LAGUNA BEACH COMMUNITY CLINIC INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- LAGUNA BEACH COMMUNITY CLINIC INC (EIN 95-2637633)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-02-12
- IRS object ID
- 201340439349301079
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-02-12T15:01:50-06:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330155525 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HBLA CERTIFIED PUBLIC ACCOUNTANTS INC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 19600 FAIRCHILD STE 320 | AddressLine1 |
| City | IRVINE | City |
| State | CA | State |
| ZIP Code | 92612 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952637633 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAGUNA BEACH COMMUNITY CLINIC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LAGU | NameControl |
| Phone | 9494940761 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 362 THIRD STREET | AddressLine1 |
| City | LAGUNA BEACH | City |
| State | CA | State |
| ZIP Code | 92651 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS C BENT MD | Name |
| Title | MEDICAL DIRECTOR | Title |
| Phone | 9494940761 | Phone |
| Date Signed | 2013-02-07 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | EDWARD E BENOE | Name |
| PTIN | P00032866 | PTIN |
| Phone | 9498332815 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | THOMAS C BENT MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 362 THIRD STREET | AddressLine1 |
| City | LAGUNA BEACH | City |
| State | CA | State |
| ZIP Code | 92651 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2258039 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | LBCLINIC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1970 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE PRIMARY MEDICAL, DENTAL, AND OTHER SERVICE PROGRAMS TO INDIVIDUALS AND FAMILIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 47 | TotalNbrEmployees |
| Total Nbr Volunteers | 6 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 945813 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 828505 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1401822 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1360130 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4174 | InvestmentIncomePriorYear |
| Investment Income Current Year | 392 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 23049 | OtherRevenuePriorYear |
| Other Revenue Current Year | 46209 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2374858 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2235236 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1684100 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1753404 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 61688 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 563994 | OtherExpensePriorYear |
| Other Expenses Current Year | 575331 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2248094 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2328735 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 126764 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -93499 | RevenuesLessExpensesCY |
| Total Assets BOY | 1806383 | TotalAssetsBOY |
| Total Assets EOY | 1661251 | TotalAssetsEOY |
| Total Liabilities BOY | 228188 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 176555 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1578195 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1484696 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O FOR MISSION STATEMENT. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 2181063 | Expense |
| Revenue | 1360130 | Revenue |
| Description | THE COMMUNITY NEED ADDRESSED: LBCC SERVES THE SPECTRUM OF ORANGE COUNTY'S SAFETY NET CLIENTS, INCLUDING WOMEN WHO MAY BE SELF-EMPLOYED, UNEMPLOYED, OR SIMPLY CANNOT AFFORD HEALTH INSURANCE. THIS DIFFICULT SITUATION WAS DISCUSSED IN A UCLA BRIEF REPORTING 24.3% OF CALIFORNIANS, OVER 8.2M, WERE UNINSURED DURING ALL OR PART OF 2009 (COMPARED TO 19.5% AND 6.4M DURING 2007). THE DRAMATIC SHIFT RESULTED FROM LARGE DROPS IN PRIVATE COVERAGE AS MORE CALIFORNIANS BECAME UNEMPLOYED; COVERAGE WAS NOT FULLY OFFSET BY PUBLIC PROGRAMS OR EXTENDED COBRA COVERAGE FUNDED BY THE AMERICAN RECOVERY AND REINVESTMENT ACT. UNFORTUNATELY, MOST OF OUR PATIENTS HAVE NO