ALTAMED HEALTH SERVICES CORP: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ALTAMED HEALTH SERVICES CORP (EIN 95-2810095)
- Tax period
- 2012-05-01 to 2013-04-30
- Filed
- 2014-03-17
- IRS object ID
- 201400769349301300
- Schema version
- 2012v2.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-03-17T20:12:56-05:00 | Timestamp |
| Tax Period End Date | 2013-04-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330700332 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VASQUEZ & COMPANY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 S GRAND AVE SUITE 400 | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90017 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-05-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952810095 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALTAMED HEALTH SERVICES CORPORATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ALTA | NameControl |
| Phone | 3237258751 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2040 CAMFIELD AVENUE | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90040 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOSE ESPARZA | Name |
| Title | SR VP OF FINANCE AND CFO | Title |
| Phone | 3237258751 | Phone |
| Date Signed | 2014-03-17 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GILBERT R VASQUEZ | Name |
| PTIN | P00743144 | PTIN |
| Phone | 2138731700 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOSE ESPARZA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2040 CAMFIELD AVENUE | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90040 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 282045677 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | HTTP://WWW.ALTAMED.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1970 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O : TO ELIMINATE DISPARITIES IN HEALTH CARE ACCESS AND OUTCOMES BY PROVIDING SUPERIOR QUALITY HEALTH AND HUMAN SERVICES THROUGH AN INTEGRATED WORLD-CLASS DELIVERY SYSTEM FOR LATINO , MULTI-ETHNIC AND UNDERSERVED COMUNITIES IN SOUTHERN CALIFORNIA.VISION: TO BE THE LEADING COMMUNITY-BASED PROVIDER OF QUALITY HEALTH CARE AND HUMAN SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2601 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 8247247 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1822468 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 215900962 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 265546200 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1149143 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1488952 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -766898 | OtherRevenuePriorYear |
| Other Revenue Current Year | -2507260 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 224530454 | TotalRevenuePriorYear |
| Total Revenue Current Year | 266350360 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 110482568 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 114029471 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 1057296 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 106757425 | OtherExpensePriorYear |
| Other Expenses Current Year | 138666131 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 217239993 | TotalExpensesPriorYear |
| Total Expenses Current Year | 252695602 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 7290461 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 13654758 | RevenuesLessExpensesCY |
| Total Assets BOY | 141747709 | TotalAssetsBOY |
| Total Assets EOY | 163689226 | TotalAssetsEOY |
| Total Liabilities BOY | 53406789 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 61337222 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 88340920 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 102352004 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO ELIMINATE DISPARITIES IN HEALTH CARE ACCESS AND OUTCOMES BY PROVIDING SUPERIOR QUALITY HEALTH AND HUMAN SERVICES THROUGH AN INTEGRATED WORLD-CLASS DELIVERY SYSTEM FOR LATINO, MULTI-ETHNIC AND UNDERSERVED COMMUNITIES IN SOUTHERN CALIFORNIA. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 155000805 | Expense |
