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CENTRAL CITY COMMUNITY HEALTH CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CENTRAL CITY COMMUNITY HEALTH CENTER INC (EIN 95-4492570)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-15
IRS object ID
201420499349301532
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-02-15T14:03:38-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN330700332EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1VASQUEZ & CO LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1801 S GRAND AVE SUITE 400AddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN954492570EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CENTRAL CITY COMMUNITY HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCENTNameControl
Phone3237240019Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15230 E BEVERLY BLVDAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90022ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGILBERT VARELAName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone3237240019Phone
Date Signed2014-02-18DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
PTINP00743144PTIN
Phone2138731700Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGILBERT VARELANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15230 E BEVERLY BLVDAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90022ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15071190GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CENTRALCITYHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH CARE SERVICES TO UNDER SERVED COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees176TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3488513ContributionsGrantsPriorYear
Contributions Grants Current Year2969688ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8018606ProgramServiceRevenuePriorYear
Program Service Revenue CY12036408ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year50802OtherRevenuePriorYear
Other Revenue Current Year65094OtherRevenueCurrentYear
Total Revenue Prior Year11557921TotalRevenuePriorYear
Total Revenue Current Year15071190TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6458187SalariesEtcPriorYear
Salaries Etc Current Year7764579SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4433508OtherExpensePriorYear
Other Expenses Current Year6350675OtherExpensesCurrentYear
Total Expenses Prior Year10891695TotalExpensesPriorYear
Total Expenses Current Year14115254TotalExpensesCurrentYear
Revenues Less Expenses Prior Year666226RevenuesLessExpensesPriorYear
Revenues Less Expenses CY955936RevenuesLessExpensesCY
Total Assets BOY5538489TotalAssetsBOY
Total Assets EOY6329655TotalAssetsEOY
Total Liabilities BOY1667896TotalLiabilitiesBOY
Total Liabilities EOY1503126TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3870593NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4826529NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH CARE SERVICES TO THE UNDER SERVED COMMUNITIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12703729Expense
DescriptionTO PROVIDE HEALTH CARE SERVICES TO UNDER SERVED COMMUNITIES.Description
Total Program Service Expense12703729TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109658NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees176NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3237240019TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15230 E BEVERLY BLVDAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90022ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
LUIS MARTEN
CHAIRMAN4.00XX000
JOSE ANGEL BARAJAS JR
SECRETARY4.00XX000
JACQUELINE NEGRETE
BOARD MEMBER2.00X000
CASEY FATCH
BOARD MEMBER2.00X000
MARIA DURAN
BOARD MEMBER2.00X000
GLORIA ANGUIANO
BOARD MEMBER2.00X000
JUAN DURAN
BOARD MEMBER2.00X000
GUSTAVO HERNANDEZ
BOARD MEMBER2.00X000
STELLA MARTEN
BOARD MEMBER2.00X000
GILBERT VARELA MD
CHIEF EXECUTIVE OFFICER55.00X32200000
JOHN PAZIRANDEH
CHIEF FINANCIAL OFFICER40.00X15817400
JOSE LUIS PEREZ MD
MEDICAL DOCTOR40.0017020000X
HAO KIM CAO ANGELL
MEDICAL DOCTOR40.0016794600X
RUFINO CADONO MD
MEDICAL DOCTOR40.0013248000X
LATIKA ARSECULARATNE
MEDICAL DOCTOR40.0010936900X
JESSE F COLLINS
MEDICAL DOCTOR40.0010701800X
BLANCA GALAPON
MEDICAL DOCTOR40.0017636000X
EMMAJEAN MCCREADIE
MEDICAL DOCTOR40.0011261300X
CHESTER MOJICA
MEDICAL DOCTOR40.0012592700X
SHAFEEQ SYID SHAMSIDDEEN
MEDICAL DOCTOR40.0019000000X
LA QUINTA WILLIAMS JOHNSON
MEDICAL DOCTOR40.0010545000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1877537TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K12NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
KPS KIRKLAND PROPERTY SERVICES
2752 AVENIDA SIMISIMI VALLEYCA93065CONSTRUCTION390004
MAGUI SERVICE
415 SUNKIST STANAHEIMCA92806CONSULTING133114
AL OUTREACH AND SERVICES
5806 SANDPIPER PLPALMDALECA93552CONSULTING128000
MARION AROM PHD
122 N MAPLE DRBEVERLY HILLSCA90210CLINIC PROVIDER108934
RAPHAEL WAKNINE MD INC
19325 SAWGRASS LANEHUNTINGTON BEACHCA92648CLINIC PROVIDER103475
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants2967688GovernmentGrants
All Other Contributions2000AllOtherContributions
Total Contributions2969688TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT REVENUEDescription
Business Code624110BusinessCode
Total Revenue Column12036408TotalRevenueColumn
Related Or Exempt Function Income12036408RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12036408TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column65094TotalRevenueColumn
Related Or Exempt Function Income65094RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue65094TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15071190TotalRevenueColumn
Related Or Exempt Function Income12101502RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1877537Total
Program Services1877537ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4602125Total
Program Services3954159ProgramServices
Management And General647966ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total760921Total
Program Services684829ProgramServices
Management And General76092ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total523996Total
Program Services471596ProgramServices
Management And General52400ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total519561Total
