2023-11-07T12:23:45-06:00 2022-12-31 825008973 DOUGLAS & BHAGAT CPA SERVICES INC 100 E THOUSAND OAKS BLVD SUITE 202 THOUSAND OAKS CA 91360 990 2022-01-01 953177953 CONEJO FREE CLINIC CONE 8053791918 80 HILLCREST DRIVE 102 THOUSAND OAKS CA 91360 KIM DEBROUX EXECUTIVE DIRECTOR 8054973575 2023-11-07 1 KIM DEBROUX 999009999 0 ANITA BHAGAT P01401116 8054097705 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z 80 HILLCREST DRIVE 102 THOUSAND OAKS CA 91360 703278 0 1 X WWW.CONEJOFREECLINIC.ORG X 1976 CA TO PROVIDE QUALITY MEDICAL DENTAL AND LEGAL SERVICES WITHOUT CHARGE TO PEOPLE WITHOUT ACCESS TO CARE. 13 13 8 73 0 0 583931 635949 0 0 0 355 72659 52257 656590 688561 0 0 0 0 320799 334069 0 0 102402 163787 150990 484586 485059 172004 203502 779942 982292 0 0 779942 982292 X TO PROVIDE QUALITY MEDICAL, DENTAL AND LEGAL SERVICES WITHOUT CHARGE TO PEOPLE WITHOUT ACCESS TO CARE. 0 0 338903 688561 THE CONEJO FREE CLINIC IS A 501-C3 NONPROFIT ORGANIZATION. WE PROVIDE MEDICAL, LEGAL AND DENTAL CARE WITHOUT CHARGE FOR THOUSANDS OF PEOPLE EACH YEAR WHO ARE WITHOUT ACCESS TO SUCH CARE. THIS IS MADE POSSIBLE BY OUR EXTRAORDINARY ALL-VOLUNTEER TEAM OF 73 VOLUNTEER PHYSICIANS, DENTISTS, NURSES, ATTORNEYS AND SUPPORT STAFF.THE CONEJO FREE CLINIC HAS A UNIQUE BREAST CANCER PROGRAM OFFERING ADVANCED DIAGNOSTIC TESTING TO EXPEDITE CARE AND TREATMENT.OUR UNIQUE VOUCHER PROGRAM OFFERS ACCESS TO A WIDE VARIETY OF SPECIALTY SERVICES RANGING FROM VISION CARE, PODIATRY, DERMATOLOGY, GASTROENTEROLOGY, AND AUDIOLOGY. IT INCLUDES MANY AREAS OF ADVANCED DENTISTRY, PHYSICAL THERAPY AND SPECIAL NEEDS FACILITATION.OUR PATIENT ADVOCACY PROGRAM ENSURES THAT EACH PATIENT NOT ONLY HAS ACCESS TO ADVANCED CARE, BUT WILL PERSONALLY BE ASSISTED BY THE CLINIC EXECUTIVE DIRECTOR AND STAFF TO MAKE SURE THEIR CONTINUUM OF CARE IS NOT BROKEN. PATIENTS WILL BE ASSISTED THRU THE PATIENT ASSISTANCE PROGRAM WHEN THEY GO BEYOND OUR SCOPE OF CARE UNTIL THEY NO LONGER NEED US.WE RELY ON GRANTS AND DONATIONS FROM PRIVATE DONATIONS, CIVIC GROUPS AND FOUNDATIONS. WE RECEIVE NO GOVERNMENT FUNDING. 338903 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 8 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 CA X BALANCE YOUR BOOKS 8057771000 1655 EL DORADO DRIVE THOUSAND OAKS CA 91362 JOANNA SEIFERT PRESIDENT 2.00 X X 0 0 0 SARAH WILLIAMS VICE PRESIDENT 1.00 X X 0 0 0 PAT CAHALAN TREASURER 5.00 X X 0 0 0 NIKITA SHAH MD DIRECTOR 1.00 X 0 0 0 KAREN OAKMAN ESQ SECRETARY 2.00 X X 0 0 0 SIDDIQUE ABBASI MD MSC DIRECTOR 1.00 X 0 0 0 FRANK DAWSON MD DIRECTOR 1.00 X 0 0 0 EVAN FRIEDMANN DIRECTOR 1.00 X 0 0 0 FRANK BALDINO DIRECTOR 1.00 X 0 0 0 FRED SAGER DIRECTOR 1.00 X 0 0 0 TONI WOLFSON DIRECTOR 1.00 X 0 0 0 MICHAEL ZAPF MD DIRECTOR 1.00 X 0 0 0 STACY LARSON DIRECTOR 1.00 X 0 0 0 