CENTRAL CITY COMMUNITY HEALTH CENTER INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL CITY COMMUNITY HEALTH CENTER INC (EIN 95-4492570)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-07-14
- IRS object ID
- 202011969349305746
- Schema version
- 2018v3.2
- Note
- A later return for the same period supersedes this one.
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-14T21:19:58-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 954492570 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL CITY COMMUNITY HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 3237240019 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 SAN GABRIEL BLVD NO 200 | AddressLine1Txt |
| City | ROSEMEAD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91770 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | OMAR MORENO | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 3237240019 | PhoneNum |
| Signature | 2020-07-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2020-07-13 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 4.4.25.242 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-07-13 | IPDt |
| IP Tm | 22:22:41 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | E433C82216CF4B1B7B2D83A781BC20530CAF3EA5 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9747BB8E0DC0E78824B7C9EDF76D609BB7F00C05 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | OMAR MORENO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 SAN GABRIEL BLVD NO 200 | AddressLine1Txt |
| City | ROSEMEAD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91770 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $37,418,975 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CENTRALCITYHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTH CARE SERVICES TO UNDERSERVED COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 386 | TotalEmployeeCnt |
| Total Volunteers | 16 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,859,060 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,500,119 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $30,444,310 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $31,879,451 | CYProgramServiceRevenueAmt |
| PY Investment Income | $47 | PYInvestmentIncomeAmt |
| CY Investment Income | -$375,537 | CYInvestmentIncomeAmt |
| PY Other Revenue | $133,572 | PYOtherRevenueAmt |
| CY Other Revenue | $37,582 | CYOtherRevenueAmt |
| PY Total Revenue | $36,436,989 | PYTotalRevenueAmt |
| CY Total Revenue | $37,041,615 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $18,602,122 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,396,180 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,877,978 | PYOtherExpensesAmt |
| CY Other Expenses | $18,427,244 | CYOtherExpensesAmt |
| PY Total Expenses | $35,480,100 | PYTotalExpensesAmt |
| CY Total Expenses | $37,823,424 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $956,889 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$781,809 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,792,998 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,106,183 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,816,563 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $26,151,252 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,976,435 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$10,045,069 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE HEALTH CARE SERVICES TO UNDERSERVED COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $28,775,367 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $30,775,136 | RevenueAmt |
| Desc | 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. | Desc |
| Total Program Service Expenses | $28,775,367 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 136 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 386 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | REGGIE PANIS | PersonNm |
| Phone | 3237240019 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 SAN GABRIEL BLVD NO 200 | AddressLine1Txt |
| City | ROSEMEAD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91770 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| GLORIA ANGUIANO | |||||||||
| BOARD MEMBER (THRU AUG) | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JUAN DURAN | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARIA DURAN | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| MAGGIE GALVAN | |||||||||
| BOARD MEMBER (THRU OCT) | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT HYMERS | |||||||||
| BOARD MEMBER (THRU NOV) | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| LARRY LANDLESS | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| STELLA MARTEN | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| FELIX MONTERO | |||||||||
| BOARD MEMBER (THRU DEC) | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JACQUELINE NEGRETE | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DIANE PARKER | |||||||||
| BOARD MEMBER (THRU JAN) | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAVIER PULIDAO | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT WILLIAMS | |||||||||
| BOARD MEMBER (THRU JAN) | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| VIOLI WONG | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| LUIS MARTEN | |||||||||
| CHAIRMAN | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| JOSE ANGEL BARAJAS JR | |||||||||
| SECRETARY | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| GUSTAVO HERNANDEZ | |||||||||
| TREASURER (THRU MAR) | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| OMAR MORENO | |||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | $21,462 | $0 | $0 | Yes (X) | ||||
| FRANKLIN GONZALEZ | |||||||||
| CHIEF EXECUTIVE OFFICER (THRU NOV) | 40.00 | $295,399 | $0 | $8,694 | Yes (X) | ||||
| REGGIE PANIS | |||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $0 | $0 | $0 | Yes (X) | ||||
| KRISTOPHER ZUNIGA | |||||||||
| CHIEF FINANCIAL OFFICER (THRU AUG) | 40.00 | $149,716 | $0 | $2,476 | Yes (X) | ||||
| SOMMER KASKOWITZ | |||||||||
