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: 2014-05-15
IRS object ID: 201411359349302121
Schema version: 2012v2.1
Note: A later return for the same period supersedes this one.
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 D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-15T11:33:28-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	221478099	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COHNREZNICK LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	4 BECKER FARM ROAD	AddressLine1
City	ROSELAND	City
State	NJ	State
ZIP Code	07068	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	363661051	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ALIVIO MEDICAL CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ALIV	NameControl
Phone	7732541400	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	966 WEST 21ST STREET	AddressLine1
City	CHICAGO	City
State	IL	State
ZIP Code	60608	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DAVID PAYNE	Name
Title	CFO	Title
Phone	7732541400	Phone
Date Signed	2014-05-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	THOMAS LANNING	Name
PTIN	P00851654	PTIN
Phone	9732283500	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DAVID PAYNE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	966 WEST 21ST STREET	AddressLine1
City	CHICAGO	City
State	IL	State
ZIP Code	60608	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	17338184	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1988	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	ALIVIO 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 Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3610329	ContributionsGrantsPriorYear
Contributions Grants Current Year	4217693	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	11168575	ProgramServiceRevenuePriorYear
Program Service Revenue CY	12217069	ProgramServiceRevenueCY
Investment Income Prior Year	441	InvestmentIncomePriorYear
Investment Income Current Year	85204	InvestmentIncomeCurrentYear
Other Revenue Prior Year	675564	OtherRevenuePriorYear
Other Revenue Current Year	818218	OtherRevenueCurrentYear
Total Revenue Prior Year	15454909	TotalRevenuePriorYear
Total Revenue Current Year	17338184	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	11116259	SalariesEtcPriorYear
Salaries Etc Current Year	10698194	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	4903170	OtherExpensePriorYear
Other Expenses Current Year	5785356	OtherExpensesCurrentYear
Total Expenses Prior Year	16019429	TotalExpensesPriorYear
Total Expenses Current Year	16483550	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-564520	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	854634	RevenuesLessExpensesCY
Total Assets BOY	11154648	TotalAssetsBOY
Total Assets EOY	14097357	TotalAssetsEOY
Total Liabilities BOY	7324313	TotalLiabilitiesBOY
Total Liabilities EOY	9552849	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3830335	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	4544508	NetAssetsOrFundBalancesEOY
Mission Description	THE 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 Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	9584025	Expense
Revenue	12958979	Revenue
Description	THE 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

Field	Value	IRS element (for citing)
Description	THE 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

Field	Value	IRS element (for citing)
Description	TITLE 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

Field	Value	IRS element (for citing)
Total Program Service Expense	9584025	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	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	0	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	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	0	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	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	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	0	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	1	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	0	NumberOfEmployees
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	0	QuidProQuoContributions
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	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	0	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	0	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	IL	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	ESTHER CORPUZ CEO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3128296304	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	966 WEST 21ST STREET	AddressLine1
City	CHICAGO	City
State	IL	State
ZIP Code	60608	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
ALEJANDRA PEREZ-TAMAYO
2ND VICE PRESIDENT	1.00	X	X	0	0	0
ANN GARCELON MD
MEMBER	1.00	X		0	0	0
ESTHER CORPUZ
1ST VICE PRESIDENT	1.00	X	X	0	0	0
GIACOMO MANCUSO
MEMBER	1.00	X		0	0	0
MARY LEBOLD RN
SECRETARY	1.00	X	X	0	0	0
NANCY VILLAFRANCA
MEMBER	1.00	X		0	0	0
PATRICIA REBOLLEDO
MEMBER	1.00	X		0	0	0
PETER MARTINEZ
MEMBER	1.00	X		0	0	0
SARA ZUNIGA-LOPEZ
MEMBER	1.00	X		0	0	0
SOCORRO VELAZQUEZ
MEMBER	1.00	X		0	0	0
TERESA FRAGA
PRESIDENT	1.00	X	X	0	0	0
VINCENT ALLOCCO
MEMBER	1.00	X		0	0	0
WAYNE MULDROW
TREASURER	1.00	X	X	0	0	0
CARMEN VELASQUEZ
EXECUTIVE DIRECTOR	40.00		X	414769	0	2721
THURMAN GILLS
DIRECTOR OF FINANCE	40.00		X	163713	0	0
ABDUL BHURGRI
MEDICAL DIRECTOR	40.00			218741	0	7451	X
DONALD WOZNICA
PHYSICIAN	40.00			161096	0	6518	X
DORA GARCIA
ASSOCIATE EXECUTIVE DIRECTOR	40.00			170340	0	4449	X
MARK KOSANOVICH
PHYSICIAN	40.00			208118	0	3032	X
WEN-HO YANG
PHYSICIAN	40.00			163711	0	1999	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1500488	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	26170	TotalOtherCompensation
Number Individuals GT100 K	7	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Government Grants	3928739	GovernmentGrants
All Other Contributions	288954	AllOtherContributions
Total Contributions	4217693	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATEINT SERVICES	624100	8808373	8808373
CONTRACT SERVICES	624100	3408696	3408696

