LOUDOUN COMMUNITY HEALTH CENTER

Address
163 FORT EVANS ROAD NE
LEESBURG, VA 20176
Contact
Website: http://hwnova.org/
Phone: +1 (703) 443-2000
Nonprofit
NTEE: E32 - Ambulatory Health Center, Community Clinic
EIN: 20-2379419

Mission

TO PROVIDE EXCELLENT AND AFFORDABLE MEDICAL, DENTAL, AND BEHAVIORAL HEALTHCARE TO THOSE WHO HAVE LIMITED OR NO HEALTH INSURANCE BY BEING COMPASSIONATE, CULTURALLY COMPETENT AND ACCESSIBLE TO ALL.
 20162015201420132012
Basic features of the organization
Doing business as nameHEALTHWORKS FOR NORTHERN VIRGINIA
Year of formation2004
Metropolitan statistical area8872
Form of organization
CorporationTrue
Human resources, including compensation
Summary compensation info
Total compensation of current key personnel$608,694.00$460,949.00$542,305.00$557,184.00$489,462.00
Sum of reportable (W2/1099) compensation$865,641.00$790,786.00$542,305.00$1,121,244.00$1,064,973.00
Number of employees997313113596
Number of people compensated >$100k664106
Number of volunteers9710311514680
Number of highly compensated contractors  00 
Personnel
Ahmed, Zaheer
Title  Director  
Name of key/compensated person  Zaheer Ahmed  
Position of compensated person
Current individual trustee or director  True  
Average hours per week working for org  1  
Reportable compensation from org  $0.00  
Breakdown of reportable comp
Base reportable compensation from org  $0.00  
Bonus and incentive reportable compensation  $0.00  
Other reportable compensation from org  $0.00  
Retirement and other deferred compensation  $0.00  
Nontaxable benefits from org  $0.00  
Compensation from org previously reported as deferred  $0.00  
Other comp, non-reportable, from org and related orgs  $0.00  
Sum of all compensation from org  $0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00  
Average hours per week working for related orgs  0  
Ahmeed, Zaheer
TitleDIRECTORDIRECTOR   
Name of key/compensated personZAHEER AHMEEDZAHEER AHMEED   
Position of compensated person
Current individual trustee or directorTrueTrue   
Average hours per week working for org1.001.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Alvarez, Jose
TitleDIRECTOR    
Name of key/compensated personJOSE ALVAREZ    
Position of compensated person
Current individual trustee or directorTrue    
Average hours per week working for org1.00    
Reportable compensation from org$0.00    
Other comp, non-reportable, from org and related orgs$0.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Ault, Tracy
TitleSECRETARYTREASURERDirector  
Name of key/compensated personTRACY AULTTRACY AULTTracy Ault  
Position of compensated person
Current individual trustee or directorTrueTrueTrue  
Average hours per week working for org2.002.001  
Reportable compensation from org$0.00$0.00$0.00  
Breakdown of reportable comp
Base reportable compensation from org  $0.00  
Bonus and incentive reportable compensation  $0.00  
Other reportable compensation from org  $0.00  
Retirement and other deferred compensation  $0.00  
Nontaxable benefits from org  $0.00  
Compensation from org previously reported as deferred  $0.00  
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00  
Sum of all compensation from org  $0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00  
Average hours per week working for related orgs  0  
Bailey, H
TitlePRESIDENTVICE PRESIDEVice President  
Name of key/compensated personH MARC BAILEYH MARC BAILEYH Marc Bailey  
Position of compensated person
Current individual trustee or directorTrueTrueTrue  
Average hours per week working for org2.002.002  
Reportable compensation from org$0.00$0.00$0.00  
Breakdown of reportable comp
Base reportable compensation from org  $0.00  
Bonus and incentive reportable compensation  $0.00  
Other reportable compensation from org  $0.00  
Retirement and other deferred compensation  $0.00  
Nontaxable benefits from org  $0.00  
Compensation from org previously reported as deferred  $0.00  
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00  
Sum of all compensation from org  $0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00  
Average hours per week working for related orgs  0  
Barte, Ticoni
TitlePHYSICIANPHYSICIANPhysician  
Name of key/compensated personTICONI BARTETICONI BARTETiconi Barte  
Position of compensated person
Average hours per week working for org45.0045.0045  
Reportable compensation from org$153,425.00$161,832.00$166,593.00  
Breakdown of reportable comp
Base reportable compensation from org$153,425.00$161,832.00$166,593.00  
Bonus and incentive reportable compensation  $0.00  
Other reportable compensation from org  $0.00  
Retirement and other deferred compensation  $0.00  
