Civic Intelligence

Health Service Alliance

EIN 13-4257391 • 501(c)3 • Montclair, CA

Profile

Provide healthcare and discounted medication to uninsured individuals

5050 San Bernardino StreetMontclair, CA 91763

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

99th percentile

2.42x

Higher debt load relative to assets than 99% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2021

Liabilities / Revenue

77th percentile

0.55x

Higher debt load relative to revenue than 77% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2021

Net Margin

28th percentile

-3.8%

Higher net margin than 28% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2021

Top Officer Pay

23rd percentile

$0

Higher top officer pay than 23% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2021

Asset Growth

97th percentile

125%

Faster asset growth than 97% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2020 to 2021

Revenue Growth

95th percentile

185%

Faster revenue growth than 95% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2020 to 2021

Balance Sheet
Liabilities / Assets99th percentile

Assets

Up

$2,252,646

Up $1,253,419 (+125%) from 2020

Liabilities

Up

$5,445,698

Up $1,628,211 (+43%) from 2020

Net Assets

Down

-$3,193,052

Down $374,792 (-13%) from 2020

Operations
Liabilities / Revenue77th percentileNet Margin28th percentile

Revenue

Up

$9,823,091

Up $6,375,182 (+185%) from 2020

Expenses

Up

$10,197,883

Up $4,595,690 (+82%) from 2020

Net Income

Up

-$374,792

Up $1,779,492 (+83%) from 2020

Trend Graphs

Balance Sheet Trend

Asset Growth97th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$10M$5.0M$0-$5.0MAssets 2016: $51,600Net Assets 2016: $51,6002016Assets 2017: $53,762Net Assets 2017: $53,7622017Assets 2018: $150,981Liabilities 2018: $36,411Net Assets 2018: $114,5702018Assets 2019: $895,147Liabilities 2019: $1,559,123Net Assets 2019: -$663,9762019Assets 2020: $999,227Liabilities 2020: $3,817,487Net Assets 2020: -$2,818,2602020Assets 2021: $2,252,646Liabilities 2021: $5,445,698Net Assets 2021: -$3,193,0522021

Highlighted filing

2021

Assets$2,252,646
Liabilities$5,445,698
Net Assets-$3,193,052
Open 2021 Filing

Operations Trend

Revenue Growth95th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$15M$10M$5.0M$0-$5.0MRevenue 2016: $27,282Expenses 2016: $20,838Net Income 2016: $6,4442016Revenue 2017: $4,523Expenses 2017: $2,361Net Income 2017: $2,1622017Revenue 2018: $255,532Expenses 2018: $194,724Net Income 2018: $60,8082018Revenue 2019: $2,152,577Expenses 2019: $2,931,123Net Income 2019: -$778,5462019Revenue 2020: $3,447,909Expenses 2020: $5,602,193Net Income 2020: -$2,154,2842020Revenue 2021: $9,823,091Expenses 2021: $10,197,883Net Income 2021: -$374,7922021

Highlighted filing

2021

Revenue$9,823,091
Expenses$10,197,883
Net Income-$374,792
Open 2021 Filing

Filings

Most recent year

2021 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$2,252,646
Liabilities
$5,445,698
Net assets
-$3,193,052
Revenue
$9,823,091
Expenses
$10,197,883
Net income
-$374,792
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.25$5.45$3.19$9.82$10.2$0.37
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.00$3.82$2.82$3.45$5.60$2.15
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.90$1.56$0.66$2.15$2.93$0.78
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.15$0.04$0.11$0.26$0.19$0.06
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.05$0.05$0.00$0.00$0.00
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.05$0.05$0.03$0.02$0.01
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Nov 15, 2022
Return Version
2021v4.0
Gross Receipts
$9,823,091
Mission and Program Overview

