FURP.ORG / PUBLIC DATA EXPLORER

WESTSIDE FAMILY HEALTHCARE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WESTSIDE FAMILY HEALTHCARE INC (EIN 22-2488654)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-09-12
IRS object ID
201312559349300316
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-09-12T10:29:13-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WHISMAN GIORDANO & ASSOCIATES LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 CONTINENTAL DR STE 210AddressLine1
CityNEWARKCity
StateDEState
ZIP Code197134330ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222488654EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WESTSIDE FAMILY HEALTHCAREBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone3026568292Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 WATER STREET SUITE 200AddressLine1
CityWILMINGTONCity
StateDEState
ZIP Code19801ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLOLITA A LOPEZName
TitleFACHETitle
Phone3026568292Phone
Date Signed2013-09-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOSEPH V GIORDANO CPAName
Phone3022660202Phone
Date Prepared2013-09-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLOLITA A LOPEZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1300 WATER STREET SUITE 200AddressLine1
CityWILMINGTONCity
StateDEState
ZIP Code19801ZIPCode
FieldValueIRS element (for citing)
Gross Receipts17445623GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WESTSIDEHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileDEStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE EQUAL ACCESS TO QUALITY HEALTHCARE, REGARDLESS OF ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees252TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year7485443ContributionsGrantsPriorYear
Contributions Grants Current Year7954118ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7862142ProgramServiceRevenuePriorYear
Program Service Revenue CY8492566ProgramServiceRevenueCY
Investment Income Prior Year22149InvestmentIncomePriorYear
Investment Income Current Year11219InvestmentIncomeCurrentYear
Other Revenue Prior Year690137OtherRevenuePriorYear
Other Revenue Current Year971009OtherRevenueCurrentYear
Total Revenue Prior Year16059871TotalRevenuePriorYear
Total Revenue Current Year17428912TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10771617SalariesEtcPriorYear
Salaries Etc Current Year12519031SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year51642TotalFundrsngExpCurrentYear
Other Expense Prior Year4823133OtherExpensePriorYear
Other Expenses Current Year5056048OtherExpensesCurrentYear
Total Expenses Prior Year15594750TotalExpensesPriorYear
Total Expenses Current Year17575079TotalExpensesCurrentYear
Revenues Less Expenses Prior Year465121RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-146167RevenuesLessExpensesCY
Total Assets BOY9897872TotalAssetsBOY
Total Assets EOY10225782TotalAssetsEOY
Total Liabilities BOY2439631TotalLiabilitiesBOY
Total Liabilities EOY2913708TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7458241NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7312074NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE EQUAL ACCESS TO QUALITY HEALTHCARE, REGARDLESS OF ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1765287Expense
Revenue1751830Revenue
DescriptionDENTAL CARE SERVICES ARE PROVIDED AT WESTSIDE FAMILY HEALTHCARE'S WILMINGTON OFFICE. WESTSIDE FAMILY HEALTHCARE PROVIDES PREVENTIVE, RESTORATIVE, AND ANESTHETIC CARE TO ENHANCE THE PATIENTS QUALITY OF LIFE AND SELF IMAGE. IN 2012, THE DENTAL PROVIDERS HAD 10,969 VISITS. THE TOTAL DENTAL PRACTICE CONSISTS OF 3,658 PATIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1416668Expense
Revenue1416668Revenue
DescriptionWESTSIDE FAMILY HEALTHCARE OFFERS A COMMUNITY BASED PRECONCEPTION, PRENATAL, AND MATERNITY CARE PROGRAM THAT PROVIDES MEDICAL CARE, HOSPITAL DELIVERY, AND EDUCATION ON PREGNANCY, CHILDBIRTH, EARLY CHILDHOOD DEVELOPMENT AND CARE, SAFETY, PARENTING, AND NUTRITION.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense8891606Expense
Revenue14277125Revenue
DescriptionFQHC: WESTSIDE FAMILY HEALTHCARE IS A JOINT COMMISSION ACCREDITED COMMUNITY HEALTH CENTER WITH OFFICES LOCATED IN DELAWARE. THE STAFF PROVIDES FAMILY MEDICAL, OB/GYN, AND DENTAL CARE FOR INDIVIDUALS OF ALL AGES. THEIR MISSION IS TO PROVIDE EQUAL ACCESS TO QUALITY HEALTHCARE, REGARDLESS OF ABILITY TO PAY.Description
FieldValueIRS element (for citing)
Total Program Service Expense12073561TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees252NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDONNA M GOODMANNamePerson
Telephone Number3026568292TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 WATER STREET SUITE 200AddressLine1
CityWILMINGTONCity
StateDEState
ZIP Code19801ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
NORMAN D GRIFFITHS ESQUIRE
1ST VICE-CHA1.00XX000
JANICE TILDON-BURTON MD
DIRECTOR1.00X000
THOMAS A SWEENEY MD
CHAIR1.00XX000
CAROL A DI LUZIO CPA
TREASURER1.00XX000
BERYL BARMORE
SECRETARY1.00XX000
MARIA L PEREZ
DIRECTOR1.00X000