Program Services467604ProgramServices
Management And General51957ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total826173Total
Program Services743556ProgramServices
Management And General82617ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total20964Total
Program Services18868ProgramServices
Management And General2096ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total195742Total
Program Services176168ProgramServices
Management And General19574ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total81121Total
Program Services73009ProgramServices
Management And General8112ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACT LABOR-PHYSICIA20529731847676205297
MEDICAL SUPPLIES & PHAR66924360231966924
OUTSIDE SERVICES/CONSUL31580728422631581
PROFESSIONAL FEES25139022625125139

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1417701Total
Program Services1275931ProgramServices
Management And General141770ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14115254Total
Program Services12703729ProgramServices
Management And General1411525ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY68465BOY
EOY563336EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY855080BOY
EOY1075457EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7027BOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5240595LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec549733LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4607917BOY
EOY4690862EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5538489BOY
EOY6329655EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY875079BOY
EOY999889EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY551492BOY
EOY503237EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY241325BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1667896BOY
EOY1503126EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3870593BOY
EOY4826529EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3870593BOY
EOY4826529EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5538489BOY
EOY6329655EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses955936ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2202122CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3523751CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1909468CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3488513CurrentTaxYearMinus1Year
Current Tax Year2969688CurrentTaxYear
Total14093542Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2202122CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3523751CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1909468CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3488513CurrentTaxYearMinus1Year
Current Tax Year2969688CurrentTaxYear
Total14093542Total
FieldValueIRS element (for citing)
Public Support Total17014093542PublicSupportTotal170

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20724CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years33318CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39912CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50802CurrentTaxYearMinus1Year
Current Tax Year65094CurrentTaxYear
Total209850Total
FieldValueIRS element (for citing)
Total Support14303392TotalSupport
Gross Receipts From Admissions Etc36946509GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98530PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99160PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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 Basis332474OtherCostOrOtherBasis
Book Value332474BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis675048OtherCostOrOtherBasis
Book Value675048BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3430533OtherCostOrOtherBasis
Depreciation549733Depreciation
Book Value2880800BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis802540OtherCostOrOtherBasis
Book Value802540BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4690862TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt15071190TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal15071190RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99015071190TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14115254TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal14115254ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014115254TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE 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 CORPORATIONS 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.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
GILBERT VARELA MD
CHIEF EXECUTIVE OFFICER322000000000000322000000
JOHN PAZIRANDEH
CHIEF FINANCIAL OFFICER158174000000000158174000
JOSE LUIS PEREZ MD
MEDICAL DOCTOR170200000000000170200000
HAO KIM CAO ANGELL
MEDICAL DOCTOR167946000000000167946000
BLANCA GALAPON
MEDICAL DOCTOR176360000000000176360000
SHAFEEQ SYID SHAMSIDDEEN
MEDICAL DOCTOR190000000000000190000000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GILBERT VARELA MDBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipCHIEF EXECUTIVE OFFICER OF THE ORGANIZATIONRelationship
Amount Of Transaction116237AmountOfTransaction
Description Of TransactionTHE ORGANIZATION ENTERED INTO A COMMERCIAL OFFICE SUBLEASE AGREEMENT WITH THE CHIEF EXECUTIVE OFFICER TO SUBLEASE APPROXIMATELY 70% OF HIS MEDICAL OFFICE SPACE IN ANAHEIM CALIFORNIA. ALSO, THE ORGANIZATION ENTERED INTO A COMMERCIAL LEASE AGREEMENT WITH CAZADOR ENTERPRISES LLC, A CALIFORNIA LIMITED LIABILITY COMPANY, WHICH IS OWNED BY THE CHIEF EXECUTIVE OFFICER. THE PROPERTY IS DESCRIBED AS A 7,000 SQUARE FOOT FREE STANDING COMMERCIAL OFFICE BUILDING LOCATED AT 5233 E. BEVERLY BLVD., LOS ANGELES, CA 90022 AND USED BY THE ORGANIZATION AS ADMINISTRATIVE OFFICE.DescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

ExplanationExplanationReturn ReferenceReturnReferenceIdentifierIdentifier
EXTENSIONS WERE NOT FILED THIS YEAR DUE TO A SIMILAR CLIENT'S NAME THAT DISRUPTED THE ELECTRONIC FILING OF EXTENSIONS FOR THIS CLIENT AS IN THE PAST; WE ARE ASKING FOR RELIEF FROM ANY PENALTIES DUE TO REASONABLE CAUSE BECAUSE OF PROBLEMS WHEN WE E FILED EXTENSIONS. IN ADDITION, THE ORGANIZATION HAS LIMITED FUNDS GIVEN THEY ARE SERVICING THE LOW INCOME POPULATION.
