2015-05-15T11:22:05-05:00 2014-06-30 111986323 MARCUM LLP 101 MONTGOMERY STREET 1900 SAN FRANCISCO CA 94104 990 2013-07-01 237118361 TIBURCIO VASQUEZ HEALTH CENTER TIBU 5104715880 33255 9TH STREET UNION CITY CA 94587 DAVID B VLIET CEO 5104715907 2015-05-14 1 STEVEN H BOULTBEE P01228676 4154326200 2013 2016-03-07 17:11:31Z DAVID B VLIET 33255 9TH STREET UNION CITY CA 94587 23730906 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. 12 12 251 13 0 0 12873729 11461538 8818189 11871478 756 28005 318225 369885 22010899 23730906 0 0 0 0 15060695 15815070 0 0 0 7869086 6984625 22929781 22799695 -918882 931211 11987423 16682709 5579662 9343737 6407761 7338972 PROVIDE COMPREHENSIVE COMMUNITY HEALTH SERVICES TO SOUTHERN ALAMEDA COUNTY. 0 0 7598690 11871478 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. 3487293 HEALTHPAC: PROVIDE MEDICALLY NECESSARY SERVICES TO LOW-INCOME UNINSURED INDIVIDUALS ENROLLED IN THE COUNTY MEDICALLY INDIGENT SERVICES PLAN. 1699952 EPSDT: PROVIDE MENTAL HEALTH SERVICES, CASE MANAGEMENT, CRISIS INTERVENTION, AND MEDICATION SUPPORT SERVICES TO TEEN PARENTS, ADULT PARENTS AND THEIR CHILDREN. 5905182 369885 5905182 369885 18691117 1 1 0 0 0 0 0 0 0 0 1 0 1 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 0 0 0 0 0 1 0 0 0 1 38 0 1 251 1 0 0 0 0 0 0 0 0 0 0 X 12 12 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 ALTURA 5106906057 22331 MISSION BLVD HAYWARD CA 94541 DAVID B VLIET CHIEF EXECUTIVE OFFICER 40.00 X X 194536 0 10390 KATHY STROTHER 1ST VICE PRESIDENT 1.50 X 0 0 0 JONATHAN PETTEY 2ND VICE PRESIDENT 1.50 X 0 0 0 JESSE ROBLES TREASURER/FINANCE CHAIR 1.50 X 0 0 0 LUPE DEANDA SECRETARY 1.50 X 0 0 0 PAUL MEANS AUDIT COMMITTEE CHAIR 1.50 X 0 0 0 JUAN GOMEZ PROGRAM COMMITTEE CHAIR 1.50 X 0 0 0 ROSANA LOERA BOARD MEMBER 1.50 X 0 0 0 MARIA SABADO BOARD MEMBER 1.50 X 0 0 0 MINYON CORCUCHIA BOARD MEMBER 1.50 X 0 0 0 AHMAD ASIR BOARD MEMBER 1.50 X 0 0 0 CANDICE BOEN BOARD MEMBER 1.50 X 0 0 0 ANITHA MULLANGI CHIEF MEDICAL OFFICER 40.00 X 146089 0 30597 MARIA LOURDES MARTINEZ CHIEF FINANCIAL OFFICER 40.00 X 125175 0 19398 NANCY SOTO PRESIDENT 3.00 X 0 0 0 SRIDEVI PONNALA DENTAL DIRECTOR 40.00 X 142193 0 17804 DEEPPIKA JANNAPUREDDY PHYSICIAN 40.00 X 150553 0 16111 AMRITA GHUMMAN PHYSICIAN 40.00 X 138826 0 2294 REBECCA BRETON PEDIATRICIAN PHYSICIAN 40.00 X 117797 0 36108 VEENA GOWRA PHYSICIAN 40.00 X 115347 0 26658 1130516 0 159360 12 0 1 0 BAY CHILDRENS PHYSICIANS 747 52ND STREET OAKLAND CA 94609 PHYSICIAN LOCUM TENENS 299492 OAKLAND PHARMACY 333 9TH ST OAKLAND CA 94607 PHARMACEUTICALS 285091 COMPHEALTH PO BOX 972651 DALLAS TX 753972651 PHYSICIAN LOCUM TENENS 223112 CHOI AND ROBLES 2251 HARBOR BAY PARKWAY ALAMEDA CA 94502 ARCHITECTURE 199119 NOVIA SOLUTIONS 13025 DANIELSON ST POWAY CA 92064 HEALTHCARE CONSULTING 176109 21 10919546 541992 11461538 PATIENT AND 3RD PARTY 621300 11871478 11871478 11871478 28005 28005 OTHER INCOME 900099 369885 369885 369885 23730906 12241363 0 28005 495799 412493 83306 12082676 10052502 2030174 3236595 2842905 393690 1872532 1358248 514284 14254 11752 2502 123986 100303 23683 1204036 859679 344357 212480 123026 89454 332140 102905 229235 634200 522429 111771 76070 14332 61738 MISCELLANEOUS 654012 631859 22153 MEDICAL & DENTAL SUPPLI 630259 630259 0 PHARMACY 598951 598951 0 EQUIPMENT PURCHASE, LEA 307882 264946 42936 323823 164528 159295 22799695 18691117 4108578 0 296422 782619 1906385 1701294 2565464 2390469 232825 139356 7771054 6090392 4541979 1680662 0 7003000 2444348 2985309 11987423 16682709 2547996 1525491 6862 109849 1625542 6500563 1399262 1207834 5579662 9343737 X 6185253 7243102 222508 95870 6407761 7338972 11987423 16682709 931211 0 X X 0 1 X 1 1 1 X 17329425 18529346 19560472 21691917 23333016 100444176 17329425 18529346 19560472 21691917 23333016 100444176 100444176 1099 756 28005 29860 175754 124994 58939 318225 369885 1047797 101521833 0.98940 0.99110 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 20317 20317 3242410 1998743 1243667 4508327 4091649 416678 1680662 INVESTMENT IN NMTC TVHC FUND 7003000 C 7003000 INTERCOMPANY 2149912 OTHER RECEIVABLE 33465 NMTC INTEREST RESERVE 370291 INTERCOMPANY PREPAID EXPENSES 431641 2985309 LINE OF CREDIT 1207834 1207834 X 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, 2014, 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 DAVID B VLIET CHIEF EXECUTIVE OFFICER 189256 0 0 0 5280 0 0 0 10390 0 204926 0 0 0 ANITHA MULLANGI CHIEF MEDICAL OFFICER 146089 0 0 0 0 0 25300 0 5297 0 176686 0 0 0 SRIDEVI PONNALA DENTAL DIRECTOR 142193 0 0 0 0 0 14281 0 3523 0 159997 0 0 0 DEEPPIKA JANNAPUREDDY PHYSICIAN 150553 0 0 0 0 0 0 0 16111 0 166664 0 0 0 REBECCA BRETON PEDIATRICIAN PHYSICIAN 117797 0 0 0 0 0 19994 0 16114 0 153905 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 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 XII, LINE 2C THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. TVHC 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 315000 CASH TVHC FACILITIES II INC I 4029111 TITLE COMPANY CLOSING DOCUMENT