COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC (EIN 95-3253302)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-13
IRS object ID
201321339349305037
Schema version
2011v1.5
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)
Timestamp2013-05-13T17:57:15-07:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Oscar G Armijo CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line141-990 Cook St Suite 501AddressLine1
CityPalm DesertCity
StateCAState
ZIP Code92211ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN953253302EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Community Health Centers of theBusinessNameLine1
Business Name Line2Central Coast IncBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone8059293211Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 Tejas PlaceAddressLine1
CityNipomoCity
StateCAState
ZIP Code93444ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRON CASTLEName
TitleCEOTitle
Date Signed2013-05-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameOscar G Armijo CPAName
Phone7607734078Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts65254140GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.chccc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTo provide primary health and dental care services to low income patients in the Central Coast Communities of CaliforniaActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees577TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year22498980ContributionsGrantsPriorYear
Contributions Grants Current Year16988490ContributionsGrantsCurrentYear
Program Service Revenue Prior Year44628486ProgramServiceRevenuePriorYear
Program Service Revenue CY48019346ProgramServiceRevenueCY
Investment Income Prior Year14955InvestmentIncomePriorYear
Investment Income Current Year3867InvestmentIncomeCurrentYear
Other Revenue Prior Year153551OtherRevenuePriorYear
Other Revenue Current Year242437OtherRevenueCurrentYear
Total Revenue Prior Year67295972TotalRevenuePriorYear
Total Revenue Current Year65254140TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year36319053SalariesEtcPriorYear
Salaries Etc Current Year34801303SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year23051242OtherExpensePriorYear
Other Expenses Current Year27219982OtherExpensesCurrentYear
Total Expenses Prior Year59370295TotalExpensesPriorYear
Total Expenses Current Year62021285TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7925677RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3232855RevenuesLessExpensesCY
Total Assets BOY38885782TotalAssetsBOY
Total Assets EOY43611547TotalAssetsEOY
Total Liabilities BOY11315603TotalLiabilitiesBOY
Total Liabilities EOY12808513TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY27570179NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY30803034NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide primary health and dental care services to low income patients in the Central Coast Communities of CaliforniaMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense41496377Expense
Revenue48271951Revenue
DescriptionCommunity Health Centers of the Central Coast provides comprehensive health care services to low income patients including primary health care services, mental health services, dental services, and nutritional and health education. Total encounters during the reporting period totaled 357,877Description
Total Program Service Expense41496377TotalProgramServiceExpense
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 AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
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 MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
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 With1096170NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees577NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
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
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
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
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBOB LOTWALA CFONamePerson
Telephone Number8059293211TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1150 TEJAS PLACEAddressLine1
CityNIPOMOCity
StateCAState
ZIP Code93444ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
MIKE MARKS
Board Member1.00X000
BIZ STEINBERG
BOARD MEMBER1.00X000
Will Gordon
President1.00X000X
Sharon Smith
Vice President1.00X000X
DIANE FARAO
Treasurer1.00X000X
Penny Borenstein
Ex-Officio1.00X000
Lisa Sheehy
BOARD MEMBER1.00X000
Gloria Leavenworth
BOARD MEMBER1.00X000
WILLIAM ESAKOFF
Board Member1.00X000
BERTHA CAMPOS
Secretary1.00X000X
Kathy Johnson
Board Member1.00X000
Clark Channing
BOARD MEMBER1.00X000
Ann Lazo
Board Member1.00X000
Bhupendra Lotawala
CFO40.00207503016681X
RON CASTLE
CEO40.00295701020571X
John Khan-Variba
PHYSICIAN40.00333398022232X
Anika Moore
PHYSICIAN40.00286350013582X
Gerald D Ebner
PHYSICIAN40.00264065013409X
Joseph Mercardante
PHYSICIAN40.00222063019017X
Marilyn Ortiz
PHYSICIAN40.0021602109598X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1825101TotalReportableCompFromOrg
Total Other Compensation115090TotalOtherCompensation
Number Individuals GT100 K67NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Service Master
3130 Skyway Drive Ste 701Santa MariaCA93455Janitorial Services433543
San Joaquin Health
PO Box 187CrestonCA93432CHIROPRACTIC1160640
Reaves Construction
1141 El Camino Real GArroyo GrandeCA93420Construction1116376
Omkar Investments LP
PO Box 1570TempltonCA93465Lease Holder483759
Central Coast Obstetrics
100 Casa St Suite BSan Luis ObispoCA93405CONTRACT PHYSICIAN469438
FieldValueIRS element (for citing)
Number Of Contractors GT100 K29NumberOfContractorsGT100K
Government Grants14339123GovernmentGrants
All Other Contributions2649367AllOtherContributions
Noncash Contributions2505732NoncashContributions
Total Contributions16988490TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Business Code621400BusinessCode
Total Revenue Column48019346TotalRevenueColumn
Related Or Exempt Function Income48019346RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue48019346TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3867TotalRevenueColumn
Related Or Exempt Function Income3867RelatedOrExemptFunctionIncome

