ALTURA CENTERS FOR HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ALTURA CENTERS FOR HEALTH (EIN 77-0465378)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-04-09
IRS object ID
201400999349300130
Schema version
2012v2.0
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)
Timestamp2014-04-09T11:23:57-07:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PRICE WATERMANBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1125 E MILL STAddressLine1
CityUKIAHCity
StateCAState
ZIP Code954824929ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN770465378EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TULARE COMMUNITY HEALTH CLINICBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlTULANameControl
Phone5596869097Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11201 NORTH CHERRY STAddressLine1
CityTULARECity
StateCAState
ZIP Code93274ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGRACIELA SOTO-PEREZName
TitleCEOTitle
Date Signed2014-04-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJudith P WatermanName
PTINP00231656PTIN
Phone7074631463Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGRACIELA SOTO-PEREZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line133395 ROAD 168AddressLine1
CityVISALIACity
StateCAState
ZIP Code93277ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16948074GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.TCHCI.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE MEDICAL & DENTAL SERVICES TO THE MEDICALLY UNDERSERVED, LOW INCOME POPULATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees165TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2957229ContributionsGrantsPriorYear
Contributions Grants Current Year4498312ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11263632ProgramServiceRevenuePriorYear
Program Service Revenue CY12436616ProgramServiceRevenueCY
Investment Income Prior Year-8080InvestmentIncomePriorYear
Investment Income Current Year924InvestmentIncomeCurrentYear
Other Revenue Prior Year310962OtherRevenuePriorYear
Other Revenue Current Year12222OtherRevenueCurrentYear
Total Revenue Prior Year14523743TotalRevenuePriorYear
Total Revenue Current Year16948074TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8075055SalariesEtcPriorYear
Salaries Etc Current Year8920073SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5242497OtherExpensePriorYear
Other Expenses Current Year5261081OtherExpensesCurrentYear
Total Expenses Prior Year13317552TotalExpensesPriorYear
Total Expenses Current Year14181154TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1206191RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2766920RevenuesLessExpensesCY
Total Assets BOY6579471TotalAssetsBOY
Total Assets EOY8854043TotalAssetsEOY
Total Liabilities BOY2732076TotalLiabilitiesBOY
Total Liabilities EOY2239728TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3847395NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6614315NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE MEDICAL & DENTAL SERVICES TO THE MEDICALLY UNDERSERVED, LOW INCOME POPULATION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense10031877Expense
Revenue14728452Revenue
DescriptionMEDICAL SERVICES WERE PROVIDED AT TULARE COMMUNITY HEALTH CLINIC THROUGH 92,234 VISITS DURING THE FISCAL YEAR ENDED JUNE 30, 2013.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1269023Expense
Revenue1754059Revenue
DescriptionDENTAL SERVICES WERE PROVIDED AT TULARE COMMUNITY HEALTH CLINIC THROUGH 12,071 VISITS DURING THE FISCAL YEAR ENDED JUNE 30, 2013.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense138597Expense
Revenue431925Revenue
DescriptionMENTAL HEALTH SERVICES WERE PROVIDED AT TULARE COMMUNITY HEALTH CLINIC THROUGH 1,237 VISITS DURING THE FISCAL YEAR ENDED JUNE 30, 2013.Description
FieldValueIRS element (for citing)
Total Program Service Expense11439497TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109676NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees165NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonGRACIELA SOTO-PEREZNamePerson
Telephone Number5596869097TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11201 NORTH CHERRY STAddressLine1
CityTULARECity
StateCAState
ZIP Code93274ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ISAAC PEREDO
Director2.000.00X000
LYNDA MURPHY
Director2.000.00X000
LISA MUNOZ
Director2.000.00X000
SESAR ALDERETE CARRENO
Director2.000.00X000
ADRIAN HOLGUIN
Director2.000.00X000
DOUGLAS A SOUZA
Treasurer2.000.00X000X
ALDA NORONHA
Secretary2.000.00X000X
VICTOR GONZALEZ
Vice President2.000.00X000X
ERNESTINE DEES
President2.000.00X000X
GRACIELA SOTO-PEREZ
CEO40.000.00123247015319X
JUDITH WATERMAN
CFO10.000.004998800X
KIN MAN PANG MD
DIRECTOR OB/GYN40.000.00298688027445X
JORGE RIVERA MD
DIRECTR PEDIATRICS40.000.00214629022615X
VICTOR SUNGA MD
CHIEF MEDIC OFFICR40.000.00277094025190X
LAN TRUONG MD
PHYSICIAN OB/GYN40.000.00260000014734X
FADEL SHAMMOUT MD
PHYSICIAN OB/GYN40.000.00260000024257X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1483646TotalReportableCompFromOrg
Total Other Compensation129560TotalOtherCompensation
Number Individuals GT100 K18NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ARNOLD WELDON MD
41850 ROAD 92DINUBACA93618FAMILY PRACTICE276480
ANIL PATEL MD
941 GEM STTULARECA93274INT MED/GERIATRIC195776
RAVI KUMAR MD
1953 BORDEAUX DRTULARECA93274FAMILY PRACTICE245080
QUALITY & PROFESSIONAL SERVICES
1966 WEYRICH STTULARECA93274OTHER MEDICAL SRVC144280
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Government Grants4413291GovernmentGrants
All Other Contributions85021AllOtherContributions
Total Contributions4498312TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE FEESDescription
Total Revenue Column12436616TotalRevenueColumn
Related Or Exempt Function Income12436616RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12436616TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column924TotalRevenueColumn
Exclusion$924ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
OTHER INCOME12222$12,222
MEANINGFUL USE INCENTIVE
FieldValueIRS element (for citing)
Total Other Revenue12222TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16948074TotalRevenueColumn
Related Or Exempt Function Income12436616RelatedOrExemptFunctionIncome
Exclusion$13,146ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total173235Total
Program Services123247ProgramServices
Management And General49988ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6748921Total
Program Services5826946ProgramServices
Management And General921975ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total156163Total
Program Services130619ProgramServices
Management And General25544ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1299061Total
Program Services1071670ProgramServices
Management And General227391ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total542693Total
Program Services466930ProgramServices
Management And General75763ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total26734Total
Management And General26734ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total99750Total
Program Services455ProgramServices
Management And General99295ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1612779Total
Program Services1571471ProgramServices
Management And General41308ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total41100Total
Program Services6371ProgramServices
Management And General34729ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total92148Total
Program Services76131ProgramServices
Management And General16017ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total363929Total
Program Services2423ProgramServices
Management And General361506ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total872369Total
Program Services673998ProgramServices
Management And General198371ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total49285Total
Program Services40184ProgramServices
Management And General9101ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total62416Total
Program Services16385ProgramServices
Management And General46031ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total30538Total
Management And General30538ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total295780Total
Program Services101084ProgramServices
Management And General194696ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total98539Total
Program Services57062ProgramServices
Management And General41477ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
REPAIRS AND MAINTENANCE80152704559697
TELEPHONE102183765101418
CONSULTING FEES15932613812421202
SUPPLIES -TECHNICAL542121542121

