NORTHEAST VALLEY HEALTH CORPORATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NORTHEAST VALLEY HEALTH CORPORATION (EIN 23-7120632)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-08
IRS object ID
201222219349301282
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)
Timestamp2012-08-08T16:19:07-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN910189318EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13121 WEST MARCH LANE SUITE 100AddressLine1
CitySTOCKTONCity
StateCAState
ZIP Code952192303ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237120632EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTHEAST VALLEY HEALTH CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone8188981388Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11172 NORTH MACLAY AVENUEAddressLine1
CitySAN FERNANDOCity
StateCAState
ZIP Code91340ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePATRICIA MORAGAName
TitleCFOTitle
Phone8188981388Phone
Date Signed2012-08-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTRACY S PAGLIAName
PTINP00366884PTIN
Phone2099556100Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPATRICIA MORAGANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11172 NORTH MACLAY AVENUEAddressLine1
CitySAN FERNANDOCity
StateCAState
ZIP Code91340ZIPCode
FieldValueIRS element (for citing)
Gross Receipts64941044GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NEVHC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE MEDICAL SERVICES PRIMARILY TO THE INDIGENT AND UNDER SERVED OF LOS ANGELES COUNTY.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees855TotalNbrEmployees
Total Nbr Volunteers5TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year34970000ContributionsGrantsPriorYear
Contributions Grants Current Year33682209ContributionsGrantsCurrentYear
Program Service Revenue Prior Year27484000ProgramServiceRevenuePriorYear
Program Service Revenue CY31252392ProgramServiceRevenueCY
Investment Income Prior Year8000InvestmentIncomePriorYear
Investment Income Current Year3638InvestmentIncomeCurrentYear
Other Revenue Prior Year146000OtherRevenuePriorYear
Other Revenue Current Year2526OtherRevenueCurrentYear
Total Revenue Prior Year62608000TotalRevenuePriorYear
Total Revenue Current Year64940765TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3344000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3352090GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year40826000SalariesEtcPriorYear
Salaries Etc Current Year43528821SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year18177000OtherExpensePriorYear
Other Expenses Current Year17545559OtherExpensesCurrentYear
Total Expenses Prior Year62347000TotalExpensesPriorYear
Total Expenses Current Year64426470TotalExpensesCurrentYear
Revenues Less Expenses Prior Year261000RevenuesLessExpensesPriorYear
Revenues Less Expenses CY514295RevenuesLessExpensesCY
Total Assets BOY14673000TotalAssetsBOY
Total Assets EOY18673547TotalAssetsEOY
Total Liabilities BOY6966000TotalLiabilitiesBOY
Total Liabilities EOY10453217TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7707000NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8220330NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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 ADVOCATES 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense57418513Expense
Grants3352090Grants
Revenue31252392Revenue
DescriptionNORTHEAST VALLEY HEALTH CORPORATION (NEVHC) IS A FEDERALLY FUNDED COMMUNITY HEALTH CENTER SERVING LOW INCOME AND MEDICALLY UNDERSERVED RESIDENTS OF LOS ANGELES COUNTY. NEVHC OPERATES 13 LICENSED COMMUNITY CLINICS, 17 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 13TH HEALTH CENTER IN SANTA CLARITA IN 2010. IN 2011, NEVHC CLINICS PROVIDED OVER 228,000 MEDICAL, DENTAL AND BEHAVIORAL HEALTH VISITS TO 65,000 RESIDENTS OF THE SAN FERNANDO AND SANTA CLARITA VALLEY. 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.SUBSTANCE ABUSE - NEVHC CURRENTLY OPERATES A DRIVING UNDER THE INFLUENCE (DUI) PROGRAM AND TWO COMMUNITY PREVENTION RECOVERY PROGRAMS FOCUSED ON PERSONS WITH ALCOHOL RELATED PROBLEMS. 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 Expense57418513TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
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 Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
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 Contributions1DeductibleNonCashContributions
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 With109653NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees855NumberOfEmployees
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 Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
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 Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PATRICIA MORAGABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8188981388TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11172 NORTH MACLAY AVENUEAddressLine1
CitySAN FERNANDOCity
StateCAState
ZIP Code91340ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MENDOZA STELLA
CHAIRMAN & DIRECTOR1.00XX000
HOFFMAN MARK
VICE CHAIRMAN & DIRECTOR1.00XX000
MOELLER PAUL
TREASURER & DIRECTOR1.00XX000
GUTIERREZ HAYDEE
SECRETARY & DIRECTOR1.00XX000
MORALES IRMA
DIRECTOR1.00X000
MILTER BARBARA
DIRECTOR1.00X000
PERDIDO ELI
DIRECTOR1.00X000
GAMINO MARTIN
DIRECTOR1.00X000
RAMCHARRAN LILY
DIRECTOR1.00X000
PENA ANTHONY
DIRECTOR1.00X000
BOGIN PAUL
DIRECTOR1.00X000
BRADPIECE THEODORE G
DIRECTOR1.00X000
NEAL EVELYN
DIRECTOR1.00X000
MOREY DIANE
DIRECTOR1.00X000
PARSLOW RENEE
DIRECTOR1.00X000
HOWARD DWIGHT
DIRECTOR (TERM. 5/16/11)1.00X000
WYARD KIMBERLY
CEO40.00X189566034637
SEIDMAN RICHARD
CMO40.00X3901307292
CAMPA DAVID R
CMO (TERM. 09/02/11)40.00X173296027428
MORAGA PATRICIA
CFO40.00X139877028356
NITESCU THERESA
COO40.00X145829025344
NATARAJAN MARGARET
PHYSICIAN40.00204177031652X
SANDERS JR JESSE D
PHYSICIAN40.00177806032295X
GORDON EDWARD S
PHYSICIAN40.00176764029054X
PARK CHRISTINE LIM-FUN CHAN
PHYSICIAN40.00172858028277X
PASCUAL ALBERT
PHYSICIAN40.00161199027555X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1580385TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation271890TotalOtherCompensation
Number Individuals GT100 K46NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CHAPMAN & ASSOCIATES
PO BOX 5455PASADENACA911170455INSURANCE AGENT SERVICES675125
ACCESS CONTROL SECURITY INC
18317 NAPA STNORTHRIDGECA91325SECURITY SERVICES313227
CASCADE COMMERCIAL SERVICES
13749 WOODCOOCK AVESYLMARCA91342CLEANING SERVICES252358
ACE SECURITY
21006 DEVONSHIRE ST 209CHATSWORTHCA91311SECURITY SERVICES157706
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Government Grants26765313GovernmentGrants
All Other Contributions6916896AllOtherContributions
Noncash Contributions6459334NoncashContributions
Total Contributions33682209TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MANAGED CARE6241001844600418446004
PATIENT SERVICE REVENU6241001267172912671729

