2018-04-24T19:18:12-05:00 2017-06-30 330783700 PDM LLP 3460 TORRANCE BLVD STE 200 TORRANCE CA 90503 990 2016-07-01 330574214 CAMINO HEALTH CENTER CAMI 9492402030 30300 CAMINO CAPISTRANO SAN JUAN CAPISTRANO CA 92675 PAUL CACERES CHIEF FINANCIAL OFFICER 9492402030 2018-04-23 1 ANTHONY P BOZANIC CPA P01314417 3105404118 64.183.112.46 2018-04-23 14:27:47 PD P AB34D790D7F87B43C88F2E9C2CDFEA1D77BD3782 6F28E6B11E04A12C94E334726EFA5276DA0B86D7 2016 2021-01-29 14:40:06Z PAUL CACERES 30300 CAMINO CAPISTRANO SAN JUAN CAPISTRANO CA 92675 13762407 0 X WWW.CAMINOHEALTHCENTER.ORG X 1992 CA IMPROVE HEALTH OF UNDERSERVED IN S. ORANGE COUNTY BY PROVIDING AFFORDABLE, QUALITY PRIMARY CARE. 12 12 95 125 0 0 4750830 6555006 5773237 7207401 0 0 271488 0 10795555 13762407 0 0 0 0 6423223 7777387 0 0 0 2902821 3580698 9326044 11358085 1469511 2404322 9567769 12332033 1060527 1577844 8507242 10754189 TO IMPROVE THE HEALTH STATUS OF THE UNDERSERVED IN SOUTH ORANGE COUNTY BY PROVIDING AFFORDABLE, QUALITY PRIMARY CARE. 0 0 8608736 7207401 THE ORGANIZATION PROVIDES AFFORDABLE, QUALITY PRIMARY MEDICAL CARE, DENTAL CARE, AND BEHAVIORAL HEALTH SERVICES THROUGH ITS MEDICAL CLINIC AND DENTAL CLINIC. THE ORGANIZATION IS DEVOTED TO SERVING THE UNDERSERVED AND VULNERABLE POPULATION IN THE COMMUNITY OF SOUTH ORANGE COUNTY. THE ORGANIZATION SERVES OVER 100,000 PATIENT VISITS ANNUALLY. 1291022 THE ORGANIZATION PROVIDES EDUCATIONAL AND SOCIAL SERVICES THROUGH THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN (WIC). THE PROGRAM PROVIDES SUPPLEMENTAL NUTRITION FOOD VOUCHERS, NUTRITION EDUCATION, AND REFERRALS TO HEALTH CARE FOR LOW-INCOME PERSONS DURING CRITICAL PERIODS OF GROWTH AND DEVELOPMENT. SUCH PERSONS INCLUDE PREGNANT WOMEN, BREAST-FEEDING WOMEN UP TO ONE YEAR POSTPARTUM, NON-BREAST FEEDING WOMEN UP TO SIX MONTHS POSTPARTUM, INFANTS, AND CHILDREN UNDER AGE FIVE DETERMINED TO BE AT NUTRITIONAL RISK. INTERVENTION DURING THE PRENATAL PERIOD IMPROVES FETAL DEVELOPMENT AND REDUCES THE INCIDENCE OF LOW BIRTH WEIGHT, SHORT GESTATION, AND ANEMIA. 9899758 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 95 1 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X PAUL CACERES 9492402030 30300 CAMINO CAPISTRANO SAN JUAN CAPISTRANO CA 92675 BRENDA JULIAN BOARD MEMBER 1.00 X 0 0 0 CAROL HALESWORTH BOARD MEMBER 1.00 X 0 0 0 DAVID JOFFE BOARD MEMBER 1.00 X 0 0 0 HELEN SMITH-GARDNER BOARD MEMBER 1.00 X 0 0 0 KIMSA DUONG BOARD MEMBER 1.00 X 0 0 0 PHORSHIA DILLARDGATEWOOD BOARD MEMBER 1.00 X 0 0 0 SISTER MARTHA ANN FITZPATRICK PHD BOARD MEMBER 1.00 X 0 0 0 SUSAN HOFFNAGLE BOARD MEMBER 1.00 X 0 0 0 TAMMY ALVAREZ BOARD MEMBER 1.00 X 0 0 0 TAREK SALAWAY BOARD MEMBER 1.00 X 0 0 0 MARY LOU NAVA HAMAKER PHD CHAIR 1.00 X X 0 0 0 MELODY VISE VICE CHAIR 1.00 X X 0 0 0 RANDY SMITH COO 50.00 X 134601 0 26592 PAUL CACERES CFO 50.00 X 166950 0 21458 SERGIO ULISES RODAS CMO 50.00 X 248533 0 33182 DEBRA DREW CEO 50.00 X 250427 0 20816 ANH TRAM DENTAL DIRECTOR 40.00 X 132929 0 14861 VELVA BERGER CAMINO NURSE PRACTITIONER 40.00 X 141046 0 22165 JULIE WILHELMI STAFF DENTIST 40.00 X 142942 0 14920 FIROZEH GRUBER STAFF PHYSICIAN 40.00 X 145435 0 27003 AUDREY ROCCO CAMINO STAFF PHYSICIAN 40.00 X 195486 0 30530 1558349 0 211527 14 0 1 0 MCKESSON MEDICAL SURGICAL INC PO BOX 634404 CINCINNATI OH 45263 MEDICAL SERVICES 241373 QUEST DIAGNOSTICS INC 675 CAMINO DE LOS MARES STE 300 SAN CLEMENTE CA 92673 LAB SERVICES 229310 AFTER HOURS SUPPORT SERVICES LLC 23832 ROCKFIELD BLVD 