NORTHEAST VALLEY HEALTH CORPORATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- NORTHEAST VALLEY HEALTH CORPORATION (EIN 23-7120632)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-01
- IRS object ID
- 201342139349301114
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-01T16:42:33-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 910189318 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3121 WEST MARCH LANE SUITE 100 | AddressLine1 |
| City | STOCKTON | City |
| State | CA | State |
| ZIP Code | 952192303 | 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 | 237120632 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHEAST VALLEY HEALTH CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 8188981388 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1172 NORTH MACLAY AVENUE | AddressLine1 |
| City | SAN FERNANDO | City |
| State | CA | State |
| ZIP Code | 91340 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PATRICIA MORAGA | Name |
| Title | CFO | Title |
| Phone | 8188981388 | Phone |
| Date Signed | 2013-07-30 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TRACY S PAGLIA | Name |
| PTIN | P00366884 | PTIN |
| Phone | 2099556100 | Phone |
| 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 | PATRICIA MORAGA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1172 NORTH MACLAY AVENUE | AddressLine1 |
| City | SAN FERNANDO | City |
| State | CA | State |
| ZIP Code | 91340 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 63115762 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.NEVHC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1971 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE MEDICAL SERVICES PRIMARILY TO THE INDIGENT AND UNDER SERVED OF LOS ANGELES COUNTY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 827 | TotalNbrEmployees |
| Total Nbr Volunteers | 42 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 33682209 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 30261990 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 31252392 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 32853302 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3638 | InvestmentIncomePriorYear |
| Investment Income Current Year | 470 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2526 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 64940765 | TotalRevenuePriorYear |
| Total Revenue Current Year | 63115762 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 3352090 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 3154786 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 43528821 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 43921890 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 17545559 | OtherExpensePriorYear |
| Other Expenses Current Year | 16071170 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 64426470 | TotalExpensesPriorYear |
| Total Expenses Current Year | 63147846 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 514295 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -32084 | RevenuesLessExpensesCY |
| Total Assets BOY | 18673547 | TotalAssetsBOY |
| Total Assets EOY | 18427754 | TotalAssetsEOY |
| Total Liabilities BOY | 10453217 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 10239508 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8220330 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 8188246 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF NORTHEAST VALLEY HEALTH CORPORATION IS TO PROVIDE COMPREHENSIVE, HIGH-QUALITY AND SAFE HEALTH CARE SERVICES TO THE RESIDENTS OF LOS ANGELES COUNTY, PARTICULARLY IN THE SAN FERNANDO AND SANTA CLARITA VALLEYS WITH SPECIAL CONCERN FOR MEDICALLY UNDER-SERVED AND LOW INCOME POPULATIONS. SERVICES ARE DELIVERED IN A MANNER THAT IS SENSITIVE TO THE ECONOMIC, CULTURAL AND SOCIAL NEEDS OF THE COMMUNITY. NORTHEAST VALLEY HEALTH CORPORATION PROVIDES ADVOCACY FOR HEALTH SERVICES, LEADERSHIP IN THE AREAS OF HEALTH CARE DELIVERY AND HEALTH PROFESSIONAL TRAINING, RESEARCH, AND HEALTH EDUCATION AND PURSUES DYNAMIC HEALTH CARE PROGRAMS TO MEET THE NEEDS OF THE COMMUNITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 57228642 | Expense |
