2021-01-25T13:51:46-06:00 2019-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2018-07-01 954492570 CENTRAL CITY COMMUNITY HEALTH CENTER INC CENT 3237240019 1000 SAN GABRIEL BLVD NO 200 ROSEMEAD CA 91770 OMAR MORENO CHIEF EXECUTIVE OFFICER 3237240019 2021-01-25 1 MICHAEL J PETERSON CPA P01833529 2187224705 2021-01-25 2018 2022-09-23 18:48:47Z X OMAR MORENO 1000 SAN GABRIEL BLVD NO 200 ROSEMEAD CA 91770 37504124 0 X WWW.CENTRALCITYHEALTH.ORG X 1994 CA TO PROVIDE HEALTH CARE SERVICES TO UNDERSERVED COMMUNITIES. 9 9 386 16 0 0 5859060 5500119 30444310 31964600 47 -375537 133572 37582 36436989 37126764 0 0 0 0 18602122 19396180 0 0 0 16877978 18427244 35480100 37823424 956889 -696660 15792998 16106183 10816563 26066103 4976435 -9959920 X TO PROVIDE HEALTH CARE SERVICES TO UNDERSERVED COMMUNITIES. 0 0 28775367 0 31964600 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, OBSTETRICS/GYNECOLOGY, FAMILY PLANNING, MENTAL HEALTH SERVICES, CHIROPRACTIC CARE, FAMILY PRACTICE, PEDIATRICS, PODIATRY, DRUG/HIV/STD TESTING, ON-SITE MEDI-CAL ELIGIBILITY ASSISTANCE, CHRONIC DISEASE MANAGEMENT, AND HIV/AIDS CASE MANAGEMENT SERVICES. SERVICES ARE ALSO CONDUCTED THROUGH SITE-RUN 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 ANGELES-BASED MOBILE CLINIC PROVIDES THE SAME CARE TO AREA HOMELESS SHELTERS AND RESIDENTIAL FACILITIES FOR MENTALLY ILL ADULTS. IN 2018, 34,838 PATIENTS WERE SERVED. PATIENTS SERVED EXPECTED TO INCREASE AS WE EXPAND NEW ACCESS POINTS IN THE CITY OF ANAHEIM AND MOBILE UNITS, AND IMPLEMENT DENTAL SERVICES AT MOST LOCATIONS. 28775367 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 1 0 0 0 0 1 136 0 386 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X REGGIE PANIS 3237240019 1000 SAN GABRIEL BLVD NO 200 ROSEMEAD CA 91770 GLORIA ANGUIANO BOARD MEMBER (THRU AUG) 2.00 X 0 0 0 JUAN DURAN BOARD MEMBER 2.00 X 0 0 0 MARIA DURAN BOARD MEMBER 2.00 X 0 0 0 MAGGIE GALVAN BOARD MEMBER (THRU OCT) 2.00 X 0 0 0 ROBERT HYMERS BOARD MEMBER (THRU NOV) 2.00 X 0 0 0 LARRY LANDLESS BOARD MEMBER 2.00 X 0 0 0 STELLA MARTEN BOARD MEMBER 2.00 X 0 0 0 FELIX MONTERO BOARD MEMBER (THRU DEC) 2.00 X 0 0 0 JACQUELINE NEGRETE BOARD MEMBER 2.00 X 0 0 0 DIANE PARKER BOARD MEMBER (THRU JAN) 2.00 X 0 0 0 JAVIER PULIDAO BOARD MEMBER 2.00 X 0 0 0 ROBERT WILLIAMS BOARD MEMBER (THRU JAN) 2.00 X 0 0 0 VIOLI WONG BOARD MEMBER 2.00 X 0 0 0 LUIS MARTEN CHAIRMAN 4.00 X X 0 0 0 JOSE ANGEL BARAJAS JR SECRETARY 4.00 X X 0 0 0 GUSTAVO HERNANDEZ TREASURER (THRU MAR) 2.00 X X 0 0 0 OMAR MORENO CHIEF EXECUTIVE OFFICER 40.00 X 21462 0 0 FRANKLIN GONZALEZ CHIEF EXECUTIVE OFFICER (THRU