2017-05-15T20:49:31-05:00 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 2017-05-15 1 LYNN D BOSTER P00440365 2138731700 2015 2021-01-29 14:40:06Z X FRANKLIN GONZALEZ 100 SAN GABRIEL BLVD LOS ANGELES CA 91770 37476408 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 33099000 8540 0 91533 80086 28687890 37476408 0 0 0 0 13182009 17364478 0 0 0 16791723 19638835 29973732 37003313 -1285842 473095 15244400 18966463 11399878 14648846 3844522 4317617 TO PROVIDE HEALTH CARE SERVICES TO THE UNDER SERVED COMMUNITIES. 0 0 32930035 TO PROVIDE HEALTH CARE SERVICES TO UNDER SERVED COMMUNITIES. 32930035 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 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 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 33099000 33099000 33099000 MISCELLANEOUS 900099 80086 80086 80086 37476408 33179086 0 0 X 1554776 1554776 12813953 10514956 2298997 1817669 1526842 290827 1178080 989587 188493 12123037 11842279 280758 857325 720153 137172 1829219 1536544 292675 221405 185980 35425 788560 662390 126170 153746 129147 24599 MEDICAL SUPPLIES & PHAR 753816 753816 TELEPHONE 697306 585737 111569 AUTO & TRAVEL EXPENSE 639952 537560 102392 UTILITIES 362794 304747 58047 1211675 1085521 126154 37003313 32930035 4073278 0 796845 1341421 4335902 6348724 200000 235000 14169 25932 12148657 2653580 8340963 9495077 1543795 1507583 12726 12726 15244400 18966463 4263565 7975055 4998393 4285871 2137920 2387920 11399878 14648846 X 3844522 4317617 3844522 4317617 15244400 18966463 473095 0 X 0 0 0 X 3488513 2969688 3198436 3572408 4297322 17526367 3488513 2969688 3198436 3572408 4297322 17526367 17526367 966 8540 9506 50802 65094 31695 91533 80086 319210 17855083 94439880 0.98160 0.98130 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2317170 2317170 675048 156012 519036 5969403 1248784 4720619 3187036 1248784 1938252 9495077 LINE OF CREDIT 1000000 ESTIMATED LIABLITY TO GRANTOR AGENCY 1387920 2387920 X 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 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 CEO EMPLOYMENT SEPARATION AND RELEASE OF CLAIMS X 200000 235000 0 1 1 235000 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 10,368,302. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,368,302. OUTSIDE SERVICES/CONSULTANT: PROGRAM SERVICE EXPENSES 1,473,977. MANAGEMENT AND GENERAL EXPENSES 280,758. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,754,735.