Nontaxable benefits from org  $0.00  
Compensation from org previously reported as deferred  $0.00  
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00  
Sum of all compensation from org$153,425.00$161,832.00$166,593.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00  
Average hours per week working for related orgs  0  
Bond, Mary
Title   COO/CFO (Former)CFO
Name of key/compensated person   Mary Ellen BondMARY ELLEN BOND
Position of compensated person
Average hours per week working for org   4040.00
Reportable compensation from org   $81,495.00$73,533.00
Breakdown of reportable comp
Base reportable compensation from org   $81,495.00 
Bonus and incentive reportable compensation   $0.00 
Other reportable compensation from org   $0.00 
Retirement and other deferred compensation   $0.00 
Nontaxable benefits from org   $0.00 
Compensation from org previously reported as deferred   $73,533.00 
Other comp, non-reportable, from org and related orgs   $0.00$0.00
Sum of all compensation from org   $81,495.00 
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00$0.00
Average hours per week working for related orgs   40 
Chiantella, Christopher
Title   DirectorDIRECTOR
Name of key/compensated person   Christopher ChiantellaCHRISTOPHER CHIANTELLA MD
Position of compensated person
Current individual trustee or director   TrueTrue
Average hours per week working for org   24.00
Reportable compensation from org   $0.00$0.00
Other comp, non-reportable, from org and related orgs   $0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00$0.00
Cianciaruso, Lauren
Title   DirectorDIRECTOR/EMP
Name of key/compensated person   Lauren CianciarusoLAUREN CIANCIARUSO MD
Position of compensated person
Current individual trustee or director   TrueTrue
Average hours per week working for org   223.00
Reportable compensation from org   $0.00$104,508.00
Other comp, non-reportable, from org and related orgs   $0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00$0.00
Clayton, Jeff
TitleTREASURERPRESIDENTPresidentVice PresidentDIRECTOR
Name of key/compensated personJEFF CLAYTONJEFF CLAYTONJeff ClaytonJeff ClaytonJEFF CLAYTON
Position of compensated person
Current individual trustee or directorTrueTrueTrueTrueTrue
Average hours per week working for org2.002.00254.00
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Breakdown of reportable comp
Base reportable compensation from org  $0.00  
Bonus and incentive reportable compensation  $0.00  
Other reportable compensation from org  $0.00  
Retirement and other deferred compensation  $0.00  
Nontaxable benefits from org  $0.00  
Compensation from org previously reported as deferred  $0.00  
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Sum of all compensation from org  $0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Average hours per week working for related orgs  0  
Coughlin, Tom
Title SECRETARYSecretaryPresidentSECRETARY
Name of key/compensated person TOM COUGHLINTom CoughlinTom CoughlinTOM COUGHLIN
Position of compensated person
Current individual trustee or director TrueTrueTrueTrue
Average hours per week working for org 2.00255.00
Reportable compensation from org $0.00$0.00$0.00$0.00
Breakdown of reportable comp
Base reportable compensation from org  $0.00  
Bonus and incentive reportable compensation  $0.00  
Other reportable compensation from org  $0.00  
Retirement and other deferred compensation  $0.00  
Nontaxable benefits from org  $0.00  
Compensation from org previously reported as deferred  $0.00  
Other comp, non-reportable, from org and related orgs $0.00$0.00$0.00$0.00
Sum of all compensation from org  $0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00$0.00$0.00$0.00
Average hours per week working for related orgs  0  
Dever, Debra
Title   CEOCEO
Name of key/compensated person   Debra DeverDEBRA DEVER
Position of compensated person
Average hours per week working for org   4040.00
Reportable compensation from org   $128,007.00$133,279.00
Breakdown of reportable comp
Base reportable compensation from org   $128,007.00 
Bonus and incentive reportable compensation   $0.00 
Other reportable compensation from org   $0.00 
Retirement and other deferred compensation   $0.00 
Nontaxable benefits from org   $0.00 
Compensation from org previously reported as deferred   $133,279.00 
Other comp, non-reportable, from org and related orgs   $0.00$0.00
Sum of all compensation from org   $128,007.00 
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00$0.00
Average hours per week working for related orgs   40 
Donald, Robin
TitleCMOCMOChief Medical Officer  
Name of key/compensated personROBIN DONALDROBIN DONALDRobin Donald  
Position of compensated person