THE ORGANIZATIONS HAS A HUSBAND AND WIFE SERVING THE BOARD OF DIRECTORS.FORM 990, PART VI, SECTION A, LINE 2
EACH BOARD OF DIRECTOR IS GIVEN A COMPLETE COPY OF THE DRAFTED TAX FORM 990 TO BE REVIEWED AND DISCUSSED AT THEIR BOARD MEETING AND VOTED FOR APPROVAL BEFORE THE DUE DATE OF THE TAX RETURN.FORM 990, PART VI, SECTION B, LINE 11
ONCE A YEAR DURING A BOARD MEETING, EACH BOARD MEMBER IS GIVEN A STATEMENT TO SIGN STATING THERE ARE NO CONFLICTS OF INTEREST HAVE OCCURRED OR WILL OCCURRE DURING THE PAST AND SUBSEQUENT TIME REMAINING AS A BOARD MEMBER.FORM 990, PART VI, SECTION B, LINE 12C
FOR ALL KEY POSITIONS OF THE ORGANIZATION, THE BOARD OF DIRECTORS OBTAIN AND DOCUMENTS THE SALARY SURVEYS THAT HAVE BEEN PREPARED BY INDEPENDENT ORGANIZATIONS. IN ADDITION THE BOARD OF DIRECTORS OBTAIN SALARY INFORMATION FROM COMPARABLE ORGANIZATIONS TO PROVIDE GUIDANCE IN SETTING THE COMPENSATION OF EACH OF THE POSITIONS. TAKEN INTO CONSIDERATION IN MAKING THE PROPER COMPARISONS ARE THE SIZE AND REVENUES OF THE ORGANIZATIONS. UPON COMPLETE SATISFACTION OF THE COMPARISONS AND SALARY RANGES, THE BOARD MOTIONS TO APPROVE THE COMPENSATION AT THEIR MEETING.FORM 990, PART VI, SECTION B, LINE 15
UPON REQUEST VIA PHONE OR WRITTEN REQUEST, THESE DOCUMENTS ARE MADE AVAILABLE AT ORGANIZATION ADMINISTRATIVE OFFICE WITH APPOINTMENT.FORM 990, PART VI, SECTION C, LINE 19
REPAIR & MAINTENANCE: PROGRAM SERVICE EXPENSES 224,774. MANAGEMENT AND GENERAL EXPENSES 24,975. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 249,749. AUTO & TRAVEL EXPENSE: PROGRAM SERVICE EXPENSES 163,184. MANAGEMENT AND GENERAL EXPENSES 18,132. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 181,316. LABORATORY FEES: PROGRAM SERVICE EXPENSES 157,934. MANAGEMENT AND GENERAL EXPENSES 17,548. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 175,482. UTILITIES: PROGRAM SERVICE EXPENSES 142,534. MANAGEMENT AND GENERAL EXPENSES 15,837. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 158,371. OUTREACH EXPENSES: PROGRAM SERVICE EXPENSES 129,868. MANAGEMENT AND GENERAL EXPENSES 14,430. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 144,298. BILLING SERVICES: PROGRAM SERVICE EXPENSES 121,494. MANAGEMENT AND GENERAL EXPENSES 13,499. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 134,993. TELEPHONE: PROGRAM SERVICE EXPENSES 106,010. MANAGEMENT AND GENERAL EXPENSES 11,779. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 117,789. PROFESSIONAL DEVELOPMENT: PROGRAM SERVICE EXPENSES 64,488. MANAGEMENT AND GENERAL EXPENSES 7,165. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 71,653. TAXES & LICENSES: PROGRAM SERVICE EXPENSES 63,271. MANAGEMENT AND GENERAL EXPENSES 7,030. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,301. DUES & SUBSCRIPTION: PROGRAM SERVICE EXPENSES 59,712. MANAGEMENT AND GENERAL EXPENSES 6,635. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,347. EQUIPMENT RENTAL: PROGRAM SERVICE EXPENSES 27,036. MANAGEMENT AND GENERAL EXPENSES 3,004. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,040. BAD DEBTS EXPENSE: PROGRAM SERVICE EXPENSES 15,626. MANAGEMENT AND GENERAL EXPENSES 1,736. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,362.FORM 990, PART IX, LINE 24EALL OTHER FUNCTIONAL EXPENSES

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