LA CLINICA DEL PUEBLO INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- LA CLINICA DEL PUEBLO INC (EIN 52-1942551)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-08-08
- IRS object ID
- 201102209349301200
- Schema version
- 2010v3.4
- 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 | 2011-08-08T10:43:48-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COUNCILOR BUCHANAN & MITCHELL PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7910 WOODMONT AVENUE SUITE 500 | AddressLine1 |
| City | BETHESDA | City |
| State | MD | State |
| ZIP Code | 20814 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521942551 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LA CLINICA DEL PUEBLO INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LACL | NameControl |
| Phone | 2024640141 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2831 15TH STREET NW | AddressLine1 |
| City | WASHINGTON | City |
| State | DC | State |
| ZIP Code | 20009 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ALICIA WILSON | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 2024640141 | Phone |
| Date Signed | 2011-08-01 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DANIEL L WEAVER | Name |
| Phone | 3019860600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ALICIA WILSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2831 15TH STREET NW | AddressLine1 |
| City | WASHINGTON | City |
| State | DC | State |
| ZIP Code | 20009 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 6677530 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.LCDP.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1983 | YearFormation |
| State Legal Domicile | DC | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE FREE, CULTURALLY APPROPRIATE HEALTH SERVICES IN THE LATINO COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 95 | TotalNbrEmployees |
| Total Nbr Volunteers | 6 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4660293 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4999912 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1139712 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1676914 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1250 | InvestmentIncomePriorYear |
| Investment Income Current Year | 704 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5801255 | TotalRevenuePriorYear |
| Total Revenue Current Year | 6677530 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3422624 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3827862 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 110501 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2182328 | OtherExpensePriorYear |
| Other Expenses Current Year | 2770417 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 5604952 | TotalExpensesPriorYear |
| Total Expenses Current Year | 6598279 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 196303 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 79251 | RevenuesLessExpensesCY |
| Total Assets BOY | 3706990 | TotalAssetsBOY |
| Total Assets EOY | 3895095 | TotalAssetsEOY |
| Total Liabilities BOY | 1582685 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1327201 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2124305 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2567894 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE FREE, CULTURALLY APPROPRIATE HEALTH SERVICES IN THE LATINO COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1284004 | Expense |
| Description | COMMUNITY HEALTH ACTION - THE COMMUNITY HEALTH ACTION DEPARTMENT ASSESSES HEALTH NEEDS WITHIN THE COMMUNITY AS A WHOLE, AND DEVELOPS STRATEGIES GROUNDED IN PUBLIC HEALTH AND COMMUNITY MOBILIZATION TO ADDRESS THESE NEEDS AT THE INDIVIDUAL, FAMILY, GROUP, COMMUNITY, OR STRUCTURAL LEVEL AS APPROPRIATE. THE DEPARTMENT CONCENTRATES ON HEALTH ISSUES/NEEDS MOST PREVALENT WITH LA CLINICA'S PATIENT POPULATION, INCLUDING, BUT NOT LIMITED TO, DIABETES, HIV, CARDIOVASCULAR DISEASES, MENTAL HEALTH/SUBSTANCE ABUSE, REPRODUCTIVE HEALTH, ACCESS TO CARE, CULTURALLY COMPETENT CARE, AND OTHER HEALTH ISSUES AS THEY EMERGE. THE DEPARTMENT EXISTS TO FULFILL LA CLINICA'S ROLE AS A LEADING VOICE FOR LATINO HEALTH WITHIN THE COMMUNITY WHO IS LOOKED TO BY COMMUNITY MEMBERS AND THE HEALTH COMMUNITY FOR LEADERSHIP AROUND KEY PUBLIC HEALTH ISSUES.THE DEPARTMENT INCLUDES LA CLINICA'S COMMUNITY HEALTH FAIRS AND EDUCATION, HIV PREVENTION PROGRAMS FROM OUTREACH TO SCREENING AND LINKAGE TO CARE, AND TRAINING FOR PROMOTORES DE SALUD, OR COMMUNITY HEALTH FAIRS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1708200 | Expense |