NOV) 40.00 X 295399 0 8694 REGGIE PANIS CHIEF FINANCIAL OFFICER 40.00 X 0 0 0 KRISTOPHER ZUNIGA CHIEF FINANCIAL OFFICER (THRU AUG) 40.00 X 149716 0 2476 SOMMER KASKOWITZ CHIEF CLINICAL & NURSING OFFICER 40.00 X 187240 0 11597 ROSEMARY REYES CHIEF MEDICAL OFFICER 40.00 X 256234 0 12958 SHAFEEQ SHAMSIDDEEN CHIEF MEDICAL DIRECTOR - RESIDENTIAL CARE 40.00 X 211741 0 25194 NICKOLAS LIND MEDICAL DOCTOR 40.00 X 209889 0 9379 MARIA DALY MEDICAL DOCTOR 40.00 X 187180 0 11597 ALFREDO REYNOSO CHIEF OPERATING OFFICER 40.00 X 171426 0 1356 WILLIAM WILLIAMS MEDICAL DOCTOR 40.00 X 171230 0 0 DEAN SCHOFIELD MEDICAL DOCTOR 40.00 X 156560 0 0 GILBERT VARELA FORMER OFFICER 1.00 X 160192 0 0 2178269 0 83251 39 1 1 0 HARRIS MEDICAL ASSOCIATES 1180 SATELLITE BLVD SUITE 200 SUWANEE GA 30024 MEDICAL PROVIDERS 529742 XO COMMUNICATIONS PO BOX 15043 ALBANY NY 12212 COMMUNICATION SERVICES 518141 MAGUI SERVICE 415 NORTH SUNKIST ST ANAHEIM CA 92806 JANITORIAL SERVICES 481575 MARY ANN SCHAEPPER MD 312 BROOKSIDE AVE STE 5 REDLANDS CA 92373 B&C AND CLINIC PROVIDER 399325 HAILONG VU MD INC 19144 REDFORD LANE HUNTINGTON BEACH CA 92648 B&C AND CLINIC PROVIDER 320340 56 5339614 160505 5500119 NET PATIENT SERVICE REVENUE 621110 28779093 28779093 PHARMACY REVENUE 621110 2493011 2493011 ADULT DAY CARE 621110 692496 692496 31964600 1823 1823 377360 -377360 -377360 -377360 37582 37582 37582 37126764 31964600 0 -337955 X 1182711 913549 269162 14806211 11422745 3383466 2110908 1685622 425286 1296350 1000782 295568 209486 209486 190024 190024 9387470 6789295 2598175 107434 107434 920523 670759 249764 18634 18634 2094419 1633857 460562 674340 520391 153949 45744 45744 208286 158709 49577 866655 668802 197853 250514 193323 57191 MEDICAL SUPPLIES 1815647 1713301 102346 EQUIPMENT RENTALS & LEA 314669 242832 71837 DUES & SUBSCRIPTIONS 267842 209231 58611 REPAIRS & MAINTENANCE 221932 171266 50666 833625 609091 224534 37823424 28775367 9048057 0 1000 1000 625558 3701482 104571 5881656 3802909 146356 258672 10910043 3995486 7600089 6914557 1538339 1322992 15792998 16106183 3784541 2880460 0 122954 4007033 3312281 3024989 19750408 10816563 26066103 X 4976435 -9959920 4976435 -9959920 15792998 16106183 -696660 -14239695 0 X 0 1 X 1 1 1 X 3572408 4297322 4460941 5859060 5500119 23689850 3572408 4297322 4460941 5859060 5500119 23689850 23689850 8540 32 173 47 1823 10615 23700465 150680294 0.99960 0.97770 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2317170 2317170 5166789 2424350 2742439 1512565 1006472 506093 1913519 564664 1348855 6914557 DUE TO THIRD-PARTY REIMBURSEMENT PROGRAMS 19750408 19750408 37126764 