Average hours per week working for org45.0045.0045  
Reportable compensation from org$167,325.00$165,861.00$154,464.00  
Breakdown of reportable comp
Base reportable compensation from org$167,325.00$165,861.00$154,464.00  
Bonus and incentive reportable compensation  $0.00  
Other reportable compensation from org  $0.00  
Retirement and other deferred compensation  $0.00  
Nontaxable benefits from org  $0.00  
Compensation from org previously reported as deferred  $0.00  
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00  
Sum of all compensation from org$167,325.00$165,861.00$154,464.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00  
Average hours per week working for related orgs  0  
Dowe, Shawn
Title FNP   
Name of key/compensated person SHAWN DOWE   
Position of compensated person
Average hours per week working for org 45.00   
Reportable compensation from org $114,400.00   
Other comp, non-reportable, from org and related orgs $0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00   
Fletcher, Page
Title   PhysicianPHYSICIAN
Name of key/compensated person   Page FletcherPAGE FLETCHER
Position of compensated person
Average hours per week working for org   4040.00
Reportable compensation from org   $152,357.00$149,822.00
Breakdown of reportable comp
Base reportable compensation from org   $152,357.00 
Bonus and incentive reportable compensation   $0.00 
Other reportable compensation from org   $0.00 
Retirement and other deferred compensation   $0.00 
Nontaxable benefits from org   $0.00 
Compensation from org previously reported as deferred   $149,822.00 
Other comp, non-reportable, from org and related orgs   $0.00$0.00
Sum of all compensation from org   $152,357.00 
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00$0.00
Average hours per week working for related orgs   40 
Gifford, Stephan-Paul
Title    DIRECTOR
Name of key/compensated person    STEPHAN-PAUL GIFFORD
Position of compensated person
Current individual trustee or director    True
Average hours per week working for org    4.00
Reportable compensation from org    $0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Gifford, Stephen
Title  DirectorDirector 
Name of key/compensated person  Stephen Paul GiffordStephen Paul Gifford 
Position of compensated person
Current individual trustee or director  TrueTrue 
Average hours per week working for org  12 
Reportable compensation from org  $0.00$0.00 
Breakdown of reportable comp
Base reportable compensation from org  $0.00  
Bonus and incentive reportable compensation  $0.00  
Other reportable compensation from org  $0.00  
Retirement and other deferred compensation  $0.00  
Nontaxable benefits from org  $0.00  
Compensation from org previously reported as deferred  $0.00  
Other comp, non-reportable, from org and related orgs  $0.00$0.00 
Sum of all compensation from org  $0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00$0.00 
Average hours per week working for related orgs  0  
Gonzales, Ana
TitleDIRECTOR Director  
Name of key/compensated personANA GONZALES Ana Gonzales  
Position of compensated person
Current individual trustee or directorTrue True  
Average hours per week working for org1.00 1  
Reportable compensation from org$0.00 $0.00  
Breakdown of reportable comp
Base reportable compensation from org  $0.00  
Bonus and incentive reportable compensation  $0.00  
Other reportable compensation from org  $0.00  
Retirement and other deferred compensation  $0.00  
Nontaxable benefits from org  $0.00  
Compensation from org previously reported as deferred  $0.00  
Other comp, non-reportable, from org and related orgs$0.00 $0.00  
Sum of all compensation from org  $0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00 $0.00  
Average hours per week working for related orgs  0  
Gonzales, Anna
Title DIRECTOR   
Name of key/compensated person ANNA GONZALES   
Position of compensated person
Current individual trustee or director True   
Average hours per week working for org 1.00   
Reportable compensation from org $0.00   
Other comp, non-reportable, from org and related orgs $0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00   
Hardey, Robine
TitleCFOCFOCFOCFO 
Name of key/compensated personROBINE HARDEYROBINE HARDEYRobine HardeyRobine Hardey 
Position of compensated person
Average hours per week working for org40.0040.004040 
Reportable compensation from org$117,781.00$109,807.00$111,401.00$41,346.00 
Breakdown of reportable comp
Base reportable compensation from org  $111,401.00$41,346.00 
Bonus and incentive reportable compensation  $0.00$0.00 
Other reportable compensation from org  $0.00$0.00 
Retirement and other deferred compensation  $0.00$0.00 
