CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC (EIN 95-2801772)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-05-15
- IRS object ID
- 201721359349312602
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T12:34:18-07:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 472251777 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHW LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7797 N First Street Suite 15 | AddressLine1Txt |
| City | Fresno | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93720 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952801772 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Centro De Salud La Communidad De San Ysidro Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 6194281330 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1275 30th Street | AddressLine1Txt |
| City | San Ysidro | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92154 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Gilbert Fimbres | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6194281330 | PhoneNum |
| Signature | 2017-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeremy Ware | PreparerPersonNm |
| PTIN | P00642659 | PTIN |
| Phone | 5595495400 | PhoneNum |
| Preparation | 2017-05-08 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 96.67.208.101 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | San Ysidro Health Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | San Ysidro Health Center | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4004 Beyer Blvd | AddressLine1Txt |
| City | San Ysidro | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92173 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $135,217,569 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.syhc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | Centro De Salud De La Communidad De San Ysidro Inc (DBA- San Ysidro Health Center) operates community health centers located in San Diego, CA. the organization's mission is to improve health and well being of the community's traditionally under served and culturally diverse people. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1403 | TotalEmployeeCnt |
| Total Volunteers | 27 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $17,398,662 | PYContributionsGrantsAmt |
| CY Contributions Grants | $21,489,142 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $86,441,666 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $104,874,379 | CYProgramServiceRevenueAmt |
| PY Investment Income | $56,897 | PYInvestmentIncomeAmt |
| CY Investment Income | $85,976 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,666,278 | PYOtherRevenueAmt |
| CY Other Revenue | $8,768,072 | CYOtherRevenueAmt |
| PY Total Revenue | $107,563,503 | PYTotalRevenueAmt |
| CY Total Revenue | $135,217,569 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $67,205,867 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $81,060,875 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $360,980 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $37,652,882 | PYOtherExpensesAmt |
| CY Other Expenses | $53,947,488 | CYOtherExpensesAmt |
| PY Total Expenses | $104,858,749 | PYTotalExpensesAmt |
| CY Total Expenses | $135,008,363 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,704,754 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $209,206 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $106,804,080 | TotalAssetsBOYAmt |
| Total Assets EOY | $105,771,156 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $61,248,900 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $60,006,770 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $45,555,180 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $45,764,386 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The Mission of San Ysidro Health Center is to improve the health and well being of our community's traditionally under served and culturally diverse people. The Health Center saw 91,315 patients who produced 427,954 medical and dental visits in the current period. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $104,640,701 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $104,874,379 | RevenueAmt |
| Desc | The mission of San Ysidro Health Center is to improve the health and well being of our community's traditionally under served and culturally diverse people. During the fiscal year, San Ysidro Health Center provided over 427,954 visits to 91,315 patients. | Desc |
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $104,640,701 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 143 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1403 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Centro de Salud de la Comunidad de San Ysidro | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6192056339 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4004 Beyer Blvd | AddressLine1Txt |
| City | San Ysidro | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92173 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Macario Gutierrez | ||||||||
| Board Chair | 2 | 0 | Yes (X) | $1,780 | $0 | $0 | ||
| Victor Nieto | ||||||||
| Vice Chair | 2 | 0 | Yes (X) | $0 | $0 | $0 | ||
| Gloria Ramirez | ||||||||
| 2nd Vice Chair | 2 | 0 | Yes (X) | $1,800 | $0 | $0 | ||
| Laura Andrews | ||||||||
| Board Secretary | 2 | 0 | Yes (X) | $1,500 | $0 | $0 | ||
| Thomas Urtasun | ||||||||
| Board Treasurer | 2 | 0 | Yes (X) | $1,350 | $0 | $0 | ||
| Mercedes Bernal | ||||||||
| Board Member | 2 | 0 | Yes (X) | $1,450 | $0 | $0 | ||
| Guillermo Gomez | ||||||||
| Board Member | 2 | 0 | Yes (X) | $1,600 | $0 | $0 | ||
| Ruth Covell | ||||||||
| Board Member | 2 | 0 | Yes (X) | $1,400 | $0 | $0 | ||
| Margarita Navarro | ||||||||
| Board Member | 2 | 0 | Yes (X) | $1,600 | $0 | $0 | ||