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column134659TotalRevenueColumn
Related Or Exempt Function Income134659RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue31252392TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3638TotalRevenueColumn
Exclusion$3,638ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming2805GrossIncomeGaming
Gaming Direct Expenses279GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column2526TotalRevenueColumn
Exclusion$2,526ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column64940765TotalRevenueColumn
Related Or Exempt Function Income31252392RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,164ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3352090Total
Program Services3352090ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total795380Total
Program Services248619ProgramServices
Management And General546761ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total33552876Total
Program Services30589936ProgramServices
Management And General2962940ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1631373Total
Program Services1451222ProgramServices
Management And General180151ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4828390Total
Program Services4250800ProgramServices
Management And General577590ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2720802Total
Program Services2420346ProgramServices
Management And General300456ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total105079Total
Program Services2245ProgramServices
Management And General102834ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total77981Total
Management And General77981ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total12473Total
Management And General12473ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total237367Total
Program Services191743ProgramServices
Management And General45624ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total97485Total
Program Services30475ProgramServices
Management And General67010ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2017819Total
Program Services1126412ProgramServices
Management And General891407ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total176256Total
Program Services58256ProgramServices
Management And General118000ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3658174Total
Program Services3140027ProgramServices
Management And General518147ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total127190Total
Program Services99536ProgramServices
Management And General27654ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total88382Total
Management And General88382ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total540635Total
Program Services397264ProgramServices
Management And General143371ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total209516Total
Program Services147296ProgramServices
Management And General62220ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES829500382893925611
EQUIPMENT MAINTENANCE &13797771100432279345
LAB, RADIOLOGY, MED CON522422522422

