EAST VALLEY COMMUNITY HEALTH CENTER INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- EAST VALLEY COMMUNITY HEALTH CENTER INC (EIN 23-7068586)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-13
- IRS object ID
- 201111339349305751
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-13T17:04:12-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VAVRINEKTRINEDAY & CO LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8270 ASPEN STREET | AddressLine1 |
| City | RANCHO CUCAMONGA | City |
| State | CA | State |
| ZIP Code | 91730 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237068586 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAST VALLEY COMMUNITY HEALTH CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | EAST | NameControl |
| Phone | 6269195724 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 S GLENDORA AVE | AddressLine1 |
| City | WEST COVINA | City |
| State | CA | State |
| ZIP Code | 91790 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ALICIA MARDINI | Name |
| Title | CEO | Title |
| Phone | 6269195724 | Phone |
| Date Signed | 2011-05-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CATHERINE L GRAY | Name |
| Phone | 9094664410 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ALICIA MARDINI | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 S GLENDORA AVE | AddressLine1 |
| City | WEST COVINA | City |
| State | CA | State |
| ZIP Code | 91790 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 13790130 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1970 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | PROVISION OF PRIMARY HEALTH CARE TO THE UNISURED AND UNDERSERVED POPULATIONS OF THE EAST SAN GABRIEL AND POMONA VALLEYS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 188 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4618107 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6731646 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 6657124 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 7031657 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -248019 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 11027212 | TotalRevenuePriorYear |
| Total Revenue Current Year | 13763303 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 7148396 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 7910544 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4301630 | OtherExpensePriorYear |
| Other Expenses Current Year | 4517878 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 11450026 | TotalExpensesPriorYear |
| Total Expenses Current Year | 12428422 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -422814 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1334881 | RevenuesLessExpensesCY |
| Total Assets BOY | 12365887 | TotalAssetsBOY |
| Total Assets EOY | 13679788 | TotalAssetsEOY |
| Total Liabilities BOY | 7080993 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7060013 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 5284894 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6619775 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE QUALITY AND ACCESSIBLE COMPREHENSIVE HEALTH CARE AND HEALTH EDUCATION SERVICES TO THE LOW-INCOME AND UNDERSERVED POPULATIONS OF THE EAST SAN GABRIEL AND POMONA VALLEYS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 11395930 | Expense |
| Revenue | 7031657 | Revenue |
| Description | THE ORGANIZATION PROVIDES QUALITY MEDICAL, DENTAL, COUNSELING AND PREVENTIVE EDUCATION SERVICES TO LOW INCOME AND UNDERSERVED POPULATIONS OF THE EAST SAN GABRIEL AND POMONA VALLEYS. THE CLINIC OPERATES TWO PRIMARY HEALTH CARE FACILITIES LOCATED IN POMONA AND WEST COVINA. | Description |
| Total Program Service Expense | 11395930 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 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 | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 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 |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 188 | 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 |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| 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 | 6269195724 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 420 S GLENDORA AVE | AddressLine1 |
| City | WEST COVINA | City |
| State | CA | State |
| ZIP Code | 91790 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| TONY SONG | |||||||
| MEMBER | 2.00 | X | X | 0 | 0 | 0 | |
| JOSYEL CASTELLON | |||||||
| CHAIRPERSON | 2.00 | X | X | 0 | 0 | 0 | |
| DORAN BARNES | |||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 | |
| CAROL MALCOLM | |||||||
| VICE CHAIRPERSON | 2.00 | X | X | 0 | 0 | 0 | |
| ALICIA MARDINI | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | X | X | 131002 | 0 | 5346 | |
| YELBA CASTELLON | |||||||
| MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| JESUS CAMPOS | |||||||
| MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| CAROLINA CHACON | |||||||
| MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| SHAUNA FACCIPONTI | |||||||
| MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| SOPHIA CHAVIRA | |||||||
| SECRETARY | 2.00 | X | 0 | 0 | 0 | ||
| PATRICIA ESCOBEDO | |||||||
| MEMBER | 2.00 | X | 0 | 0 | 0 | ||
| JOE GOTSILL | |||||||
| FINANCE DIRECTOR | 40.00 | X | 120750 | 0 | 5199 | ||
| MILES MASATSUGU | |||||||
| MEDICAL DIRECTOR | 40.00 | X | 156561 | 0 | 5199 | ||
| LI WONG | |||||||