| Grants | 9211404 | Grants |
| Revenue | 167121717 | Revenue |
| Description | PRIMARY HEALTHCARE AND DENTAL CARE. ALTAMED OPERATES A TOTAL OF 25 PRIMARY CARE CLINICS IN THE GREATER LOS ANGELES AREA WITH 15 CLINICS IN LOS ANGELES COUNTY AND 10 CLINICS IN ORANGE COUNTY SERVING OVER 150,000 PATIENTS PER YEAR. ALTAMED ALSO OPERATES 7 DENTAL CLINICS AND 3 PORTABLE DENTAL UNITS SERVING OVER 55,000 ADULTS AND CHILDREN ANNUALLY. PROVIDING INTEGRATED SERVICES ALONG A CONTINUUM OF CARE FROM PERINATAL SERVICES ANNUALLY, PEDIATRIC AND ADOLESCENT CARE AND SPECILATY CARE INCLUDING WOMEN'S HEALTH AND GERIATRIC MEDICINE AND HEALTH FOR THE FRAIL AND NON-FRAIL ELDERLY, ALTAMED DELIVERS COMPREHENSIVE CARE TO THE WHOLE FAMILY. ALONG WITH ITS PREVENTIVE AND PRIMARY CARE SERVICES, ALTAMED SPECIALIZES IN SERVICES THAT INCLUDE A PEDIATRIC AND ADOLESCENT OBESITY PROGRAM AND A CHRONIC DISEASE MANAGEMENT PROGRAM. OTHER SERVICES INCLUDE LABORATORY TESTING, RADIOLOGIC SCREENING AND PHARMACY SERVICES, INCLUDING MEDICATION MANAGEMENT AND RECONCILIATION. HEALTH SERVICES ARE ALSO SUPPORTED BY A COMMUNITY OUTREACH AND HEALTH EDUCATION TEAM PROMOTING HEALTHY BEHAVIORS AND ADVANCING THE OVERALL HEALTH AND WELL-BEING AMONG THOSE LIVING IN MEDICALLY-UNDERSERVED COMMUNITIES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 85087489 | Expense |
| Grants | 2456204 | Grants |
| Revenue | 79518034 | Revenue |
| Description | LONG TERM CARE. EACH YEAR , OVER 3,500 FRAIL AND ELDERLY SENIORS AND DISABLED ADULTS ARE SUPPORTED BY A MENU OF SERVICES THROUGH ALTAMED'S 6 PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY ( PACE) SITES. SERVICES INCLUDE PRIMARY CARE/GERIATRIC MEDICINE NURSING CARE, REHABILITATION THERAPY, FAMILY SUPPORT INTERVENTIONS, COUNSELING, MEDICATION MANAGEMENT , NUTRITION EDUCATION AND SOCIAL ACTIVITIES. ALTAMED ALSO PROVIDES SPECIALIZED IN-HOME SUPPORTIVE PROGRAMS AND SERVICES THAT ENHANCE THE LIVES OF NEARLY 4,500 SENIORS LIVING INDEPENDENTLY IN THE COMMUNITY OR WHO ARE AT-RISK OF INSTITUTIONALIZED CARE. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7274883 | Expense |
| Grants | 5458268 | Grants |
| Revenue | 861799 | Revenue |
| Description | HIV SERVICES. ALTAMED OPERATES 4 HIV PRIMARY CARE CLINICS IN LOS ANGELES COUNTY AND 1 IN ORANGE COUNTY. PROVIDING HIV PREVENTION AND CARE SERVICES IN URBAN LATINO COMMUNITIES, ALTAMED MAINTAINS A DIVERSE MENU OF HIV/AIDS SERVICES THAT SERVE MORE THAN 1,800 HIV-POSITIVE PATIENTS EACH YEAR AND INCLUDES: MEDICAL OUTPATIENT SERVICES , CASE MANGEMENT , PREVENTION CASE MANAGEMENT , FAMILY CASE MANAGEMENT , COUNSELING AND TESTING , AIDS DRUG ASSISTANCE PROGRAM ENROLLMENT, HIV TREATMENT , EDUCATION AND ADVOCACY , MENTAL HEALTH SUPPORT AND HEALTH EDUCATION/RISK REDUCTION SERVICES. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3917322 | Expense |
| Grants | 3311674 | Grants |
| Revenue | 138111 | Revenue |
| Description | (I) YOUTH SERVICES. ALTAMED PROVIDES AN ARRAY OF YOUTH SERVICES TO OVER 1,500 AT-RISK TEENS AND YOUNG ADULTS IN MEDICALLY-UNDERSERVED COMMUNITIES EACH YEAR. SERVICES INCLUDE: PREGNANCY AND STD PREVENTION PROGRAMS, LEADERSHIP DEVELOPMENT , HEALTH EDUCATION AND INFORMATION WORKSHOPS , LINKAGES TO CLINICAL SERVICES, CASE MANAGEMENT FOR PREGNANT/PARENTING TEENS ; PARENTING EDUCATION; FAMILY PLANNING ; SUPPORT FOR PARENTING TEENS TO HELP THEM STAY IN SCHOOL ; AND LIFE-SKILLS DEVELOPMENT; (II)DRUG TREATMENT. OVER 300 PATIENTS EACH YEAR ARE TREATED THROUGH ALTAMED'S OUTPATIENT METHADONE CLINIC AND RECEIVE DETOXIFICATION, COUNSELING, AND CASE MANAGEMENT TO TREAT HEROIN ADDICTION. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 3917322 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 3311674 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 138111 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 251280499 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 1749 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2601 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOSE ESPARZA SR VP OF FINANCE AND CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3237258751 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2040 CAMFIELD AVENUE | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90040 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| FERNANDO DE NECOCHEA | ||||||||
