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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-09-12T10:29:13-05:00 | 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 | WHISMAN GIORDANO & ASSOCIATES LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 CONTINENTAL DR STE 210 | AddressLine1 |
| City | NEWARK | City |
| State | DE | State |
| ZIP Code | 197134330 | 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 | 222488654 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTSIDE FAMILY HEALTHCARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WEST | NameControl |
| Phone | 3026568292 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 WATER STREET SUITE 200 | AddressLine1 |
| City | WILMINGTON | City |
| State | DE | State |
| ZIP Code | 19801 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LOLITA A LOPEZ | Name |
| Title | FACHE | Title |
| Phone | 3026568292 | Phone |
| Date Signed | 2013-09-13 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOSEPH V GIORDANO CPA | Name |
| Phone | 3022660202 | Phone |
| Date Prepared | 2013-09-12 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | LOLITA A LOPEZ | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 WATER STREET SUITE 200 | AddressLine1 |
| City | WILMINGTON | City |
| State | DE | State |
| ZIP Code | 19801 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 17445623 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.WESTSIDEHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1988 | YearFormation |
| State Legal Domicile | DE | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE EQUAL ACCESS TO QUALITY HEALTHCARE, REGARDLESS OF ABILITY TO PAY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 19 | NbrIndependentVotingMembers |
| Total Nbr Employees | 252 | TotalNbrEmployees |
| Total Nbr Volunteers | 25 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 7485443 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 7954118 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7862142 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 8492566 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 22149 | InvestmentIncomePriorYear |
| Investment Income Current Year | 11219 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 690137 | OtherRevenuePriorYear |
| Other Revenue Current Year | 971009 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 16059871 | TotalRevenuePriorYear |
| Total Revenue Current Year | 17428912 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10771617 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 12519031 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 51642 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4823133 | OtherExpensePriorYear |
| Other Expenses Current Year | 5056048 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 15594750 | TotalExpensesPriorYear |
| Total Expenses Current Year | 17575079 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 465121 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -146167 | RevenuesLessExpensesCY |
| Total Assets BOY | 9897872 | TotalAssetsBOY |
| Total Assets EOY | 10225782 | TotalAssetsEOY |
| Total Liabilities BOY | 2439631 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2913708 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 7458241 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 7312074 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE EQUAL ACCESS TO QUALITY HEALTHCARE, REGARDLESS OF ABILITY TO PAY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 1765287 | Expense |
| Revenue | 1751830 | Revenue |
| Description | DENTAL 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1416668 | Expense |
| Revenue | 1416668 | Revenue |
| Description | WESTSIDE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8891606 | Expense |
| Revenue | 14277125 | Revenue |
| Description | FQHC: 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 12073561 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | 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 | true | 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 | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | 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 | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| 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 | false | 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 |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 4 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 252 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| 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 |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 19 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | 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 | true | 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 |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DONNA M GOODMAN | NamePerson |
| Telephone Number | 3026568292 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 WATER STREET SUITE 200 | AddressLine1 |
| City | WILMINGTON | City |
| State | DE | State |
| ZIP Code | 19801 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| NORMAN D GRIFFITHS ESQUIRE | |||||||
| 1ST VICE-CHA | 1.00 | X | X | 0 | 0 | 0 | |
| JANICE TILDON-BURTON MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| THOMAS A SWEENEY MD | |||||||
| CHAIR | 1.00 | X | X | 0 | 0 | 0 | |
| CAROL A DI LUZIO CPA | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| BERYL BARMORE | |||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| MARIA L PEREZ | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MILTON DELGADO EDD MBA | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| BRENDA CABRERA-NIEVES | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DAVID R LEWIS CPA | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| WANDA M LOPEZ | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| REV AARON R MOORE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| CONNIE MONTANA | |||||||
| SECOND VICE | 1.00 | X | X | 0 | 0 | 0 | |
