2012-03-14T12:41:37-05:00 2011-04-30 VASQUEZ & COMPANY LLP 801 S GRAND AVE SUITE 400 LOS ANGELES CA 90017 990 2010-05-01 952810095 ALTAMED HEALTH SERVICES CORPORATION ALTA 3237258751 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 JOSE ESPARZA 3237258751 2012-03-15 1 GILBERT R VASQUEZ 2138731700 2010 2016-02-24 21:20:13Z X JOSE ESPARZA 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 199217276 0 X HTTP://WWW.ALTAMED.ORG X 1970 CA SEE SCHEDULE O : TO ELIMINATE DISPARITIES IN HEALTH CARE ACCESS AND OUTCOMES BY PROVIDING SUPERIOR QUALITY HEALTH AND HUMAN SERVICES THROUGH AN INTEGRATED WORLD CLASS DELIVERY SYSTEM FOR LATINO , MULTI-ETHNIC AND UNDERSERVED COMUNITIES IN SOUTHERN CALIFORNIA.VISION: TO BE THE LEADING COMMUNITY BASED PROVIDER OF QUALITY HEALTH CARE AND HUMAN SERVICES 10 10 1606 0 0 0 24077647 4003422 153273178 187992204 210342 99754 1298794 2391546 178859961 194486926 0 0 0 0 82455069 94286643 0 0 671252 85269257 90096058 167724326 184382701 11135635 10104225 112000907 123551915 42662854 41462714 69338053 82089201 X TO ELIMINATE DISPARITIES IN HEALTH CARE ACCESS AND OUTCOMES BY PROVIDING SUPERIOR QUALITY HEALTH AND HUMAN SERVICES THROUGH AN INTEGRATED WORLD CLASS DELIVERY SYSTEM FOR LATINO, MULTI-ETHNIC AND UNDERSERVED COMMUNITIES IN SOUTHERN CALIFORNIA. 0 0 97580123 100828031 PRIMARY HEALTHCARE AND DENTAL CARE. ALTAMED OPERATES A TOTAL OF 21 PRIMARY CARE CLINICS IN THE GREATER LOS ANGELES AREA WITH 13 CLINICS IN LOS ANGELES COUNTY AN 8 CLINICS IN ORANGE COUNTY SERVING OVER 100,000 PATIENTS PER YEAR. ALTAMED ALSO OPERATES FIVE DENTAL CLINICS AND TWO PORTAL DENTAL UNITS SERVING OVER 15,000 ADULTS AND CHILDREN. PROVIDING INTEGRATED SERVICES ALONG A CONTINUUM OF CARE FROM PERINATAL SERVICES, PEDIATRIC AND ADOLESCENT CARE AND SPECILATY CARE INCLUDING WOMEN'S HEALTH AND GERIATRIC MEDICINE AND HEALTH FOR THE FRAIL AND NON-FRAIL ELDERLY, ALTAMED DELIVERS COMPREHENSIVE CARE TO THE WHOLE FAMILY. ALONG WITH ITS PREVENTIVE AND PRIMARY CARE SERVICES, ALTAMED SPECIALIZES IN SERVICES THAT INCLUDE A PEDIATRIC AND ADOLESCENT OBESITY PROGRAM AND A CHRONIC DISEASE MANAGEMENT PROGRAM. OTHER SERVICES INCLUDE LABORATORY TESTING, RADIOLOGIC SCREENING AND PHARMACY SERVICES. HEALTH SERVICES ARE ALSO SUPPORTED BY A COMMUNITY OUTREACH AND HEALTH EDUCATION TEAM PROMOTING HEALTHY BEHAVIORS AND ADVANCING THE OVERALL HEALTH AND WELL-BEING AMONG THOSE LIVING IN MEDICALLY-UNDERSERVED COMMUNITIES. 76259070 82363422 LONG TERM CARE. EACH YEAR , OVER 3,500 FRAIL AND ELDERLY SENIORS AND DISABLED ADULTS ARE SUPPORTED BY A MENU OF SERVICES THROUGH ALTAMED'S SEVEN ADULT DAY HEALTH CENTERS ( ADHC) AND THREE PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY ( PACE) SITES. SERVICES INCLUDE PRIMARY CARE/GERIATRIC MEDICINE NURSING CARE, REHABILITATION THERAPY, FAMILY SUPPORT INTERVENTIONS, COUNSELING, MEDICATION MANAGEMENT , NUTRITION EDUCATION AND SOCIAL ACTIVITIES. ALTAMED ALSO PROVIDES SPECIALIZED IN-HOME SUPPORTIVE PROGRAMS AND SERVICES THAT