| Grants | 3154786 | Grants |
| Revenue | 32853302 | Revenue |
| Description | NORTHEAST VALLEY HEALTH CORPORATION (NEVHC) IS A FEDERALLY FUNDED COMMUNITY HEALTH CENTER SERVING LOW INCOME AND MEDICALLY UNDERSERVED RESIDENTS OF LOS ANGELES COUNTY. NEVHC OPERATES 14 LICENSED COMMUNITY CLINICS, 15 WOMEN, INFANT AND CHILDREN (WIC) PROGRAM CLINICS AND A SUBSTANCE ABUSE PROGRAM LOCATED THROUGHOUT SAN FERNANDO AND SANTA CLARITA VALLEY. NEVHC EMPLOYS OVER 750 STAFF INCLUDING LICENSED INDEPENDENT PRACTITIONERS SUCH AS PHYSICIANS, DENTISTS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, LICENSED CLINICAL SOCIAL WORKERS AND PSYCHOLOGISTS IN ADDITION TO MANY OTHER HEALTH PROFESSIONALS AND SUPPORT STAFF TO CARRY OUT ITS WORK AS A SAFETY NET PROVIDER OF COMMUNITY CLINICS. NEVHC OPENED ITS FIRST HEALTH CENTER IN 1973 IN THE CITY OF SAN FERNANDO AND ITS 14TH HEALTH CENTER IN SANTA CLARITA IN 2012. IN 2012, NEVHC CLINICS PROVIDED OVER 212,000 MEDICAL, DENTAL AND BEHAVIORAL HEALTH VISITS TO 60,000 RESIDENTS OF THE SAN FERNANDO AND SANTA CLARITA VALLEYS. SEVENTY-EIGHT PERCENT OF NEVHC'S PATIENTS LIVE BELOW 100% OF THE FEDERAL POVERTY LEVEL AND 95% LIVE BELOW 200% OF FEDERAL POVERTY LEVEL. AT NEVHC, LOW INCOME PATIENTS PAY FOR THEIR SERVICES BASED ON ABILITY TO PAY GUIDELINES. NEVHC HEALTH CENTERS RANGE FROM LARGE MULTI-SERVICE PRIMARY CARE SITES TO SMALLER HEALTH CENTERS PROVIDING FOR THE NEEDS OF SPECIAL POPULATIONS SUCH AS STUDENTS AT HIGH RISK SCHOOLS, THE HOMELESS, AND MEN AND WOMEN WHO ARE HIV+.WIC - NEVHC BECAME THE LOCAL AGENCY FOR THE WOMEN, INFANT AND CHILDREN'S PROGRAM IN 1986. NEVHC WIC CLINICS CURRENTLY HAVE A CASELOAD OF 69,550 PARTICIPANTS WHICH INCLUDE PREGNANT AND BREASTFEEDING WOMEN, THEIR INFANTS AND CHILDREN UP TO THE AGE OF FIVE. WIC IS A CRITICAL FOOD SECURITY PROGRAM THAT PROVIDES VOUCHERS THAT CAN BE USED AT LOCAL MARKETS TO BUY HEALTHY WIC FOODS SUCH AS MILK, CHEESE, WHOLE GRAINS AND FRESH FRUITS AND VEGETABLES. IN ADDITION, TO PROVIDING NUTRITIONAL COUNSELING AND WIC VOUCHERS, WIC IS A STRONG ADVOCATE FOR BREAST FEEDING AND UTILIZES CERTIFIED LACTATION CONSULTANTS AND PEER COUNSELORS TO SUPPORT MOTHERS WHO ARE BREASTFEEDING.COURT REFERAL DUI - NEVHC CURRENTLY OPERATES A DRIVING UNDER THE INFLUENCE (DUI) PROGRAM. THE DUI PROGRAM OFFERS SIX-WEEK, THREE-MONTH, SIX-MONTH AND 18-MONTH PROGRAMS OF INDIVIDUAL AND GROUP EDUCATION IN ENGLISH AND SPANISH TO INDIVIDUALS REFERRED BY COURTS TO COMPLETE THEIR DUI SENTENCE.COOPERATIVE HEALTH CARE FOR THE HOMELESS NETWORK (CHCHN) - IN ADDITION TO PROVIDING SERVICES TO THE HOMELESS IN THE SAN FERNANDO AND SANTA CLARITA VALLEYS, NEVHC SERVES AS THE LEAD AGENCY FOR A COALITION OF AGENCIES THROUGHOUT LOS ANGELES COUNTY PROVIDING HEALTH CARE SERVICES TO OVER 20,000 HOMELESS MEN, WOMEN AND CHILDREN ANNUALLY. | Description |
| Total Program Service Expense | 57228642 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | 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 | 1 | 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 | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | 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 | 1 | 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 |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 29 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 827 | 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 | 0 | QuidProQuoContributions |
