Civic Intelligence

Central Rehabilitation Clinic Inc.

EIN 23-7410033 • 501(c)3 • Templeton, CA, United States

Pub. 78 Eligible

Profile

To provide quality medical services with a multi-disciplinary approach and education to the community.

PO Box 1712Templeton, CA 93465United States

centralcoastprimarycare.com

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2013

Liabilities / Revenue

35th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $500k-$1M nonprofits • Source year 2013

Net Margin

11th percentile

-31%

Higher net margin than 11% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2013

Top Officer Pay

98th percentile

$400,266

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 44.2% of source-year revenue.

501(c)3 • $500k-$1M nonprofits • Source year 2013

Asset Growth

2nd percentile

-100%

Faster asset growth than 2% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $360,098 (-100%) from 2012

Liabilities

Down

$0

Down $81,986 (-100%) from 2012

Net Assets

Down

$0

Down $278,112 (-100%) from 2012

Operations
Liabilities / Revenue35th percentileNet Margin11th percentile

Revenue

$906,281

No earlier filing loaded for comparison.

Expenses

Down

$1,184,393

Down $363,406 (-23%) from 2012

Net Income

-$278,112

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

Asset Growth2nd percentile

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

$400K$300K$200K$100K$0Assets 2010: $334,585Liabilities 2010: $109,089Net Assets 2010: $225,4962010Assets 2011: $354,637Liabilities 2011: $176,973Net Assets 2011: $177,6642011Assets 2012: $360,098Liabilities 2012: $81,986Net Assets 2012: $278,1122012Assets 2013: $0Liabilities 2013: $0Net Assets 2013: $02013

Highlighted filing

2013

Assets$0
Liabilities$0
Net Assets$0
Open 2013 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$2.0M$1.5M$1.0M$500K$0-$500KExpenses 2010: $1,562,2192010Expenses 2011: $1,638,8912011Expenses 2012: $1,547,7992012Revenue 2013: $906,281Expenses 2013: $1,184,393Net Income 2013: -$278,1122013

Highlighted filing

2013

Revenue$906,281
Expenses$1,184,393
Net Income-$278,112
Open 2013 Filing

Filings

Most recent year

2013 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$906,281
Expenses
$1,184,393
Net income
-$278,112
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2013Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.91$1.18$0.28
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.36$0.08$0.28$1.55
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.35$0.18$0.18$1.64
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.33$0.11$0.23$1.56
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 2, 2014
Return Version
2013v3.0
Gross Receipts
$992,647
Mission and Program Overview

Mission

To provide quality medical services with a multi-disciplinary approach and education to the community.

Multi-disciplinary outpatient care, quality medical services and quality community programs

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$278,112$0▼ $278,112
Accounts Receivable$139,053$0▼ $139,053
Cash and Non-Interest-Bearing Accounts$106,540$0▼ $106,540
Land, Buildings, and Equipment, Net$96,795$0▼ $96,795
Prepaid Expenses and Deferred Charges$10,922$0▼ $10,922
Savings and Temporary Cash Investments$6,788$0▼ $6,788
Other Notes and Loans Receivable, Net-$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-
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$360,098$0▼ $360,098
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$64,864$0▼ $64,864
Unsecured Notes Loans Payable$17,122$0▼ $17,122
Total Liabilities$81,986$0▼ $81,986
Net Assets / Fund Balance
Total Net Assets Fund Balance$278,112$0▼ $278,112
Total Liabilities and Net Assets / Fund Balance$360,098$0▼ $360,098
Compensation and Service Providers
Top Officer Pay98th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Jeffrey BloomMedical DirectorFT$400,266$400,266
Eric DunlopDoctorFT$103,541$103,541

Board Members and Trustees

NameTitle
James MerzonPresident
James CoopmanVice President
Christina Bloom Part YearBoard Member
Mical BoveeBoard Member
Karen ShongSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$925,341
Investment Income
$-80,459
Other Revenue
$61,399
Change in Net Assets
$-278,112
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$809,935
Other Expenses$342,656
Grants and Similar Amounts Paid$31,802
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$360,239$40,027-$400,266
Other Salaries and Wages$165,883$199,146-$365,029
Occupancy$87,597$9,732-$97,329
Fees for Services Other$91,324--$91,324
Insurance$48,134$5,667-$53,801
Payroll Taxes$11,781$32,859-$44,640
Grants to Domestic Orgs$31,802--$31,802
Depreciation Depletion$9,388$1,043-$10,431
Fees for Services Accounting-$9,715-$9,715
Office Expenses$7,144$790-$7,934
Other Expenses$3,526$392-$3,918
Fees for Services Legal$2,931--$2,931
Travel$2,294--$2,294
Interest-$1,522-$1,522
Advertising$867--$867
Total Functional Expenses$875,124$309,269$0$1,184,393
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
27-1412176-501(c)(3)Liquidating Distribution of Cash and Supplies to Nonprofit Organization Providing Similar Medical Services$31,802
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-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
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
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

“Christina bloom, a board member, is a family member of dr. Jeffrey bloom, a key employee.”

Form 990, Part VI, Section B, Line 11

“A draft copy of form 990 is distributed to the governing body for review and approval prior to filing. The return is then signed and filed by the secretary or specified alternate director.”

