EXECUTIVE DIRECTOR

2013-03-06T21:06:33-06:00 2012-06-30 330783700 PDM LLP 3460 TORRANCE BLVD STE 200 TORRANCE CA 90503 990 2011-07-01 330574214 CAMINO HEALTH CENTER CAMI 9492402030 30300 CAMINO CAPISTRANO SAN JUAN CAPISTRANO CA 92675 DEBRA DREW EXECUTIVE DIRECTOR 9492402030 2013-03-01 1 SCOTT J DONNELLY CPA P00366806 3105404118 2011 2016-02-25 16:41:14Z DEBRA DREW 30300 CAMINO CAPISTRANO SAN JUAN CAPISTRANO CA 92675 5597105 0 X WWW.CAMINOHEALTHCENTER.ORG X 1992 CA TO PROVIDE HEALTH SERVICES TO LOW INCOME PATIENTS AND THEIR FAMILIES IN ORANGE COUNTY, CA 11 11 52 17 0 0 4150925 3890194 981233 1603593 0 0 106376 103318 5238534 5597105 0 0 0 0 3889243 3719112 0 0 0 1565106 1436799 5454349 5155911 -215815 441194 2157740 2232793 408203 378653 1749537 1854140 CAMINO HEALTH CENTER'S MISSION IS TO PROVIDE QUALITY PRIMARY HEALTH CARE SERVICES TO LOW-INCOME PATIENTS AND THIER FAMILIES BY OPERATING A FULLY LICENSED, COMMUNITY-BASED CLINIC IN SAN JUAN CAPISTRANO, CALIFORNIA. 0 0 3272853 1706911 THE ORGANIZATION PROVIDES AFFORDABLE, QUALITY PRIMARY MEDICAL AND DENTAL CARE THROUGH ITS MEDICAL CLINIC, MOBILE MEDICAL VANS, AND PEDIATRIC DENTAL CLINIC. THE ORGANIZATION IS DEVOTED TO THE SERVICE OF THE RESIDENTS IN ITS COMMUNITY AND NEIGHBORING AREAS IN ORANGE COUNTY, INCLUDING THE SERVICE OF THE UNDERSERVED AND VULNERABLE POPULATIONS. THE ORGANIZATION SERVES OVER 100,000 VISITS ANNUALLY. 1209541 0 THE ORGANIZATION PROVIDES EDUCATIONAL AND SOCIAL SERVICES THROUGH THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN (WIC). THE PROGRAM PROVIDES SUPPLEMENTAL NUTRITOUS FOOD VOUCHERS, NUTRITION EDUCATION, AND REFERRALS TO HEALTH CARE FOR LOW-INCOME PERSONS DURING CRITICAL PERIODS OF GROWTH AND DEVELOPMENT. SUCH PERSONS INCLUDE PREGNANT WOMEN, BREAST-FEEDING WOMEN UP TO ONE YEAR POSTPARTUM, NON-BREAST FEEDING WOMEN UP TO SIX MONTHS POSTPARTUM, INFANTS, AND CHILDREN UNDER AGE FIVE DETERMINED TO BE AT NUTRITIONAL RISK. INTERVENTION DURING THE PRENATAL PERIOD IMPROVES FETAL DEVELOPMENT AND REDUCES THE INCIDENCE OF LOW BIRTH WEIGHT, SHORT GESTATION, AND ANEMIA. 4482394 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 8 0 1 52 1 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X AARON NEUHARTH 9493647767 27700 MEDICAL CENTER RD MISSION VIEJO CA 92691 GEORGE B AVILA MURP BOARD MEMBER 1.00 X 0 0 0 CARLOS CARTAGENA BOARD MEMBER 1.00 X 0 0 0 PHORSHIA DILLARDGATEWOOD BOARD MEMBER 1.00 X 0 0 0 SISTER MARTHA ANN FITZPATRICK PHD CHAIR 1.00 X 0 0 0 MARY JANE FOLEY BA BOARD MEMBER 1.00 X 0 0 0 HELEN SMITH-GARDNER BOARD MEMBER 1.00 X 0 0 0 MARY LOU NAVA HAMAKER PHD BOARD MEMBER 1.00 X 0 0 0 STEPHEN R HANNUM BOARD MEMBER 1.00 X 0 0 0 HORACIO HERNANDEZ BOARD MEMBER 1.00 X 0 0 0 KENNETH D MCFARLAND CPA MBA BOARD MEMBER 1.00 X 0 0 0 MELODY VISE VICE CHAIR 1.00 X 0 0 0 DEBRA DREW CEO 50.00 X 154088 0 21227 SERGIO ULISES RODAS CMO 50.00 X 186167 0 42273 THUYTRANG NGUYEN STAFF PHYSICIAN 24.00 X 104483 0 32811 VELVA BERGER CAMINO NURSE PRACTITIONER 40.00 X 111061 0 31960 DULCE MOLINA DE BRIONES CAMINO PHYSICIAN ASSISTANT 40.00 X 100278 0 12898 AUDREY ROCCO CAMINO STAFF PHYSICIAN 40.00 X 162337 0 36267 JUN CHAE CAMINO STAFF PHYSICIAN 40.00 X 159273 0 32419 ROBIN BRADLEY FORMER WIC PROGRAM DIRECTOR 50.00 X 96811 0 14099 1074498 0 223954 7 1 1 0 HEALTHNET 21281 BURBANK BLVD WOODLANDHILLS CA 91367 MEDICAL SUPPLIES 583859 QUEST DIAGNOSTICS 500 S ANAHEIM HILLS RD ANAHEIM CA 92807 LAB SERVICES 113573 2 1250116 2640078 3890194 PATIENT SERVICES 