2013-05-15T21:52:11-05:00 2012-06-30 330700332 VASQUEZ & COMPANY LLP 801 SOUTH GRAND AVE SUITE 400 LOS ANGELES CA 90017 990 2011-07-01 953881333 CLINICA MSR OSCAR A ROMERO CLIN 3239871401 2032 MARENGO STREET LOS ANGELES CA 90033 ROBERT DESMOND 2132012745 2013-05-15 GILBERT R VASQUEZ P00743144 2138731700 2011 2016-02-24 21:20:13Z ALBERT PACHECO 2032 MARENGO ST LOS ANGELES CA 90033 8629923 0 X WWW.CLINICAROMERO.COM/ X 1983 CA 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. 9 9 167 0 0 0 4822159 3855566 3565410 4594191 1413 343 122868 179823 8511850 8629923 0 0 0 0 7092527 5782287 0 0 0 4002769 3370377 11095296 9152664 -2583446 -522741 8721064 9194194 4931285 5927156 3789779 3267038 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. 0 0 4911104 PROVIDED FREE AND LOW COST MEDICAL SERVICES TO THE POOR AND UNDER SERVED OF DOWNTOWN LOS ANGELES 463825 PROVIDED FREE AND LOW COST DENTAL SERVICES TO THE POOR AND UNDER SERVED OF DOWNTOWN LOS ANGELES 477247 PROVIDED FREE AND LOW COST HEALTH SERVICES TO THE POOR AND UNDER SERVED OF DOWNTOWN LOS ANGELES 5852176 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 28 0 1 167 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 0 0 CA X X ALBERT PACHECO 2132012745 2032 MARENGO STREET LOS ANGELES CA 90033 ANA Y MARTINEZ 1.00 X X 0 0 0 JOSE ARTURO RUVALCABA 1.00 X 0 0 0 CARLOS ANTONIO H VAQUERANO 1.00 X X 0 0 0 JONATHAN MIRANDA CANAS 1.00 X X 0 0 0 PABLO LOPEZ 1.00 X X 0 0 0 LESLIE LAMBERT 1.00 X 0 0 0 IVONNENANETTE MACHADO 1.00 X 0 0 0 MARIA ELENA GARCIA 1.00 X 0 0 0 ADALY UGALDE 1.00 X 0 0 0 ALBERT PACHECO 40.00 X 126294 0 0 ROBERT DESMOND 40.00 X 20941 0 0 147235 0 0 1 0 0 0 0 2242144 1613422 3855566 PATIENT SERVICE REVENU 621110 4594191 4594191 4594191 343 343 84578 0 84578 84578 84578 OTHER INCOME 900099 95245 95245 95245 8629923 4774014 0 343 X 147235 147235 4055425 2284004 1771421 1204900 697306 507594 374727 216780 157947 30119 13846 16273 20890 8379 12511 100025 43227 56798 461508 276094 185414 87677 52606 35071 CONTRACTED SERVICES 685399 661525 23874 LABORATORY 345157 345157 PHARMACY 269147 269147 BUILDING & EQUIPMENT RE 262577 203951 58626 1107878 632919 474959 9152664 5852176 3300488 0 825849 267824 1467959 1624517 347153 1425697 9188 8897 13582 8883228 3057101 6052950 5826127 18256 27259 8721064 9194194 1408840 1750816 3522445 4176340 4931285 5927156 X 2523112 1915376 1266667 1351662 3789779 3267038 8721064 9194194 -522741 0 X 0 1 1 X 1 1 X 10295239 9753782 10116342 8387569 8449757 47002689 10295239 9753782 10116342 8387569 8449757 47002689 47002689 5408 5017 1413 343 12181 122524 108625 122868 179823 533840 47548710 0.98850 0.99390 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1618324 1618324 2841218 1019033 1822185 2273730 1019033 1254697 2149956 1019035 1130921 5826127 8629923 9152664 -522741 -522741 8680479 50556 50556 8629923 0 8629923 9203220 50556 50556 9152664 0 9152664 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 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. ALL OTHER FUNCTIONAL EXPENSES 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.