| MEMBER | 1.20 | X | 0 | 0 | 0 | |||
| MARTIN GALLEGOS | ||||||||
| CHAIR ELECT | 1.60 | X | 0 | 0 | 0 | |||
| GREGORY VALENZUELA | ||||||||
| CONSUMER MEMBER | 1.20 | X | 0 | 0 | 0 | |||
| AYALA ALICIA | ||||||||
| CONSUMER MEMBER | 1.60 | X | 0 | 0 | 0 | |||
| FONSECA ANA | ||||||||
| SECRETARY | 1.60 | X | 0 | 0 | 0 | |||
| GLORIA CARRILLO ZAMORA | ||||||||
| MEMBER | 1.20 | X | 0 | 0 | 0 | |||
| SHIRLEY DETTLOFF | ||||||||
| MEMBER | 1.60 | X | 0 | 0 | 0 | |||
| FRANK MEZA MD | ||||||||
| CHAIR | 1.60 | X | 0 | 0 | 0 | |||
| LILIANA RAMIREZ | ||||||||
| CONSUMER MEMBER | 1.20 | X | 0 | 0 | 0 | |||
| JANICE FAUCHIER | ||||||||
| TREASURER | 1.60 | X | 0 | 0 | 0 | |||
| DON NAKANISHI | ||||||||
| MEMBER | 1.20 | X | 0 | 0 | 0 | |||
| CASTULO DELA ROCHA | ||||||||
| PRESIDENT AND CEO | 40.00 | 968675 | 0 | 9800 | X | |||
| MARIE TORRES | ||||||||
| SR. VP OF GOVERNMENT RELAT | 40.00 | 324039 | 0 | 9800 | X | |||
| ZOILA ESCOBAR | ||||||||
| VP STRATEGIC DEVELOPMENT & | 40.00 | 284972 | 0 | 9797 | X | |||
| JOSE U ESPARZA | ||||||||
| SR. VP OF FINANCE & CFO | 40.00 | 371417 | 0 | 9800 | X | |||
| MARTIN SEROTA MD | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 473029 | 0 | 9800 | X | |||
| ROBERT TURNER | ||||||||
| VP HUMAN RESOURCES | 40.00 | 282674 | 0 | 9259 | X | |||
| ANGELA ROBERTS | ||||||||
| VP OF FACILITY DEVELOPMENT | 40.00 | 291084 | 0 | 9800 | X | |||
| JENNIFER SPALDING | ||||||||
| VP OF SENIORCARE SERVICES | 40.00 | 248018 | 0 | 8921 | X | |||
| MARTHA SANTANA-CHIN | ||||||||
| V.P. PROVIDER NETWORK OPER | 40.00 | 289591 | 0 | 9800 | X | |||
| ERIKA SOCKACI | ||||||||
| V.P. OF HEALTH SERVICES AD | 40.00 | 213539 | 0 | 8542 | X | |||
| MANSOON RADPARVAR MD | ||||||||
| STAFF PHYSICIAN OB/GYN | 40.00 | 311565 | 0 | 8865 | X | |||
| DESMOND K LEW | ||||||||
| MEDICAL DIRECTOR | 40.00 | 258969 | 0 | 9045 | X | |||
| RICARDO PUERTAS MD | ||||||||
| MEDICAL DIRECTOR QUALITY & | 40.00 | 260949 | 0 | 9800 | X | |||
| CRISTIAN RICO MD | ||||||||
| REGIONAL MEDICAL DIRECTOR | 40.00 | 286501 | 0 | 9800 | X | |||
| FELIX CARPIO MD | ||||||||
| MEDICAL DIRECTOR INFORMATI | 40.00 | 279189 | 0 | 9800 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 5144211 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 142629 | TotalOtherCompensation |
| Number Individuals GT100 K | 176 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HEALTH NET | |||||
| FILE 52617 | LOS ANGELES | CA | 90074 | GROUP HEALTH INSURANCE | 7215629 |
| KAISER FOUNDATION HEALTH PLAN INC | |||||
| FILE 5915 | LOS ANGELES | CA | 90074 | GROUP HEALTH INSURANCE | 3396937 |
| CHILDRENS HOSPITAL LA MEDICAL GROUP | |||||
| 640 SUNSET BLVD STE 600 | LOS ANGELES | CA | 90028 | MEDICAL GROUP | 3138593 |
| TOTAL CORPORATE SOLUTIONS | |||||
| 19500 NORMANDIE AVE | TORRANCE | CA | 90502 | OFFICE/FACILITY SUPPLIER | 2895495 |
| LIBERTY MUTUAL INSURANCE CO | |||||
| PO BOX 7247-0109 | PHILADELPHIA | PA | 19170 | WORKERS COMPENSATION | 2884458 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 55 | NumberOfContractorsGT100K |
| Fundraising Events | 661447 | FundraisingEvents |
| All Other Contributions | 1161021 | AllOtherContributions |
| Noncash Contributions | 78078 | NoncashContributions |
| Total Contributions | 1822468 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MANAGED CARE SERVICES | 624100 | 138269644 | 138269644 |
| PATIENT FEES | 624100 | 106441240 | 106441240 |
| CONTRACTUAL SERVICES | 624100 | 20835316 | 20835316 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 265546200 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1488952 | TotalRevenueColumn |
| Exclusion | $1,488,952 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 287083 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 661447 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 1048457 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -761374 | TotalRevenueColumn |
