WESTMINSTER FREE CLINIC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- WESTMINSTER FREE CLINIC (EIN 77-0563241)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-05-29
- IRS object ID
- 201231509349300903
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-29T09:58:32-07:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOARES SANDALL BERNACCHI AND PETROVICH LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 405 E ESPLANADE DR STE 300 | AddressLine1 |
| City | OXNARD | City |
| State | CA | State |
| ZIP Code | 930362116 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 770563241 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTMINSTER FREE CLINIC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WEST | NameControl |
| Phone | 8052418366 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5560 NAPOLEON AVENUE | AddressLine1 |
| City | OAK PARK | City |
| State | CA | State |
| ZIP Code | 91377 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LISA SAFAEINILI | Name |
| Title | Executive Director | Title |
| Date Signed | 2012-05-29 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Sharon Iler Roberts | Name |
| Phone | 8054857965 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | LISA SAFAEINILI | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5560 NAPOLEON AVENUE | AddressLine1 |
| City | OAK PARK | City |
| State | CA | State |
| ZIP Code | 91377 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 562529 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.westminsterclinic.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2000 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE FREE MEDICAL CARE TO THE HOMELESS AND UNINSURED WORKING POOR RESIDENTS OF EAST VENTURA COUNTY, CA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 5 | TotalNbrEmployees |
| Total Nbr Volunteers | 235 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 691101 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 551228 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5982 | InvestmentIncomePriorYear |
| Investment Income Current Year | 11301 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | -6590 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 697083 | TotalRevenuePriorYear |
| Total Revenue Current Year | 555939 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 276431 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 236268 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 235522 | OtherExpensePriorYear |
| Other Expenses Current Year | 356511 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 511953 | TotalExpensesPriorYear |
| Total Expenses Current Year | 592779 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 185130 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -36840 | RevenuesLessExpensesCY |
| Total Assets BOY | 943466 | TotalAssetsBOY |
| Total Assets EOY | 906187 | TotalAssetsEOY |
| Total Liabilities BOY | 439 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 943027 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 906187 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE FREE MEDICAL CARE TO THE HOMELESS AND UNINSURED WORKING POOR RESIDENTS OF EAST VENTURA COUNTY, CA. | MissionDescription |
| Significant New Program Services | true | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 302071 | Expense |
| Description | Primary Care/Clinical ServicesOffered to approximately 70 patients each clinic night by volunteer doctors and nurses from 5 pm to 10 pm. Services are provided on a first-come-first-serve basis, except for children, who take priority. Doctors services are non-invasive and include diagnosis, writing prescriptions and making referrals. Lab tests, and diagnostic tests are provided by the clinic so the doctors have more information. Other primary health care services include: bi-monthly Immunizations, flu shots and TB testing, weekly Blood Pressure and Blood Glucose testing, Dental screening and education, Chiropractic & Physical Therapy services, Mental Health Counseling, nutrition counseling, referrals, a family literacy program called Reach Out and Read, Health Education classes and referrals for free glasses and mammograms. Medical volunteers include doctors, nurse practitioners, nurses, pharmacists, chiropractors, physical therapists, dentists, phlebotomists, medical technologists, podiatrist, dentists, EMT's, counselors, health educators and a dietitian. All clinic services listed are free-of-charge.During the year ended December 31, 2011, the Clinic received a total of $675,387 in in-kind donated professional medical services and $240,000 in donated rent. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 112216 | Expense |
| Description | Teen Healthcare Training & Internship ProgramThis program offers local teens an opportunity to be mentored by healthcare professionals volunteering at the clinic to improve the medical welfare of fellow community members who do not have health insurance and access to healthcare. Over 74 local High School students from Newbury Park, Thousand Oaks, Moorpark, Simi Valley, Oak Park, Camarillo, Agoura and Westlake High Schools (50% are minority low income teens who have dreams of pursuing careers in healthcare) have the opportunity to volunteer and assist directly with the delivery of patient services, and also receive education, fieldtrips, training in healthcare fields, as well as mentoring and job shadowing opportunities. It is a 2-year commitment for the student, with most staying longer. The students enjoy helping their community and being part of a medical team. Most are interested in becoming nurses. 95% to 100% of our graduating students are attending college. For many, they are the first in their family to do so. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 64223 | Expense |
| Description | Case ManagementThis program creates linkages to community resources, leverages health care at a discounted rate or for free from local medical specialists, dentists and optometrists. For example our optometrists provide free eye exams and glasses for the children and adults we refer to them. We partner with local schools to make sure all children receive the vision care and glasses they need to succeed. In addition, $7,345 in root canal procedures was donated by our local endodontists who partner with us. The Case Manager also sets up patient appointments and helps patients follow through with their plan of care provided by our doctors. Eligible patients are also assisted with the paperwork related to Medi-Cal, Medicare, SSI, ACE, and Healthy Families insurance programs. It makes it possible for some patients to obtain insurance they did not think they were eligible for, or for which they didnt know how to fill out the correct papers. The Case Manager also creates partnerships with pharmaceutical and medical supply companies (eg. the Patient Assistance Program (PAP) ) to access free medications and other supplies for patients with chronic health conditions. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 82015 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 560525 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 16 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 5 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | false | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KAREN YTURRALDE | NamePerson |