| CHIEF CLINICAL & NURSING OFFICER | 40.00 | $187,240 | $0 | $11,597 | Yes (X) | ||||
| ROSEMARY REYES | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | $256,234 | $0 | $12,958 | Yes (X) | ||||
| SHAFEEQ SHAMSIDDEEN | |||||||||
| CHIEF MEDICAL DIRECTOR - RESIDENTIAL CARE | 40.00 | $211,741 | $0 | $25,194 | Yes (X) | ||||
| NICKOLAS LIND | |||||||||
| MEDICAL DOCTOR | 40.00 | $209,889 | $0 | $9,379 | Yes (X) | ||||
| MARIA DALY | |||||||||
| MEDICAL DOCTOR | 40.00 | $187,180 | $0 | $11,597 | Yes (X) | ||||
| ALFREDO REYNOSO | |||||||||
| CHIEF OPERATING OFFICER | 40.00 | $171,426 | $0 | $1,356 | Yes (X) | ||||
| WILLIAM WILLIAMS | |||||||||
| MEDICAL DOCTOR | 40.00 | $171,230 | $0 | $0 | Yes (X) | ||||
| DEAN SCHOFIELD | |||||||||
| MEDICAL DOCTOR | 40.00 | $156,560 | $0 | $0 | Yes (X) | ||||
| GILBERT VARELA | |||||||||
| FORMER OFFICER | 1.00 | $160,192 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,178,269 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $83,251 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 39 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HARRIS MEDICAL ASSOCIATES | |||||
| 1180 SATELLITE BLVD SUITE 200 | SUWANEE | GA | 30024 | MEDICAL PROVIDERS | $529,742 |
| XO COMMUNICATIONS | |||||
| PO BOX 15043 | ALBANY | NY | 12212 | COMMUNICATION SERVICES | $518,141 |
| MAGUI SERVICE | |||||
| 415 NORTH SUNKIST ST | ANAHEIM | CA | 92806 | JANITORIAL SERVICES | $481,575 |
| MARY ANN SCHAEPPER MD | |||||
| 312 BROOKSIDE AVE STE 5 | REDLANDS | CA | 92373 | B&C AND CLINIC PROVIDER | $399,325 |
| HAILONG VU MD INC | |||||
| 19144 REDFORD LANE | HUNTINGTON BEACH | CA | 92648 | B&C AND CLINIC PROVIDER | $320,340 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 56 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,339,614 | GovernmentGrantsAmt |
| All Other Contributions | $160,505 | AllOtherContributionsAmt |
| Total Contributions | $5,500,119 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $28,693,944 | $28,693,944 |
| PHARMACY REVENUE | 621110 | $2,493,011 | $2,493,011 |
| ADULT DAY CARE | 621110 | $692,496 | $692,496 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $31,879,451 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,823 | TotalRevenueColumnAmt |
| Exclusion | $1,823 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $377,360 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$377,360 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$377,360 | TotalRevenueColumnAmt |
| Exclusion | -$377,360 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,582 | TotalRevenueColumnAmt |
| Exclusion | $37,582 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $37,582 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,041,615 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $31,879,451 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$337,955 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,182,711 | TotalAmt |
| Program Services | $913,549 | ProgramServicesAmt |
| Management And General | $269,162 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,806,211 | TotalAmt |
| Program Services | $11,422,745 | ProgramServicesAmt |
| Management And General | $3,383,466 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,110,908 | TotalAmt |
| Program Services | $1,685,622 | ProgramServicesAmt |
| Management And General | $425,286 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,296,350 | TotalAmt |
| Program Services | $1,000,782 | ProgramServicesAmt |
| Management And General | $295,568 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,486 | TotalAmt |
| Management And General | $209,486 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,024 | TotalAmt |
| Management And General | $190,024 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,387,470 | TotalAmt |
| Program Services | $6,789,295 | ProgramServicesAmt |
| Management And General | $2,598,175 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,434 | TotalAmt |
| Program Services | $107,434 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $920,523 | TotalAmt |
| Program Services | $670,759 | ProgramServicesAmt |
| Management And General | $249,764 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,634 | TotalAmt |
| Program Services | $18,634 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,094,419 | TotalAmt |
| Program Services | $1,633,857 | ProgramServicesAmt |
| Management And General | $460,562 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $674,340 | TotalAmt |
| Program Services | $520,391 | ProgramServicesAmt |
| Management And General | $153,949 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,744 | TotalAmt |
| Program Services | $45,744 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $208,286 | TotalAmt |
| Program Services | $158,709 | ProgramServicesAmt |
| Management And General | $49,577 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $866,655 | TotalAmt |
| Program Services | $668,802 | ProgramServicesAmt |
| Management And General | $197,853 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,514 | TotalAmt |
| Program Services | $193,323 | ProgramServicesAmt |
| Management And General | $57,191 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,815,647 | $1,713,301 | $102,346 |
| EQUIPMENT RENTALS & LEA | $314,669 | $242,832 | $71,837 |
| DUES & SUBSCRIPTIONS | $267,842 | $209,231 | $58,611 |
| REPAIRS & MAINTENANCE | $221,932 | $171,266 | $50,666 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $833,625 | TotalAmt |
| Program Services | $609,091 | ProgramServicesAmt |
| Management And General | $224,534 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,823,424 | TotalAmt |
| Program Services | $28,775,367 | ProgramServicesAmt |
| Management And General | $9,048,057 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000 | BOYAmt |
| EOY | $1,000 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $625,558 | BOYAmt |
| EOY | $3,701,482 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $104,571 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,881,656 | BOYAmt |