Form 990, Part VI, Section B, Line 12C

“In addition to reviewing annually, board members are required to disclose potential conflicts of interest immediately should they arise. The board addresses conflicts of interest immediately upon disclosure.”

Form 990, Part VI, Section C, Line 19

“All organizational, governing and financial documents and conflict of interest policy are available to the public upon request.”

Filing and Contact Details

Filer

EIN
23-7410033
Phone
8055435144

Signing Officer

Name
James Merzon
Title
President
Phone
8055435144
Signed
2014-11-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
James Merzon
Formed
1974
Legal Domicile
CA
Voting Board Members
5
Independent Board Members
4
Employees
18
Volunteers
5

Preparer

Preparer
Mical W Bovee CPA
Phone
8055441441
Raw XML AppendixShowing 400 of 455 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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IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt0250
IRS990ScheduleI/RecipientTable/NonCashAssistanceDesc0SUPPLIES
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0LIQUIDATING DISTRIBUTION OF CASH AND SUPPLIES TO NONPROFIT ORGANIZATION PROVIDING SIMILAR MEDICAL SERVICES
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine10SLO NOOR FOUNDATION
IRS990ScheduleI/RecipientTable/RecipientEIN0271412176
IRS990ScheduleI/RecipientTable/USAddress/AddressLine101428 PHILIPS LANE NO B-4
IRS990ScheduleI/RecipientTable/USAddress/City0SAN LUIS OBISPO
IRS990ScheduleI/RecipientTable/USAddress/State0CA
IRS990ScheduleI/RecipientTable/USAddress/ZIPCode093401
IRS990ScheduleI/RecipientTable/ValuationMethodUsedDesc0ESTIMATED FMV
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd01
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt0400266
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0JEFFREY BLOOM
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0MEDICAL DIRECTOR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt0400266
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt00
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0FOR PROMOTIONAL, MEDICAL AND COLLECTIONS ASSISTANCE SERVICES, EACH PHYSICIAN RECEIVES A PERFORMANCE BONUS FROM 42-45% OF THE CLINIC'S REVENUE COLLECTIONS OF THAT PHYSICIAN'S OWN BILLINGS, LESS THE PHYSICIAN'S MONTHLY SALARY AMOUNTS. THIS IS CONSISTENT WITH COMPENSATION ARRANGEMENTS COMMON IN THE MEDICAL PROFESSION AND IS THE SAME PLAN FOR ALL OF THE CLINIC'S PHYSICIANS.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 5
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990ScheduleJ/WrittenEmploymentContractInd0X
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd01
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0RESIDUAL CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc1OFFICE FURNITURE & EQUIPMENT, WALL ART & SUPPLIES
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc2SUPPLIES
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine10SLO NOOR FOUNDATION
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine11ACHIEVEMENT HOUSE INC
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine12SLO NOOR FOUNDATION
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0271412176
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN1200022378
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN2271412176
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt031802
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt11000
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt2250
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt1501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt2501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0FAIR MARKET VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt1ESTIMATED FAIR MARKET VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt2ESTIMATED FAIR MARKET VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine101428 PHILIPS LANE NO B-4
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine113003 CUESTA COLLEGE ROAD
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine121428 PHILIPS LANE NO B-4
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/City0SAN LUIS OBISPO
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/City1SAN LUIS OBISPO
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/City2SAN LUIS OBISPO
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/State0CA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/State1CA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/State2CA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCode093401
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCode193405
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCode293401
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd01
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0THE CORPORATION CEASED OPERATIONS EFFECTIVE DECEMBER 31, 2013. FIXED ASSETS WERE ABANDONED, SOLD OR DONATED TO NONPROFIT ORGANIZATIONS. NO CASH OR OTHER ASSETS HAVE BEEN DISTRIBUTED TO MEMBERS OR OTHER RELATED PARTIES.SEE ATTACHED CERTIFICATE OF DISSOLUTION AS FILED WITH THE CALIFORNIA SECRETARY OF STATE.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0EXPLANATION FOR DISSOLUTION/LIQUIDATION:
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0CHRISTINA BLOOM, A BOARD MEMBER, IS A FAMILY MEMBER OF DR. JEFFREY BLOOM, A KEY EMPLOYEE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1A DRAFT COPY OF FORM 990 IS DISTRIBUTED TO THE GOVERNING BODY FOR REVIEW AND APPROVAL PRIOR TO FILING. THE RETURN IS THEN SIGNED AND FILED BY THE SECRETARY OR SPECIFIED ALTERNATE DIRECTOR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2IN ADDITION TO REVIEWING ANNUALLY, BOARD MEMBERS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST IMMEDIATELY SHOULD THEY ARISE. THE BOARD ADDRESSES CONFLICTS OF INTEREST IMMEDIATELY UPON DISCLOSURE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ALL ORGANIZATIONAL, GOVERNING AND FINANCIAL DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0CA
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt0360098
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt0360098
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalEmployeeCnt018
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0309269
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0875124
IRS990/TotalFunctionalExpensesGrp/TotalAmt01184393
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt081986
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt081986
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0278112
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00

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