| 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 | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | 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 | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | 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 |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PATRICIA MORAGA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8188981388 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1172 NORTH MACLAY AVENUE | AddressLine1 |
| City | SAN FERNANDO | City |
| State | CA | State |
| ZIP Code | 91340 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 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 |
|---|---|---|---|---|---|---|---|
| MENDOZA STELLA | |||||||
| VICE CHAIRMAN & DIRECTOR | 1.00 | X | X | 0 | 0 | 0 | |
| HOFFMAN MARK | |||||||
| CHAIRMAN & DIRECTOR | 1.00 | X | X | 0 | 0 | 0 | |
| MOELLER PAUL | |||||||
| TREASURER & DIRECTOR | 1.00 | X | X | 0 | 0 | 0 | |
| PERDIDO ELI | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| RAMCHARRAN LILY | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| PENA ANTHONY | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| BOGIN PAUL | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| BRADPIECE THEODORE G | |||||||
| SECRETARY & DIRECTOR | 1.00 | X | X | 0 | 0 | 0 | |
| MOREY DIANE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| PARSLOW RENEE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| SHANNON LUND | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MILTER BARBARA | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| GUTIERREZ HAYDEE | |||||||
| DIRECTOR (THROUGH 12/31/12) | 1.00 | X | 0 | 0 | 0 | ||
| GAMINO MARTIN | |||||||
| DIRECTOR (THROUGH 09/2012) | 1.00 | X | 0 | 0 | 0 | ||
| NEAL EVELYN | |||||||
| DIRECTOR (THROUGH 07/2012) | 1.00 | X | 0 | 0 | 0 | ||
| WYARD KIMBERLY | |||||||
| CEO | 40.00 | X | 194378 | 0 | 53040 | ||
| SEIDMAN RICHARD | |||||||
| CMO | 40.00 | X | 258959 | 0 | 42309 | ||
| MORAGA PATRICIA | |||||||
| CFO | 40.00 | X | 150172 | 0 | 47162 | ||
| NITESCU THERESA | |||||||
| COO | 40.00 | X | 148702 | 0 | 32985 | ||
| NATARAJAN MARGARET | |||||||
| PHYSICIAN | 40.00 | 226084 | 0 | 38049 | X | ||
| SANDERS JR JESSE D | |||||||
| PHYSICIAN | 40.00 | 185717 | 0 | 49308 | X | ||
| GORDON EDWARD S | |||||||
| PHYSICIAN | 40.00 | 180727 | 0 | 34313 | X | ||
| PARK CHRISTINE LIM-FUN CHAN | |||||||
| PHYSICIAN | 40.00 | 185438 | 0 | 34083 | X | ||
| PASCUAL ALBERT | |||||||
| PHYSICIAN | 40.00 | 160839 | 0 | 33075 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1691016 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 364324 | TotalOtherCompensation |
| Number Individuals GT100 K | 44 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MILLENNIUM MAINTENANCE SYSTEM | |||||
| 26007 HUNTINGTON LANE 11 | VALENCIA | CA | 91355 | CLEANING SERVICES | 205687 |
| ACCESS CONTROL SECURITY INC | |||||
| 18317 NAPA ST | NORTHRIDGE | CA | 91325 | SECURITY SERVICES | 174561 |
| APEX CONSTRUCTION | |||||
| 25852 MC BEAN PARKWAY 867 | VALENCIA | CA | 91355 | CONSTRUCTION SERVICES | 152805 |
| MR2 SOLUTIONS | |||||
| 18662 MCCARTHUR BLVD STE 390 | IRVINE | CA | 92612 | SOFTWARE MAINTENANCE | 144180 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Government Grants | 24516808 | GovernmentGrants |
| All Other Contributions | 5745182 | AllOtherContributions |
| Noncash Contributions | 5239430 | NoncashContributions |
| Total Contributions | 30261990 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MANAGED CARE | 624100 | 20614100 | 20614100 |
| PATIENT SERVICE REVENUE | 624100 | 12060874 | 12060874 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 178328 | TotalRevenueColumn |