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total64426470Total
Program Services57418513ProgramServices
Management And General7007957ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY899000BOY
EOY1460910EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1133000BOY
EOY430646EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3311000BOY
EOY4032422EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5353000BOY
EOY7548390EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY884000BOY
EOY1102186EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY193000BOY
EOY177901EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11434618LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7676309LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2737000BOY
EOY3758309EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY163000BOY
EOY162783EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14673000BOY
EOY18673547EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4384000BOY
EOY5503955EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY478000BOY
EOY828716EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY20000BOY
EOY11644EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY84000BOY
EOY617421EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY2000000BOY
EOY3491481EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6966000BOY
EOY10453217EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6962000BOY
EOY7992048EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY745000BOY
EOY228282EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7707000BOY
EOY8220330EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14673000BOY
EOY18673547EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses514295ReconcilationRevenueExpenses
Reconcilation Other Changes-965ReconcilationOtherChanges
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 Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26312000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27517000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32708000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34970000CurrentTaxYearMinus1Year
Current Tax Year33682209CurrentTaxYear
Total155189209Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year450024CurrentTaxYear
Total450024Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26312000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27517000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32708000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34970000CurrentTaxYearMinus1Year
Current Tax Year34132233CurrentTaxYear
Total155639233Total
FieldValueIRS element (for citing)
Public Support Total170155639233PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years47000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26205CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8000CurrentTaxYearMinus1Year
Current Tax Year3638CurrentTaxYear
Total98843Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years213000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years371795CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years144000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year146000CurrentTaxYearMinus1Year
Current Tax Year2805CurrentTaxYear
Total877600Total
FieldValueIRS element (for citing)
Total Support156615676TotalSupport
Gross Receipts From Admissions Etc129131392GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99380PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99000PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME GROSS RECEIPTS FROM GAMINGGeneralExplanation

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Mailings Members$350MailingsMembersAmount
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$11,973DirectContactLegislatorsAmount
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$150RalliesDemonstrationsAmount
Other Activities0OtherActivities
Total Lobbying Expenditures IIB12473TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
Explanation1B - ACTIVITIES INCLUDE REVIEWING AND MONITORING FEDERAL, STATE AND LOCAL INDUSTRY ASSOCIATION LEGISLATION AND ISSUES THAT DIRECTLY AFFECT COMMUNITY HEALTH CENTERS, 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 DIRECTOR OF DEVELOPMENT AND EXTERNAL AFFAIRS ATTENDS 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 BOTH THE NATIONAL AND STATE ASSOCIATIONS WHICH CALLS 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