| Yolanda Santana | ||||||||
| Board Member | 2 | 0 | Yes (X) | $1,700 | $0 | $0 | ||
| Nora Faine | ||||||||
| Board Member | 2 | 0 | Yes (X) | $700 | $0 | $0 | ||
| Magdalena Peraza | ||||||||
| Board Member | 2 | 0 | Yes (X) | $1,350 | $0 | $0 | ||
| Reynaldo Perez | ||||||||
| Board Member | 1 | 0 | Yes (X) | $800 | $0 | $0 | ||
| Gilbert Fimbres | ||||||||
| CFO | 40 | 0 | $288,114 | $0 | $2,400 | Yes (X) | ||
| Kevin Mattson | ||||||||
| President and CEO | 40 | 0 | $677,159 | $0 | $34,268 | Yes (X) | ||
| Terry Whitaker | ||||||||
| COO | 40 | 0 | $299,978 | $0 | $5,492 | Yes (X) | ||
| Maria Carriedo | ||||||||
| CMO | 40 | 0 | $324,088 | $0 | $25,302 | Yes (X) | ||
| Alicia Rodriguez | ||||||||
| CIO | 40 | 0 | $250,958 | $0 | $20,400 | Yes (X) | ||
| Ralph Hernandez | ||||||||
| MD | 40 | 0 | $320,063 | $0 | $34,236 | Yes (X) | ||
| Hasmukh Sheth | ||||||||
| MD | 40 | 0 | $309,797 | $0 | $28,516 | Yes (X) | ||
| Jennifer Trujillo | ||||||||
| MD | 40 | 0 | $304,282 | $0 | $5,047 | Yes (X) | ||
| My-thanh Thi Dinh | ||||||||
| MD | 40 | 0 | $289,543 | $0 | $25,916 | Yes (X) | ||
| Oscar Rivera | ||||||||
| Director Satellite Dental Clinics | 40 | 0 | $279,528 | $0 | $25,339 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,360,540 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $206,916 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 142 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Consolidated Contracting Service | |||||
| 181 Avenida La Pata | San Clemente | CA | 92763 | Construction | $1,418,363 |
| Kofi Sefa Boakye | |||||
| 53 Sand Piper Strand | Coronado | CA | 92118 | Medical Services | $242,450 |
| Felix Dental Lab | |||||
| 3059 Naylor | San Ysidro | CA | 92173 | Dental Services | $224,684 |
| Latisa Carson | |||||
| 502 South Euclid Avenue | National City | CA | 91950 | Medical Services | $165,100 |
| Leon Fajerman | |||||
| 1876 Altozano Drive | El Cajon | CA | 92020 | Medical Services | $185,760 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $384,237 | FundraisingAmt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| Government Grants | $18,979,393 | GovernmentGrantsAmt |
| All Other Contributions | $2,125,512 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $21,489,142 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net patient service revenue | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $93,087,661 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $93,087,661 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,786,718 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,786,718 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $104,874,379 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $85,976 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $85,976 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $228,125 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $228,125 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $228,125 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $228,125 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $384,237 | ContriRptFundraisingEventAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Performance revenues | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $1,661,081 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,661,081 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,878,866 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,878,866 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,539,947 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $135,217,569 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $113,414,326 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $314,101 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,567,355 | TotalAmt |
| Management And General | $3,567,355 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,077,268 | TotalAmt |
| Program Services | $54,608,500 | ProgramServicesAmt |
| Management And General | $7,317,444 | ManagementAndGeneralAmt |
| Fundraising | $151,324 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,916,563 | TotalAmt |
| Program Services | $8,887,355 | ProgramServicesAmt |
| Management And General | $2,014,408 | ManagementAndGeneralAmt |
| Fundraising | $14,800 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,499,689 | TotalAmt |
| Program Services | $3,795,963 | ProgramServicesAmt |
| Management And General | $692,433 | ManagementAndGeneralAmt |
| Fundraising | $11,293 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $422,937 | TotalAmt |
| Program Services | $149,507 | ProgramServicesAmt |
| Management And General | $273,430 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $482,955 | TotalAmt |
| Program Services | $348,854 | ProgramServicesAmt |
| Management And General | $134,101 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $447,285 | TotalAmt |
| Management And General | $447,285 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $475,795 | TotalAmt |
| Program Services | $198,684 | ProgramServicesAmt |
| Management And General | $96,597 | ManagementAndGeneralAmt |
| Fundraising | $180,514 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,661,717 | TotalAmt |
| Program Services | $1,651,991 | ProgramServicesAmt |
| Management And General | $1,007,563 | ManagementAndGeneralAmt |
| Fundraising | $2,163 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,605,108 | TotalAmt |
| Program Services | $302,665 | ProgramServicesAmt |
| Management And General | $1,302,443 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,734,787 | TotalAmt |
| Program Services | $2,780,410 | ProgramServicesAmt |
| Management And General | $1,953,826 | ManagementAndGeneralAmt |
| Fundraising | $551 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $628,704 | TotalAmt |
| Program Services | $362,579 | ProgramServicesAmt |
