2024-05-15T14:28:32-05:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 20 E THOMAS RD STE 2300 PHOENIX AZ 85012 990 2022-07-01 953881333 CLINICA MSR OSCAR A ROMERO CLIN 2135527222 2032 MARENGO STREET LOS ANGELES CA 90033 CARLOS A VAQUERANO CEO 2135527222 2024-05-14 1 CARLOS VAQUERANO 999009999 1 KURT BENNION P01469618 6022662248 2024-05-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CARLOS A VAQUERANO 2032 MARENGO STREET LOS ANGELES CA 90033 25993739 0 X WWW.CLINICAROMERO.COM X 1983 CA PROVIDE QUALITY, AFFORDABLE AND CULTURALLY SENSITIVE HEALTH CARE AND OTHER SERVICES TO THE UNINSURED, INSURED AND UNDERSERVED COMMUNITIES OF GREATER LOS ANGELES. 10 10 230 26 0 0 10615142 10608901 11538667 15147890 5650 230503 9346 6445 22168805 25993739 0 62724 0 0 12083362 15231949 223510 243840 266462 7935868 10987967 20242740 26526480 1926065 -532741 11183629 29624811 5683573 24657495 5500056 4967316 X OUR MISSION IS TO PROVIDE QUALITY, AFFORDABLE, AND CULTURALLY-SENSITIVE HEALTH CARE AND OTHER SERVICES TO THE UNDERSERVED COMMUNITIES OF GREATER LOS ANGELES REGARDLESS OF THEIR ABILITY TO PAY BY UPHOLDING THE LEGACY AND TRADITION OF (CONTINUED IN SCHEDULE O)MONSENOR OSCAR A. ROMERO. WE ARE DRIVEN TO EDUCATE AND EMPOWER SALVADORAN, AND OTHER COMMUNITY MEMBERS, THROUGH COMMUNITY ORGANIZING, HEALTH EDUCATION, AND SOCIAL JUSTICE AND EXCHANGE PROGRAMS IN EL SALVADOR. 0 0 15039527 62724 10188928 CLINICA ROMERO PROVIDES LOW-COST COMPREHENSIVE PRIMARY CARE AND DISEASE PREVENTION SERVICES FOR MEN, WOMEN AND CHILDREN OF ALL AGES. OUR DOCTORS STRIVE TO PROVIDE THE BEST LEVEL OF CARE IN ORDER TO IMPROVE THE QUALITY OF LIFE OF ALL PATIENTS. SERVICES INCLUDE:EXAMS: COMPLETE MEDICAL EXAMINATIONSCANCER SCREENINGS: LAB TESTS, ULTRASOUNDSCHRONIC DISEASE MANAGEMENT: MEDICATIONS AND LIFESTYLE REGIMENS FOR AVOIDING COMPLICATIONS ASSOCIATED WITH ASTHMA, HEART DISEASE, HYPERTENSION, HIGH BLOOD PRESSURE AND DIABETESFAMILY PLANNING: PROGRAMS TO ASSIST YOUNG AND BEGINNING FAMILIES (CONTINUED IN SCHEDULE O)PRENATAL CARE: PRENATAL CLASSES AND NUTRITIONAL GUIDANCEPEDIATRICS: WELL-CHILD VISITS FOR HEALTHY GROWTH AND DEVELOPMENTVACCINATIONS: PEDIATRIC IMMUNIZATIONS AND ADULT VACCINESWE PROVIDE MEDICAL, DENTAL, MENTAL HEALTH, AND SUBSTANCE USE DISORDER HEALTH CARE SERVICES TO THE HOMELESS POPULATION. WE ALSO PROVIDE MOBILE SHOWERS AND DISTRIBUTE HYGIENE PRODUCTS, CLOTHES AND FOOD TO THE HOMELESS POPULATION. 1561493 0 3847839 CLNICA ROMERO'S PHARMACY OFFERS LOW-COST PRESCRIPTIONS AS WELL AS MEDICATION MANAGEMENT SERVICES. OUR PHARMACEUTICAL STAFF IS COMMITTED TO PROVIDING ACCURATE AND EASY TO UNDERSTAND INFORMATION REGARDING THE MEDICATION PRESCRIBED TO OUR PATIENTS. LOW-COST, ON-SITE, SAME DAY FILLING OF PRESCRIPTIONS ARE READY WITHIN 30 MINUTES WHEN SIGNING IN. OUR PHARMACY SERVICES INCLUDE ON-SITE FILLING OF PRESCRIPTIONS, PRESCRIPTION REFILLS AND CURBSIDE PHARMACY SERVICES. DURING THE FISCAL YEAR, OUR CLINIC PROVIDED FREE MEDICINE DELIVERY SERVICES WITH BENEFITS TO OUR PATIENTS SUCH AS NO DELIVERY FEES, SAFE HOME DELIVERY, REDUCED RISK OF COVID-19 EXPOSURE, FRIENDLY CUSTOMER SERVICE, AND ENHANCING ACCESSIBILITY TO REDUCES STRESS AND SAVE TIME, ENERGY & MONEY. 