2022-05-04T13:43:40-05:00 2021-06-30 330783700 PDM LLP 3460 TORRANCE BLVD STE 200 TORRANCE CA 90503 990 2020-07-01 330574214 CAMINO HEALTH CENTER CAMI 9493647767 30300 CAMINO CAPISTRANO SAN JUAN CAPISTRANO CA 92675 PAUL CACERES CHIEF FINANCIAL OFFICER 9492402030 2022-05-04 1 PAUL CACERES 999009999 PRESTON GEGENFURTNER CPA P01347982 3105404118 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z PAUL CACERES 30300 CAMINO CAPISTRANO SAN JUAN CAPISTRANO CA 92675 17792353 0 X WWW.CAMINOHEALTHCENTER.ORG X 1992 CA IMPROVE HEALTH OF UNDERSERVED IN S. ORANGE COUNTY BY PROVIDING AFFORDABLE, QUALITY PRIMARY CARE. 11 11 119 20 0 0 7040676 10778155 7774563 7006120 149626 8078 0 0 14964865 17792353 0 0 0 0 9837842 9632456 0 0 0 4711277 4455897 14549119 14088353 415746 3704000 19204350 22271376 3566370 2929396 15637980 19341980 TO IMPROVE THE HEALTH OF THE UNDERSERVED IN SOUTH ORANGE COUNTY BY PROVIDING AFFORDABLE, QUALITY PRIMARY CARE. 0 0 10885144 7006120 THE ORGANIZATION PROVIDES AFFORDABLE, QUALITY PRIMARY MEDICAL CARE, DENTAL CARE, OPTOMETRY, AND BEHAVIORAL HEALTH SERVICES THROUGH ITS MEDICAL CLINIC AND DENTAL CLINICS. THE ORGANIZATION IS DEVOTED TO SERVING THE UNDERSERVED AND VULNERABLE POPULATION IN THE COMMUNITY OF SOUTH ORANGE COUNTY. THE ORGANIZATION SERVES OVER 100,000 PATIENT VISITS ANNUALLY. 1165050 THE ORGANIZATION PROVIDES EDUCATIONAL AND SOCIAL SERVICES THROUGH THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN (WIC). THE PROGRAM PROVIDES SUPPLEMENTAL NUTRITION FOOD VOUCHERS, NUTRITION EDUCATION, AND REFERRALS TO HEALTH CARE FOR LOW-INCOME PERSONS DURING CRITICAL PERIODS OF GROWTH AND DEVELOPMENT. SUCH PERSONS INCLUDE PREGNANT WOMEN, BREAST-FEEDING WOMEN UP TO ONE YEAR POSTPARTUM, NON-BREAST FEEDING WOMEN UP TO SIX MONTHS POSTPARTUM, INFANTS, AND CHILDREN UNDER AGE FIVE DETERMINED TO BE AT NUTRITIONAL RISK. INTERVENTION DURING THE PRENATAL PERIOD IMPROVES FETAL DEVELOPMENT AND REDUCES THE INCIDENCE OF LOW BIRTH WEIGHT, SHORT GESTATION, AND ANEMIA. 12050194 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 14 0 1 119 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 CA X X PAUL CACERES 9492402030 30300 CAMINO CAPISTRANO SAN JUAN CAPISTRANO CA 92675 MARY JANE FOLEY CHAIR 1.00 X X 0 0 0 DAVID JOFFE VICE CHAIR 1.00 X X 0 0 0 HORACIO HERNANDEZ BOARD MEMBER 1.00 X 0 0 0 JOSEPH VISE BOARD MEMBER 1.00 X 0 0 0 CAROL HALESWORTH BOARD MEMBER 1.00 X 0 0 0 SETH TEIGEN BOARD MEMBER 1.00 X 0 0 0 ADRIANA IBARRA BOARD MEMBER 1.00 X 0 0 0 MARTHA ANN FITZPATRICK BOARD MEMBER 1.00 X 0 0 0 BRENDA JULIAN BOARD MEMBER 1.00 X 0 0 0 SUSAN HOFFNAGLE BOARD MEMBER 1.00 X 0 0 0 CLAUDIA MONTES BOARD MEMBER 1.00 X 0 0 0 DEBRA DREW CEO 50.00 X 332184 0 22690 PAUL CACERES CFO 50.00 X 247676 0 24069 SERGIO ULISES RODAS CMO 50.00 X 352291 0 27651 RANDY SMITH COO 50.00 X 174049 0 25782 JOSE MANUEL GARCIA CIO 50.00 X 156096 0 25662 MINA ABAZARI PHYSICIAN 40.00 X 245591 0 15838 JULIE WILHELMI DENTIST 40.00 X 189693 0 17270 ROSE ROLDAN DENTIST 40.00 X 182043 0 16787 FIROZEH GRUBER PHYSICIAN 40.00 X 196974 0 28529 EMILY JACKSON DENTIST 40.00 X 154903 0 26603 2231500 0 230881 10 0 1 0 OCEANS MEDICAL STFFING 27281 LAS RAMBLAS 200 MISSION VIEJO CA 92691 STAFFING 442537 QUEST DIAGNOSTICS INC 675 CAMINO DE LOS MARES STE 300 SAN CLEMENTE CA 92673 LAB SERVICES 378849 AFTER HOURS SUPPORT SERVICES LLC 23832 ROCKFIELD BLVD 195 LAKE FOREST CA 92630 IT SERVICES 348274 MCKESSON MEDICAL-SURGICAL 2800 E PHILADELPHIA ST ONTARIO CA 91761 LAB SERVICES 229222 ALLSCRIPTS HEALTHCARE LLC 222 MERCHANDISE MART PLZ CHICAGO IL 60654 IT SERVICES 186968 9 1972697 8760945 44513 10778155 PATIENT SERVICES 624100 6010556 6010556 CAPITATION REVENUE 624100 610541 610541 OTHER