CENTRAL CITY COMMUNITY HEALTH CENTER INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CENTRAL CITY COMMUNITY HEALTH CENTER INC (EIN 95-4492570)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-03-30
IRS object ID
202400909349300805
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-03-30T14:12:38-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WITHUMSMITHBROWNPCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 SPECTRUM CENTER DRIVE STE 1000AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92618ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN954492570EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Central City Community Health Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DR ROSEMARY REYESInCareOfNm
Business Name ControlCENTBusinessNameControlTxt
Phone3237240019PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12019 Saturn StreetAddressLine1Txt
CityMonterey ParkCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91755ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDr Rosemary ReyesPersonNm
Person TitleCEOPersonTitleTxt
Phone3237240019PhoneNum
Signature2024-03-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDr RosemaryPersonFirstNm
Person LastReyesPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRICHARD L RUVELSONPreparerPersonNm
PTINP00234075PTIN
Phone9492612808PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDr Rosemary ReyesPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12019 Saturn StreetAddressLine1Txt
CityMonterey ParkCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91755ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$54,734,786GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CENTRALCITYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH CARE SERVICES TO UNDERSERVED COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee349TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,836,951PYContributionsGrantsAmt
CY Contributions Grants$9,650,264CYContributionsGrantsAmt
PY Program Service Revenue$42,379,705PYProgramServiceRevenueAmt
CY Program Service Revenue$45,004,472CYProgramServiceRevenueAmt
PY Investment Income-$5,378PYInvestmentIncomeAmt
CY Investment Income$39,120CYInvestmentIncomeAmt
PY Other Revenue$62,560PYOtherRevenueAmt
CY Other Revenue$40,930CYOtherRevenueAmt
PY Total Revenue$52,273,838PYTotalRevenueAmt
CY Total Revenue$54,734,786CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$19,637,921PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$23,810,599CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$18,519,819PYOtherExpensesAmt
CY Other Expenses$19,898,154CYOtherExpensesAmt
PY Total Expenses$38,157,740PYTotalExpensesAmt
CY Total Expenses$43,708,753CYTotalExpensesAmt
PY Revenues Less Expenses$14,116,098PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$11,026,033CYRevenuesLessExpensesAmt
Total Assets BOY$37,966,009TotalAssetsBOYAmt
Total Assets EOY$49,083,237TotalAssetsEOYAmt
Total Liabilities BOY$19,807,041TotalLiabilitiesBOYAmt
Total Liabilities EOY$19,829,538TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$18,158,968NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$29,253,699NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE HEALTH CARE SERVICES TO UNDERSERVED COMMUNITIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$33,762,361ExpenseAmt
Revenue$45,045,402RevenueAmt
DescTO PROVIDE QUALITY HEALTH AND HUMAN SERVICES TO THE MEDICALLY UNDERSERVED AND LOW INCOME POPULATIONS IN A CULTURALLY SENSITIVE MANNER. CENTRAL CITY COMMUNITY HEALTH CENTER, INC. PROVIDES COMPREHENSIVE PRIMARY CARE, DENTAL, OBSTETRICS/GYNECOLOGY, FAMILY PLANNING, MENTAL HEALTH SERVICES, CHIROPRACTIC CARE, FAMILY PRACTICE, PEDIATRICS, PODIATRY, DRUG/HIV/STD TESTING, ONSITE MEDICAL ELIGIBILITY ASSISTANCE, CHRONIC DISEASE MANAGEMENT, AND HIV/AIDS CASE MANAGEMENT SERVICES. SERVICES ARE ALSO CONDUCTED THROUGH SITERUN PREVENTION PROGRAMS, INCLUDING THE COMPREHENSIVE PERINATAL SERVICES PROGRAM, VACCINE FOR CHILDREN PROGRAM, CHILD HEALTH AND DISABILITY PROGRAM, FAMILY PLANNING, ACCESS, CARE AND TREATMENT (FAMILY PACT), AND ITS SOUTH LOS ANGELESBASED MOBILE CLINIC PROVIDES THE SAME CARE TO AREA HOMELESS SHELTERS AND RESIDENTIAL FACILITIES FOR MENTALLY ILL ADULTS. IN FY 2023, 29,860 PATIENTS WERE SERVED AND OVER 187,472 ENCOUNTERS WERE PROVIDED.Desc
Total Program Service Expenses$33,762,361TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document120IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee349EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDR ROSEMARY REYESPersonNm
Phone3237240019PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12019 SATURN STREETAddressLine1Txt
CityMonterey ParkCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91755ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Michael Choi
Physician Internal Medicine40.00.0Yes (X)$490,604$0$1,044
Rosemary Reyes
Chief Executive Officer40.00.0$358,377$0$17,103Yes (X)
Shafeeq Shamsid-Deen
Chief Medical Officer40.00.0$282,400$0$34,589Yes (X)