| Related Or Exempt Function Income | 178328 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 32853302 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 470 | TotalRevenueColumn |
| Exclusion | $470 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 63115762 | TotalRevenueColumn |
| Related Or Exempt Function Income | 32853302 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $470 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3154786 | Total |
| Program Services | 3154786 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 927707 | Total |
| Program Services | 301267 | ProgramServices |
| Management And General | 626440 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33824770 | Total |
| Program Services | 30924895 | ProgramServices |
| Management And General | 2899875 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1609986 | Total |
| Program Services | 1490043 | ProgramServices |
| Management And General | 119943 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4832594 | Total |
| Program Services | 4496309 | ProgramServices |
| Management And General | 336285 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2726833 | Total |
| Program Services | 2483977 | ProgramServices |
| Management And General | 242856 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 119928 | Total |
| Program Services | 8752 | ProgramServices |
| Management And General | 111176 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92831 | Total |
| Management And General | 92831 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 691478 | Total |
| Program Services | 633205 | ProgramServices |
| Management And General | 58273 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72012 | Total |
| Program Services | 28515 | ProgramServices |
| Management And General | 43497 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1670093 | Total |
| Program Services | 1339824 | ProgramServices |
| Management And General | 330269 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 223793 | Total |
| Program Services | 86789 | ProgramServices |
| Management And General | 137004 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3267500 | Total |
| Program Services | 2859825 | ProgramServices |
| Management And General | 407675 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52146 | Total |
| Program Services | 38822 | ProgramServices |
| Management And General | 13324 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6800 | Total |
| Program Services | 3750 | ProgramServices |
| Management And General | 3050 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 139460 | Total |
| Management And General | 139460 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 642261 | Total |
| Program Services | 536576 | ProgramServices |
| Management And General | 105685 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 248516 | Total |
| Program Services | 183950 | ProgramServices |
| Management And General | 64566 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| NON-CASH PHARMACEUTICAL | 5496368 | 5496368 | |
| MEDICAL SUPPLIES | 1836973 | 1833055 | 3918 |
| EQUIPMENT MAINTENANCE & | 1419276 | 1242053 | 177223 |
| LICENSES & FEES | 91735 | 85881 | 5854 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63147846 | Total |
| Program Services | 57228642 | ProgramServices |
| Management And General | 5919204 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1460910 | BOY |
| EOY | 1430185 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 430646 | BOY |
| EOY | 455579 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4032422 | BOY |
| EOY | 2414108 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7548390 | BOY |