| Exclusion | -$761,374 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 12681133 | GrossSalesOfInventory |
| Cost Of Goods Sold | 14646860 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1965727 | TotalRevenueColumn |
| Related Or Exempt Function Income | -1965727 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| OTHER CONTRACT SERVICES | 624100 | 1608149 | 1608149 |
| REALIZED GAIN ON INVESTMENT | 900099 | 179182 | 179182 |
| REFUND/REIMBURSEMENT/DEPOSIT | 900099 | 87319 | 87319 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1654809 | TotalRevenueColumn |
| Related Or Exempt Function Income | -1654809 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 219841 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 266350360 | TotalRevenueColumn |
| Related Or Exempt Function Income | 263800314 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $727,578 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5144211 | Total |
| Program Services | 5144211 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86068835 | Total |
| Program Services | 85780715 | ProgramServices |
| Management And General | 286163 | ManagementAndGeneral |
| Fundraising | 1957 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1637380 | Total |
| Program Services | 1632206 | ProgramServices |
| Management And General | 5141 | ManagementAndGeneral |
| Fundraising | 33 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14408486 | Total |
| Program Services | 14362955 | ProgramServices |
| Management And General | 45243 | ManagementAndGeneral |
| Fundraising | 288 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6770559 | Total |
| Program Services | 6749164 | ProgramServices |
| Management And General | 21260 | ManagementAndGeneral |
| Fundraising | 135 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2421589 | Total |
| Program Services | 2143188 | ProgramServices |
| Fundraising | 278401 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7459509 | Total |
| Program Services | 7343352 | ProgramServices |
| Fundraising | 116157 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 553758 | Total |
| Program Services | 553758 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6494553 | Total |
| Program Services | 6494553 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2052089 | Total |
| Program Services | 2052089 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | FundraisingFundraising |
|---|---|---|---|
| SPECIALTY SERVICES | 53301968 | 53301968 | |
| MEDICAL SERVICES | 28372317 | 28372317 | |
| ADMINISTRATIVE SERVICES | 12368713 | 12308508 | 60205 |
| MEDICAL SUPPLIES | 6149694 | 6149694 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19491941 | Total |
| Program Services | 18891821 | ProgramServices |
| Fundraising | 600120 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 252695602 | Total |
| Program Services | 251280499 | ProgramServices |
| Management And General | 357807 | ManagementAndGeneral |
| Fundraising | 1057296 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28217155 | BOY |
| EOY | 33907067 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3746462 | BOY |
| EOY | 4205738 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14677751 | BOY |
| EOY | 24989413 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3279510 | BOY |
| EOY | 7451738 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8121260 | BOY |
| EOY | 8074943 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 378103 | BOY |
| EOY | 254270 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1239273 | BOY |
| EOY | 1479781 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 87081601 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 32475460 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51939484 | BOY |
| EOY | 54606141 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23230208 | BOY |
| EOY | 22787835 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2803761 | BOY |
| EOY | 2420998 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4114742 | BOY |
| EOY | 3511302 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 141747709 | BOY |