| REP HELENE M KEELEY | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LESLIE BASTIANELLI CPA | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| KEVIN M BAIRD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| ZAIDA I GUAJARDO | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| TERESA HASSON | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| NAKISHIA BAILEY | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DONNITA SCOTT MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| THOMAS STEPHENS MD | |||||||
| CMO | 40.00 | X | 198856 | 0 | 7476 | ||
| LOLITA A LOPEZ FACHE | |||||||
| PRESIDENT & | 40.00 | X | 193792 | 0 | 6974 | ||
| DONNA M GOODMANCMPE | |||||||
| VP & CFO/COO | 40.00 | X | 139194 | 0 | 5639 | ||
| SUSAN LIPSON MD | |||||||
| FAMILY PRACT | 40.00 | 167537 | 0 | 7070 | X | ||
| ADRIAN IVAN WILSON DO | |||||||
| FAMILY PRACT | 40.00 | 166299 | 0 | 6440 | X | ||
| VANI SINGH MD | |||||||
| PHYSICIAN | 40.00 | 147772 | 0 | 2704 | X | ||
| KATHY CORNELIUS MD | |||||||
| FAMILY PRACT | 40.00 | 147274 | 0 | 5954 | X | ||
| LYNNANNE KASARDA MD | |||||||
| FAMILY PRACT | 40.00 | 145448 | 0 | 5677 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1306172 | TotalReportableCompFromOrg |
| Total Other Compensation | 47934 | TotalOtherCompensation |
| Number Individuals GT100 K | 20 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation | Address Line2AddressOfContractor/AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|
| HIGHMARK DELAWARE GROUP | ||||||
| PO BOX 382039 | PITTSBURGH | PA | 152508039 | INSURANCE | 970679 | |
| METLIFE | ||||||
| PO BOX 533399 | CHARLOTTE | NC | 282903399 | 403B | 563218 | |
| PREMIER BUILDERS | ||||||
| 2601 ANNAND DRIVE | WILMINGTON | DE | 19808 | CONSTRUCTION | 366927 | SUITE 20 |
| LABCORP | ||||||
| PO BOX 12140 | BURLINGTON | NC | 272162140 | MEDICAL SERVICE | 294868 | |
| JUNCTION PC COMPUTER SERVICES | ||||||
| 26 E SWAMP ROAD | DOYLESTOWN | PA | 18901 | COMPUTERS | 272820 | SUITE 100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Fundraising Events | 37390 | FundraisingEvents |
| Government Grants | 7161241 | GovernmentGrants |
| All Other Contributions | 755487 | AllOtherContributions |
| Total Contributions | 7954118 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PROGRAM SERVICE REVENUE | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 8492566 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8492566 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 8492566 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12112 | TotalRevenueColumn |
| Exclusion | $12,112 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 893 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -893 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -893 | TotalRevenueColumn |
| Related Or Exempt Function Income | -893 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 7292 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 37390 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 15818 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -8526 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEANINGFUL USE FUNDS | 621110 | 527000 | 527000 |
| OTHER INCOME | 621990 | 452535 | 452535 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 979535 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17428912 | TotalRevenueColumn |
| Related Or Exempt Function Income | 9471208 | RelatedOrExemptFunctionIncome |
| Exclusion | $12,112 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 531842 | Total |
| Program Services | 406467 | ProgramServices |
| Management And General | 123994 | ManagementAndGeneral |
| Fundraising | 1381 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10112824 | Total |
| Program Services | 6230441 | ProgramServices |
| Management And General | 3839613 | ManagementAndGeneral |
| Fundraising | 42770 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 901628 | Total |
| Program Services | 577834 | ProgramServices |
| Management And General | 320289 | ManagementAndGeneral |
| Fundraising | 3505 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 196830 | Total |
| Program Services | 126144 | ProgramServices |
| Management And General | 69921 | ManagementAndGeneral |
| Fundraising | 765 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 775907 | Total |
| Program Services | 483530 | ProgramServices |
| Management And General | 289156 | ManagementAndGeneral |
| Fundraising | 3221 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 166489 | Total |
| Management And General | 166489 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 665958 | Total |
| Program Services | 665958 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140694 | Total |
| Program Services | 112556 | ProgramServices |
| Management And General | 28138 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129475 | Total |
| Program Services | 103580 | ProgramServices |
| Management And General | 25895 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 806188 | Total |
| Program Services | 644950 | ProgramServices |
| Management And General | 161238 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64489 | Total |
| Program Services | 51591 | ProgramServices |
| Management And General | 12898 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103758 | Total |
| Program Services | 83006 | ProgramServices |
| Management And General | 20752 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 491448 | Total |
| Program Services | 384808 | ProgramServices |
| Management And General | 106640 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104960 | Total |
| Program Services | 83968 | ProgramServices |
| Management And General | 20992 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACT SERVICES | 486912 | 362878 | 124034 |
| PHARMACY | 481930 | 481930 | |
| LAB FEES | 430853 | 430853 | |
| REPAIRS & MAINTENANCE | 334904 | 267923 | 66981 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 647990 | Total |
| Program Services | 575144 | ProgramServices |
| Management And General | 72846 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17575079 | Total |
| Program Services | 12073561 | ProgramServices |
| Management And General | 5449876 | ManagementAndGeneral |
| Fundraising | 51642 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2487934 | BOY |
