CENTRAL CITY COMMUNITY HEALTH CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CENTRAL CITY COMMUNITY HEALTH CENTER INC (EIN 95-4492570)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-15
IRS object ID
201801359349313935
Schema version
2016v3.0
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

FieldValueIRS element (for citing)
Return2018-05-15T19:15:24-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN330700332PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1VASQUEZ & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1801 S GRAND AVE SUITE 400AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90017ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN954492570EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL CITY COMMUNITY HEALTH CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone3237240019PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 SAN GABRIEL BLVD NO 200AddressLine1Txt
CityROSEMEADCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91770ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGILBERT VARELAPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone3237240019PhoneNum
Signature2018-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLYNN D BOSTERPreparerPersonNm
PTINP00440365PTIN
Phone2138731700PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerFRANKLIN GONZALEZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 SAN GABRIEL BLVDAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91770ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$33,601,552GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CENTRALCITYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH CARE SERVICES TO UNDER SERVED COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee430TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,297,322PYContributionsGrantsAmt
CY Contributions Grants$4,460,941CYContributionsGrantsAmt
PY Program Service Revenue$33,857,945PYProgramServiceRevenueAmt
CY Program Service Revenue$28,999,072CYProgramServiceRevenueAmt
PY Investment Income$32PYInvestmentIncomeAmt
CY Investment Income$173CYInvestmentIncomeAmt
PY Other Revenue$80,054PYOtherRevenueAmt
CY Other Revenue$141,366CYOtherRevenueAmt
PY Total Revenue$38,235,353PYTotalRevenueAmt
CY Total Revenue$33,601,552CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$17,469,478PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,307,542CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$20,808,068PYOtherExpensesAmt
CY Other Expenses$17,076,791CYOtherExpensesAmt
PY Total Expenses$38,277,546PYTotalExpensesAmt
CY Total Expenses$33,384,333CYTotalExpensesAmt
PY Revenues Less Expenses-$42,193PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$217,219CYRevenuesLessExpensesAmt
Total Assets BOY$16,987,081TotalAssetsBOYAmt
Total Assets EOY$14,730,195TotalAssetsEOYAmt
Total Liabilities BOY$13,184,752TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,710,647TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,802,329NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,019,548NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH CARE SERVICES TO THE UNDER SERVED COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$24,760,752ExpenseAmt
DescTO PROVIDE HEALTH CARE SERVICES TO UNDER SERVED COMMUNITIES.Desc
Total Program Service Expenses$24,760,752TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document121IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee430EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KRISTOPHER ZUNIGABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3237240019PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 SAN GABRIEL BLVD NO 200AddressLine1Txt
CityROSEMEADCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91770ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
LUIS MARTEN
CHAIRMAN4.00Yes (X)Yes (X)$0$0$0
JOSE ANGEL BARAJAS JR
SECRETARY4.00Yes (X)Yes (X)$0$0$0
JACQUELINE NEGRETE
BOARD MEMBER2.00Yes (X)$0$0$0
MARIA DURAN
BOARD MEMBER2.00Yes (X)$0$0$0
GLORIA ANGUIANO
BOARD MEMBER2.00Yes (X)$0$0$0
JUAN DURAN
BOARD MEMBER2.00Yes (X)$0$0$0
GUSTAVO HERNANDEZ
TREASURER2.00Yes (X)Yes (X)$0$0$0
STELLA MARTEN
BOARD MEMBER2.00Yes (X)$0$0$0
MAGGIE GALVAN
BOARD MEMBER2.00Yes (X)$0$0$0
ROSEMARY REYES
CHIEF MEDICAL OFFICER40.00Yes (X)$226,561$0$0
PHILIP PADUA
CHIEF FINANCIAL OFFICER40.00Yes (X)$68,927$0$0
CASEY FATCH
CEO55.00Yes (X)$169,839$0$0
SHAFEEQ SHAMSIDDEEN MD
PHYSICIAN40.00$207,988$0$0Yes (X)
KENNETH NYMAN MD
PHYSICIAN40.00$191,766$0$0Yes (X)
JASMIN VILLATORO
PHYSICIAN40.00$185,216$0$0Yes (X)
MARIA DALY
PHYSICIAN40.00$186,329$0$0Yes (X)
HAO KIM CAO ANGELL
PHYSICIAN40.00$186,211$0$0Yes (X)
CASEY FATCH
FORMER BOARD MEMBER2.00$0$0$0Yes (X)
GILBERT VARELA MD
FORMER CHIEF EXECUTIVE OFFICER55.00$640,682$0$0Yes (X)
JOHN PAZIRANDEH
FORMER CHIEF FINANCIAL OFFICER40.00$122,500$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,186,019TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K26IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MAGUI SERVICE
415 SUNKIST STANAHEIMCA92806CLEANING SERVICE$529,690
MARY ANN SCHAEPPER
312 BROOKSIDE AVE STE 5REDLANDSCA92373B&C AND CLINIC PROVIDER$397,160
CITRUS OBSTETRICS & GYNECOLOGY
PO BOX 2479MONROVIACA91017B&C PROVIDER$385,037
