2016-01-29T12:32:17-08:00 2015-06-30 Ortega & Associates CPA 5151 Shoreham Pl Suite 100 San Diego CA 92122 990 2014-07-01 942210447 AMPLA HEALTH AMPL 5306744261 935 B MARKET STREET YUBA CITY CA 95991 BENJAMIN FLORES CEO 2016-01-29 true Mario G Ortega P00232069 8586232786 X 2014 2016-04-25 22:37:26Z 43485689 false false X WWW.AMPLAHEALTH.ORG X 1973 CA AMPLA HEALTH STRIVES TO PROVIDE HIGH QUALITY MEDICAL, DENTAL, SOCIAL AND EDUCATIONAL HEALTH SERVICES THAT MEET THE UNIQUE NEEDS OF ALL PATIENTS ESPECIALLY THOSE WHO ARE MEDICALLY UNDER SERVED INCLUDING FARM WORKERS AND OTHERS WITHOUT FINANCIAL RESOURCES. 15 15 489 0 7945138 7477500 27731265 36007529 287 660 0 35676690 43485689 0 0 28918615 31253226 0 0 9251497 9741111 38170112 40994337 -2493422 2491352 30148908 34412080 17153922 18925742 12994986 15486338 AMPLA HEALTH STRIVES TO PROVIDE HIGH QUALITY MEDICAL, DENTAL, SOCIAL AND EDUCATIONAL HEALTH SERVICES THAT MEET THE UNIQUE NEEDS OF ALL PATIENTS ESPECIALLY THOSE WHO ARE MEDICALLY UNDER SERVED INCLUDING FARM WORKERS AND OTHERS WITHOUT FINANCIAL RESOURCES. false false 32725241 AMPLA HEALTH PROVIDES MEDICAL SERVICES AND BASIC DENTAL SERVICES TO LOW-INCOME AND MIGRANT PATIENTS. IT ALSO PROVIDES HEALTH AND PRENATAL INFORMATION TO LOW-INCOME AND MIGRANT INDIVIDUALS, AS WELL AS, SUPPLEMENTAL FOOD TO ELIGIBLE LOW-INCOME WOMEN. SEE SCEHDULE O FOR MORE INFORMATION ON THE PROGRAMS OFFERED. FISCAL YEAR ENDED JUNE 30, 2012 HAD 288,090 PATIENT ENCOUNTERS. 32725241 true true false true false false false false false false true false false true false false true false false false false false false false false false false false false true true false false false false false false false false false false false false false false false false false false false false true 32 0 false 489 false false false false false false false false false 0 false false false false false false false false false false X 15 15 false false false false false false false true true false false true true true true true true true true false CA X VERONICA RICHTER 5306744261 935 MARKET STREET YUBA CITY CA 95991 KIM OWENS VICE CHAIR 0.00 0.00 X X 0 0 0 DEBBIE PORCAYO MEMEBER 0.00 0.00 X 0 0 0 ELIZABETH SKELLY Treasurer 0.00 0.00 X X 0 0 0 MARY JANE GRIEGO MEMBER 0.00 0.00 X 0 0 0 WENCESLAO VASQUEZ PARLIAMENTARIAN 0.00 0.00 X X 0 0 0 ERNEST GARCIA MEMBER 0.00 0.00 X 0 0 0 ROBERTO GONZALEZ MEMBER 0.00 0.00 X 0 0 0 MICHELE WALTERS MEMBER 0.00 0.00 X 0 0 0 ALEJANDRO LUQUIN MEMBER 0.00 0.00 X 0 0 0 DANIEL CHAVEZ MEMBER 0.00 0.00 X 0 0 0 J ANGEL CALDERON Secretary 0.00 0.00 X X 0 0 0 MICHAEL D HARRISON MEMBER 0.00 0.00 X 0 0 0 HORACIO PARAS chair 0.00 0.00 X X 0 0 0 LILIA CHILDS MEMBER 0.00 0.00 X 0 0 0 DARA ALI MEMBER 0.00 0.00 X 0 0 0 BENJAMIN FLORES CEO 40.00 0.00 X 230562 0 30365 HILTON PEREZ COO 40.00 0.00 X 118868 0 12900 DALE JOHNSON CFO 40.00 0.00 X 58953 0 2991 CARLOS PERALTA CORRALES COO 40.00 0.00 X 46948 0 2991 DANIEL SIRI CHIEF DENTAL OFFICER 40.00 0.00 X 183983 0 15258 MUSTAFA AMMAR CHIEF MEDICAL OFFICER 40.00 0.00 X 426518 0 18550 CINDY SNELGROVE NURSING DIRECTOR 40.00 0.00 X 113368 0 13605 ELJAZ AHMED PHYSICIAN 40.00 0.00 X 224266 0 16760 ARUN KUMAR PHYSICIAN 40.00 0.00 X 240197 0 16531 JOHL HARPREET PHYSICIAN 40.00 0.00 X 236471 0 16024 THIN THIN AUNG PHYSICIAN 40.00 0.00 X 222883 0 15840 ABDULLAH AL-DWAIRI PHYSICIAN 40.00 0.00 X 218189 0 16157 2321206 177972 65 false true false GRYPON DENTAL LAB 3249 FOOTHILLS BLVD ORVILLE CA 95966 DENTAL LAB 197943 DAVID REED DDS 5670 BARTELS PLACE PARADISE CA 95969 DENTAL 130349 ROBERT RITCHEY 1255 