| EOY | 9100255 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1102186 | BOY |
| EOY | 796208 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 177901 | BOY |
| EOY | 327116 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11991746 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 8246988 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3758309 | BOY |
| EOY | 3744758 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 162783 | BOY |
| EOY | 159545 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18673547 | BOY |
| EOY | 18427754 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5503955 | BOY |
| EOY | 5629368 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 828716 | BOY |
| EOY | 592417 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11644 | BOY |
| EOY | 10507 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 617421 | BOY |
| EOY | 1526735 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3491481 | BOY |
| EOY | 2480481 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10453217 | BOY |
| EOY | 10239508 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7992048 | BOY |
| EOY | 7890007 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 228282 | BOY |
| EOY | 298239 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8220330 | BOY |
| EOY | 8188246 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18673547 | BOY |
| EOY | 18427754 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -32084 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
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 | 27517000 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 32708000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 34970000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 33682209 | CurrentTaxYearMinus1Year |
| Current Tax Year | 30261990 | CurrentTaxYear |
| Total | 159139199 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 450024 | CurrentTaxYearMinus1Year |
| Current Tax Year | 464599 | CurrentTaxYear |
| Total | 914623 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 27517000 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 32708000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 34970000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 34132233 | CurrentTaxYearMinus1Year |
| Current Tax Year | 30726589 | CurrentTaxYear |
| Total | 160053822 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 160053822 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 26205 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 14000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3638 | CurrentTaxYearMinus1Year |
| Current Tax Year | 470 | CurrentTaxYear |
| Total | 52313 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 371795 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 144000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 146000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2805 | CurrentTaxYearMinus1Year |
| Total | 664600 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 160770735 | TotalSupport |
| Gross Receipts From Admissions Etc | 140172694 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99550 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99380 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| General Explanation | SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART II, LINE 10, EXPLANATION FOR OTHER INCOME: MISCELLANEOUS INCOME | GeneralExplanation |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 1 | MailingsMembers |
| Mailings Members | $400 | MailingsMembersAmount |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $12,300 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 1 | RalliesDemonstrations |