THE LAW OFFICES OF KEVIN J JO
1217 W WHITTIER BLVDMONTEBELLOCA90640LEGAL SERVICES$365,874
JEFFREY MANGELS BUTTLER & MITCHELL LLP
1801 W OLYMPIC BLVDPASADENACA91199LEGAL SERVICES$267,137
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K17CntrctRcvdGreaterThan100KCnt
Government Grants$4,444,441GovernmentGrantsAmt
All Other Contributions$16,500AllOtherContributionsAmt
Total Contributions$4,460,941TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUEDesc
Business624110BusinessCd
Total Revenue Column$28,999,072TotalRevenueColumnAmt
Related Or Exempt Func Income$28,999,072RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$28,999,072TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$173TotalRevenueColumnAmt
Exclusion$173ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$141,366TotalRevenueColumnAmt
Related Or Exempt Func Income$141,366RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$141,366OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$33,601,552TotalRevenueColumnAmt
Related Or Exempt Func Income$29,140,438RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$173ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,228,509TotalAmt
Program Services$1,228,509ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,384,468TotalAmt
Program Services$9,171,734ProgramServicesAmt
Management And General$3,212,734ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,636,960TotalAmt
Program Services$1,260,459ProgramServicesAmt
Management And General$376,501ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,057,605TotalAmt
Program Services$814,356ProgramServicesAmt
Management And General$243,249ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,089,875TotalAmt
Program Services$5,883,932ProgramServicesAmt
Management And General$3,205,943ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$495,506TotalAmt
Program Services$381,540ProgramServicesAmt
Management And General$113,966ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,657,346TotalAmt
Program Services$1,276,156ProgramServicesAmt
Management And General$381,190ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$267,122TotalAmt
Program Services$205,684ProgramServicesAmt
Management And General$61,438ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$788,813TotalAmt
Program Services$617,156ProgramServicesAmt
Management And General$171,657ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$163,300TotalAmt
Program Services$125,741ProgramServicesAmt
Management And General$37,559ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
TELEPHONE$835,459$643,303$192,156
MISCELLANEOUS EXPENSE$831,886$630,781$201,105
MEDICAL SUPPLIES & PHAR$720,440$720,440
AUTO & TRAVEL EXPENSE$579,821$446,462$133,359

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,647,223TotalAmt
Program Services$1,354,499ProgramServicesAmt
Management And General$292,724ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$33,384,333TotalAmt
Program Services$24,760,752ProgramServicesAmt
Management And General$8,623,581ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,141,491BOYAmt
EOY$569,482EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,963,239BOYAmt
EOY$4,709,530EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$235,000BOYAmt
EOY$115,644EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$62,882EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,078,439LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,351,014LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,101,110BOYAmt
EOY$7,727,425EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,520,309BOYAmt
EOY$1,496,824EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$25,932BOYAmt
EOY$48,408EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,987,081BOYAmt
EOY$14,730,195EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,472,807BOYAmt
EOY$4,008,930EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,485,871BOYAmt
EOY$3,671,593EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,226,074BOYAmt
EOY$3,030,124EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,184,752BOYAmt
EOY$10,710,647EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,802,329BOYAmt
EOY$4,019,548EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,802,329BOYAmt
EOY$4,019,548EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,987,081BOYAmt
EOY$14,730,195EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$217,219ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,969,688CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,198,436CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,572,408CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,297,322CurrentTaxYearMinus1YearAmt
Current Tax Year$4,460,941CurrentTaxYearAmt
Total$18,498,795TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,969,688CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,198,436CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,572,408CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,297,322CurrentTaxYearMinus1YearAmt
Current Tax Year$4,460,941CurrentTaxYearAmt
Total$18,498,795TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$18,498,795PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$966CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,540CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32CurrentTaxYearMinus1YearAmt
