2012-12-05T18:59:52-06:00 2011-06-30 VASQUEZ & COMPANY LLP 801 SOUTH GRAND AVE SUITE 400 LOS ANGELES CA 90017 990 2010-07-01 953881333 CLINICA MSR OSCAR A ROMERO CLIN 3239871401 2032 MARENGO STREET LOS ANGELES CA 90033 ROBERT DESMOND 2132012745 2012-12-05 GILBERT R VASQUEZ 2138731700 2010 2016-02-24 21:20:13Z ALBERT PACHECO 2032 MARENGO ST LOS ANGELES CA 90033 8511850 0 X WWW.CLINICAROMERO.COM/ X 1983 CA PROVIDE FREE OR LOW COST, HIGH QUALITY MEDICAL,PSYCHOLOGICAL, DENTAL, LEGAL, SOCIAL, VOCATIONAL, EDUCATIONAL AND RELATED SERVICES TO THE POOR AND UNDER SERVED OF LOS ANGELES. 9 9 167 0 0 0 5732065 4822159 4384277 3565410 5017 1413 108625 122868 10229984 8511850 0 0 0 0 6667396 7092527 0 0 0 3557470 4002769 10224866 11095296 5118 -2583446 10230597 8721064 3857372 4931285 6373225 3789779 PROVIDE FREE OR LOW COST, HIGH QUALITY MEDICAL,PSYCHOLOGICAL, DENTAL, LEGAL, SOCIAL, VOCATIONAL, EDUCATIONAL AND RELATED SERVICES TO THE POOR AND UNDER SERVED OF LOS ANGELES. 0 0 5527211 PROVIDED FREE AND LOW COST MEDICAL SERVICES TO THE POOR AND UNDER SERVED OF DOWNTOWN LOS ANGELES 900682 PROVIDED FREE AND LOW COST DENTAL SERVICES TO THE POOR AND UNDER SERVED OF DOWNTOWN LOS ANGELES 975634 PROVIDED FREE AND LOW COST HEALTH SERVICES TO THE POOR AND UNDER SERVED OF DOWNTOWN LOS ANGELES 7403527 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 21 0 1 167 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 0 0 CA X X ALBERT PACHECO 2132012745 2032 MARENGO STREET LOS ANGELES CA 90033 LEONARDO VILCHIS 1.00 X 0 0 0 JOSE ARTURO RUVALCABA 1.00 X 0 0 0 CARLOS VAQUERANO 1.00 X 0 0 0 DELMY RUIZ 1.00 X 0 0 0 PABLO LOPEZ 1.00 X 0 0 0 KAI TRAMIEL 1.00 X 0 0 0 ROBERTO COREA 1.00 X 0 0 0 JONATHAN CANAS 1.00 X 0 0 0 IRMA MAGANA 1.00 X 0 0 0 ROBERT DESMOND 40.00 X 83915 0 0 ALBERT PACHECO 40.00 X 137182 0 0 GRACE FLOUTSIS 40.00 X 159359 0 0 PAUL GIBONEY 40.00 X 147587 0 0 528043 0 0 3 0 1 0 0 3668480 1153679 4822159 PATIENT SERVICE REVENU 621110 3565410 3565410 3565410 1413 1413 OTHER INCOME 900099 122868 122868 122868 8511850 3688278 0 1413 528043 528043 4902415 2925875 1976540 1179604 750261 429343 482465 306861 175604 34182 34182 60196 60196 127300 76780 50520 521282 390961 130321 CONTRACTED SERVICES 515683 381718 133965 LABORATORY 483156 483156 PHARMACY 363394 363394 MEDICAL, DENTAL & CHART 301887 301887 PROFESSIONAL & CONSULTI 281634 147985 133649 1314055 746606 567449 11095296 7403527 3691769 0 861754 825849 2457600 1467959 969011 347153 10496 25294 8897 8648541 2595591 5887958 6052950 18484 18256 10230597 8721064 918916 1408840 146835 2791621 3522445 3857372 4931285 X 4781875 2523112 1591350 1266667 6373225 3789779 10230597 8721064 -2583446 0 X 0 1 1 X 1 1 X 9328659 6277512 5532603 5732065 4822159 31692998 9328659 6277512 5532603 5732065 4822159 31692998 31692998 5408 5017 1413 11838 122524 108625 122868 354017 32058853 16188593 0.98860 0.99450 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1618324 1618324 2841218 865197 1976021 2182124 865197 1316927 2006875 865197 1141678 6052950 8511850 11095296 -2583446 0 -2583446 8562406 50556 50556 8511850 0 8511850 11145852 50556 50556 11095296 0 11095296 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE FOUNDATION QUALIFIES AS A TAX EXEMPT ORGANIZATION UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE 23701D. THE FOUNDATION HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED RELATE TO THE FOUNDATIONS CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE ARE UNRELATED BUSINESS INCOME ACTIVITIES THAT WOULD BE TAXABLE. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS WILL MORE LIKELY THAN NOT (>50%) BE SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURE OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE FOUNDATION FILES INFORMATION RETURNS IN THE US FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA. WITH FEW EXCEPTIONS, THE FOUNDATION IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2006. 