ST JOHNS COMMUNITY HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ST JOHNS COMMUNITY HEALTH (EIN 95-4067758)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201313199349302966
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)
Timestamp2013-11-15T09:34:51-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN954067758EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST JOHN'S WELL CHILD AND FAMILY CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% ELIZABETH MEISLERInCareOfName
Name ControlSTJONameControl
Phone3235411600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15701 S HOOVER STREETAddressLine1
Address Line2SuiteAddressLine2
CityLOS ANGELESCity
StateCAState
ZIP Code90037ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameELIZABETH MEISLERName
TitleCFOTitle
Phone3235411600Phone
Date Signed2013-11-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAMES MANGIANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15701 S HOOVER STREETAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90037ZIPCode
FieldValueIRS element (for citing)
Gross Receipts32528207GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.wellchild.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO DELIVER HIGH-QUALITY PRIMARY AND PREVENTATIVE MEDICAL, DENTAL AND MENTAL HEALTH SERVICES IN SOUTH LOS ANGELES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees353TotalNbrEmployees
Total Nbr Volunteers13TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year13597606ContributionsGrantsPriorYear
Contributions Grants Current Year16325046ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12207967ProgramServiceRevenuePriorYear
Program Service Revenue CY16184039ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year-1649InvestmentIncomeCurrentYear
Other Revenue Prior Year-78043OtherRevenuePriorYear
Other Revenue Current Year-113878OtherRevenueCurrentYear
Total Revenue Prior Year25727530TotalRevenuePriorYear
Total Revenue Current Year32393558TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year591316GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY702025GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12967075SalariesEtcPriorYear
Salaries Etc Current Year15091010SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY135002TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year690455TotalFundrsngExpCurrentYear
Other Expense Prior Year8425256OtherExpensePriorYear
Other Expenses Current Year10843793OtherExpensesCurrentYear
Total Expenses Prior Year21983647TotalExpensesPriorYear
Total Expenses Current Year26771830TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3743883RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5621728RevenuesLessExpensesCY
Total Assets BOY20799284TotalAssetsBOY
Total Assets EOY27704299TotalAssetsEOY
Total Liabilities BOY10056248TotalLiabilitiesBOY
Total Liabilities EOY11339535TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10743036NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16364764NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO ELIMINATE HEALTH DISPARITIES AND FOSTER COMMUNITY WELL-BEING BY PROVIDING AND PROMOTING THE HIGHEST QUALITY CARE IN SOUTH LOS ANGELES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense17841713Expense
Revenue13430862Revenue
DescriptionCOMPREHENSIVE MEDICAL SERVICES INCLUDE: PRIMARY CARE, WELL BABY AND CHILD, IMMUNIZATIONS, ASTHMA CARE, TREATMENT AND MANAGEMENT OF HIGH BLOOD PRESSURE AND OTHER CHRONIC CONDITIONS, PHYSICAL EXAMS AND ROUTINE SCREENINGS, FAMILY PLANNING, PRENATAL AND POST DELIVERY CARE, SEXUALLY TRANSMITTED DISEASE DIAGNOSIS AND TREATMENT, HIGH-RISK YOUTH SERVICES, DIABETIC CARE INCLUDING NUTRITION AND FITNESS, PODIATRY, RETINOPATHY AND CANCER SCREENINGS, DIAGNOSTIC AND LABORATORY PROCEDURES, AND PHARMACY SERVICES. MEDICAL SERVICES HAD 118,728 PATIENT VISITS DURING 2012.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2890152Expense
Revenue2175645Revenue
DescriptionDENTAL SERVICES INCLUDE: PRIMARY CARE FOR CHILDREN AND ADULTS, X-RAYS, CLEANINGS AND EXAMS, FILLINGS, SEALANTS, FLUORIDE TREATMENT, PERIODONTAL TREATMENT AND ORTHODONTIC SCREENINGS, DENTAL HEALTH EDUCATION, PERIODONTAL TREATMENT, AND ORTHODONTIC SCREENINGS. DENTAL SERVICES HAD 26,029 PATIENT VISITS DURING 2012.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense550661Expense
Revenue414526Revenue
