ALIVIO MEDICAL CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ALIVIO MEDICAL CENTER INC (EIN 36-3661051)
Tax period
2012-07-01 to 2013-06-30
Filed
2015-05-14
IRS object ID
201531349349307498
Schema version
2012v3.0
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)
Timestamp2015-05-14T16:20:06-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN221478099EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14 BECKER FARM ROADAddressLine1
CityROSELANDCity
StateNJState
ZIP Code07068ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN363661051EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ALIVIO MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlALIVNameControl
Phone7732541400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1966 WEST 21ST STREETAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60608ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameESTHER CORPUZName
TitleCEOTitle
Phone7732541400Phone
Date Signed2015-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS LANNINGName
PTINP00851654PTIN
Phone9732283500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn
Name Of Principal Officer PersonESTHER CORPUZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1966 WEST 21ST STREETAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60608ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18422592GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionALIVIO MEDICAL CENTER IS COMMITTED TO PROVIDING ACCESS TO QUALITY, COST EFFECTIVE HEALTH CARE TO THE HISPANIC COMMUNITY, THE UNINSURED, AND THE UNDERINSURED, NOT TO THE EXCLUSION OF OTHER CULTURES AND RACES.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees237TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3610329ContributionsGrantsPriorYear
Contributions Grants Current Year8340885ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11168575ProgramServiceRevenuePriorYear
Program Service Revenue CY8808373ProgramServiceRevenueCY
Investment Income Prior Year441InvestmentIncomePriorYear
Investment Income Current Year85204InvestmentIncomeCurrentYear
Other Revenue Prior Year675564OtherRevenuePriorYear
Other Revenue Current Year643667OtherRevenueCurrentYear
Total Revenue Prior Year15454909TotalRevenuePriorYear
Total Revenue Current Year17878129TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11116259SalariesEtcPriorYear
Salaries Etc Current Year10482357SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4903170OtherExpensePriorYear
Other Expenses Current Year8203985OtherExpensesCurrentYear
Total Expenses Prior Year16019429TotalExpensesPriorYear
Total Expenses Current Year18686342TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-564520RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-808213RevenuesLessExpensesCY
Total Assets BOY11154648TotalAssetsBOY
Total Assets EOY12987241TotalAssetsEOY
Total Liabilities BOY7324313TotalLiabilitiesBOY
Total Liabilities EOY9801840TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3830335NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3185401NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE COMMUNITY HEALTH CENTER IS COMMITTED TO PROVIDING ACCESS TO QUALITY COST EFFECTIVE HEALTH CARE TO THE HISPANIC COMMUNITY, THE UNINSURED, AND UNDERINSURED, NO TO THE EXCLUSION OF OTHER CULTURES AND RACES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12288768Expense
Revenue8688076Revenue
DescriptionTHE COMMUNITY HEALTH CENTER WAS ESTABLISHED TO PROVIDE QUALITY, AFFORDABLE HEALTH CARE TO THE LOCAL COMMUNITY. THE COMPREHENSIVE SERVICES INCLUDE PRIMARY OUTPATIENT MEDICAL CARE, OBSTETRICS, GYNECOLOGY, DIAGNOSTIC SERVICES, NUTRITION SERVICES, BEHAVIORAL HEALTH SERVICES, EDUCATION AND PREVENTION PROGRAMS AS WELL AS OTHER SUPPORTING SERVICES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense341861Expense
Revenue341861Revenue
DescriptionTHE CHICAGO FAMILY CASE MANAGEMENT PROGRAM PROVIDES A COMPREHENSIVE ARRAY OF MATERNAL AND CHILD HEALTH SERVICES TO PREGNANT WOMEN AND INFANTS UP TO TWELVE MONTHS OF AGE, INCLUDING CASE MANAGEMENT, OUTREACH AND TRANSPORTATION.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense348106Expense
Revenue348106Revenue
DescriptionTITLE X - FAMILY PLANNING SERVICES PROVIDES MATERNAL/CHILD PRIMARY HEALTH CARE SERVICES, OBSTETRICS, GYNECOLOGY, CASE MANAGEMENT, HEALTH EDUCATION AND FAMILY PLANNING COUNSELING TO PREGNANT WOMEN AND THEIR FAMILIES.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense1376648Expense
DescriptionOTHER PROGRAMS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1376648TotalOfOtherProgramServiceExp
Total Program Service Expense14355383TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees237NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ESTHER CORPUZ CEOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3128296304TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1966 WEST 21ST STREETAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60608ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ALEJANDRA PEREZ-TAMAYO
2ND VICE PRESIDENT1.00XX000
ANN GARCELON MD
MEMBER1.00X000
ESTHER CORPUZ
1ST VICE PRESIDENT1.00XX000
GIACOMO MANCUSO
MEMBER1.00X000
MARY LEBOLD RN
SECRETARY1.00XX000
NANCY VILLAFRANCA
MEMBER1.00X000
