TIBURCIO VASQUEZ HEALTH CENTER INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
TIBURCIO VASQUEZ HEALTH CENTER INC (EIN 23-7118361)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-16
IRS object ID
201611379349310291
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)
Return2016-05-16T18:11:01-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN946214841PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ARMANINO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line112657 ALCOSTA BLVD STE 500AddressLine1Txt
CitySAN RAMONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP945834600ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237118361EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TIBURCIO VASQUEZ HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTIBUBusinessNameControlTxt
Phone5104715880PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line122331 MISSION BLVDAddressLine1Txt
CityHAYWARDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP945413911ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRENT COPENPersonNm
Person TitleCEOPersonTitleTxt
Phone5104715880PhoneNum
Signature2016-05-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN PANETTAPreparerPersonNm
PTINP00365375PTIN
Phone9257902600PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID B VLIETPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line122331 MISSION BLVDAddressLine1Txt
CityHAYWARDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP945413911ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$24,588,896GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TVHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTIBURCIO VASQUEZ HEALTH CENTER, INC IS A PRIVATE NONPROFIT ORGANIZATION FORMED TO SPONSOR, PROMOTE, AND PROVIDE COMPREHENSIVE COMMUNITY HEALTH SERVICES THAT APPROPRIATELY MEET THE PHYSICAL, MENTAL, AND SOCIAL NEEDS OF SOUTHERN ALAMEDA COUNTY.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee305TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,461,538PYContributionsGrantsAmt
CY Contributions Grants$10,576,830CYContributionsGrantsAmt
PY Program Service Revenue$11,871,478PYProgramServiceRevenueAmt
CY Program Service Revenue$13,436,427CYProgramServiceRevenueAmt
PY Investment Income$28,005PYInvestmentIncomeAmt
CY Investment Income$71,526CYInvestmentIncomeAmt
PY Other Revenue$369,885PYOtherRevenueAmt
CY Other Revenue$504,113CYOtherRevenueAmt
PY Total Revenue$23,730,906PYTotalRevenueAmt
CY Total Revenue$24,588,896CYTotalRevenueAmt
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$15,815,070PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,352,018CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,984,625PYOtherExpensesAmt
CY Other Expenses$7,796,333CYOtherExpensesAmt
PY Total Expenses$22,799,695PYTotalExpensesAmt
CY Total Expenses$24,148,351CYTotalExpensesAmt
PY Revenues Less Expenses$931,211PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$440,545CYRevenuesLessExpensesAmt
Total Assets BOY$16,682,709TotalAssetsBOYAmt
Total Assets EOY$15,360,001TotalAssetsEOYAmt
Total Liabilities BOY$9,343,737TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,730,401TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,338,972NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,629,600NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE COMPREHENSIVE COMMUNITY HEALTH SERVICES TO SOUTHERN ALAMEDA COUNTY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,115,670ExpenseAmt
Revenue$3,115,744RevenueAmt
DescPRIMARY CARE OUTPATIENT: THE MEDICAL CLINIC PROVIDES BASIC HEALTH CARE FOR THE PEOPLE OF ALL AGES FAMILY MEDICINE, INTERNAL MEDICINE, PEDIATRICS AND OBSTETRICS-GYNOCOLOGY. DENTAL DEPARTMENT OFFERS A VARIETY OF DENTAL CARE FOR CHILDREN AND ADULTS, INCLUDING DENTAL EXAMS, FILLINGS, CROWNS, ROOT CANALS, EXTRACTIONS, SPACE MAINTAINERS, AND EMERGENCY SERVICES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,810,509ExpenseAmt
Revenue$1,810,509RevenueAmt
DescHEALTHPAC: PROVIDES MEDICALLY NECESSARY SERVICES TO LOW-INCOME UNINSURED INDIVIDUALS ENROLLED IN THE COUNTY MEDICALLY INDIGENT SERVICES PLAN.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,552,438ExpenseAmt
Revenue$1,552,103RevenueAmt
DescEPSDT: PROVIDES MENTAL HEALTH SERVICES, CASE MANAGEMENT, CRISIS INTERVENTION, AND MEDICATION SUPPORT SERVICES TO TEEN PARENTS, ADULT PARENTS AND THEIR CHILDREN.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$12,878,434ExpenseAmt
Revenue$7,456,184RevenueAmt
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$12,878,434TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$7,456,184TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$19,357,051TotalProgramServiceExpensesAmt
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 SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document59IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee305EmployeeCnt