| Rallies Demonstrations | $200 | RalliesDemonstrationsAmount |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 12900 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | 1B - ACTIVITIES INCLUDE REVIEWING AND MONITORING FEDERAL, STATE AND LOCAL INDUSTRY ASSOCIATION LEGISLATION AND ISSUES THAT DIRECTLY AFFECT COMMUNITY HEALTH CENTERS, THE WOMEN, INFANT & CHILDREN (WIC) PROGRAM, SAFETY NET HEALTHCARE PROVIDERS AND THE PATIENT POPULATIONS THAT WE SERVE. PRIORITY ISSUES ARE TAKEN TO THE BOARD OF DIRECTOR'S PLANNING AND DEVELOPMENT COMMITTEE FOR REVIEW AND APPROVAL. ACTIVITIES ALSO INCLUDE WORKING IN CONJUNCTION WITH OTHER COMMUNITY HEALTH PARTNERS, FOR EXAMPLE, VCCCC, CHC, INC, ETC. IN SENDING LETTERS, EMAILS, FACSIMILES AND MAKING PHONE CALLS TO LOCAL ELECTED AND OFFICE HOLDERS REGARDING SPECIFIC LEGISLATION AND ISSUES. 1D - NO MASS MAILINGS WERE SENT OUT IN FY 2011. ONLY PERIODIC CORRESPONDENCE AND COMMUNICATIONS WERE SENT. 1G AND H - NEVHC STAFF ATTENDS THE ANNUAL POLICY AND ISSUES FORUM SPONSORED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS IN WASHINGTON, DC. THE DELEGATION ATTENDING INCLUDES MEMBERS OF THE BOARD, THE CEO AND DIRECTOR OF DEVELOPMENT AND EXTERNAL AFFAIRS. MEETINGS WITH U.S. REPRESENTATIVES AND THEIR STAFF ARE ARRANGED TO UPDATE THEM ON NEVHC'S PROGRESS AND PROGRAMS IN THEIR DISTRICTS AND TO DISCUSS ISSUES AND CHALLENGES FACING COMMUNITY HEALTH CENTERS. IN ADDITION, THE CEO AND DIRECTOR OF DEVELOPMENT AND EXTERNAL AFFAIRS ATTEND THE "DAY AT THE CAPITAL" CONFERENCE IN SACRAMENTO SPONSORED BY THE CALIFORNIA PRIMARY CARE ASSOCIATION, A STATEWIDE ASSOCIATION OF COMMUNITY HEALTH CENTERS AND CLINICS. PERIODIC LEGISLATIVE ACTION ALERTS ARE GENERATED BY THE NATIONAL, STATE AND LOCAL CONSORTIUM ASSOCIATIONS WHICH CALL FOR COMMUNICATIONS WITH OUR ELECTED REPRESENTATIVES TO SUPPORT OR OPPOSE SPECIFIC LEGISLATION THAT AFFECT COMMUNITY HEALTH CENTERS. THE BOARD OF DIRECTORS IS GIVEN A MONTHLY "KEY LEGISLATION" REPORT FOR THEIR REVIEW AND APPROVAL. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 253187 | OtherCostOrOtherBasis |
| Book Value | 253187 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3801125 | OtherCostOrOtherBasis |
| Depreciation | 2940094 | Depreciation |
| Book Value | 861031 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1161648 | OtherCostOrOtherBasis |
| Depreciation | 501602 | Depreciation |
| Book Value | 660046 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5310640 | OtherCostOrOtherBasis |
| Depreciation | 4655516 | Depreciation |
| Book Value | 655124 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1465146 | OtherCostOrOtherBasis |
| Depreciation | 149776 | Depreciation |
| Book Value | 1315370 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3744758 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 63496060 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 380298 | OtherRevenues |
| Revenue Not Rptd F990 | 380298 | RevenueNotRptdF990 |
| Revenue Subtotal | 63115762 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 63115762 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 63147846 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 63147846 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 63147846 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | NORTHEAST VALLEY HEALTH CORPORATION RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2012 OR 2011. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS 380,298. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (16 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| CENTRAL CITY COMMUNITY HC | |||||||
| 5970 S CENTRAL AVE | LOS ANGELES | CA | 90001 | 954492570 | 501(C)(3) | 100392 | HOMELESS SERVICES |
| CHILDRENS HOSPITAL LA | |||||||