| Management And General | $266,125 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $421,078 | TotalAmt |
| Program Services | $164,161 | ProgramServicesAmt |
| Management And General | $256,807 | ManagementAndGeneralAmt |
| Fundraising | $110 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,949,388 | TotalAmt |
| Program Services | $1,295,166 | ProgramServicesAmt |
| Management And General | $654,222 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,828,288 | TotalAmt |
| Program Services | $2,876,671 | ProgramServicesAmt |
| Management And General | $1,951,617 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $559,472 | TotalAmt |
| Program Services | $13,305 | ProgramServicesAmt |
| Management And General | $546,167 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Supplies | $13,959,982 | $13,959,227 | $755 | $0 |
| Professional Fees | $18,982,975 | $12,324,958 | $6,658,017 | $0 |
| Postage and shipping | $135,095 | $21,526 | $113,503 | $66 |
| Equipment | $866,811 | $641,980 | $224,831 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $785,111 | TotalAmt |
| Program Services | $257,199 | ProgramServicesAmt |
| Management And General | $527,753 | ManagementAndGeneralAmt |
| Fundraising | $159 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,008,363 | TotalAmt |
| Program Services | $104,640,701 | ProgramServicesAmt |
| Management And General | $30,006,682 | ManagementAndGeneralAmt |
| Fundraising | $360,980 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,489 | BOYAmt |
| EOY | $19,238 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,360,263 | BOYAmt |
| EOY | $14,580,538 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,678,482 | BOYAmt |
| EOY | $1,696,111 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,433,110 | BOYAmt |
| EOY | $6,247,007 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $352,113 | BOYAmt |
| EOY | $319,903 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,104,738 | BOYAmt |
| EOY | $717,212 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $103,860,034 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $29,493,867 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,488,666 | BOYAmt |
| EOY | $74,366,167 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,371,219 | BOYAmt |
| EOY | $7,824,980 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,804,080 | BOYAmt |
| EOY | $105,771,156 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,777,084 | BOYAmt |
| EOY | $11,056,803 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $303,245 | BOYAmt |
| EOY | $431,766 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,675,444 | BOYAmt |
| EOY | $44,144,506 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,805,000 | BOYAmt |
| EOY | $1,805,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,688,127 | BOYAmt |
| EOY | $2,568,695 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,248,900 | BOYAmt |
| EOY | $60,006,770 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,530,227 | BOYAmt |
| EOY | $45,737,028 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,953 | BOYAmt |
| EOY | $27,358 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,555,180 | BOYAmt |
| EOY | $45,764,386 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,804,080 | BOYAmt |
| EOY | $105,771,156 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $209,206 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,708,128 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,606,749 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,263,033 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,467,309 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,489,142 | CurrentTaxYearAmt |
| Total | $91,534,361 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,708,128 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,606,749 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,263,033 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,467,309 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,489,142 | CurrentTaxYearAmt |
| Total | $91,534,361 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $91,534,361 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $67,030 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,049 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $36,373 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $56,897 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $85,976 | CurrentTaxYearAmt |
| Total | $263,325 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $91,797,686 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $394,547,300 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99713 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99790 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $4,389,054 | OtherCostOrOtherBasisAmt |
| Book Value | $4,389,054 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $73,483,095 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,133,402 | DepreciationAmt |
| Book Value | $59,349,693 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $2,823,506 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,470,032 | DepreciationAmt |
| Book Value | $1,353,474 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $22,215,355 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,890,433 | DepreciationAmt |
| Book Value | $8,324,922 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $949,024 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $949,024 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $74,366,167 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Assets limited as to use | $3,483,139 |
| Estimated third party settlements | $1,762,430 |
| Other assets | $2,579,411 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,824,980 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Third party settlements | Desc |