Nontaxable benefits from org  $0.00$0.00 
Compensation from org previously reported as deferred  $41,346.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00 
Sum of all compensation from org  $111,401.00$41,346.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00 
Average hours per week working for related orgs  0  
Jaamac, Scheherazade
TitleCDO    
Name of key/compensated personSCHEHERAZADE JAAMAC    
Position of compensated person
Average hours per week working for org45.00    
Reportable compensation from org$139,166.00    
Other comp, non-reportable, from org and related orgs$0.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Jameson, Carol
TitleCEOCEOCEOCEO/Interim CEOASSOCIATE ED
Name of key/compensated personCAROL G JAMESONCAROL G JAMESONCarol JamesonCarol JamesonCAROL JAMESON
Position of compensated person
Average hours per week working for org45.0045.00454040.00
Reportable compensation from org$137,648.00$133,257.00$109,847.00$84,070.00$20,241.00
Breakdown of reportable comp
Base reportable compensation from org  $109,847.00$84,070.00 
Bonus and incentive reportable compensation  $0.00$0.00 
Other reportable compensation from org  $0.00$0.00 
Retirement and other deferred compensation  $0.00$0.00 
Nontaxable benefits from org  $0.00$0.00 
Compensation from org previously reported as deferred  $84,070.00$20,241.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00$0.00$0.00
Sum of all compensation from org  $109,847.00$84,070.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00$0.00$0.00
Average hours per week working for related orgs  0  
Klansek, Teresa
Title   Chief Medical OfficerINTERIM CMO
Name of key/compensated person   Teresa KlansekTERESA KLANSEK
Position of compensated person
Average hours per week working for org   4040.00
Reportable compensation from org   $151,773.00$75,401.00
Breakdown of reportable comp
Base reportable compensation from org   $151,773.00 
Bonus and incentive reportable compensation   $0.00 
Other reportable compensation from org   $0.00 
Retirement and other deferred compensation   $0.00 
Nontaxable benefits from org   $0.00 
Compensation from org previously reported as deferred   $75,401.00 
Other comp, non-reportable, from org and related orgs   $0.00$0.00
Sum of all compensation from org   $151,773.00 
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00$0.00
Average hours per week working for related orgs   40 
Laplante, Maria
Title   PhysicianPHYSICIAN
Name of key/compensated person   Maria LaPlanteMARIA LAPLANTE
Position of compensated person
Average hours per week working for org   4040.00
Reportable compensation from org   $134,695.00$139,150.00
Breakdown of reportable comp
Base reportable compensation from org   $134,695.00 
Bonus and incentive reportable compensation   $0.00 
Other reportable compensation from org   $0.00 
Retirement and other deferred compensation   $0.00 
Nontaxable benefits from org   $0.00 
Compensation from org previously reported as deferred   $139,150.00 
Other comp, non-reportable, from org and related orgs   $0.00$0.00
Sum of all compensation from org   $134,695.00 
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00$0.00
Average hours per week working for related orgs   40 
Liaw, Winston
Title   DirectorDIRECTOR
Name of key/compensated person   Winston LiawWINSTON LIAW
Position of compensated person
Current individual trustee or director   TrueTrue
Average hours per week working for org   24.00
Reportable compensation from org   $0.00$0.00
Other comp, non-reportable, from org and related orgs   $0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00$0.00
Martini, Jennifer
Title DIRECTORDirector  
Name of key/compensated person JENNIFER MARTINI MDJennifer Martini  
Position of compensated person
Current individual trustee or director TrueTrue  
Average hours per week working for org 1.001  
Reportable compensation from org $0.00$0.00  
Breakdown of reportable comp
Base reportable compensation from org  $0.00  
Bonus and incentive reportable compensation  $0.00  
Other reportable compensation from org  $0.00  
Retirement and other deferred compensation  $0.00  
Nontaxable benefits from org  $0.00  
Compensation from org previously reported as deferred  $0.00  
Other comp, non-reportable, from org and related orgs $0.00$0.00  
Sum of all compensation from org  $0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00$0.00  
Average hours per week working for related orgs  0  
Mbakop, Josiane
TitleDIRECTORDIRECTORDirector  
Name of key/compensated personJOSIANE MBAKOPJOSIANE MBAKOPJosiane Mbakop  
Position of compensated person
Current individual trustee or directorTrueTrueTrue  
Average hours per week working for org1.001.001  
