2018-05-15T19:15:36-05:00 2016-06-30 330700332 VASQUEZ & CO LLP 801 S GRAND AVE SUITE 400 LOS ANGELES CA 90017 990 2015-07-01 954492570 CENTRAL CITY COMMUNITY HEALTH CENTER INC CENT 3237240019 1000 SAN GABRIEL BLVD NO 200 ROSEMEAD CA 91770 GILBERT VARELA CHIEF EXECUTIVE OFFICER 3237240019 2018-05-15 1 LYNN D BOSTER P00440365 2138731700 2015 2018-06-14 16:35:46Z X X FRANKLIN GONZALEZ 100 SAN GABRIEL BLVD LOS ANGELES CA 91770 38235353 0 X WWW.CENTRALCITYHEALTH.ORG X 1994 CA TO PROVIDE HEALTH CARE SERVICES TO UNDER SERVED COMMUNITY. 9 9 453 0 0 0 3572408 4297322 25015409 33857945 8540 32 91533 80054 28687890 38235353 0 0 0 0 13182009 17469478 0 0 0 16791723 20808068 29973732 38277546 -1285842 -42193 15244400 16987081 11399878 13184752 3844522 3802329 TO PROVIDE HEALTH CARE SERVICES TO THE UNDER SERVED COMMUNITIES. 0 0 33126212 TO PROVIDE HEALTH CARE SERVICES TO UNDER SERVED COMMUNITIES. 33126212 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 137 0 1 453 1 0 0 0 0 0 0 0 0 0 0 X 9 9 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X KRISTOPHER ZUNIGA 3237240019 1000 SAN GABRIEL BLVD NO 200 ROSEMEAD CA 91770 LUIS MARTEN CHAIRMAN 4.00 X X 0 0 0 JOSE ANGEL BARAJAS JR SECRETARY 4.00 X X 0 0 0 JACQUELINE NEGRETE BOARD MEMBER 2.00 X 0 0 0 CASEY FATCH BOARD MEMBER 2.00 X 0 0 0 MARIA DURAN BOARD MEMBER 2.00 X 0 0 0 GLORIA ANGUIANO BOARD MEMBER 2.00 X 0 0 0 JUAN DURAN BOARD MEMBER 2.00 X 0 0 0 GUSTAVO HERNANDEZ TREASURER 2.00 X X 0 0 0 STELLA MARTEN BOARD MEMBER 2.00 X 0 0 0 GILBERT VARELA MD (FORMER) CHIEF EXECUTIVE OFFICER 55.00 X 695000 0 0 JOSE LUIS PEREZ MD MEDICAL DOCTOR 40.00 X 200943 0 0 JOHN PAZIRANDEH CHIEF FINANCIAL OFFICER 40.00 X 242643 0 0 ROBERT EDWARD RAINER II MD SPECIALTY OB-GYN 40.00 X 212690 0 0 HAO KIM CAO ANGEL MEDICAL DIRECTOR 40.00 X 203500 0 0 1554776 0 0 20 0 1 0 LIFESPAN HEALTH ASSOCIATES INC 1171 S ROBERTSON BLVD 415 LOS ANGELES CA 90035 CONSULTING 2470310 TERRY CHASE 13193 CENTRAL AVE STE 200 CHINO CA 91710 CLINIC PROVIDER 698193 MARTIN S FISCHER 4669 ARRIBA DRIVE TARZANA CA 91356 CLINIC PROVIDER 425550 MAGUI SERVICE 415 SUNKIST ST ANAHEIM CA 92806 CONSULTING 424544 A PROFESSIONAL PSYCHIATRIC CORP 2058 N MILLS ROAD 518 CLAREMONT CA 91711 CLINIC PROVIDER 419925 23 4297322 4297322 PATIENT REVENUE 624110 33857945 33857945 33857945 32 32 MISCELLANEOUS 900099 80054 80054 80054 38235353 33937999 0 32 X 1554776 1554776 12918953 10514956 2403997 1817669 1526842 290827 1178080 989587 188493 13315770 12215417 1100353 859902 722318 137584 1829219 1536544 292675 221405 35425 185980 744152 625088 119064 153746 129147 24599 MEDICAL SUPPLIES & PHAR 753816 753816 TELEPHONE 697306 585737 111569 AUTO & TRAVEL EXPENSE 639952 537560 102392 UTILITIES 362794 304747 58047 1230006 1094252 135754 38277546 33126212 5151334 0 796845 1141491 4335902 5963239 200000 235000 14169 10686796 2585686 8340963 8101110 1543795 1520309 12726 25932 15244400 16987081 4263565 5472807 4998393 4485871 2137920 3226074 11399878 13184752 X 3844522 3802329 3844522 3802329 15244400 16987081 -42193 0 X 0 1 X 1 1 1 X 3488513 2969688 3198436 3572408 4297322 17526367 3488513 2969688 3198436 3572408 4297322 17526367 17526367 966 8540 32 9538 50802 65094 31695 91533 80054 319178 17855083 95198825 0.98160 0.98130 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2317170 2317170 675048 159386 515662 4298080 1667152 2630928 1798138 759148 1038990 1598360 1598360 8101110 LINE OF CREDIT 1000000 ESTIMATED LIABLITY TO GRANTOR AGENCY 2226074 3226074 X 38235353 0 38235353 0 38235353 38277546 0 38277546 0 38277546 PART X, LINE 2: THE 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 2011. 