0 0 0 0 0 0 0 0 0 GRACE FLOUTSIS 159359 0 0 0 0 0 0 0 0 0 159359 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 CLINICA MSR. OSCAR A. ROMERO OUTSIDE AUDITORS AND FINANCE STAFF PREPARE THE FORM 990. THE FORM IS THEN REVIEWED AND APPROVED BY THE ORGANIZATION'S CONTROLLER OR CHIEF FINANCIAL OFFICER AND CHIEF EXECUTIVE OFFICER. THE FORM IS THEN SENT TO THE FULL BOARD BEFORE MAILING. FORM 990, PART VI, SECTION B, LINE 12C CLINICA MSR. OSCAR A. ROMERO (CMOAR) REQUIRES ALL EMPLOYEES TO DISCLOSE, AT LEAST ANNUALLY, ALL SOURCES OF INCOME FROM COMPENSATION OR FROM OWNERSHIP OF EVERY OUTSIDE ENTITY THAT (A) SOLD, SUPPLIED OR PROVIDED SERVICES (B) OPERATED A COMPETING ENTERPRISE OR (C) PROVIDED GOODS OR SERVICES TO CMOAR IN THE LAST SIX MONTHS. CMOAR ALSO REQUIRES ALL DIRECTORS TO ANNUALLY SIGN A STATEMENT AFFIRMING (A) RECEIPT OF CMOAR CONFLICT OF INTEREST POLICY (B) UNDERSTANDING OF THE POLICY AND (C) AGREEMENT WITH THE POLICY. CMOAR CONFLICT OF INTEREST POLICY DESCRIBES HOW CMOAR WILL RESOLVE POSSIBLE CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD REVIEWED CLINICA MSR OSCAR A. ROMERO CEO'S COMPENSATION. THE BOARD REVIEWED DATA OF COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED NONPROFIT EXECUTIVES. THE OCCURRENCE OF THESE DELIBERATION ARE NOTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 SOME OR ALL OF THESE ITEMS MAYBE AVAILABLE AS PART OF A PUBLIC GRANT APPLICATION. HOWEVER, THERE IS NO PROCESS FOR MAKING THESE AVAILABLE TO THE PUBLIC. ALL OTHER FUNCTIONAL EXPENSES FORM 990, PART X, LINE 24F BUILDING & EQUIPMENT RENT: PROGRAM SERVICE EXPENSES 205,106. MANAGEMENT AND GENERAL EXPENSES 46,132. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 251,238. BAD DEBTS EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 210,649. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 210,649. TELEPHONE & UTILITIES: PROGRAM SERVICE EXPENSES 118,135. MANAGEMENT AND GENERAL EXPENSES 78,714. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 196,849. SECURITY: PROGRAM SERVICE EXPENSES 64,074. MANAGEMENT AND GENERAL EXPENSES 42,716. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 106,790. MAINTENANCE & REPAIRS: PROGRAM SERVICE EXPENSES 60,906. MANAGEMENT AND GENERAL EXPENSES 40,604. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 101,510. LIABILITY INSURANCE: PROGRAM SERVICE EXPENSES 48,936. MANAGEMENT AND GENERAL EXPENSES 44,417. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 93,353. HAZARDOUS WASTE DISPOSAL: PROGRAM SERVICE EXPENSES 89,740. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 89,740. BANK & PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 48,700. MANAGEMENT AND GENERAL EXPENSES 34,407. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,107. PRINTING AND POSTAGE: PROGRAM SERVICE EXPENSES 37,256. MANAGEMENT AND GENERAL EXPENSES 24,838. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,094. COMMUNITY EVENTS: PROGRAM SERVICE EXPENSES 36,158. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,158. OTHER PROGRAM COSTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 31,955. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,955. DUES AND SUBSCRIPTION: PROGRAM SERVICE EXPENSES 25,883. MANAGEMENT AND GENERAL EXPENSES 5,265. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,148. TAXES & LICENSES: PROGRAM SERVICE EXPENSES 11,712. MANAGEMENT AND GENERAL EXPENSES 7,320. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,032. OTHER ADMINISTRATIVE COSTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 432. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 432.