PATRICIA REBOLLEDO
MEMBER1.00X000
PETER MARTINEZ
MEMBER1.00X000
SARA ZUNIGA-LOPEZ
MEMBER1.00X000
SOCORRO VELAZQUEZ
MEMBER1.00X000
TERESA FRAGA
PRESIDENT1.00XX000
VINCENT ALLOCCO
MEMBER1.00X000
WAYNE MULDROW
TREASURER1.00XX000
CARMEN VELASQUEZ
EXECUTIVE DIRECTOR40.00X41476902721
THURMAN GILLS
DIRECTOR OF FINANCE40.00X16371300
ABDUL BHURGRI
MEDICAL DIRECTOR40.0021874107451X
DONALD WOZNICA
PHYSICIAN40.0016109606518X
DORA GARCIA
ASSOCIATE EXECUTIVE DIRECTOR40.0017034004449X
MARK KOSANOVICH
PHYSICIAN40.0020811803032X
WEN-HO YANG
PHYSICIAN40.0016371101999X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1500488TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation26170TotalOtherCompensation
Number Individuals GT100 K17NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns301FederatedCampaigns
Government Grants6951065GovernmentGrants
All Other Contributions1389519AllOtherContributions
Noncash Contributions1015364NoncashContributions
Total Contributions8340885TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID62410045803544580354
SELF-PAY62410030829303082930
OTHER THRID PARTY624100792754792754
MEDICARE624100352335352335
FieldValueIRS element (for citing)
Total Program Service Revenue8808373TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column30813TotalRevenueColumn
Exclusion$30,813ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3900Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real3900Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3900TotalRevenueColumn
Exclusion$3,900ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities598854Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities544463Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities54391Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column54391TotalRevenueColumn
Exclusion$54,391ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
340 B PHARMACY624100567660567660
OTHER90009970097$70,097
PATIENT RECORDS62410020102010
FieldValueIRS element (for citing)
Total Other Revenue639767TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17878129TotalRevenueColumn
Related Or Exempt Function Income9378043RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$159,201ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total393669Total
Program Services301443ProgramServices
Management And General92226ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8266325Total
Program Services6329757ProgramServices
Management And General1936568ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total57000Total
Program Services43647ProgramServices
Management And General13353ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1077203Total
Program Services824844ProgramServices
Management And General252359ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total688160Total
Program Services526943ProgramServices
Management And General161217ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total400519Total
Management And General400519ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total23539Total
Management And General23539ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total598317Total
Program Services5462ProgramServices
Management And General592855ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total57783Total
Program Services13146ProgramServices
Management And General44637ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total766420Total
Program Services642568ProgramServices
Management And General123852ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total182141Total
Program Services158463ProgramServices
Management And General23678ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total139927Total
Program Services79077ProgramServices
Management And General60850ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total50482Total
Program Services28529ProgramServices
Management And General21953ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total288724Total
Program Services251190ProgramServices
Management And General37534ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total781011Total
Program Services679480ProgramServices
Management And General101531ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total114559Total
Program Services99666ProgramServices
Management And General14893ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT18709641870964
DONATED VACCINES10153641015364
CONSUMABLE SUPPLIES54237847186970509
PHARMACY DISPENSING344935344935

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1026922Total
Program Services668036ProgramServices
Management And General358886ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18686342Total
Program Services14355383ProgramServices
Management And General4330959ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY144197BOY
EOY869266EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY53851EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2487722BOY
EOY464447EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY820023BOY
EOY946136EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY123491BOY
EOY58681EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY72236BOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17075546LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8015228LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6335593BOY
