SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM (EIN 94-2897258)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2012-10-09
- IRS object ID
- 201242839349300619
- 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 | 2012-10-09T10:27:54-07:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | James P Richardson CPA Inc | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 325 11th Street | AddressLine1 |
| City | Richmond | City |
| State | CA | State |
| ZIP Code | 94801 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942897258 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | San Francisco Community Clinic Consortiu | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SANF | NameControl |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 Bryant Street | AddressLine1 |
| City | San Francisco | City |
| State | CA | State |
| ZIP Code | 94103 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Maria Powers | Name |
| Title | VP Finance and | Title |
| Phone | 4153552222 | Phone |
| Date Signed | 2012-10-01 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | James P Richardson | Name |
| Phone | 5102348983 | Phone |
| Date Prepared | 2012-09-28 | DatePrepared |
| Self Employed | X | SelfEmployed |
| 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) |
|---|---|---|
| Gross Receipts | 10352333 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1983 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | To develop & implement programs & to support policies that increase access to community based primary care for the uninsured & underserved patients | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 22 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1444593 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2093764 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 8276264 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 8201215 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 44 | InvestmentIncomePriorYear |
| Investment Income Current Year | 31 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 70555 | OtherRevenuePriorYear |
| Other Revenue Current Year | 57323 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 9791456 | TotalRevenuePriorYear |
| Total Revenue Current Year | 10352333 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2512732 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2360643 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 80629 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7599044 | OtherExpensePriorYear |
| Other Expenses Current Year | 7362446 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 10111776 | TotalExpensesPriorYear |
| Total Expenses Current Year | 9723089 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -320320 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 629244 | RevenuesLessExpensesCY |
| Total Assets BOY | 2019447 | TotalAssetsBOY |
| Total Assets EOY | 3045930 | TotalAssetsEOY |
| Total Liabilities BOY | 2091918 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2485724 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -72471 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 560206 | NetAssetsOrFundBalancesEOY |
| Mission Description | To develop & implement programs & to support policies that increase access to community based primary care for the uninsured & underserved patients | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 9445223 | Expense |
| Description | Offerred guidance & training support & implemented program and information technology to improve the quality and access to care delivered to SFCCC uninsured and underinsured patients | Description |
| Total Program Service Expense | 9445223 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| 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 | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | 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 | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| 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 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 22 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | 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 |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | 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 |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Maria Powers | NamePerson |
| Telephone Number | 4153552222 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1550 Bryant Street | AddressLine1 |
| City | San Francisco | City |
| State | CA | State |
| ZIP Code | 94103 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|
| Ana Valdes MD | |||||||
| Chairman | 2.00 | X | X | 0 | 0 | 0 | |
| Brenda Storey | |||||||
| Secretary | 2.00 | X | X | 0 | 0 | 0 | |
| Charles Range | |||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||
| David Knego | |||||||
| Treasurer | 2.00 | X | X | 0 | 0 | 0 | |
| Dawn Harbatkin MD | |||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||
| Eddie Chan | |||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||
| Pat Dennehy | |||||||
| 2.00 | X | 0 | 0 | 0 | |||
| Richard Gibbs MD | |||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||
| Vitka Eisen | |||||||
| Director | 2.00 | X | 0 | 0 | 0 | ||
| Allen Meyer | |||||||
| VP Programs | 123765 | 8266 | X | ||||
| David Lown | |||||||
| Medical Director | 165300 | 13124 | X | ||||
| John Gressman | |||||||
| PresidentCEO SFCCC | 38.00 | 191676 | 0 | 13870 | X | ||
| Maria Powers | |||||||
| VP Finance and Information Technolo | 38.00 | 123765 | 0 | 6718 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 604506 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 41978 | TotalOtherCompensation |
| Number Individuals GT100 K | 4 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Government Grants | 2093764 | GovernmentGrants |
| Noncash Contributions | 266454 | NoncashContributions |
| Total Contributions | 2093764 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Government Contracts | 900099 | 7825766 | 7825766 |
| Clinic Revenue | 900099 | 213900 | 213900 |
| Membership Revenue | 900099 | 151549 | 151549 |
| Event Revenue | 900099 | 10000 | 10000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 8201215 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 31 | TotalRevenueColumn |
| Related Or Exempt Function Income | 31 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Other Reimb & Refund | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 57323 | TotalRevenueColumn |
| Related Or Exempt Function Income | 57323 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 57323 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10352333 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8258569 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191677 | Total |
| Program Services | 180706 | ProgramServices |
| Management And General | 6452 | ManagementAndGeneral |
| Fundraising | 4519 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1723071 | Total |
| Program Services | 1624453 | ProgramServices |
| Management And General | 57994 | ManagementAndGeneral |
| Fundraising | 40624 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 288706 | Total |
| Program Services | 271809 | ProgramServices |
| Management And General | 9428 | ManagementAndGeneral |
| Fundraising | 7469 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 157189 | Total |
| Program Services | 147988 | ProgramServices |
| Management And General | 5134 | ManagementAndGeneral |
| Fundraising | 4067 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64688 | Total |
| Program Services | 58154 | ProgramServices |
| Management And General | 5859 | ManagementAndGeneral |
| Fundraising | 675 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 238864 | Total |
| Program Services | 219205 | ProgramServices |
| Management And General | 14547 | ManagementAndGeneral |
| Fundraising | 5112 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52725 | Total |
| Program Services | 50040 | ProgramServices |