Charles Tuan Nguyen
Psychiatrist25.00.0Yes (X)$262,331$0$0
Sommer Kaskowitz
Chief Clinical & Nursing Offic40.00.0$227,061$0$30,657Yes (X)
Michael Jordan Vizcarra
Physician OB-GYN40.00.0Yes (X)$227,825$0$8,730
Nasreen Rahman
Nurse Practitioner40.00.0Yes (X)$210,149$0$13,521
Ogbonna Olelewe
Nurse Practitioner32.00.0Yes (X)$214,983$0$0
Christina Velasco
CFO (02/23/2023)40.00.0$150,658$0$8,043Yes (X)
Johnny Setiawan
Chief financial officer40.00.0$37,173$0$0Yes (X)
Luis Marten
Chairman2.00.0$0$0$0Yes (X)Yes (X)
Larry Landless
Secretary2.00.0$0$0$0Yes (X)Yes (X)
Violi Wong
Treasurer2.00.0$0$0$0Yes (X)Yes (X)
Stella Marten
Board Member2.00.0$0$0$0Yes (X)
Maria Duran
Board Member2.00.0$0$0$0Yes (X)
Melana Smith
Board Member2.00.0$0$0$0Yes (X)
Juan Duran
Board Member2.00.0$0$0$0Yes (X)
Dee M Libertine
Board Member2.00.0$0$0$0Yes (X)
Jacqueline Bravo
Board Member2.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,461,561TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$113,687TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K49IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Creative Solutions at work
9234 Aero DrivePICO RIVERACA90660Construction Service$1,384,273
Dale Brent MD
4955 van Nuys Blvd Ste 411SHERMAN OAKSCA91403Clinic Provider$775,320
Macman Management Healthcare Servic
1300 National Drivey Ste 175SACRAMENTOCA95834Billing Services$690,715
Magui Service
415 Morth Sunkist StANAHEIMCA92806Cleaning Services$637,085
Schaepper Psychiaty APC
312 Brookside Ave Ste5REDLANDSCA92373Clinic Provider$511,695
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K19CntrctRcvdGreaterThan100KCnt
Government Grants$9,121,797GovernmentGrantsAmt
All Other Contributions$528,467AllOtherContributionsAmt
Total Contributions$9,650,264TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE621110$40,174,742$40,174,742$0
PHARMACY REVENUE621110$4,368,286$4,368,286
ADULT DAY CARE621110$461,444$461,444
FieldValueIRS element (for citing)
Total Program Service Revenue$45,004,472TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,120TotalRevenueColumnAmt
Exclusion$39,120ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business909999BusinessCd
Total Revenue Column$40,930TotalRevenueColumnAmt
Related Or Exempt Func Income$40,930RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$40,930OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,734,786TotalRevenueColumnAmt
Related Or Exempt Func Income$45,045,402RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$39,120ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,176,973TotalAmt
Program Services$909,117ProgramServicesAmt
Management And General$267,856ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,301,434TotalAmt
Program Services$14,787,439ProgramServicesAmt
Management And General$4,513,995ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$109,613TotalAmt
Program Services$86,809ProgramServicesAmt
Management And General$22,804ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,693,234TotalAmt
Program Services$1,340,977ProgramServicesAmt
Management And General$352,257ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,529,345TotalAmt
Program Services$1,211,183ProgramServicesAmt
Management And General$318,162ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$99,846TotalAmt
Management And General$99,846ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,118,072TotalAmt
Program Services$5,317,320ProgramServicesAmt
Management And General$1,800,752ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,956TotalAmt
Program Services$1,956ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,462,792TotalAmt
Program Services$1,107,459ProgramServicesAmt
Management And General$355,333ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$700,114TotalAmt
Management And General$700,114ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,644,445TotalAmt
Program Services$2,178,842ProgramServicesAmt
Management And General$465,603ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$271,698TotalAmt
Program Services$209,751ProgramServicesAmt
Management And General$61,947ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$253,996TotalAmt
Program Services$253,996ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$803,299TotalAmt
Program Services$620,147ProgramServicesAmt
Management And General$183,152ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,287,406TotalAmt
Program Services$993,877ProgramServicesAmt
Management And General$293,529ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$368,460TotalAmt
Program Services$284,451ProgramServicesAmt
Management And General$84,009ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$3,228,815$3,228,815
DUES AND SUBSCRIPTIONS$320,042$247,072$72,970
REPAIRS AND MAINTENANCE$369,257$285,066$84,191
EQUIPMENT RENTAL AND LEA$193,016$149,008$44,008

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$774,940TotalAmt
Program Services$549,076ProgramServicesAmt
Management And General$225,864ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$43,708,753TotalAmt
Program Services$33,762,361ProgramServicesAmt
Management And General$9,946,392ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,450BOYAmt
EOY$1,450EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,842,026BOYAmt
EOY$15,354,675EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$91,233BOYAmt
EOY$124,583EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,803,164BOYAmt
EOY$4,514,474EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$219,253BOYAmt
EOY$278,591EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$24,905,299LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,761,756LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$13,816,098BOYAmt
EOY$20,143,543EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$8,232,134BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$919,293BOYAmt
EOY$534,583EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,041,358BOYAmt
EOY$8,131,338EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$37,966,009BOYAmt
EOY$49,083,237EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,654,802BOYAmt
EOY$3,527,571EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$294,506BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$4,180,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,857,733BOYAmt
EOY$12,121,967EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,807,041BOYAmt
EOY$19,829,538EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,158,968BOYAmt
EOY$29,253,699EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,158,968BOYAmt
EOY$29,253,699EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$37,966,009BOYAmt
EOY$49,083,237EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$11,026,033ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$68,698NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,500,119CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,853,982CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,742,234CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,836,951CurrentTaxYearMinus1YearAmt
Current Tax Year$9,650,264CurrentTaxYearAmt
Total$38,583,550TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,500,119CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,853,982CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,742,234CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,836,951CurrentTaxYearMinus1YearAmt
Current Tax Year$9,650,264CurrentTaxYearAmt
Total$38,583,550TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$38,583,550PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,823CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$64,094CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$39,052CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,510CurrentTaxYearMinus1YearAmt
Current Tax Year$39,120CurrentTaxYearAmt
Total$147,599TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$38,731,149TotalSupportAmt
Gross Receipts Rltd Activities$158,999,218GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99619PublicSupportCY170Pct
Public Support PY1700.99690PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,791,450OtherCostOrOtherBasisAmt
Book Value$6,791,450BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,440,211OtherCostOrOtherBasisAmt
Depreciation$3,556,565DepreciationAmt
Book Value$11,883,646BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$669,542OtherCostOrOtherBasisAmt
Depreciation$284,117DepreciationAmt
Book Value$385,425BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,004,096OtherCostOrOtherBasisAmt
Depreciation$921,074DepreciationAmt
Book Value$1,083,022BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$20,143,543TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLE$1,291,305
SECURITY DEPOSITS$45,364
457 PLANS$117,952
RIGHT OF USE ASSET$6,676,717
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,131,338TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
THIRD PARTY REIMBURSEMENTS$5,377,961
LEASE LIABILITIES$6,744,006
FieldValueIRS element (for citing)
Total Liability$12,121,967TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$54,803,484TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$68,698NetUnrealizedGainsInvstAmt
Revenue Not Reported$68,698RevenueNotReportedAmt
Revenue Subtotal$54,734,786RevenueSubtotalAmt
Total Revenue Per Form990$54,734,786TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$43,708,753TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$43,708,753ExpensesSubtotalAmt
Total Expenses Per Form990$43,708,753TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Schedule D, Part X, Line 2FormAndLineReferenceDesc