| Telephone Number | 8053836636 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5288 MEADOWRIDGE CT | AddressLine1 |
| City | CAMARILLO | City |
| State | CA | State |
| ZIP Code | 93012 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (11 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| AMANDA VINSON ESQ | ||||||
| Secretary | 2.50 | X | X | 0 | 0 | 0 |
| JUDY JONES RN | ||||||
| Director | 2.50 | X | 0 | 0 | 0 | |
| MANUEL VALDEZ | ||||||
| CFO | 2.50 | X | X | 0 | 0 | 0 |
| JULIE MARTIN | ||||||
| Director | 2.50 | X | 0 | 0 | 0 | |
| DR STEVEN KAMAJIAN | ||||||
| President | 2.50 | X | X | 0 | 0 | 0 |
| THERESA MICHELINI Pharm D | ||||||
| Director | 2.50 | X | 0 | 0 | 0 | |
| CYNTHIA B HUGHES EdD PNP | ||||||
| Director | 2.50 | X | 0 | 0 | 0 | |
| CYNTHIA M VINSON MFT | ||||||
| CHIEF ACT. OFFI | 2.50 | X | X | 0 | 0 | 0 |
| ADELA AQUINO | ||||||
| COMMUNITY REP. | 2.50 | X | 0 | 0 | 0 | |
| WILLIAM T VINSON ESQ | ||||||
| Chairman | 2.50 | X | X | 0 | 0 | 0 |
| LISA SAFAEINILI | ||||||
| Executive Direc | 60.00 | X | 109513 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 109513 | TotalReportableCompFromOrg |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Federated Campaigns | 705 | FederatedCampaigns |
| Fundraising Events | 24859 | FundraisingEvents |
| Government Grants | 123754 | GovernmentGrants |
| All Other Contributions | 401910 | AllOtherContributions |
| Noncash Contributions | 97507 | NoncashContributions |
| Total Contributions | 551228 | TotalContributions |
| Total Program Service Revenue | 0 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11301 | TotalRevenueColumn |
| Exclusion | $11,301 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 24859 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 6590 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -6590 | TotalRevenueColumn |
| Exclusion | -$6,590 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 555939 | TotalRevenueColumn |
| Exclusion | $4,711 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109513 | Total |
| Program Services | 91261 | ProgramServices |
| Management And General | 18252 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 99556 | Total |
| Program Services | 99556 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9372 | Total |
| Program Services | 9351 | ProgramServices |
| Management And General | 21 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17827 | Total |
| Program Services | 16377 | ProgramServices |
| Management And General | 1450 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25341 | Total |
| Program Services | 14400 | ProgramServices |
| Management And General | 10941 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 91957 | Total |
| Program Services | 91957 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2613 | Total |
| Program Services | 2474 | ProgramServices |
| Management And General | 139 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3618 | Total |
| Program Services | 3618 | ProgramServices |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3728 | Total |
| Program Services | 3728 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2497 | Total |
| Program Services | 2497 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19 | Total |
| Program Services | 12 | ProgramServices |
| Management And General | 7 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1302 | Total |
| Management And General | 1302 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13769 | Total |
| Program Services | 13769 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| LABORATORY/DIAGNOSTIC | 13253 | 13253 |
| X-RAY/CATSCAN/MRI | 19022 | 19022 |
| PHARMACEUTICALS | 24056 | 24056 |
| MEDICAL SUPPLIES | 28381 | 28381 |
| DONATED SUPPLIES EXPENSE | 97507 | 97507 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29448 | Total |
| Program Services | 29306 | ProgramServices |
| Management And General | 142 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 592779 | Total |
| Program Services | 560525 | ProgramServices |
| Management And General | 32254 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 385514 | BOY |
| EOY | 330024 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 555145 | BOY |
| EOY | 567430 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 10725 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1992 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2807 | BOY |
| EOY | 8733 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 943466 | BOY |
| EOY | 906187 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 439 | BOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 439 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 943027 | BOY |
| EOY | 906187 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 943027 | BOY |
| EOY | 906187 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 943466 | BOY |
| EOY | 906187 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -36840 | ReconcilationRevenueExpenses |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | false | FSAudited |
| Audit Committee | false | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
| Federal Grant Audit Performed | false | 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 | 730326 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 747528 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 400474 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 691101 | CurrentTaxYearMinus1Year |
| Current Tax Year | 551228 | CurrentTaxYear |
| Total | 3120657 | Total |
Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 730326 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 747528 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 400474 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 691101 | CurrentTaxYearMinus1Year |
| Current Tax Year | 551228 | CurrentTaxYear |
| Total | 3120657 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 542866 | AmountsSubstContributorsTotal |
| Public Support Total170 | 2577791 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 20184 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12778 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4387 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5982 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11301 | CurrentTaxYear |
