CLINICA SIERRA VISTA: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CLINICA SIERRA VISTA (EIN 95-2707101)
Tax period
2012-04-01 to 2013-03-31
Filed
2013-08-13
IRS object ID
201342259349302559
Schema version
2012v2.0
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)
Timestamp2013-08-13T12:45:00-07:00Timestamp
Tax Period End Date2013-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Oscar G Armijo CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line141-990 Cook St Suite 501AddressLine1
CityPalm DesertCity
StateCAState
ZIP Code92211ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN952707101EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Clinica Sierra VistaBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCLINNameControl
Phone6616353050Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11430 Truxtun AvenueAddressLine1
CityBakersfieldCity
StateCAState
ZIP Code93301ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameConsuelo CantuName
TitleCFOTitle
Date Signed2013-08-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameOscar G Armijo CPAName
PTINP01429445PTIN
Phone7607734078Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonStephen SchillingNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15308 Pelican Hill DriveAddressLine1
CityBakersfieldCity
StateCAState
ZIP Code93312ZIPCode
FieldValueIRS element (for citing)
Gross Receipts86128949GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.clinicasierravista.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionThe mission of Clinica Sierra Vista is to provide high quality health care to the underserved populations of Kern, Fresno, and Inyo Counties.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees1179TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year34575183ContributionsGrantsPriorYear
Contributions Grants Current Year37900405ContributionsGrantsCurrentYear
Program Service Revenue Prior Year45893136ProgramServiceRevenuePriorYear
Program Service Revenue CY47958705ProgramServiceRevenueCY
Investment Income Prior Year72743InvestmentIncomePriorYear
Investment Income Current Year32845InvestmentIncomeCurrentYear
Other Revenue Prior Year1102957OtherRevenuePriorYear
Other Revenue Current Year236994OtherRevenueCurrentYear
Total Revenue Prior Year81644019TotalRevenuePriorYear
Total Revenue Current Year86128949TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year52500624SalariesEtcPriorYear
Salaries Etc Current Year57506112SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year22720753OtherExpensePriorYear
Other Expenses Current Year25106832OtherExpensesCurrentYear
Total Expenses Prior Year75221377TotalExpensesPriorYear
Total Expenses Current Year82612944TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6422642RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3516005RevenuesLessExpensesCY
Total Assets BOY60684547TotalAssetsBOY
Total Assets EOY76158834TotalAssetsEOY
Total Liabilities BOY14001960TotalLiabilitiesBOY
Total Liabilities EOY25960242TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY46682587NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY50198592NetAssetsOrFundBalancesEOY
Mission DescriptionIt shall be the mission of Clinica Sierra Vista to provide high quality and comprehensive primary and preventive health care services at the most efficient cost to underserved populations of Kern, Fresno and Inyo counties regardless of ability to pay and to seek necessary resources to meet the growing health care demands while maintaining the corporation's financial integrity. We strongly believe in everyone's right to quality health care;therefore, no one is denied services based on race, religion, ethnicity, sex, age disability or economic status.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense70398696Expense
Revenue48228544Revenue
DescriptionProvided 562,681 Medical, Dental, Behaviorial Health,Podiatry and Social Services patient visits to the underserved population of Kern, Fresno and Inyo Counties.Description
Total Program Service Expense70398696TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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 ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096165NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1179NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonConsuelo CantuNamePerson
Telephone Number6616353050TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11430 Truxtun AvenueAddressLine1
CityBakersfieldCity
StateCAState
ZIP Code93301ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Maria Moreno
Board Member0.500.00X22500
Angelica Torres
Student Rep0.500.00X000
Roberto Rivera
Treasurer1.500.00X60000X
Isaiah Crompton
Vice President0.500.00X12500X
Susan Sorrells
Board Member0.500.00X000
Khu Vang
Board Member0.500.00X12500
Socorro Munoz
Board Member0.500.00X57500
Juanita Benavidez
Secretary0.500.00X57500X
Roberta Gerds
Board Member0.500.00X20000
Matthew C Clark
President0.500.00X2500X
Stephen Schilling
CEO40.000.00266411030912X
Consuelo Cantu
CFO40.000.00176556026505X
Chibuike Anucha
Physician40.000.00466006027075X
Luis Lopez
Physician40.000.00294893024938X
Rhonda Robinson
Physician40.000.00237692022396X
Kami Jow
Physician40.000.00226394026484X
Hans Yu
Physician40.000.00225712019649X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1896114TotalReportableCompFromOrg
Total Other Compensation177959TotalOtherCompensation
Number Individuals GT100 K94NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
The Quiring Corporation
5118 E Clincon Way 201FresnoCA93727General Contractor4082381
Exact Staff Inc
21031 Ventura Blvd 501Woodland HillsCA91364Employment Agency1215368
BMY Construction Group
5493 E Olive AveFresnoCA93727General Contractor926659
ACT-1 Personnel Services
PO Box 29048GlendaleCA91209Employment Agency775530
ABM Janitorial
PO Box 743251Los AngelesCA90074Janitorial1070312
FieldValueIRS element (for citing)
Number Of Contractors GT100 K60NumberOfContractorsGT100K
Government Grants34335215GovernmentGrants
All Other Contributions3565190AllOtherContributions
Total Contributions37900405TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeBusiness CodeBusinessCode
Pharmacy Fee Revenue838607838607
Patient Revenue4712009847120098621400
FieldValueIRS element (for citing)
Total Program Service Revenue47958705TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column32845TotalRevenueColumn
Related Or Exempt Function Income32845RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMiscellaneousDescription
Business Code621400BusinessCode
Total Revenue Column236994TotalRevenueColumn
Related Or Exempt Function Income236994RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue236994TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column86128949TotalRevenueColumn
Related Or Exempt Function Income48228544RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