| PHYSICIAN | 40.00 | 119790 | 0 | 5199 | X | ||
| OMAR WAZIRI | |||||||
| PHYSICIANS ASSISTANT | 40.00 | 106358 | 0 | 26 | X | ||
| ROSSLYN DAWSON | |||||||
| NURSE PRACTITIONER | 40.00 | 105885 | 0 | 5199 | X | ||
| JELANI WINSLOW | |||||||
| DENTIST | 40.00 | 122402 | 0 | 5199 | X | ||
| EVANGELINA GONZALEZ | |||||||
| PHYSICIAN | 40.00 | 131431 | 0 | 5199 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 994179 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 36566 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | 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 |
|---|---|---|---|---|---|
| NEXTGEN | |||||
| 18111 VON KARMAN | IRVINE | CA | 92602 | MEDICAL SOFTWARE | 614286 |
| WBSA | |||||
| 4850 BARRANCA PARKWAY | IRVINE | CA | 92602 | ARCHITECT | 231363 |
| MARC DARPEL | |||||
| 420 S GLENDORA AVE | WEST COVINA | CA | 91790 | MEDICAL PROVIDER | 101075 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Fundraising Events | 42418 | FundraisingEvents |
| Government Grants | 6689228 | GovernmentGrants |
| Total Contributions | 6731646 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENU | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 7031657 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7031657 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 7031657 | TotalProgramServiceRevenue |
| Gross Income Fundraising Events | 26827 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 42418 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 26827 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13763303 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7031657 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 251752 | Total |
| Management And General | 251752 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6216900 | Total |
| Program Services | 6093170 | ProgramServices |
| Management And General | 123730 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1441892 | Total |
| Program Services | 1416658 | ProgramServices |
| Management And General | 25234 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81431 | Total |
| Program Services | 81294 | ProgramServices |
| Management And General | 137 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 783830 | Total |
| Program Services | 682999 | ProgramServices |
| Management And General | 100831 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19233 | Total |
| Program Services | 18303 | ProgramServices |
| Management And General | 930 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101765 | Total |
| Program Services | 101310 | ProgramServices |
| Management And General | 455 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 197301 | Total |
| Program Services | 196532 | ProgramServices |
| Management And General | 769 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 314371 | Total |
| Program Services | 279845 | ProgramServices |
| Management And General | 34526 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59782 | Total |
| Program Services | 57388 | ProgramServices |
| Management And General | 2394 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 411592 | Total |
| Program Services | 203 | ProgramServices |
| Management And General | 411389 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 547597 | Total |
| Program Services | 547597 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68675 | Total |
| Program Services | 67610 | ProgramServices |
| Management And General | 1065 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| LAB COSTS | 543571 | 503029 | 40542 |
| MEDICATIONS | 457097 | 457097 | |
| MEDICAL/DENTAL SUPPLIES | 240035 | 240035 | |
| MAINTENANCE | 235446 | 235266 | 180 |
| UTILITIES | 145967 | 144685 | 1282 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 310185 | Total |
| Program Services | 272909 | ProgramServices |
| Management And General | 37276 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12428422 | Total |
| Program Services | 11395930 | ProgramServices |
| Management And General | 1032492 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 101915 | BOY |
| EOY | 370479 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10090 | BOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 546143 | BOY |
| EOY | 678600 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 604116 | BOY |
| EOY | 805806 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 512 | BOY |
| EOY | 796 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 203442 | BOY |
| EOY | 431479 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 12291749 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 962512 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10815678 | BOY |
| EOY | 11329237 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83991 | BOY |
| EOY | 63391 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12365887 | BOY |
| EOY | 13679788 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 761318 | BOY |
| EOY | 872172 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 279644 | BOY |
| EOY | 157180 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5899163 | BOY |
| EOY | 5777069 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 140868 | BOY |
| EOY | 253592 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7080993 | BOY |
| EOY | 7060013 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5274804 | BOY |
