2024-05-13T16:32:45-05:00 2023-06-30 953001179 WINDES INC PO BOX 87 LONG BEACH CA 90801 990 2022-07-01 954552419 THE ACHIEVABLE FOUNDATION ACHI 4242667480 100 CORPORATE POINTE 270 CULVER CITY CA 90230 CARMEN IBARRA CEO 4242667480 2024-04-29 1 CARMEN IBARRA 999009999 1 LESLIE MORI P01247701 5624351191 2024-04-29 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ACHIEVABLE HEALTH CARMEN IBARRA 100 CORPORATE POINTE 270 CULVER CITY CA 90230 4556877 0 X WWW.ACHIEVABLE.ORG X 1995 CA HEALTH CARE SERVICES TO VULNERABLE POPULATIONS 11 11 37 23 0 0 1844481 2195842 2146153 2277876 956 8749 38911 28591 4030501 4511058 0 0 0 0 2761554 3200223 0 0 253770 1019390 1180636 3780944 4380859 249557 130199 2898358 4199637 1019612 2190692 1878746 2008945 PROVIDE HIGH QUALITY, INTEGRATED HEALTH CARE TO INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, THEIR FAMILIES, AND OTHER VULNERABLE POPULATIONS. 0 0 3366656 2277876 ORGANIZED TO PROVIDE HIGH QUALITY, WHOLE-PERSON, INTEGRATED HEALTH CARE TO 2,362 INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, THEIR FAMILIES AND OTHER UNDERSERVED POPULATIONS THROUGH 7,740 VISITS FOR SERVICES SUCH AS COVID-19 TESTING AND VACCINATIONS, WELL-CHILD VISITS AND BEHAVIORAL HEALTH COUNSELING. 3366656 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7 0 1 37 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 CA X X MARIA NAZARIO CFO 4243415432 100 CORPORATE POINTE 270 CULVER CITY CA 90230 TEDDY TANNEBAUM PRESIDENT 2.00 X X 0 0 0 ERIC CARR VICE PRESIDENT 2.00 X X 0 0 0 FRANCIS YEE TREASURER 2.00 X X 0 0 0 ANIKA DUNCAN SECRETARY 1.00 X X 0 0 0 JOHN CHAVEZ ASSITANT SECRETARY 1.00 X X 0 0 0 MIKE GALPER BOARD MEMBER 1.00 X 0 0 0 KENT GRAHAM BOARD MEMBER 1.00 X 0 0 0 SALLY HUGHES BOARD MEMBER 1.00 X 0 0 0 NANCY LEONARDO BOARD MEMBER 1.00 X 0 0 0 ELI MINGAIL BOARD MEMBER 1.00 X 0 0 0 GERI CLARKE-FLOWERS BOARD MEMBER 1.00 X 0 0 0 CARMEN IBARRA CHIEF EXECUTIVE OFFICER 45.00 X 200168 0 155 MICHELLE CATANZARITE CHIEF MEDICAL OFFICER 30.00 X 234093 0 7990 MARIA NAZARIO CHIEF FINANCIAL OFFICER 45.00 X 131634 0 13415 CHRISTOPHER BARRETT CHIEF OPERATIONS OFFICER 45.00 X 116373 0 6673 LAVEEZA BHATTI PHYSCIAN 20.00 X 127825 0 0 MARK KURZMAN PHYSCIAN 38.00 X 209574 0 7990 JANAYIA RICHARDSON NURSE PRACTITIONER 36.00 X 107188 0 6174 STACEY SHUAI PEDIATRICIAN 40.00 X 185421 0 6180 1312276 0 48577 10 0 1 0 SLAUSON INVESTORS LLC PO BOX 74912 CLEVELAND OH 44194 HEALTH CENTER SUPPORT SITE LEASE AND CAM 141993 GREENWAY HEALTH PO BOX 203658 DALLAS TX 75320 ELECTRONIC HEALTH RECORD AND REVENUE CYC 135989 WESTSIDE REGIONAL CENTER 5901 GREEN VALLEY CIR STE 450 CULVER CITY CA 90230 HEALTH CENTER LEASE AND