LA CLINICA DEL PUEBLO INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LA CLINICA DEL PUEBLO INC (EIN 52-1942551)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-06-22
IRS object ID
201211749349300006
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

FieldValueIRS element (for citing)
Timestamp2012-06-22T08:23:20-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN521711839EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1COUNCILOR BUCHANAN & MITCHELL PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17910 WOODMONT AVENUE SUITE 500AddressLine1
CityBETHESDACity
StateMDState
ZIP Code20814ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521942551EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LA CLINICA DEL PUEBLO INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLACLNameControl
Phone2024640141Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12831 15TH STREET NWAddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20009ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameALICIA WILSONName
TitleEXECUTIVE DIRECTORTitle
Phone2024640141Phone
Date Signed2012-06-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDANIEL L WEAVERName
PTINP01249346PTIN
Phone3019860600Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonALICIA WILSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12831 15TH STREET NWAddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20009ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7013588GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LCDP.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileDCStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE CULTURALLY APPROPRIATE HEALTH SERVICES IN THE LATINO COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees105TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4999912ContributionsGrantsPriorYear
Contributions Grants Current Year4966946ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1676914ProgramServiceRevenuePriorYear
Program Service Revenue CY2041336ProgramServiceRevenueCY
Investment Income Prior Year704InvestmentIncomePriorYear
Investment Income Current Year1410InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year6677530TotalRevenuePriorYear
Total Revenue Current Year7009692TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3827862SalariesEtcPriorYear
Salaries Etc Current Year3847351SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY1200TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year81382TotalFundrsngExpCurrentYear
Other Expense Prior Year2770417OtherExpensePriorYear
Other Expenses Current Year3124278OtherExpensesCurrentYear
Total Expenses Prior Year6598279TotalExpensesPriorYear
Total Expenses Current Year6972829TotalExpensesCurrentYear
Revenues Less Expenses Prior Year79251RevenuesLessExpensesPriorYear
Revenues Less Expenses CY36863RevenuesLessExpensesCY
Total Assets BOY3895095TotalAssetsBOY
Total Assets EOY3945062TotalAssetsEOY
Total Liabilities BOY1327201TotalLiabilitiesBOY
Total Liabilities EOY1340305TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2567894NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2604757NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE CULTURALLY APPROPRIATE HEALTH SERVICES IN THE LATINO COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1257461Expense
DescriptionCOMMUNITY HEALTH ACTION - THE COMMUNITY HEALTH ACTION DEPARTMENT ASSESSES HEALTH NEEDS WITHIN THE COMMUNITY AS A WHOLE, AND DEVELOPS STRATEGIES GROUNDED IN PUBLIC HEALTH AND COMMUNITY MOBILIZATION TO ADDRESS THESE NEEDS AT THE INDIVIDUAL, FAMILY, GROUP, COMMUNITY, OR STRUCTURAL LEVEL AS APPROPRIATE. THE DEPARTMENT CONCENTRATES ON HEALTH ISSUES/NEEDS MOST PREVALENT WITH LA CLINICA'S PATIENT POPULATION, INCLUDING, BUT NOT LIMITED TO, DIABETES, HIV, CARDIOVASCULAR DISEASES, MENTAL HEALTH/SUBSTANCE ABUSE, REPRODUCTIVE HEALTH, ACCESS TO CARE, CULTURALLY COMPETENT CARE, AND OTHER HEALTH ISSUES AS THEY EMERGE. THE DEPARTMENT EXISTS TO FULFILL LA CLINICA'S ROLE AS A LEADING VOICE FOR LATINO HEALTH WITHIN THE COMMUNITY WHO IS LOOKED TO BY COMMUNITY MEMBERS AND THE HEALTH COMMUNITY FOR LEADERSHIP AROUND KEY PUBLIC HEALTH ISSUES.THE DEPARTMENT INCLUDES LA CLINICA'S COMMUNITY HEALTH FAIRS AND EDUCATION, HIV PREVENTION PROGRAMS FROM OUTREACH TO SCREENING AND LINKAGE TO CARE, AND TRAINING FOR PROMOTORES DE SALUD, OR COMMUNITY HEALTH FAIRS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2059145Expense