DescriptionMENTAL HEALTH SERVICES INCLUDE: CRISIS INTERVENTION COUNSELING, GROUP SESSIONS FOR YOUTH, SHORT-TERM THERAPY, GROUP THERAPY FOR ADULTS, AND INDIVIDUAL THERAPY. MENTAL HEALTH SERVICES HAD 5,467 PATIENT VISITS DURING 2012.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp216540TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev163006TotalOfOtherProgramServiceRev
Total Program Service Expense21499066TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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 ContributionstrueDeductibleNonCashContributions
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 With109693NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees353NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
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 OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonELIZABETH MEISLERNamePerson
Telephone Number3235411600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15701 S HOOVER STREETAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90037ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MARION DOUGLAS
CHAIR1.0XX
BILL DAWE
FINANCE COMMITTEE VICE-CHAIR1.0XX
DONALD YOUNG
BOARD MEMBER1.0X
TIM NEIMAN
BOARD MEMBER1.0X
LILIA GARCIA
VICE CHAIR1.0XX
CLAUDIA DE LEON
SECRETARY/TREASURER1.0XX
LEONOR GUZMAN
BOARD MEMBER1.0X
MARTHA ORTIZ
BOARD MEMBER1.0X
MARTA LILIA RAMOS
BOARD MEMBER1.0X
PATRICIA ESCAMILLA
BOARD MEMBER1.0X
LAWRENCE R YOUNG
BOARD MEMBER1.0X
CARMEN FLORES
BOARD MEMBER1.0X
MARIA BENEL CORAZON SE
BOARD MEMBER1.0X
JAMES MANGIA
CEO40.0X273443015640
ELIZABETH MEISLER
CFO40.0X17937513133
GARY ZIMBLE
CIO40.015479523087X
ROLANDO BARAHONA
DIRECTOR OF FUND DEVELOPMENT40.017001715154X
LINDA TIGNER-WEEKES
PEDIATRICIAN40.015847313588X
ROBERT ADAMIK
CHIEF HUMAN RESOURCE OFFICER40.015987516342X
FARID HASSANPOUR
CHIEF MEDICAL OFFICER40.016740924192X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1263387TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation121136TotalOtherCompensation
Number Individuals GT100 K19NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
MICHAEL BERALDDSINC
DENTAL177430
MARTIN FLETCHER ASSOC
STAFFING151583
CANDICE SHERMAN
INTERIM COO136125
JAN POINT
JANITORIAL SERVICE127804
STELLA GONZALESDDSINC
DENTIST108240
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Fundraising Events102800FundraisingEvents
Government Grants11840672GovernmentGrants
All Other Contributions4381574AllOtherContributions
Noncash Contributions1356556NoncashContributions
Total Contributions16325046TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE6241001596540415965404
OTHER REVENUE900099218635218635
FieldValueIRS element (for citing)
Total Program Service Revenue16184039TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1649Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-1649Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1649TotalRevenueColumn
Exclusion-$1,649ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events19122GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events102800CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses133000FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-113878TotalRevenueColumn
Exclusion-$113,878ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column32393558TotalRevenueColumn
Related Or Exempt Function Income16184039RelatedOrExemptFunctionIncome
Exclusion-$115,527ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total702025Total
Program Services702025ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total481591Total
Management And General481591ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12297243Total
Program Services10304757ProgramServices
Management And General1609930ManagementAndGeneral
Fundraising382556Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1243047Total
Program Services1041387ProgramServices
Management And General164745ManagementAndGeneral
Fundraising36915Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1069129Total
Program Services876637ProgramServices
Management And General161655ManagementAndGeneral
Fundraising30837Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total564267Total
Management And General564267ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total134992Total
Management And General134992ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total135002Total
Fundraising135002Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3173468Total
Program Services2469013ProgramServices
Management And General704455ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total6183Total