| Revenue | 1515996 | Revenue |
| Description | PATIENT SERVICES - LA CLINICA SERVES PATIENTS THROUGH ALL STAGES OF LIFE, FROM PRENATAL TO GERIATRIC CARE. THE MEDICAL SERVICES UNIT PROVIDES ADULT, PEDIATRIC, PRENATAL, AND ADOLESCENT PRIMARY CARE, AS WELL AS DIABETIC AND REPRODUCTIVE HEALTH CARE. DOCTORS AND OTHER HEALTH PROFESSIONALS PROVIDE EVALUATIONS, EDUCATION, IMMUNIZATIONS, DIAGNOSIS, AND TREATMENT, AS WELL AS REFERRALS WHEN NEEDED. AS PART OF LA CLINICA'S MISSION TO PROVIDE CULTURALLY APPROPRIATE HEALTH CARE, TRADITIONAL LATIN AMERICAN HERBAL AND NUTRITIONAL REMEDIES HAVE BEEN INCORPORATED INTO THE DELIVERY OF COMPREHENSIVE HEALTH CARE SERVICES.WE OFFER SERVICES REGARDLESS OF A PERSON'S ABILITY TO PAY AND CHARGE PATIENTS ON A SLIDING SCALE, BASED ON INCOME.THIS DEPARTMENT PLAYS A CRITICAL ROLE IN HELPING TO BREAK DOWN THE BARRIERS TO HEALTH CARE FACED BY LOW-INCOME PATIENTS, UNINSURED AND UNDERINSURED LATINOS AND OTHER INDIVIDUALS IN NEED THAT COME TO LA CLINICA. SERVICES INCLUDE; HIV CASE MANAGEMENT; ENTITLEMENTS ASSISTANCE; HOUSING ASSISTANCE, REFERRALS FOR FOOD, CLOTHING, MEDICINE, AND MEDICAL EQUIPMENT. THE PATIENT SUPPORT SERVICES UNIT STAFF EDUCATES AND ENROLLS ELIGIBLE CLIENTS INTO MEDICAID, MEDICARE AND OTHER PROGRAMS, AND HELPS PATIENTS APPLY FOR PHARMACEUTICAL COMPANY ASSISTANCE PROGRAMS.IN ADDITION, THE UNIT PROVIDES DIRECT HEALTH EDUCATION SERVICES TARGETING MOSTLY PATIENTS WITH DIABETES, OVERWEIGHT AND OBESITY PROBLEMS. PATIENTS WITH OR AT RISK OF CHRONIC DISEASES SUCH AS DIABETES AND/OR OBESITY HAVE THE OPPORTUNITY TO ATTEND COOKING CLASSES, SUPPORT GROUPS AND EXERCISE SESSIONS THAT HELP THEM IMPROVE THEIR HEALTH AND TO ADOPT HEALTHIER LIFE STYLES. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 798232 | Expense |
| Revenue | 80918 | Revenue |
| Description | INTERPRETER SERVICES - OVER TEN PERCENT OF PEOPLE IN THE DC METRO AREA HAVE LIMITED ENGLISH PROFICIENCY. VERY FEW DOCTORS AND CARE PROVIDERS ARE TRAINED BILINGUAL MEDICAL STAFF, WHICH CAN CREATE A HUGE DIVIDE BETWEEN PATIENTS AND THEIR PROVIDERS. LA CLINICA PROVIDES MEDICAL INTERPRETATION IN OVER EIGHT LANGUAGES ON-SITE AND FOR ALL MEDICAL FACILITIES IN THE AREA TO HELP BREAK DOWN THAT DIVIDE.ANY DC RESIDENTS WITH MANAGED CARE CAN USE OUR INTERPRETERS' SERVICES. THE INTERPRETER SERVICES' UNIT IS ALWAYS LOOKING FOR NEW VOLUNTEERS TO HELP IN THEIR WORK TOWARDS EQUAL LANGUAGE ACCESS.LA CLINICA AND ITS INTERPRETERS RECENTLY EMBARKED ON A NEW INITIATIVE, THE LANGUAGE ACCESS FOR ALL PROGRAM, WHICH TRAINS MEDICAL INTERPRETERS TO PROVIDE BILINGUAL SERVICES IN HEALTH CLINICS AROUND THE DISTRICT, SPREADING LA CLINICA'S CULTURALLY-APPROPRIATE WORK TO OTHER COMMUNITIES. | Description |
Activity Other ActivityOther (3 entries)
| ExpenseExpense | DescriptionDescription |
|---|---|
| 529874 | BEHAVIORAL HEALTH - LA CLINICA'S HOLISTIC APPROACH TO HEALTHCARE VIEWS MENTAL HEALTH AS A VITAL COMPONENT TO HEALTHY LIVING, AND STAFF WORK TO DE-STIGMATIZE THERAPEUTIC CARE IN THE EYES OF LA CLINICA'S PATIENTS AND THE BROADER LATINO IMMIGRANT COMMUNITY.WE PROVIDE INDIVIDUAL, COUPLE, AND FAMILY COUNSELING SERVICES FOR A BROAD RANGE OF PSYCHOLOGICAL PROBLEMS. WE ALSO OFFER PSYCHO-EDUCATIONAL SUPPORT GROUPS THAT REACH A BROAD RANGE OF PATIENTS. COMPREHENSIVE OUTPATIENT SUBSTANCE ABUSE TREATMENT SERVICES ARE AVAILABLE, INCLUDING SUPPORT GROUPS AND REFERRALS TO DETOXIFICATION AND RESIDENTIAL PROGRAMS. |
| BUILDING A HEALTHY FUTURE FUND | |
| GENERAL CAPACITY BUILDING |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 529874 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 4320310 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | 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 | 0 | 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 | 0 | 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 |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 90 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 95 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | 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 | 0 | 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 |
| 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 | 2024640141 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2831 15TH STREET NW | AddressLine1 |