ExplanationThe Health Center is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code (the "Code") and is exempt from federal income taxes on related income pursuant to Section 501(a)(1) of the Code. The Health Center is also exempt from state income taxes on related income. Accounting principles generally accepted in the United States of America prescribe requirements for the recognition of income taxes in financial statements, and the amounts recognized are affected by income tax positions taken by the Center in its tax returns. The Health Center's status as an exempt center is defined as an income tax position under these requirements. While management believes it has complied with the Internal Revenue Code, the sustainability of some income tax positions taken by the Health Center in its tax returns may be uncertain. There are minimum thresholds of likelihood that uncertain tax positions are required to meet before being recognized in the financial statements. Management does not believe that the Health Center has any material uncertain tax positions as of June 30, 2023, or 2022. In the event interest and penalties are due relating to an unsustainable tax position, they would be treated as a component of income tax expense. During the years ended June 30, 2023 and 2022, there were no interest or penalties relating to unsustainable tax positions that were recognized in these financial statements.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Rosemary Reyes
Chief Executive Officer$358,377$0$0$0$0$0$0$0$17,103$0$375,480$0$0$0
Christina Velasco
CFO (02/23/2023)$150,658$0$0$0$0$0$0$0$8,043$0$158,701$0$0$0
Sommer Kaskowitz
Chief Clinical & Nursing Offic$227,061$0$0$0$0$0$0$0$30,657$0$257,718$0$0$0
Shafeeq Shamsid-Deen
Chief Medical Officer$282,400$0$0$0$0$0$0$0$34,589$0$316,989$0$0$0
Michael Choi
Physician Internal Medicine$490,604$0$0$0$0$0$0$0$1,043$0$491,647$0$0$0
Charles Tuan Nguyen
Psychiatrist$262,331$0$0$0$0$0$0$0$0$0$262,331$0$0$0
Michael Jordan Vizcarra
Physician OB-GYN$227,825$0$0$0$0$0$0$0$8,730$0$236,555$0$0$0
Ogbonna Olelewe
Nurse Practitioner$214,983$0$0$0$0$0$0$0$0$0$214,983$0$0$0
Nasreen Rahman
Nurse Practitioner$210,149$0$0$0$0$0$0$0$13,521$0$223,670$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2MARIA AND JUAN DURAN HAVE A FAMILY RELATIONSHIP. LUIS AND STELLA MARTEN HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S FISCAL DIRECTOR HAS REVIEWED THE IRS FORM 990 PRIOR TO SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12C:ONCE A YEAR DURING A BOARD MEETING, EACH BOARD MEMBER IS GIVEN A STATEMENT TO SIGN STATING THERE ARE NO CONFLICTS OF INTEREST THAT HAVE OCCURRED OR WILL OCCUR DURING THE PAST AND SUBSEQUENT TIME REMAINING AS A BOARD MEMBER.
FORM 990, PART VI, SECTION B, LINE 15FOR ALL KEY POSITIONS OF THE ORGANIZATION, THE BOARD OF DIRECTORS OBTAIN AND DOCUMENT THE SALARY SURVEYS THAT HAVE BEEN PREPARED BY INDEPENDENT ORGANIZATIONS. IN ADDITION, THE BOARD OF DIRECTORS OBTAIN SALARY INFORMATION FROM COMPARABLE ORGANIZATIONS TO PROVIDE GUIDANCE IN SETTING THE COMPENSATION OF EACH OF THE POSITIONS. TAKEN INTO CONSIDERATION IN MAKING THE PROPER COMPARISONS ARE THE SIZE AND REVENUES OF THE ORGANIZATIONS. UPON COMPLETE SATISFACTION OF THE COMPARISONS AND SALARY RANGES, THE BOARD MOTIONS TO APPROVE THE COMPENSATION AT THEIR MEETING.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST VIA PHONE OR WRITTEN REQUEST. THESE DOCUMENTS ARE MADE AVAILABLE AT THE ORGANIZATION'S OFFICE WITH APPOINTMENT.
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTUAL - FINANCIAL TOTAL FEES:165286
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTUAL - ADMINISTRATIVE TOTAL FEES:639953
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTUAL - FACILITY TOTAL FEES:849463
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTUAL - PHYSICIAN TOTAL FEES:2032355
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTUAL - PA TOTAL FEES:21665
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTUAL - NP TOTAL FEES:129331
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTUAL - CLINICAL SUPPORT TOTAL FEES:36119
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTUAL - PODIATRIST TOTAL FEES:459620
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTUAL - DENTIST TOTAL FEES:14415
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTUAL - PSYCHIATRIST TOTAL FEES:1758300
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTUAL - OPTOMETRIST TOTAL FEES:1155
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTUAL - REG. DIETICIAN TOTAL FEES:2000
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTUAL - PHYSICIAL THERAP TOTAL FEES:4950
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTUAL - OCCUP THERAPY TOTAL FEES:4000
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTANTS - OTHER TOTAL FEES:146050
FORM 990 PART IX LINE 11GDESCRIPTION:BILLING SERVICES TOTAL FEES:853410

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HEALTH GUARD INLAND LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1268 MCARTHUR WAYAddressLine1Txt
CityUPLANDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91786ZIPCd
FieldValueIRS element (for citing)
EIN263522465EIN
Primary ActivitiesADULT DAY CARPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Total Income$461,444TotalIncomeAmt
End Of Year Assets$130,299EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CCCHC INCBusinessNameLine1Txt

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