Management And General6183ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1282782Total
Program Services1061696ProgramServices
Management And General182017ManagementAndGeneral
Fundraising39069Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total293842Total
Program Services264797ProgramServices
Management And General27872ManagementAndGeneral
Fundraising1173Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total803035Total
Program Services772344ProgramServices
Management And General29744ManagementAndGeneral
Fundraising947Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total92119Total
Program Services35848ProgramServices
Management And General43046ManagementAndGeneral
Fundraising13225Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total216518Total
Program Services62221ProgramServices
Management And General113279ManagementAndGeneral
Fundraising41018Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total403593Total
Program Services290241ProgramServices
Management And General111750ManagementAndGeneral
Fundraising1602Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1332955Total
Program Services1154472ProgramServices
Management And General172045ManagementAndGeneral
Fundraising6438Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
RECRUITING & RETENTION124434124434
LICENSES, DUES, SUBSCRIPTIONS814259053706991673
MEDICAL SUPPLIES & DRUGS23301412330141
MISCELLANEOUS40394039

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total26771830Total
Program Services21499066ProgramServices
Management And General4582309ManagementAndGeneral
Fundraising690455Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2842201BOY
EOY3044173EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2067790BOY
EOY3346170EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1849799BOY
EOY2361017EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY332735BOY
EOY214213EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY710437BOY
EOY728610EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis21003450LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3617176LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11473505BOY
EOY17386274EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1522817BOY
EOY623842EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20799284BOY
EOY27704299EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3412434BOY
EOY4165947EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY2000EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY5289425BOY
EOY5199835EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1354389BOY
EOY1971753EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10056248BOY
EOY11339535EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7652568BOY
EOY12933681EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3090468BOY
EOY3431083EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10743036BOY
EOY16364764EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20799284BOY
EOY27704299EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses5621728ReconcilationRevenueExpenses
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)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7584194CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11208647CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12063315CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13597606CurrentTaxYearMinus1Year
Current Tax Year16325046CurrentTaxYear
Total60778808Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7584194CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11208647CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12063315CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13597606CurrentTaxYearMinus1Year
Current Tax Year16325046CurrentTaxYear
Total60778808Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total526914AmountsSubstContributorsTotal
Public Support Total17060251894PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30228CurrentTaxYearMinus4Years
Total30228Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2200CurrentTaxYearMinus4Years
Total2200Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support60811236TotalSupport
Gross Receipts From Admissions Etc51182924GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99080PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98623PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1(I)ReturnReference
