2017-04-25T17:19:34-05:00 2015-06-30 330700332 VASQUEZ & CO LLP 801 S GRAND AVE SUITE 400 LOS ANGELES CA 90017 990 2014-07-01 954492570 CENTRAL CITY COMMUNITY HEALTH CENTER INC CENT 3237240019 5230 E BEVERLY BLVD LOS ANGELES CA 90022 FRANKLIN GONZALEZ CHIEF EXECUTIVE OFFICER 3237240019 2017-04-21 1 GILBERT R VASQUEZ 2138731700 2014 2021-01-29 14:40:06Z X FRANKLIN GONZALEZ 5230 E BEVERLY BLVD LOS ANGELES CA 90022 28687890 0 X WWW.CENTRALCITYHEALTH.ORG X 1994 CA TO PROVIDE HEALTH CARE SERVICES TO UNDER SERVED COMMUNITY. 9 9 297 0 0 0 3198436 3572408 14882537 25015409 966 8540 31695 91533 18113634 28687890 0 0 0 0 9274084 13182009 0 0 0 8534868 16791723 17808952 29973732 304682 -1285842 7800652 15244400 2670288 11399878 5130364 3844522 TO PROVIDE HEALTH CARE SERVICES TO THE UNDER SERVED COMMUNITIES. 0 0 25045298 TO PROVIDE HEALTH CARE SERVICES TO UNDER SERVED COMMUNITIES. 25045298 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 1 112 0 1 297 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 PHILIP PADUA 3237240019 5230 E BEVERLY BLVD LOS ANGELES CA 90022 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 CHIEF EXECUTIVE OFFICER 55.00 X 747632 0 0 JOSE LUIS PEREZ MD MEDICAL DOCTOR 40.00 X 194000 0 0 JOHN PAZIRANDEH CHIEF FINANCIAL OFFICER 40.00 X 203035 0 0 BLANCA GALAPON MEDICAL DOCTOR 40.00 X 167034 0 0 SHAFEEQ SYID SHAMSIDDEEN PROVIDER 40.00 X 191500 0 0 HAO KIM CAO ANGEL PROVIDER 40.00 X 151453 0 0 CHESTER MOJICA MEDICAL DOCTOR 40.00 X 141459 0 0 HUNG DINH DOAN MEDICAL DOCTOR 40.00 X 131544 0 0 1927657 0 0 11 0 1 0 LIFESPAN HEALTH ASSOCIATES INC 1171 S ROBERTSON BLVD 415 LOS ANGELES CA 90035 CONSULTING 1099620 KPS KIRKLAND PROPERTY SERVICES 2752 AVENIDA SIMI SIMI VALLEY CA 93065 CONSTRUCTION 436897 RODOLFO E MAGSINO MD INC 1557 E AMAR RD STE F WEST COVINA CA 91792 CLINIC PROVIDER 292430 SPECIALTY MENTAL HEALTH ASSOCIATES 1171 S ROBERTSON BLVD 415 LOS ANGELES CA 90035 CONSULTING 249635 MAGUI SERVICE 415 SUNKIST ST ANAHEIM CA 92806 CONSULTING 246182 13 3569383 3025 3572408 PATIENT REVENUE 624110 25015409 25015409 25015409 8540 8540 MISCELLANEOUS 900099 91533 91533 91533 28687890 25106942 0 8540 X 1927657 1927657 8995120 6611947 2383173 1336563 1071439 265124 922669 757208 165461 9402831 8901245 501586 749069 496575 252494 1583132 1432546 150586 94789 19511 75278 1031780 766351 265429 184055 161127 22928 MEDICAL SUPPLIES & PHAR 768621 768621 AUTO & TRAVEL EXPENSE 525992 417855 108137 LABORATORY FEES 391962 391962 TELEPHONE 383257 315625 67632 1676235 1005629 670606 29973732 25045298 4928434 0 138426 796845 1679718 4335902 200000 77168 14169 10205983 1865020 5403060 8340963 352280 1543795 150000 12726 7800652 15244400 1704250 4263565 966038 4998393 0 2137920 2670288 11399878 X 5130364 3844522 5130364 3844522 7800652 15244400 -1285842 0 X 0 1 X 1 1 1 X 1909468 3488513 2969688 3198436 3572408 15138513 1909468 3488513 2969688 3198436 3572408 15138513 15138513 966 8540 9506 39912 50802 65094 31695 91533 279036 15427055 67732324 0.98130 0.98550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2317170 2317170 675048 136885 538163 5503729 1221903 4281826 1710036 506232 1203804 8340963 LINE OF CREDIT 750000 ESTIMATED LIABILITY TO GRANTOR AGENCY 1387920 2137920 X 28687890 0 28687890 0 28687890 29973732 0 29973732 0 29973732 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 2010. 0 0 0 0 0 0 0 0 0 GILBERT VARELA MD CHIEF EXECUTIVE OFFICER 747632 0 0 0 0 0 0 0 0 0 747632 0 0 0 JOSE LUIS PEREZ MD MEDICAL DOCTOR 194000 0 0 0 0 0 0 0 0 0 194000 0 0 0 JOHN PAZIRANDEH CHIEF FINANCIAL OFFICER 203035 0 0 0 0 0 0 0 0 0 203035 0 0 0 BLANCA GALAPON MEDICAL DOCTOR 167034 0 0 0 0 0 0 0 0 0 167034 0 0 0 SHAFEEQ SYID SHAMSIDDEEN PROVIDER 191500 0 0 0 0 0 0 0 0 0 191500 0 0 0 HAO KIM CAO ANGEL PROVIDER 151453 0 0 0 0 0 0 0 0 0 151453 0 0 0 GILBERT VARELA MD FORMER CEO EMPLOYMENT SEPARATION AND RELEASE OF CLAIMS X 200000 200000 0 1 1 200000 GILBERT VARELA MD CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION 112850 THE 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 41825 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 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 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 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 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.