ENHANCE THE LIVES OF NEARLY 4,500 SENIORS LIVING INDEPENDENTLY IN THE COMMUNITY OR WHO ARE AT-RISK OF INSTITUTIONALIZED CARE. 6174138 7606307 HIV SERVICES. ALTAMED OPERATES THREE HIV PRIMARY CARE CLINICS IN LOS ANGELES COUNTY PROVIDING HIV PREVENTION AND CARE SERVICES IN URBAN LATINO COMMUNITIES. ALTAMED MAINTAINS A DIVERSE MENU OF HIV/AIDS SERVICES THAT SERVE MORE THAN 1,800 HIV-POSITIVE PATIENTS EACH YEAR AND INCLUDES: MEDICAL OUTPATIENT SERVICES , CASE MANGEMENT , PREVENTION CASE MANAGEMENT , FAMILY CASE MANAGEMENT , COUNSELING AND TESTING , CLINICAL TRIALS, AIDS DRUG ASSISTANCE PROGRAM ENROLLMENT, HIV TREATMENT , EDUCATION AND ADVOCACY , MENTAL HEALTH SUPPORT AND HEALTH EDUCATION/RISK REDUCTION SERVICES. 3698118 3689166 (I) YOUTH SERVICES. ALTAMED PROVIDES AN ARRAY OF YOUTH SERVICES TO OVER 3,500 AT-RISK TEENS AND YOUNG ADULTS IN MEDICALLY-UNDERSERVED COMMUNITIES EACH YEAR. SERVICES INCLUDE: PREGNANCY AND STD PREVENTION PROGRAMS, LEADERSHIP DEVELOPMENT , HEALTH EDUCATION AND INFORMATION WORKSHOPS , LINKAGES TO CLINICAL SERVICES, CASE MANAAGEMENT FOR PREGNANT/PARENTING TEENS ; PARENTING EDUCATION; FAMILY PLANNING ; SUPPORT FOR PARENTING TEENS TO HELP THEM STAY IN SCHOOL ; AND LIFE-SKILLS DEVELOPMENT; (II)DRUG TREATMENT. OVER 300 PATIENTS EACH YEAR ARE TREATED THROUGH ALTAMED'S OUTPATIENT METHADONE CLINIC AND RECEIVE DETOXIFICATION, COUNSELING, AND CASE MANAGEMENT TO TREAT HEROIN ADDICTION. 3698118 3689166 183711449 1 1 0 1 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1749 0 1 1606 1 0 0 0 0 0 1 1 0 0 0 0 X 10 10 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X JOSE ESPARZA CFO 3237258751 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 STUART GRAY 1.20 X 0 0 0 MARTIN GALLEGOS 0.70 X 0 0 0 GREGORY VALENZUELA 0.70 X 0 0 0 AYALA ALICIA 0.70 X 0 0 0 FONSECA ANA 0.70 X 0 0 0 GLORIA CARRILLO ZAMORA 0.70 X 0 0 0 SHIRLEY DETTLOFF 0.70 X 0 0 0 FRANK MEZA MD 0.70 X 0 0 0 LILIANA RAMIREZ 0.70 X 0 0 0 JANICE FAUCHIER 0.70 X 0 0 0 CASTULO DELA ROCHA 40.00 X 812692 0 332899 MARIE TORRES 40.00 X 293681 0 9800 ZOILA ESCOBAR 40.00 X 266007 0 9800 JOSE U ESPARZA 40.00 X 321512 0 9800 ANGELA ROBERTS 40.00 X 277263 0 8120 DR MARTIN SEROTA 40.00 X 222816 0 0 ROBERT TURNER 40.00 X 271043 0 7671 SPALDING JENNIFER 40.00 X 253411 0 8426 MARTHA SANTANA-CHIN 40.00 X 183081 0 6956 ERIKA SOCKACI 40.00 X 176898 0 7076 DR MANSOON RADPARVAR 40.00 X 325336 0 446 DR KEVLEY GEORGE 40.00 X 308424 0 0 DR PUERTAS RICARDO 40.00 X 293394 0 9706 DR SHAFEE REZA 40.00 X 258029 0 0 FELIX CARPIO 40.00 X 240947 0 8740 4504534 0 419440 107 0 1 0 HEALTHNET PR FILE 52617 LOS ANGELES CA 90074 GROUP HEALTH INSURANCE 5140915 NATIONWIDE TRUST CO DEPARTMENT 3248 COLUMBUS OH 43271 PENSION ADMINISTRATOR FOR EMPLOYEES 4491083 EMPIRE TRANSPORTATION INC 8800 PARK STREET BELLFLOWER CA 90706 TRANSPORTATION SERVICES 3705740 CHILDRENS HOSPITAL LA MEDICAL GROUP PO BOX 7247-0109 PHILADELPHIA PA 19170 HEALTH PLAN 2609720 LIBERTY MUTUAL INSURANCE COMPANY FILE 5915 LOS ANGELES