| EOY | 163689226 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15642075 | BOY |
| EOY | 16961531 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9708216 | BOY |
| EOY | 8992149 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1980983 | BOY |
| EOY | 3109719 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26075515 | BOY |
| EOY | 32273823 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53406789 | BOY |
| EOY | 61337222 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84881736 | BOY |
| EOY | 99928494 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3459184 | BOY |
| EOY | 2423510 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88340920 | BOY |
| EOY | 102352004 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 141747709 | BOY |
| EOY | 163689226 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 13654758 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 332712 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 23614 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 1 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 1 | MailingsMembers |
| Mailings Members | $2,868 | MailingsMembersAmount |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $41,735 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 1 | RalliesDemonstrations |
| Rallies Demonstrations | $490,205 | RalliesDemonstrationsAmount |
| Other Activities | 1 | OtherActivities |
| Other Activities | $523,559 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 1058367 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | AMOUNTS WERE PAID TO LEGISLATIVE CONSULTANTS FOR LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8631587 | OtherCostOrOtherBasis |
| Book Value | 8631587 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27515222 | OtherCostOrOtherBasis |
| Depreciation | 8378127 | Depreciation |
| Book Value | 19137095 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9601712 | OtherCostOrOtherBasis |
| Depreciation | 5337402 | Depreciation |
| Book Value | 4264310 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 41333080 | OtherCostOrOtherBasis |
| Depreciation | 18759931 | Depreciation |
| Book Value | 22573149 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 54606141 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED VACATION | $5,290,647 |
| CLAIMS PAYABLE | $11,724,080 |
| ACCRUED SALARIES AND EMPLOYEE BENEFITS | $7,762,616 |
| GRANT AND CONTRACT ADVANCES | $1,400,757 |
| CURRENT PORTION OF LONG TERM DEBT | $688,036 |
| CURRENT PORTION OF FACILITY LEASE PAYABLE | $407,687 |
| BANK REVOLVING LINE OF CREDIT | $5,000,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 32273823 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 281353546 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 332712 | NetUnrealizedGainsInvestments |
| Other Revenues | 14670474 | OtherRevenues |
| Revenue Not Rptd F990 | 15003186 | RevenueNotRptdF990 |
| Revenue Subtotal | 266350360 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 266350360 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 267342462 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 14646860 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 14646860 | ExpensesNotRptdF990 |
| Expenses Subtotal | 252695602 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 252695602 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE CORPORATION QUALIFIES AS A TAX EXEMPT ORGANIZATION UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE 23701D. THE CORPORATION HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED RELATE TO THE CORPORATION CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE ARE UNRELATED BUSINESS INCOME ACTIVITIES THAT WOULD BE TAXABLE. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS WILL MORE LIKELY THAN NOT (>50%) BE SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURE OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE CORPORATION FILES INFORMATION RETURNS IN THE US FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA. WITH FEW EXCEPTIONS, THE CORPORATION IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2008. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 23,614. COST OF GOOD SOLD 14,646,860. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | PURCHASES - PHARMACY 14,646,860. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| Email Solicitations | X | EmailSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Solicitation Of Govt Grants | X | SolicitationOfGovtGrants |