DescriptionPATIENT SERVICES - LA CLINICA SERVES PATIENTS THROUGH ALL STAGES OF LIFE, FROM PRENATAL TO GERIATRIC CARE. THE MEDICAL SERVICES UNIT PROVIDES ADULT, PEDIATRIC, PRENATAL, AND ADOLESCENT PRIMARY CARE, AS WELL AS DIABETIC AND REPRODUCTIVE HEALTH CARE. DOCTORS AND OTHER HEALTH PROFESSIONALS PROVIDE EVALUATIONS, EDUCATION, IMMUNIZATIONS, DIAGNOSIS, AND TREATMENT, AS WELL AS REFERRALS WHEN NEEDED. AS PART OF LA CLINICA'S MISSION TO PROVIDE CULTURALLY APPROPRIATE HEALTH CARE, TRADITIONAL LATIN AMERICAN HERBAL AND NUTRITIONAL REMEDIES HAVE BEEN INCORPORATED INTO THE DELIVERY OF COMPREHENSIVE HEALTH CARE SERVICES.WE OFFER SERVICES REGARDLESS OF A PERSON'S ABILITY TO PAY AND CHARGE PATIENTS ON A SLIDING SCALE, BASED ON INCOME.THIS DEPARTMENT PLAYS A CRITICAL ROLE IN HELPING TO BREAK DOWN THE BARRIERS TO HEALTH CARE FACED BY LOW-INCOME PATIENTS, UNINSURED AND UNDERINSURED LATINOS AND OTHER INDIVIDUALS IN NEED THAT COME TO LA CLINICA. SERVICES INCLUDE; HIV CASE MANAGEMENT; ENTITLEMENTS ASSISTANCE; HOUSING ASSISTANCE, REFERRALS FOR FOOD, CLOTHING, MEDICINE, AND MEDICAL EQUIPMENT. THE PATIENT SUPPORT SERVICES UNIT STAFF EDUCATES AND ENROLLS ELIGIBLE CLIENTS INTO MEDICAID, MEDICARE AND OTHER PROGRAMS, AND HELPS PATIENTS APPLY FOR PHARMACEUTICAL COMPANY ASSISTANCE PROGRAMS.IN ADDITION, THE UNIT PROVIDES DIRECT HEALTH EDUCATION SERVICES TARGETING MOSTLY PATIENTS WITH DIABETES, OVERWEIGHT AND OBESITY PROBLEMS. PATIENTS WITH OR AT RISK OF CHRONIC DISEASES SUCH AS DIABETES AND/OR OBESITY HAVE THE OPPORTUNITY TO ATTEND COOKING CLASSES, SUPPORT GROUPS AND EXERCISE SESSIONS THAT HELP THEM IMPROVE THEIR HEALTH AND TO ADOPT HEALTHIER LIFE STYLES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense995319Expense
DescriptionINTERPRETER SERVICES - OVER TEN PERCENT OF PEOPLE IN THE DC METRO AREA HAVE LIMITED ENGLISH PROFICIENCY. VERY FEW DOCTORS AND CARE PROVIDERS ARE TRAINED BILINGUAL MEDICAL STAFF, WHICH CAN CREATE A HUGE DIVIDE BETWEEN PATIENTS AND THEIR PROVIDERS. LA CLINICA PROVIDES MEDICAL INTERPRETATION IN OVER EIGHT LANGUAGES ON-SITE AND FOR ALL MEDICAL FACILITIES IN THE AREA TO HELP BREAK DOWN THAT DIVIDE.ANY DC RESIDENTS WITH MANAGED CARE CAN USE OUR INTERPRETERS' SERVICES. THE INTERPRETER SERVICES' UNIT IS ALWAYS LOOKING FOR NEW VOLUNTEERS TO HELP IN THEIR WORK TOWARDS EQUAL LANGUAGE ACCESS.LA CLINICA AND ITS INTERPRETERS RECENTLY EMBARKED ON A NEW INITIATIVE, THE LANGUAGE ACCESS FOR ALL PROGRAM, WHICH TRAINS MEDICAL INTERPRETERS TO PROVIDE BILINGUAL SERVICES IN HEALTH CLINICS AROUND THE DISTRICT, SPREADING LA CLINICA'S CULTURALLY-APPROPRIATE WORK TO OTHER COMMUNITIES.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense562552Expense
DescriptionBEHAVIORAL HEALTH - LA CLINICA'S HOLISTIC APPROACH TO HEALTHCARE VIEWS MENTAL HEALTH AS A VITAL COMPONENT TO HEALTHY LIVING, AND STAFF WORK TO DE-STIGMATIZE THERAPEUTIC CARE IN THE EYES OF LA CLINICA'S PATIENTS AND THE BROADER LATINO IMMIGRANT COMMUNITY.WE PROVIDE INDIVIDUAL, COUPLE, AND FAMILY COUNSELING SERVICES FOR A BROAD RANGE OF PSYCHOLOGICAL PROBLEMS. WE ALSO OFFER PSYCHO-EDUCATIONAL SUPPORT GROUPS THAT REACH A BROAD RANGE OF PATIENTS. COMPREHENSIVE OUTPATIENT SUBSTANCE ABUSE TREATMENT SERVICES ARE AVAILABLE, INCLUDING SUPPORT GROUPS AND REFERRALS TO DETOXIFICATION AND RESIDENTIAL PROGRAMS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp562552TotalOfOtherProgramServiceExp
Total Program Service Expense4874477TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109670NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees105NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledDCStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMDStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2024640141TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12831 15TH STREET NWAddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20009ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
BESSIE ANAYA
DIRECTOR1.00X000
HERBERT BAIRES
DIRECTOR1.00X000
TEHANI COLLAZO
DIRECTOR1.00X000
RICARDO FERNANDEZ MD
DIRECTOR1.00X000
ROBERT FREE
TREASURER1.50X000X
ISABEL FRIEDENZOHN
SECRETARY1.50X000X
NICOLAS GOMEZ
DIRECTOR1.00X000
MAURICE KURLAND
DIRECTOR1.00X000
MARIA QUINTANILLA
DIRECTOR1.00X000
CLARA MOLLOJA
DIRECTOR1.00X000
MAURICIO SILVA
PRESIDENT1.50X000X
PAULA VASQUEZ
DIRECTOR1.00X000
XOCHITL E YANEZ
DIRECTOR1.00X000
ALICIA WILSON
EXECUTIVE DIRECTOR40.008459305892X
CLAIRE MOONEY
CHIEF FINANCIAL OFFICER40.002849200X
MEREDITH S JOSEPHS
CHIEF MEDICAL OFFICER32.0012146504604X
TESSIE G AIKARA
FAMILY PHYSICIAN40.0010084200X
FieldValueIRS element (for citing)
Total Reportable Comp From Org335392TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation10496TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
RAFFA
1899 L STREET NW SUITE 900WASHINGTONDC20036ACCOUNTING CONSULTANTS260399
COMMUNITY IT INNOVATORS
PO BOX 73853WASHINGTONDC20056IT CONSULTING160741
PRIORITY MANAGEMENT GROUP
700 SCHOOL STREETPAWTUCKETRI02860BILLING CONTRACTOR120180
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Government Grants3620133GovernmentGrants
All Other Contributions1346813AllOtherContributions
Total Contributions4966946TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES62140020095852009585
OTHER REVENUE9000993175131751
FieldValueIRS element (for citing)
Total Program Service Revenue2041336TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1580TotalRevenueColumn
Exclusion$1,580ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3726Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3896Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-170Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-170TotalRevenueColumn
