CENTRAL CITY COMMUNITY HEALTH CENTER INC: Form 990, tax year 2009
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- Organization
- CENTRAL CITY COMMUNITY HEALTH CENTER INC (EIN 95-4492570)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2012-05-07
- IRS object ID
- 201231289349301568
- Schema version
- 2009v1.7
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-07T18:36:19-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VASQUEZ & CO LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 S GRAND AVE SUITE 400 | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90017 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 954492570 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL CITY COMMUNITY HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CENT | NameControl |
| Phone | 3237240019 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5230 E BEVERLY BLVD | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90022 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GILBERT VARELA | Name |
| Title | CHIEF EXECUTIVE OFFICER | Title |
| Phone | 3237240019 | Phone |
| Date Signed | 2011-05-16 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2136299094 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | X | AmendedReturn |
| Name Of Principal Officer Person | GILBERT VARELA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5230 E BEVERLY BLVD | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90022 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 8320149 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.CENTRALCITYHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1994 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HEALTH CARE SERVICES TO UNDER SERVED COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 98 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 11867 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2202122 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2960969 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 5264889 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5235162 | ProgramServiceRevenueCY |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 20724 | OtherRevenuePriorYear |
| Other Revenue Current Year | 124018 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7487735 | TotalRevenuePriorYear |
| Total Revenue Current Year | 8320149 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3445543 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3938291 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3761563 | OtherExpensePriorYear |
| Other Expenses Current Year | 3866112 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 7207106 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7804403 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 280629 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 515746 | RevenuesLessExpensesCY |
| Total Assets BOY | 3323303 | TotalAssetsBOY |
| Total Assets EOY | 4749518 | TotalAssetsEOY |
| Total Liabilities BOY | 1682684 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1420372 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1640619 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3329146 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE HEALTH CARE SERVICES TO THE UNDER SERVED COMMUNITIES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 6189646 | Expense |
| Description | TO PROVIDE HEALTH CARE SERVICES TO UNDER SERVED COMMUNITIES. | Description |
| Total Program Service Expense | 6189646 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 73 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 98 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Organization | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3237240019 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5230 E BEVERLY BLVD | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90022 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| LUIS MARTEN | ||||||||
| CHAIRMAN | 4.00 | X | X | 0 | 0 | 0 | ||
| JOSE ANGEL BARAJAS JR | ||||||||
| SECRETARY | 4.00 | X | X | 0 | 0 | 0 | ||
| JON SANABRIA | ||||||||
| TREASURER | 4.00 | X | X | 0 | 0 | 0 | ||
| CASEY FATCH | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| MARIA DURAN | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| GLORIA ANGUIANO | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| LUIS ACOSTA | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| GUSTAVO HERNANDEZ | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| STELLA MARTEN | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| JACQUELINE NEGRETE | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| JUAN DURAN | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| GILBERT VARELA MD | ||||||||
| CHIEF EXECUTIVE OFFICER | 55.00 | 312000 | 0 | 0 | X | |||
| JOSE LUIS PEREZ MD | ||||||||
| MEDICAL DIRECTOR | 55.00 | 145227 | 0 | 0 | X | |||
| JOHN PAZIRANDEH | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 120000 | 0 | 0 | X | |||
| LATIKA ARSECULARATNE MD | ||||||||
| MEDICAL PROVIDER | 40.00 | 136141 | 0 | 0 | X | |||
| AGUSTIN LARA MD | ||||||||
| MEDICAL PROVIDER | 40.00 | 104008 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 817376 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ROK CONSTRUCTION | |||||
| 5300 E BEVERLY BLVD | LOS ANGELES | CA | 90022 | CONSTRUCTION | 1392669 |
| SADLER HEALTH CARE | |||||
| 5232 E BEVERLY BLVD | LOS ANGELES | CA | 90022 | CONSULTING | 283257 |
| CAMARENA MARKETING | |||||
| 733 E FLORENCE AVE | LOS ANGELES | CA | 90001 | CONSULTING | 126310 |
| THE LAW OFFICE OF KEVIN JORGENSEN | |||||
| 1217 W WHITTIER BLVD | MONTEBELLO | CA | 90640 | LEGAL | 112630 |
| E-HEALTHCARE | |||||
| 3838 CARSON ST SUITE 105 | TORRANCE | CA | 90503 | CONSULTING | 108515 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Government Grants | 2345657 | GovernmentGrants |
| All Other Contributions | 615312 | AllOtherContributions |
| Total Contributions | 2960969 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT REVENUE | Description |
| Business Code | 624110 | BusinessCode |
| Total Revenue Column | 5235162 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5235162 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5235162 | TotalProgramServiceRevenue |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 124018 | TotalRevenueColumn |
| Related Or Exempt Function Income | 124018 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 124018 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8320149 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5359180 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 817376 | Total |
| Program Services | 634120 | ProgramServices |
| Management And General | 183256 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2566216 | Total |
| Program Services | 1990780 | ProgramServices |
| Management And General | 575436 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 274547 | Total |
| Program Services | 213988 | ProgramServices |
| Management And General | 60559 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 280152 | Total |
| Program Services | 220768 | ProgramServices |