OPTION THROUGH LOCAL OR STATE GOVERNMENT PLANS. THE ORANGE COUNTY BASED MEDICAL SERVICES INITIATIVE PROGRAM IS NO LONGER ACCEPTING NEW PATIENTS AND MOST DO NOT QUALIFY FOR MEDI-CAL UNLESS THEY HAVE MINOR CHILDREN LIVING AT HOME. THERE IS NO "PUBLIC OPTION" FOR MEDICAL CARE AVAILABLE FOR THESE INDIVIDUALS. THE WOMEN WE SERVE ARE AT RISK OF FOREGOING EARLY MEDICAL CARE OF CONDITIONS, WHICH WOULD NEGATIVELY AFFECT THEIR MORBIDITY RATES WHILE ALSO BURDENING THE HEALTHCARE SYSTEM FURTHER IN THE LONG RUN.THE MAJORITY OF LBCC PATIENTS ARE LIVING BELOW 200% FEDERAL POVERTY LEVEL, WITH APPROXIMATELY 42% LIVING IN SEVERE POVERTY. OUR PATIENT POPULATION INCLUDES THOSE WHO WORK IN LOCAL SHOPS, HOTELS AND RESTAURANTS, ARTISTS, HOUSEHOLD WORKERS, GARDENERS, AND NANNIES. LBCC HAS WITNESSED A DRAMATIC INCREASE IN THE NEED FOR LOW-COST MEDICAL SERVICES AS NEWLY UNEMPLOYED RESIDENTS HAVE FOUND THEMSELVES WITHOUT MEDICAL INSURANCE. PATIENT RACIAL BREAKDOWN INCLUDES 40% HISPANIC WHITE, 42% NON- HISPANIC WHITE, 2% BLACK, 6% ASIAN/PACIFIC ISLANDER, AND 11% OTHER/UNDISCLOSED. LBCC PATIENT BASE INCLUDES AN ESTIMATED 55% ADULT WOMEN, 27% ADULT MEN, AND 18% CHILDREN/TEENS. AN ESTIMATED 10% OF PATIENTS ARE HOMELESS. PATIENTS COME FROM THROUGHOUT ORANGE COUNTY, INCLUDING RESIDENTS OF THE ADJACENT SOUTHERNMOST COUNTY CITIES, A REGION THAT HAS BEEN FEDERALLY DESIGNATED AS A MEDICALLY UNDERSERVED POPULATION, AND THOSE WHO RESIDE ELSEWHERE IN THE COUNTY BUT ARE EMPLOYED NEARBY. CLIENTS PAY WHAT THEY CAN AFFORD FOR OUR SERVICES. LBCC COVERS THE REMAINDER OF THE COST OF SERVICE WITH FUNDS FROM OTHER SOURCES, SUCH AS THROUGH PHILANTHROPIC GRANTS. | Description |
| Total Program Service Expense | 2181063 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 8 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 47 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 0 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 0 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 0 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAGUNA BEACH COMMUNITY CLINIC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9494940761 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 362 THIRD STREET | AddressLine1 |
| City | LAGUNA BEACH | City |
| State | CA | State |
| ZIP Code | 92651 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| PAMELA LAWRENCE MD | ||||||||
| BOARD PRESIDENT, CEO | 1.00 | X | X | 0 | 0 | 0 | ||
| RICHARD A KAIN CONSULTANT | ||||||||
| CFO/TREASURER | 1.00 | X | X | 0 | 0 | 0 | ||
| GINNY LINTING | ||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | ||
| ANN MCDONALD CCIM | ||||||||
| CHAIR, GOVERNANCE COMMITTEE | 1.00 | X | X | 0 | 0 | 0 | ||
| JOHN J LINK JR | ||||||||
| CHAIR FINANCE COMMITTEE | 1.00 | X | X | 0 | 0 | 0 | ||
| ORSON DEE MD | ||||||||
| CHAIR PROGRAMS COMMITTEE | 1.00 | X | X | 0 | 0 | 0 | ||
| GEORGE HEED | ||||||||
| CHAIR, DEVELOPMENT COMMITTEE | 1.00 | X | X | 0 | 0 | 0 | ||
| ELAINE LAWSON | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| SUSAN MAS | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| ROYA COLE | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| BARBARA HAMKALO | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| JAY MCDONALD | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| CHRIS LOIDOLT | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| SUSAN NEELY | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| ANNE E JOHNSON | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| MARION JACOBS | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| BRIAN SADLER | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| PHYLLIS WILSON | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| THOMAS C BENT MD | ||||||||
| MEDICAL DIRECTOR | 60.00 | 202478 | 0 | 4298 | X | |||
| ADRIANNA NIETO-SAYEGH RN | ||||||||
| CLINICAL DIRECTOR | 60.00 | 114022 | 0 | 2172 | X | |||
| CHAU NGO MD | ||||||||
| MEDICAL DOCTOR | 32.00 | 114396 | 0 | 2378 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 430896 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 8848 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 13991 | FundraisingEvents |
| Government Grants | 39781 | GovernmentGrants |
| All Other Contributions | 774733 | AllOtherContributions |