CAM 108812 3 137099 1431866 626877 21554 2195842 PATIENT SERVICES 621400 2277876 2277876 2277876 8749 8749 20625 137099 45819 -25194 -25194 HRSA PRIOR FUNDING DRA 900099 47977 47977 CA EDD REIMBURSEMENT 900099 4288 4288 OTHER INCOME 900099 1520 1520 53785 4511058 2277876 0 37340 630698 335096 258653 36949 2106111 1716322 264808 124981 12800 9621 2422 757 254180 201825 39031 13324 196434 148146 35632 12656 52620 32550 20070 258094 197099 37514 23481 27539 21093 4032 2414 36584 23103 7069 6412 297822 218255 56442 23125 4447 2145 2007 295 19340 370 16170 2800 32508 32508 30633 22366 5368 2899 CLINIC EXPENSES 315888 315888 COMMUNICATION 60697 57234 3268 195 OTHER OPERATING EXPENSE 22510 14219 7040 1251 STAFF RECRUITMENT & DEV 21954 18816 907 2231 4380859 3366656 760433 253770 1212113 1387327 1154792 1171988 14847 108396 354807 153562 452 505811 398281 133874 107530 27473 1270834 2898358 4199637 281821 337723 191399 5000 366392 268404 180000 1579565 1019612 2190692 X 1814426 1922806 64320 86139 1878746 2008945 2898358 4199637 130199 0 X 0 1 X 1 1 1 X 1164798 2062028 2103709 1844481 2195842 9370858 1164798 2062028 2103709 1844481 2195842 9370858 33258 9337600 39872 47033 24412 956 8749 121022 2513 742 3255 38169 53785 91954 9587089 9175667 0.97400 0.96640 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: LEASE BUY-OUT - 2021 AMOUNT: $ 37,500. OTHER INCOME - 2021 AMOUNT: $ 669. 2022 AMOUNT: $ 1,520. HRSA PRIOR FUNDING DRAWDOWN - 2022 AMOUNT: $ 47,977. CA EDD REIMBURSEMENT - 2022 AMOUNT: $ 4,288. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 244179 176896 67283 261632 221385 40247 107530 SECURITY DEPOSITS 27473 RIGHT OF USE OF ASSET 1243361 1270834 MEDICAL CLAIMS SETTLEMENT 12320 ECONOMIC INJURY DISASTER LOAN 150000 OPERATING LEASE LIABILITY 1417245 1579565 X 4524157 13099 13099 4511058 0 4511058 4393958 13099 13099 4380859 0 4380859 PART X, LINE 2: FIN 48 THE ORGANIZATION RECOGNIZES THE FINANCIAL STATEMENT BENEFIT OF TAX POSITIONS, SUCH AS A FILING STATUS OF TAX-EXEMPT, ONLY AFTER DETERMINING THAT THE RELEVANT TAX AUTHORITY WOULD MORE LIKELY THAN NOT SUSTAIN THE POSITION FOLLOWING AN AUDIT. THE ORGANIZATION IS SUBJECT TO POTENTIAL INCOME TAX AUDITS ON OPEN TAX YEARS BY ANY TAXING JURISDICTION IN WHICH IT OPERATES. THE STATUTE OF LIMITATIONS FOR FEDERAL AND CALIFORNIA PURPOSES IS GENERALLY THREE AND FOUR YEARS, RESPECTIVELY. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING NON-CASH CONTRIBUTIONS 13,099. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING NON-CASH CONTRIBUTIONS 13,099. FORM 990, PART X, LINE 25 - ECONOMIC INJURY DISASTER LOAN IN JULY 2020, THE ORGANIZATION RECEIVED AN ECONOMIC INJURY DISASTER LOAN (EIDL) UNDER THE SMALL BUSINESS ADMINISTRATION'S (SBA) ASSISTANCE PROGRAM IN LIGHT OF THE IMPACT OF THE COVID-19 PANDEMIC. PURSUANT TO THE EIDL AGREEMENT, THE ORGANIZATION RECEIVED A LOAN OF $150,000, TO BE USED FOR WORKING CAPITAL PURPOSES ONLY. PURSUANT TO THE EIDL AGREEMENT, THE ORGANIZATION EXECUTED; (I) A NOTE FOR THE BENEFIT OF THE SBA, WHICH CONTAINS CUSTOMARY EVENTS OF DEFAULT; AND (II) A SECURITY AGREEMENT, GRANTING THE SBA A SECURITY INTEREST IN ALL TANGIBLE AND INTANGIBLE PERSONAL PROPERTY OF THE ORGANIZATION, WHICH ALSO CONTAINS CUSTOMARY EVENTS OF DEFAULT. THE EIDL BEARS AN INTEREST RATE OF 2.75% PER ANNUM WHICH ACCRUES FROM THE DATE OF THE ADVANCE. THE BALANCE OF PRINCIPAL AND INTEREST IS PAYABLE THIRTY YEARS FROM THE DATE OF THE EIDL AGREEMENT. INSTALLMENT PAYMENTS OF $641, INCLUDING PRINCIPAL AND INTEREST, ARE DUE MONTHLY STARTING 30 MONTHS AFTER THE EIDL AGREEMENT, WITH FINAL PAYMENT DUE JULY 2050. GALA 157724 137099 20625 28459 300 17060 157724 137099 20625 28459 300 17060 45819 -25194 X X X X 0 0 0 0 0 0 0 0 0 MICHELLE CATANZARITE CHIEF MEDICAL OFFICER 234093 0 0 0 0 0 0 0 7990 0 242083 0 0 0 MARK KURZMAN PHYSCIAN 209574 0 0 0 0 0 0 0 7990 0 217564 0 0 0 CARMEN IBARRA CHIEF EXECUTIVE OFFICER 200168 0 0 0 0 0 0 0 155 0 200323 0 0 0 STACEY SHUAI PEDIATRICIAN 185421 0 0 0 0 0 0 0 6180 0 191601 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B DESCRIBE HOW THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED. AFTER THE FORM 990 IS PREPARED, THE FINANCE COMMITTEE IS PROVIDED A COPY OF THE DRAFT 990 FOR REVIEW AND IS ASKED TO RESPOND WITH ANY QUESTIONS, COMMENTS OR CHANGES. WHEN ALL QUESTIONS AND CONCERNS HAVE BEEN ADDRESSED BY THE FIRM ENGAGED TO PREPARE THE RETURN, A FINAL COPY IS THEN FORWARDED TO THE ENTIRE BOARD BEFORE IT IS SIGNED BY THE CEO AND FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DESCRIBE HOW THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. MEMBERS OF THE BOARD, OFFICERS, AND KEY EMPLOYEES FILL OUT AND SIGN AN ANNUAL CONFLICT OF INTEREST POLICY. IF POTENTIAL CONFLICTS ARISE, IT IS REVIEWED BY THE BOARD AND DECISIONS ARE MADE IN THE BEST INTEREST OF THE ORGANIZATION. ANY PAST POTENTIAL CONFLICTS OF INTEREST THAT MAY STILL EXIST ARE ALSO RECONSIDERED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15A DESCRIBE THE PROCESS FOR DETERMINING COMPENSATION OF THE EXECUTIVE DIRECTOR. THE BOARD APPROVED THE SALARY BASED ON COMPARABLE RATES OF OTHER CEOS. FORM 990, PART VI, SECTION C, LINE 19 DESCRIBE HOW THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, FORM 990 AND FORM 1023 AVAILABLE UPON REQUEST AT THE ORGANIZATION'S HEADQUARTERS.