CENTRAL CITY COMMUNITY HEALTH CENTER INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
CENTRAL CITY COMMUNITY HEALTH CENTER INC (EIN 95-4492570)
Tax period
2014-07-01 to 2015-06-30
Filed
2017-04-25
IRS object ID
201721159349301022
Schema version
2014v6.0
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)
Return2017-04-25T17:19:34-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

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 Begin2014-07-01TaxPeriodBeginDt

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 Line15230 E BEVERLY BLVDAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90022ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFRANKLIN GONZALEZPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone3237240019PhoneNum
Signature2017-04-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGILBERT R VASQUEZPreparerPersonNm
Phone2138731700PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnYes (X)AmendedReturnInd
Principal OfficerFRANKLIN GONZALEZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15230 E BEVERLY BLVDAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90022ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$28,687,890GrossReceiptsAmt
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 Employee297TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,198,436PYContributionsGrantsAmt
CY Contributions Grants$3,572,408CYContributionsGrantsAmt
PY Program Service Revenue$14,882,537PYProgramServiceRevenueAmt
CY Program Service Revenue$25,015,409CYProgramServiceRevenueAmt
PY Investment Income$966PYInvestmentIncomeAmt
CY Investment Income$8,540CYInvestmentIncomeAmt
PY Other Revenue$31,695PYOtherRevenueAmt
CY Other Revenue$91,533CYOtherRevenueAmt
PY Total Revenue$18,113,634PYTotalRevenueAmt
CY Total Revenue$28,687,890CYTotalRevenueAmt
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$9,274,084PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,182,009CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,534,868PYOtherExpensesAmt
CY Other Expenses$16,791,723CYOtherExpensesAmt
PY Total Expenses$17,808,952PYTotalExpensesAmt
CY Total Expenses$29,973,732CYTotalExpensesAmt
PY Revenues Less Expenses$304,682PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,285,842CYRevenuesLessExpensesAmt
Total Assets BOY$7,800,652TotalAssetsBOYAmt
Total Assets EOY$15,244,400TotalAssetsEOYAmt
Total Liabilities BOY$2,670,288TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,399,878TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,130,364NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,844,522NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH CARE SERVICES TO THE UNDER SERVED COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$25,045,298ExpenseAmt
DescTO PROVIDE HEALTH CARE SERVICES TO UNDER SERVED COMMUNITIES.Desc
Total Program Service Expenses$25,045,298TotalProgramServiceExpensesAmt
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 MemYes (1)BusinessRlnWithOrgMemInd
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 Document112IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee297EmployeeCnt
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 Line1PHILIP PADUABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3237240019PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15230 E BEVERLY BLVDAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90022ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
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
CASEY FATCH
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
GILBERT VARELA MD
CHIEF EXECUTIVE OFFICER55.00Yes (X)$747,632$0$0
JOSE LUIS PEREZ MD
MEDICAL DOCTOR40.00Yes (X)$194,000$0$0
JOHN PAZIRANDEH
CHIEF FINANCIAL OFFICER40.00Yes (X)$203,035$0$0
BLANCA GALAPON
MEDICAL DOCTOR40.00$167,034$0$0Yes (X)
SHAFEEQ SYID SHAMSIDDEEN
PROVIDER40.00$191,500$0$0Yes (X)
HAO KIM CAO ANGEL
PROVIDER40.00$151,453$0$0Yes (X)
CHESTER MOJICA
MEDICAL DOCTOR40.00$141,459$0$0Yes (X)
HUNG DINH DOAN
MEDICAL DOCTOR40.00$131,544$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,927,657TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
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
LIFESPAN HEALTH ASSOCIATES INC
1171 S ROBERTSON BLVD 415LOS ANGELESCA90035CONSULTING$1,099,620
KPS KIRKLAND PROPERTY SERVICES
2752 AVENIDA SIMISIMI VALLEYCA93065CONSTRUCTION$436,897
RODOLFO E MAGSINO MD INC
1557 E AMAR RD STE FWEST COVINACA91792CLINIC PROVIDER$292,430
SPECIALTY MENTAL HEALTH ASSOCIATES
1171 S ROBERTSON BLVD 415LOS ANGELESCA90035CONSULTING$249,635
MAGUI SERVICE
415 SUNKIST STANAHEIMCA92806CONSULTING$246,182
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
Government Grants$3,569,383GovernmentGrantsAmt
All Other Contributions$3,025AllOtherContributionsAmt
Total Contributions$3,572,408TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUEDesc
Business624110BusinessCd
Total Revenue Column$25,015,409TotalRevenueColumnAmt
Related Or Exempt Func Income$25,015,409RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$25,015,409TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,540TotalRevenueColumnAmt
Exclusion$8,540ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$91,533TotalRevenueColumnAmt
Related Or Exempt Func Income$91,533RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$91,533OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,687,890TotalRevenueColumnAmt
Related Or Exempt Func Income$25,106,942RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,540ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,927,657TotalAmt
Program Services$1,927,657ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,995,120TotalAmt
Program Services$6,611,947ProgramServicesAmt
Management And General$2,383,173ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,336,563TotalAmt
Program Services$1,071,439ProgramServicesAmt
Management And General$265,124ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$922,669TotalAmt
Program Services$757,208ProgramServicesAmt
Management And General$165,461ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,402,831TotalAmt
Program Services$8,901,245ProgramServicesAmt
Management And General$501,586ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$749,069TotalAmt
Program Services$496,575ProgramServicesAmt
Management And General$252,494ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,583,132TotalAmt
Program Services$1,432,546ProgramServicesAmt
Management And General$150,586ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$94,789TotalAmt
Program Services$19,511ProgramServicesAmt
Management And General$75,278ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,031,780TotalAmt
Program Services$766,351ProgramServicesAmt
Management And General$265,429ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$184,055TotalAmt
Program Services$161,127ProgramServicesAmt
Management And General$22,928ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & PHAR$768,621$768,621
AUTO & TRAVEL EXPENSE$525,992$417,855$108,137
LABORATORY FEES$391,962$391,962
TELEPHONE$383,257$315,625$67,632