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

FieldValueIRS element (for citing)
DescriptionMISC. INCOMEDescription
Business Code561000BusinessCode
Total Revenue Column242437TotalRevenueColumn
Related Or Exempt Function Income242437RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue242437TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column65254140TotalRevenueColumn
Related Or Exempt Function Income48265650RelatedOrExemptFunctionIncome

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)
Total505927Total
Management And General505927ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total27458891Total
Program Services18820966ProgramServices
Management And General8637925ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total939888Total
Program Services651271ProgramServices
Management And General288617ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3723910Total
Program Services2580387ProgramServices
Management And General1143523ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2172687Total
Program Services1505507ProgramServices
Management And General667180ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total61812Total
Management And General61812ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total79876Total
Management And General79876ManagementAndGeneral

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)
Total9581433Total
Program Services8021529ProgramServices
Management And General1559904ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4404595Total
Program Services991155ProgramServices
Management And General3413440ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total439530Total
Program Services256598ProgramServices
Management And General182932ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total509526Total
Program Services23821ProgramServices
Management And General485705ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1627096Total
Program Services390876ProgramServices
Management And General1236220ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total306659Total
Program Services221054ProgramServices
Management And General85605ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
Employee Recruitment340403340403
Telephone81675572018496571
Donated Pharmaceuticals25057332505733
Supplies46835331919584491575

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1863031Total
Program Services939334ProgramServices
Management And General923697ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total62021285Total
Program Services41496377ProgramServices
Management And General20524908ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1408512BOY
EOY2267858EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY15366255BOY
EOY15229404EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5915055BOY
EOY7338651EOY

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)
BOY248453BOY
EOY352802EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY450662BOY
EOY460904EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis26408511LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9082096LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14895698BOY
EOY17326415EOY

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)
BOY575383BOY
EOY575383EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY25764BOY
EOY60130EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY38885782BOY
EOY43611547EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4322531BOY
EOY6624014EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY440000BOY
EOY410000EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY6501665BOY
EOY5720790EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY51407BOY
EOY53709EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11315603BOY
EOY12808513EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12367038BOY
EOY18146561EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY15203141BOY
EOY12656473EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27570179BOY
EOY30803034EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY38885782BOY
EOY43611547EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3232855ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12417989CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16980817CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11272902CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19432572CurrentTaxYearMinus1Year
Current Tax Year16988490CurrentTaxYear
Total77092770Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12417989CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16980817CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11272902CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19432572CurrentTaxYearMinus1Year
Current Tax Year16988490CurrentTaxYear
Total77092770Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17077092770PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years119274CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22160CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11174CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14955CurrentTaxYearMinus1Year
Current Tax Year3867CurrentTaxYear
Total171430Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35841CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years48000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years124563CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year153551CurrentTaxYearMinus1Year
Current Tax Year242438CurrentTaxYear
Total604393Total
FieldValueIRS element (for citing)
Total Support77868593TotalSupport
Public Support Pertcentage1700.99000PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99030PublicSupportPertcentPriorYear
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 Basis2852900OtherCostOrOtherBasis
Book Value2852900BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16479798OtherCostOrOtherBasis
Depreciation5386492Depreciation
Book Value11093306BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1362710OtherCostOrOtherBasis
Depreciation801887Depreciation
Book Value560823BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5713103OtherCostOrOtherBasis
Depreciation2893717Depreciation
Book Value2819386BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings17326415TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOther liabilitiesDescription
Amount$53,709Amount
FieldValueIRS element (for citing)
Total Of Amounts53709TotalOfAmounts
Total Revenue65254140TotalRevenue
Total Expenses62021285TotalExpenses
Excess Or Deficit For Year3232855ExcessOrDeficitForYear
Excess Or Deficit Per FS3232855ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt65254140TotRevenueEtcAuditedFinclStmt
Revenue Subtotal65254140RevenueSubtotal
Total Revenue Per Form99065254140TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt62021285TotExpensesEtcAuditedFinclStmt
Expenses Subtotal62021285ExpensesSubtotal
Total Expenses Per Form99062021285TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
RON CASTLE
2957011048010091316272
Marilyn Ortiz
21602145005098225619
Joseph Mercardante
222063471814299241080
John Khan-Variba
3333981127310959355630
Gerald D Ebner
26406543279082277474
Bhupendra Lotawala
20750393117370224184
Anika Moore
28635045009082299932

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJennifer AmadorNamePerson
FieldValueIRS element (for citing)
RelationshipCEO's StepdaughterRelationship
Amount Of Transaction292410AmountOfTransaction
Description Of TransactionVendor, Emply. AgencyDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9902505732NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableForm 990 is available upon written request during normal business hours at the organizations administrative office in Nipomo, CA
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe organization conducts periodic surveys of compensation at other similiar organizations in the state. This is done through the California Primary Care Association, MGMA, and the National Association of Community Health Centers. The local cost of living and housing are also factors in determining salaries. Compensation is reviewed periodically.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe organization engages in normal due diligence in assuring there is no conflict of interest in any material transactions. The organization also relies partly on self-declaration of the parties involved. The organization regularly communicates this policy to it's key employees and board members.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe organization's form 990 is prepared by an independent CPA, reveiwed by the organization's CFO, then reviewed and signed by the CEO and filed by the independent CPA

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