2023-04-04T08:23:08-05:00 2022-06-30 WITHUMSMITHBROWNPC 100 SPECTRUM CENTER DRIVE STE 1000 IRVINE CA 92618 990 2021-07-01 954492570 Central City Community Health Center Inc % DR ROSEMARY REYES CENT 3237240019 2019 Saturn Street Monterey Park CA 91755 Dr Rosemary Reyes CEO 3237240019 2023-03-12 true Dr Rosemary Reyes 999009999 Richard Ruvelson P00234075 9492612808 3 2021 2023-04-26 12:10:37Z Dr Rosemary Reyes 2019 Saturn Street Monterey Park CA 91755 52293414 false X WWW.CENTRALCITYHEALTH.ORG X 1994 CA TO PROVIDE HEALTH CARE SERVICES TO UNDERSERVED COMMUNITIES. 9 9 347 9 0 0 6742234 9836951 36334716 42379705 39052 -5378 267309 62560 43383311 52273838 0 0 0 0 17608746 19637921 0 0 0 17582673 18519819 35191419 38157740 8191892 14116098 35317348 37966009 31048286 19807041 4269062 18158968 X TO PROVIDE HEALTH CARE SERVICES TO UNDERSERVED COMMUNITIES. false false 28512675 42442265 TO 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 2022, 31,791 PATIENTS WERE SERVED AND OVER 190,993 ENCOUNTERS WERE PROVIDED. 28512675 true true false false false false false false false false true false false false true true true false false false false false false false false false false false false true false false false false false true false false true false false false true false false false false true 122 0 true 347 true false false false false false false false false false false false false X 9 9 true false false false false false false true true false false false true true true true true true true false CA X DR ROSEMARY REYES 3237240019 2019 SATURN STREET Monterey Park CA 91755 X Rosemary Reyes Chief Executive Officer 40.0 0.0 X 448622 0 10688 Omar Moreno-Former CEO (Through 5/20/21) 40.0 0.0 X 427335 0 2362 Sommer Kaskowitz Chief Clinical & Nursing Offic 40.0 0.0 X 376265 0 25443 Michael Choi Physician Internal Medicine 40.0 0.0 X 276537 0 1071 Shafeeq Shamsid-Deen Chief Medical Officer 40.0 0.0 X 219190 0 29926 Charles Tuan Nguyen Psychiatrist 25.0 0.0 X 232791 0 0 Nickolas L Lind Lead Physician 40.0 0.0 X 224362 0 162 Michael Jordan Vizcarra Physician-OB GYN 40.0 0.0 X 213039 0 8678 Nasreen Rahman Nurse Practitioner 40.0 0.0 X 201232 0 13673 Sean Edin Talaee CFO (Through 2/10/22) 40.0 0.0 X 2423 0 0 Luis Marten Chairman 2.0 0.0 X X 0 0 0 Larry Landless Secretary 2.0 0.0 X X 0 0 0 Violi Wong Treasurer 2.0 0.0 X X 0 0 0 Stella Marten Board Member 2.0 0.0 X 0 0 0 Maria Duran Board Member 2.0 0.0 X 0 0 0 Melana Smith Board Member 2.0 0.0 X 0 0 0 Juan Duran Board Member 2.0 0.0 X 0 0 0 Dee M Libertine Board Member 2.0 0.0 X 0 0 0 Jacqueline Bravo Board Member 2.0 0.0 X 0 0 0 2621796 0 92003 38 true true false Creative Solutions at work 9234 Aero Drive PICO RIVERA CA 90660 Construction Service 1454813 Macman Management Healthcare Servic 1300 National Drive Ste 175 SACRAMENTO CA 95834 Billing Services 719537 KPG Healthcare LLC PO Box 840202 LOS ANGELES CA 900840202 Clinic Provider 377249 Dale J Brent MD 4955 Van Nuys Blvd Ste 411 SHERMAN OAKS CA 91403 Clinic Provider 708101 Schaepper Psychiatry APC 312 Brookside Ave Ste 5 REDLANDS CA 92373 Clinic Provider 506265 30 9169526 667425 60178 9836951 NET PATIENT SERVICE REVENUE 621110 37733158 37733158 PHARMACY REVENUE 621110 4003623 4003623 ADULT DAY CARE 621110 642924 642924 42379705 3510 3510 0 0 0 0 0 10688 19576 -8888 -8888 -8888 0 0 0 0 0 0 0 0 0 OTHER INCOME 900099 62560 62560 62560 52273838 42442265 0 -5378 0 0 0 0 1345828 1145561 200267 0 15292114 12401407 2890707 47040 35136 11904 1709980 1277247 432733 1242959 928412 314547 0 210662 210662 0 0 0 0 7966162 5908557 2057605 5108 5108 1302395 674910 627485 839314 839314 0 2478347 1991932 486415 292481 153966 138515 0 88263 88263 840107 630991 209116 0 158303 154377 3926 315483 234809 80674 MEDICAL SUPPLIES 2372582 2372582 DUES AND SUBSCRIPTIONS 279327 134485 144842 REPAIRS AND MAINTENANCE 176069 105693 