| EOY | 6619775 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10090 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5284894 | BOY |
| EOY | 6619775 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12365887 | BOY |
| EOY | 13679788 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3902644 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6524147 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5068207 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4618107 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6731646 | CurrentTaxYear |
| Total | 26844751 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3902644 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6524147 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5068207 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4618107 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6731646 | CurrentTaxYear |
| Total | 26844751 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 26844751 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2337 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5253 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12364 | CurrentTaxYearMinus2Years |
| Total | 19954 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 16220 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1200 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2161 | CurrentTaxYearMinus2Years |
| Total | 19581 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 26884286 | TotalSupport |
| Gross Receipts From Admissions Etc | 29923842 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99850 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99800 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 572163 | OtherCostOrOtherBasis |
| Book Value | 572163 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11719586 | OtherCostOrOtherBasis |
| Depreciation | 962512 | Depreciation |
| Book Value | 10757074 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 11329237 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | AGENCY CUSTODIAL ACCOUNTS | Description |
| Amount | $253,592 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 253592 | TotalOfAmounts |
| Total Revenue | 13763303 | TotalRevenue |
| Total Expenses | 12428422 | TotalExpenses |
| Excess Or Deficit For Year | 1334881 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 1334881 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 13790130 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 26827 | OtherRevenues |
| Revenue Not Rptd F990 | 26827 | RevenueNotRptdF990 |
| Revenue Subtotal | 13763303 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 13763303 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 12455249 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 26827 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 26827 | ExpensesNotRptdF990 |
| Expenses Subtotal | 12428422 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 12428422 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XII, Line 2d - Other Adjustments: | SPECIAL EVENTS-DIRECT EXPENSE: 26827. |
| Part XIII, Line 2d - Other Adjustments: | SPECIAL EVENTS-DIRECT EXPENSE: 26827. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | ANNUAL EVENT | NameOfEvent1 |
| Gross Receipts Event1 | 69245 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 42418 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 26827 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 16963 | RentFacilityCostsEvent1 |
| Entertainment Event1 | 1700 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 8164 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 69245 | GrossReceiptsTotal |
| Charitable Contributions Total | 42418 | CharitableContributionsTotal |
| Gross Revenue Total Events | 26827 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 16963 | RentFacilityCostsTotalEvents |
| Entertainment Total Events | 1700 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 8164 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 26827 | DirectExpenseSummaryEvents |
| Net Income Summary | 0 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MILES MASATSUGU | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Base Compensation Filing Org | 156561 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 5199 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 161760 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 2 | CAROL MALCOM AND SHAUNA FACCIPONTI MOTHER AND DAUGHTER JOSYEL CASTELLON AND YELBA CASTELLON SISTERS |
| Form 990, Part VI, Section B, line 11 | COPY OF THE RETURN WILL BE PROVIDED TO THE BOARD MEMBERS BEFORE THE FILING OF THE RETURN FOR APPROVAL |
| Form 990, Part VI, Section B, line 12c | BOARD MEMBERS ANNUALLY COMPLETE DISCLOSURE STATEMENTS, WHICH ARE MONITORED BY THE EXECUTIVE DIRECTOR AND THE BOARD. IF A CONFLICT ARISES THE BOARD MEMBER IS ASKED TO EXCUSE HIMSELF OR HERSELF FROM ALL DISCUSSIONS OR VOTING ON THE ISSUE. |
| Form 990, Part VI, Section B, line 15 | COMPARABLE SALARY DATA AS COMPILED BY THE COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY IS UTILIZED BY THE EXECUTIVE COMMITTEE IN DETERMING APPROPRIATE SALARY LEVELS. COMPENSATION IS APPROVED BY THE BOARD. |
| Form 990, Part VI, Section C, line 19 | THE DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE BUSINESS ADDRESS DURING NORMAL BUSINESS HOURS. |
| FORM 990 PART XI LINE 2C | NO CHANGE FROM PRIOR YEAR |
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