2016-05-16T18:11:01-05:00 2015-06-30 946214841 ARMANINO LLP 12657 ALCOSTA BLVD STE 500 SAN RAMON CA 945834600 990 2014-07-01 237118361 TIBURCIO VASQUEZ HEALTH CENTER TIBU 5104715880 22331 MISSION BLVD HAYWARD CA 945413911 BRENT COPEN CEO 5104715880 2016-05-16 1 JOHN PANETTA P00365375 9257902600 2014 2016-08-17 19:52:53Z DAVID B VLIET 22331 MISSION BLVD HAYWARD CA 945413911 24588896 0 X WWW.TVHC.ORG X 1971 CA TIBURCIO 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. 10 10 305 13 0 0 11461538 10576830 11871478 13436427 28005 71526 369885 504113 23730906 24588896 0 0 0 0 15815070 16352018 0 0 0 6984625 7796333 22799695 24148351 931211 440545 16682709 15360001 9343737 9730401 7338972 5629600 PROVIDE COMPREHENSIVE COMMUNITY HEALTH SERVICES TO SOUTHERN ALAMEDA COUNTY. 0 0 3115670 3115744 PRIMARY 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. 1810509 1810509 HEALTHPAC: PROVIDES MEDICALLY NECESSARY SERVICES TO LOW-INCOME UNINSURED INDIVIDUALS ENROLLED IN THE COUNTY MEDICALLY INDIGENT SERVICES PLAN. 1552438 1552103 EPSDT: PROVIDES MENTAL HEALTH SERVICES, CASE MANAGEMENT, CRISIS INTERVENTION, AND MEDICATION SUPPORT SERVICES TO TEEN PARENTS, ADULT PARENTS AND THEIR CHILDREN. 12878434 7456184 12878434 7456184 19357051 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 59 0 1 305 1 0 0 0 0 0 0 0 0 0 0 X 10 10 1 0 0 0 0 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 CA X ROBERT L LALTURA 5106906057 22331 MISSION BLVD HAYWARD CA 94541 AHMAD ASIR FINANCE & AUDIT COMMITTEE 1.50 X 0 0 0 MINYON CORCUCHIA-GARDE VICE PRESIDENT & PERSONNEL COMMITTEE CHAIR 1.50 X 0 0 0 JOSUE A HERNANDEZ PERSONNEL COMMITTEE 1.50 X 0 0 0 JONATHAN PETTEY PERSONNEL COMMITTEE 1.50 X 0 0 0 KERRY PRINCIPATO PERSONNEL COMMITTEE 1.50 X 0 0 0 CARLA RAMIREZ PERSONNEL COMMITTEE 1.50 X 0 0 0 JESSE ROBLES TREASURER & FINANCE CHAIR 1.50 X 0 0 0 JAIME PATIO FINANCE & AUDIT COMMITTEE 1.50 X 0 0 0 MARIA SABADO NOMINATING COMMITTEE & PERSONNEL COMMITTEE 1.50 X 0 0 0 NANCY SOTO PRESIDENT 3.00 X 0 0 0 ANITHA L MULLANGI CHIEF MEDICAL OFFICER (CMO) 40.00 X 226671 0 14968 DAVID B VLIET CHIEF EXECUTIVE OFFICER (CEO) 40.00 X 211866 0 16615 BRENT COPEN CHIEF FINANCIAL OFFICER (CFO) 40.00 X 39885 0 5785 YVONNE CAMARENA CHIEF OPERATIONS OFFICER (COO) 40.00 X 128801 0 13595 MARIA LOURDES MARTINEZ CHIEF FINANCIAL OFFICER (CFO) 40.00 X 0 0 8 SRIDEVI PONNALA CHIEF DENTAL OFFICER 40.00 X 182987 0 6049 NOE GUTIERREZ CHIEF ADMINISTRATIVE OFFICER 40.00 X 127962 0 12586 918172 0 69606 5 0 1 0 PRIORITY MANAGEMENT GROUP 700 SCHOOL STREET PAWTUCKET RI 02860 BILLING 541358 BAY CHILDREN'S PHYSICIANS 747 52ND STREET OAKLAND CA 94609 PHYSICIAN LOCUM TENENS 476082 MCKESSON MEDICAL SURGICIAL PO BOX 634404 CINCINNATI OH 45263 MEDICAL SUPPLIES 395620 QUEST DIAGNOSTICS PO BOX 515002 SACRAMENTO CA 95851 LABORATORY SERVICES 257352 HENRY SCHEIN INC PO BOX 7156 PASADENA CA 911097156 MEDICAL SUPPLIES 174940 13 9777331 799499 150000 10576830 PATIENT & THIRD PARTY 621300 13436427 