| City | WASHINGTON | City |
| State | DC | State |
| ZIP Code | 20009 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ANA I TELLEZ | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| BESSIE ANAYA | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| CLARA MOJOLLA | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| HERBERT BAIRES | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JUAN BLANCO | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MARIA QUINTANILLA | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MAURICE KURLAND | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| NICOLAS GOMEZ | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| PAULA VASQUEZ | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| RUBEN BERMUDEZ | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| XOCHILT YANEZ | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| ISABEL FRIEDENZOHN | |||||||
| SECRETARY | 1.50 | X | 0 | 0 | 0 | X | |
| LEONEL FLORES | |||||||
| PRESIDENT | 1.50 | X | 0 | 0 | 0 | X | |
| MAURICIO SILVA | |||||||
| VICE-PRESIDENT | 1.50 | X | 0 | 0 | 0 | X | |
| ROBERT FREE | |||||||
| TREASURER | 1.50 | X | 0 | 0 | 0 | X | |
| ALICIA WILSON | |||||||
| EXECUTIVE DIRECTOR | 40.00 | 97222 | 0 | 4865 | X | ||
| ENRIQUE COBHAM | |||||||
| FORMER CHIEF ADMINISTRATOR | 40.00 | 50022 | 0 | 4865 | X | ||
| MEREDITH JOSEPHS | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | 136682 | 0 | 4865 | X | ||
| TESSIE AIKARA | |||||||
| FAMILY PHYSICIAN | 40.00 | 102984 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 386910 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 14595 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| RAFFA | |||||
| 1899 L STREET NW SUITE 900 | WASHINGTON | DC | 20036 | ACCOUNTING CONSULTANTS | 164086 |
| NEVAEH | |||||
| 8708 PROSPECT AVE SUITE D13 | CHESTNUT | PA | 19118 | MANAGEMENT CONSULTANTS | 133198 |
| PRIORITY MANAGEMENT GROUP | |||||
| 700 SCHOOL STREET | PAWTUCKET | RI | 02860 | BILLING CONTRACTOR | 121547 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Government Grants | 4036494 | GovernmentGrants |
| All Other Contributions | 963418 | AllOtherContributions |
| Total Contributions | 4999912 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICES | 621400 | 1595996 | 1595996 |
| INTERPRETER SERVICES A | 900099 | 80918 | 80918 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1676914 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 704 | TotalRevenueColumn |
| Exclusion | $704 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6677530 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1676914 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $704 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 401505 | Total |
| Program Services | 294770 | ProgramServices |
| Management And General | 97492 | ManagementAndGeneral |
| Fundraising | 9243 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2858646 | Total |
| Program Services | 2098713 | ProgramServices |
| Management And General | 694125 | ManagementAndGeneral |
| Fundraising | 65808 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 332302 | Total |
| Program Services | 243964 | ProgramServices |
| Management And General | 80688 | ManagementAndGeneral |
| Fundraising | 7650 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 235409 | Total |
| Program Services | 172829 | ProgramServices |
| Management And General | 57161 | ManagementAndGeneral |
| Fundraising | 5419 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 210137 | Total |
| Management And General | 210137 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1479930 | Total |
| Program Services | 976516 | ProgramServices |
| Management And General | 500749 | ManagementAndGeneral |
| Fundraising | 2665 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 164912 | Total |
| Program Services | 60908 | ProgramServices |
| Management And General | 87038 | ManagementAndGeneral |
| Fundraising | 16966 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 221725 | Total |
| Program Services | 58295 | ProgramServices |
| Management And General | 163152 | ManagementAndGeneral |
| Fundraising | 278 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 152396 | Total |
| Program Services | 113158 | ProgramServices |
| Management And General | 39238 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48717 | Total |