ExplanationTHE ORGANIZATION PAYS DUES TO THE CALIFORNIA PRIMARY CARE ASSOCIATION (CPCA), THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC), AND THE SOUTHSIDE COALITION. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2647884OtherCostOrOtherBasis
Book Value2647884BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11397248OtherCostOrOtherBasis
Depreciation1570480Depreciation
Book Value9826768BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis922800OtherCostOrOtherBasis
Depreciation513416Depreciation
Book Value409384BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2517620OtherCostOrOtherBasis
Depreciation1293017Depreciation
Book Value1224603BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3517898OtherCostOrOtherBasis
Depreciation240263Depreciation
Book Value3277635BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings17386274TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt32655767TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities127560DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990127560RevenueNotRptdF990
Revenue Subtotal32528207RevenueSubtotal
Other Revenues Not Included-134649OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-134649RevenueNotRptdOnFinStmt
Total Revenue Per Form99032393558TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt27034039TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities127560DonatedServicesUseOfFacilities
Other Expenses Included134649OtherExpensesIncluded
Expenses Not Rptd F990262209ExpensesNotRptdF990
Expenses Subtotal26771830ExpensesSubtotal
Total Expenses Per Form99026771830TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
UNCERTAIN TAX POSITIONSSCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
OTHER RECONCILING ITEMSSCHEDULE D, PART XI, LINE 4b, and PART XII, LINE 2D$(1,649) Loss on disposal of property and equipment $(133,000) Special Events Expense ----------------- $(134,649) TOTAL

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingtrueAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (5 entries)

Name Of IndividualNameOfIndividualActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsAmount Retained By ContractorAmountRetainedByContractor
TINA CHRISTOPULOSGRANTMAKINGfalse28475
NANCY GERSHKEGRANTMAKINGfalse9450
KIMBERLY SLEDERGRANTMAKINGfalse26175
ANDREW DAVID ZAPPINGRANTMAKINGfalse17539
PATRICE WAGONHURSTGRANTMAKINGfalse53363
FieldValueIRS element (for citing)
Total Retained By Contractors135002TotalRetainedByContractors

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1MOVEABLE FEASTNameOfEvent1
Gross Receipts Event1121922GrossReceiptsEvent1
Charitable Contributions Event1102800CharitableContributionsEvent1
Gross Revenue Event119122GrossRevenueEvent1
Non Cash Prizes Event1945NonCashPrizesEvent1
Rent Facility Costs Event116680RentFacilityCostsEvent1
Food And Beverage Event117022FoodAndBeverageEvent1
Entertainment Event12000EntertainmentEvent1
Other Direct Expenses Event196353OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total121922GrossReceiptsTotal
Charitable Contributions Total102800CharitableContributionsTotal
Gross Revenue Total Events19122GrossRevenueTotalEvents
Non Cash Prizes Total Events945NonCashPrizesTotalEvents
Rent Facility Costs Total Events16680RentFacilityCostsTotalEvents
Food And Beverage Total Events17022FoodAndBeverageTotalEvents
Entertainment Total Events2000EntertainmentTotalEvents
Other Direct Expenses Total Events96353OtherDirectExpensesTotalEvents
Direct Expense Summary Events133000DirectExpenseSummaryEvents
Net Income Summary-113878NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
PUBLIC HEALTH FOUNDATION
12781 SCHABARUM AVEIRWINDALECA91706952557063501(C)(3)20000SUPPORT
CENTRAL CITY COMMUNITY HEALTH CENTER
5970 S CENTRAL AVELOS ANGELESCA90011954492570501(C)(3)63174SUPPORT
CLINICA MSR OSCAR A
2032 MARENGO STREETLOS ANGELESCA90033953881333501(C)(3)99833SUPPORT
LAUSDLINCOLN HEIGHTS
3501 N BROADWAYLOS ANGELESCA90031956001908GOVT10000SUPPORT
STRATEGIC ACTIONS FOR A JUST ECONOMY
152 WEST 32ND STREETLOS ANGELESCA90007931226092501(C)(3)93849SUPPORT
MATERNAL & CHILD HEALTH
1111 W 6TH ST 400LOS ANGELESCA90017954555879501(C)(3)147865SUPPORT
ESPERANZA COMMUNITY HOUSING CORP
2337 S FIGUEROA STLOS ANGELESCA90007954230345501(C)(3)164952SUPPORT
THE CLINIC