624100 1465232 1465232 CAPITATION REVENUE 624100 138361 138361 1603593 OTHER REVENUE 624100 103318 103318 103318 5597105 1706911 0 0 461890 288533 173357 1976278 1834218 142060 141406 123266 18140 944526 828604 115922 195012 170209 24803 2180 2180 19550 5474 14076 202472 108413 94059 14078 14078 197679 185462 12217 439694 401488 38206 15967 15618 349 110243 110243 60879 45374 15505 WIC PROGRAM 117076 101492 15584 LAB SERVICES 114639 114639 REGISTRIES 107192 107192 35150 28091 7059 5155911 4482394 673517 0 194097 563547 844933 403392 59158 430548 47053 80896 1665906 911496 864654 754410 147845 0 2157740 2232793 390463 365761 17740 12892 408203 378653 X 1082987 1524181 666550 329959 1749537 1854140 2157740 2232793 X 441194 -336591 X X 0 1 1 X 1 1 X 3128267 3509044 3813888 4150925 3890194 18492318 3128267 3509044 3813888 4150925 3890194 18492318 18492318 4305 577 4882 96011 106376 103318 305705 18802905 5900040 0.98350 0.98780 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: OTHER INCOME INCLUDES INDIRECT REVENUES RELATED TO THE WIC PROGRAM. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1020249 413306 606943 323887 274428 49459 321770 223762 98008 754410 DEFERRED RENT 12892 12892 5597105 5155911 441194 -336591 -336591 104603 5597105 0 5597105 0 5597105 5155911 0 5155911 0 5155911 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT OF BEING SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. TO DATE, THE ORGANIZATION HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS. THE ORGANIZATION RECOGNIZES POTENTIAL ACCRUED INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS IN INCOME TAX EXPENSE. DURING THE YEARS ENDED JUNE 30, 2012 AND 2011, THE ORGANIZATION DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS. PART XI, LINE 8 - OTHER ADJUSTMENTS: DECREASE IN TEMPORARILY RESTRICTED NET ASSETS -336,591. THE $336,591 ADJUSTMENT IS THE DECREASE IN TEMPORARILY RESTRICTED NET ASSETS FOR THE YEAR ENDING JUNE 30, 2012. X 0 0 0 0 0 0 0 1 0 DEBRA DREW 153858 0 0 0 230 0 8285 0 12942 0 175315 0 0 0 SERGIO ULISES RODAS 186067 0 0 0 100 0 10383 0 31890 0 228440 0 0 0 AUDREY ROCCO 162237 0 0 0 100 0 8908 0 27359 0 198604 0 0 0 JUN CHAE 159173 0 0 0 100 0 8729 0 23690 0 191692 0 0 0 ROBIN BRADLEY 96811 0 0 0 0 0 5181 0 8918 0 110910 0 0 0 PART I, LINE 7 THE EXECUTIVE DIRECTOR OF CAMINO HEALTH CENTER IS ELIGIBLE TO RECEIVE AN AT-RISK PAY. THE PAY IS BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE DETERMINED BY THE BOARD OF TRUSTEES. THE GOALS INCLUDE BOTH QUALITY AND FINANCIAL METRICS. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE TAX RETURN IS PRESENTED TO THE BOARD MEMBERS FOR APPROVAL BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C VARIOUS FUNDERS ALSO REQUIRE REVIEW OF THE CONFLICT OF INTEREST POLICY AND MONITORING OF THE POLICY THROUGHOUT THE YEAR. FORM 990, PART VI, SECTION B, LINE 15 THE HUMAN RESOURCES DEPARTMENT OF MISSION HOSPITAL PERFORMS THE REVIEW OF COMPENSATION AND MAKES COMPARISON WITH SIMILAR AGENCIES ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE TAX RETURN IS AVAILABLE TO THE PUBLIC UPON REQUEST AND ON GUIDESTAR'S WEBSITE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: DECREASE IN TEMPORARILY RESTRICTED NET ASSETS -336,591. TOTAL TO FORM 990, PART XI, LINE 5: -336,591. FORM 990, PART XII, LINE 2C, AUDIT OVERSIGHT PROCESS: THE ORGANIZATION ESTABLISHED AN INDEPENDENT BOARD OF DIRECTORS THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT.