HEALTH QUALITY PARTNERS OF SOUTHERN CALIFORNIA: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HEALTH QUALITY PARTNERS OF SOUTHERN CALIFORNIA (EIN 33-0759107)
Tax period
2010-07-01 to 2011-06-30
Filed
2011-11-01
IRS object ID
201143059349301354
Schema version
2010v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-01T16:42:05-07:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Leaf & Cole LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12810 Camino Del Rio South Suite 200AddressLine1
CitySan DiegoCity
StateCAState
ZIP Code921083820ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN330759107EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY CLINICS HEALTH NETWORKBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone6195424313Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 880969AddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code92168ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEVE O'KANEName
TitleCEOTitle
Date Signed2011-11-01DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameJULIE A FIRLName
Phone6192947200Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts8265847GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.ccc-sd.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission Descriptionhe mission of the Network is to enhance the quality of care, improve population health outcomes, and strengthen business efficiencies by offering specialized programs, services, and technology solutions to community clinics and health centers.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year942231ContributionsGrantsPriorYear
Contributions Grants Current Year1154519ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6689657ProgramServiceRevenuePriorYear
Program Service Revenue CY7111328ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year7631888TotalRevenuePriorYear
Total Revenue Current Year8265847TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2084310SalariesEtcPriorYear
Salaries Etc Current Year1695903SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6265058OtherExpensePriorYear
Other Expenses Current Year6672888OtherExpensesCurrentYear
Total Expenses Prior Year8349368TotalExpensesPriorYear
Total Expenses Current Year8368791TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-717480RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-102944RevenuesLessExpensesCY
Total Assets BOY1897066TotalAssetsBOY
Total Assets EOY2009694TotalAssetsEOY
Total Liabilities BOY2729942TotalLiabilitiesBOY
Total Liabilities EOY2945514TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-832876NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-935820NetAssetsOrFundBalancesEOY
Mission DescriptionCommunity Clinics Health Network (the "Network") was founded in 1993 and incorporated in 1997 as a nonprofit public benefit corporation to offer programs, contracting services, and technology solutions to assist clinics and health centers in addressing a myriad of 21st century issues.The mission of the Network is to enhance the quality of care, improve population health outcomes, and strengthen business efficiencies by offering specialized programs, services, and technology solutions to community clinics and health centers.The vision of the Network is to be recognized as a national leader for creating model programs, sharing expertise, and providing exceptional services in collaborative health care ventures that result in stronger community clinics and health centers, as well as healthier communities.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8320061Expense
Revenue7140705Revenue
DescriptionHEALTH SERVICES:PROVIDE DATA MANAGEMENT SERVICES AND TECHNICAL SUPPORT TO CLINICS ON CHRONIC DISEASE MANAGEMENT SYSTEMS.PROVIDE QUALITY AND DISEASE MANAGEMENT SUPPORT AND SERVICES TO CLINICS FOR IMPROVED POPULATION HEALTH.PROVIDE HEALTH INFORMATION TECHNOLOGY SUPPORT AND SERVICES TO CLINICS.Description
Total Program Service Expense8320061TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109637NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
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
Policies Reference ChaptersfalsePoliciesReferenceChapters
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
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJUDI SHAPLIN TREASURERNamePerson
Telephone Number6195424300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17535 METROPOLITAN DRAddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code92108ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
TRACY REAM
Director1.00X000
STEVE O'KANE
CEO10.00167881919644055XX
ROBERTA FEINBERG
Director1.00X000
MICHAEL OWENS
President1.00X000X
KAREN MCCABE
Secretary1.00X000X
JUDI SHAPLIN
Treasurer1.00X000X
JANET VADAKKUMCHERRY
DIR OF CONTRACTING34.0091055175120X
GAYLE YEAKLE
Director1.00X000
ESTI STEVENS
Vice President1.00X000X
CONNIE KIRK
Director1.00X000
CHRISTY ROSENBERG
CCHN DIRECTOR32.0065940486500X
BRIAN NOLAN
Director1.00X000
BARBARA MANNINO
Director1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org173783TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs258126TotalReportableCompFrmRltdOrgs
Total Other Compensation4055TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
UCSD MEDICAL CENTER
FILE 55663LOS ANGELESCA90074SPECIALTY MED CARE288462
STEVEN PODSTRELENY DDS
1575 POMERADO ROADPOWAYCA92064ORAL SURGERY156941
MIKAN SLJIVAR DDS
1040 TIERRA DEL REYCHULA VISTACA91910PEDIATRIC DENTISTRY179819
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions1154519AllOtherContributions
Total Contributions1154519TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Fees & Contracts Gov Agencies90009959861865986186
CONSULTING SERVICE FEES90009911251421125142
FieldValueIRS element (for citing)
Total Program Service Revenue7111328TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8265847TotalRevenueColumn
Related Or Exempt Function Income7111328RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total173636Total
Program Services162122ProgramServices
Management And General11514ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1299304Total
Program Services1251754ProgramServices
Management And General47550ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total320Total
Program Services320ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total108876Total
Program Services105080ProgramServices
Management And General3796ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total113767Total
Program Services111087ProgramServices
Management And General2680ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total16119Total
Program Services6958ProgramServices
Management And General9161ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total7770Total
Management And General7770ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total136891Total
Program Services133447ProgramServices
Management And General3444ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total32785Total
Program Services32769ProgramServices
Management And General16ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total261805Total
Program Services91261ProgramServices
Management And General170544ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total51093Total
Program Services20790ProgramServices
Management And General30303ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
TREATMENT POOLS29691822969182
SUBCONTRACTORS18560241856024
EQUIPMENT AND REPAIRS & MAINT.1868591857661093
CONSULTING7782487761722076
COMMUNICATION1956191942561363