| 4650 SUNSET BL MS 97 | LOS ANGELES | CA | 90027 | 951690977 | 501(C)(3) | 269285 | HOMELESS SERVICES, FEDERAL FUNDING IDS AND FEDERAL CIP PROGRAM |
| CITY HELP INC | |||||||
| 2301 BELLEVUE AVE | LOS ANGELES | CA | 90026 | 954658573 | 501(C)(3) | 196646 | FEDERAL CIP PROGRAM AND HOMELESS SERVICES |
| CLINICA MSR - ALVARADO | |||||||
| 123 S ALVARADO ST | LOS ANGELES | CA | 90057 | 953881333 | 501(C)(3) | 184537 | HOMELESS SERVICES |
| CLINICA MSR - OSCAR A ROMERO NE | |||||||
| 2032 MARENGO ST | LOS ANGELES | CA | 90033 | 953881333 | 501(C)(3) | 109907 | HOMELESS SERVICES AND FEDERAL FUNDING IDS |
| COMMUNITY HEALTH ALLIANCE OF PASADENA (CHAP) | |||||||
| 1855 N FAIROAKS AVE SUITE 200 | PASADENA | CA | 91103 | 954536824 | 501(C)(3) | 68163 | HOMELESS SERVICES |
| EAST VALLEY COMMUNITY HEALTH | |||||||
| 420 SOUTH GLENDORA AVE | WEST COVINA | CA | 91790 | 237068586 | 501(C)(3) | 110250 | HOMELESS SERVICES |
| EL NIDO FAMILY CENTERS | |||||||
| 10200 SEPULVEDA BL STE 350 | MISSION HILLS | CA | 91345 | 953186429 | 501(C)(3) | 128973 | FIRST 5 LA BEST BABIES |
| FRIENDS OF THE FAMILY | |||||||
| 15350 SHERMAN WAY STE 140 | VAN NUYS | CA | 91406 | 952765505 | 501(C)(3) | 93656 | FIRST 5 LA BEST BABIES |
| HOMELESS HEALTH CARE LA | |||||||
| 2330 BEVERLY BLVD | LOS ANGELES | CA | 90057 | 954074970 | 501(C)(3) | 178092 | HOMELESS SERVICES AND FEDERAL FUNDING IDS |
| JWCH INSTITUTE INC | |||||||
| 1910 W SUNSET BL STE 650 | LOS ANGELES | CA | 90026 | 952289916 | 501(C)(3) | 240129 | HOMELESS SERVICES AND FEDERAL FUNDING IDS |
| REGENTS OF THE UNIVERSITY | |||||||
| 405 HILGARD AVE | LOS ANGELES | CA | 900959000 | 092530369 | GOVERNMENT | 361062 | HOMELESS SERVICES |
| SABAN FREE CLINIC | |||||||
| 8405 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 952539105 | 501(C)(3) | 197801 | HOMELESS SERVICES |
| THE CHILDREN'S CLINIC | |||||||
| 2801 ATLANTIC AVENUE | LONG BEACH | CA | 908061737 | 951643332 | 501(C)(3) | 59559 | HOMELESS SERVICES |
| USC SCHOOL OF DENTISTRY | |||||||
| FILE NO 52095 | LOS ANGELES | CA | 900742095 | 951642394 | 501(C)(3) | 321022 | HOMELESS SERVICES, FEDERAL FUNDING IDS AND FEDERAL CIP PROGRAM |
| VENICE FAMILY CLINIC | |||||||
| 604 ROSE AVE | VENICE | CA | 90291 | 952769432 | 501(C)(3) | 533038 | HOMELESS SERVICES, FEDERAL FUNDING IDS AND FEDERAL CIP PROGRAM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 16 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: FOR THE HOMELESS PROGRAM: THE COOPERATIVE HEALTH CARE FOR THE HOMELESS NETWORK ADMINISTRATOR TRACKS THE VENDOR'S COMPLIANCE OF ALL ITEMS REQUIRED PER THE HEALTH CARE FOR THE HOMELESS CONTRACT. THIS INCLUDES THE COLLECTION AND REVIEW OF MONTHLY GRANT REIMBURSEMENTS, ANNUAL AND QUARTERLY REPORT SUBMISSIONS, PROFESSIONAL LIABILITY/MEDICAL MALPRACTICE INSURANCE CERTIFICATES, FINANCIAL AUDITS, ATTENDANCE AT MEETINGS/CONFERENCES/TRAININGS AND OTHER REPORTS. FOR THE BEST BABIES PROGRAM WE MONITOR THEIR USE OF FUNDS THROUGH THE INVOICING PROCESS. MOST OF THE MONEY IS USED FOR STAFF SALARIES. AND STAFF PERFORMANCE IS APPROPRIATE AND ACCEPTABLE CONFIRMING THAT THEY ARE SPENDING THEIR TIME ON THIS PROGRAM. PROGRAM MONITORING IS CAPTURED VIA A DATA COLLECTION SYSTEM MAINTAINED BY ANOTHER FIRST 5 LA CONTRACTOR. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| 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 | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WYARD KIMBERLY | ||||||||||||||
| CEO | 189792 | 0 | 0 | 0 | 4586 | 0 | 10691 | 0 | 42349 | 0 | 247418 | 0 | 0 | 0 |
| SEIDMAN RICHARD | ||||||||||||||
| CMO | 250739 | 0 | 1989 | 0 | 6231 | 0 | 14243 | 0 | 28066 | 0 | 301268 | 0 | 0 | 0 |
| MORAGA PATRICIA | ||||||||||||||
| CFO | 139327 | 0 | 0 | 0 | 10845 | 0 | 8259 | 0 | 38903 | 0 | 197334 | 0 | 0 | 0 |