SUSAN MURPHY DESENBERG GRANT WRITER 40.00 X 101174 0 0 101174 0 0 1 0 0 0 0 52369 583580 635949 355 355 66974 14717 52257 52257 688561 0 0 52612 191315 80152 13963 97200 110849 110849 7298 5547 1460 291 24607 18701 4922 984 14524 11037 2905 582 14270 10844 2855 571 413 314 83 16 10467 7954 2094 419 28805 21891 5762 1152 11430 8686 2286 458 LAB FEES/MAMMOGRAMS/X-R 41678 41678 TELEPHONE 10416 7916 2083 417 LICENSES & PERMITS 3044 3044 LEASED EQUIPMENT 2841 2159 568 114 13102 8131 4773 198 485059 338903 43754 102402 404399 568398 242431 309587 297358 193051 133112 104307 779942 982292 0 0 X 779942 982292 779942 982292 779942 982292 203502 -1152 0 X 1 X 0 0 0 X 218155 350462 555762 583931 583580 2291890 58436 51553 46280 72659 52369 281297 276591 402015 602042 656590 635949 2573187 22810 115844 43104 11022 28303 221083 0 22810 115844 43104 11022 28303 221083 2352104 1426 4310 2486 355 8577 1426 4310 2486 355 8577 278017 406325 604528 656590 636304 2581764 0.91100 0.80120 0.00330 0.00320 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2741 2741 0 294617 190310 104307 104307 ANNUAL FALL DINNER EVENT 66974 66974 7456 7261 66974 66974 7456 7261 14717 52257 FORM 990, PART VI, SECTION A, LINE 7A LINE 7A EXPLANATION - THE ORGANIZATION HAS A 13 MEMBER BOARD OF DIRECTORS WHO ELECT THE GOVERNING BODY TO A ONE YEAR POSITION. FORM 990, PART VI, SECTION A, LINE 7B LINE 7B EXPLANATION - THE FOUR OFFICERS ARE THE GOVERNING BODY AND THE FULL BOARD MEETS MONTHLY TO REVIEW AND DISCUSS THE OPERATIONS OF THE ORGANIZATION AND REVIEW MANAGEMENT DECISIONS. FORM 990, PART VI, SECTION B, LINE 11B LINE 11A EXPLANATION - THE ORGANIZATION'S FORM 990 IS REVIEWED IN DRAFT FORM BY THE TREASURER, FINANCE COMMITTEE AND EXECUTIVE DIRECTOR AND A COPY OF THE RETURN IS DISTRIBUTED TO ALL OF THE BOARD MEMBERS FOR REVIEW BEFORE THE RETURN IS FINALIZED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST DISCLOSURE STATEMENT THAT EACH CONTINUING BOARD MEMEBER AND KEY EMPLOYEE IS REQUIRED TO UPDATE ANNUALLY AND NEW BOARD MEMBERS MUST COMPLETE UPON JOINING THE BOARD. THE DISCLOSURE COVERS ALL BOARD MEMBERS AND KEY EMPLOYEES AND THE ORGANIZATION ALSO HAS A POLICY THAT EXCLUDES THE USE OF ANY SERVICES OR PRODUCTS OF ANY BOARD MEMBER, KEY EMPLOYEE OR FAMILY MEMBER. FORM 990, PART VI, SECTION B, LINE 15A TO SET EXECUTIVE COMPENSATION, THE BOARD REVIEWS SALARY SURVEY DATA, AS WELL AS 990S POSTED ON GUIDESTAR IN ORDER TO ASSESS A FAIR SALARY RANGE. THE BOARD FOCUSES ON THE SOUTHERN CALIFORNIA AREA AND RELIES ON TWO HR EXECUTIVE BOARD MEMBERS WHO HAVE EXTENSIVE EXPERIENCE IN SETTING SALARIES AND OTHER BOARD MEMBERS WITH MANAGEMENT AND HIRING EXPERIENCE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ALL RECORDS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.