WESTMINSTER FREE CLINIC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: WESTMINSTER FREE CLINIC (EIN 77-0563241)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-06-11
IRS object ID: 201301629349300725
Schema version: 2012v2.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-06-11T10:47:04-07:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SOARES SANDALL BERNACCHI AND PETROVICH LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	405 E ESPLANADE DR STE 300	AddressLine1
City	OXNARD	City
State	CA	State
ZIP Code	930362116	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	770563241	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	WESTMINSTER FREE CLINIC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	WEST	NameControl
Phone	8052418366	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5560 NAPOLEON AVENUE	AddressLine1
City	OAK PARK	City
State	CA	State
ZIP Code	91377	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	LISA SAFAEINILI	Name
Title	Executive Director	Title
Date Signed	2013-06-11	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Sharon Iler Roberts	Name
PTIN	P00710385	PTIN
Phone	8054857965	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	LISA SAFAEINILI	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	5560 NAPOLEON AVENUE	AddressLine1
City	OAK PARK	City
State	CA	State
ZIP Code	91377	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	818041	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	www.westminsterclinic.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2000	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE FREE MEDICAL CARE TO THE HOMELESS AND UNINSURED WORKING POOR RESIDENTS OF EAST VENTURA COUNTY, CA.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	3	TotalNbrEmployees
Total Nbr Volunteers	255	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	551228	ContributionsGrantsPriorYear
Contributions Grants Current Year	811320	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	11301	InvestmentIncomePriorYear
Investment Income Current Year	6721	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-6590	OtherRevenuePriorYear
Other Revenue Current Year	-5594	OtherRevenueCurrentYear
Total Revenue Prior Year	555939	TotalRevenuePriorYear
Total Revenue Current Year	812447	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	236268	SalariesEtcPriorYear
Salaries Etc Current Year	223620	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	356511	OtherExpensePriorYear
Other Expenses Current Year	455055	OtherExpensesCurrentYear
Total Expenses Prior Year	592779	TotalExpensesPriorYear
Total Expenses Current Year	678675	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-36840	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	133772	RevenuesLessExpensesCY
Total Assets BOY	906187	TotalAssetsBOY
Total Assets EOY	1039959	TotalAssetsEOY
Total Liabilities EOY	0	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	906187	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1039959	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO PROVIDE FREE MEDICAL CARE TO THE HOMELESS AND UNINSURED WORKING POOR RESIDENTS OF EAST VENTURA COUNTY, CA.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	383990	Expense
Description	Primary Care/Clinical ServicesOffered to approximately 70-100 patients each clinic night by volunteer doctors and nurses from 5 pm to 10 pm. 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 provided by the clinic so the doctors have 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, podiatrist, dentists, EMT's, counselors, health educators and a dietitian. All clinic services listed are free-of-charge.During the year ended December 31, 2012, the Clinic received a total of $739,869 in in-kind donated professional medical services, $240,000 in donated rent and $171,293 in donated medical supplies.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	107711	Expense
Description	Teen Healthcare Training & Internship ProgramThis 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, Moorpark, Simi Valley, Oak Park, Camarillo, Agoura 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, free college and career counseling as well as SAT prep classes, 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. Most are interested in becoming nurses. 95% to 100% of our graduating students are attending college. For many, they are the first in their family to do so.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	64984	Expense
Description	Case ManagementThis 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, SSI, ACE, and Healthy Families insurance programs. It makes it possible for some patients to obtain insurance they did not think they were eligible for, or for which they didnt 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.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	86565	TotalOfOtherProgramServiceExp
Total Program Service Expense	643250	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	17	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	3	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	KAREN YTURRALDE	NamePerson
Telephone Number	8053836636	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	5288 MEADOWRIDGE CT	AddressLine1
City	CAMARILLO	City
State	CA	State
ZIP Code	93012	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
AMANDA VINSON ESQ
Secretary	2.50	0.00	X	X	0	0	0
JUDY JONES RN
Director	2.50	0.00	X		0	0	0
MANUEL VALDEZ
CFO	2.50	0.00	X	X	0	0	0
JULIE MARTIN
Director	2.50	0.00	X		0	0	0
DR STEVEN KAMAJIAN
President	2.50	0.00	X	X	0	0	0
DR JOHN SULLIVAN
Director	2.50	0.00	X		0	0	0
CYNTHIA B HUGHES EdD PNP
Director	2.50	0.00	X		0	0	0
CYNTHIA M VINSON MFT
CHIEF ACT. OFFI	2.50	0.00	X	X	0	0	0
ADELA AQUINO
COMMUNITY REP.	2.50	0.00	X		0	0	0
WILLIAM T VINSON ESQ
Chairman	2.50	0.00	X	X	0	0	0
LISA SAFAEINILI
Executive Direc	60.00	0.00		X	109299	0	5908

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	109299	TotalReportableCompFromOrg
Total Other Compensation	5908	TotalOtherCompensation
Number Individuals GT100 K	1	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Fundraising Events	25577	FundraisingEvents
Government Grants	168618	GovernmentGrants
All Other Contributions	617125	AllOtherContributions
Noncash Contributions	171293	NoncashContributions
Total Contributions	811320	TotalContributions
Total Program Service Revenue	0	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	6721	TotalRevenueColumn
Exclusion	$6,721	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Cntrbtns Rprtd Fundraising Events	25577	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	5594	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-5594	TotalRevenueColumn
Exclusion	-$5,594	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	812447	TotalRevenueColumn
Exclusion	$1,127	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	109299	Total
Program Services	91082	ProgramServices
Management And General	18217	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	86550	Total
Program Services	86550	ProgramServices