| NITESCU THERESA | ||||||||||||||
| COO | 142866 | 0 | 0 | 0 | 5836 | 0 | 8179 | 0 | 24806 | 0 | 181687 | 0 | 0 | 0 |
| NATARAJAN MARGARET | ||||||||||||||
| PHYSICIAN | 223642 | 0 | 0 | 0 | 2442 | 0 | 12435 | 0 | 25614 | 0 | 264133 | 0 | 0 | 0 |
| SANDERS JR JESSE D | ||||||||||||||
| PHYSICIAN | 169616 | 0 | 0 | 0 | 16101 | 0 | 9753 | 0 | 39555 | 0 | 235025 | 0 | 0 | 0 |
| GORDON EDWARD S | ||||||||||||||
| PHYSICIAN | 177934 | 0 | 70 | 0 | 2723 | 0 | 9940 | 0 | 24373 | 0 | 215040 | 0 | 0 | 0 |
| PARK CHRISTINE LIM-FUN CHAN | ||||||||||||||
| PHYSICIAN | 163725 | 0 | 4786 | 0 | 16927 | 0 | 9574 | 0 | 24509 | 0 | 219521 | 0 | 0 | 0 |
| PASCUAL ALBERT | ||||||||||||||
| PHYSICIAN | 156810 | 0 | 658 | 0 | 3371 | 0 | 8846 | 0 | 24229 | 0 | 193914 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 6 | THE AMOUNT WITHHELD FROM QUARTERLY PAYMENTS OF THE PROVIDER INCENTIVE PLAN EARNINGS FOR 2011, PAID IN 2012 WAS CONTINGENT ON THE ORGANIZATION'S NET EARNINGS. |
| PART I, LINE 7 | THE ORGANIZATION DISTRIBUTED PROVIDER INCENTIVES AND PERFORMANCE BONUSES. |
Schedule M IRS990ScheduleM
Books And Publications BooksAndPublications
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 19579 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 103062 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 5219851 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | CURRENT PRICE RATES | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS REVIEWED AND REVISED, AS NECESSARY, BY MANAGEMENT STAFF AND CORPORATE LEGAL COUNSEL, AND ANY CHANGES CONSIDERED NECESSARY ARE INCORPORATED. THE FORM 990, ALONG WITH MANAGEMENT'S RECOMMENDATION FOR APPROVAL, IS THEN PRESENTED TO THE BOARD OF DIRECTORS AUDIT COMMITTEE. THE AUDIT COMMITTEE REVIEWS THE FORM AND, IF THEY APPROVE, RECOMMENDS APPROVAL TO THE FULL BOARD. ANY CHANGES REQUIRED BY THE AUDIT COMMITTEE ARE INCORPORATED BEFORE IT IS PRESENTED TO THE BOARD. THE BOARD IS FURNISHED WITH A COPY OF THE FORM 990 WITH THE RECOMMENDATION OF THE AUDIT COMMITTEE AND GENERALLY ACCEPTS THE AUDIT COMMITTEE'S RECOMMENDATION. AFTER BOARD ACCEPTANCE, THE FORM IS SIGNED AND FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY VIA ITS ANNUAL MANDATORY "CODE OF CONDUCT" POLICY TRAINING. THE ANNUAL TRAINING CONSISTS OF A LIVE PRESENTATION REVIEWING THE POLICY. IN ADDITION ALL KEY EMPLOYEES, OFFICERS AND DIRECTORS ARE REQUIRED TO DISCLOSE ANNUALLY ALL BUSINESS AND FAMILY RELATIONSHIPS WHICH MIGHT POTENTIALLY CREATE A CONFLICT OF INTEREST. THIS IS DONE BY THE COMPLETION OF A DISCLOSURE FORM, ON WHICH ANY SUCH INTERESTS MUST BE DESCRIBED. THE FORM IS COMPLETED AND SIGNED ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION B, LINE 15 | EVERY TWO TO THREE YEARS, THE ORGANIZATION HIRES A COMPENSATION CONSULTANT WHO CONDUCTS A SALARY SURVEY BY REVIEWING OTHER "LIKE" ORGANIZATIONS WITHIN THE MARKET. THE SURVEY INCLUDES THE CONSULTANT'S RECOMMENDATIONS. THE RECOMMENDATIONS ARE PRESENTED TO THE BOARD FOR APPROVAL. THIS IS USED AS THE BASIS FOR SETTING SALARY RANGES FOR EXEMPT STAFF POSITIONS. IN ADDITION TO APPROVING THE SALARY RANGES FOR THE EXEMPT STAFF POSITIONS, THE BOARD OF DIRECTORS APPROVES THE SPECIFIC SALARY OF THE CEO AND OF THE CFO. ANY CHANGES TO THESE SALARIES ARE SPECIFICALLY REVIEWED AND APPROVED BY THE BOARD BEFORE THEY ARE IMPLEMENTED. THIS REVIEW PROCESS WAS COMPLETED IN 2011, BUT NO INCREASES WERE IMPLEMENTED AS A RESULT OF THE REVIEW. HOWEVER, MANAGEMENT STAFF INCLUDING THE CEO AND CFO RECEIVED A 1.25% INCREASE EFFECTIVE MAY 15, 2011 AND A 1% INCREASE EFFECTIVE JANUARY 1, 2012. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. OTHER INTERNAL DOCUMENTS ARE NOT ROUTINELY MADE AVAILABLE. |
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