EOY9060318EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1171386BOY
EOY1109670EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY424872EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11154648BOY
EOY12987241EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3298183BOY
EOY3147342EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY483710BOY
EOY1145695EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3542420BOY
EOY5169458EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY339345EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7324313BOY
EOY9801840EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2830335BOY
EOY2035576EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY149825EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1000000BOY
EOY1000000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3830335BOY
EOY3185401EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11154648BOY
EOY12987241EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-808213ReconcilationRevenueExpenses
Reconciliation Unrealized Invest67844ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment95435ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis471567OtherCostOrOtherBasis
Book Value471567BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7902273OtherCostOrOtherBasis
Depreciation4097005Depreciation
Book Value3805268BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1247897OtherCostOrOtherBasis
Depreciation237469Depreciation
Book Value1010428BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4882348OtherCostOrOtherBasis
Depreciation3606405Depreciation
Book Value1275943BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2571461OtherCostOrOtherBasis
Depreciation74349Depreciation
Book Value2497112BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9060318TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED COMPDescription
Amount$339,345Amount
FieldValueIRS element (for citing)
Total Of Amounts339345TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt16075009TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments67844NetUnrealizedGainsInvestments
Other Revenues-1870964OtherRevenues
Revenue Not Rptd F990-1803120RevenueNotRptdF990
Revenue Subtotal17878129RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99017878129TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16815378TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal16815378ExpensesSubtotal
Other Expenses Not Included1870964OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1870964ExpensesNotRptdOnFinStmt
Total Expenses Per Form99018686342TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2013. THE CENTER'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2010 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE CENTER RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE STATEMENT OF FINANCIAL POSITION.
PART XI, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT -1,870,964.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT 1,870,964.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CARMEN VELASQUEZ
EXECUTIVE DIRECTOR414769000000027210417490000
THURMAN GILLS
DIRECTOR OF FINANCE163713000000000163713000
ABDUL BHURGRI
MEDICAL DIRECTOR218741000000074510226192000
DONALD WOZNICA
PHYSICIAN161096000000065180167614000
DORA GARCIA
ASSOCIATE EXECUTIVE DIRECTOR170340000000044490174789000
MARK KOSANOVICH
PHYSICIAN208118000000030320211150000
WEN-HO YANG
PHYSICIAN163711000000019990165710000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationTHE ORGANIZATION HAS AN ELIGIBLE NONQUALIFIED SUPPLEMENTAL PENSION PLAN THAT IT MADE CONTRIBUTIONS TO IN AGGREGATE OF $43,000 DURING FISCAL YEAR 2013. HOWEVER, AT THIS TIME THEY ARE UNABLE TO ALLOCATE CONTRIBUTIONS TO SPECIFIC INDIVIDUALS FOR PURPOSES FOR SCHEDULE J, PART II COLUMN (C).Explanation

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9901015364NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11DUE TO TIME CONSTRAINTS, A COPY OF THE 990 WILL NOT BE GOING TO THE BOARD AT THIS TIME.
FORM 990, PART VI, SECTION B, LINE 12CTHE MEMBERS MUST DISCLOSE IF THERE IS A CONFLICT OF INTEREST AT THE ANNUAL BOARD MEETINGS. THE BOARD MEMBERS COMPLETE AND SIGN A FORM DOCUMENTING THAT AT THE TIME THERE ARE NO CONFLICTS OF INTEREST. EACH YEAR THE BOARD MEMBERS SIGN A NEW FORM AND IF THERE IS A CONFLICT THE MEMBER ABSTAINS FROM VOTING. IF A BOARD MEMBER IS FOUND TO HAVE NOT DISCLOSED A CONFLICT, THE MEMBER WILL BE BROUGHT BEFORE THE EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS REVIEWS ANNUALLY, THE COMPENSATION OF THE CEO. THE CEO EVALUATES COMPENSATION OF EMPLOYEES EVERY TWO YEARS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990 PART XII LINE 2C:THE ORGANIZATION HAS A COMMITTEE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AS WELL AS THE SELECTION OF THE INDEPENDENT ACCOUNTANT.
AMENDED FROM 990:FORM 990 WAS AMENDED TO REFLECT INFORMATION PER THE FINALIZED AUDIT. PARTS III, IV, V, VIII, IX, X, XI AND XII WERE CHANGED TO REFLECT THE NEW INFORMATION. IN ADDITION, SCHEDULES B, D, AND M WERE ALSO ADJUSTED.

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