| EOY | 2410180 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 429544 | BOY |
| EOY | 245056 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1153065 | BOY |
| EOY | 1132649 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44826 | BOY |
| EOY | 163844 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 9529273 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3392825 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5651765 | BOY |
| EOY | 6136448 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21462 | BOY |
| EOY | 21750 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 109276 | BOY |
| EOY | 115855 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9897872 | BOY |
| EOY | 10225782 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 586230 | BOY |
| EOY | 723740 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1691521 | BOY |
| EOY | 2041642 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 161880 | BOY |
| EOY | 148326 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2439631 | BOY |
| EOY | 2913708 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7208300 | BOY |
| EOY | 7276720 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 249941 | BOY |
| EOY | 35354 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7458241 | BOY |
| EOY | 7312074 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9897872 | BOY |
| EOY | 10225782 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -146167 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| General Explanation | THE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 83658 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 7174 | InvestmentEarningsOrLosses |
| Administrative Expenses | 595 | AdministrativeExpenses |
| End Of Year Balance | 90237 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 44923 | BeginningOfYearBalance |
| Contributions | 38211 | Contributions |
| Investment Earnings Or Losses | 524 | InvestmentEarningsOrLosses |
| End Of Year Balance | 83658 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | 44923 | Contributions |
| End Of Year Balance | 44923 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 1.00000 | BoardDesignatedEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6278160 | OtherCostOrOtherBasis |
| Depreciation | 1522934 | Depreciation |
| Book Value | 4755226 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1447870 | OtherCostOrOtherBasis |
| Depreciation | 636992 | Depreciation |
| Book Value | 810878 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1293290 | OtherCostOrOtherBasis |
| Depreciation | 916642 | Depreciation |
| Book Value | 376648 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 509953 | OtherCostOrOtherBasis |
| Depreciation | 316257 | Depreciation |
| Book Value | 193696 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 6136448 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DEFERRED LEASE INCENTIVE | Description |
| Amount | $148,326 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 148326 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 17444730 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 17444730 | RevenueSubtotal |
| Other Revenues Not Included | -15818 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -15818 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 17428912 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 17590897 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 17590897 | ExpensesSubtotal |
| Other Expenses Not Included | -15818 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | -15818 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 17575079 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| INTENDED USES FOR ENDOWMENT FUNDS | SCHEDULE D, PAGE 2, PART V, LINE 4 | THE 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 FOOTNOTE | SCHEDULE D, PAGE 3, PART X |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|
| REVENUE AMOUNTS INCLUDED ON RETURN - OTHER | SCHEDULE D, PAGE 4, PART XI, LINE 4B | DIFFERENCE DUE TO NETTING OF FUNDRAISING INCOME & EXPENSES -15,818 |
| EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER | SCHEDULE D, PAGE 4, PART XII, LINE 4B | DIFFERENCE DUE TO NETTING OF FUNDRAISING INCOME & EXPENSES -15,818 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | 5K RACE | NameOfEvent1 |
| Gross Receipts Event1 | 44532 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 37240 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 7292 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 13443 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 44532 | GrossReceiptsTotal |
| Charitable Contributions Total | 37240 | CharitableContributionsTotal |
| Gross Revenue Total Events | 7292 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 13443 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 13443 | DirectExpenseSummaryEvents |
| Net Income Summary | -6151 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|---|
| THOMAS STEPHENS MD | ||||
| CMO | 179606 | 19250 | 7476 | 206332 |
| LOLITA A LOPEZ FACHE | ||||
| PRESIDENT & CEO | 163792 | 30000 | 6974 | 200766 |
| SUSAN LIPSON MD | ||||
| FAMILY PRACTICE | 163287 | 4250 | 7070 | 174607 |
| ADRIAN IVAN WILSON DO | ||||
| FAMILY PRACTICE | 162049 | 4250 | 6440 | 172739 |
| VANI SINGH MD | ||||
| PHYSICIAN | 147772 | 2704 | 150476 | |
| KATHY CORNELIUS MD | ||||
| FAMILY PRACTICE | 143024 | 4250 | 5954 | 153228 |
| LYNNANNE KASARDA MD | ||||
| FAMILY PRACTICE | 141198 | 4250 | 5677 | 151125 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE 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 POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | WESTSIDE 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 OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE 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 OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | THE 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 EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | ALL 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 - OTHER | FORM 990, PART XI, LINE 9 | DIFFERENCE DUE TO NETTING OF FUNDRAISING INCOME & EXPENSES 15,818 DIFFERENCE DUE TO NETTING OF FUNDRAISING INCOME & EXPENSES -15,818 |