Exclusion-$170ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7009692TotalRevenueColumn
Related Or Exempt Function Income2041336RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,410ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total118976Total
Program Services90302ProgramServices
Management And General27092ManagementAndGeneral
Fundraising1582Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3115337Total
Program Services2335282ProgramServices
Management And General739141ManagementAndGeneral
Fundraising40914Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total374990Total
Program Services352185ProgramServices
Management And General16640ManagementAndGeneral
Fundraising6165Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total238048Total
Program Services223571ProgramServices
Management And General10563ManagementAndGeneral
Fundraising3914Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total541809Total
Management And General541809ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total1200Total
Fundraising1200Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1206254Total
Program Services1125462ProgramServices
Management And General80792ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total170058Total
Program Services109333ProgramServices
Management And General36268ManagementAndGeneral
Fundraising24457Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total247797Total
Program Services69286ProgramServices
Management And General178511ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total199308Total
Program Services126157ProgramServices
Management And General73151ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total63049Total
Program Services60596ProgramServices
Management And General2453ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total57498Total
Management And General57498ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total149952Total
Management And General149952ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total13988Total
Management And General13988ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBTS EXPENSE200000200000
CLIENT SERVICES171656164467714742
PAYROLL SERVICE FEES1826518265
DUES AND MEMBERSHIPS14489-15114640

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total70155Total
Program Services17987ProgramServices
Management And General49060ManagementAndGeneral
Fundraising3108Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6972829Total
Program Services4874477ProgramServices
Management And General2016970ManagementAndGeneral
Fundraising81382Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY421BOY
EOY395EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY273244BOY
EOY347450EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY753476BOY
EOY578483EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY543068BOY
EOY681776EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY23931BOY
EOY23428EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3196412LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec884560LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2295419BOY
EOY2311852EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3858BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1678BOY
EOY1678EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3895095BOY
EOY3945062EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY468723BOY
EOY504912EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY50594BOY
EOY63421EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY807884BOY
EOY771972EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1327201BOY
EOY1340305EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2452352BOY
EOY2470994EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY115542BOY
EOY133763EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2567894BOY
EOY2604757EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3895095BOY
EOY3945062EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses36863ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4725951CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5390202CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4660293CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4999912CurrentTaxYearMinus1Year
Current Tax Year4966946CurrentTaxYear
Total24743304Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years781091CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1027997CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1139712CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1676914CurrentTaxYearMinus1Year
Current Tax Year2041336CurrentTaxYear
Total6667050Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5507042CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6418199CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5800005CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6676826CurrentTaxYearMinus1Year
Current Tax Year7008282CurrentTaxYear