Field	Value	IRS element (for citing)
Total Program Service Revenue	12217069	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	30813	TotalRevenueColumn
Exclusion	$30,813	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	3900	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	3900	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	3900	TotalRevenueColumn
Exclusion	$3,900	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	54391	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	54391	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	54391	TotalRevenueColumn
Exclusion	$54,391	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
340 B PHARMACY	624100	567660	567660
MEANINGFUL USE	624100	174250	174250
OTHER	900099	72408		$72,408

Field	Value	IRS element (for citing)
Total Other Revenue	814318	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	17338184	TotalRevenueColumn
Related Or Exempt Function Income	12958979	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$161,512	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	393669	Total
Program Services	299188	ProgramServices
Management And General	94481	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	8036285	Total
Program Services	6107577	ProgramServices
Management And General	1928708	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	162335	Total
Program Services	89284	ProgramServices
Management And General	73051	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1468884	Total
Program Services	807886	ProgramServices
Management And General	660998	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	637021	Total
Program Services	350362	ProgramServices
Management And General	286659	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	400519	Total
Management And General	400519	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	164789	Total
Management And General	164789	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	214550	Total
Program Services	140355	ProgramServices
Management And General	74195	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	57783	Total
Program Services	14446	ProgramServices
Management And General	43337	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	761420	Total
Program Services	234629	ProgramServices
Management And General	526791	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	531745	Total
Program Services	5317	ProgramServices
Management And General	526428	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	190409	Total
Program Services	49506	ProgramServices
Management And General	140903	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	273007	Total
Program Services	8190	ProgramServices
Management And General	264817	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	638144	Total
Program Services	38289	ProgramServices
Management And General	599855	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	88921	Total
Program Services	36458	ProgramServices
Management And General	52463	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
CONSUMABLE SUPPLIES	828051	745246	82805
BAD DEBT	445661	445661
OTHER	392037	47044	344993
REPAIRS AND MAINTENANCE	336012	23521	312491

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	462308	Total
Program Services	141066	ProgramServices
Management And General	321242	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	16483550	Total
Program Services	9584025	ProgramServices
Management And General	6899525	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	144197	BOY
EOY	869266	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
EOY	53851	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	2487722	BOY
EOY	64488	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	820023	BOY
EOY	2942317	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	123491	BOY
EOY	118060	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	72236	BOY
EOY	180618	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	16134660	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	7741551	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	6335593	BOY
EOY	8393109	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	1171386	BOY
EOY	1449015	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	26633	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	11154648	BOY
EOY	14097357	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3298183	BOY
EOY	3492071	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	483710	BOY
EOY	1373816	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	3542420	BOY
EOY	4686962	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	7324313	BOY
EOY	9552849	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2830335	BOY
EOY	3544508	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1000000	BOY
EOY	1000000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3830335	BOY
EOY	4544508	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	11154648	BOY
EOY	14097357	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	854634	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	67844	ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment	-208305	ReconcilationPriorAdjustment
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	0	FSAudited
Federal Grant Audit Required	0	FederalGrantAuditRequired

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 D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	471567	OtherCostOrOtherBasis
Book Value	471567	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7902273	OtherCostOrOtherBasis
Depreciation	3993734	Depreciation
Book Value	3908539	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1247897	OtherCostOrOtherBasis
Depreciation	238440	Depreciation
Book Value	1009457	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3584259	OtherCostOrOtherBasis
Depreciation	3003486	Depreciation
Book Value	580773	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2928664	OtherCostOrOtherBasis
Depreciation	505891	Depreciation
Book Value	2422773	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	8393109	TotalOfBookValueLandBuildings

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
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	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 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
CARMEN VELASQUEZ
EXECUTIVE DIRECTOR	414769	0	0	0	0	0	0	0	2721	0	417490	0	0	0
THURMAN GILLS
DIRECTOR OF FINANCE	163713	0	0	0	0	0	0	0	0	0	163713	0	0	0
ABDUL BHURGRI
MEDICAL DIRECTOR	218741	0	0	0	0	0	0	0	7451	0	226192	0	0	0
DONALD WOZNICA
PHYSICIAN	161096	0	0	0	0	0	0	0	6518	0	167614	0	0	0
DORA GARCIA
ASSOCIATE EXECUTIVE DIRECTOR	170340	0	0	0	0	0	0	0	4449	0	174789	0	0	0
MARK KOSANOVICH
PHYSICIAN	208118	0	0	0	0	0	0	0	3032	0	211150	0	0	0
WEN-HO YANG
PHYSICIAN	163711	0	0	0	0	0	0	0	1999	0	165710	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART IV, LINE 12A:	THIS RETURN HAS BEEN PREPARED BASED ON ALL AVAILABLE INFORMATION AT THE TIME OF FILING. IT IS ALSO BASED ON UNAUDITED FINANCIAL STATEMENTS. IF ANY SIGNIFICANT DIFFERENCES ARISE AFTER THIS FILING, THIS RETURN WILL BE AMENDED TO PROPERLY REFLECT THE ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION B, LINE 11	DUE 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 12C	THE 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 15	THE 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 19	THE ORGANIZATION MAKES ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.