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total180493Total
Program Services423073ProgramServices
Management And General-242580ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8368791Total
Program Services8320061ProgramServices
Management And General48730ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY14662BOY
EOY7139EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1033033BOY
EOY1235802EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY299963BOY
EOY295288EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY40612BOY
EOY41400EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis678260LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec399359LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY350114BOY
EOY278901EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY158682BOY
EOY151164EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1897066BOY
EOY2009694EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY563534BOY
EOY983082EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY130735BOY
EOY676451EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2035673BOY
EOY1285981EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2729942BOY
EOY2945514EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-832876BOY
EOY-935820EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-832876BOY
EOY-935820EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1897066BOY
EOY2009694EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-102944ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4157210CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2655454CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2530172CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6666051CurrentTaxYearMinus1Year
Current Tax Year7140705CurrentTaxYear
Total23149592Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4157210CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2655454CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2530172CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6666051CurrentTaxYearMinus1Year
Current Tax Year7140705CurrentTaxYear
Total23149592Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17023149592PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23048CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1618CurrentTaxYearMinus3Years
Total24666Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years39500CurrentTaxYearMinus3Years
Total39500Total
FieldValueIRS element (for citing)
Total Support23213758TotalSupport
Gross Receipts From Admissions Etc3417128GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99720PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99090PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis678260OtherCostOrOtherBasis
Depreciation399359Depreciation
Book Value278901BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings278901TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$1,285,981Amount
FieldValueIRS element (for citing)
Total Of Amounts1285981TotalOfAmounts

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
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonSTEVE O'KANENamePerson
Base Compensation Filing Org16788BaseCompensationFilingOrg
Comp Based On Related Orgs191964CompBasedOnRelatedOrgs
Nontaxable Benefits Filing Org326NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs3729NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org17114TotalCompensationFilingOrg
Total Compensation Related Orgs195693TotalCompensationRelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe Forms 990 and 1023 are available upon request in compliance with Regulations sections 301.6104(d). Our application for recognition of exemption and our annual information returns are available for public inspection without charge at our offices during regular business hours. Each annual information return is available for a period of 3 years beginning on the date the return is required to be filed or is actually filed, whichever is later. And we will provide a copy without charge, other than a reasonable fee for reproduction and actual postage costs, of all or any part of any application or return required to be made available for public inspection to any individual who makes a request for such copy in person or in writing.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesCommunity Clinics Health Network does not file W-2's. All wages are paid by its parent company Council of Community Clinics (CCC). The CCC board of directors or the CCC personnel committee will review and approve compensation, provided that persons with conflicts of interest with respect to the compensation arrangement at issue are not involved in this review and approval.Compensation will be reviewed and approved using data as to comparable compensation for similarly qualified persons in functionally comparable positions at similarly situated organizations, when this information is available.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe Form 990, governing documents, policies, and financial statements are available upon request Our application for recognition of exemption and our annual information returns are available for public inspection without charge at our offices during regular business hours. Each annual information return is available for a period of 3 years beginning on the date the return is required to be filed or is actually filed, whichever is later. And we will provide a copy without charge, other than a reasonable fee for reproduction and actual postage costs, of all or any part of any application or return required to be made available for public inspection to any individual who makes a request for such copy in person or in writing.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review Processthe Form 990 is presented to the Audit Committee as well as the CEO of the organization. At that time, the CEO will review the Form 990 with the Audit Committee. Any necessary changes will then be updated on the form. After final approval by the Audit Committee and CEO, the finished Form will be signed, dated and submitted by the filing deadline. The Audit Committee will report to the Board, that the Form 990 has been reviewed and filed.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1COUNCIL OF COMMUNITY CLINICSBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 880969AddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code92168ZIPCode
FieldValueIRS element (for citing)
EIN953008850EIN
Primary ActivitiesSUPPORT COMMUNITY HEALTH CLINICS AND CENTERSPrimaryActivities
Legal Domicile StateCALegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status7PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
COUNCIL OF COMMUNITY CLINICS
o259137Allocation
COUNCIL OF COMMUNITY CLINICS
e672955FMV

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