CA 90074 WORKER'S COMPENSATION INSURANCE CARRIER 2591589 37 980258 3023164 157111 4003422 PATIENT FEES 624100 84391500 84391500 CONTRACTUAL SERVICES 624100 84342537 84342537 CONTRACTUAL SERVICES 624100 19258167 19258167 187992204 99754 99754 600178 380080 600178 0 5793808 4130172 1663636 1663636 OTHER CONTRACT SERVICE 624100 476364 476364 REFUND/REIMBURSEMENT/D 900099 226796 226796 OTHER INCOME-SPA 7 COL 624100 24750 24750 727910 194486926 190383750 0 99754 4504534 4504534 70838595 70837552 1043 1516859 1516838 21 11509374 11509215 159 5917281 5917199 82 1014799 1005596 9203 185133 183454 1679 1892928 1885564 7364 4961335 4961335 637044 634206 2838 830442 830442 4155235 4155235 1528654 1528254 400 SPECIALTY SERVICES 30335804 30335804 MEDICAL SERVICES 10106851 10106851 MEDICAL SUPPLIES 7355906 7355906 PROFESSIONAL SERVICES 6931177 6868324 62853 PATIENT TRANSPORTATION 4363998 4363998 15796752 15211142 585610 184382701 183711449 0 671252 37865603 29178508 3562060 3945499 15654974 10541903 6406501 8102856 116709 214650 1159864 1656225 59801953 21615185 35827710 38186768 6128042 26417778 2399755 2690544 402744 2476945 2617184 112000907 123551915 8086888 10753153 11320189 10534532 768418 762482 22487359 19412547 42662854 41462714 X 66986956 80003730 2351097 2085471 69338053 82089201 112000907 123551915 X 10104225 2646923 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 1 167950 1 699 0 0 1 21776 1 1 425205 615630 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: AMOUNTS WERE PAID TO LEGISLATIVE CONSULTANTS FOR LOBBYING ACTIVITIES. 8631587 8631587 27435616 6666382 20769234 6057531 3312210 2745321 17429985 11475891 5954094 247234 160702 86532 38186768 ACCRUED VACATION 4187228 CLAIMS PAYABLE 8442068 ACCRUED SALARIES AND EMPLOYEE BENEFITS 3225977 GRANT AND CONTRACT ADVANCES 2556174 CURRENT PORTION OF CAPITALIZED LEASE OBLIGATION 93988 CURRENT PORTION OF LONG TERM DEBT 907112 19412547 194486926 184382701 10104225 2646923 2646923 12751148 201264021 6777095 6777095 194486926 0 194486926 188512873 4130172 4130172 184382701 0 184382701 PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AND INVESTMENTS 2,646,923. PART XII, LINE 2D - OTHER ADJUSTMENTS: NET UNREALIZED GAIN ON INVESTMENTS 2,738,347. CHANGE IN FAIR VALUE -91,424. PHARMACY INVENTORY SALES 4,130,172. PART XIII, LINE 2D - OTHER ADJUSTMENTS: COST OF SALES - PHARMACY SUPPLIES 4,130,172. X X X 0 ANNUAL GALA 597558 306525 291033 7032 284001 NAPA FOOD & WINE TASTING 173004 173004 48785 124219 2 209696 73555 136141 136141 980258 380080 600178 55817 544361 600178 0 X 1 1 X X X X X X 0 1 0 0 0 0 0 1 0 CASTULO DELA ROCHA 542590 0 207459 0 62643 0 332899 0 0 0 1145591 0 0 0 MARIE TORRES 236320 0 45361 0 12000 0 9800 0 0 0 303481 0 0 0 ZOILA ESCOBAR 212848 0 41159 0 12000 0 9800 0 0 0 275807 0 0 0 JOSE U ESPARZA 260486 0 49026 0 12000 0 9800 0 0 0 331312 0 0 0 ANGELA ROBERTS 222831 0 42432 0 12000 0 8120 0 0 0 285383 0 0 0 DR MARTIN SEROTA 208655 0 0 0 14161 0 0 0 0 0 222816 0 0 0 