SEYMORE CIRCLE LINCOLN CA 95648 PHYSICIAN 168120 COMCAST PO BOX 34227 SEATTLE WA 98124 INTERNET SERV 157590 YUBA SUTTER HOSPITALIST GROUP 726 4TH STREET MARYSVILLE CA 95901 CONTRACT PHYSICIANS 303850 6 7452500 25000 7477500 INSURANCE INCENTIVES 621110 3941144 3941144 OTHER 621110 180870 180870 PROGRAM SERVICE REVENUE 621110 31885515 31885515 36007529 660 660 0 0 0 0 0 0 0 0 43485689 36008189 0 0 0 0 1275860 1097240 178620 0 23823057 19854398 3968659 570789 476473 94316 3789620 3163433 626187 1793900 1497481 296419 119400 119400 43444 43444 43600 43600 0 0 0 3016042 2265930 750112 0 0 0 0 371785 322930 48855 229545 105350 124195 0 0 584788 364067 220721 0 1435064 977499 457565 239621 47739 191882 SUPPLIES 1581232 1436951 144281 Utilities 588760 531111 57649 COMMUNICATIONS 437434 236209 201225 MAINTENANCE & LEASE EQUIPMENT 228252 107793 120459 822144 240637 581507 40994337 32725241 8269096 0 418743 1282451 29031 2511907 410753 342967 4440823 3664594 0 0 0 175961 177530 996209 895167 35785814 14090867 22143551 21694947 1014405 1017917 0 0 0 519432 2824600 30148908 34412080 5328296 6824548 6175462 5882631 5650164 6218563 17153922 18925742 X 12478948 15026967 516038 459371 12994986 15486338 30148908 34412080 2491352 X false true X true true true X 7833567 6800043 9695569 7945138 7477500 39751817 0 0 7833567 6800043 9695569 7945138 7477500 39751817 0 39751817 12653 618 692 287 660 14910 0 0 39766727 141490705 0.99960 0.99870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false true 38000 38000 false false Part II-B, Line 1i - Other Activities Description PART II-B, LINE 1(I), OTHER LOBBYING ACTIVITIES:THE ORGANIZATION PAID DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC),THE CALIFORNIA PRIMARY CARE ASSOCIATION (CPCA) AND CENTRAL VALLEY HEALTH NETWORK (CVHN). A PORTION OF THE DUES PAID MAY BE USED FOR LOBBYING. 2187234 2187234 23907372 7902479 16004893 196553 54471 142082 9494655 6133917 3360738 21694947 Due from other third parties 1535080 Other receivable 1289520 2824600 43485689 43485689 43485689 40994337 40994337 40994337 X X X false false false false false false false true false false ABDULLAH AL-DWAIRI PHYSICIAN 198423 19766 5953 10204 234346 ARUN KUMAR PHYSICIAN 210912 29285 6327 10204 256728 BENJAMIN FLORES CEO 226962 3600 11348 19017 260927 DANIEL SIRI CHIEF DENTAL OFFICER 168458 15525 5054 10204 199241 ELJAZ AHMED PHYSICIAN 218547 5719 6556 10204 241026 JOHL HARPREET PHYSICIAN 194011 42460 5820 10204 252495 MUSTAFA AMMAR CHIEF MEDICAL OFFICER 278189 148329 8346 10204 445068 THIN THIN AUNG PHYSICIAN 187883 35000 5636 10204 238723 Part I, Line 7: Non-Fixed payments not listed above BONUS AND INCENTIVE PAYMENTS ARE BASED ON ENCOUNTER PRODUCTIVITY, WITH 400 ENCOUNTERS BEING THE STANDARD. A US BANK - SER 2003-CSCDA 521598225 130911TT7 2003-12-01 8795000 BUILDING PURCHASES false false false A 8795000 603169 false false false true A false false false false A false false false false false A true Form 990, Part VI, Line 11b: Form 990 Review Process AN INDEPENDENT ACCOUNTING FIRM PREPARES THE FORM 990 WITH INFORMATION PROVIDED BY THE ORGANIZATION ACCOUNTING DEPARTMENT. THEN, THE COMPLETED 990 IS SENT TO THE CFO OF THE ORGANIZATION TO BE REVIEWED. THE CFO REVIEWED AND DISTRIBUTES THE 990 AMONG THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS FOR REVIEW AND QUESTIONS AT THE BOARD MEETING. UPON COMPLETION OF REVIEW AND APPROVAL, THE FORM 990 IS FILED. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO BE MAILED UPON WRITTEN REQUEST, HOWEVER, FINANCIAL STATEMENTS ARE NOT MADE PUBLIC.