Reportable compensation from org$0.00$0.00$0.00  
Breakdown of reportable comp
Base reportable compensation from org  $0.00  
Bonus and incentive reportable compensation  $0.00  
Other reportable compensation from org  $0.00  
Retirement and other deferred compensation  $0.00  
Nontaxable benefits from org  $0.00  
Compensation from org previously reported as deferred  $0.00  
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00  
Sum of all compensation from org  $0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00  
Average hours per week working for related orgs  0  
Miller, Stacy
Title   Physician 
Name of key/compensated person   Stacy Miller 
Position of compensated person
Average hours per week working for org   40 
Reportable compensation from org   $134,797.00 
Breakdown of reportable comp
Base reportable compensation from org   $134,797.00 
Bonus and incentive reportable compensation   $0.00 
Other reportable compensation from org   $0.00 
Retirement and other deferred compensation   $0.00 
Nontaxable benefits from org   $0.00 
Compensation from org previously reported as deferred   $0.00 
Other comp, non-reportable, from org and related orgs   $0.00 
Sum of all compensation from org   $134,797.00 
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00 
Average hours per week working for related orgs   40 
Nachlas, Buz
Title DIRECTORDirectorDirectorDIRECTOR
Name of key/compensated person BUZ NACHLASBuz NachlasBuz NachlasBUZ NACHLAS
Position of compensated person
Current individual trustee or director TrueTrueTrueTrue
Average hours per week working for org 1.00124.00
Reportable compensation from org $0.00$0.00$0.00$0.00
Breakdown of reportable comp
Base reportable compensation from org  $0.00  
Bonus and incentive reportable compensation  $0.00  
Other reportable compensation from org  $0.00  
Retirement and other deferred compensation  $0.00  
Nontaxable benefits from org  $0.00  
Compensation from org previously reported as deferred  $0.00  
Other comp, non-reportable, from org and related orgs $0.00$0.00$0.00$0.00
Sum of all compensation from org  $0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00$0.00$0.00$0.00
Average hours per week working for related orgs  0  
Nakazawa, Michele
Title   TreasurerTREASURER
Name of key/compensated person   Michele NakazawaMICHELE NAKAZAWA
Position of compensated person
Current individual trustee or director   TrueTrue
Average hours per week working for org   55.00
Reportable compensation from org   $0.00$0.00
Other comp, non-reportable, from org and related orgs   $0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00$0.00
Average hours per week working for related orgs   0 
Pagan, Emily
Title   PhysicianPHYSICIAN
Name of key/compensated person   Emily PaganEMILY PAGAN
Position of compensated person
Average hours per week working for org   3240.00
Reportable compensation from org   $142,211.00$150,000.00
Breakdown of reportable comp
Base reportable compensation from org   $142,211.00 
Bonus and incentive reportable compensation   $0.00 
Other reportable compensation from org   $0.00 
Retirement and other deferred compensation   $0.00 
Nontaxable benefits from org   $0.00 
Compensation from org previously reported as deferred   $150,000.00 
Other comp, non-reportable, from org and related orgs   $0.00$0.00
Sum of all compensation from org   $142,211.00 
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00$0.00
Average hours per week working for related orgs   32 
Phan, Suzanne
TitleDIRECTORDIRECTORDirector  
Name of key/compensated personSUZANNE PHANSUZANNE PHANSuzanne Phan  
Position of compensated person
Current individual trustee or directorTrueTrueTrue  
Average hours per week working for org1.001.001  
Reportable compensation from org$0.00$0.00$0.00  
Breakdown of reportable comp
Base reportable compensation from org  $0.00  
Bonus and incentive reportable compensation  $0.00  
Other reportable compensation from org  $0.00  
Retirement and other deferred compensation  $0.00  
Nontaxable benefits from org  $0.00  
Compensation from org previously reported as deferred  $0.00  
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00  
Sum of all compensation from org  $0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00  
Average hours per week working for related orgs  0  
Piland, Debbie
Title    DIRECTOR
Name of key/compensated person    DEBBIE PILAND
Position of compensated person
Current individual trustee or director    True
Average hours per week working for org    4.00
Reportable compensation from org    $0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Quintero, Marvin
Title   Chief Business Officer (Former)CBO