REVENUE 624100 385023 385023 7006120 8078 8078 17792353 7006120 0 8078 X 1218836 785985 432851 5757203 5403854 353349 488689 405612 83077 1557424 1296329 261095 610304 506552 103752 1600490 1254585 345905 609630 297691 311939 791432 730087 61345 505074 499344 5730 101847 50284 51563 PROGRAM SUPPLIES 613426 613426 EQUIPMENT AND MAINTENAN 233998 206445 27553 14088353 12050194 2038159 0 2745453 4935994 12557054 12055221 291097 264216 652924 637593 562162 676031 7088666 3892620 2249443 3196046 506275 146217 0 19204350 22271376 1750887 2672583 1592861 222622 256813 3566370 2929396 X 15637980 19341980 15637980 19341980 19204350 22271376 3704000 0 X X 0 1 X 1 1 1 X 6555006 6567228 7292985 7040676 10778155 38234050 7207401 8241665 8440404 7774563 7006120 38670153 13762407 14808893 15733389 14815239 17784275 76904203 0 0 0 76904203 63361 167943 149626 8078 389008 63361 167943 149626 8078 389008 13762407 14872254 15901332 14964865 17792353 77293211 0.99500 0.99460 0.00500 0.00540 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3023533 2222098 801435 2629357 1670522 958835 1435776 1435776 3196046 DEFERRED RENT 256813 256813 X 17792353 0 17792353 0 17792353 14088353 0 14088353 0 14088353 PART X, LINE 2: CAMINO RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT OF BEING SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. TO DATE, THE ORGANIZATION HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS. CAMINO RECOGNIZES POTENTIAL ACCRUED INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS IN INCOME TAX EXPENSE. DURING THE YEAR ENDED JUNE 30, 2021, CAMINO DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS. X X 0 0 0 0 0 0 0 1 0 SERGIO ULISES RODAS CMO 352291 0 0 0 0 0 14250 0 13401 0 379942 0 0 0 DEBRA DREW CEO 332184 0 0 0 0 0 14250 0 8440 0 354874 0 0 0 PAUL CACERES CFO 247676 0 0 0 0 0 11386 0 12683 0 271745 0 0 0 MINA ABAZARI PHYSICIAN 245591 0 0 0 0 0 11817 0 4021 0 261429 0 0 0 FIROZEH GRUBER PHYSICIAN 196974 0 0 0 0 0 9481 0 19048 0 225503 0 0 0 JULIE WILHELMI DENTIST 189693 0 0 0 0 0 9133 0 8137 0 206963 0 0 0 RANDY SMITH COO 174049 0 0 0 0 0 7643 0 18139 0 199831 0 0 0 ROSE ROLDAN DENTIST 182043 0 0 0 0 0 8764 0 8023 0 198830 0 0 0 JOSE MANUEL GARCIA CIO 156096 0 0 0 0 0 7523 0 18139 0 181758 0 0 0 EMILY JACKSON DENTIST 154903 0 0 0 0 0 7745 0 18858 0 181506 0 0 0 PART I, LINE 7 THE CHIEF EXECUTIVE OFFICER OF CAMINO HEALTH CENTER IS ELIGIBLE TO RECEIVE AN AT-RISK PAY. THE PAY IS BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE GOALS INCLUDE BOTH QUALITY AND FINANCIAL METRICS. FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEES HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 11B A COMPLETE COPY OF THE 990 IS PROVIDED TO THE BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C VARIOUS FUNDERS ALSO REQUIRE REVIEW OF THE CONFLICT OF INTEREST POLICY AND MONITORING OF THE POLICY THROUGHOUT THE YEAR. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS REVIEWED BASED ON A COMPARISON TO THE ANNUAL SALARY SURVEY FOR CALIFORNIA COMMUNITY CLINICS AND HEALTH CENTERS PUBLISHED BY THE CALIFORNIA PRIMARY CARE ASSOCIATION. FORM 990, PART VI, SECTION C, LINE 19 THE TAX RETURN IS AVAILABLE TO THE PUBLIC UPON REQUEST AND ON GUIDESTAR'S WEBSITE. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 694,704. MANAGEMENT AND GENERAL EXPENSES 338,417. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,033,121. CONTRACTORS AND TEMPORARY EMPLOYEES: PROGRAM SERVICE EXPENSES 559,881. MANAGEMENT AND GENERAL EXPENSES 7,488. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 567,369. FORM 990, PART XII, LINE 2C: THE AUDIT COMMITTE HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS DURING THE YEAR.