MILTON DELGADO EDD MBA
DIRECTOR1.00X000
BRENDA CABRERA-NIEVES
DIRECTOR1.00X000
DAVID R LEWIS CPA
DIRECTOR1.00X000
WANDA M LOPEZ
DIRECTOR1.00X000
REV AARON R MOORE
DIRECTOR1.00X000
CONNIE MONTANA
SECOND VICE1.00XX000
REP HELENE M KEELEY
DIRECTOR1.00X000
LESLIE BASTIANELLI CPA
DIRECTOR1.00X000
KEVIN M BAIRD
DIRECTOR1.00X000
ZAIDA I GUAJARDO
DIRECTOR1.00X000
TERESA HASSON
DIRECTOR1.00X000
NAKISHIA BAILEY
DIRECTOR1.00X000
DONNITA SCOTT MD
DIRECTOR1.00X000
THOMAS STEPHENS MD
CMO40.00X19885607476
LOLITA A LOPEZ FACHE
PRESIDENT &40.00X19379206974
DONNA M GOODMANCMPE
VP & CFO/COO40.00X13919405639
SUSAN LIPSON MD
FAMILY PRACT40.0016753707070X
ADRIAN IVAN WILSON DO
FAMILY PRACT40.0016629906440X
VANI SINGH MD
PHYSICIAN40.0014777202704X
KATHY CORNELIUS MD
FAMILY PRACT40.0014727405954X
LYNNANNE KASARDA MD
FAMILY PRACT40.0014544805677X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1306172TotalReportableCompFromOrg
Total Other Compensation47934TotalOtherCompensation
Number Individuals GT100 K20NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationAddress Line2AddressOfContractor/AddressUS/AddressLine2
HIGHMARK DELAWARE GROUP
PO BOX 382039PITTSBURGHPA152508039INSURANCE970679
METLIFE
PO BOX 533399CHARLOTTENC282903399403B563218
PREMIER BUILDERS
2601 ANNAND DRIVEWILMINGTONDE19808CONSTRUCTION366927SUITE 20
LABCORP
PO BOX 12140BURLINGTONNC272162140MEDICAL SERVICE294868
JUNCTION PC COMPUTER SERVICES
26 E SWAMP ROADDOYLESTOWNPA18901COMPUTERS272820SUITE 100
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Fundraising Events37390FundraisingEvents
Government Grants7161241GovernmentGrants
All Other Contributions755487AllOtherContributions
Total Contributions7954118TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE REVENUEDescription
Business Code621110BusinessCode
Total Revenue Column8492566TotalRevenueColumn
Related Or Exempt Function Income8492566RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8492566TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column12112TotalRevenueColumn
Exclusion$12,112ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other893Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-893Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-893TotalRevenueColumn
Related Or Exempt Function Income-893RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events7292GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events37390CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses15818FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-8526TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEANINGFUL USE FUNDS621110527000527000
OTHER INCOME621990452535452535
FieldValueIRS element (for citing)
Total Other Revenue979535TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17428912TotalRevenueColumn
Related Or Exempt Function Income9471208RelatedOrExemptFunctionIncome
Exclusion$12,112ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total531842Total
Program Services406467ProgramServices
Management And General123994ManagementAndGeneral
Fundraising1381Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10112824Total
Program Services6230441ProgramServices
Management And General3839613ManagementAndGeneral
Fundraising42770Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total901628Total
Program Services577834ProgramServices
Management And General320289ManagementAndGeneral
Fundraising3505Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total196830Total
Program Services126144ProgramServices
Management And General69921ManagementAndGeneral
Fundraising765Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total775907Total
Program Services483530ProgramServices
Management And General289156ManagementAndGeneral
Fundraising3221Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total166489Total
Management And General166489ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total665958Total
Program Services665958ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total140694Total
Program Services112556ProgramServices
Management And General28138ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total129475Total
Program Services103580ProgramServices
Management And General25895ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total806188Total
Program Services644950ProgramServices
Management And General161238ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total64489Total
Program Services51591ProgramServices
Management And General12898ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total103758Total
Program Services83006ProgramServices
Management And General20752ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total491448Total
Program Services384808ProgramServices
Management And General106640ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total104960Total
Program Services83968ProgramServices
Management And General20992ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACT SERVICES486912362878124034
PHARMACY481930481930
LAB FEES430853430853
REPAIRS & MAINTENANCE33490426792366981

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total647990Total