Name of key/compensated person   Marvin QuinteroMARVIN QUINTERO
Position of compensated person
Average hours per week working for org   4040.00
Reportable compensation from org   $70,493.00$82,500.00
Breakdown of reportable comp
Base reportable compensation from org   $70,493.00 
Bonus and incentive reportable compensation   $0.00 
Other reportable compensation from org   $0.00 
Retirement and other deferred compensation   $0.00 
Nontaxable benefits from org   $0.00 
Compensation from org previously reported as deferred   $82,500.00 
Other comp, non-reportable, from org and related orgs   $0.00$0.00
Sum of all compensation from org   $70,493.00 
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00$0.00
Average hours per week working for related orgs   40 
Regan, Sarah
Title    PHYSICIAN
Name of key/compensated person    SARAH REGAN
Position of compensated person
Average hours per week working for org    40.00
Reportable compensation from org    $136,539.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Rodriguez, Cesar
TitleDIRECTORDIRECTORDirector  
Name of key/compensated personCESAR RODRIGUEZCESAR RODRIGUEZCesar Rodriguez  
Position of compensated person
Current individual trustee or directorTrueTrueTrue  
Average hours per week working for org1.001.001  
Reportable compensation from org$0.00$0.00$0.00  
Breakdown of reportable comp
Base reportable compensation from org  $0.00  
Bonus and incentive reportable compensation  $0.00  
Other reportable compensation from org  $0.00  
Retirement and other deferred compensation  $0.00  
Nontaxable benefits from org  $0.00  
Compensation from org previously reported as deferred  $0.00  
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00  
Sum of all compensation from org  $0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00  
Average hours per week working for related orgs  0  
Rubin, Lynn
Title DIRECTOR  PRESIDENT
Name of key/compensated person LYNN RUBIN  LYNN RUBIN
Position of compensated person
Current individual trustee or director True  True
Average hours per week working for org 1.00  5.00
Reportable compensation from org $0.00  $0.00
Other comp, non-reportable, from org and related orgs $0.00  $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00  $0.00
Rubin, Mindy
Title   DirectorDIRECTOR
Name of key/compensated person   Mindy RubinMINDY R RUBIN
Position of compensated person
Current individual trustee or director   TrueTrue
Average hours per week working for org   24.00
Reportable compensation from org   $0.00$0.00
Other comp, non-reportable, from org and related orgs   $0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00$0.00
Average hours per week working for related orgs   2 
Salih, Salah
Title DIRECTORDirector  
Name of key/compensated person SALAH SALIHSalah Salih  
Position of compensated person
Current individual trustee or director TrueTrue  
Average hours per week working for org 1.001  
Reportable compensation from org $0.00$0.00  
Breakdown of reportable comp
Base reportable compensation from org  $0.00  
Bonus and incentive reportable compensation  $0.00  
Other reportable compensation from org  $0.00  
Retirement and other deferred compensation  $0.00  
Nontaxable benefits from org  $0.00  
Compensation from org previously reported as deferred  $0.00  
Other comp, non-reportable, from org and related orgs $0.00$0.00  
Sum of all compensation from org  $0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00$0.00  
Average hours per week working for related orgs  0  
Schaufeld, Barbara
Title DIRECTORDirectorDirectorDIRECTOR
Name of key/compensated person BARBARA SCHAUFELDBarbara SchaufeldBarbara SchaufeldBARBARA SCHAUFELD
Position of compensated person
Current individual trustee or director TrueTrueTrueTrue
Average hours per week working for org 1.00124.00
Reportable compensation from org $0.00$0.00$0.00$0.00
Breakdown of reportable comp
Base reportable compensation from org  $0.00  
Bonus and incentive reportable compensation  $0.00  
Other reportable compensation from org  $0.00  
Retirement and other deferred compensation  $0.00  
Nontaxable benefits from org  $0.00  
Compensation from org previously reported as deferred  $0.00  
Other comp, non-reportable, from org and related orgs $0.00$0.00$0.00$0.00
Sum of all compensation from org  $0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs  $0.00$0.00$0.00$0.00
Average hours per week working for related orgs  0  
Semidey, Jose
Title    DIRECTOR
Name of key/compensated person    JOSE SEMIDEY
Position of compensated person
Current individual trustee or director    True
Average hours per week working for org    4.00
Reportable compensation from org    $0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Stack, Susan