0 37126764 0 37126764 37823424 0 37823424 0 37823424 X X X 1 0 0 0 0 0 0 0 0 FRANKLIN GONZALEZ CHIEF EXECUTIVE OFFICER (THRU NOV) 295399 0 0 0 0 0 0 0 8694 0 304093 0 0 0 KRISTOPHER ZUNIGA CHIEF FINANCIAL OFFICER (THRU AUG) 108466 0 0 0 41250 0 0 0 2476 0 152192 0 0 0 SOMMER KASKOWITZ CHIEF CLINICAL & NURSING OFFICER 187240 0 0 0 0 0 0 0 11597 0 198837 0 0 0 ROSEMARY REYES CHIEF MEDICAL OFFICER 256234 0 0 0 0 0 0 0 12958 0 269192 0 0 0 SHAFEEQ SHAMSIDDEEN CHIEF MEDICAL DIRECTOR - RESIDENTIAL 211741 0 0 0 0 0 0 0 25194 0 236935 0 0 0 NICKOLAS LIND MEDICAL DOCTOR 209889 0 0 0 0 0 0 0 9379 0 219268 0 0 0 MARIA DALY MEDICAL DOCTOR 187180 0 0 0 0 0 0 0 11597 0 198777 0 0 0 ALFREDO REYNOSO CHIEF OPERATING OFFICER 171426 0 0 0 0 0 0 0 1356 0 172782 0 0 0 WILLIAM WILLIAMS MEDICAL DOCTOR 171230 0 0 0 0 0 0 0 0 0 171230 0 0 0 DEAN SCHOFIELD MEDICAL DOCTOR 156560 0 0 0 0 0 0 0 0 0 156560 0 0 0 GILBERT VARELA FORMER OFFICER 160192 0 0 0 0 0 0 0 0 0 160192 0 0 0 PART I, LINE 4A THE ORGANIZATION PAID $160,192 OF SEVERANCE TO GILBERT VARELA, A FORMER OFFICER. FORM 990, PART I - AMENDED RETURN SUMMARY THE ORGANIZATION HAS AMENDED THEIR 990 FOR THE YEAR ENDED 06/30/2019 TO REFLECT SOME CHANGES TO THE AREAS BELOW DUE TO THE COMPLETION OF A FINANCIAL STATEMENT AUDIT WHICH WAS IN PROGRESS AT THE TIME OF FILING: PART III, LINE 4A INCREASE TO PROGRAM REVENUE BY $85,149 PART V, LINE 12A CHECKED YES FOR THE COMPLETION OF THE INDEPENDENT AUDIT PART VIII, LINE 2A PATIENT SERVICE REVENUE INCREASED BY $85,149 PART X LINE 25 AMOUNTS DUE TO THIRD-PARTY REIMBURSEMENT PROGRAMS DECREASED BY $85,149 PART X LINE 28 NET ASSETS INCREASED BY $85,149 PART XII LINE 2B-3B NOW INDICATED AS YES, WITH "SEPARATE BASIS" INDICATED. SCHEDULE D, PART XI AND XII LINES 1-5 - NOW COMPLETED IN CONJUNCTION WITH AUDITED FINANCIAL STATEMENT FIGURES. 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 CEO, CFO AND FISCAL STAFF 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 BILLING SERVICES: PROGRAM SERVICE EXPENSES 1,205,830. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,205,830. SECURITY SERVICES: PROGRAM SERVICE EXPENSES 412,549. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 412,549. LAB AND RADIOLOGY FEES: PROGRAM SERVICE EXPENSES 159,686. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 159,686. OTHER FEES: PROGRAM SERVICE EXPENSES 5,011,230. MANAGEMENT AND GENERAL EXPENSES 2,598,175. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,609,405. HEALTH GUARD INLAND LLC 268 MCARTHUR WAY UPLAND CA 91786 263522465 ADULT DAY CARE CA 692496 0 CENTRAL CITY COMMUNITY HEALTH CENTER INC