Form 990 for tax year 2022
Filed by EAST VALLEY COMMUNITY CLINIC INC.
Totals
- Total revenue
- $696,888
- Total expenses
- $2,535,206
- Contributions and grants received
- $46,034
- Grants paid
- $0
- Program service revenue
- $627,407
- Investment income
- $0
- Other revenue
- $23,447
- Total assets, end of year
- $2,208,240
- Total liabilities, end of year
- $473,362
- Net assets or fund balances, end of year
- $1,734,878
- Program services expenses (Part IX)
- $2,505,411
- Management and general expenses
- $29,795
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $2,505,411
Program services were 98.8% 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.
-
1f · All other contributions, gifts and grants
$46,034
-
2a · Program service revenue: NET PATIENT SERVICE REVENUE
total $627,407 · related or exempt $627,407
-
11a · Other revenue: MISCELLANEOUS REVENUE
total $23,447 · excluded $23,447
-
11e · Other revenue, total
$23,447
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $1,273,508 · program services $1,273,508
-
8 · Pension plan contributions
total $49,037 · program services $49,037
-
9 · Other employee benefits
total $120,212 · program services $120,212
-
10 · Payroll taxes
total $90,866 · program services $90,866
-
11c · Fees: accounting
total $29,795 · management and general $29,795
-
11g · Fees: other
total $192,106 · program services $192,106
-
12 · Advertising and promotion
total $185 · program services $185
-
13 · Office expenses
total $59,223 · program services $59,223
-
14 · Information technology
total $7,728 · program services $7,728
-
16 · Occupancy
total $219,052 · program services $219,052
-
17 · Travel
total $1,309 · program services $1,309
-
19 · Conferences, conventions and meetings
total $5,098 · program services $5,098
-
20 · Interest
total $2,013 · program services $2,013
-
22 · Depreciation, depletion and amortization
total $11,739 · program services $11,739
-
23 · Insurance
total $23,189 · program services $23,189
-
24a · Other expenses: MEDICAL SUPPLIES
total $408,100 · program services $408,100
-
24b · Other expenses: EQUIP RENTAL & MAINT
total $26,854 · program services $26,854
-
24c · Other expenses: SUBSCRIPTIONS
total $7,838 · program services $7,838
-
24d · Other expenses: SALES TAX
total $5,869 · program services $5,869
-
24e · All other expenses
total $1,485 · program services $1,485
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $849,082 · end of year $1,342,441
-
3 · Pledges and grants receivable
beginning of year $73,402 · end of year $0
-
4 · Accounts receivable
beginning of year $2,751,955 · end of year $532,978
-
8 · Inventories for sale or use
beginning of year $6,889 · end of year $32,068
-
9 · Prepaid expenses and deferred charges
beginning of year $17,051 · end of year $8,551
-
10a · Land, buildings and equipment: cost or other basis
$774,735
-
10b · Land, buildings and equipment: accumulated depreciation
$729,327
-
10c · Land, buildings and equipment, net
beginning of year $0 · end of year $45,408
-
15 · Other assets
beginning of year $125,970 · end of year $246,794
-
17 · Accounts payable and accrued expenses
beginning of year $247,558 · end of year $267,552
-
25 · Other liabilities
beginning of year $3,595 · end of year $205,810
-
27 · Net assets without donor restrictions
beginning of year $3,573,196 · end of year $1,734,878
Mission and programs · 2022
Mission
TO PROVIDE HEALTH CARE AND EDUCATION TO INDIVIDUALS AND FAMILIES IN EAST SAN JOSE.
-
PATIENT SERVICES - THE PRIMARY CARE CLINIC AND THE PEDIATRIC CARE CLINIC OFFER DIAGNOSIS AND TREATMENT OF ACUTE AND CHRONIC ILLNESSES, PREVENTIVE HEALTH CARE, AND SCREENINGS FOR MEDICAL CONDITIONS SUCH AS DIABETES, HIGH BLOOD PRESSURE AND HIV INFECTION. THE COMPREHENSIVE PRENATAL AND OUTREACH PROGRAM PROVIDE SERVICES THAT CONTRIBUTE TO THE COUNTY OF SANTA CLARA'S EFFORT TO DEVELOP AND IMPLEMENT A PRENATAL OUTREACH AND CASE FINDING SYSTEM. THE REPRODUCTIVE HEALTH PROGRAM PROVIDES PRE-MARITAL BLOOD TESTS, DIAGNOSIS OF SEXUALLY TRANSMITTED DISEASE, HIV/AIDS RISK ASSESSMENT AND INFORMATION AND COUNSELING REGARDING FAMILY PLANNING. PATIENT SERVICES FUNDING SOURCES INCLUDE FEES PAID BY PATIENTS AND BY MEDI-CAL, AS WELL AS GRANTS FROM VARIOUS PUBLIC AND PRIVATE AGENCIES.
Expenses $2,505,411 · Revenue $627,407
As filed on the 2022 return.