| Total | 54632 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 3175289 | TotalSupport |
| Public Support Pertcentage170 | 0.81180 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.86240 | 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
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10725 | OtherCostOrOtherBasis |
| Depreciation | 1992 | Depreciation |
| Book Value | 8733 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 8733 | TotalOfBookValueLandBuildings |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agreement Ref Fundraising | false | AgreementRefFundraising |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | RAFFLE | NameOfEvent1 |
| Gross Receipts Event1 | 14523 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 14523 | CharitableContributionsEvent1 |
| Other Direct Expenses Event1 | 5043 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GALA | NameOfEvent2 |
| Gross Receipts Event2 | 10336 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 10336 | CharitableContributionsEvent2 |
| Other Direct Expenses Event2 | 1547 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 24859 | GrossReceiptsTotal |
| Charitable Contributions Total | 24859 | CharitableContributionsTotal |
| Other Direct Expenses Total Events | 6590 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 6590 | DirectExpenseSummaryEvents |
| Net Income Summary | -6590 | NetIncomeSummary |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 10000 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 97507 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part VI, Line 19 | Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE FINANCIAL STATEMENTS ARE MADE AVAILABLE ONLINE AT: http://www2.guidestar.org/ |
| Form 990, Part VI, Line 15b | Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | The Organization's board of directors review and approve the compensation paid to all of the Organization's employees during the board of director's budget meetings or whenever a new officer or key employee is hired. |
| Form 990, Part VI, Line 11 | Form 990, Part VI, Line 11: Form 990 Review Process | A COPY OF THE 990 IS PRESENTED TO AND REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS, PRESIDENT AND EXECUTIVE DIRECTOR. IN ADDITION, A COPY OF THE FINAL 990 IS PROVIDED TO EACH BOARD MEMBER. |
| Form 990, Part VI, Line 2 | Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | The board of directors William Vinson, Cynthia Vinson and Amanda Vinson are related. |
| Form 990, Part III, Line 4d | Form 990, Part III, Line 4d : Other Program Services Description | OTHER PROGRAM SERVICES 4: Mental Health CounselingThe counselor is Spanish and English speaking. Family, group sessions and individual counseling is provided during clinic hours. The counselor works closely with WFC physicians to address health conditions brought on by psychological issues. Client visits average 4-5 sessions. OTHER PROGRAM SERVICES 5: Diabetes Management & Education Program Including Community Outreach This program assists parents who have Type 2 diabetes with education and early treatment. The purpose of this program is also to help prevent children from getting diabetes like their parents. High school interns and a college student work in partnership with the bi-lingual health educator and dietitian to implement the program. Program participants are encouraged to get involved too. While they are helping they are also learning how they can improve their own family's health. The program includes: 1) personal dietary and exercise planning, goal setting and monitoring, 2)quarterly lab tests 3) weekly glucose finger sticks 4) weight and circumference measures, 5)weekly nutrition classes and food demonstrations, 6) one-on-one counseling with the dietitian, and 7) free medications, glucometer and test strips. All services are provided in Spanish and English. The need to identify people earlier with chronic disease issues like diabetes and high blood pressure has been evident for a long time. Through WFC's Community Outreach Program, it partners with the business community who have uninsured employees at their workplace (E-HIP)and locations nearby where people are already going (e.g. the laundry mat, Latino markets) to provide free blood pressure, and blood sugar screening as well as health education and resource referral. We have also been able to implement environmental change strategies (HEAL) (e.g. Latino markets offering diabetic friendly food choices that we are telling the patients they should eat) so clients are actually able to change their eating habits the way the doctors, dietitian and health educators at our clinic classes are telling them to (e.g. drink 1% or skim milk instead of whole milk). Our teen promotores interns who are already trained interns at our clinic are involved in all aspects of the program planning, marketing, evaluation, assessment and direct service. The students are instrumental in the programs success. A bi-lingual health educator runs the program and we have many stories of people with blood sugars over 400 (200 or lower is acceptable for non-fasting persons) and people with very high blood pressure who did not know about their serious health situation until they attended one of our screenings. The majority are now patients at our free clinic and getting their health conditions under control. |
| Form 990, Part III, Line 2 | Form 990, Part III, Line 2: New Services | During 2011, we added a Diabetic specialty clinic to our Diabetes Management and Education program. It provides a more personalized, comprehensive program for diabetics who demonstrate a greater chance of getting their diabetes under control or who need to be assessed to determine if insulin would be more effective than oral medication for their diabetes. Patients get follow-up phone calls, see the same doctor every time they come and see all the clinic specialists like our dietitian, podiatrist, ophthalmologist, health educator, etc. offered by our clinic in a smaller, more structured setting. |
| Client Note 1 - Reconciliation from books to Form 990Book revenue $ 1,477,916 Book expenses $ 1,514,756Less:donated services Less: donated services and facilities (915,387) and facilities (915,387)Less: Special events expenses (6,590) (6,590) --------- --------990 Revenue $ 555,939 990 Expenses $ 592,779 ========= ========Revenue Per 990 $ 555,939 Expenses Per 990 $ 592,779Less: In-Kind Supplies (97,507) Less: In-Kind Supplies (97,507) ---------- --------Cash Basis Revenue $ 458,432 Cash Basis Expenses $ 495,272 ========= ========= |
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