Total31410354Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50931410354PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3191CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2905CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years784CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year704CurrentTaxYearMinus1Year
Current Tax Year1410CurrentTaxYear
Total8994Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3191CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2905CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years784CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year704CurrentTaxYearMinus1Year
Current Tax Year1410CurrentTaxYear
Total8994Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5510233CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6421104CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5800789CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6677530CurrentTaxYearMinus1Year
Current Tax Year7009692CurrentTaxYear
Total31419348Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99970PublicSupportPercentage509
Prior Year Support Percentage0.99940PriorYearSupportPercentage
Investment Income Percentage0.00030InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00050PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance115542BeginningOfYearBalance
Contributions133000Contributions
Other Expenditures114779OtherExpenditures
End Of Year Balance133763EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance55624BeginningOfYearBalance
Contributions136250Contributions
Other Expenditures76332OtherExpenditures
End Of Year Balance115542EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance122575BeginningOfYearBalance
Contributions294588Contributions
Other Expenditures361539OtherExpenditures
End Of Year Balance55624EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance278909BeginningOfYearBalance
Contributions318391Contributions
Other Expenditures474725OtherExpenditures
End Of Year Balance122575EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis108000OtherCostOrOtherBasis
Book Value108000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2355866OtherCostOrOtherBasis
Depreciation468511Depreciation
Book Value1887355BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis732546OtherCostOrOtherBasis
Depreciation416049Depreciation
Book Value316497BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2311852TotalOfBookValueLandBuildings
Total Revenue7009692TotalRevenue
Total Expenses6972829TotalExpenses
Excess Or Deficit For Year36863ExcessOrDeficitForYear
Excess Or Deficit Per FS36863ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt7129429TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities119737DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990119737RevenueNotRptdF990
Revenue Subtotal7009692RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9907009692TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7092566TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities119737DonatedServicesUseOfFacilities
Expenses Not Rptd F990119737ExpensesNotRptdF990
Expenses Subtotal6972829ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9906972829TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THESE FUNDS ARE TEMPORARILY RESTRICTED BY THE DONORS AND LA CLINICA RELEASES THE FUNDS FROM RESTRICTION ONCE THE INTENDED PURPOSE OF THE GIFT IS SATISFIED.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE 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 THAT GUIDANCE, LA CLINICA 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 LA CLINICA AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS INCOME TAX (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 RELATED TO UNCERTAIN TAX POSITIONS IDENTIFIED OR RECORDED AS LIABILITIES AT DECEMBER 31, 2011 AND 2010. LA CLINICA'S POLICY WOULD BE TO RECOGNIZE INTEREST AND PENALTIES, IF ANY, ON TAX POSITIONS RELATED TO ITS UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE IN THE FINANCIAL STATEMENTS. NO INTEREST AND PENALTIES WERE ASSESSED OR RECORDED DURING THE YEARS ENDED DECEMBER 31, 2011 AND 2010.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11MANAGEMENT PROVIDES COPIES TO THE FINANCE COMMITTEE FOR THEIR REVIEW AND APPROVAL. THE FINANCE COMMITTEE THEN REPORTS TO THE FULL BOARD.
FORM 990, PART VI, SECTION B, LINE 12WE CURRENTLY DO NOT HAVE A PROCEDURE IN PLACE FOR MONITORING AND ENFORCING COMPLIANCE WITH OUR CONFLICT OF INTEREST POLICY. DURING THE 1ST HALF OF 2012 THE BOARD WILL PRIORITIZE THE DEVELOPMENT OF A MECHANISM FOR THE MONITORING AND ENFORCING COMPLIANCE WITH OUR CONFLICT OF INTEREST POLICY. THE MECHANISM WILL INCLUDE THE SIGNING OF A STATEMENT ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE EXECUTIVE DIRECTOR'S COMPENSATION ANNUALLY, INCLUDING THE USAGE OF A COMPENSATION SURVEY.
FORM 990, PART VI, SECTION C, LINE 19OUR FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE IN OUR OFFICES AND WILL BE MADE AVAILABLE TO ANY ONE REQUESTING COPIES.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.

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