Mission

Provide healthcare and discounted medication to uninsured individuals

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$724,387$895,028▲ $170,641
Intangible Assets-$665,199-
Cash and Non-Interest-Bearing Accounts$246,216$236,875▼ $9,341
Land, Buildings, and Equipment, Net$13,624$15,359▲ $1,735
Other Notes and Loans Receivable, Net$15,000$15,000→ $0
Savings and Temporary Cash Investments-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Rtn Earn Endowment Incm Other Fnds$-2,818,260$-3,193,052▼ $374,792
Total Assets$999,227$2,252,646▲ $1,253,419
Other Assets Total-$425,185-
Liabilities
Other Liabilities$2,902,207$3,172,411▲ $270,204
Unsecured Notes Loans Payable$537,100$1,171,238▲ $634,138
Accounts Payable and Accrued Expenses$378,180$1,102,049▲ $723,869
Total Liabilities$3,817,487$5,445,698▲ $1,628,211
Net Assets / Fund Balance
Total Net Assets Fund Balance$-2,818,260$-3,193,052▼ $374,792
Total Liabilities and Net Assets / Fund Balance$999,227$2,252,646▲ $1,253,419

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$12,520$3,636$16,156
Other Land Buildings$2,839$2,214$5,053
Other Assets Org$765,394--
Compensation and Service Providers
Top Officer Pay23rd percentile

Board Members and Trustees

NameTitle
James M Lally DoPresident
Revenue and Support

Revenue Composition

Contributions and Grants
$387,200
Program Service Revenue
$9,435,891
Investment Income
$0
Other Revenue
$0
All Other Contributions
$387,200
Change in Net Assets
$-374,792
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$6,475,224
Salaries, Compensation, and Employee Benefits$3,722,659
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages-$3,322,089-$3,322,089
All Other Expenses-$572,308-$572,308
Insurance-$355,928-$355,928
Payroll Taxes-$315,598-$315,598
Other Expenses-$130,310-$130,310
Pension Plan Contributions-$84,972-$84,972
Office Expenses-$59,082-$59,082
Depreciation Depletion-$38,708-$38,708
Fees for Services Other-$28,803-$28,803
Travel-$23,962-$23,962
Fees for Services Accounting-$20,228-$20,228
Fees for Services Legal-$280-$280
Interest-$182-$182
Total Functional Expenses$0$10,197,883$0$10,197,883
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Dr. Chase$2,230,000
Due to Officer$942,411
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 11B: Form 990 Review Process

“No review was or will be conducted.”

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

“No documents available to the public.”

Filing and Contact Details

Filer

Filer Name
Health Service Alliance
EIN
13-4257391
Phone
9094830505
Address
5050 SAN BERNARDINO STREET, MONTCLAIR, CA 91763

Signing Officer

Name
James M Lally Do
Title
President
Signed
2022-11-15
Discuss with paid preparer
Yes

Organization Details

Formed
2003
Legal Domicile
CA
Voting Board Members
1
Independent Board Members
0
Employees
0

Preparer

Firm
Kalter Company
Address
15302 Central Ave, Chino, CA 91710
Preparer
John McAleese
Phone
9098601975
Raw XML Appendix327 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/UnsecuredNotesLoansPayableGrp/BOYAmt0537100
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IRS990/USAddress/CityNm0MONTCLAIR
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd091763
IRS990/VotingMembersGoverningBodyCnt01
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/FederatedAssuranceLevelCd0FAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd02
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0JAMES M LALLY DO
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0President
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-11-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0HEALTH SERVICE ALLIANCE
ReturnHeader/Filer/BusinessNameControlTxt0HEAL
ReturnHeader/Filer/EIN0134257391
ReturnHeader/Filer/PhoneNum09094830505
ReturnHeader/Filer/USAddress/AddressLine1Txt05050 SAN BERNARDINO STREET
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ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0954551509
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Kalter Company
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt015302 Central Ave
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Chino
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd091710
ReturnHeader/PreparerPersonGrp/PhoneNum09098601975
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0John McAleese
ReturnHeader/ReturnTs02022-11-15T13:52:44-08:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0JAMES M LALLY
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0DO
ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-12-31
ReturnHeader/TaxYr02021

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