| Total Contributions | 828505 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT FEES | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 1360130 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1360130 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1360130 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 392 | TotalRevenueColumn |
| Exclusion | $392 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 30720 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 30720 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 30720 | TotalRevenueColumn |
| Exclusion | $30,720 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 38292 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 13991 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 22803 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15489 | TotalRevenueColumn |
| Exclusion | $15,489 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2235236 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1360130 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $46,601 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 316500 | Total |
| Program Services | 305896 | ProgramServices |
| Management And General | 10604 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1162260 | Total |
| Program Services | 1123320 | ProgramServices |
| Management And General | 2380 | ManagementAndGeneral |
| Fundraising | 36560 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25246 | Total |
| Program Services | 23928 | ProgramServices |
| Management And General | 1318 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140476 | Total |
| Program Services | 133144 | ProgramServices |
| Management And General | 7332 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 108922 | Total |
| Program Services | 103237 | ProgramServices |
| Management And General | 5685 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80375 | Total |
| Program Services | 48061 | ProgramServices |
| Management And General | 32314 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69358 | Total |
| Program Services | 64860 | ProgramServices |
| Management And General | 4498 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27889 | Total |
| Program Services | 23700 | ProgramServices |
| Management And General | 4189 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48438 | Total |
| Program Services | 41657 | ProgramServices |
| Management And General | 6781 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES | 116165 | 114929 | 1236 | |
| LAB FEES | 68133 | 68133 | ||
| OUTSIDE SERVICES | 62502 | 37374 | 25128 | |
| FACILITIES AND MAINTENA | 48484 | 41201 | 7283 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53987 | Total |
| Program Services | 51623 | ProgramServices |
| Management And General | 2364 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2328735 | Total |
| Program Services | 2181063 | ProgramServices |
| Management And General | 85984 | ManagementAndGeneral |
| Fundraising | 61688 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 885300 | BOY |
| EOY | 650137 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 225212 | BOY |
| EOY | 317499 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19498 | BOY |
| EOY | 27361 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1239244 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 572990 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 676373 | BOY |
| EOY | 666254 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1806383 | BOY |
| EOY | 1661251 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 228188 | BOY |
| EOY | 176555 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 228188 | BOY |
| EOY | 176555 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1517570 | BOY |
| EOY | 1454696 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60625 | BOY |
| EOY | 30000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1578195 | BOY |
| EOY | 1484696 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1806383 | BOY |
| EOY | 1661251 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -93499 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 468168 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 459375 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 776537 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 945813 | CurrentTaxYearMinus1Year |