195 LAKE FOREST CA 92630 IT SERVICES 202533 OCEANS MEDICAL STAFFING INC PO BOX 577 WEST BEND WI 53095 MEDICAL STAFFING 115062 4 1859046 4274411 421549 6555006 PATIENT SERVICES 624100 6396311 6396311 CAPITATION REVENUE 624100 463733 463733 OTHER REVENUE 624100 347357 347357 7207401 13762407 7207401 0 0 888512 450641 437871 4333628 4122177 211451 295723 259142 36581 1855607 1633827 221780 403917 354182 49735 21200 3816 17384 584380 394570 189810 7553 6914 639 552065 514548 37517 924393 797029 127364 38126 33176 4950 497397 497397 73808 45175 28633 LAB SERVICES 334890 334890 WIC PROGRAM 239180 160420 78760 REGISTRIES 217457 217457 90249 74397 15852 11358085 9899758 1458327 0 7395322 3377530 4010671 260268 364788 494197 685263 99677 412604 5271374 1800597 1317294 3470777 1011 10400 9567769 12332033 984163 1253454 76364 324390 1060527 1577844 X 8347117 10751439 160125 2750 8507242 10754189 9567769 12332033 X 2404322 -157375 X X 0 1 X 1 1 1 X 4300513 4573582 4452192 4750830 6555006 24632123 2791024 3965689 5085315 6044725 7207401 25094154 7091537 8539271 9537507 10795555 13762407 49726277 0 0 0 49726277 7091537 8539271 9537507 10795555 13762407 49726277 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2873781 854429 2019352 2210162 758737 1451425 187431 187431 0 3470777 DEFERRED RENT 286236 DUE TO ST. JOSEPH HEALTH 38154 324390 X 13762407 0 13762407 0 13762407 11358085 0 11358085 0 11358085 PART X, LINE 2: CAMINO RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT OF BEING SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. TO DATE, THE ORGANIZATION HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS. CAMINO RECOGNIZES POTENTIAL ACCRUED INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS IN INCOME TAX EXPENSE. DURING THE YEAR ENDED JUNE 30, 2017, CAMINO DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS. X X 0 0 0 0 0 0 0 1 0 RANDY SMITH COO 134601 0 0 0 0 0 6730 0 19862 0 161193 0 0 0 PAUL CACERES CFO 166950 0 0 0 0 0 8347 0 13111 0 188408 0 0 0 SERGIO ULISES RODAS CMO 248533 0 0 0 0 0 12427 0 20755 0 281715 0 0 0 DEBRA DREW CEO 250427 0 0 0 0 0 12521 0 8295 0 271243 0 0 0 VELVA BERGER CAMINO NURSE PRACTITIONER 141046 0 0 0 0 0 7052 0 15113 0 163211 0 0 0 JULIE WILHELMI STAFF DENTIST 142942 0 0 0 0 0 7147 0 7773 0 157862 0 0 0 FIROZEH GRUBER STAFF PHYSICIAN 145435 0 0 0 0 0 7272 0 19731 0 172438 0 0 0 AUDREY ROCCO CAMINO STAFF PHYSICIAN 195486 0 0 0 0 0 9774 0 20756 0 226016 0 0 0 PART I, LINE 7 THE CHIEF EXECUTIVE OFFICER OF CAMINO HEALTH CENTER IS ELIGIBLE TO RECEIVE AN AT-RISK PAY. THE PAY IS BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE GOALS INCLUDE BOTH QUALITY AND FINANCIAL METRICS. FORM 990, PART VI, SECTION B, LINE 11B A COMPLETE COPY OF THE 990 IS PROVIDED TO THE BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C VARIOUS FUNDERS ALSO REQUIRE REVIEW OF THE CONFLICT OF INTEREST POLICY AND MONITORING OF THE POLICY THROUGHOUT THE YEAR. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS REVIEWED BASED ON A COMPARISON TO THE ANNUAL SALARY SURVEY FOR CALIFORNIA COMMUNITY CLINICS AND HEALTH CENTERS PUBLISHED BY THE CALIFORNIA PRIMARY CARE ASSOCIATION. FORM 990, PART VI, SECTION C, LINE 19 THE TAX RETURN IS AVAILABLE TO THE PUBLIC UPON REQUEST AND ON GUIDESTAR'S WEBSITE. FORM 990, PART XI, LINE 9: INCREASE IN TEMPORARILY RESTRICTED NET ASSETS -157,375. FORM 990, PART XII, LINE 2C: THE AUDIT COMMITTE HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCES DURING THE YEAR.