CLINICA MSR OSCAR A ROMERO: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CLINICA MSR OSCAR A ROMERO (EIN 95-3881333)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-15
- IRS object ID
- 201311359349309961
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-15T21:52:11-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330700332 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VASQUEZ & COMPANY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 SOUTH GRAND AVE SUITE 400 | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90017 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953881333 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLINICA MSR OSCAR A ROMERO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CLIN | NameControl |
| Phone | 3239871401 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2032 MARENGO STREET | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90033 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT DESMOND | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 2132012745 | Phone |
| Date Signed | 2013-05-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GILBERT R VASQUEZ | Name |
| PTIN | P00743144 | PTIN |
| Phone | 2138731700 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ALBERT PACHECO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2032 MARENGO ST | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90033 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 8629923 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CLINICAROMERO.COM/ | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1983 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE FREE OR LOW COST, HIGH QUALITY MEDICAL,PSYCHOLOGICAL, DENTAL, LEGAL, SOCIAL, VOCATIONAL, EDUCATIONAL AND RELATED SERVICES TO THE POOR AND UNDER SERVED OF LOS ANGELES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 167 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4822159 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3855566 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 3565410 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4594191 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1413 | InvestmentIncomePriorYear |
| Investment Income Current Year | 343 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 122868 | OtherRevenuePriorYear |
| Other Revenue Current Year | 179823 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 8511850 | TotalRevenuePriorYear |
| Total Revenue Current Year | 8629923 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 7092527 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5782287 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4002769 | OtherExpensePriorYear |
| Other Expenses Current Year | 3370377 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 11095296 | TotalExpensesPriorYear |
| Total Expenses Current Year | 9152664 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2583446 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -522741 | RevenuesLessExpensesCY |
| Total Assets BOY | 8721064 | TotalAssetsBOY |
| Total Assets EOY | 9194194 | TotalAssetsEOY |
| Total Liabilities BOY | 4931285 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 5927156 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3789779 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3267038 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDE FREE OR LOW COST, HIGH QUALITY MEDICAL,PSYCHOLOGICAL, DENTAL, LEGAL, SOCIAL, VOCATIONAL, EDUCATIONAL AND RELATED SERVICES TO THE POOR AND UNDER SERVED OF LOS ANGELES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 4911104 | Expense |
| Description | PROVIDED FREE AND LOW COST MEDICAL SERVICES TO THE POOR AND UNDER SERVED OF DOWNTOWN LOS ANGELES | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 463825 | Expense |
| Description | PROVIDED FREE AND LOW COST DENTAL SERVICES TO THE POOR AND UNDER SERVED OF DOWNTOWN LOS ANGELES | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 477247 | Expense |
| Description | PROVIDED FREE AND LOW COST HEALTH SERVICES TO THE POOR AND UNDER SERVED OF DOWNTOWN LOS ANGELES | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 5852176 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 28 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 167 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | 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
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALBERT PACHECO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2132012745 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2032 MARENGO STREET | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90033 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (11 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| ANA Y MARTINEZ | ||||||
| VICE PRESIDENT | 1.00 | X | X | 0 | 0 | 0 |
| JOSE ARTURO RUVALCABA | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| CARLOS ANTONIO H VAQUERANO | ||||||
| PRESIDENT | 1.00 | X | X | 0 | 0 | 0 |
| JONATHAN MIRANDA CANAS | ||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| PABLO LOPEZ | ||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 |
| LESLIE LAMBERT | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| IVONNENANETTE MACHADO | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MARIA ELENA GARCIA | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| ADALY UGALDE | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| ALBERT PACHECO | ||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 126294 | 0 | 0 | |
| ROBERT DESMOND | ||||||
| FINANCE DIRECTOR | 40.00 | X | 20941 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 147235 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 2242144 | GovernmentGrants |
| All Other Contributions | 1613422 | AllOtherContributions |