Listed in Part VII
-
Elizabeth DavilaELIZABETH DAVILA
CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Joan GalloJOAN GALLO
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Stacy CrossSTACY CROSS
BOARD MEMBER / EXECUTIVE DIRECTOR
- Total calculated
- $725,671
- From this org
- $0
- From related orgs
- $669,149
- Other
- $56,522
- Hours/week
- 5 + 45 related
Schedule J breakdown matched by us
- Base
- $0 + $561,441 related
- Bonus
- $0 + $107,708 related
- Other
- $0
- Deferred
- $0 + $48,538 related
- Nontaxable benefits
- $0 + $7,984 related
- Filer's total
- $0 + $725,671 related
-
Tanuja BahalTANUJA BAHAL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Thomas MotsiffTHOMAS MOTSIFF
CHIEF ADMIN & FINANCIAL OFFICER
- Total calculated
- $476,300
- From this org
- $0
- From related orgs
- $446,134
- Other
- $30,166
- Hours/week
- 5 + 45 related
Schedule J breakdown matched by us
- Base
- $0 + $435,985 related
- Bonus
- $0 + $10,149 related
- Other
- $0
- Deferred
- $0 + $15,250 related
- Nontaxable benefits
- $0 + $14,916 related
- Filer's total
- $0 + $476,300 related
-
Esther KiangESTHER KIANG
CLINICIAN
- Total calculated
- $115,441
- From this org
- $106,728
- From related orgs
- $0
- Other
- $8,713
- Hours/week
- 40
-
Anh PhamANH PHAM
CLINICIAN
- Total calculated
- $149,913
- From this org
- $139,104
- From related orgs
- $0
- Other
- $10,809
- Hours/week
- 40
-
Teresa Robbins MDTERESA ROBBINS MD
PHYSICIAN
- Total calculated
- $234,450
- From this org
- $226,995
- From related orgs
- $0
- Other
- $7,455
- Hours/week
- 32
Schedule J breakdown matched by us
- Base
- $226,197
- Bonus
- $798
- Other
- $0
- Deferred
- $7,455
- Nontaxable benefits
- $0
- Filer's total
- $234,450
-
Christine SoCHRISTINE SO
CLINICIAN
- Total calculated
- $132,019
- From this org
- $119,780
- From related orgs
- $0
- Other
- $12,239
- Hours/week
- 40
-
Miriam ZeledonMIRIAM ZELEDON
HEALTH CENTER MANAGER
- Total calculated
- $123,508
- From this org
- $106,841
- From related orgs
- $0
- Other
- $16,667
- Hours/week
- 40
-
Dominique LeeDOMINIQUE LEE
FORMER EXECUTIVE DIRECTOR
- Total calculated
- $515,139
- From this org
- $0
- From related orgs
- $505,249
- Other
- $9,890
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0 + $30,904 related
- Bonus
- $0
- Other
- $0 + $474,345 related
- Deferred
- $0 + $8,952 related
- Nontaxable benefits
- $0 + $938 related
- Filer's total
- $0 + $515,139 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
- 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
The filer's explanations (Part III)
- PART I, LINE 3
- THE ORGANIZATION'S EXECUTIVE DIRECTOR IS COMPENSATED BY PLANNED PARENTHOOD MAR MONTE, INC., A RELATED ORGANIZATION. PLANNED PARENTHOOD MAR MONTE, INC. UTILIZES THE FOLLOWING METHODS TO DETERMINE COMPENSATION OF THE EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE; INDEPENDENT COMPENSATION CONSULTANT; COMPENSATION SURVEY OR STUDY; AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
- PART I, LINE 4A
- DOMINIQUE LEE RECEIVED A TAXABLE SEVERANCE PAYMENT OF $385,000 FROM A RELATED ORGANIZATION DURING THE 2022 CALENDAR YEAR, WHICH HAS BEEN REPORTED WITHIN "OTHER REPORTABLE COMPENSATION" ON SCHEDULE J, PART II, COLUMN (B)(III).
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.
-
PLANNED PARENTHOOD MAR MONTE INC
501(C)(3) · TO PROVIDE HEALTH CARE AND EDUCATION, AND EXPAND RIGHTS AND ACCESS FOR ALL · CA
-
PLANNED PARENTHOOD ADVOCATES MAR MONTE INC
501(C)(4) · ADVOCACY, EDUCATION, AND POLITICAL SUPPORT FOR REPRODUCTIVE HEALTH CARE · CA
Directly controlled by PLANNED PARENTHOOD MAR MONTE INC
-
WE VOTE - NOSOTROS VOTAMOS POLITICAL ACTION COMMITTEE
527 · TO ELECT OFFICIALS ADVOCATING FOR ACCESS TO QUALITY REPRODUCTIVE HEALTH CARE · CA
Directly controlled by PPAMM
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 22 April 2024
- IRS schema version
- 2022v5.0
- Source object
- 202411149349301626
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