| Program Services | 46773 | ProgramServices |
| Management And General | 1944 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55435 | Total |
| Program Services | 2 | ProgramServices |
| Management And General | 55433 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123980 | Total |
| Program Services | 432 | ProgramServices |
| Management And General | 123548 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12423 | Total |
| Program Services | 2017 | ProgramServices |
| Management And General | 10406 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| CLIENT SERVICES | 232656 | 230455 | 2201 | |
| PAYROLL SERVICE FEES | 21214 | 0 | 21214 | |
| MISCELLANEOUS | 18913 | 15769 | 672 | 2472 |
| DUES AND MEMBERSHIPS | 17484 | 3098 | 14386 | |
| LICENSES AND FEES | 10495 | 2611 | 7884 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6598279 | Total |
| Program Services | 4320310 | ProgramServices |
| Management And General | 2167468 | ManagementAndGeneral |
| Fundraising | 110501 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 235 | BOY |
| EOY | 421 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 245833 | BOY |
| EOY | 273244 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 440303 | BOY |
| EOY | 753476 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 631288 | BOY |
| EOY | 543068 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24895 | BOY |
| EOY | 23931 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3030025 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 734606 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2360346 | BOY |
| EOY | 2295419 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2412 | BOY |
| EOY | 3858 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1678 | BOY |
| EOY | 1678 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3706990 | BOY |
| EOY | 3895095 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 446558 | BOY |
| EOY | 468723 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 294668 | BOY |
| EOY | 50594 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 841459 | BOY |
| EOY | 807884 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1582685 | BOY |
| EOY | 1327201 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2068681 | BOY |
| EOY | 2452352 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55624 | BOY |
| EOY | 115542 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2124305 | BOY |
| EOY | 2567894 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3706990 | BOY |
| EOY | 3895095 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 79251 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 364338 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| 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 Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4115407 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4725951 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5390202 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4660293 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4999912 | CurrentTaxYear |
| Total | 23891765 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 643989 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 781091 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1027997 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1139712 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1676914 | CurrentTaxYear |
| Total | 5269703 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4759396 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5507042 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6418199 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5800005 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6676826 | CurrentTaxYear |
| Total | 29161468 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 29161468 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7275 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3191 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2905 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 784 | CurrentTaxYearMinus1Year |
| Current Tax Year | 704 | CurrentTaxYear |
| Total | 14859 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7275 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3191 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2905 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 784 | CurrentTaxYearMinus1Year |