| Amt | $2,568,695 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,568,695 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $135,217,569 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $0 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Recoveries Prior Year Grants | $0 | RecoveriesPriorYearGrantsAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $135,217,569 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $0 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $135,217,569 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $135,008,363 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $0 | DonatedServicesUseFcltsAmt |
| Prior Year Adjustments | $0 | PriorYearAdjustmentsAmt |
| Losses Reported | $0 | LossesReportedAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $135,008,363 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $0 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $135,008,363 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 | FormAndLineReferenceDesc |
| Explanation | San Ysidro Health Center, Inc. is a private not-for-profit corporation organized under the laws of the State of California. The Center has been determined to be exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code and Section 23701d of the State of California Revenue and Taxation Code by the IRS and Franchise Tax Board, respectively. Accordingly, no provision for income taxes is included in the accompanying financial statements. The Center has adopted the accounting guidance related to uncertain tax positions, and has evaluated its tax positions and believes that all of the positions taken by the Center in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. The Center's returns are subject to examination by federal and state taxing authorities generally for three years after they are filed. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Gala | Event1Nm |
| Gross Receipts Event1 | $457,226 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $0 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $457,226 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $0 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $0 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $101,871 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $36,518 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $0 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $0 | OtherDirectExpensesEvent1Amt |
| Event2 | Golf Tournament | Event2Nm |
| Gross Receipts Event2 | $104,199 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $0 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $104,199 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $0 | CashPrizesEvent2Amt |
| Non Cash Prizes Event2 | $0 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $22,541 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $16,258 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $0 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $0 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $561,425 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $0 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $561,425 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $0 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $0 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $124,412 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $52,776 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $0 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $0 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $177,188 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $384,237 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kevin Mattson | ||||||||||||||
| President and CEO | $483,409 | $0 | $50,000 | $0 | $143,750 | $0 | $24,000 | $0 | $10,268 | $0 | $711,427 | $0 | $0 | $0 |
| Ralph Hernandez | ||||||||||||||
| MD | $297,201 | $0 | $0 | $0 | $22,863 | $0 | $23,988 | $0 | $10,248 | $0 | $354,300 | $0 | $0 | $0 |
| Oscar Rivera | ||||||||||||||
| Director Satellite Dental Clinics | $255,803 | $0 | $0 | $0 | $23,725 | $0 | $22,992 | $0 | $2,347 | $0 | $304,867 | $0 | $0 | $0 |
| Jennifer Trujillo | ||||||||||||||
| MD | $285,158 | $0 | $0 | $0 | $19,124 | $0 | $0 | $0 | $5,047 | $0 | $309,329 | $0 | $0 | $0 |
| My-thanh Thi Dinh | ||||||||||||||
| MD | $265,494 | $0 | $0 | $0 | $24,049 | $0 | $18,000 | $0 | $7,916 | $0 | $315,459 | $0 | $0 | $0 |
| Alicia Rodriguez | ||||||||||||||
| CIO | $207,833 | $0 | $0 | $0 | $43,125 | $0 | $18,000 | $0 | $2,400 | $0 | $271,358 | $0 | $0 | $0 |
| Maria Carriedo | ||||||||||||||
| CMO | $269,463 | $0 | $0 | $0 | $54,625 | $0 | $22,500 | $0 | $2,802 | $0 | $349,390 | $0 | $0 | $0 |
| Gilbert Fimbres | ||||||||||||||
| CFO | $242,114 | $0 | $0 | $0 | $46,000 | $0 | $0 | $0 | $2,400 | $0 | $290,514 | $0 | $0 | $0 |
| Terry Whitaker | ||||||||||||||
| COO | $253,878 | $0 | $0 | $0 | $46,000 | $0 | $1,200 | $0 | $4,292 | $0 | $305,370 | $0 | $0 | $0 |
| Hasmukh Sheth | ||||||||||||||
| MD | $286,934 | $0 | $0 | $0 | $22,863 | $0 | $24,000 | $0 | $4,516 | $0 | $338,313 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, Line 11b | The form 990 tax return is made available to all board members. Board members requesting a copy then review the return, and all questions or concerns are addressed by the SVP/CFO prior to filing. The return is reviewed in detail by the Controller and SVP/CFO prior to filing. |
| Form 990, Part VI, Section B, Line 12c | Conflicts are discussed as possible conflicts arise. Annually verified. |
| Form 990, Part VI, Section B, Line 15 | Review compensation data of similar sized health centers and CPCA salary surveys. |
| Form 990, Part VI, Section C, Line 19 | Available upon request. |
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