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,676,235TotalAmt
Program Services$1,005,629ProgramServicesAmt
Management And General$670,606ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$29,973,732TotalAmt
Program Services$25,045,298ProgramServicesAmt
Management And General$4,928,434ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$138,426BOYAmt
EOY$796,845EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,679,718BOYAmt
EOY$4,335,902EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$200,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$77,168BOYAmt
EOY$14,169EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,205,983LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,865,020LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,403,060BOYAmt
EOY$8,340,963EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$352,280BOYAmt
EOY$1,543,795EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$150,000BOYAmt
EOY$12,726EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,800,652BOYAmt
EOY$15,244,400EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,704,250BOYAmt
EOY$4,263,565EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$966,038BOYAmt
EOY$4,998,393EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,137,920EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,670,288BOYAmt
EOY$11,399,878EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,130,364BOYAmt
EOY$3,844,522EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,130,364BOYAmt
EOY$3,844,522EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,800,652BOYAmt
EOY$15,244,400EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,285,842ReconcilationRevenueExpnssAmt
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$1,909,468CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,488,513CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,969,688CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,198,436CurrentTaxYearMinus1YearAmt
Current Tax Year$3,572,408CurrentTaxYearAmt
Total$15,138,513TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,909,468CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,488,513CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,969,688CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,198,436CurrentTaxYearMinus1YearAmt
Current Tax Year$3,572,408CurrentTaxYearAmt
Total$15,138,513TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$15,138,513PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$966CurrentTaxYearMinus1YearAmt
Current Tax Year$8,540CurrentTaxYearAmt
Total$9,506TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$39,912CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$50,802CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$65,094CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$31,695CurrentTaxYearMinus1YearAmt
Current Tax Year$91,533CurrentTaxYearAmt
Total$279,036TotalAmt
FieldValueIRS element (for citing)
Total Support$15,427,055TotalSupportAmt
Gross Receipts Rltd Activities$67,732,324GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98130PublicSupportCY170Pct
Public Support PY1700.98550PublicSupportPY170Pct
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$675,048OtherCostOrOtherBasisAmt
Depreciation$136,885DepreciationAmt
Book Value$538,163BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,503,729OtherCostOrOtherBasisAmt
Depreciation$1,221,903DepreciationAmt
Book Value$4,281,826BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,710,036OtherCostOrOtherBasisAmt
Depreciation$506,232DepreciationAmt
Book Value$1,203,804BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,340,963TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
LINE OF CREDIT$750,000
ESTIMATED LIABILITY TO GRANTOR AGENCY$1,387,920
FieldValueIRS element (for citing)
Total Liability$2,137,920TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$28,687,890TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$28,687,890RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$28,687,890TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$29,973,732TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$29,973,732ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$29,973,732TotalExpensesPerForm990Amt

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 2010.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 (6 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
GILBERT VARELA MD
CHIEF EXECUTIVE OFFICER$747,632$0$0$0$0$0$0$0$0$0$747,632$0$0$0
JOSE LUIS PEREZ MD
MEDICAL DOCTOR$194,000$0$0$0$0$0$0$0$0$0$194,000$0$0$0
JOHN PAZIRANDEH
CHIEF FINANCIAL OFFICER$203,035$0$0$0$0$0$0$0$0$0$203,035$0$0$0
BLANCA GALAPON
MEDICAL DOCTOR$167,034$0$0$0$0$0$0$0$0$0$167,034$0$0$0
SHAFEEQ SYID SHAMSIDDEEN
PROVIDER$191,500$0$0$0$0$0$0$0$0$0$191,500$0$0$0
HAO KIM CAO ANGEL
PROVIDER$151,453$0$0$0$0$0$0$0$0$0$151,453$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$200,000BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$200,000TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
GILBERT VARELA MD
CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION$112,850THE ORGANIZATION ENTERED INTO A COMMERCIAL LEASE AGREEMENT WITH CAZADOR ENTERPRISES LLC, A CALIFORNIA LIMITED LIABILITY COMPANY, WHICH IS OWNED BY THE 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 EXECUTIVE DIRECTOR. 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
CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION$41,825ON DECEMBER 1, 2014, THE ORGANIZATION ENTERED INTO A PRIMARY CARE PHYSICIAN AGREEMENT WITH A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION (IPA), WHICH IS OWNED BY THE EXECUTIVE DIRECTOR. 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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2THE ORGANIZATIONS HAS A HUSBAND AND WIFE SERVING THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11EACH 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 8,381,433. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,381,433. OUTSIDE SERVICES/CONSULTANT: PROGRAM SERVICE EXPENSES 519,812. MANAGEMENT AND GENERAL EXPENSES 501,586. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,021,398.
AMENDED RETURNRECEIVED 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.

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