0 0 0 0 0 0 0 0 0 GILBERT VARELA MD (FORMER) CHIEF EXECUTIVE OFFICER 695000 0 0 0 0 0 0 0 0 0 695000 0 0 0 JOSE LUIS PEREZ MD MEDICAL DOCTOR 200943 0 0 0 0 0 0 0 0 0 200943 0 0 0 JOHN PAZIRANDEH CHIEF FINANCIAL OFFICER 242643 0 0 0 0 0 0 0 0 0 242643 0 0 0 ROBERT EDWARD RAINER II MD SPECIALTY OB-GYN 212690 0 0 0 0 0 0 0 0 0 212690 0 0 0 HAO KIM CAO ANGEL MEDICAL DIRECTOR 203500 0 0 0 0 0 0 0 0 0 203500 0 0 0 GILBERT VARELA MD (FORMER) CHIEF EXECUTIVE OFFICER EMPLOYMENT SEPARATION AND RELEASE OF CLAIMS X 200000 235000 0 1 1 235000 GILBERT VARELA MD (FORMER) CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION 132400 THE ORGANIZATION ENTERED INTO A COMMERCIAL LEASE AGREEMENT WITH CAZADOR ENTERPRISES LLC, A CALIFORNIA LIMITED LIABILITY COMPANY, WHICH IS OWNED BY THE (FORMER) CHIEF EXECUTIVE OFFICER. THE PROPERTY IS DESCRIBED AS A 7,000 SQUARE FOOT FREE STANDING COMMERCIAL OFFICE BUILDING LOCATED AT 5233 E. BEVERLY BLVD., LOS ANGELES, CA 90022 AND USED BY THE ORGANIZATION AS ADMINISTRATIVE OFFICE. ON MAY 1, 2015, THE ORGANIZATION ENTERED INTO A COMMERCIAL STORAGE AND PARKING LEASE AGREEMENT WITH A CALIFORNIA LIMITED LIABILITY COMPANY, WHICH IS OWNED BY THE (FORMER) CHIEF EXECUTIVE OFFICER. THE PROPERTY IS LOCATED IN THE CITY OF HUNTINGTON PARK, CALIFORNIA, IS SOLELY FOR STORAGE OF PERSONAL AND COMPANY VEHICLE OWNED BY THE ORGANIZATION. 0 GILBERT VARELA MD (FORMER) CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION 759041 ON DECEMBER 1, 2014, THE ORGANIZATION ENTERED INTO A PRIMARY CARE PHYSICIAN AGREEMENT WITH A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION (IPA), WHICH IS OWNED BY THE (FORMER) CHIEF EXECUTIVE OFFICER. UNDER THE AGREEMENT, THE IPA IS OBLIGATED TO PAY THE ORGANIZATION A CAPITATION RATE PER MEMBER PER MONTH FOR THE PRIMARY CARE SERVICES PROVIDED TO THE MEMBER. 0 FORM 990, PART VI, SECTION A, LINE 2 THE ORGANIZATIONS HAS A HUSBAND AND WIFE SERVING THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 EACH 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 12C ONCE 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 15 FOR 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 19 UPON REQUEST VIA PHONE OR WRITTEN REQUEST, THESE DOCUMENTS ARE MADE AVAILABLE AT ORGANIZATION ADMINISTRATIVE OFFICE WITH APPOINTMENT. FORM 990, PART IX, LINE 11G CONTRACT LABOR-PHYSICIANS: PROGRAM SERVICE EXPENSES 10,657,542. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,657,542. OUTSIDE SERVICES/CONSULTANT: PROGRAM SERVICE EXPENSES 1,557,875. MANAGEMENT AND GENERAL EXPENSES 296,738. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,854,613. BILLING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 803,615. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 803,615. AMENDED RETURN RECEIVED AUDITED FINANCIAL STATEMENT AFTER THE LAST FILING DEADLINE. SEVERAL NUMBERS HAVE CHANGED FROM THE ORIGINAL FILED RETURN. AMENDMENT WAS DONE TO CORRECT ALL THE NUMBERS PURSUANT TO THE AUDIT.