FURP.ORG / PUBLIC DATA EXPLORER

LAWNDALE CHRISTIAN HEALTH CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
LAWNDALE CHRISTIAN HEALTH CENTER (EIN 36-3308953)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-09-06
IRS object ID
201102499349300320
Schema version
2009v1.4
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

FieldValueIRS element (for citing)
Timestamp2011-09-06T13:07:19-00:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Lawndale Christian Health CenterBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13860 W Ogden AvenueAddressLine1
CityChicagoCity
StateILState
ZIP Code60623ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN363308953EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Lawndale Christian Health CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLAWNNameControl
Phone7736503201Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13860 West Ogden AveAddressLine1
CityChicagoCity
StateILState
ZIP Code60623ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBruce MillerName
TitleChief Executive OfficerTitle
Date Signed2011-09-06DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameChristopher DonsName
Phone7736503201Phone
Date Prepared2011-09-06DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBruce MillerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13860 West Ogden AveAddressLine1
CityChicagoCity
StateILState
ZIP Code60623ZIPCode
FieldValueIRS element (for citing)
Gross Receipts32877607GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.lawndale.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission Description0 Mission is to provide quality, affordable, primary healthcare services to the medically underserved communities of North and South Lawndale, East and West Garfield. Patient population served includes over 40,000 patients receiving over 200,000 visits of care annually. Patients are primarily uninsured or covered by Medicaid or Medicare.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees448TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year4436918ContributionsGrantsPriorYear
Contributions Grants Current Year7393365ContributionsGrantsCurrentYear
Program Service Revenue Prior Year24086571ProgramServiceRevenuePriorYear
Program Service Revenue CY24775564ProgramServiceRevenueCY
Investment Income Prior Year-605280InvestmentIncomePriorYear
Investment Income Current Year708678InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year27918209TotalRevenuePriorYear
Total Revenue Current Year32877607TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year200559GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY216742GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year15887349SalariesEtcPriorYear
Salaries Etc Current Year16759009SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year30800TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY113475TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year170896TotalFundrsngExpCurrentYear
Other Expense Prior Year9522490OtherExpensePriorYear
Other Expenses Current Year10462153OtherExpensesCurrentYear
Total Expenses Prior Year25641198TotalExpensesPriorYear
Total Expenses Current Year27551379TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2277011RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5326228RevenuesLessExpensesCY
Total Assets BOY24579590TotalAssetsBOY
Total Assets EOY30136920TotalAssetsEOY
Total Liabilities BOY2764387TotalLiabilitiesBOY
Total Liabilities EOY2995492TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY21815203NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY27141428NetAssetsOrFundBalancesEOY
Mission DescriptionLawndale Christian Health Center LCHC is a community-based nonprofit organization, founded in 1984 and dedicated to improving the health of Chicagos Lawndale and Garfield communities. LCHC provides quality primary care services without regard for a patients ability to pay and serves as a community resource for eliminating health disparities.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense17011816Expense
Grants6333699Grants
Revenue28184572Revenue
DescriptionMedical, dental, and optometry services to a patient population of over 40,000 delivering over 125,000 visits of patient care.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4432126Expense
Grants2446705Grants
Revenue2446705Revenue
DescriptionHealth support services to the same population including prenatal counseling, adolescent health services, and HIV counseling. Delivered over 29,000 client encounters for the yearDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1432942Expense
Grants837537Grants
Revenue1961515Revenue
DescriptionPharmacuetical services to the same population filling over 148,000 prescriptionsDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp327836TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt56200TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev284816TotalOfOtherProgramServiceRev
Total Program Service Expense23204720TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualstrueMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096479NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees448NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonChristopher Dons CPANamePerson
Telephone Number7736503201TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13860 West Ogden AveAddressLine1
CityChicagoCity
StateILState
ZIP Code60623ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Franciso Paco Amador
Board chairperson001.00X000
Chelsea Johnson
Board vicechairperson001.00X000
Caronina Grimble
Board secretary001.00X000
Jerry Stromberg
Boardmember001.00X000
Sylvia Del Raso
Boardmember001.00X000
Phillip Maskall MD
Boardmember001.00X000
Eric Kuhl
Boardmember001.00X000
Philip Maskall MD
Boardmember001.00X000
Bruce Miller
Chief Executive Officer040.0011230609201X
Christopher Dons
Director Finance040.008146302596X
Robert Werner
Director Clinic Operations040.002990406687X
Kutu Baker
DirectorHuman Resources040.003303406407X
Wayne DetmerMD
Director Medical Operations040.0014564309201X
Bruce RowellMD
Director Clinical Quality040.0011373109201X
James Melia MD
Physician, Family Practice040.0014072209201X
Dae Kwak OBGYN
Physican, OB/GYN040.0017029209201X
David Buchanan MD
Physician, Family Practice040.0017672709201X
Heather Bunting MD
Physician, Family Practice040.0014415203000X
Prosper Wang MD
Physician, Family Practice040.0014046109201X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1288435TotalReportableCompFromOrg
Total Other Compensation83097TotalOtherCompensation
Number Individuals GT100 K27NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Mount Sinai Hospital
2028 Paysphere CircleChicagoIL60674Inpatient care644743
Sinai Medical Group
3537 Paysphere CircleChicagoIL60674Specialist services584374
St Anthony Hospital
1849 Paysphere CircleChicagoIL60674Inpatient and specialty care165720
University of Ilinois
3468 Paysphere CircleChicagoIL60674Inpatient Care and specialty care162499
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Government Grants5962471GovernmentGrants
All Other Contributions1430894AllOtherContributions
Noncash Contributions837537NoncashContributions
Total Contributions7393365TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HMO Revenue1210556512105565
Commercial Revenue778379778379
Other Medical Revenue22478722247872
Medicare/Medicaid Revenue71345377134537
Govt Fees Contracts22807752280775

