Civic Intelligence

Pacific Clinics Foundation Inc

990 • Fiscal year 2018 • EIN 95-4639115

Jul 01, 2017 to Jun 30, 2018 • Filed on Feb 06, 2019

Organization ProfileWWW.PACIFICCLINICS.ORG
800 S Santa Anita AvenueArcadia, CA 91006

(626) 254-5000

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Flat

$0

Flat from 2018

Net Assets

Flat

$0

Flat from 2018

Liabilities

Flat

$0

Flat from 2018

Revenue And Expenses

Revenue

Flat

$23,595

Flat from 2018

Expenses

Flat

$3,384

Flat from 2018

Net Income

Flat

$20,211

Flat from 2018

Historical Trend

Balance Sheet Trend

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

$300K$200K$100K$0Assets 2010: $96,703Liabilities 2010: $22,299Net Assets 2010: $74,4042010Assets 2011: $82,938Liabilities 2011: $5,422Net Assets 2011: $77,5162011Assets 2012: $78,715Liabilities 2012: $5,911Net Assets 2012: $72,8042012Assets 2013: $87,412Liabilities 2013: $2,304Net Assets 2013: $85,1082013Assets 2014: $115,445Liabilities 2014: $2,504Net Assets 2014: $112,9412014Assets 2015: $154,037Liabilities 2015: $2,809Net Assets 2015: $151,2282015Assets 2016: $216,088Liabilities 2016: $3,145Net Assets 2016: $212,9432016Assets 2017: $243,844Liabilities 2017: $2,400Net Assets 2017: $241,4442017Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018

Highlighted filing

2018

Assets$0
Liabilities$0
Net Assets$0
Open 2018 Filing

Operations Trend

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

$300K$200K$100K$0-$100KRevenue 2010: $135,436Expenses 2010: $194,569Net Income 2010: -$59,1332010Expenses 2011: $282,2522011Revenue 2012: $14,129Expenses 2012: $18,841Net Income 2012: -$4,7122012Revenue 2013: $17,930Expenses 2013: $5,626Net Income 2013: $12,3042013Revenue 2014: $33,195Expenses 2014: $5,362Net Income 2014: $27,8332014Revenue 2015: $42,652Expenses 2015: $4,365Net Income 2015: $38,2872015Revenue 2016: $64,459Expenses 2016: $2,744Net Income 2016: $61,7152016Revenue 2017: $31,346Expenses 2017: $2,845Net Income 2017: $28,5012017Revenue 2018: $23,595Expenses 2018: $3,384Net Income 2018: $20,2112018Revenue 2018: $23,595Expenses 2018: $3,384Net Income 2018: $20,2112018

Highlighted filing

2018

Revenue$23,595
Expenses$3,384
Net Income$20,211
Open 2018 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
Feb 6, 2019
Return Version
2017v2.3
Gross Receipts
$23,595
Mission and Program Overview

Mission

To support the mission of pacific clinics by identifying, implementing, and sustaining diverse activities in resource development.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$243,844$0▼ $243,844
Rtn Earn Endowment Incm Other Fnds$241,444$0▼ $241,444
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
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-
Land, Buildings, and Equipment, Net-$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-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$243,844$0▼ $243,844
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$2,400$0▼ $2,400
Total Liabilities$2,400$0▼ $2,400
Net Assets / Fund Balance
Total Net Assets Fund Balance$241,444$0▼ $241,444
Total Liabilities and Net Assets / Fund Balance$243,844$0▼ $243,844
Compensation and Service Providers

Board Members and Trustees

NameTitle
Richard M DominguezChair
James J Balla MbaPresident
Judith WeinsteinTrustee
Kent M CrawfordTrustee
Ronald C BanksTrustee
Russell Tyner AiaTrustee
Stacy Weinstein-harrisonTrustee
Susan Mandel PhdTrustee
Joseph WongAssistant Treasurer
Michael J DunnSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$22,517
Program Service Revenue
$0
Investment Income
$1,078
Other Revenue
$0
All Other Contributions
$22,517
Change in Net Assets
$20,211
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$3,384
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Accounting-$2,487-$2,487
Fees for Services Legal-$689-$689
Office Expenses-$153-$153
Other Expenses-$55-$55
Total Functional Expenses$0$3,384$0$3,384
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
Audit committee
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
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“Form 990 is presented to the board of trustees for review and approval prior to filing with the irs.”

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

“The board of directors is required to report any conflicts of interest that may arise.”

Form 990, Part VI, Section B, Line 15

“No compensation is paid by the foundation.”

Form 990, Part VI, Section C, Line 19

“Governing documents, conflict of interest policies, and financial infomrmation is available upon request for the same period of disclosure as set forth in section 6104(d).”

Filing and Contact Details

Filer

Filer Name
Pacific Clinics Foundation Inc
EIN
95-4639115
Phone
6262545000
Address
800 S SANTA ANITA AVENUE, ARCADIA, CA 91006

Signing Officer

Name
James Balla
Title
President
Phone
6262545000
Signed
2019-02-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
James Balla
Formed
1997
Legal Domicile
CA
Voting Board Members
9
Independent Board Members
9
Employees
0
Volunteers
30

Preparer

Firm
Rsm US Llp
Address
801 NICOLLET MALL WEST TOWER STE, 1100, MINNEAPOLIS, MN 55402-2526
Preparer
Todd Jackson
Phone
6123324300
Supplemental Narrative

Additional Explanations

FORM 990, PART I, LINE 6:

“Volunteers consist of board members, pacific clinic's staff administration, and fundraising event volunteers.”