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	11194	Total
Program Services	4268	ProgramServices
Management And General	6926	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	16577	Total
Program Services	15086	ProgramServices
Management And General	1491	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	25602	Total
Program Services	19200	ProgramServices
Management And General	6402	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	102341	Total
Program Services	102341	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	115	Total
Program Services	115	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	942	Total
Program Services	811	ProgramServices
Management And General	131	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	8164	Total
Program Services	8164	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	0	Total

Travel Travel

Field	Value	IRS element (for citing)
Total	4627	Total
Program Services	4627	ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	4921	Total
Program Services	4921	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	13	Total
Program Services	9	ProgramServices
Management And General	4	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2146	Total
Management And General	2146	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	23486	Total
Program Services	23486	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
LABORATORY/DIAGNOSTIC	16061	16061
PHARMACEUTICALS	25940	25940
MEDICAL SUPPLIES	32578	32578
DONATED SUPPLIES EXPENSE	171293	171293

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	36826	Total
Program Services	36718	ProgramServices
Management And General	108	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	678675	Total
Program Services	643250	ProgramServices
Management And General	35425	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	330024	BOY
EOY	456777	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	567430	BOY
EOY	576595	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
EOY	0	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	10725	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	4138	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	8733	BOY
EOY	6587	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	906187	BOY
EOY	1039959	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	906187	BOY
EOY	1039959	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	906187	BOY
EOY	1039959	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	906187	BOY
EOY	1039959	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	133772	ReconcilationRevenueExpenses
Method Of Accounting Cash	X	MethodOfAccountingCash
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	747528	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	400474	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	691101	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	551228	CurrentTaxYearMinus1Year
Current Tax Year	811320	CurrentTaxYear
Total	3201651	Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

Field	Value	IRS element (for citing)
Total	0	Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	747528	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	400474	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	691101	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	551228	CurrentTaxYearMinus1Year
Current Tax Year	811320	CurrentTaxYear
Total	3201651	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	694237	AmountsSubstContributorsTotal
Public Support Total170	2507414	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	12778	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4387	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	5982	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	11301	CurrentTaxYearMinus1Year
Current Tax Year	6721	CurrentTaxYear
Total	41169	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Total Support	3242820	TotalSupport
Public Support Pertcentage170	0.77320	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.81180	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10725	OtherCostOrOtherBasis
Depreciation	4138	Depreciation
Book Value	6587	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	6587	TotalOfBookValueLandBuildings

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Agreement Ref Fundraising	false	AgreementRefFundraising

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	RAFFLE	NameOfEvent1
Gross Receipts Event1	17965	GrossReceiptsEvent1
Charitable Contributions Event1	17965	CharitableContributionsEvent1
Other Direct Expenses Event1	4260	OtherDirectExpensesEvent1
Name Of Event2	GALA	NameOfEvent2
Gross Receipts Event2	7612	GrossReceiptsEvent2
Charitable Contributions Event2	7612	CharitableContributionsEvent2
Other Direct Expenses Event2	1334	OtherDirectExpensesEvent2
Gross Receipts Total	25577	GrossReceiptsTotal
Charitable Contributions Total	25577	CharitableContributionsTotal
Other Direct Expenses Total Events	5594	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	5594	DirectExpenseSummaryEvents
Net Income Summary	-5594	NetIncomeSummary

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	10000	NumberOfContributions
Noncash Contribs Rptd F990	171293	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE FINANCIAL STATEMENTS ARE MADE AVAILABLE ONLINE AT: http://www2.guidestar.org/
Form 990, Part VI, Line 15b	Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	The 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, Line 15a	Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	The 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, Line 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	A COPY OF THE 990 IS PRESENTED TO AND REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS, PRESIDENT AND EXECUTIVE DIRECTOR. IN ADDITION, A COPY OF THE FINAL 990 IS PROVIDED TO EACH BOARD MEMBER.
Form 990, Part VI, Line 2	Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	The board of directors William Vinson, Cynthia Vinson and Amanda Vinson are related.
Form 990, Part III, Line 4d	Form 990, Part III, Line 4d: Other Program Services Description	OTHER PROGRAM SERVICES 4: Mental Health CounselingThe counselor is Spanish and English speaking. Family, group sessions and individual counseling is provided during clinic hours. The counselor works closely with WFC physicians to address health conditions brought on by psychological issues. Client visits average 4-5 sessions. OTHER PROGRAM SERVICES 5: Diabetes Management & Education Program Including Community Outreach 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) one-on-one counseling with the dietitian, and 7) free medications, glucometer and test strips. All services are provided in Spanish and English. The need to identify people earlier with chronic disease issues like diabetes and high blood pressure has been evident for a long time. Through WFC's Community Outreach Program, it 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 programs 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.
		Client Note 1 - Reconciliation from books to Form 990Book revenue $ 1,797,909 Book expenses $ 1,664,137Less:donated services Less: donated services and facilities (979,869) and facilities (979,869)Less: Special events expenses (5,594) (5,594)Rounding 1 1 --------- --------990 Revenue $ 812,447 990 Expenses $ 678,675 ========= ========Revenue Per 990 $ 812,447 Expenses Per 990 $ 678,675Less: In-Kind Supplies (171,293) Less: In-Kind Supplies (171,293) ---------- --------Cash Basis Revenue $ 641,154 Cash Basis Expenses $ 507,382 ========= =========