3834 S WESTERN AVELOS ANGELESCA90062237351622501(C)(3)59933SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants8TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGRANT MONITORINGIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationCASH DONATIONS ARE MOSTLY MADE TO MEMBERS OF THE SOUTHSIDE COALITION, A GROUP OF EIGHT NON-PROFITS WHICH RESIDE IN AND SERVE THE SOUTH LA POPULATION. THE ORGANIZATION HAS MISSION ALIGNED ALLIANCES WITH SOUTHSIDE COALITION MEMBERS AND A FEW OTHER LOCAL NON-PROFITS, WITH THE GOAL OF PROVIDING ALL ASPECTS OF CARE TO THE LOCAL POPULATION, INCLUDING HOUSING, LEGAL, MEDICAL, ETC.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
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 OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrg
JAMES MANGIA
CEO2734430156402890830
ELIZABETH MEISLER
CFO17937513133192508
GARY ZIMBLE
CIO15479523087177882
ROLANDO BARAHONA
DIRECTOR OF FUND DEVELOPMENT164917151541851715100
LINDA TIGNER-WEEKES
PEDIATRICIAN15847313588172061
ROBERT ADAMIK
CHIEF HUMAN RESOURCE OFFICER15987516342176217
FARID HASSANPOUR
CHIEF MEDICAL OFFICER167409746119160116731

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA MUNICIPAL FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN201563466IssuerEIN
CUSIP Number13048TMY6CUSIPNumber
Date Issued2011-11-30DateIssued
Issue Price5360118IssuePrice
Description Of PurposeTO REFINANCE 3 BUILDINGSDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds5360118TotalProceeds
Amount In Reserve Fund368956AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds0IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds4991162OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2011YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrstrueNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YettrueRebateNotDueYet
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActiontrueProcToUndertkCorrectiveAction

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9905294NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions20NumberOfContributions
Noncash Contribs Rptd F9901184990NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierNUMBER OF CONTRIBUTORSIdentifier
Return ReferenceSCHEDULE M, PART I, LINE 20, COLUMN (B)ReturnReference
ExplanationTHE ORGANIZATION RECEIVED PHARMACEUTICAL AND MEDICAL SUPPLY CONTRIBUTIONS FROM APPROXIMATELY 20 DONORS IN 2012.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART I, LINE 1THE MISSION OF ST. JOHN'S WELL CHILD AND FAMILY CENTER IS TO ELIMINATE HEALTH DISPARITIES AND FOSTER COMMUNITY WELL-BEING BY PROVIDING AND PROMOTING THE HIGHEST QUALITY CARE IN SOUTH LOS ANGELES. VISION STATEMENT: ST. JOHN'S WELL CHILD AND FAMILY CENTER WILL BE A LEADER, CATALYST, AND MODEL FOR THE BEST CARE; LONG-TERM COMMUNITY HEALTH IMPROVEMENTS; AND SUSTAINABLE, HEALTH-ENHANCING SYSTEMS AND STRUCTURES IN LOS ANGELES. ST. JOHN'S WELL CHILD AND FAMILY CENTER IS AN INDEPENDENT 501(C)(3) ORGANIZATION THAT WAS FOUNDED IN 1964 AS A SMALL, VOLUNTEER PEDIATRIC CLINIC. OVER THE LAST FIVE DECADES, THE ORGANIZATION HAS EXPANDED TO BECOME ONE OF THE MOST SIGNIFICANT AND COMPREHENSIVE SAFETY-NET PROVIDERS IN LOS ANGELES COUNTY. OUR NETWORK NOW INCLUDES TEN FEDERALLY QUALIFIED HEALTH CENTERS AND SCHOOL-BASED CLINICS THAT SPAN THE BREADTH OF CENTRAL AND SOUTH LOS ANGELES AND COMPTON. ST. JOHN'S PROVIDES PRIMARY AND PREVENTIVE MEDICAL, DENTAL, AND MENTAL HEALTH SERVICES; HEALTH EDUCATION; AND CASE MANAGEMENT FOR MORE THAN 100,000 PATIENT VISITS EACH YEAR. ADDITIONALLY, ST. JOHN'S OPERATES MANY COMMUNITY HEALTH, SOCIAL SERVICE, AND SCHOOL READINESS PROGRAMS THROUGHOUT OUR SERVICE AREA. WE ALSO PROVIDE EARLY CHILDHOOD DEVELOPMENT SERVICES, PARENTING WORKSHOPS, WORKFORCE READINESS TRAINING, AND PARENT/CHILD LITERACY PROJECTS.
OTHER PROGRAM SERVICESFORM 990, PART III, LINE 4DIN SUPPORT OF OUR PRIMARY AND PREVENTIVE MEDICAL, DENTAL, AND MENTAL HEALTH SERVICES, ST. JOHN'S OFFERS THE FOLLOWING ANCILLARY SERVICES: INSURANCE BENEFITS COUNSELING AND ENROLLMENT, CASE MANAGEMENT, HEALTH EDUCATION, YOUTH DEVELOPMENT PROGRAMS, SCHOOL READINESS PROGRAMS, PARENTING WORKSHOPS, LEGAL SERVICES AND COUNSELING, AND COMMUNITY RESOURCE SERVICES. THESE SUPPORT SERVICES WERE PROVIDED TO 20,519 INDIVIDUALS IN 2012.
FAMILY RELATIONSHIPSFORM 990, PART VI, SECTION A, LINE 2CEO, MR. MANGIA, AND HIGHEST COMPENSATED EMPLOYEE, MR. BARAHONA, HAVE A FAMILY RELATIONSHIP. MR. BARAHONA IS ACCOUNTABLE FOR DAY TO DAY ACTIVITIES TO THE COO AND REPORTS DIRECTLY TO THE BOARD OF DIRECTORS. THE BOARD CONDUCTS HIS ANNUAL PERFORMANCE EVALUATION, DECIDES HIS COMPENSATION AND DETERMINES HIS CONTINUING EMPLOYMENT.