| Management And General | 2685 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15016 | Total |
| Program Services | 7494 | ProgramServices |
| Management And General | 7402 | ManagementAndGeneral |
| Fundraising | 120 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42151 | Total |
| Program Services | 33945 | ProgramServices |
| Management And General | 8206 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27568 | Total |
| Program Services | 23698 | ProgramServices |
| Management And General | 3309 | ManagementAndGeneral |
| Fundraising | 561 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Sub-Contractor | 6180451 | 6180451 | ||
| Volunteers | 215231 | 215231 | ||
| Consultants | 132173 | 104366 | 22285 | 5522 |
| Medical & Program Supplies | 94292 | 94292 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 299287 | Total |
| Program Services | 233391 | ProgramServices |
| Management And General | 53936 | ManagementAndGeneral |
| Fundraising | 11960 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9723089 | Total |
| Program Services | 9445223 | ProgramServices |
| Management And General | 197237 | ManagementAndGeneral |
| Fundraising | 80629 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 116217 | BOY |
| EOY | 41126 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14035 | BOY |
| EOY | 14035 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1705361 | BOY |
| EOY | 2727296 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 789 | BOY |
| EOY | 30517 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54438 | BOY |
| EOY | 100462 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 918157 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 785663 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 128607 | BOY |
| EOY | 132494 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2019447 | BOY |
| EOY | 3045930 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 178219 | BOY |
| EOY | 168165 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1854636 | BOY |
| EOY | 2306174 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59063 | BOY |
| EOY | 11385 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2091918 | BOY |
| EOY | 2485724 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -287765 | BOY |
| EOY | -255383 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 215294 | BOY |
| EOY | 815589 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -72471 | BOY |
| EOY | 560206 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2019447 | BOY |
| EOY | 3045930 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 629244 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 3433 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1450718 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1036578 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1917920 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1444593 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2093764 | CurrentTaxYear |
| Total | 7943573 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5887320 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7143001 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7980091 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8276264 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8201215 | CurrentTaxYear |
| Total | 37487891 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7338038 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8179579 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9898011 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9720857 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10294979 | CurrentTaxYear |
| Total | 45431464 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 45431464 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 14143 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus2 Years | 88 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 44 | CurrentTaxYearMinus1Year |
| Current Tax Year | 31 | CurrentTaxYear |
| Total | 14306 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 14143 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus2 Years | 88 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 44 | CurrentTaxYearMinus1Year |
| Current Tax Year | 31 | CurrentTaxYear |
| Total | 14306 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7352181 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8179579 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9898099 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9720901 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10295010 | CurrentTaxYear |
| Total | 45445770 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99970 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99910 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00030 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
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 | 722826 | OtherCostOrOtherBasis |
| Depreciation | 646304 | Depreciation |
| Book Value | 76522 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 195331 | OtherCostOrOtherBasis |
| Depreciation | 139359 | Depreciation |
| Book Value | 55972 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 132494 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Trust Fund Payable | Description |
| Amount | $11,385 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 11385 | TotalOfAmounts |
| Total Revenue | 10352333 | TotalRevenue |
| Total Expenses | 9723089 | TotalExpenses |
| Excess Or Deficit For Year | 629244 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 629244 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 10352333 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 10352333 | RevenueSubtotal |
| Total Revenue Per Form990 | 10352333 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 9723089 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 9723089 | ExpensesSubtotal |
| Total Expenses Per Form990 | 9723089 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| John Gressman | |||||||||||||
| 191676 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 13870 | 0 | 205546 | 0 | 0 | 0 |
| David Lown | |||||||||||||
| 165300 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 13124 | 0 | 178424 | 0 | 0 | 0 |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|
| X | Volunteers prof services | 227405 | Fair Value |
| X | Medical & prog supplies | 39049 | Estimated Cost |
| 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 (8 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| 01. Members or stockholder classes and rights (Part VI, line 6) | According to the Organizations By-Laws each member clinic has a representative in the governing body |
| 02. Member election for additional members (Part VI, line 7a) | According to the Organizations By-Laws each member clinic has a representative in the governing body and are entitled to elect one or more members of the governing body |
| 03. Form 990 governing body review (Part VI, line 11) | The Form 990 is prepared by an outside licensed professional and is reviewed by the Director of Finance and Communications Maria Powers |
| 04. Conflict of interest policy compliance (Part VI, line 12c) | Conflict of interest statements is signed annually and is maintained by each member clinic |
| 05. CEO, executive director, top management comp (Part VI, line 15a) | The Chairman & CEO is reviewed annually by the Board All other upper management individual contract every five years Contracts are reviewed and renewed routinely every five years |
| 06. Other officer or key employee compensation (Part VI, line 15b | Annual Board review of management performance |
| 07. Governing documents, etc, available to public (Part VI, line 19) | Governing documents policies and financial statements are made available to public upon request |
| 08. Explanation of other changes in net assets or fund balances (Part XI, line 5) | Overbooking of expenses for maintenance and support fee for prior period ending June 30 2011 |
Comments