSARY AT DECEMBER 31, 2013. GENERALLY, THE ORGANIZATION'S INFORMATION RETURNS REMAIN OPEN FOR EXAMINATION THREE (FEDERAL) OR FOUR (STATE OF CALIFORNIA) YEARS FROM THE DATE OF FILING.ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$8,880NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution10000ContributionCnt
Noncash Contributions Rpt F990$395,363NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2WILLIAM VINSON, CYNTHIA VINSON, AND AMANDA VINSON ARE RELATED FAMILY MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS PRESENTED, REVIEWED, AND APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO ITS FILING.
FORM 990, PART VI, SECTION B, LINE 12CAT THE TIME A NEW BOARD MEMBER JOINS THE BOARD OF DIRECTORS, THEY ARE INFORMED OF THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. PRIOR TO A VOTE ON ANY BOARD ISSUE, VOTING BOARD MEMBERS ARE TO IDENTIFY ANY POTENTIAL CONFLICT OF INTEREST RELATING TO THEIR PARTICIPATION IN THE VOTE BEFORE THE BOARD AND ABSTAIN FROM VOTING WHERE A CONFLICT OF INTEREST IS CONSIDERED TO EXIST.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S BOARD OF DIRECTORS REVIEW AND APPROVE THE COMPENSATION PAID TO ALL OF THE ORGANIZATION'S EMPLOYEES DURING THE BOARD OF DIRECTOR'S BUDGET MEETINGS, OR WHENEVER A NEW OFFICER OR KEY EMPLOYEE IS HIRED.
FORM 990, PART VI, SECTION C, LINE 19FINANCIALS STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE FINANCIAL STATEMENTS ARE MADE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART IX, LINE 11GPROGRAM CONSULTANTS: PROGRAM SERVICE EXPENSES 127,080. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 127,080.
FORM 990, PART XI, LINE 9:CONVERSION OF ACCOUNTING METHOD FROM CASH TO ACCRUAL 158,466.
FORM 990, PART XII, LINE 1:THE ORGANIZATION CONVERTED TO THE ACCRUAL BASIS OF ACCOUNTING.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION'S BOARD OF DIRECTORS HAS RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATMENTS AND SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS CHANGED FROM THE PRIOR YEAR.

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