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column228436TotalRevenueColumn
Related Or Exempt Function Income228436RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue24775564TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column708678TotalRevenueColumn
Related Or Exempt Function Income708678RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column32877607TotalRevenueColumn
Related Or Exempt Function Income25484242RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total188489Total
Program Services188489ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total28253Total
Program Services28253ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13936787Total
Program Services11757123ProgramServices
Management And General2125020ManagementAndGeneral
Fundraising54644Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total357945Total
Program Services302071ProgramServices
Management And General55874ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1357163Total
Program Services1145315ProgramServices
Management And General211848ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1107114Total
Program Services934065ProgramServices
Management And General173049ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total39691Total
Management And General39691ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total40054Total
Management And General40054ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total113475Total
Fundraising113475Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total304342Total
Program Services138102ProgramServices
Management And General166240ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total132045Total
Program Services94002ProgramServices
Management And General38043ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total912569Total
Program Services505054ProgramServices
Management And General404738ManagementAndGeneral
Fundraising2777Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total261692Total
Program Services234897ProgramServices
Management And General26795ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1116535Total
Program Services669983ProgramServices
Management And General446552ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total61316Total
Program Services18146ProgramServices
Management And General43170ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total344458Total
Program Services138796ProgramServices
Management And General205662ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total909826Total
Program Services792237ProgramServices
Management And General117589ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total49974Total
Program Services43515ProgramServices
Management And General6459ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Contracted Medical Services32228403222840
Lab264954264954
Medical Supplies22856752285675
Provision for doubtful accounts421968421968

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total94214Total
Program Services19235ProgramServices
Management And General74979ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total27551379Total
Program Services23204720ProgramServices
Management And General4175763ManagementAndGeneral
Fundraising170896Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6011BOY
EOY7711EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4588261BOY
EOY6894169EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1506285BOY
EOY1554787EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1044446BOY
EOY1642554EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY66258BOY
EOY85111EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY-51162BOY
EOY-68205EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14383619LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4263213LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6218225BOY
EOY8110849EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY11201266BOY
EOY11909944EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY24579590BOY
EOY30136920EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2764387BOY
EOY2995079EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY413EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2764387BOY
EOY2995492EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY21532324BOY
EOY27060844EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY282879BOY
EOY80584EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21815203BOY
EOY27141428EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24579590BOY
EOY30136920EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Pertcentage1700.00000PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3454017CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3835716CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3506354CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4573129CurrentTaxYearMinus1Year
Current Tax Year7597115CurrentTaxYear
Total22966331Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16448918CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17057330CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19715304CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23950359CurrentTaxYearMinus1Year
Current Tax Year24499801CurrentTaxYear
Total101671712Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19902935CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20893046CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23221658CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28523488CurrentTaxYearMinus1Year
Current Tax Year32096916CurrentTaxYear
Total124638043Total
FieldValueIRS element (for citing)
Public Support Total509124638043PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years590174CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1195931CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-5506CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-605280CurrentTaxYearMinus1Year
Current Tax Year708678CurrentTaxYear
Total1883997Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years590174CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1195931CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-5506CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-605280CurrentTaxYearMinus1Year
Current Tax Year708678CurrentTaxYear
Total1883997Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20493109CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22088977CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23216152CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27918208CurrentTaxYearMinus1Year
Current Tax Year32805594CurrentTaxYear
Total126522040Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98510PublicSupportPercentage509
Prior Year Support Percentage0.98490PriorYearSupportPercentage
Investment Income Percentage0.01490InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01510PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1139200OtherCostOrOtherBasis
Book Value1139200BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis11835184OtherCostOrOtherBasis
Depreciation3404749Depreciation
Book Value6560276BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis675932OtherCostOrOtherBasis
Depreciation404850Depreciation
Book Value268667BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis733303OtherCostOrOtherBasis
Depreciation453614Depreciation
Book Value142706BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8110849TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionMiscellaneous LiablitiesDescription
Amount$413Amount
FieldValueIRS element (for citing)
Total Of Amounts413TotalOfAmounts
Total Revenue32877607TotalRevenue
Total Expenses27551379TotalExpenses
Excess Or Deficit For Year5326228ExcessOrDeficitForYear
Excess Or Deficit Per FS5326228ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt32877607TotRevenueEtcAuditedFinclStmt
Revenue Subtotal32877607RevenueSubtotal
Total Revenue Per Form99032877607TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt27551379TotExpensesEtcAuditedFinclStmt
Expenses Subtotal27551379ExpensesSubtotal
Total Expenses Per Form99027551379TotalExpensesPerForm990