| Management And General | 59384 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 258370 | Total |
| Program Services | 162667 | ProgramServices |
| Management And General | 95703 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 382687 | Total |
| Program Services | 173966 | ProgramServices |
| Management And General | 208721 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8972 | Total |
| Program Services | 4682 | ProgramServices |
| Management And General | 4290 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76638 | Total |
| Program Services | 58384 | ProgramServices |
| Management And General | 18254 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44201 | Total |
| Program Services | 38721 | ProgramServices |
| Management And General | 5480 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACT LABOR-PHYSICIA | 650538 | 650538 | |
| OUTSIDE SERVICES/CONSUL | 426669 | 354721 | 71948 |
| OUTREACH EXPENSES | 379150 | 379150 | |
| MEDICAL SUPPLIES & PHAR | 347269 | 347269 | |
| PROFESSIONAL FEES | 305524 | 166899 | 138625 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 986094 | Total |
| Program Services | 792993 | ProgramServices |
| Management And General | 193101 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7804403 | Total |
| Program Services | 6189646 | ProgramServices |
| Management And General | 1614757 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 372264 | BOY |
| EOY | 741238 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1033281 | BOY |
| EOY | 1024406 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 322000 | BOY |
| EOY | 111129 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3050161 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 177416 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1595758 | BOY |
| EOY | 2872745 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3323303 | BOY |
| EOY | 4749518 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 392897 | BOY |
| EOY | 764373 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 811374 | BOY |
| EOY | 655999 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 478413 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1682684 | BOY |
| EOY | 1420372 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1640619 | BOY |
| EOY | 2719146 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 610000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1640619 | BOY |
| EOY | 3329146 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3323303 | BOY |
| EOY | 4749518 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2292639 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3503650 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5949957 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2202122 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3523751 | CurrentTaxYear |
| Total | 17472119 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2292639 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3503650 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5949957 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2202122 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3523751 | CurrentTaxYear |
| Total | 17472119 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 17472119 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 1921 | CurrentTaxYearMinus3Years |
| Total | 1921 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 20724 | CurrentTaxYearMinus1Year |
| Current Tax Year | 33318 | CurrentTaxYear |
| Total | 54042 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 17528082 | TotalSupport |
| Gross Receipts From Admissions Etc | 10500051 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99680 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99980 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 332474 | OtherCostOrOtherBasis |
| Book Value | 332474 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 675048 | OtherCostOrOtherBasis |
| Book Value | 675048 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1685299 | OtherCostOrOtherBasis |
| Depreciation | 177416 | Depreciation |
| Book Value | 1507883 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 357340 | OtherCostOrOtherBasis |
| Book Value | 357340 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2872745 | TotalOfBookValueLandBuildings |
| Total Revenue | 8320149 | TotalRevenue |
| Total Expenses | 7804403 | TotalExpenses |
| Excess Or Deficit For Year | 515746 | ExcessOrDeficitForYear |
| Prior Period Adjustments | 1172781 | PriorPeriodAdjustments |
| Total Adjustments | 1172781 | TotalAdjustments |
| Excess Or Deficit Per FS | 1688527 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 8320149 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 8320149 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 8320149 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 7804403 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 7804403 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 7804403 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GILBERT VARELA MD | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Base Compensation Filing Org | 312000 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 312000 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | GILBERT VARELA | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | EXECUTIVE DIRECTOR | Relationship |
| Description Of Transaction | 100% OWNED BY EXECUTIVE DIRECTOR, THE ENTITY SERVED AS A CONSULTANT IN PRIOR YEARS BEFORE GILBERT VARELA BECAME A CHIEF EXECUTIVE OFFICER. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 2 | THE ORGANIZATIONS HAS A HUSBAND AND WIFE SERVING THE BOARD OF DIRECTORS. |
| Form 990, Part VI, Section B, line 11 | EACH BOARD OF DIRECTOR IS GIVEN A COMPLETE COPY OF THE DRAFTED TAX FORM 990 TO BE REVIEWED AND DISCUSSED AT THEIR BOARD MEETING AND VOTED FOR APPROVAL BEFORE THE DUE DATE OF THE TAX RETURN. |
| Form 990, Part VI, Section B, line 12c | ONCE A YEAR DURING A BOARD MEETING, EACH BOARD MEMBER IS GIVEN A STATEMENT TO SIGN STATING THERE ARE NO CONFLICTS OF INTEREST HAVE OCCURRED OR WILL OCCURRE DURING THE PAST AND SUBSEQUENT TIME REMAINING AS A BOARD MEMBER. |
| Form 990, Part VI, Section B, line 15 | FOR ALL KEY POSITIONS OF THE ORGANIZATION, THE BOARD OF DIRECTORS OBTAIN AND DOCUMENTS THE SALARY SURVEYS THAT HAVE BEEN PREPARED BY INDEPENDENT ORGANIZATIONS. IN ADDITION THE BOARD OF DIRECTORS OBTAIN SALARY INFORMATION FROM COMPARABLE ORGANIZATIONS TO PROVIDE GUIDANCE IN SETTING THE COMPENSATION OF EACH OF THE POSITIONS. TAKEN INTO CONSIDERATION IN MAKING THE PROPER COMPARISONS ARE THE SIZE AND REVENUES OF THE ORGANIZATIONS. UPON COMPLETE SATISFACTION OF THE COMPARISONS AND SALARY RANGES, THE BOARD MOTIONS TO APPROVE THE COMPENSATION AT THEIR MEETING. |
| Form 990, Part VI, Section C, line 19 | UPON REQUEST VIA PHONE OR WRITTEN REQUEST, THESE DOCUMENTS ARE MADE AVAILABLE AT ORGANIZATION ADMINISTRATIVE OFFICE WITH APPOINTMENT. |
| RECEIVED AUDITED FINANCIAL STATEMENT AFTER THE LAST FILING DEADLINE. SEVERAL NUMBERS HAVE CHANGED FROM THE ORIGINAL FILED RETURN. AMENDMENT WAS DONE TO CORRECT ALL THE NUMBERS PURSUANT TO THE AUDIT. |
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