| Current Tax Year | 828505 | CurrentTaxYear |
| Total | 3478398 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 468168 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 459375 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 776537 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 945813 | CurrentTaxYearMinus1Year |
| Current Tax Year | 828505 | CurrentTaxYear |
| Total | 3478398 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 451694 | AmountsSubstContributorsTotal |
| Public Support Total170 | 3026704 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 32277 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 26890 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 31602 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 34894 | CurrentTaxYearMinus1Year |
| Current Tax Year | 31112 | CurrentTaxYear |
| Total | 156775 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 59982 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 32674 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 52660 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 18652 | CurrentTaxYearMinus1Year |
| Current Tax Year | 38292 | CurrentTaxYear |
| Total | 202260 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 3837433 | TotalSupport |
| Gross Receipts From Admissions Etc | 7612495 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.78870 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.76990 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 345000 | InvestmentCostOrOtherBasis |
| Book Value | 345000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 561115 | InvestmentCostOrOtherBasis |
| Depreciation | 283514 | Depreciation |
| Book Value | 277601 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 333129 | InvestmentCostOrOtherBasis |
| Depreciation | 289476 | Depreciation |
| Book Value | 43653 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 666254 | TotalOfBookValueLandBuildings |
| Total Revenue | 2235236 | TotalRevenue |
| Total Expenses | 2328735 | TotalExpenses |
| Excess Or Deficit For Year | -93499 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -93499 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 2325371 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 59510 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 60625 | OtherRevenues |
| Revenue Not Rptd F990 | 120135 | RevenueNotRptdF990 |
| Revenue Subtotal | 2205236 | RevenueSubtotal |
| Other Revenues Not Included | 30000 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 30000 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 2235236 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2388245 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 59510 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 59510 | ExpensesNotRptdF990 |
| Expenses Subtotal | 2328735 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 2328735 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | PY CONTRIBUTIONS RELEASED FROM TEMPORARILY RESTRICTED NET ASSETS 60,625. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | CONTRIBUTIONS FROM TEMPORARILY RESTRICTED NET ASSETS 30,000. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | CINCO DE MAYO | NameOfEvent1 |
| Gross Receipts Event1 | 46041 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 13991 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 32050 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 5160 | CashPrizesEvent1 |
| Rent Facility Costs Event1 | 5315 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 5969 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 1709 | OtherDirectExpensesEvent1 |
| Name Of Event2 | HANDBAGS FOR HEALTH | NameOfEvent2 |
| Gross Receipts Event2 | 6242 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 0 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 6242 | GrossRevenueEvent2 |
| Non Cash Prizes Event2 | 4650 | NonCashPrizesEvent2 |
| Gross Receipts Total | 52283 | GrossReceiptsTotal |
| Charitable Contributions Total | 13991 | CharitableContributionsTotal |
| Gross Revenue Total Events | 38292 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 5160 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 4650 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 5315 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 5969 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 1709 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 22803 | DirectExpenseSummaryEvents |