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total731932Total
Program Services523056ProgramServices
Management And General208876ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14181154Total
Program Services11439497ProgramServices
Management And General2741657ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY957847BOY
EOY2101801EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY777419BOY
EOY951719EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1788920BOY
EOY1325353EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY165817BOY
EOY291350EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5912665LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2433102LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2831481BOY
EOY3479563EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY57987BOY
EOY704257EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6579471BOY
EOY8854043EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY968377BOY
EOY951179EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1763699BOY
EOY1288549EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2732076BOY
EOY2239728EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3829481BOY
EOY6596401EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY17914BOY
EOY17914EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3847395BOY
EOY6614315EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6579471BOY
EOY8854043EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2766920ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2124560CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3137341CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2829500CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2957229CurrentTaxYearMinus1Year
Current Tax Year4498312CurrentTaxYear
Total15546942Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9101980CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9943183CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9919546CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11263632CurrentTaxYearMinus1Year
Current Tax Year12436616CurrentTaxYear
Total52664957Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11226540CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13080524CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12749046CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14220861CurrentTaxYearMinus1Year
Current Tax Year16934928CurrentTaxYear
Total68211899Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50968211899PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4168CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4435CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years70CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year314CurrentTaxYearMinus1Year
Current Tax Year924CurrentTaxYear
Total9911Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4168CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4435CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years70CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year314CurrentTaxYearMinus1Year
Current Tax Year924CurrentTaxYear
Total9911Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year310962CurrentTaxYearMinus1Year
Current Tax Year12222CurrentTaxYear
Total323184Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11230708CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13084959CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12749116CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14532137CurrentTaxYearMinus1Year
Current Tax Year16948074CurrentTaxYear
Total68544994Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99510PublicSupportPercentage509
Prior Year Support Percentage0.99410PriorYearSupportPercentage
Investment Income Percentage0.00010InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00090PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 Basis1896359OtherCostOrOtherBasis
Book Value1896359BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1319101OtherCostOrOtherBasis
Depreciation1056001Depreciation
Book Value263100BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2697205OtherCostOrOtherBasis
Depreciation1377101Depreciation
Book Value1320104BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3479563TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DEPOSITS31477
CONSTRUCTION IN PROGRESS672780
FieldValueIRS element (for citing)
Total Book Value Other Assets704257TotalBookValueOtherAssets
Tot Revenue Etc Audited Fincl Stmt16948074TotRevenueEtcAuditedFinclStmt
Revenue Subtotal16948074RevenueSubtotal
Total Revenue Per Form99016948074TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14181154TotExpensesEtcAuditedFinclStmt
Expenses Subtotal14181154ExpensesSubtotal
Total Expenses Per Form99014181154TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
VICTOR SUNGA MD
CHIEF MEDIC OFFICR27397431201003315157302284
LAN TRUONG MD
PHYSICIAN OB/GYN26000091005634274734
KIN MAN PANG MD
DIRECTOR OB/GYN2986881565311792326133
JORGE RIVERA MD
DIRECTR PEDIATRICS214629745815157237244
FADEL SHAMMOUT MD
PHYSICIAN OB/GYN260000910015157284257

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableUPON REQUEST
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesCOMPENSATION OF KEY EMPLOYEES IS REVIEWED BY THE FULL BOARD OF DIRECTORS.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsCONFLICT OF INTEREST STATEMENTS ARE UPDATED AND REVIEWED PERIODICALLY.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessA COPY OF THE FORM 990 AND ALL RELATED SCHEDULES AND STATEMENTS WAS PROVIDED TO THE BOARD PRIOR TO FILING IN ORDER TO ALLOW SUFFICIENT TIME FOR REVIEW AND COMMENT.
Form 990, Part VI, Line 7bForm 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersALL DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY A VOTE OF THE ENTIRE BOARD OF DIRECTORS.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyALL PROPOSED MEMBERS OF THE BOARD OF DIRECTORS ARE APPROVED BY A VOTE OF THE ENTIRE BOARD.
Form 990, Part VI, Line 6Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderTHE ORGANIZATION HAS OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS.

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