13436427 13436427 71526 71526 6000 0 6000 6000 6000 OTHER INCOME 900099 498113 498113 498113 24588896 13934540 0 77526 X 987777 573070 414707 12169553 10438467 1731086 2233368 1858424 374944 961320 798621 162699 41041 41041 47951 47951 2487646 1620349 867297 96723 69989 26734 98810 81103 17707 63383 29208 34175 1166298 836353 329945 166275 95662 70613 166276 101463 64813 357782 261225 96557 461553 348198 113355 124010 2139 121871 MEDICAL AND DENTAL SUPP 829234 829234 EQUIPMENT / SOFTWARE PU 633522 524093 109429 PHARMACY EXPENSES 351006 351006 OTHER EXPENSES 345790 281770 64020 359033 256677 102356 24148351 19357051 4791300 0 782619 1370620 1701294 1713064 2390469 1537781 139356 227086 8470249 6551945 1680662 1918304 7003000 7003000 2985309 1590146 16682709 15360001 1525491 2215496 109849 111742 6500563 6799837 1207834 603326 9343737 9730401 X 7243102 5593942 95870 35658 7338972 5629600 16682709 15360001 X 440545 -2149917 X X 0 1 X 1 1 1 X 18529346 19560472 21691917 23333016 24013257 107128008 18529346 19560472 21691917 23333016 24013257 107128008 107128008 1099 756 28005 77526 107386 124994 58939 318225 369885 498113 1370156 108605550 0.98640 0.98940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 20317 20317 3474041 2115093 1358948 4975891 4436852 539039 1918304 INVESTMENT IN NMTC TVHC FUND 7003000 C 7003000 OTHER RECEIVABLE 238797 INTERCOMPANY PREPAID EXPENSES 1094452 PPS SETTLEMENTS 256897 1590146 LINE OF CREDIT 500000 INTERCOMPANY LIABILITIES 103326 603326 X 24634855 45959 45959 24588896 0 24588896 24194310 45959 45959 24148351 0 24148351 PART X, LINE 2: EFFECTIVE 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. X 0 0 0 0 0 0 0 0 0 ANITHA L MULLANGI CHIEF MEDICAL OFFICER (CMO) 226671 0 0 0 0 0 1040 0 13928 0 241639 0 0 0 DAVID B VLIET CHIEF EXECUTIVE OFFICER (CEO) 211866 0 0 0 0 0 1040 0 15575 0 228481 0 0 0 SRIDEVI PONNALA CHIEF DENTAL OFFICER 182987 0 0 0 0 0 1040 0 5009 0 189036 0 0 0 X 1 150000 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 NANCY SOTO AND JESSE ROBLES HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 7A THE NOMINATION COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11 THE TAX RETURN IS REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C ALL 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 15 THE 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 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER 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. TBHC FACILITIES INC 33255 9TH STREET UNION CITY CA 95487 270250766 SUPPORT TVHC ; DIRECT CHARITABLE & EDUCATIONAL ACTIVITIES CA 509(A)(3) TYPE 2 TIBURCIO VASQUEZ HEALTH CENTER INC 0 TVHC FACILITIES II INC 33255 9TH STREET UNION CITY CA 94587 463821919 SUPPORT TVHC ; DIRECT CHARITABLE & EDUCATIONAL ACTIVITIES CA 509(A)(3) TYPE 2 TIBURCIO VASQUEZ HEALTH CENTER INC 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 TVHC FACILITIES INC K CASH TVHC FACILITIES INC II INC I TITLE COMPANY CLOSING DOCUMENT