1284482 0 1111123 CLINICA ROMERO PROVIDES LOW-COST DENTAL SERVICES FOR ADULTS AND CHILDREN IN A FRIENDLY ENVIRONMENT THAT PUTS OUR PATIENTS AT EASE. GOOD ORAL HEALTH REQUIRES REGULAR DENTAL EXAMINATIONS AND MAINTENANCE TO HELP PREVENT AND MANAGE DISEASE. OUR TEAM SPECIALIZES IN PREVENTATIVE CARE AND PROVIDES THE FOLLOWING SERVICES:SERVICES FOR ADULTS:COMPLETE ORAL EXAMINATIONS INCLUDING X-RAYSPREVENTATIVE SERVICES AND PERIODIC PERIODONTAL MAINTENANCE TREATMENT:PROPHYLAXIS (CLEANINGS) AND NON-SURGICAL PERIODONTAL TREATMENT (SCALING AND ROOT PLANING), ORAL HYGIENE EDUCATION(CONTINUED IN SCHEDULE O)RESTORATIVE SERVICES: RESTORATION FILLINGS, CANAL TREATMENT LIMITED TO ANTERIOR TEETH, SIMPLE EXTRACTIONSSERVICES FOR CHILDREN:COMPLETE ORAL EXAMINATIONS AND X-RAYSPREVENTATIVE SERVICES: PROPHYLAXIS (CLEANINGS), FLUORIDE VARNISH APPLICATIONS, SEALANTS, ORAL HYGIENE EDUCATIONRESTORATIVE SERVICES: RESTORATION FILLINGS, PULPOTOMIES, STAINLESS STEEL CROWNS, SPACE MAINTAINERS, SIMPLE EXTRACTIONSAFTER THE COVID OUTBREAK, WE RE-FULLY RE-OPENED OUR DENTAL SERVICES TO THE COMMUNITY AT OUR DENTAL LOCATIONS. 17885502 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 78 0 230 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 CA X MARCELO VILLAGOMEZ CAO & CFO 2135527222 2032 MARENGO STREET LOS ANGELES CA 90033 DON GARCIA MEDICAL DIRECTOR & CMO 40.00 X 263895 0 24798 CARLOS VAQUERANO CEO 40.00 X 229439 0 36573 DR RUTH LINDO ASSOCIATE MEDICAL DIRECTOR 40.00 X 248077 0 5365 DR JOSHUA ZYSS ASSOCIATE MEDICAL DIRECTOR 40.00 X 201096 0 12231 SANDRA CHOKRON GARNEAU MD PHYSICIAN 24.00 X 198719 0 3000 MICHAEL GITTER PHARMACIST IN-CHARGE 40.00 X 171676 0 4926 DR FERNANDO RODRIGUEZ DDS DENTAL DIRECTOR 40.00 X 151082 0 18317 DEISY MENDOZA PHYSICIAN ASSISTANT 40.00 X 158005 0 8116 JAMEY COREY PHARMACY DIRECTOR 32.00 X 140352 0 24525 MARCELO VILLAGOMEZ TREASURER (THROUGH AUG 2022), THEN CAO & CFO 35.00 X X 30577 0 0 DR SONIA MOLINA PRESIDENT 1.00 X X 0 0 0 MARIN CASTILLO VICE PRESIDENT 1.00 X X 0 0 0 JOSE ATILIO HERNANDEZ BOARD MEMBER & TREASURER 1.00 X X 0 0 0 ARMANDO CARRANZA SECRETARY 1.00 X X 0 0 0 LIZETH CHICAS BOARD MEMBER 1.00 X 0 0 0 SANTOS ROMINA FERNANDEZ DE BUDDE, BOARD MEMBER 1.00 X 0 0 0 MARIO HERCULES BOARD MEMBER 1.00 X 0 0 0 SANDA RODRIGUEZ BOARD MEMBER 1.00 X 0 0 0 JOSE LINO RUIZ BOARD MEMBER 1.00 X 0 0 0 MARITZA ZAMBRANO BOARD MEMBER 1.00 X 0 0 0 1792918 0 137851 22 0 1 0 OCHIN 1881 SW NAITO PARKWAY PORTLAND OR 97201 EMR SERVICES 648616 FUNES SECURITY 1241 S SOTO STREET LOS ANGELES CA 90023 SECURITY SERVICES 291042 SALEF 421 S BIXEL STREET SUITE A LOS ANGELES CA 90017 OUTREACH SERVICES 290464 QUEST DIAGNOSTIC PO BOX 912411 PASADENA CA 91110 LABORATORY SERVICES 287756 7 LAYER IT SOLUTIONS INC 17701 CHATSWORTH