70376 EQUIPMENT RENTAL AND LEA 192710 140240 52470 1002506 128999 873507 38157740 28512675 9645065 0 X 1000 1450 19752502 10842026 63628 91233 2641368 2803164 0 0 0 0 0 0 0 0 258601 219253 17675158 3859060 10650969 13816098 0 8232134 0 0 0 0 987466 919293 961814 1041358 35317348 37966009 2962976 2654802 0 0 172954 294506 0 0 0 0 0 0 2500000 0 0 0 25412356 16857733 31048286 19807041 X 4269062 18158968 0 0 4269062 18158968 35317348 37966009 14116098 -226192 X false true X true true true X 5859060 5500119 6853982 6742234 9836951 34792346 0 0 5859060 5500119 6853982 6742234 9836951 34792346 0 34792346 47 1823 64094 39052 3510 108526 0 0 34900872 175239056 0.99689 0.99644 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2483339 2483339 13091742 3261366 9830376 621824 58883 562941 1478253 538811 939442 13816098 0 STATE MEDI-CAL PAYABLE S/T 16510074 STATE MEDI-CAL PAYABLE L/T 347659 16857733 X 52047646 -226192 -226192 52273838 52273838 38157740 38157740 38157740 Form 990, Sch D, Part X, Line 2: THE HEALTH CENTER IS A NON-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 POSTIIONS AS OF JUNE 30, 2022, OR 2021. IN THE EVENT INTEREST AND PENALTIES ARE DUE RELATING TO AN UNSUSTAINBALBLE TAX POSTION, THEY WOULD BE TREATED AS A COMPONENT OF INCOME TAX EXPENSE. DURING THE YEARS ENDED JUNE 30, 2022 AND 2021, THERE WERE NO INTEREST OR PENALTIES RELATING TO UNSUSTAINABLE TAX POSTIONS THAT WERE RECONGIZED IN THESE FINANCIAL STATEMENTS. X X X false false false false false false false false false Omar Moreno-Former CEO (Through 5/20/21) 427335 0 0 0 2362 429697 0 Rosemary Reyes Chief Executive Officer 448622 0 0 0 10688 459310 0 Michael Choi Physician Internal Medicine 276537 0 0 0 1071 277608 0 Charles Tuan Nguyen Psychiatrist 232791 0 0 0 0 232791 0 Nickolas L Lind Lead Physician 224362 0 0 0 162 224524 0 Shafeeq Shamsid-Deen Chief Medical Officer 219190 0 0 0 29926 249116 0 Michael Jordan Vizcarra Physician-OB GYN 213039 0 0 0 8678 221717 0 Sommer Kaskowitz Chief Clinical & Nursing Offic 376265 0 0 0 25443 401708 0 Nasreen Rahman Nurse Practitioner 201232 0 0 0 13673 214905 0 VARELA MEDICAL GROUP INC OWNED BY FORMER Executive Director, GILBERT VARELA 360000 ORGANIZATION PAID VARELA MG false INDEPENDENT PRACTICE ASSOCIATION OWNED BY FORMER EXECUTIVE DIRECTOR, GILBERT VARELA 460108 FIRM RECEIVES CAPITATED PAYMEN false PART IV, LINE 1, COLUMN D: ORGANIZATION PAID VARELA MEDICAL GROUP FOR MEDICAL SERVICES PROVIDED TO THE ORGANIZATION. THE OWNER OF VARELA MEDICAL GROUP IS A FORMER CEO, GILBERT VARELA. PART IV, LINE 2, COLUMN D: ALLIANCE HEALTH SYSTEMS IS AN INDEPENDENT PRACTICE ASSOCIATION 100% OWNED BY THE FORMER CEO, GILBERT VARELA. THE ORGANIZATION RECEIVES A CAPITATED PAYMENT ON A PER MEMBER PER MONTH BASIS FOR PRIMARY CARE SERVICES PROVIDED BY THE ORGANIZATION. X 12020 60178 FMV false false false FORM 990, PART VI, SECTION A, LINE 2 MARIA AND JUAN DURAN HAVE A FAMILY RELATIONSHIP. LUIS AND STELLA MARTEN HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE 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 15 FOR 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 19 THE 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 11G DESCRIPTION:CONTRACTUAL - FINANCIAL TOTAL FEES:341286 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTUAL - ADMINISTRATIVE TOTAL FEES:610162 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTUAL - FACILITY TOTAL FEES:761777 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTUAL - MEDICAL/MENTAL TOTAL FEES:5147772 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTUAL - DENTAL TOTAL FEES:9695 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTANTS - OTHERS TOTAL FEES:344381 FORM 990 PART IX LINE 11G DESCRIPTION:BILLING SERVICES TOTAL FEES:751089 HEALTH GUARD INLAND LLC 268 MCARTHUR WAY UPLAND CA 91786 263522465 ADULT DAYCARE CA 642924 0 CCCHC INC