Civic Intelligence

Prime Wellness Community Health Center

990 • Fiscal year 2021 • EIN 83-4275967

Jan 01, 2021 to Dec 31, 2021 • Filed on Nov 09, 2022

Organization Profile
8610 S Sepulveda Blvd Suite 104Los Angeles, CA 90045

(310) 659-7867

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

99th percentile

8.68x

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

2021 filings • 501(c)3 • <$500k nonprofits • Source year 2021

Liabilities / Revenue

92nd percentile

0.62x

Higher debt load relative to revenue than 92% of similar nonprofits.

2021 filings • 501(c)3 • <$500k nonprofits • Source year 2021

Net Margin

11th percentile

-55%

Higher net margin than 11% of similar nonprofits.

2021 filings • 501(c)3 • <$500k nonprofits • Source year 2021

Top Officer Pay

77th percentile

$0

Higher top officer pay than 77% of similar nonprofits.

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

2021 filings • 501(c)3 • <$500k nonprofits • Source year 2021

Asset Growth

Score unavailable

No value available

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

Source year 2021

Revenue Growth

Score unavailable

No value available

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

Source year 2021

Balance Sheet
Liabilities / Assets99th percentile

Assets

$16,275

No earlier filing loaded for comparison.

Net Assets

-$124,956

No earlier filing loaded for comparison.

Liabilities

$141,231

No earlier filing loaded for comparison.

Revenue And Expenses
Liabilities / Revenue92nd percentileNet Margin11th percentile

Revenue

$226,209

No earlier filing loaded for comparison.

Expenses

$351,165

No earlier filing loaded for comparison.

Net Income

-$124,956

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset GrowthScore unavailable

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$300K$200K$100K$0-$100K-$200KAssets 2021: $16,275Liabilities 2021: $141,231Net Assets 2021: -$124,9562021Assets 2023: $21,794Liabilities 2023: $0Net Assets 2023: $21,7942023Assets 2024: $15,049Liabilities 2024: $148,891Net Assets 2024: -$133,8422024Assets 2025: $259,651Liabilities 2025: $148,891Net Assets 2025: $110,7602025

Highlighted filing

2021

Assets$16,275
Liabilities$141,231
Net Assets-$124,956
Open 2021 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$2.0M$1.5M$1.0M$500K$0-$500KRevenue 2021: $226,209Expenses 2021: $351,165Net Income 2021: -$124,9562021Revenue 2023: $521,353Expenses 2023: $499,559Net Income 2023: $21,7942023Revenue 2024: $1,217,643Expenses 2024: $1,241,182Net Income 2024: -$23,5392024Revenue 2025: $1,755,762Expenses 2025: $1,711,507Net Income 2025: $44,2552025

Highlighted filing

2021

Revenue$226,209
Expenses$351,165
Net Income-$124,956
Open 2021 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Nov 9, 2022
Return Version
2021v4.2
Gross Receipts
$226,209
Mission and Program Overview

Mission

community health

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts-$16,275-
Land, Buildings, and Equipment, Net$0$0→ $0
Total Assets$0$16,275▲ $16,275
Liabilities
Other Liabilities-$141,231-
Total Liabilities$0$141,231▲ $141,231
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$-124,956▼ $124,956
Total Liabilities and Net Assets / Fund Balance$0$16,275▲ $16,275
Compensation and Service Providers
Top Officer Pay77th percentile

Board Members and Trustees

NameTitle
Elmira SipenChairman of the Board
Lamar NelsonVice Chairman of the Board
Charles JohnsonDirector of the Board
Isabel HernandezDirector of the Board
Kolja WawrowskyDirector of the Board
Ramon HernandezDirector of the Board
Vicky YamamotoDirector of the Board
Zeshan ChhipaSecretary of the Board
Belinda WashingtonTreasurer of the Board
Denys SlesarenkoCEO
Revenue and Support

Revenue Composition

Contributions and Grants
$223,255
Program Service Revenue
$2,954
Investment Income
$0
Other Revenue
$0
All Other Contributions
$198,255
Change in Net Assets
$-124,956
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$221,579
Other Expenses$127,288
Total Fundraising Expense$38,034
Professional Fundraising Fees$2,298
Grants and Similar Amounts Paid$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages-$205,662-$205,662
All Other Expenses$28,082$41,544$35,600$105,226
Payroll Taxes-$15,917-$15,917
Travel$11,014--$11,014
Insurance-$7,993-$7,993
Office Expenses-$2,919-$2,919
Fees for Services Professional Fundraising--$2,298$2,298
Conferences and Meetings--$91$91
Advertising--$45$45
Total Functional Expenses$39,096$274,035$38,034$351,165
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$2,298
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
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
Filing and Contact Details

Filer

Filer Name
Prime Wellness Community Health Center
EIN
83-4275967
Address
8610 S Sepulveda Blvd Suite 104, Los Angeles, CA 90045

Signing Officer

Name
Sipen Elmira Elmira
Title
Chairman of the Board
Signed
2022-11-09

Organization Details

Legal Domicile
CA
Voting Board Members
10
Independent Board Members
0
Employees
10

Preparer

Firm
Firstcorr Financial Services LLC
Address
43537 RIDGE PARK DR, Temecula, CA 92590
Preparer
Deborah Corr
Phone
8882031317
Supplemental Narrative

Additional Explanations

Expenses

“PROGRAM EXPENSES”

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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/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt00
IRS990/TotalAssetsEOYAmt016275
IRS990/TotalAssetsGrp/BOYAmt00
IRS990/TotalAssetsGrp/EOYAmt016275
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0223255
IRS990/TotalEmployeeCnt010
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt038034
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0274035
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt039096
IRS990/TotalFunctionalExpensesGrp/TotalAmt0351165
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt0141231
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt0141231
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-124956
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceRevenueAmt02954
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt02954
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0226209
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt016275
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ProgramServicesAmt011014
IRS990/TravelGrp/TotalAmt011014
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/USAddress/AddressLine1Txt08160 S SEPULVEDA BLD STE 104
IRS990/USAddress/CityNm0Los Angeles
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd090045
IRS990/VotingMembersGoverningBodyCnt010
IRS990/VotingMembersIndependentCnt00
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/PersonNm0Sipen Elmira Elmira
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Chairman of the Board
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-11-09
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Prime Wellness Community Health Center
ReturnHeader/Filer/BusinessNameControlTxt0PRIM
ReturnHeader/Filer/EIN0834275967
ReturnHeader/Filer/USAddress/AddressLine1Txt08610 S Sepulveda Blvd Suite 104
ReturnHeader/Filer/USAddress/CityNm0Los Angeles
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd090045
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0852841511
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0FIRSTCORR FINANCIAL SERVICES LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt043537 RIDGE PARK DR
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Temecula
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd092590
ReturnHeader/PreparerPersonGrp/PhoneNum08882031317
ReturnHeader/PreparerPersonGrp/PreparationDt02022-11-09
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0DEBORAH CORR
ReturnHeader/ReturnTs02022-11-10T07:18:30-08:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0Sipen Elmira
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0Elmira
ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-12-31
ReturnHeader/TaxYr02021

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Filings

Displayed year

2021 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$16,275
Liabilities
$141,231
Net assets
-$124,956
Revenue
$226,209
Expenses
$351,165
Net income
-$124,956
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.26$0.15$0.11$1.76$1.71$0.04
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.02$0.15$0.13$1.22$1.24$0.02
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.02$0.00$0.02$0.52$0.50$0.02
2021Detailed filing. Detailed filing data is available for this year.$0.02$0.14$0.12$0.23$0.35$0.12