| Net Income Summary | 15489 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | THOMAS C BENT MD | NamePerson |
| Base Compensation Filing Org | 192478 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 10000 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 4298 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 206776 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| MISSION STATEMENT | FORM 990, PART III, LINE 1 | OPERATING SINCE 1970, LAGUNA BEACH COMMUNITY CLINIC (LBCC) IS AN INDEPENDENT, NON-PROFIT, PRIMARY CARE HEALTH FACILITY THAT PROVIDES FAMILY-CENTERED MEDICAL AND DENTAL CARE. THE CLINIC OFFERS NON-EMERGENCY CURATIVE AND PREVENTIVE CARE, AS WELL AS EDUCATIONAL SERVICES FOR INDIVIDUALS AND FAMILIES IN ORANGE COUNTY AND SERVES AS A TRAINING SITE FOR HEALTH CARE PROFESSIONALS. OUR MISSION IS TO PROVIDE EXCELLENT MEDICAL CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY. WE OFFER COMPREHENSIVE CARE IN THE AREAS OF: WOMEN'S HEALTH, HIV/AIDS, PRENATAL AND POSTPARTUM, TEEN CLINIC, COUNSELING SERVICES, AND DENTAL SERVICES. SPECIALTY CARE AREAS INCLUDE: CARDIOLOGY, PODIATRY, PEDIATRICS, ORTHOPEDICS, ENDOCRINOLOGY, OBSTETRICS AND GYNECOLOGY, DIABETES, AND OTHERS. LBCC IS ONE OF ONLY TWO COMMUNITY CLINICS IN SOUTH ORANGE COUNTY, AND THE ONLY ONE TO DELIVER THE FULL SCOPE OF PRIMARY CARE SERVICES AND SIX DAYS OF URGENT CARE HOURS. |
| FORM 990, PART VI, SECTION B, LINE 11 | A DRAFT FOR THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO BEING FINALIZED. | |
| FORM 990, PART VI, SECTION B, LINE 12 | STAFF WHO ATTEND BOARD MEETINGS MONITOR BOARD BEHAVIOR THAT MAY FALL WITHIN THE UNACCEPTABLE PARAMETERS OF THE POLICY. ANNUAL AUDIT REVIEW OF BOARD MEETING MINUTES MAY ALSO REVEAL POTENTIAL CONFLICT. OFFISTE BOOKKEEPING MONITORS STAFF ADHERENCE DURING VENDOR REVIEW. ADHERENCE TO CONFLICT OF INTEREST POLICY IS NOT MONITORED ANNUALLY, BUT PER TERM OF OFFICE FOR THE BOARD AND HIRE DATE OF THE EMPLOYEE. | |
| FORM 990, PART VI, SECTION B, LINE 15 | FOR THE EXECUTIVE DIRECTOR, A REVIEW COMMITTEE IS APPOINTED BY THE PRESIDENT OF THE BOARD AND A REVIEW SHEET IS SENT OUT TO ALL MEMBERS OF THE BOARD FOR THEIR COMMENTS OF VARIOUS ASPECTS OF THE EXECUTIVE DIRECTOR'S PERFORMANCE AND AREAS OF RESPONSIBLITY OVER THE PAST YEAR. DATA ON COMPENSATION IS PRESENTED TO THE COMMITTEE FROM VARIOUS SOURCES INCLUDING THE COMPENSATION & BENEFITS SURVEY OF THE CENTER FOR NONPROFIT MANAGEMENT AND MEMBERS OF THE COMMITTEE MAY REQUEST INFORMATION FROM OTHER NONPROFITS WITH A SIMILAR AGENCY. THE REVIEW AND COMPENSATION DECISION OF THE COMMITTEE IS BROUGHT BEFORE THE FULL BOARD FOR THEIR DISCUSSION AND APPROVAL AND THE CHAIR OF THE COMMITTEE PRESENTS THE DECISION TO THE EXECUTIVE DIRECTOR FOR COMMENT AND DISCUSSION. AT THAT TIME, THE PRESIDENT AND THE EXECUTIVE DIRECTOR MAY ALSO DISCUSS GOALS FOR THE COMING YEAR(S). KEY EMPLOYEES: KEY EMPLOYEES ARE REVIEWED BY THE EXECUTIVE DIRECTOR. EXECUTIVE DIRECTOR DISCUSSES AREAS OF CONCERN AND AREAS OF STRENGTH WITH EACH EMPLOYEE DURING THE YEAR AND CONDUCT FORMAL REVIEWS WITH KEY EMPLOYEES ANNUALLY, INCLUDING MEETING WITH THE EMPLOYEE TO GO OVER THEIR ANNUAL REVIEW AND DISCUSS THEIR COMPENSATION PACKAGE. AGAIN, THE CENTER FOR NONPROFIT MANAGEMENT'S COMPENSATION & BENEFITS SURVEY, AS WELL AS LOCAL SURVEYS ARE USED. IN ADDITION, THE EXECUTIVE DIRECTOR MAY CALL SEVERAL OTHER NON PROFITS TO SUBSTANTIATE THE GOING RATE TO ENSURE THE ORGANIZATION REMAINS COMPETITIVE AND HOLDS ONTO GOOD STAFF. PRIOR TO ANY COMPENSATION PACKAGE BEING OFFERED, IT IS REVIEWED WITH THE FINANCE COMMITTEE OF THE BOARD AND WITH THE BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION C, LINE 18 | FORM 1023 AND 990 ARE AVAILABLE TO THE PUBLIC BY REQUEST. | |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC BY REQUEST. | |
| AUDIT COMMITTEE: | FORM 990, PART XII, LINE 2C | THE BOARD OF DIRECTORS HAS CONSTITUTED AN AUDIT COMMITTEE AND DELEGATED TO THAT COMMITTEE THE RESPONSIBILITY FOR ENGAGING INDEPENDENT AUDITORS AND MONITORING THE AUDIT PROCESS. THIS STRUCTURE HAS BEEN IN EFFECT IN PRIOR YEARS AND WAS NOT CHANGED IN 2011. |
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