Program Services575144ProgramServices
Management And General72846ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17575079Total
Program Services12073561ProgramServices
Management And General5449876ManagementAndGeneral
Fundraising51642Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2487934BOY
EOY2410180EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY429544BOY
EOY245056EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1153065BOY
EOY1132649EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY44826BOY
EOY163844EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9529273LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3392825LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5651765BOY
EOY6136448EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY21462BOY
EOY21750EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY109276BOY
EOY115855EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9897872BOY
EOY10225782EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY586230BOY
EOY723740EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1691521BOY
EOY2041642EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY161880BOY
EOY148326EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2439631BOY
EOY2913708EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7208300BOY
EOY7276720EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY249941BOY
EOY35354EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7458241BOY
EOY7312074EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9897872BOY
EOY10225782EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-146167ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
General ExplanationTHE DEFINITION FOR A HOSPITAL FOR SCHEDULE A (FORM 990) PUBLIC STATUS AND PUBLIC SUPPORT PART I, LINE 3 AND THE DEFINITION OF A HOSPITAL FOR SCHEDULE H (FORM 990) ARE NOT THE SAME. WESTSIDE FAMILY HEALTHCARE IS NOT REQUIRED TO BE LICENSED, REGISTERED AND IS NOT RECOGNIZED BY THE STATE OF DELAWARE AS A HOSPITAL. ACCORDINGLY, WESTSIDE FAMILY HEALTHCARE IS AN EXEMPT ORGANIZATION AND SCHEDULE H IS NOT REQUIRED.GeneralExplanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance83658BeginningOfYearBalance
Investment Earnings Or Losses7174InvestmentEarningsOrLosses
Administrative Expenses595AdministrativeExpenses
End Of Year Balance90237EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance44923BeginningOfYearBalance
Contributions38211Contributions
Investment Earnings Or Losses524InvestmentEarningsOrLosses
End Of Year Balance83658EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Contributions44923Contributions
End Of Year Balance44923EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6278160OtherCostOrOtherBasis
Depreciation1522934Depreciation
Book Value4755226BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1447870OtherCostOrOtherBasis
Depreciation636992Depreciation
Book Value810878BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1293290OtherCostOrOtherBasis
Depreciation916642Depreciation
Book Value376648BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis509953OtherCostOrOtherBasis
Depreciation316257Depreciation
Book Value193696BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6136448TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED LEASE INCENTIVEDescription
Amount$148,326Amount
FieldValueIRS element (for citing)
Total Of Amounts148326TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt17444730TotRevenueEtcAuditedFinclStmt
Revenue Subtotal17444730RevenueSubtotal
Other Revenues Not Included-15818OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-15818RevenueNotRptdOnFinStmt
Total Revenue Per Form99017428912TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17590897TotExpensesEtcAuditedFinclStmt
Expenses Subtotal17590897ExpensesSubtotal
Other Expenses Not Included-15818OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-15818ExpensesNotRptdOnFinStmt
Total Expenses Per Form99017575079TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USES FOR ENDOWMENT FUNDSSCHEDULE D, PAGE 2, PART V, LINE 4THE PRINCIPAL, INTEREST AND EARNINGS OF THE FUNDS INVESTED ARE DESIGNATED FOR LONG-TERM INVESTMENT ONLY, AND NOT TO BE USED WITHOUT THE BOARD OF DIRECTORS APPROVAL.
LIABILITY UNDER FIN 48 FOOTNOTESCHEDULE D, PAGE 3, PART XMANAGEMENT HAS REVIEWED ITS CURRENT AND PAST FEDERAL INCOME TAX POSITIONS AND HAS DETERMINED, BASED ON CLEAR AND UNAMBIGUOUS TAX LAW AND REGULATIONS, THAT THE TAX POSITIONS TAKEN ARE CERTAIN AND THAT THERE IS NO LIKELIHOOD THAT A MATERIAL TAX ASSESSMENT WOULD BE MADE IF THE RESPECTIVE GOVERNMENT AGENCY EXAMINED TAX RETURNS SUBJECT TO AUDIT. ACCORDINGLY, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED. CURRENTLY, THE DECEMBER 31, 2009, 2010 AND 2011 TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. HOWEVER, THE ENTITY IS NOT CURRENTLY UNDER AUDIT NOR HAS THE ENTITY BEEN CONTACTED BY THIS JURISDICTION. ANY INTEREST AND PENALTIES RELATED TO INCOME TAXES WOULD BE RECORDED IN INCOME TAX EXPENSE. THERE ARE NO INTEREST AND PENALTIES AS OF DECEMBER 31, 2012 AND 2011.