FieldValueIRS element (for citing)
Other Cost Or Other Basis253187OtherCostOrOtherBasis
Book Value253187BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3771096OtherCostOrOtherBasis
Depreciation2772129Depreciation
Book Value998967BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis874510OtherCostOrOtherBasis
Depreciation416781Depreciation
Book Value457729BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5205502OtherCostOrOtherBasis
Depreciation4487399Depreciation
Book Value718103BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1330323OtherCostOrOtherBasis
Book Value1330323BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3758309TotalOfBookValueLandBuildings
Total Revenue64940765TotalRevenue
Total Expenses64426470TotalExpenses
Excess Or Deficit For Year514295ExcessOrDeficitForYear
Other-$965OtherAmount
Total Adjustments-965TotalAdjustments
Excess Or Deficit Per FS513330ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt65795887TotRevenueEtcAuditedFinclStmt
Other Revenues855122OtherRevenues
Revenue Not Rptd F990855122RevenueNotRptdF990
Revenue Subtotal64940765RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99064940765TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt64426470TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal64426470ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99064426470TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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, 2011 OR 2010.
PART XI, LINE 8 - OTHER ADJUSTMENTS:BEGINNING NET ASSET DIFFERENCE DUE TO ROUNDING -965.
PART XII, LINE 2D - OTHER ADJUSTMENTS:NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS 855,122.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
CENTRAL CITY COMMUNITY HC
5970 S CENTRAL AVELOS ANGELESCA90001954492570501(C)(3)102332HOMELESS SERVICES
CHILDRENS HOSPITAL LA
4650 SUNSET BL MS 97LOS ANGELESCA90027951690977501(C)(3)279414HOMELESS SERVICES, FEDERAL FUNDING IDS AND FEDERAL CIP PROGRAM
CITY HELP INC
2301 BELLEVUE AVELOS ANGELESCA90026954658573501(C)(3)210836FEDERAL CIP PROGRAM AND HOMELESS SERVICES
CLINICA MSR - ALVARADO
123 S ALVARADO STLOS ANGELESCA90057953881333501(C)(3)181485HOMELESS SERVICES
CLINICA MSR - OSCAR A ROMERO NE
2032 MARENGO STLOS ANGELESCA90033953881333501(C)(3)120497HOMELESS SERVICES AND FEDERAL FUNDING IDS
COMMUNITY HEALTH ALLIANCE OF PASADENA (CHAP)
1855 N FAIROAKS AVE SUITE 200PASADENACA91103954536824501(C)(3)68161HOMELESS SERVICES
EAST VALLEY COMMUNITY HEALTH
420 SOUTH GLENDORA AVEWEST COVINACA91790237068586501(C)(3)110250HOMELESS SERVICES
EL NIDO FAMILY CENTERS
10200 SEPULVEDA BL STE 350MISSION HILLSCA91345953186429501(C)(3)159168FIRST 5 LA BEST BABIES
FRIENDS OF THE FAMILY
15350 SHERMAN WAY STE 140VAN NUYSCA91406952765505501(C)(3)80821FIRST 5 LA BEST BABIES
HOMELESS HEALTH CARE LA
2330 BEVERLY BLVDLOS ANGELESCA90057954074970501(C)(3)178092HOMELESS SERVICES AND FEDERAL FUNDING IDS
JWCH INSTITUTE INC
1910 W SUNSET BL STE 650LOS ANGELESCA90026952289916501(C)(3)229947HOMELESS SERVICES AND FEDERAL FUNDING IDS
REGENTS OF THE UNIVERSITY
405 HILGARD AVELOS ANGELESCA900959000092530369GOVERNMENT198041HOMELESS SERVICES
SABAN FREE CLINIC
8405 BEVERLY BLVDLOS ANGELESCA90048952539105501(C)(3)361948HOMELESS SERVICES
THE CHILDREN'S CLINIC
2801 ATLANTIC AVENUELONG BEACHCA908061737951643332501(C)(3)58991HOMELESS SERVICES
UCLA SCHOOL OF NURSING
405 HILGARD AVELOS ANGELESCA900959000092530369GOVERNMENT15398FEDERAL FUNDING IDS AND FEDERAL CIP PROGRAM
USC SCHOOL OF DENTISTRY
FILE NO 52095LOS ANGELESCA900742095951642394501(C)(3)364539HOMELESS SERVICES, FEDERAL FUNDING IDS AND FEDERAL CIP PROGRAM
VENICE FAMILY CLINIC
604 ROSE AVEVENICECA90291952769432501(C)(3)628669HOMELESS SERVICES, FEDERAL FUNDING IDS AND FEDERAL CIP PROGRAM
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants17TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: FOR THE HOMELESS, CIP, AND IDS PROGRAMS: 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, HOMELESS CIP CONTRACTS AND THE HOMELESS IDS CONTRACTS. 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

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WYARD KIMBERLY
18524300043230104260242110224203000
CAMPA DAVID R
136306021101015889095310178970200724000
MORAGA PATRICIA
1376140002263076930206630168233000
NITESCU THERESA
1397390384902241080210173230171173000
NATARAJAN MARGARET
19746501283054290112300204220235829000
SANDERS JR JESSE D
15552303010019273092790230160210101000
GORDON EDWARD S
17585801000806097220193320205818000
PARK CHRISTINE LIM-FUN CHAN
15048806464015906090320192450201135000
PASCUAL ALBERT
154878012606195088660186890188754000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 6THE AMOUNT WITHHELD FROM QUARTERLY PAYMENTS OF THE PROVIDER INCENTIVE PLAN EARNINGS FOR 2010, PAID IN 2011 WAS CONTINGENT ON THE ORGANIZATION'S NET EARNINGS.
PART I, LINE 7THE ORGANIZATION DISTRIBUTED PROVIDER INCENTIVES AND PERFORMANCE BONUSES.

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F9906458075NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XMOVIE TICKETS436FMV
XIPOD150FMV
XGIFT BASKET145FMV
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED AND REVISED, AS NECESSARY, BY MANAGEMENT STAFF AND CORFORATE 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 12CTHE 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 15EVERY 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 PROCESS WAS DONE IN MARCH 2011, BUT NO INCREASES WERE IMPLEMENTED.
FORM 990, PART VI, SECTION C, LINE 19THE AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. OTHER INTERNAL DOCUMENTS ARE NOT ROUTINELY MADE AVAILABLE.
FORM 990, PART XI, LINE 5:BEGINNING NET ASSET DIFFERENCE DUE TO ROUNDING -965. TOTAL TO FORM 990, PART XI, LINE 5: -965.CHANGES IN NET ASSETS OR FUND BALANCES:

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