| Total Contributions | 3855566 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENU | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 4594191 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4594191 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4594191 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 343 | TotalRevenueColumn |
| Exclusion | $343 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 84578 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 84578 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 84578 | TotalRevenueColumn |
| Related Or Exempt Function Income | 84578 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER INCOME | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 95245 | TotalRevenueColumn |
| Related Or Exempt Function Income | 95245 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 95245 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8629923 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4774014 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $343 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 147235 | Total |
| Program Services | 147235 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4055425 | Total |
| Program Services | 2284004 | ProgramServices |
| Management And General | 1771421 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1204900 | Total |
| Program Services | 697306 | ProgramServices |
| Management And General | 507594 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 374727 | Total |
| Program Services | 216780 | ProgramServices |
| Management And General | 157947 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30119 | Total |
| Program Services | 13846 | ProgramServices |
| Management And General | 16273 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20890 | Total |
| Program Services | 8379 | ProgramServices |
| Management And General | 12511 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 100025 | Total |
| Program Services | 43227 | ProgramServices |
| Management And General | 56798 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 461508 | Total |
| Program Services | 276094 | ProgramServices |
| Management And General | 185414 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87677 | Total |
| Program Services | 52606 | ProgramServices |
| Management And General | 35071 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACTED SERVICES | 685399 | 661525 | 23874 |
| LABORATORY | 345157 | 345157 | |
| PHARMACY | 269147 | 269147 | |
| BUILDING & EQUIPMENT RE | 262577 | 203951 | 58626 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1107878 | Total |
| Program Services | 632919 | ProgramServices |
| Management And General | 474959 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9152664 | Total |
| Program Services | 5852176 | ProgramServices |
| Management And General | 3300488 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 825849 | BOY |
| EOY | 267824 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1467959 | BOY |
| EOY | 1624517 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 347153 | BOY |
| EOY | 1425697 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 9188 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8897 | BOY |
| EOY | 13582 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 8883228 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3057101 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6052950 | BOY |
| EOY | 5826127 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18256 | BOY |
| EOY | 27259 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8721064 | BOY |
| EOY | 9194194 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1408840 | BOY |
| EOY | 1750816 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3522445 | BOY |
| EOY | 4176340 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4931285 | BOY |
| EOY | 5927156 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2523112 | BOY |
| EOY | 1915376 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1266667 | BOY |
| EOY | 1351662 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3789779 | BOY |
| EOY | 3267038 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8721064 | BOY |
| EOY | 9194194 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -522741 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
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 | 10295239 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9753782 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10116342 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8387569 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8449757 | CurrentTaxYear |
| Total | 47002689 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10295239 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9753782 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10116342 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8387569 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8449757 | CurrentTaxYear |
| Total | 47002689 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 47002689 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 5408 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5017 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1413 | CurrentTaxYearMinus1Year |
| Current Tax Year | 343 | CurrentTaxYear |
| Total | 12181 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 122524 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 108625 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 122868 | CurrentTaxYearMinus1Year |
| Current Tax Year | 179823 | CurrentTaxYear |
| Total | 533840 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 47548710 | TotalSupport |
| Public Support Pertcentage170 | 0.98850 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99390 | 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
