Totals
- Total revenue
- $936,961
- Total expenses
- $1,086,911
- Contributions and grants received
- $936,961
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $0
- Other revenue
- $0
- Total assets, end of year
- $1,004,756
- Total liabilities, end of year
- $43,999
- Net assets or fund balances, end of year
- $960,757
- Program services expenses (Part IX)
- $995,170
- Management and general expenses
- $70,180
- Fundraising expenses
- $21,561
- Program service expenses (Part III)
- $995,170
Program services were 91.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1b · Membership dues
$105,000
-
1f · All other contributions, gifts and grants
$831,961
Functional expenses
Part IX, the statement of functional expenses.
-
11a · Fees: management
total $251,654 · program services $208,117 · management and general $22,901 · fundraising $20,636
-
11b · Fees: legal
total $12,500 · management and general $12,500
-
11c · Fees: accounting
total $31,679 · management and general $31,679
-
13 · Office expenses
total $11,283 · program services $9,331 · management and general $1,027 · fundraising $925
-
19 · Conferences, conventions and meetings
total $4,197 · program services $4,197
-
23 · Insurance
total $2,073 · management and general $2,073
-
24a · Other expenses: Program Contractors
total $772,875 · program services $772,875
-
24b · Other expenses: Program Supplies
total $650 · program services $650
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $203,442 · end of year $752,272
-
3 · Pledges and grants receivable
beginning of year $1,035,000 · end of year $250,000
-
9 · Prepaid expenses and deferred charges
end of year $2,484
-
17 · Accounts payable and accrued expenses
beginning of year $24,216 · end of year $8,999
-
19 · Deferred revenue
end of year $35,000
-
27 · Net assets without donor restrictions
beginning of year $1,214,226 · end of year -$147,823
-
28 · Net assets with donor restrictions
end of year $1,108,580
Mission and programs · 2022
Mission
To research, develop, and provide health realted programs to improve the effectiveness of California Community Clinics which the Organization serves and imorove access to health care for low income patients.
-
1.Developed a proprietary Health Risk Assessment (HRA) tool that is used across the member health centers to assess patient social needs.2.Began administration of the HRA tool at pilot locations for 2 of the member health centers, with HRAs completed with more than 1,000 unique patients.3.Completed onboarding activities to begin Medicare Shared Savings Program activities in 2024.4.Convened key leads from member health centers to collaborate on care coordination best practices and staff capacity building.
Expenses $995,170
As filed on the 2022 return.
Listed in Part VII
-
Muriel Nouwezem
Secretary and Treasurer
- Total calculated
- $435,389
- From this org
- $0
- From related orgs
- $420,026
- Other
- $15,363
- Hours/week
- 2 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $385,526 related
- Bonus
- not reported + $34,500 related
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported + $15,363 related
- Filer's total
- not reported + $435,389 related
-
Elizabeth Forer
Secretary and Treasurer
- Total calculated
- $413,070
- From this org
- $0
- From related orgs
- $318,948
- Other
- $94,122
- Hours/week
- 2 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $318,948 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported + $94,122 related
- Filer's total
- not reported + $413,070 related
-
Warren Brodine
Chair
- Total calculated
- $408,448
- From this org
- $0
- From related orgs
- $385,635
- Other
- $22,813
- Hours/week
- 2 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $385,635 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported + $13,500 related
- Nontaxable benefits
- not reported + $9,313 related
- Filer's total
- not reported + $408,448 related
-
Anita Zamora
Director
- Total calculated
- $341,499
- From this org
- $0
- From related orgs
- $262,810
- Other
- $78,689
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- not reported + $262,810 related
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported + $78,689 related
- Filer's total
- not reported + $341,499 related
-
Joel Torres
Eexecutive Director
- Total calculated
- $128,779
- From this org
- $0
- From related orgs
- $122,660
- Other
- $6,119
- Hours/week
- 1 + 40 related
-
Priscilla Monserrate-Sanders
Director
- Total calculated
- $102,898
- From this org
- $0
- From related orgs
- $99,899
- Other
- $2,999
- Hours/week
- 1 + 40 related
-
Stanley P Berkman
Director
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Carol W Buitrago
Director
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Rus Billimoria
Director
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Jeff Sinaiko
Director
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Robert Broder
Director
- Total calculated
- $0
- Hours/week
- 1 + 8 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Written employment contract
- 4a · Severance or change-of-control payment
Answered no
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
Eisner Pediatric and Family Center
501c3 · Community Clinic · CA
-
501c3 · Community Clinic · CA
-
501c3 · Community Clinic · CA
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 1 April 2024
- IRS schema version
- 2022v5.0
- Source object
- 202440929349300829
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