990 REVIEW POLICYFORM 990, PART VI, SECTION B, LINE 11BLINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, THE ORGANIZATION'S TOP MANAGEMENT WILL REVIEW THE 990 AND A FINAL DRAFT WILL BE PROVIDED TO THE BOARD OF DIRECTORS.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CST. JOHN'S WELL CHILD AND FAMILY CENTER DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS SHALL NOT PROFIT PERSONALLY FROM THEIR POSITION WITH ST. JOHN'S WELL CHILD AND FAMILY CENTER, AND SHALL NOT BRING THEIR INTERESTS INTO CONFLICT OR COMPETITION WITH THE INTERESTS OF THE ORGANIZATION. CONFLICTS OF INTEREST SHALL INCLUDE ALL ACTUAL, APPARENT AND POTENTIAL CONFLICTS. EACH YEAR, ALL ST. JOHN'S WELL CHILD AND FAMILY CENTER BOARD MEMBERS SHALL SUBMIT A STATEMENT TO THE BOARD DISCLOSING ALL ORGANIZATIONS, FIRMS, ORGANIZATIONS OR ENTERPRISES WHICH COULD BE CONSTRUED AS RELATED TO THE INTEREST OF ST. JOHN'S WELL CHILD AND FAMILY CENTER, IN WHICH THE ST. JOHN'S WELL CHILD AND FAMILY CENTER BOARD MEMBERS, OR PERSONS CLOSE TO HIM/HER, HAS A MATERIAL FINANCIAL INTEREST OR IN WHICH HE/SHE SERVES AS A DIRECTOR, OFFICER OR ADVISOR. ANY ST. JOHN'S WELL CHILD AND FAMILY CENTER BOARD MEMBER AWARE OF ANY TRANSACTION OR CONTRACT BEING CONSIDERED BY ST. JOHN'S WELL CHILD AND FAMILY CENTER WHICH PUTS HIS/HER INTEREST IN POSSIBLE CONFLICT WITH THE ORGANIZATION'S INTERESTS SHALL NOTIFY THE BOARD OF DIRECTORS, COMMITTEE, OR OTHER DECISION MAKERS, OF THE POSSIBLE CONFLICT. THE MATERIAL FACTS AS TO THE TRANSACTION AND THE ST. JOHN'S WELL CHILD AND FAMILY CENTER BOARD MEMBER'S INTEREST SHALL BE FULLY DISCLOSED, AND SHALL BE PROMPTLY RECORDED IN THE BOARD OR COMMITTEE MINUTES. ANY ST. JOHN'S WELL CHILD AND FAMILY CENTER BOARD MEMBER WITH A POSSIBLE CONFLICT OF INTEREST SHALL ABSTAIN FROM VOTING ON THAT MATTER. THE MINUTES OF THE MEETING SHALL REFLECT THE EXISTENCE OF ANY SUCH CONFLICT AND THAT THE ST. JOHN'S WELL CHILD AND FAMILY CENTER BOARD MEMBER DID NOT VOTE OR PARTICIPATE IN THE MATTER IN QUESTION. UPON BEING INFORMED OF A POSSIBLE CONFLICT OF ANY ST. JOHN'S WELL CHILD AND FAMILY CENTER BOARD MEMBER, NO OTHER ST. JOHN'S WELL CHILD AND FAMILY CENTER BOARD MEMBER SHALL APPROVE ANY TRANSACTION UNLESS THAT ST. JOHN'S WELL CHILD AND FAMILY CENTER BOARD MEMBER BELIEVES, IN GOOD FAITH, THAT THE TRANSACTION IS JUST, REASONABLE AND FAVORABLE TO ST. JOHN'S WELL CHILD AND FAMILY CENTER. CORPORATE OFFICERS AND KEY EMPLOYEES ARE ALSO REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST.
COMPENSATION REVIEWFORM 990, PART VI, SECTION B, LINE 15ATHE COMPENSATION OF THE CEO WAS REVIEWED IN 2012 BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE ORGANIZATION ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO EVALUATE THE CEO'S COMPENSATION AND MAKE A RECOMMENDATION TO THE GOVERNING BODY. THE INDEPENDENT FIRM CONDUCTED THEIR EVALUATION THROUGH CONSULTING SURVEYS OF INDUSTRY STANDARDS FOR EMPLOYEE POSITIONS, INCLUDING THE COMPENSATION AND BENEFITS SURVEY OF THE CENTER FOR NONPROFIT MANAGEMENT AND THE COMPENSATION AND BENEFITS SURVEY FOR THE CALIFORNIA PRIMARY CARE ASSOCIATION. IN ADDITION, RESEARCH WAS CONDUCTED ON SALARY RANGES AND PAY SCALES AT OTHER COMPARABLE COMMUNITY CLINIC OPERATIONS IN LOS ANGELES THROUGH FORM 990S AND INTERVIEWS. THE REVIEW WAS DOCUMENTED IN THE BOARD MINUTES OF THE EXECUTIVE SESSION.
DOCUMENT DISCLOSUREFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST TO BE VIEWED AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE OR VIA MAIL.
OTHER FEES FOR SERVICESFORM 990, PART IX, LINE 11GTHE ORGANIZATION'S TOTAL OTHER FEES FOR SERVICES ON THE STATEMENT OF FUNCTIONAL EXPENSES IS COMPRISED OF THE FOLLOWING: $1,992,441 OUTSIDE CONTRACT SERVICES 710,763 LABORATORY SERVICES 330,324 SECURITY SERVICES 97,309 PAYROLL PROCESSING FEES 24,653 PHARMACY SERVICES 13,700 EVALUATION SERVICES 4,278 RADIOLOGY SERVICES --------- $3,173,468 TOTAL

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