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)
Total500384Total
Management And General500384ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total46454976Total
Program Services41416613ProgramServices
Management And General5038363ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1571769Total
Program Services1402549ProgramServices
Management And General169220ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5351224Total
Program Services4726535ProgramServices
Management And General624689ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3627759Total
Program Services3185320ProgramServices
Management And General442439ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total22284Total
Management And General22284ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total108731Total
Management And General108731ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7386204Total
Program Services6287909ProgramServices
Management And General1098295ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5136782Total
Program Services3907829ProgramServices
Management And General1228953ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total459306Total
Program Services361125ProgramServices
Management And General98181ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total76982Total
Program Services76982ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1817056Total
Program Services957937ProgramServices
Management And General859119ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total375318Total
Program Services330620ProgramServices
Management And General44698ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Telephone62075453276187993
Printing and Publications101655593218984366
Other Expenses17189135020691216844
Supplies43872974248518138779

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1980650Total
Program Services1529740ProgramServices
Management And General450910ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total82612944Total
Program Services70398696ProgramServices
Management And General12214248ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY15402672BOY
EOY916154EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2484925BOY
EOY23585003EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY4484176BOY
EOY3734877EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7891748BOY
EOY8411049EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY260380BOY
EOY362804EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis47896058LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11257406LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY27601477BOY
EOY36638652EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2559169BOY
EOY2510295EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY60684547BOY
EOY76158834EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8128993BOY
EOY10717621EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY850445BOY
EOY6026722EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2141118BOY
EOY4248929EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1862392BOY
EOY3643041EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1019012BOY
EOY1323929EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY14001960BOY
EOY25960242EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY46682587BOY
EOY50198592EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY46682587BOY
EOY50198592EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY60684547BOY
EOY76158834EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3516005ReconcilationRevenueExpenses
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 Years24987451CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29847072CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34795964CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34575183CurrentTaxYearMinus1Year
Current Tax Year37900405CurrentTaxYear
Total162106075Total

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 Years24987451CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29847072CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34795964CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34575183CurrentTaxYearMinus1Year
Current Tax Year37900405CurrentTaxYear
Total162106075Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total170162106075PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years243044CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39900CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years65076CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year72743CurrentTaxYearMinus1Year
Current Tax Year32845CurrentTaxYear
Total453608Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years445775CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years287221CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years411794CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1102957CurrentTaxYearMinus1Year
Current Tax Year236994CurrentTaxYear
Total2484741Total
FieldValueIRS element (for citing)
Total Support165044424TotalSupport
Gross Receipts From Admissions Etc204971034GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98220PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97340PublicSupportPertcentPriorYear
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 D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3828368OtherCostOrOtherBasis
Book Value3828368BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis25409356OtherCostOrOtherBasis
Depreciation11257406Depreciation
Book Value14151950BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis9023697OtherCostOrOtherBasis
Book Value9023697BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9634637OtherCostOrOtherBasis
Book Value9634637BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings36638652TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOverpayment of 3rd Party Payor SettlemenDescription
Amount$1,323,929Amount
FieldValueIRS element (for citing)
Total Of Amounts1323929TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt86221829TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities92880DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F99092880RevenueNotRptdF990
Revenue Subtotal86128949RevenueSubtotal
Total Revenue Per Form99086128949TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt82705824TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities92880DonatedServicesUseOfFacilities
Expenses Not Rptd F99092880ExpensesNotRptdF990
Expenses Subtotal82612944ExpensesSubtotal
Total Expenses Per Form99082612944TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPart XIdentifier
Return ReferencePart X : FIN48 FootnoteReturnReference
ExplanationThe accounting standard on accounting for uncertainty in income taxes addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under the guidance, the Clinic may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Clinic and various positions related to the potential sources of unrelated business taxable income (UBIT). The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. There were no unrecognized tax benefits identified or recorded as liabilities for fiscal year 2013.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgBonus Filing OrgBonusFilingOrg
Stephen Schilling
CEO25776586461500015912297323
Rhonda Robinson
Physician2365121808801135952600881000
Luis Lopez
Physician294734159864016298319831
Kami Jow
Physician2249804148518179662528781000
Hans Yu
Physician225573139243517214245361
Consuelo Cantu
CFO17479917571059315912203061
Chibuike Anucha
Physician465592414824818827493081

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableAll governing documents, financial statements and form 990 are available to thepublic upon written request. The form 990 are also available online.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe organization has a personnel committee composed of members of the Board of Directors. The committee uses a formal salary survey process to determine appropriate salary scale for all positions and makes recommendations to Board of Directors. Surveys comprise of like non-profit organizations, industry specific, National and State Primary Care Association Surveys.
Form 990, Part VI, Line 15aForm 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementCompensation for the CEO is determined and approved by Clinica Sierra Vista's Board of Directors during contract renewal and negotiations. The CEO determines and approves compensation for officers and key employees based on board approved salary schedule and individual's qualifications.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsClinica Sierra Vista has a Conflict of Interest policy in the Employee personnel manual section 428.1 and Administrative Manual section 1.1029. Each employee is given the manual and policy at hire. Each employee completes a conflict of interest statement each year. Our policy requires employees to request approval for outside employment; it requires disclosure of potential personal and professional conflicts; and prohibits employees from engaging in business transactions that result in personal gain. Human Resources and supervisors monitor adherence to this policy closely.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessComptroller compiles and verifies 990 data. Final draft is reviewed by CEO and CFOprior to submission.

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