Title    VICE PRESIDE
Name of key/compensated person    SUSAN JANE STACK
Position of compensated person
Current individual trustee or director    True
Average hours per week working for org    5.00
Reportable compensation from org    $0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Suresh, Lakshmi
TitleDIRECTORDIRECTOR   
Name of key/compensated personLAKSHMI SURESHLAKSHMI SURESH   
Position of compensated person
Current individual trustee or directorTrueTrue   
Average hours per week working for org1.001.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Vallarino, Maria
Title   SecretaryDIRECTOR
Name of key/compensated person   Maria VallarinoMARIA VALLARINO
Position of compensated person
Current individual trustee or director   TrueTrue
Average hours per week working for org   04.00
Reportable compensation from org   $0.00$0.00
Other comp, non-reportable, from org and related orgs   $0.00$0.00
Corresponding comp from related orgs
Reportable compensation from related orgs    $0.00$0.00
Average hours per week working for related orgs   0 
Wagner, Kim
TitleDIRECTORDIRECTOR   
Name of key/compensated personKIM WAGNERKIM WAGNER   
Position of compensated person
Current individual trustee or directorTrueTrue   
Average hours per week working for org1.001.00   
Reportable compensation from org$0.00$0.00   
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Walsh, Kevin
Title    DIRECTOR
Name of key/compensated person    KEVIN WALSH
Position of compensated person
Current individual trustee or director    True
Average hours per week working for org    4.00
Reportable compensation from org    $0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Wijetilleke, Medhine
TitlePHYSICIANPHYSICIAN   
Name of key/compensated personMEDHINE WIJETILLEKEMEDHINE WIJETILLEKE   
Position of compensated person
Average hours per week working for org45.0045.00   
Reportable compensation from org$150,296.00$105,629.00   
Breakdown of reportable comp
Base reportable compensation from org$150,296.00    
Other comp, non-reportable, from org and related orgs$0.00$0.00   
Sum of all compensation from org$150,296.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00   
Wolfner, Carla
TitleVICE PRESIDE    
Name of key/compensated personCARLA WOLFNER    
Position of compensated person
Current individual trustee or directorTrue    
Average hours per week working for org2.00    
Reportable compensation from org$0.00    
Other comp, non-reportable, from org and related orgs$0.00    
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00    
Purpose: mission, activities, & accomplishments
Mission or significant activitiesTO PROVIDE EXCELLENT AND AFFORDABLE MEDICAL, DENTAL, AND BEHAVIORAL HEALTHCARE TO THOSE WHO HAVE LIMITED OR NO HEALTH INSURANCE BY BEING COMPASSIONATE, CULTURALLY COMPETENT AND ACCESSIBLE TO ALL.TO PROVIDE EXCELLENT AND AFFORDABLE MEDICAL, DENTAL, AND BEHAVIORAL HEALTHCARE TO THOSE WHO HAVE LIMITED OR NO HEALTH INSURANCE BY BEING COMPASSIONATE, CULTURALLY COMPETENT AND ACCESSIBLE TO ALL.Health Care: To provide comprehensive primary health care to those who have limited or no health insurance.Health Care: To provide comprehensive primary health care to those who have limited or no health insurance.HEALTH CARE: TO PROVIDE COMPREHENSIVE PRIMARY HEALTH CARE TO THOSE WHO HAVE LIMITED OR NOT HEALTH INSURANCE.
Program service expenses, total$4,912,796.00$4,482,957.00$4,684,701.00$7,855,021.00$4,009,527.00
Programs, including revenue & expenses
PROVIDE PRIMARY HEALTH CARE SERVICES TO NEEDY INDIVIDUALS.
Program expenses$4,912,796.00$4,482,957.00$4,684,701.00$7,855,021.00$4,009,527.00
Grants and allocations made  $0.00  
Program revenue$2,765,154.00$2,482,417.00$3,084,547.00$4,249,009.00$3,402,167.00
Program descriptionPROVIDE PRIMARY HEALTH CARE SERVICES TO NEEDY INDIVIDUALS.PROVIDE PRIMARY HEALTH CARE SERVICES TO NEEDY INDIVIDUALS.Provide primary health care services to needy individualsProvide primary health care services to needy individualsPROVIDE PRIMARY HEALTH CARE SERVICES TO NEEDY INDIVIDUALS.
Financial data
Revenue
Total revenue$6,442,069.00$6,023,651.00$5,838,486.00$7,910,314.00$14,261,018.00
Revenue from contributions (total)$3,621,953.00$3,470,018.00$2,514,798.00$3,661,304.00$11,244,452.00
Revenue from noncash contributions   $0.00 
Investment income, current yr$438.00-$3,340.00$179.00$565.00$1,389.00
Total revenue from grants, etc., current yr$3,621,953.00$3,470,018.00$2,514,798.00$3,661,304.00$11,244,452.00
Total unrelated business revenue$0.00$0.00$0.00$0.00$0.00
Other revenue, current yr$54,524.00$74,556.00$238,962.00$427,546.00$227,106.00
Net unrelated business taxable revenue  $0.00$0.00 