ST GRANADA HILLS CA 91344 IT SERVICES 160836 7 10440114 168787 10608901 MEDICAL SERVICES 621110 11300051 11300051 PHARMACY 621110 3847839 3847839 15147890 230503 230503 OTHER INCOME 900099 6445 6445 6445 25993739 15147890 0 236948 X 4286 4286 58438 58438 1429886 793910 635976 10988287 6766372 4214449 7466 95254 63291 31894 69 1747703 891503 848327 7873 970819 592157 378073 589 10089 10089 227579 227579 243840 243840 3149294 2326192 823102 162222 103637 58495 90 721271 524879 195198 1194 891021 883625 6314 1082 1024156 942516 81640 50880 32505 18347 28 24260 15499 8748 13 191582 122394 69082 106 748157 322173 425743 241 152961 97720 55156 85 MEDICAL SUPPLIES 2486288 2486288 MISCELLANEOUS 663394 422267 240756 371 PROGRAM EXPENSES 266299 242963 19921 3415 MAINTENANCE & REPAIRS 109914 102475 7439 108600 90412 18188 26526480 17885502 8374516 266462 551860 518318 17429410 1182463 1488522 2299652 1512890 79132 107268 207022 55407 9993967 3619111 5772125 6374856 1091375 1127846 0 1010294 11183629 29624811 2618049 3351356 2726 16642000 3062798 3741790 0 922349 5683573 24657495 X 4957539 4247298 542517 720018 5500056 4967316 11183629 29624811 -532741 1 0 X 0 1 X 1 1 1 X 5382383 6933835 6941287 10615142 10608901 40481548 5382383 6933835 6941287 10615142 10608901 40481548 40481548 7490 4929 654 5650 230503 249226 200727 282913 7739 9346 6445 507170 41237944 53673705 0.98170 0.96750 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1618324 1618324 3574377 569914 3004463 1894399 653575 1240824 2235756 2395622 -159866 671111 671111 6374856 RIGHT-OF-USE LEASE LIABILITIES 922349 922349 X 25993739 0 25993739 0 25993739 26526480 0 26526480 0 26526480 PART X, LINE 2: CLINICA IS A NONPROFIT CORPORATION, EXEMPT FROM THE PAYMENT OF INCOME TAXES UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701(D). ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR INCOME TAXES. HOWEVER, CLINICA IS SUBJECT TO INCOME TAXES ON ANY NET INCOME THAT IS DERIVED FROM A TRADE OR BUSINESS NOT IN FURTHERANCE OF THE PURPOSES FOR WHICH IT WAS GRANTED EXEMPTION. NO INCOME TAX PROVISION HAS BEEN RECORDED AS THE NET INCOME, IF ANY, FROM ANY UNRELATED TRADE OR BUSINESS, IN THE OPINION OF MANAGEMENT, IS NOT MATERIAL TO THE FINANCIAL STATEMENTS TAKEN AS A WHOLE. CLINICA FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THIS STANDARD HAS NO EFFECT ON THE FINANCIAL STATEMENTS. CLINICA'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. X X X 1 ESTRADA DARLEY MILLER GROUP 2581 AREVIA STREET 12 LOS ANGELES CA 90065 GRANT WRITING, PAYPAL FUNDRAISING 0 2045947 153840 1892107 BOODLE ADVISORS LLC 4247 CAMELLIA AVENUE STUDIO CITY CA 91604 FUNDRAISING & STRATEGIC ALLIANCE/PARTNERSHIP SUPPORT 0 1022974 90000 932974 3068921 243840 2825081 CA 1 FOOD ASSISTANCE 9250 0 28397 FMV FOOD TOYS FOR CHILDREN 1500 0 7951 FMV TOYS CLOTHING ASSISTANCE 480 0 4361 FMV CLOTHING GIFTS 0 17729 FMV GIFTS PART I, LINE 2: WE PROVIDE ASSISTANCE IN THE FORM OF GOODS, RATHER