| Special Fundraising Events | X | SpecialFundraisingEvents |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | ANNUAL GALA | NameOfEvent1 |
| Gross Receipts Event1 | 316668 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 241868 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 74800 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 191699 | RentFacilityCostsEvent1 |
| Entertainment Event1 | 88582 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 116323 | OtherDirectExpensesEvent1 |
| Name Of Event2 | EAST LA MEETS NAPA | NameOfEvent2 |
| Gross Receipts Event2 | 290948 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 133448 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 157500 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 104702 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 26 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 100271 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 65754 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 5 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 340914 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 286131 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 54783 | GrossRevenueOtherEvents |
| Rent Facility Costs Other Events | 91526 | RentFacilityCostsOtherEvents |
| Entertainment Other Events | 201166 | EntertainmentOtherEvents |
| Other Direct Expenses Other Events | 88408 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 948530 | GrossReceiptsTotal |
| Charitable Contributions Total | 661447 | CharitableContributionsTotal |
| Gross Revenue Total Events | 287083 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 387927 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 26 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 390019 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 270485 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 1048457 | DirectExpenseSummaryEvents |
| Net Income Summary | -761374 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Account | X | DiscretionarySpendingAccount |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CASTULO DELA ROCHA | ||||||||||||||
| PRESIDENT AND CEO | 581932 | 0 | 193978 | 0 | 192765 | 0 | 9800 | 0 | 0 | 0 | 978475 | 0 | 0 | 0 |
| MARIE TORRES | ||||||||||||||
| SR. VP OF GOVERNMENT RELAT | 260146 | 0 | 51892 | 0 | 12001 | 0 | 9800 | 0 | 0 | 0 | 333839 | 0 | 0 | 0 |
| ZOILA ESCOBAR | ||||||||||||||
| VP STRATEGIC DEVELOPMENT & | 231005 | 0 | 40967 | 0 | 13000 | 0 | 9797 | 0 | 0 | 0 | 294769 | 0 | 0 | 0 |
| JOSE U ESPARZA | ||||||||||||||
| SR. VP OF FINANCE & CFO | 281913 | 0 | 49994 | 0 | 39510 | 0 | 9800 | 0 | 0 | 0 | 381217 | 0 | 0 | 0 |
| MARTIN SEROTA MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | 385613 | 0 | 62276 | 0 | 25140 | 0 | 9800 | 0 | 0 | 0 | 482829 | 0 | 0 | 0 |
| ROBERT TURNER | ||||||||||||||
| VP HUMAN RESOURCES | 229590 | 0 | 40716 | 0 | 12368 | 0 | 9259 | 0 | 0 | 0 | 291933 | 0 | 0 | 0 |
| ANGELA ROBERTS | ||||||||||||||
| VP OF FACILITY DEVELOPMENT | 240510 | 0 | 38482 | 0 | 12092 | 0 | 9800 | 0 | 0 | 0 | 300884 | 0 | 0 | 0 |
| JENNIFER SPALDING | ||||||||||||||
| VP OF SENIORCARE SERVICES | 210746 | 0 | 25000 | 0 | 12272 | 0 | 8921 | 0 | 0 | 0 | 256939 | 0 | 0 | 0 |
| MARTHA SANTANA-CHIN | ||||||||||||||
| V.P. PROVIDER NETWORK OPER | 195551 | 0 | 31678 | 0 | 62362 | 0 | 9800 | 0 | 0 | 0 | 299391 | 0 | 0 | 0 |
| ERIKA SOCKACI | ||||||||||||||
| V.P. OF HEALTH SERVICES AD | 180669 | 0 | 23868 | 0 | 9002 | 0 | 8542 | 0 | 0 | 0 | 222081 | 0 | 0 | 0 |
| MANSOON RADPARVAR MD | ||||||||||||||
| STAFF PHYSICIAN OB/GYN | 307666 | 0 | 3759 | 0 | 140 | 0 | 8865 | 0 | 0 | 0 | 320430 | 0 | 0 | 0 |
| DESMOND K LEW | ||||||||||||||