Current Tax Year$173CurrentTaxYearAmt
Total$9,711TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$65,094CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,695CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$91,533CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$80,086CurrentTaxYearMinus1YearAmt
Current Tax Year$141,366CurrentTaxYearAmt
Total$409,774TotalAmt
FieldValueIRS element (for citing)
Total Support$18,918,280TotalSupportAmt
Gross Receipts Rltd Activities$115,420,346GrossReceiptsRltdActivitiesAmt
Public Support CY1700.97780PublicSupportCY170Pct
Public Support PY1700.98160PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,317,170OtherCostOrOtherBasisAmt
Book Value$2,317,170BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$680,052OtherCostOrOtherBasisAmt
Depreciation$181,888DepreciationAmt
Book Value$498,164BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,364,080OtherCostOrOtherBasisAmt
Depreciation$2,152,820DepreciationAmt
Book Value$2,211,260BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,914,844OtherCostOrOtherBasisAmt
Depreciation$1,016,306DepreciationAmt
Book Value$898,538BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,802,293OtherCostOrOtherBasisAmt
Book Value$1,802,293BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,727,425TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
LINE OF CREDIT$1,000,000
ESTIMATED LIABLITY TO GRANTOR AGENCY$2,030,124
FieldValueIRS element (for citing)
Total Liability$3,030,124TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$33,601,552TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$33,601,552RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$33,601,552TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$33,384,333TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$33,384,333ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$33,384,333TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE CORPORATION QUALIFIES AS A TAX EXEMPT ORGANIZATION UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE 23701D. THE CORPORATION 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 THE CORPORATIONS 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 (>50%) BE SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURE OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE CORPORATION FILES INFORMATION RETURNS IN THE US FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA. WITH FEW EXCEPTIONS, THE CORPORATION IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2012.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROSEMARY REYES
CHIEF MEDICAL OFFICER$226,561$0$0$0$0$0$0$0$0$0$226,561$0$0$0
CASEY FATCH
CEO$169,839$0$0$0$0$0$0$0$0$0$169,839$0$0$0
SHAFEEQ SHAMSIDDEEN MD
PHYSICIAN$207,988$0$0$0$0$0$0$0$0$0$207,988$0$0$0
KENNETH NYMAN MD
PHYSICIAN$191,766$0$0$0$0$0$0$0$0$0$191,766$0$0$0
JASMIN VILLATORO
PHYSICIAN$185,216$0$0$0$0$0$0$0$0$0$185,216$0$0$0
MARIA DALY
PHYSICIAN$186,329$0$0$0$0$0$0$0$0$0$186,329$0$0$0
HAO KIM CAO ANGELL
PHYSICIAN$186,211$0$0$0$0$0$0$0$0$0$186,211$0$0$0
CASEY FATCH
FORMER BOARD MEMBER$0$0$0$0$0$0$0$0$0$0$0$0
GILBERT VARELA MD
FORMER CHIEF EXECUTIVE OFFICER$640,682$0$0$0$0$0$0$0$0$0$640,682$0$0$0
JOHN PAZIRANDEH
FORMER CHIEF FINANCIAL OFFICER$122,500$0$0$0$0$0$0$0$0$0$122,500$0$0$0

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GILBERT VARELA MDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship With OrgFORMER CEORelationshipWithOrgTxt
Loan PurposeEMPLOYMENT SEPARATION AND RELEASE OF CLAIMSLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$200,000OriginalPrincipalAmt
Balance Due$115,644BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$115,644TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2THE ORGANIZATIONS HAVE TWO PAIRS OF HUSBAND AND WIFE SERVING THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BEACH BOARD OF DIRECTOR IS GIVEN A COMPLETE COPY OF THE DRAFTED TAX FORM 990 TO BE REVIEWED AND DISCUSSED AT THEIR BOARD MEETING AND VOTED FOR APPROVAL BEFORE THE DUE DATE OF THE TAX RETURN.
FORM 990, PART VI, SECTION B, LINE 12CONCE A YEAR DURING A BOARD MEETING, EACH BOARD MEMBER IS GIVEN A STATEMENT TO SIGN STATING THERE ARE NO CONFLICTS OF INTEREST HAVE OCCURRED OR WILL OCCURRE DURING THE PAST AND SUBSEQUENT TIME REMAINING AS A BOARD MEMBER.
FORM 990, PART VI, SECTION B, LINE 15FOR ALL KEY POSITIONS OF THE ORGANIZATION, THE BOARD OF DIRECTORS OBTAIN AND DOCUMENTS 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 19UPON REQUEST VIA PHONE OR WRITTEN REQUEST, THESE DOCUMENTS ARE MADE AVAILABLE AT ORGANIZATION ADMINISTRATIVE OFFICE WITH APPOINTMENT.
FORM 990, PART IX, LINE 11GCONTRACT LABOR-PHYSICIANS: PROGRAM SERVICE EXPENSES 5,883,932. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,883,932. OUTSIDE SERVICES/CONSULTANT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,577,835. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,577,835. BILLING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 628,108. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 628,108.

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