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
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
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROBERT L LALTURABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5106906057PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line122331 MISSION BLVDAddressLine1Txt
CityHAYWARDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94541ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
AHMAD ASIR
FINANCE & AUDIT COMMITTEE1.50Yes (X)$0$0$0
MINYON CORCUCHIA-GARDE
VICE PRESIDENT & PERSONNEL COMMITTEE CHAIR1.50Yes (X)$0$0$0
JOSUE A HERNANDEZ
PERSONNEL COMMITTEE1.50Yes (X)$0$0$0
JONATHAN PETTEY
PERSONNEL COMMITTEE1.50Yes (X)$0$0$0
KERRY PRINCIPATO
PERSONNEL COMMITTEE1.50Yes (X)$0$0$0
CARLA RAMIREZ
PERSONNEL COMMITTEE1.50Yes (X)$0$0$0
JESSE ROBLES
TREASURER & FINANCE CHAIR1.50Yes (X)$0$0$0
JAIME PATIO
FINANCE & AUDIT COMMITTEE1.50Yes (X)$0$0$0
MARIA SABADO
NOMINATING COMMITTEE & PERSONNEL COMMITTEE1.50Yes (X)$0$0$0
NANCY SOTO
PRESIDENT3.00Yes (X)$0$0$0
ANITHA L MULLANGI
CHIEF MEDICAL OFFICER (CMO)40.00$226,671$0$14,968Yes (X)
DAVID B VLIET
CHIEF EXECUTIVE OFFICER (CEO)40.00$211,866$0$16,615Yes (X)
BRENT COPEN
CHIEF FINANCIAL OFFICER (CFO)40.00$39,885$0$5,785Yes (X)
YVONNE CAMARENA
CHIEF OPERATIONS OFFICER (COO)40.00$128,801$0$13,595Yes (X)
MARIA LOURDES MARTINEZ
CHIEF FINANCIAL OFFICER (CFO)40.00$0$0$8Yes (X)
SRIDEVI PONNALA
CHIEF DENTAL OFFICER40.00$182,987$0$6,049Yes (X)
NOE GUTIERREZ
CHIEF ADMINISTRATIVE OFFICER40.00$127,962$0$12,586Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$918,172TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$69,606TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
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
PRIORITY MANAGEMENT GROUP
700 SCHOOL STREETPAWTUCKETRI02860BILLING$541,358
BAY CHILDREN'S PHYSICIANS
747 52ND STREETOAKLANDCA94609PHYSICIAN LOCUM TENENS$476,082
MCKESSON MEDICAL SURGICIAL
PO BOX 634404CINCINNATIOH45263MEDICAL SUPPLIES$395,620
QUEST DIAGNOSTICS
PO BOX 515002SACRAMENTOCA95851LABORATORY SERVICES$257,352
HENRY SCHEIN INC
PO BOX 7156PASADENACA911097156MEDICAL SUPPLIES$174,940
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
Government Grants$9,777,331GovernmentGrantsAmt
All Other Contributions$799,499AllOtherContributionsAmt
Noncash Contributions$150,000NoncashContributionsAmt
Total Contributions$10,576,830TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT & THIRD PARTYDesc
Business621300BusinessCd
Total Revenue Column$13,436,427TotalRevenueColumnAmt
Related Or Exempt Func Income$13,436,427RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$13,436,427TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$71,526TotalRevenueColumnAmt
Exclusion$71,526ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$6,000RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$6,000RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,000TotalRevenueColumnAmt
Exclusion$6,000ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$498,113TotalRevenueColumnAmt
Related Or Exempt Func Income$498,113RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$498,113OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,588,896TotalRevenueColumnAmt
Related Or Exempt Func Income$13,934,540RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$77,526ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$987,777TotalAmt
Program Services$573,070ProgramServicesAmt
Management And General$414,707ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,169,553TotalAmt
Program Services$10,438,467ProgramServicesAmt
Management And General$1,731,086ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,233,368TotalAmt
Program Services$1,858,424ProgramServicesAmt
Management And General$374,944ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$961,320TotalAmt
Program Services$798,621ProgramServicesAmt
Management And General$162,699ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$41,041TotalAmt
Management And General$41,041ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$47,951TotalAmt
Management And General$47,951ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,487,646TotalAmt
Program Services$1,620,349ProgramServicesAmt
Management And General$867,297ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$96,723TotalAmt
Program Services$69,989ProgramServicesAmt
Management And General$26,734ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$98,810TotalAmt
Program Services$81,103ProgramServicesAmt
Management And General$17,707ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$63,383TotalAmt
Program Services$29,208ProgramServicesAmt
Management And General$34,175ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,166,298TotalAmt