THAN CASH, TO ENSURE RECIPIENTS USE THE ASSISTANCE AS INTENDED. X 0 0 0 0 0 0 0 0 0 DON GARCIA MEDICAL DIRECTOR & CMO 263895 0 0 0 0 0 0 0 24798 0 288693 0 0 0 CARLOS VAQUERANO CEO 229439 0 0 0 0 0 11775 0 24798 0 266012 0 0 0 DR RUTH LINDO ASSOCIATE MEDICAL DIRECTOR 248077 0 0 0 0 0 1263 0 4102 0 253442 0 0 0 DR JOSHUA ZYSS ASSOCIATE MEDICAL DIRECTOR 201096 0 0 0 0 0 4062 0 8169 0 213327 0 0 0 SANDRA CHOKRON GARNEAU MD PHYSICIAN 198719 0 0 0 0 0 0 0 3000 0 201719 0 0 0 MICHAEL GITTER PHARMACIST IN-CHARGE 171676 0 0 0 0 0 0 0 4926 0 176602 0 0 0 DR FERNANDO RODRIGUEZ DDS DENTAL DIRECTOR 151082 0 0 0 0 0 1544 0 16773 0 169399 0 0 0 DEISY MENDOZA PHYSICIAN ASSISTANT 158005 0 0 0 0 0 3190 0 4926 0 166121 0 0 0 JAMEY COREY PHARMACY DIRECTOR 140352 0 0 0 0 0 1040 0 23485 0 164877 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS AND IMMEDIATE PAST PRESIDENT OF THE BOARD OF DIRECTORS. THE CEO AND OTHER NON-DIRECTORS MAY BE DESIGNATED AS NON-VOTING ADVISORS TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE (A) EXERCISES SUCH AUTHORITY AS IS DELEGATED TO IT BY THE BOARD OF DIRECTORS AND CAN ACT IN THE BOARD'S ABSENCE DURING AN EMERGENCY IF THE FULL BOARD IS UNABLE TO MEET, (B) HAS OVERSIGHT OVER STRATEGIC PLANNING FOR THE ORGANIZATION, AND (C) WORKS WITH THE CEO AND DEVELOPMENT DEPARTMENT TO OBTAIN FUNDS FROM A BROAD RANGE OF SOURCES IN BOTH THE PUBLIC AND PRIVATE SECTOR. FORM 990, PART VI, SECTION B, LINE 11B CLINICA MSR OSCAR A ROMERO'S OUTSIDE AUDITORS AND FINANCIAL STAFF PREPARED THE FORM 990. PRIOR TO FILING, THE FORM WAS REVIEWED BY THE FINANCE DIRECTOR, THE CAO/CFO, AND THE CEO AND WAS PROVIDED TO THE BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C CLINICA MSR OSCAR A ROMERO (CMOAR) REQUIRES ALL EMPLOYEES TO DISCLOSE, AT LEAST ANNUALLY, ALL SOURCES OF INCOME FROM COMPENSATION OR FROM OWNERSHIP OF EVERY OUTSIDE ENTITY THAT (A) SOLD, SUPPLIED OR PROVIDED SERVICES (B) OPERATED A COMPETING ENTERPRISE OR (C) PROVIDED GOODS OR SERVICES TO CMOAR IN THE LAST SIX MONTHS. CMOAR ALSO REQUIRES ALL DIRECTORS TO ANNUALLY SIGN A STATEMENT AFFIRMING (A) RECEIPT OF CMOAR CONFLICT OF INTEREST POLICY (B) UNDERSTANDING OF THE POLICY AND (C) AGREEMENT WITH THE POLICY. CMOAR CONFLICT OF INTEREST POLICY DESCRIBES HOW CMOAR WILL RESOLVE POSSIBLE CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWED ALL OF THE OFFICERS' COMPENSATION, INCLUDING THAT OF THE CEO. THE BOARD REVIEWED DATA OF COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED NONPROFIT EXECUTIVES. THE OCCURRENCE OF THESE DELIBERATIONS ARE NOTED IN THE BOARD MINUTES. THIS PROCESS LAST OCCURRED IN 2023. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORMS 990 AND 1023 ARE AVAILABLE UPON REQUEST. FORMS 990 ARE ALSO AVAILABLE ONLINE THROUGH RESOURCES SUCH AS GUIDESTAR AND PROPUBLICA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 2,326,192. MANAGEMENT AND GENERAL EXPENSES 823,102. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,149,294.