REVENUE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 4BDIFFERENCE DUE TO NETTING OF FUNDRAISING INCOME & EXPENSES -15,818
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 4BDIFFERENCE DUE TO NETTING OF FUNDRAISING INCOME & EXPENSES -15,818

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event15K RACENameOfEvent1
Gross Receipts Event144532GrossReceiptsEvent1
Charitable Contributions Event137240CharitableContributionsEvent1
Gross Revenue Event17292GrossRevenueEvent1
Other Direct Expenses Event113443OtherDirectExpensesEvent1
Gross Receipts Total44532GrossReceiptsTotal
Charitable Contributions Total37240CharitableContributionsTotal
Gross Revenue Total Events7292GrossRevenueTotalEvents
Other Direct Expenses Total Events13443OtherDirectExpensesTotalEvents
Direct Expense Summary Events13443DirectExpenseSummaryEvents
Net Income Summary-6151NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
THOMAS STEPHENS MD
CMO179606192507476206332
LOLITA A LOPEZ FACHE
PRESIDENT & CEO163792300006974200766
SUSAN LIPSON MD
FAMILY PRACTICE16328742507070174607
ADRIAN IVAN WILSON DO
FAMILY PRACTICE16204942506440172739
VANI SINGH MD
PHYSICIAN1477722704150476
KATHY CORNELIUS MD
FAMILY PRACTICE14302442505954153228
LYNNANNE KASARDA MD
FAMILY PRACTICE14119842505677151125

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 IS REVIEWED BY THE CFO AND THE BOARD TREASURER IN DRAFT FORM. ONCE THE FINAL VERSION IS COMPLETE THE CFO PRESENTS IT TO THE FINANCE COMMITTEE FOR APPROVAL. THE FINANCE COMMITTEE APPROVES THE 990 AND RECOMMENDS IT TO THE ENTIRE BOARD FOR APPROVAL.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CWESTSIDE HAS A COMPLIANCE OFFICER WHO REVIEWS SITUATIONS THAT MAY NOT COMPLY WITH THE CONFLICT OF INTEREST POLICY AS THEY ARISE. ALL NEW BOARD MEMBERS ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST POLICY PRIOR TO PERFORMING THEIR DUTIES, AND ALL EXISTING BOARD MEMBERS SIGN THE POLICY ANNUALLY. IF IT IS DETERMINED THAT THE POLICY HAS BEEN BROKEN, THE INDIVIDUAL IS REMOVED FROM THE BOARD.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE PRESIDENT AND CEO'S SALARY, SALARY RANGE AND INCENTIVE PAYMENT IS DETERMINED BY THE EXECUTIVE COMMITTEE, SUBJECT TO FINAL APPROVAL BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE BOARD OF DIRECTORS. THE COMMITTEE SETS THESE MEASURES BASED ON A REVIEW OF CEO SALARIES FROM SIMILAR ORGANIZATIONS AND NATIONAL AND REGIONAL HEALTH CENTERS AND AN EVALUATION OF THE PERFORMANCE OF THE PRESIDENT AND CEO DURING THE YEAR PRIOR BY THE BOARD OF DIRECTORS.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE COMPENSATION OF OFFICERS IS DETERMINED BY THE PRESIDENT AND CEO. THE CEO SETS COMPENSATION BASED ON A REVIEW OF SALARIES FROM SIMILIAR ORGANIZATIONS AND NATIONAL AND REGIONAL HEALTH CENTERS AND AN EVALUATION OF THE PERFORMANCE OF THE OFFICERS DURING THE YEAR PRIOR.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19ALL GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE KEPT ON FILE IN THE ADMINISTRATION OFFICE, AND ARE AVAILABLE UPON REQUEST. IN ADDITION, FORM 990 IS AVAILABLE ON GUIDESTAR.ORG WEBSITE FOR PUBLIC REVIEW.
RECONCILIATION OF CHANGES - OTHERFORM 990, PART XI, LINE 9DIFFERENCE DUE TO NETTING OF FUNDRAISING INCOME & EXPENSES 15,818 DIFFERENCE DUE TO NETTING OF FUNDRAISING INCOME & EXPENSES -15,818