Program Services$836,353ProgramServicesAmt
Management And General$329,945ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$166,275TotalAmt
Program Services$95,662ProgramServicesAmt
Management And General$70,613ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$166,276TotalAmt
Program Services$101,463ProgramServicesAmt
Management And General$64,813ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$357,782TotalAmt
Program Services$261,225ProgramServicesAmt
Management And General$96,557ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$461,553TotalAmt
Program Services$348,198ProgramServicesAmt
Management And General$113,355ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$124,010TotalAmt
Program Services$2,139ProgramServicesAmt
Management And General$121,871ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL AND DENTAL SUPP$829,234$829,234
EQUIPMENT / SOFTWARE PU$633,522$524,093$109,429
PHARMACY EXPENSES$351,006$351,006
OTHER EXPENSES$345,790$281,770$64,020

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$359,033TotalAmt
Program Services$256,677ProgramServicesAmt
Management And General$102,356ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$24,148,351TotalAmt
Program Services$19,357,051ProgramServicesAmt
Management And General$4,791,300ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$782,619BOYAmt
EOY$1,370,620EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,701,294BOYAmt
EOY$1,713,064EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,390,469BOYAmt
EOY$1,537,781EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$139,356BOYAmt
EOY$227,086EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,470,249LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,551,945LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,680,662BOYAmt
EOY$1,918,304EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$7,003,000BOYAmt
EOY$7,003,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,985,309BOYAmt
EOY$1,590,146EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,682,709BOYAmt
EOY$15,360,001EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,525,491BOYAmt
EOY$2,215,496EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$109,849BOYAmt
EOY$111,742EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,500,563BOYAmt
EOY$6,799,837EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,207,834BOYAmt
EOY$603,326EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,343,737BOYAmt
EOY$9,730,401EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,243,102BOYAmt
EOY$5,593,942EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$95,870BOYAmt
EOY$35,658EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,338,972BOYAmt
EOY$5,629,600EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,682,709BOYAmt
EOY$15,360,001EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$440,545ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$2,149,917OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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$18,529,346CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,560,472CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,691,917CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,333,016CurrentTaxYearMinus1YearAmt
Current Tax Year$24,013,257CurrentTaxYearAmt
Total$107,128,008TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,529,346CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,560,472CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,691,917CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,333,016CurrentTaxYearMinus1YearAmt
Current Tax Year$24,013,257CurrentTaxYearAmt
Total$107,128,008TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$107,128,008PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$1,099CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$756CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,005CurrentTaxYearMinus1YearAmt
Current Tax Year$77,526CurrentTaxYearAmt
Total$107,386TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$124,994CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$58,939CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$318,225CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$369,885CurrentTaxYearMinus1YearAmt
Current Tax Year$498,113CurrentTaxYearAmt
Total$1,370,156TotalAmt
FieldValueIRS element (for citing)
Total Support$108,605,550TotalSupportAmt
Public Support CY1700.98640PublicSupportCY170Pct
Public Support PY1700.98940PublicSupportPY170Pct
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$20,317OtherCostOrOtherBasisAmt
Book Value$20,317BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,474,041OtherCostOrOtherBasisAmt
Depreciation$2,115,093DepreciationAmt
Book Value$1,358,948BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,975,891OtherCostOrOtherBasisAmt
