TIBURCIO VASQUEZ HEALTH CENTER INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
TIBURCIO VASQUEZ HEALTH CENTER INC (EIN 23-7118361)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-15
IRS object ID
201501359349304030
Schema version
2013v4.0
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)
Return2015-05-15T11:22:05-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN111986323PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MARCUM LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 MONTGOMERY STREET 1900AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94104ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237118361EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TIBURCIO VASQUEZ HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlTIBUBusinessNameControlTxt
Phone5104715880PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line133255 9TH STREETAddressLine1
CityUNION CITYCity
StateCAState
ZIP Code94587ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID B VLIETPersonNm
Person TitleCEOPersonTitleTxt
Phone5104715907PhoneNum
Signature2015-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTEVEN H BOULTBEEPreparerPersonNm
PTINP01228676PTIN
Phone4154326200PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID B VLIETPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line133255 9TH STREETAddressLine1
CityUNION CITYCity
StateCAState
ZIP Code94587ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$23,730,906GrossReceiptsAmt
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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee251TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$12,873,729PYContributionsGrantsAmt
CY Contributions Grants$11,461,538CYContributionsGrantsAmt
PY Program Service Revenue$8,818,189PYProgramServiceRevenueAmt
CY Program Service Revenue$11,871,478CYProgramServiceRevenueAmt
PY Investment Income$756PYInvestmentIncomeAmt
CY Investment Income$28,005CYInvestmentIncomeAmt
PY Other Revenue$318,225PYOtherRevenueAmt
CY Other Revenue$369,885CYOtherRevenueAmt
PY Total Revenue$22,010,899PYTotalRevenueAmt
CY Total Revenue$23,730,906CYTotalRevenueAmt
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$15,060,695PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$15,815,070CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,869,086PYOtherExpensesAmt
CY Other Expenses$6,984,625CYOtherExpensesAmt
PY Total Expenses$22,929,781PYTotalExpensesAmt
CY Total Expenses$22,799,695CYTotalExpensesAmt
PY Revenues Less Expenses-$918,882PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$931,211CYRevenuesLessExpensesAmt
Total Assets BOY$11,987,423TotalAssetsBOYAmt
Total Assets EOY$16,682,709TotalAssetsEOYAmt
Total Liabilities BOY$5,579,662TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,343,737TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,407,761NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,338,972NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE COMPREHENSIVE COMMUNITY HEALTH SERVICES TO SOUTHERN ALAMEDA COUNTY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,598,690ExpenseAmt
Revenue$11,871,478RevenueAmt
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$3,487,293ExpenseAmt
DescHEALTHPAC: PROVIDE 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$1,699,952ExpenseAmt
DescEPSDT: PROVIDE 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$5,905,182ExpenseAmt
Revenue$369,885RevenueAmt
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$5,905,182TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$369,885TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$18,691,117TotalProgramServiceExpensesAmt
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 Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
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 Contri0DeductibleNonCashContriInd
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 Document38IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee251EmployeeCnt
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 ALTURABusinessNameLine1
FieldValueIRS element (for citing)
Phone5106906057PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line122331 MISSION BLVDAddressLine1
CityHAYWARDCity
StateCAState
ZIP Code94541ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID B VLIET
CHIEF EXECUTIVE OFFICER40.00Yes (X)Yes (X)$194,536$0$10,390
KATHY STROTHER
1ST VICE PRESIDENT1.50Yes (X)$0$0$0
JONATHAN PETTEY
2ND VICE PRESIDENT1.50Yes (X)$0$0$0
JESSE ROBLES
TREASURER/FINANCE CHAIR1.50Yes (X)$0$0$0
LUPE DEANDA
SECRETARY1.50Yes (X)$0$0$0
PAUL MEANS
AUDIT COMMITTEE CHAIR1.50Yes (X)$0$0$0
JUAN GOMEZ
PROGRAM COMMITTEE CHAIR1.50Yes (X)$0$0$0
ROSANA LOERA
BOARD MEMBER1.50Yes (X)$0$0$0
MARIA SABADO
BOARD MEMBER1.50Yes (X)$0$0$0
MINYON CORCUCHIA
BOARD MEMBER1.50Yes (X)$0$0$0
AHMAD ASIR
BOARD MEMBER1.50Yes (X)$0$0$0
CANDICE BOEN
BOARD MEMBER1.50Yes (X)$0$0$0
ANITHA MULLANGI
CHIEF MEDICAL OFFICER40.00Yes (X)$146,089$0$30,597
MARIA LOURDES MARTINEZ
CHIEF FINANCIAL OFFICER40.00Yes (X)$125,175$0$19,398
NANCY SOTO
PRESIDENT3.00Yes (X)$0$0$0
SRIDEVI PONNALA
DENTAL DIRECTOR40.00$142,193$0$17,804Yes (X)
DEEPPIKA JANNAPUREDDY
PHYSICIAN40.00$150,553$0$16,111Yes (X)
AMRITA GHUMMAN
PHYSICIAN40.00$138,826$0$2,294Yes (X)
REBECCA BRETON
PEDIATRICIAN PHYSICIAN40.00$117,797$0$36,108Yes (X)
VEENA GOWRA
PHYSICIAN40.00$115,347$0$26,658Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,130,516TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$159,360TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
BAY CHILDRENS PHYSICIANS
747 52ND STREETOAKLANDCA94609PHYSICIAN LOCUM TENENS$299,492
OAKLAND PHARMACY
333 9TH STOAKLANDCA94607PHARMACEUTICALS$285,091
COMPHEALTH
PO BOX 972651DALLASTX753972651PHYSICIAN LOCUM TENENS$223,112
CHOI AND ROBLES
2251 HARBOR BAY PARKWAYALAMEDACA94502ARCHITECTURE$199,119
NOVIA SOLUTIONS
13025 DANIELSON STPOWAYCA92064HEALTHCARE CONSULTING$176,109
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K21CntrctRcvdGreaterThan100KCnt
Government Grants$10,919,546GovernmentGrantsAmt
All Other Contributions$541,992AllOtherContributionsAmt
Total Contributions$11,461,538TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT AND 3RD PARTYDesc
Business621300BusinessCd
Total Revenue Column$11,871,478TotalRevenueColumnAmt
Related Or Exempt Func Income$11,871,478RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$11,871,478TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,005TotalRevenueColumnAmt
Exclusion$28,005ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$369,885TotalRevenueColumnAmt
Related Or Exempt Func Income$369,885RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$369,885OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,730,906TotalRevenueColumnAmt
Related Or Exempt Func Income$12,241,363RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$28,005ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$495,799TotalAmt
Program Services$412,493ProgramServicesAmt
Management And General$83,306ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,082,676TotalAmt
Program Services$10,052,502ProgramServicesAmt
Management And General$2,030,174ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,236,595TotalAmt
Program Services$2,842,905ProgramServicesAmt
Management And General$393,690ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,872,532TotalAmt
Program Services$1,358,248ProgramServicesAmt
Management And General$514,284ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$14,254TotalAmt
Program Services$11,752ProgramServicesAmt
Management And General$2,502ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$123,986TotalAmt
Program Services$100,303ProgramServicesAmt
Management And General$23,683ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,204,036TotalAmt
Program Services$859,679ProgramServicesAmt
Management And General$344,357ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$212,480TotalAmt
Program Services$123,026ProgramServicesAmt
Management And General$89,454ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$332,140TotalAmt
Program Services$102,905ProgramServicesAmt
Management And General$229,235ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$634,200TotalAmt
Program Services$522,429ProgramServicesAmt
Management And General$111,771ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$76,070TotalAmt
Program Services$14,332ProgramServicesAmt
Management And General$61,738ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MISCELLANEOUS$654,012$631,859$22,153
MEDICAL & DENTAL SUPPLI$630,259$630,259$0
PHARMACY$598,951$598,951$0
EQUIPMENT PURCHASE, LEA$307,882$264,946$42,936