ROBERT TURNER 216403 0 42640 0 12000 0 7671 0 0 0 278714 0 0 0 SPALDING JENNIFER 202411 0 39000 0 12000 0 8426 0 0 0 261837 0 0 0 MARTHA SANTANA-CHIN 180265 0 2816 0 0 0 6956 0 0 0 190037 0 0 0 ERIKA SOCKACI 147898 0 20000 0 9000 0 7076 0 0 0 183974 0 0 0 DR MANSOON RADPARVAR 291130 0 34206 0 0 0 446 0 0 0 325782 0 0 0 DR KEVLEY GEORGE 296567 0 11857 0 0 0 0 0 0 0 308424 0 0 0 DR PUERTAS RICARDO 283394 0 10000 0 0 0 9706 0 0 0 303100 0 0 0 DR SHAFEE REZA 155244 0 102785 0 0 0 0 0 0 0 258029 0 0 0 FELIX CARPIO 225747 0 11000 0 4200 0 8740 0 0 0 249687 0 0 0 PART I, LINE 1A ALTA MED MAINTAINS A DISCRETIONARY SPENDING ACCOUNT FOR OFFICERS, KEY EMPLOYEES AND OTHERS WHERE THE COMPANY ALLOWS A CERTAIN AMOUNT TO BE USED AT THE DISCRETION OF THE PAYEE FOR BUSINESS EXPENSES SUCH AS AUTOMOBILE EXPENSES . ANY AMOUNTS USED FROM THE DISCRETIONARY ACCOUNT ARE TAXED TO THE RECIPIENT AS PART OF THEIR COMPENSATION. PART I, LINE 4B SCHEDULE J :AT THE PRESENT TIME THE PRESIDENT AND CEO IS ELIGIBLE FOR THE ORGANIZATION'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ( SERP) ; FUNDING OF THIS PLAN IS DISCRETIONARY AND ASSETS OF THE PLAN ARE SUBJECT TO THE CLAIMS OF CREDITORS . RETIREMENT AND OTHER DEFERRED COMPENSATION INCLUDES $314,747 PAID TO THE SERP IN CALENDAR YEAR 2010 FOR THE PERIODS OF 2004 THROUGH 2009. PART I, LINE 7 SCHEDULE J :ALTAMED MAINTAINS A DISCRETIONARY EXECUTIVE AND DIRECTOR LEVEL BONUS PROGRAM THAT AWARDS INCENTIVE COMPENSATION BASED ON ACHIEVEMENT OF CERTAIN ORGANIZATIONAL OBJECTIVES INCLUDING FINANCIAL, OPERATIONAL, QUALITY AND MISSION OBJECTIVES DURING THE FISCAL YEAR. MEMBERS OF THE EXECUTIVE AND DIRECTOR LEADERSHIP TEAM ARE EVALUATED ANNUALLY FOR THEIR ABILITY TO MEET THOSE ORGANIZATIONAL OBJECTIVES TO ARRIVE AT THE INCENTIVE AMOUNT, IF ANY, FOR THE FISCAL YEAR. OVERALL ALTAMED MUST ACHIEVE SPECIFIC FINANCIAL GOALS BEFORE ANY INCENTIVES CAN BE EARNED AND PAID. CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 2007-12-01 9012000 FINANCE THE COST OF ACQ,CONSTRUCTION,IMPROVEMENT & EQUIPPING OF FACILITIES 0 0 0 0 0 1 1 0 1 1 BANK OF THE WEST 15.000000000000 0 0 0 0 0 X FOR SPECIAL EVENTS 87 157111 FAIR MARKET VALUE 0 1 0 THE ORGANIZATION PROVIDES OUTPATIENT MEDICAL SERVICES ; HOWEVER DOES NOT OWN OR OPERATE A HOSPITAL AND THERFORE IS NOT REQUIRED TO COMPLETE SCHEDULE H. FORM 990, PART VI, SECTION A, LINE 2 THE PRESIDENT AND CEO IS RELATED BY MARRIAGE TO THE VP OF PLANNING AND DEVELOPMENT FORM 990, PART VI, SECTION B, LINE 11 ALTA MED HEALTH SERVICES CORPORATION OUTSIDE AUDITORS AND FINANCE STAFF PREPARE FORM 990. THE FORM IS THEN REVIEWED AND APPROVED BY THE ORGANIZATION PRESIDENT AND CEO AND CHIEF FINANCIAL OFFICER. THE FORM IS THEN PRESENTED TO THE FULL BOARD FOR APPROVAL BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C ALTA MED HEALTH SERVICES CORP. (ALTA MED) REQUIRES ALL EMPLOYEES TO DISCLOSE, AT LEAST ANNUALLY, ALL SOURCES OF INCOME FROM COMPENSATION OR FROM OWNERSHIP OF EVERY OUTSIDE ENTITY THAT (A) SOLD, SUPPLIED OR PROVIDED SERVICES (B) OPERATED A COMPETING ENTERPRISE OR (C) PROVIDED GOODS OR SERVICES TO ALTA MED IN THE LAST SIX MONTHS. ALTA MED ALSO REQUIRES ALL DIRECTORS TO ANNUALLY SIGN A STATEMENT AFFIRMING (A) RECEIPT OF ALTA MED CONFLICT OF INTEREST POLICY (B) UNDERSTANDING OF THE POLICY AND (C) AGREEMENT WITH THE POLICY. THE CONFLICT OF INTEREST POLICY DESCRIBES HOW ALTA MED WILL RESOLVE POSSIBLE CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS COMPENSATION COMMITTEE HAS ENGAGED A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTANT FIRM TO REVIEW ITS EXECUTIVE AND NON-EXECUTIVE SALARIES. THE FIRM UNDERTAKES SPECIFIC PROTOCOLS AND OBTAIN VAST ORGANIZATIONAL DATA FROM NUMEROUS COMPANIES AND PEER GROUPS AND THEN RENDERS A "REASONABLENESS" OPINION TO THE BOARD OF DIRECTORS. THE FIRM'S PROCESS INCLUDES A REVIEW OF COMPENSATION OF SIMILARLY CONSTITUTED COMPANIES, TRENDS, THE ORGANIZATION'S PRESENT COMPENSATION PACKAGES INCLUDING CASH AND NON-CASH BENEFITS , THE METHODOLOGY AND PHILOSOPHY USED FOR THE ASSESSMENT AND THE TOTAL COMPENSATION ANALYSIS. ADDITIONALLY, MARKET BENEFIT AND RECRUITMENT AND RETENTION TRENDS ARE CONSIDERED AND EVALUATED. THE OPINIONS ARE PROVIDED TO THE BOARD'S COMPENSATION COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT DIRECTORS. THE COMPENSATION COMMITTEE IS PROVIDED WITH A REGIONAL PEER GROUP THAT INCLUDES MOST COMPARABLY SIZED CALIFORNIA NON PROFIT AND SOME FOR PROFIT HEALTHCARE ORGANIZATIONS. THE OPINIONS ARE BASED ON COMPARABILITY DATA FROM NATIONAL AND REGIONAL DATA BASES, FROM WHICH COMPARISONS OF THE ORGANIZATION'S EXECUTIVE COMPENSATION WITH PEER GROUP COMPENSATION LEVELS CAN BE MADE, WHICH IS PROVIDED TO THE COMPENSATION COMMITTEE IN ITS REPORT. THE COMPENSATION COMMITTEE IS PRESENTED WITH DATA THAT COMPARES THE ORGANIZATION'S COMPENSATION PACKAGES TO THE LEVEL TARGETED IN THE COMPENSATION PHILOSOPHY. BASED UPON THE TOTALITY OF THE DATA GARNERED BY THE COMPENSATION CONSULTING FIRM, THE COMPENSATION COMMITTEE IS PROVIDED WITH RECOMMENDED BASE SALARY AND BENEFIT RANGES FOR THE PERIOD ASSESSED. THE COMPENSATION COMMITTEE DELIBERATES ON THE DATA TO ASSESS WHETHER IT IS APPROPRIATE IN REPRESENTING COMPENSATION LEVELS WITH SIMILAR ORGANIZATIONS, POSITIONS AND CIRCUMSTANCES AND THAT IT REPRESENTS FAIR MARKET VALUE FOR SERVICES RENDERED ON A REALISTIC BASIS. THE COMPENSATION COMMITTEE THEN PROVIDES ITS RECOMMENDATIONS TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS PROVIDED WITH ALL AVAILABLE INFORMATION AND THE OPINIONS OF THE EXPERTS AND DELIBERATES AND DISCUSSES THE RECOMMENDATIONS AS IT DEEMS NECESSARY TO PROPERLY ASSESS THE COMPENSATION LEVELS OF ITS EXECUTIVES AND OTHER EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 SOME OR ALL OF THESE ITEMS MAY BE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 2,797,583. INVESTMENT EXPENSES: -229,553. CHANGE IN FAIR VALUE OF SWAP -91,424. INVESTMENT IN WC CAPTIVE 170,317. TOTAL TO FORM 990, PART XI, LINE 5: 2,646,923.