| MEDICAL DIRECTOR | 188188 | 0 | 70417 | 0 | 364 | 0 | 9045 | 0 | 0 | 0 | 268014 | 0 | 0 | 0 |
| RICARDO PUERTAS MD | ||||||||||||||
| MEDICAL DIRECTOR QUALITY & | 247046 | 0 | 13766 | 0 | 137 | 0 | 9800 | 0 | 0 | 0 | 270749 | 0 | 0 | 0 |
| CRISTIAN RICO MD | ||||||||||||||
| REGIONAL MEDICAL DIRECTOR | 255783 | 0 | 27717 | 0 | 3001 | 0 | 9800 | 0 | 0 | 0 | 296301 | 0 | 0 | 0 |
| FELIX CARPIO MD | ||||||||||||||
| MEDICAL DIRECTOR INFORMATI | 248012 | 0 | 26613 | 0 | 4564 | 0 | 9800 | 0 | 0 | 0 | 288989 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | ALTAMED MAINTAINS A DISCRETIONARY SPENDING ACCOUNT FOR OFFICERS, KEY EMPLOYEES AND OTHERS WHERE THE COMPANY ALLOWS A CERTAIN AMOUNT TO BE USED AT THE DISCRETION OF THE PAYEE FOR BUSINESS EXPENSES SUCH AS AUTOMOBILE EXPENSES . ANY AMOUNTS USED FROM THE DISCRETIONARY ACCOUNT ARE TAXED TO THE RECIPIENT AS PART OF THEIR COMPENSATION. IN ADDITION, ALTAMED PROVIDES A HOUSING SUBSIDY OF $13,000 FOR THE CHIEF MEDICAL OFFICER. |
| PART I, LINE 4B | SCHEDULE J :AT THE PRESENT TIME THE PRESIDENT AND CEO IS ELIGIBLE FOR THE ORGANIZATION'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ( SERP) ; FUNDING OF THIS PLAN IS DISCRETIONARY AND ASSETS OF THE PLAN ARE SUBJECT TO THE CLAIMS OF CREDITORS . RETIREMENT AND OTHER DEFERRED COMPENSATION INCLUDES $0 PAID TO THE SERP IN CALENDAR YEAR 2012. |
| PART I, LINE 7 | SCHEDULE J :ALTAMED MAINTAINS A DISCRETIONARY EXECUTIVE AND DIRECTOR LEVEL BONUS PROGRAM THAT AWARDS INCENTIVE COMPENSATION BASED ON ACHIEVEMENT OF CERTAIN ORGANIZATIONAL OBJECTIVES INCLUDING FINANCIAL, OPERATIONAL, QUALITY AND MISSION OBJECTIVES DURING THE FISCAL YEAR. MEMBERS OF THE EXECUTIVE AND DIRECTOR LEADERSHIP TEAM ARE EVALUATED ANNUALLY FOR THEIR ABILITY TO MEET THOSE ORGANIZATIONAL OBJECTIVES TO ARRIVE AT THE INCENTIVE AMOUNT, IF ANY, FOR THE FISCAL YEAR. OVERALL ALTAMED MUST ACHIEVE SPECIFIC FINANCIAL GOALS BEFORE ANY INCENTIVES CAN BE EARNED AND PAID. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Date Issued | 2007-12-01 | DateIssued |
| Issue Price | 9012000 | IssuePrice |
| Description Of Purpose | FINANCE THE COST OF ACQ,CONSTRUCTION,IMPROVEMENT & EQUIPPING OF FACILITIES | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 0 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 0 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 0 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 0 | NoRebateDue |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 1 | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BANK OF THE WEST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 15.000000000000 | TermOfHedge |
| Superintegrated Hedge | 0 | SuperintegratedHedge |
| Hedge Terminated | 0 | HedgeTerminated |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqs |
Schedule L IRS990ScheduleL
Loan Table LoanTable (5 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| CASTULO DE LA ROCHA | ||||||
| SPLIT DOLLAR LIFE INSURANCE | X | $3,697,478 | 3799702 | 0 | 1 | 1 |
| ZOILA D ESCOBAR | ||||||
| SPLIT DOLLAR LIFE INSURANCE | X | $890,000 | 914606 | 0 | 1 | 1 |
| JOSE U ESPARZA | ||||||
| SPLIT DOLLAR LIFE INSURANCE | X | $890,600 | 915222 | 0 | 1 | 1 |
| MARIA S TORRES | ||||||
| SPLIT DOLLAR LIFE INSURANCE | X | $1,014,826 | 1042883 | 0 | 1 | 1 |
| MARTIN SEROTA | ||||||
| SPLIT DOLLAR LIFE INSURANCE | X | $770,000 | 779325 | 0 | 1 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 7451738 | TotalBalanceDue |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | IN 2011 ALTAMED ADOPTED A SPLIT DOLLAR RETENTION AND LOAN PLAN ( THE PLAN) DESIGNED TO ASSIST ALTAMED IN RECRUITING AND RETAINING KEY EXECUTIVES AND REWARD FUTURE SERVICE. THE PLAN IS DESIGNED TO SATISFY THE FINAL REGULATIONS DEALING WITH LOANS MADE TO EXECUTIVES TO PAY PREMIUMS ON LIFE INSURANCE POLICIES THEY OWN. REPAYMENT OF THE LOANS IS SECURED BY THE CASH VALUES AND DEATH BENEFITS IN ACCORDANCE WITH TAX AND CALIFORNIA LEGAL REQUIREMENTS. IN ADDITION, THE LOANS BEAR INTEREST AND BECAUSE OF THE PLAN'S DESIGN , ALTAMED IS EXPECTED TO BE REPAID FULLY WITH THE APPLICABLE FEDERAL RATE OF INTEREST . THE LOANS ARE REPORTED ON PART X AND SCHEDULE L. | Explanation |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable (7 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|