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$323,823TotalAmt
Program Services$164,528ProgramServicesAmt
Management And General$159,295ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,799,695TotalAmt
Program Services$18,691,117ProgramServicesAmt
Management And General$4,108,578ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$296,422BOYAmt
EOY$782,619EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,906,385BOYAmt
EOY$1,701,294EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,565,464BOYAmt
EOY$2,390,469EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$232,825BOYAmt
EOY$139,356EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,771,054LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,090,392LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,541,979BOYAmt
EOY$1,680,662EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$7,003,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,444,348BOYAmt
EOY$2,985,309EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,987,423BOYAmt
EOY$16,682,709EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,547,996BOYAmt
EOY$1,525,491EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$6,862BOYAmt
EOY$109,849EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,625,542BOYAmt
EOY$6,500,563EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,399,262BOYAmt
EOY$1,207,834EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,579,662BOYAmt
EOY$9,343,737EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,185,253BOYAmt
EOY$7,243,102EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$222,508BOYAmt
EOY$95,870EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,407,761BOYAmt
EOY$7,338,972EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,987,423BOYAmt
EOY$16,682,709EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$931,211ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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$17,329,425CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,529,346CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,560,472CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,691,917CurrentTaxYearMinus1YearAmt
Current Tax Year$23,333,016CurrentTaxYearAmt
Total$100,444,176TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,329,425CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,529,346CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,560,472CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,691,917CurrentTaxYearMinus1YearAmt
Current Tax Year$23,333,016CurrentTaxYearAmt
Total$100,444,176TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$100,444,176PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$1,099CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$756CurrentTaxYearMinus1YearAmt
Current Tax Year$28,005CurrentTaxYearAmt
Total$29,860TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$175,754CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$124,994CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$58,939CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$318,225CurrentTaxYearMinus1YearAmt
Current Tax Year$369,885CurrentTaxYearAmt
Total$1,047,797TotalAmt
FieldValueIRS element (for citing)
Total Support$101,521,833TotalSupportAmt
Public Support CY1700.98940PublicSupportCY170Pct
Public Support PY1700.99110PublicSupportPY170Pct
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$3,242,410OtherCostOrOtherBasisAmt
Depreciation$1,998,743DepreciationAmt
Book Value$1,243,667BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,508,327OtherCostOrOtherBasisAmt
Depreciation$4,091,649DepreciationAmt
Book Value$416,678BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,680,662TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

