2022-11-14T19:34:43-06:00 2021-12-31 330700332 VASQUEZ COMPANY LLP 655 N CENTRAL AVE STE 1550 GLENDALE CA 91203 990 2021-01-01 954090420 ALTAMED FOUNDATION ALTA 3236222443 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 JOSE U ESPARZA SVP FINANCE & CFO 3236222443 2022-11-11 1 JOSE ESPARZA 999009999 REGINA PRINCE CPA P00576936 2138731700 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JOSE U ESPARZA 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 50244569 0 X ALTAMEDFOUNDATION.ORG X 1987 CA ALTAMED FOUNDATION'S MISSION IS TO SUPPORT ALTAMED HEALTH SERVICES CORP. IN ITS MISSION TO INCREASE ACCESS TO COMPREHENSIVE HEALTH & HUMAN SERVICES AND REDUCE HEALTH CARE DISPARITIES IN THE COMMUNITIES OF SOUTHERN CALIFORNIA. 28 25 0 25 0 0 0 50244569 0 0 0 0 0 0 0 50244569 0 0 0 0 0 0 0 0 0 0 20000 0 20000 0 50224569 0 50224569 0 0 0 50224569 TO SUPPORT THE ACTIVITIES AND PURPOSES OF ALTAMED HEALTH SERVICES CORPORATION, A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION "AHSC", A SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. 0 0 16000 ALTAMED FOUNDATION WILL MAKE STRATEGIC FUNDING IN ALTAMED HEALTH SERVICES CORPORATION (AHSC) PROGRAMS, IN ALIGNMENT WITH AHSC'S STRATEGIC PLAN. AHSC'S STRATEGIC PLAN INCLUDES DIRECT MEDICAL AND DENTAL CARE FOR LOW-INCOME CHILDREN, WOMEN, MEN AND SENIORS IN LOS ANGELES AND ORANGE COUNTIES, AS WELL AS PROGRAMS THAT IMPROVE THE SOCIAL DETERMINANTS OF OUR COMMUNITY'S HEALTH, SUCH AS HEALTH EDUCATION, DISEASE PREVENTION, MEDICAL PROFESSIONAL DEVELOPMENT PROGRAMS FOR NURSES AND PROVIDERS, CIVIC ENGAGEMENT, HEALTH EQUITY RESEARCH, COMMUNITY OUTREACH AND DIRECT PATIENT RELIEF. ALTAMED FOUNDATION AND AHSC ARE COMMITTED TO PROMOTING THE HEALTH OF OUR LOCAL COMMUNITIES. 16000 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 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 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 28 25 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 CA X THE ORGANIZATION 3236222443 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 RAUL ANAYA CHAIR 1.00 X X 0 0 0 JULIEANNE K COYNE VICE CHAIR 1.00 X X 0 0 0 BERTHA AGUIRRE SECRETARY 1.00 X X 0 0 0 JACKY DILFER TREASURER 1.00 X X 0 0 0 AVO ASHKHARIKIAN BOARD MEMBER 1.00 X 0 0 0 JACK CLINE JR BOARD MEMBER 1.00 X 0 0 0 PHIL COHEN BOARD MEMBER 1.00 X 0 0 0 VINCENT CORTES BOARD MEMBER 1.00 X 0 0 0 HON WILLIAM DE LA PENA MD BOARD MEMBER 1.00 X 0 0 0 CASTULO DE LA ROCHA JD BOARD MEMBER 1.00 43.00 X 0 1351160 209149 JOHN EK BOARD MEMBER 1.00 X 0 0 0 FRED FLORES BOARD MEMBER 1.00 X 0 0 0 PATRICIA GLASER BOARD MEMBER 1.00 X 0 0 0 RICHARD GOMEZ BOARD MEMBER 1.00 X 0 0 0 HENRY HERNANDEZ BOARD MEMBER 1.00 X 0 0 0 HENRY HOLGUIN ESQ BOARD MEMBER 1.00 41.00 X 0 512551 52333 CELIA HUBER BOARD MEMBER 1.00 X 0 0 0 DAVID LIZARRAGA LHD BOARD MEMBER 1.00 X 0 0 0 FIDENCIO MARES BOARD MEMBER 1.00 X 0 0 0 BRUCE PANSKY BOARD MEMBER 1.00 X 0 0 0 LORENA PLASCENCIA BOARD MEMBER 1.00 X 0 0 0 DUANE SAIKAMI BOARD MEMBER 1.00 X 0 0 0 HON TERESA SANCHEZ-GORDON BOARD MEMBER 1.00 X 0 0 0 HON ANTONIO VILLARAIGOSA BOARD MEMBER 1.00 X 0 0 0 JEFF WEISS BOARD MEMBER 1.00 X 0 0 0 ZOILA D ESCOBAR MBA PRESIDENT 1.00 41.00 X X 0 640278 37715 HECTOR BARRETO BOARD MEMBER 1.00 1.60 X 0 0 0 RICARDO ROBLES BOARD MEMBER 1.00 1.60 X 0 0 0 0 2503989 299197 0 0 1 0 0 50244569 50244569 50244569 0 0 0 ADMINISTRATIVE EXPENSES 20000 16000 4000 20000 16000 4000 0 12175 0 50212394 0 50224569 0 0 X 224569 50000000 0 50224569 0 50224569 50224569 0 X 0 1 X 1 0 X X 1 ALTAMED HEALTH SERVICES CORP 952810095 3 1 20000 0 1 20000 0 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE FROM RELATED PARTY 50212394 50212394 X 50244569 0 50244569 0 50244569 20000 0 20000 0 20000 PART X, LINE 2: THE FOUNDATION IS A NONPROFIT CORPORATION EXEMPT FROM THE PAYMENT OF INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701D. ALTAMED FOUNDATION HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED RELATE TO ALTAMED'S CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE ARE UNRELATED BUSINESS INCOME ACTIVITIES THAT WOULD BE TAXABLE. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS WILL MORE LIKELY THAN NOT BE SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURES OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. ALTAMED FOUNDATION'S INCOME TAX RETURNS REMAIN SUBJECT TO EXAMINATION FOR ALL TAX YEARS ENDED ON OR AFTER DECEMBER 31, 2017 WITH REGARD TO ALL TAX POSITIONS AND RESULTS REPORTED. 0 0 0 0 0 0 0 0 0 CASTULO DE LA ROCHA JD BOARD MEMBER 0 900060 0 363200 0 87900 0 197434 0 11715 0 1560309 0 0 ZOILA D ESCOBAR MBA PRESIDENT 0 485950 0 141538 0 12790 0 26000 0 11715 0 677993 0 0 HENRY HOLGUIN ESQ BOARD MEMBER 0 393695 0 95607 0 23249 0 45500 0 6833 0 564884 0 0 PART I LINE 3 THE ORGANIZATION'S PRESIDENT IS COMPENSATED BY A RELATED ORGANIZATION, ALTAMED HEALTH SERVICES CORP. (AHSC), WHERE SHE SERVES AS THE CHIEF ADMIN OFFICER. AHSC'S BOARD HAS A PROCESS FOR REVIEWING AND APPROVING THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES ON A REGULAR BASIS TO DETERMINE IT IS FAIR AND REASONABLE WITH THE GOAL OF RETAINING EMPLOYEES AT COMPENSATION LEVELS WITHIN APPROPRIATE MARKET RANGE. THE PROCESS FOR DETERMINING THE COMPENSATION PAID TO MS. ESCOBAR INCLUDES THE APPROVAL OF THE COMPENSATION ARRANGEMENT IN ADVANCE, BY THE BOARD OF DIRECTORS, WITH ALL PERSONS WITH A CONFLICT OF INTEREST ABSTAINING FROM THE BOARD'S DELIBERATION AND DISCUSSION. THE DOCUMENTATION OF THE BOARD INCLUDES THE TERMS OF THE TRANSACTION AND THE DATE OF ITS APPROVAL, THE MEMBERS WHO WERE PRESENT DURING THE DEBATE AND VOTE ON THE TRANSACTION, A DESCRIPTION OF THE COMPARABLE DATA AND HOW IT WAS OBTAINED, AND DOCUMENTATION OF THE BASIS FOR THE DETERMINATION. FORM 990, PART VI, SECTION A, LINE 2 THE PRESIDENT OF ALTAMED FOUNDATION IS RELATED BY MARRIAGE TO ONE OF THE BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B ALTAMED FOUNDATION'S OUTSIDE CPA FIRM AND FINANCE STAFF PREPARE FORM 990. THE FORM IS THEN REVIEWED AND APPROVED BY THE ORGANIZATION'S PRESIDENT. THE FORM IS THEN PROVIDED TO THE FULL BOARD FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12 THE FOUNDATION FOLLOWED ALTAMED HEALTH SERVICES CORPORATION'S (THE SUPPORTED ORGANIZATION OF THE FOUNDATION) CONFLICT OF INTEREST POLICY FOR 2021. THE FOUNDATION'S BOARD OF DIRECTORS ADOPTED A CONFLICT OF INTEREST POLICY IN FEBRUARY 2022. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. HOWEVER CURRENT TAX LAW DOES NOT REQUIRE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIALS BE PROVIDED TO THE PUBLIC. ALTURA MANAGEMENT SERVICES LLC 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 810785877 MANAGED CARE CA -1768158 34663050 ALTAMED HEALTH SERVICES CORPORATION ALTAMED LLC 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 853915845 MANAGED CARE CA 0 0 ALTAMED HEALTH SERVICES CORPORATION ALTAMED HEALTH SERVICES CORP 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 952810095 HEALTH CARE SERVICES CA 501(C)(3) LINE 3 0 ALTAMED HEALTH NETWORK INC 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 460635843 MANAGED CARE CA ALTAMED HEALTH SERVICES CORP C 9328489 46687303 1.00000 0 ALTAMED HOLDINGS INC 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 842867692 HOLDING COMPANY-REAL ESTATE CA ALTAMED HEALTH SERVICES CORP C 769 1.00000 0 OMNICARE MEDICAL GROUP INC 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 954449869 MANAGED CARE CA ALTAMED HEALTH SERVICES CORP C 1828137 20608366 1.00000 0 ALTAMED INDEPENDENT PHYSICIAN NETWORK INC 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 810777048 MANAGED CARE CA ALTAMED HEALTH SERVICES CORP C -24832 46958 1.00000 0 ALTAMED HEALTH NETWORK SENIOR SERVICES PLAN INC 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 874515318 MANAGED CARE CA ALTAMED HEALTH SERVICES CORP C 1.00000 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ALTAMED HEALTH SERVICES CORP C 50244569 BOOK PART I - IDENTIFICATION OF DISREGARDED ENTITY BECAUSE THE FOUNDATION IS RELATED TO ALTAMED HEALTH SERVICES CORP., IT IS ALSO RELATED TO THE 2 SMLLC'S BY ATTRIBUTION. THE "DIRECT CONTROLLING ENTITY" IN COLUMN (F) IS LISTED AS ALTAMED HEALTH SERVICES CORP. TO BE CLEAR AS TO OWNERSHIP/CONTROL.