Depreciation$4,436,852DepreciationAmt
Book Value$539,039BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,918,304TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENT IN NMTC TVHC FUNDDesc
Book Value$7,003,000BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$7,003,000TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLE$238,797
INTERCOMPANY PREPAID EXPENSES$1,094,452
PPS SETTLEMENTS$256,897
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,590,146TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
LINE OF CREDIT$500,000
INTERCOMPANY LIABILITIES$103,326
FieldValueIRS element (for citing)
Total Liability$603,326TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$24,634,855TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$45,959DonatedServicesAndUseFcltsAmt
Revenue Not Reported$45,959RevenueNotReportedAmt
Revenue Subtotal$24,588,896RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$24,588,896TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$24,194,310TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$45,959DonatedServicesUseFcltsAmt
Expenses Not Reported$45,959ExpensesNotReportedAmt
Expenses Subtotal$24,148,351ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$24,148,351TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationEFFECTIVE JULY 1, 2009, THE TVHC ADOPTED NEWLY ISSUED GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. UNDER THIS NEW GUIDANCE, THE COMPANY UTILIZES A TWO-STEP APPROACH FOR RECOGNIZING AND MEASURING UNCERTAIN TAX POSITIONS. THE FIRST STEP IS TO EVALUATE THE TAX POSITION FOR RECOGNITION BY DETERMINING IF THE WEIGHT OF AVAILABLE EVIDENCE INDICATES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED ON AUDIT, INCLUDING RESOLUTION OF RELATED APPEALS OR LITIGATION PROCESSES. THE SECOND STEP IS TO MEASURE THE TAX BENEFIT AS THE LARGEST AMOUNT, WHICH IS MORE THAN 50% LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE CUMULATIVE EFFECT OF ADOPTING THE GUIDANCE ON JULY 1, 2009, IS RECOGNIZED AS A CHANGE IN ACCOUNTING PRINCIPLE, RECORDED AS AN ADJUSTMENT TO THE OPENING BALANCE OF UNRESTRICTED NET ASSETS ON THE ADOPTION DATE. THERE WAS NO EFFECT ON THE OPENING BALANCE OF UNRESTRICTED NET ASSETS AS A RESULT OF ADOPTING THE GUIDANCE. ADDITIONALLY, AS OF JUNE 30, 2015, THERE WERE NO LIABILITIES RECORDED FOR UNRECOGNIZED TAX BENEFITS RELATED TO TAX POSITIONS TAKEN IN THE CURRENT YEAR.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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 (3 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
ANITHA L MULLANGI
CHIEF MEDICAL OFFICER (CMO)$226,671$0$0$0$0$0$1,040$0$13,928$0$241,639$0$0$0
DAVID B VLIET
CHIEF EXECUTIVE OFFICER (CEO)$211,866$0$0$0$0$0$1,040$0$15,575$0$228,481$0$0$0
SRIDEVI PONNALA
CHIEF DENTAL OFFICER$182,987$0$0$0$0$0$1,040$0$5,009$0$189,036$0$0$0

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehiclesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$150,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2NANCY SOTO AND JESSE ROBLES HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 7ATHE NOMINATION COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 11THE TAX RETURN IS REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 12CALL EMPLOYEES SIGN A FORM THAT SIGNIFIES RECEIPT AND UNDERSTANDING OF THE CONFLICT OF INTEREST POLICY UPON HIRE. THE HR DEPARTMENT MAKES SURE THAT NEW CONSULTANTS, VENDORS, & FUTURE EMPLOYEES ARE NOT RELATED TO ANY OF THE EMPLOYEES THAT HAVE A DIRECT BUSINESS RELATIONSHIP/TRANSACTION WITH ANY RELATIVE OF AN OFFICER, BOARD MEMBER OR EMPLOYEE IN A MANAGEMENT POSITION THAT WILL HAVE A DIRECT BENEFIT FROM THE TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15THE HR OFFICER COMPARES THE COMPENSATIONS OF TVHC'S TOP MANAGEMENT OFFICIALS, DIRECTORS, AND STAFF TO THE STATE PRIMARY CARE ASSOCIATION TO MAKE SURE TVHC'S COMPENSATIONS ARE CLOSE TO MARKET.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GOTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,620,349. MANAGEMENT AND GENERAL EXPENSES 867,297. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,487,646.
FORM 990, PART XI, LINE 9:INTERCOMPANY RECEIVABLES -2,149,917.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
TBHC FACILITIES INC
33255 9TH STREETUNION CITYCA95487270250766SUPPORT TVHC ; DIRECT CHARITABLE & EDUCATIONAL ACTIVITIESCA509(A)(3)TYPE 2TIBURCIO VASQUEZ HEALTH CENTER INC0
TVHC FACILITIES II INC
33255 9TH STREETUNION CITYCA94587463821919SUPPORT TVHC ; DIRECT CHARITABLE & EDUCATIONAL ACTIVITIESCA509(A)(3)TYPE 2TIBURCIO VASQUEZ HEALTH CENTER INC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
TVHC FACILITIES INC
KCASH
TVHC FACILITIES INC II INC
ITITLE COMPANY CLOSING DOCUMENT

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