Program service revenue (total)$2,765,154.00$2,482,417.00$3,084,547.00$3,820,899.00$2,788,071.00
Gross receipts$6,442,069.00$6,027,375.00$5,838,486.00$7,910,314.00$14,261,018.00
Sources of contributions
Revenue from federated campaigns  $0.00$0.00 
Contributions revenue from membership dues  $0.00$0.00 
Revenue from fundraising events   $74,528.00 
Contributions from related organizations   $0.00 
Revenue from gov't grants$2,694,968.00$3,470,018.00$2,514,798.00$1,847,143.00$9,465,678.00
Revenue from all other contributions$926,985.00  $1,739,633.00$1,778,774.00
Other types of revenue
Royalties (total)  $0.00$0.00 
Miscellaneous revenue (total)$54,524.00$74,556.00$238,962.00$427,546.00$227,106.00
Income from dividends, interest, and similar investments$438.00$384.00$179.00$565.00$1,389.00
Net rental income $0.00$0.00$0.00$0.00
Expense categories (totals)
Total functional expenses: sum of all$6,428,490.00$5,841,876.00$6,166,985.00$9,592,400.00$6,529,063.00
Total functional expenses: program service $4,912,796.00$4,482,957.00$4,684,701.00$7,855,021.00$4,009,527.00
Total functional expenses: management and general$1,487,459.00$1,304,874.00$1,455,112.00$1,576,448.00$2,393,636.00
Total functional expenses: fundraising$28,235.00$54,045.00$27,172.00$160,931.00$125,900.00
Fees for services
Lobbying fees (total)  $0.00  
Legal fees (total)$28,793.00$24,214.00$35,875.00$34,750.00$48,111.00
Fundraising service fees (total)$0.00$0.00$0.00$0.00$0.00
General management fees (total)  $0.00  
Investment management fees (total)  $0.00  
Assets and liabilities
Total assets$10,242,687.00$10,527,031.00$10,895,142.00$11,315,765.00$11,758,272.00
Total assets, beginning of year$10,527,031.00$10,895,142.00$11,315,765.00$11,758,272.00$2,792,139.00
Total liabilities$3,223,902.00$3,521,825.00$4,071,711.00$4,163,835.00$2,924,256.00
Total liabilities, beginning of year$3,521,825.00$4,071,711.00$4,163,835.00$2,924,256.00$1,690,078.00
Pledges & accounts receivable, net$21,688.00$26,328.00$31,518.00$163,965.00$649,657.00
Loans & receivables from key persons  $0.00$0.00 
Unrestricted net assets, end of yr$7,018,785.00$7,005,206.00$6,823,431.00$7,151,930.00$8,834,016.00
Temporarily restricted net assets  $0.00$0.00 
Permanently restricted net assets, end of yr  $0.00$0.00 
Net assets$7,018,785.00$7,005,206.00$6,823,431.00$7,151,930.00$8,834,016.00
Net assets, beginning of year$7,005,206.00$6,823,431.00$7,151,930.00$8,834,016.00$1,102,061.00
Other liabilities$16,374.00$36,157.00$0.00$69,615.00$333,716.00
Bond liabilities  $0.00$0.00 
Other assets$34,135.00$34,135.00$48,980.00$48,980.00$14,845.00
Cash: non-interest bearing$451,352.00$547,167.00$242,224.00$172,330.00$123,839.00
Cash: non-interest bearing, beginning of year$547,167.00$242,224.00$172,330.00$123,839.00$183,699.00
Escrow or custodial account liability  $0.00$0.00 
Loans and other payables to key persons  $0.00$0.00 
Grants payable  $0.00$0.00 
Inventories for sale or use  $0.00$0.00 
Other financial variables
Revenue less expenses$13,579.00$181,775.00-$328,499.00-$1,682,086.00$7,731,955.00
Advertising (total)  $0.00  
Savings & temp cash investment  $0.00$0.00$172,929.00
Accounts receivable, net$1,060,618.00$740,624.00$880,956.00$755,606.00$664,842.00
Prepaid expenses & deferred charges$677.00$677.00$1,614.00$11,493.00$33,078.00
Accounts payable & accrued expenses$331,653.00$469,660.00$828,207.00$1,571,890.00$1,317,611.00
Deferred revenue$114,788.00$183,420.00$375,484.00$422,330.00$172,929.00
Unsecured notes & loans to unrelated parties  $0.00$1,000,000.00$1,100,000.00
Secured mortgages and notes payable$2,761,087.00$2,832,588.00$2,868,020.00$1,100,000.00 
Total net assets or fund balances$7,018,785.00$7,005,206.00$6,823,431.00$7,151,930.00$8,834,016.00
Depreciation, depletion, amortization$503,883.00$508,027.00$509,200.00$485,002.00$100,478.00
Payment to affiliates  $0.00  
Governance and accountability
Number of voting members1216121216
Number of independent voting members1216121216
Financial sheets auditedTrueTrueTrueTrueTrue
Accrual accountingTrueTrueTrueTrueTrue
Tax year start date2016-01-012015-01-012014-01-012013-01-012012-01-01
Tax year end date2016-12-012015-12-012014-12-012013-12-012012-12-01
Metadata about the filing
E-return type: 990, 990EZ, or 990PF990990990990990
Reason for form submission
Address change    True
Amended return   True 
Date e-filing submitted2017-11-222017-01-192016-01-212015-02-182013-12-10
IRS schema version2016v3.02015v2.12014v5.02013v4.02012v2.1
Filing identifier201732869349301523201622869349300212201503209349310135201540359349301309201312259349301031
Use these data in your project Benchmark this organization against its peers