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1618324 | OtherCostOrOtherBasis |
| Book Value | 1618324 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2841218 | OtherCostOrOtherBasis |
| Depreciation | 1019033 | Depreciation |
| Book Value | 1822185 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2273730 | OtherCostOrOtherBasis |
| Depreciation | 1019033 | Depreciation |
| Book Value | 1254697 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2149956 | OtherCostOrOtherBasis |
| Depreciation | 1019035 | Depreciation |
| Book Value | 1130921 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5826127 | TotalOfBookValueLandBuildings |
| Total Revenue | 8629923 | TotalRevenue |
| Total Expenses | 9152664 | TotalExpenses |
| Excess Or Deficit For Year | -522741 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -522741 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 8680479 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 50556 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 50556 | RevenueNotRptdF990 |
| Revenue Subtotal | 8629923 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 8629923 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 9203220 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 50556 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 50556 | ExpensesNotRptdF990 |
| Expenses Subtotal | 9152664 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 9152664 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE CORPORATION QUALIFIES AS A TAX EXEMPT ORGANIZATION UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE 23701D. THE CORPORATION HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED RELATE TO THE CORPORATIONS CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE ARE UNRELATED BUSINESS INCOME ACTIVITIES THAT WOULD BE TAXABLE. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS WILL MORE LIKELY THAN NOT (>50%) BE SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURE OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE CORPORATION FILES INFORMATION RETURNS IN THE US FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA. WITH FEW EXCEPTIONS, THE CORPORATION IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2008. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | DONATED SERVICES EXCLUDED IN INCOME |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | CLINICA MSR. OSCAR A. ROMERO OUTSIDE AUDITORS AND FINANCE STAFF PREPARE THE FORM 990. THE FORM IS THEN REVIEWED AND APPROVED BY THE ORGANIZATION'S CONTROLLER OR CHIEF FINANCIAL OFFICER AND CHIEF EXECUTIVE OFFICER. THE FORM IS THEN SENT TO THE FULL BOARD BEFORE MAILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | CLINICA MSR. OSCAR A. ROMERO (CMOAR) REQUIRES ALL EMPLOYEES TO DISCLOSE, AT LEAST ANNUALLY, ALL SOURCES OF INCOME FROM COMPENSATION OR FROM OWNERSHIP OF EVERY OUTSIDE ENTITY THAT (A) SOLD, SUPPLIED OR PROVIDED SERVICES (B) OPERATED A COMPETING ENTERPRISE OR (C) PROVIDED GOODS OR SERVICES TO CMOAR IN THE LAST SIX MONTHS. CMOAR ALSO REQUIRES ALL DIRECTORS TO ANNUALLY SIGN A STATEMENT AFFIRMING (A) RECEIPT OF CMOAR CONFLICT OF INTEREST POLICY (B) UNDERSTANDING OF THE POLICY AND (C) AGREEMENT WITH THE POLICY. CMOAR CONFLICT OF INTEREST POLICY DESCRIBES HOW CMOAR WILL RESOLVE POSSIBLE CONFLICTS OF INTEREST. | |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD REVIEWED CLINICA MSR OSCAR A. ROMERO CEO'S COMPENSATION. THE BOARD REVIEWED DATA OF COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED NONPROFIT EXECUTIVES. THE OCCURRENCE OF THESE DELIBERATION ARE NOTED IN THE BOARD MINUTES. | |
| FORM 990, PART VI, SECTION C, LINE 19 | SOME OR ALL OF THESE ITEMS MAYBE AVAILABLE AS PART OF A PUBLIC GRANT APPLICATION. HOWEVER, THERE IS NO PROCESS FOR MAKING THESE AVAILABLE TO THE PUBLIC. | |
| FORM 990, PART X, LINE 24E | TELEPHONE & UTILITIES: PROGRAM SERVICE EXPENSES 49,021. MANAGEMENT AND GENERAL EXPENSES 142,039. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 191,060. BAD DEBTS EXPENSE: PROGRAM SERVICE EXPENSES 169,600. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 169,600. PROFESSIONAL & CONSULTING FEES: PROGRAM SERVICE EXPENSES 81,004. MANAGEMENT AND GENERAL EXPENSES 86,208. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 167,212. HAZARDOUS WASTE DISPOSAL: PROGRAM SERVICE EXPENSES 115,901. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 115,901. MEDICAL, DENTAL & CHARTING SUPPLIES: PROGRAM SERVICE EXPENSES 100,416. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 100,416. MAINTENANCE & REPAIRS: PROGRAM SERVICE EXPENSES 17,922. MANAGEMENT AND GENERAL EXPENSES 72,913. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,835. SECURITY: PROGRAM SERVICE EXPENSES 31,734. MANAGEMENT AND GENERAL EXPENSES 53,657. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,391. BANK & PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 23,823. MANAGEMENT AND GENERAL EXPENSES 30,818. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,641. ORGANIZATIONAL DUES & SUBSCRIPTION: PROGRAM SERVICE EXPENSES 21,684. MANAGEMENT AND GENERAL EXPENSES 19,348. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,032. OTHER PROGRAM COSTS: PROGRAM SERVICE EXPENSES 13,215. MANAGEMENT AND GENERAL EXPENSES 21,246. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,461. OTHER ADMINISTRATIVE COSTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 28,662. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,662. TAXES & LICENSES: PROGRAM SERVICE EXPENSES 6,284. MANAGEMENT AND GENERAL EXPENSES 10,702. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,986. PRINTING & POSTAGE: PROGRAM SERVICE EXPENSES 2,315. MANAGEMENT AND GENERAL EXPENSES 9,366. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,681. | ALL OTHER FUNCTIONAL EXPENSES |
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