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

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY$2,149,912
OTHER RECEIVABLE$33,465
NMTC INTEREST RESERVE$370,291
INTERCOMPANY PREPAID EXPENSES$431,641
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,985,309TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLINE OF CREDITDesc
Amt$1,207,834Amt
FieldValueIRS element (for citing)
Total Liability$1,207,834TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

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, 2014, 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 (5 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
DAVID B VLIET
CHIEF EXECUTIVE OFFICER$189,256$0$0$0$5,280$0$0$0$10,390$0$204,926$0$0$0
ANITHA MULLANGI
CHIEF MEDICAL OFFICER$146,089$0$0$0$0$0$25,300$0$5,297$0$176,686$0$0$0
SRIDEVI PONNALA
DENTAL DIRECTOR$142,193$0$0$0$0$0$14,281$0$3,523$0$159,997$0$0$0
DEEPPIKA JANNAPUREDDY
PHYSICIAN$150,553$0$0$0$0$0$0$0$16,111$0$166,664$0$0$0
REBECCA BRETON
PEDIATRICIAN PHYSICIAN$117,797$0$0$0$0$0$19,994$0$16,114$0$153,905$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 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 11TAX 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 XII, LINE 2CTHE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
TVHC 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 TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
TVHC FACILITIES INC
K$315,000CASH
TVHC FACILITIES II INC
I$4,029,111TITLE COMPANY CLOSING DOCUMENT

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