Schedule F IRS990ScheduleF

Grants To Ind Outside US GrantsToIndOutsideUS

FieldValueIRS element (for citing)
Type Of AssistanceFunds to assist with medical missions programTypeOfAssistance
RegionEast Asia and the PacificRegion
Number Of Recipients12NumberOfRecipients
Amount Of Cash Grant26769AmountOfCashGrant
Manner Of Cash DisbursementCheckMannerOfCashDisbursement

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Agreement Ref FundraisingfalseAgreementRefFundraising
Total Retained By Contractors113475TotalRetainedByContractors

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (9 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistanceAmount Of Non Cash AssistanceAmountOfNonCashAssistance
Tuberculosis Patient Incentive18113540FMVIncentive for Patients who completed their entire course of treament for TB
Fuel Costs for Fitness Center Van2290FMVFitness van picks up senior citizens members and drops them off at home.4267
Managed Care Patient Incentives9309FMVIncentive for Patients who complete heath care goals within the prescripted support program
HIV Patient Transportation173FMVBus Cards for Patients to get to/from appointments6196
Maternal Child Health Patient TransporationFMVBus Cards for Patients to get to/from appointments27225
HIV Support Groups Patient Incentives445FMVFood for meetings, gift cards for food for patients, meeting supplies, etc.30669
Maternal Child Health Patient IncentivesFMVStrollers, diapers, pack-n-plays, etc. for mother that par85268
Behavioral Health Counseling GroupsFMVRefrehsments, curriculum, and child care10129
Health Education Support MeetingsFMVFood for meetings1866

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierIIdentifier
Return Reference2ReturnReference
ExplanationThe assistance recorded here represents patient transportiaon and media or incentives provided to patients to encourage certain behaviors such as showing up for allExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Wayne DetmerMD
1316431400030006201154844144844
Dae Kwak OBGYN
1562921400030006201179493182778
David Buchanan MD
1627271400030006201185928168022

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
IICol B, iiiEmployer contribution to 403b retirement plan
IICol DEmployer health insurance plan

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonKathryn MillerNamePerson
FieldValueIRS element (for citing)
RelationshipCEOs spouseRelationship
Amount Of Transaction18542AmountOfTransaction
Description Of TransactionWages earned as a physician serving at Lawndale Chrsitian Health CenterDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions5000NumberOfContributions
Noncash Contribs Rptd F990837537NoncashContribsRptdF990
Method Of Determining RevenuesFair Market ValueMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 VI11AThe 990 draft is delivered electronically to the Finance Committee prior to the final submission. Comments, questions, suggested changes are solicited and incorporated into the final draft.
Form 990 VI12cQuestionare is provided annually to directors, officers, and board members. Forms are collected and reviewed for COI disclosure items.
Form 990 VI15The clinic recieves a copy of a compensation survey produced by a statewide community health center association. The survey provides ranges of salaries for all levels of employment and job descriptions that are typicaly found in a community health center setting. This survey is recieved annually and used for benchmarking purposes.
Form 990 VI19All of the clinics policies are available at www.lawndale.org under Resource/Document Library. Governing documents and financials statements are available upon request by contacting the DIrector of Finance whose contact information is listed on the same site under/ Our People/Key Conacts.
Form 990 Part III Program Service AccomplishmentsLine 4d Other ActivitiesProgram Service Expenses 327,836, Grants and allocations 56,200, Revenue 284,816 Provided access to cardio and resistence equipment as well as fitness classes to the same population delivering over 99,000 visits for the year