| X | FOR SPECIAL EVENTS | 46396 | FAIR MARKET VALUE |
| X | PRINTING | 6428 | FAIR MARKET VALUE |
| X | PARTY RENTALS | 5632 | FAIR MARKET VALUE |
| X | GRAPHIC DESIGN | 18498 | FAIR MARKET VALUE |
| X | MOBILE & LIGHTING | 1124 | FAIR MARKET VALUE |
| FAIR MARKET VALUE | |||
| FAIR MARKET VALUE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | THE PRESIDENT AND CEO IS RELATED BY MARRIAGE TO THE VP OF STRATEGIC DEVELOPMENT AND COMMUNITY SUPPORT. | |
| FORM 990, PART VI, SECTION B, LINE 11 | ALTA MED HEALTH SERVICES CORPORATION OUTSIDE AUDITORS AND FINANCE STAFF PREPARE FORM 990. THE FORM IS THEN REVIEWED AND APPROVED BY THE ORGANIZATION PRESIDENT AND CEO AND CHIEF FINANCIAL OFFICER. THE FORM IS THEN PRESENTED TO THE FULL BOARD FOR APPROVAL BEFORE FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ALTAMED HEALTH SERVICES CORP. (ALTAMED) REQUIRES ALL EMPLOYEES TO DISCLOSE, AT LEAST ANNUALLY, ALL SOURCES OF INCOME FROM COMPENSATION OR FROM OWNERSHIP OF EVERY OUTSIDE ENTITY THAT (A) SOLD, SUPPLIED OR PROVIDED SERVICES (B) OPERATED A COMPETING ENTERPRISE OR (C) PROVIDED GOODS OR SERVICES TO ALTAMED IN THE LAST SIX MONTHS. ALTAMED ALSO REQUIRES ALL DIRECTORS TO ANNUALLY SIGN A STATEMENT AFFIRMING (A) RECEIPT OF ALTAMED CONFLICT OF INTEREST POLICY (B) UNDERSTANDING OF THE POLICY AND (C) AGREEMENT WITH THE POLICY. THE CONFLICT OF INTEREST POLICY DESCRIBES HOW ALTAMED WILL RESOLVE POSSIBLE CONFLICTS OF INTEREST. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS COMPENSATION COMMITTEE HAS ENGAGED A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTANT FIRM TO REVIEW ITS EXECUTIVE AND NON-EXECUTIVE SALARIES. THE FIRM UNDERTAKES SPECIFIC PROTOCOLS AND OBTAIN VAST ORGANIZATIONAL DATA FROM NUMEROUS COMPANIES AND PEER GROUPS AND THEN RENDERS A "REASONABLENESS" OPINION TO THE BOARD OF DIRECTORS. THE FIRM'S PROCESS INCLUDES A REVIEW OF COMPENSATION OF SIMILARLY CONSTITUTED COMPANIES, TRENDS, THE ORGANIZATION'S PRESENT COMPENSATION PACKAGES INCLUDING CASH AND NON-CASH BENEFITS , THE METHODOLOGY AND PHILOSOPHY USED FOR THE ASSESSMENT AND THE TOTAL COMPENSATION ANALYSIS. ADDITIONALLY, MARKET BENEFIT AND RECRUITMENT AND RETENTION TRENDS ARE CONSIDERED AND EVALUATED. THE OPINIONS ARE PROVIDED TO THE BOARD'S COMPENSATION COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT DIRECTORS. THE COMPENSATION COMMITTEE IS PROVIDED WITH A REGIONAL PEER GROUP THAT INCLUDES MOST COMPARABLY SIZED CALIFORNIA NON PROFIT AND SOME FOR PROFIT HEALTHCARE ORGANIZATIONS. THE OPINIONS ARE BASED ON COMPARABILITY DATA FROM NATIONAL AND REGIONAL DATA BASES, FROM WHICH COMPARISONS OF THE ORGANIZATION'S EXECUTIVE COMPENSATION WITH PEER GROUP COMPENSATION LEVELS CAN BE MADE, WHICH IS PROVIDED TO THE COMPENSATION COMMITTEE IN ITS REPORT. THE COMPENSATION COMMITTEE IS PRESENTED WITH DATA THAT COMPARES THE ORGANIZATION'S COMPENSATION PACKAGES TO THE LEVEL TARGETED IN THE COMPENSATION PHILOSOPHY. BASED UPON THE TOTALITY OF THE DATA GARNERED BY THE COMPENSATION CONSULTING FIRM, THE COMPENSATION COMMITTEE IS PROVIDED WITH RECOMMENDED BASE SALARY AND BENEFIT RANGES FOR THE PERIOD ASSESSED. THE COMPENSATION COMMITTEE DELIBERATES ON THE DATA TO ASSESS WHETHER IT IS APPROPRIATE IN REPRESENTING COMPENSATION LEVELS WITH SIMILAR ORGANIZATIONS, POSITIONS AND CIRCUMSTANCES AND THAT IT REPRESENTS FAIR MARKET VALUE FOR SERVICES RENDERED ON A REALISTIC BASIS. THE COMPENSATION COMMITTEE THEN PROVIDES ITS RECOMMENDATIONS TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS PROVIDED WITH ALL AVAILABLE INFORMATION AND THE OPINIONS OF THE EXPERTS AND DELIBERATES AND DISCUSSES THE RECOMMENDATIONS AS IT DEEMS NECESSARY TO PROPERLY ASSESS THE COMPENSATION LEVELS OF ITS EXECUTIVES AND OTHER EMPLOYEES. | |
| FORM 990, PART VI, SECTION C, LINE 19 | SOME OR ALL OF THESE ITEMS MAY BE AVAILABLE UPON REQUEST. | |
| FORM 990, PART XI, LINE 9: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AND INVESTMENTS 23,614. | CHANGES IN NET ASSETS OR FUND BALANCES: |