| Current Tax Year | 704 | CurrentTaxYear |
| Total | 14859 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1857 | CurrentTaxYearMinus4Years |
| Total | 1857 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4768528 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5510233 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6421104 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5800789 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6677530 | CurrentTaxYear |
| Total | 29178184 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99940 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99920 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00050 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00050 | PriorYrInvestIncomePercentage |
| 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
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 55624 | BeginningOfYearBalance |
| Contributions | 136250 | Contributions |
| Other Expenditures | 76332 | OtherExpenditures |
| End Of Year Balance | 115542 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 122575 | BeginningOfYearBalance |
| Contributions | 294588 | Contributions |
| Other Expenditures | 361539 | OtherExpenditures |
| End Of Year Balance | 55624 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 278909 | BeginningOfYearBalance |
| Contributions | 318391 | Contributions |
| Other Expenditures | 474725 | OtherExpenditures |
| End Of Year Balance | 122575 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 108000 | OtherCostOrOtherBasis |
| Book Value | 108000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2299464 | OtherCostOrOtherBasis |
| Depreciation | 404784 | Depreciation |
| Book Value | 1894680 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 622561 | OtherCostOrOtherBasis |
| Depreciation | 329822 | Depreciation |
| Book Value | 292739 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2295419 | TotalOfBookValueLandBuildings |
| Total Revenue | 6677530 | TotalRevenue |
| Total Expenses | 6598279 | TotalExpenses |
| Excess Or Deficit For Year | 79251 | ExcessOrDeficitForYear |
| Prior Period Adjustments | 364338 | PriorPeriodAdjustments |
| Total Adjustments | 364338 | TotalAdjustments |
| Excess Or Deficit Per FS | 443589 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 6768870 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 91340 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 91340 | RevenueNotRptdF990 |
| Revenue Subtotal | 6677530 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 6677530 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 6689619 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 91340 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 91340 | ExpensesNotRptdF990 |
| Expenses Subtotal | 6598279 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 6598279 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | Identifier |
| Return Reference | PART V, LINE 4: | ReturnReference |
| Explanation | THESE FUNDS ARE TEMPORARILY RESTRICTED BY THE DONORS AND LA CLINICA RELEASES THE FUNDS FROM RESTRICTION ONCE THE INTENDED PURPOSE OF THE GIFT IS SATISFIED. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | MANAGEMENT PROVIDES COPIES TO THE FINANCE COMMITTEE FOR THEIR REVIEW AND APPROVAL. THE FINANCE COMMITTEE THEN REPORTS TO THE FULL BOARD. | |
| WE CURRENTLY DO NOT HAVE A PROCEDURE IN PLACE FOR MONITORING AND ENFORCING COMPLIANCE WITH OUR CONFLICT OF INTEREST POLICY. DURING THE 1ST HALF OF 2011 THE BOARD WILL PRIORITIZE THE DEVELOPMENT OF A MECHANISM FOR THE MONITORING AND ENFORCING COMPLIANCE WITH OUR CONFLICT OF INTEREST POLICY. THE MECHANISM WILL INCLUDE THE SIGNING OF A STATEMENT ANNUALLY. | FORM 990, PART VI, SECTION B, LINE 12 | |
| THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE EXECUTIVE DIRECTOR'S COMPENSATION ANNUALLY, INCLUDING THE USAGE OF A COMPENSATION SURVEY. | FORM 990, PART VI, SECTION B, LINE 15 | |
| OUR FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE IN OUR OFFICES AND WILL BE MADE AVAILABLE TO ANY ONE REQUESTING COPIES. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | PRIOR PERIOD ADJUSTMENTS: 364,338. | FORM 990, PART XI, LINE 5: |
| THE COMMITTEE HAS NOT CHANGED ITS PROCESS FROM PRIOR YEARS FOR THE OVERSIGHT OF THE AUDITED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. | FORM 990, PART XI, LINE 2C |
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