| EOY | $3,802,909 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,356 | BOYAmt |
| EOY | $258,672 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,910,043 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,995,486 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,600,089 | BOYAmt |
| EOY | $6,914,557 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,538,339 | BOYAmt |
| EOY | $1,322,992 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,792,998 | BOYAmt |
| EOY | $16,106,183 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,784,541 | BOYAmt |
| EOY | $2,880,460 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $122,954 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,007,033 | BOYAmt |
| EOY | $3,312,281 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,024,989 | BOYAmt |
| EOY | $19,835,557 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,816,563 | BOYAmt |
| EOY | $26,151,252 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,976,435 | BOYAmt |
| EOY | -$10,045,069 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,976,435 | BOYAmt |
| EOY | -$10,045,069 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,792,998 | BOYAmt |
| EOY | $16,106,183 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$781,809 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$14,239,695 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,572,408 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,297,322 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,460,941 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,859,060 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,500,119 | CurrentTaxYearAmt |
| Total | $23,689,850 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,572,408 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,297,322 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,460,941 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,859,060 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,500,119 | CurrentTaxYearAmt |
| Total | $23,689,850 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $23,689,850 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,540 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $32 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $173 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $47 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,823 | CurrentTaxYearAmt |
| Total | $10,615 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $23,700,465 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $150,680,294 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99960 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97770 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,317,170 | OtherCostOrOtherBasisAmt |
| Book Value | $2,317,170 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,166,789 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,424,350 | DepreciationAmt |
| Book Value | $2,742,439 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,512,565 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,006,472 | DepreciationAmt |
| Book Value | $506,093 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,913,519 | OtherCostOrOtherBasisAmt |
| Depreciation | $564,664 | DepreciationAmt |
| Book Value | $1,348,855 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,914,557 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO THIRD-PARTY REIMBURSEMENT PROGRAMS | Desc |
| Amt | $19,835,557 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $19,835,557 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FRANKLIN GONZALEZ | ||||||||||||||
| CHIEF EXECUTIVE OFFICER (THRU NOV) | $295,399 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $8,694 | $0 | $304,093 | $0 | $0 | $0 |
| KRISTOPHER ZUNIGA | ||||||||||||||
| CHIEF FINANCIAL OFFICER (THRU AUG) | $108,466 | $0 | $0 | $0 | $41,250 | $0 | $0 | $0 | $2,476 | $0 | $152,192 | $0 | $0 | $0 |
| SOMMER KASKOWITZ | ||||||||||||||
| CHIEF CLINICAL & NURSING OFFICER | $187,240 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $11,597 | $0 | $198,837 | $0 | $0 | $0 |
| ROSEMARY REYES | ||||||||||||||
| CHIEF MEDICAL OFFICER | $256,234 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $12,958 | $0 | $269,192 | $0 | $0 | $0 |
| SHAFEEQ SHAMSIDDEEN | ||||||||||||||
| CHIEF MEDICAL DIRECTOR - RESIDENTIAL | $211,741 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $25,194 | $0 | $236,935 | $0 | $0 | $0 |
| NICKOLAS LIND | ||||||||||||||
| MEDICAL DOCTOR | $209,889 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,379 | $0 | $219,268 | $0 | $0 | $0 |
| MARIA DALY | ||||||||||||||
| MEDICAL DOCTOR | $187,180 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $11,597 | $0 | $198,777 | $0 | $0 | $0 |
| ALFREDO REYNOSO | ||||||||||||||
| CHIEF OPERATING OFFICER | $171,426 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,356 | $0 | $172,782 | $0 | $0 | $0 |
| WILLIAM WILLIAMS | ||||||||||||||
| MEDICAL DOCTOR | $171,230 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $171,230 | $0 | $0 | $0 |
| DEAN SCHOFIELD | ||||||||||||||
| MEDICAL DOCTOR | $156,560 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $156,560 | $0 | $0 | $0 |
| GILBERT VARELA | ||||||||||||||
| FORMER OFFICER | $160,192 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $160,192 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAID $160,192 OF SEVERANCE TO GILBERT VARELA, A FORMER OFFICER. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH GUARD INLAND LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 268 MCARTHUR WAY | AddressLine1Txt |
| City | UPLAND | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91786 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 263522465 | EIN |
| Primary Activities | ADULT DAY CARE | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Total Income | $692,496 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL CITY COMMUNITY HEALTH CENTER INC | BusinessNameLine1Txt |
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