Form 990, Part III, Line 3

“Pacific clinics foundation dissolved during fy18.”

FORM 990, PART XI, LINE 9:

“Assets dispersed upon dissolution -261,655.”

Financial Statement Notes

PART X, LINE 2:

“Pacific clinics reviewed its tax position for all open tax years and concluded that the provisions of asc 740 did not have an impact on its financial position.”

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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0ACTUAL AMOUNT
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt0800 S SANTA ANITA AVENUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0ARCADIA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0CA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd091006
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd01
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0PERSON(S) INVOLVED: JAMES J. BALLA, RICHARD M. DOMINGUEZ AND JOSEPH WONG
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt1EXPLANATION OF INVOLVEMENT: RICHARD M. DOMINGUEZ IS, AND WAS PRIOR TO THE DISSOLUTION OF THE FOUNDATION, A VOTING DIRECTOR OF THE TRANSFEREE ORGANIZATION, PACIFIC CLINICS. JAMES J. BALLA IS, AND WAS PRIOR TO THE DISSOLUTION OF THE FOUNDATION, THE PRESIDENT & CEO OF THE TRANSFEREE ORGANIZATION, PACIFIC CLINICS. JOSEPH WONG IS AND WAS PRIOR TO THE DISSOLUTION OF THE FOUNDATION, THE CFO OF THE TRANSFEREE ORGANIZATION, PACIFIC CLINICS.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2E:
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 2E:
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0VOLUNTEERS CONSIST OF BOARD MEMBERS, PACIFIC CLINIC'S STAFF ADMINISTRATION, AND FUNDRAISING EVENT VOLUNTEERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1PACIFIC CLINICS FOUNDATION DISSOLVED DURING FY18.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2FORM 990 IS PRESENTED TO THE BOARD OF TRUSTEES FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE BOARD OF DIRECTORS IS REQUIRED TO REPORT ANY CONFLICTS OF INTEREST THAT MAY ARISE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4NO COMPENSATION IS PAID BY THE FOUNDATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL INFOMRMATION IS AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6ASSETS DISPERSED UPON DISSOLUTION -261,655.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART I, LINE 6:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART III, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XI, LINE 9:
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd01
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0CA
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt0243844
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt0243844
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt022517
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt03384
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt03384
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt02400
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt02400
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0241444
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt01078
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt023595
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt030
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0243844
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0800 S SANTA ANITA AVENUE
IRS990/USAddress/CityNm0ARCADIA
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd091006
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt09
IRS990/WebsiteAddressTxt0WWW.PACIFICCLINICS.ORG
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JAMES BALLA
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum06262545000
ReturnHeader/BusinessOfficerGrp/SignatureDt02019-02-06
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0PACIFIC CLINICS FOUNDATION INC
ReturnHeader/Filer/BusinessNameControlTxt0PACI
ReturnHeader/Filer/EIN0954639115
ReturnHeader/Filer/PhoneNum06262545000
ReturnHeader/Filer/USAddress/AddressLine1Txt0800 S SANTA ANITA AVENUE
ReturnHeader/Filer/USAddress/CityNm0ARCADIA
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd091006
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0C0F43978DBA0C0105C9EC865D2B1B55C6AA9D490
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0B56786F7D21A8F39D00ED83C272556B8DDCB8C36
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0108.171.131.189
ReturnHeader/FilingSecurityInformation/IPDt02019-02-06
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0CS
ReturnHeader/FilingSecurityInformation/IPTm017:11:44
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0420714325
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0RSM US LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0801 NICOLLET MALL WEST TOWER STE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine2Txt01100
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0MINNEAPOLIS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0554022526
ReturnHeader/PreparerPersonGrp/PhoneNum06123324300
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0TODD JACKSON
ReturnHeader/ReturnTs02019-02-14T16:51:30-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02017-07-01
ReturnHeader/TaxPeriodEndDt02018-06-30
ReturnHeader/TaxYr02017

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2018 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$23,595
Expenses
$3,384
Net income
$20,211
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2018Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.24$0.03$0.20
2018Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.24$0.03$0.20
2017Detailed filing. Detailed filing data is available for this year.$2.44$0.02$2.41$0.31$0.03$0.29
2016Detailed filing. Detailed filing data is available for this year.$2.16$0.03$2.13$0.64$0.03$0.62
2015Detailed filing. Detailed filing data is available for this year.$1.54$0.03$1.51$0.43$0.04$0.38
2014Detailed filing. Detailed filing data is available for this year.$1.15$0.03$1.13$0.33$0.05$0.28
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.87$0.02$0.85$0.18$0.06$0.12
2012Summary only. Only limited summary data is available for this year.$0.79$0.06$0.73$0.14$0.19$0.05
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.83$0.05$0.78$2.82
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.97$0.22$0.74$1.35$1.95$0.59