CLINICAS DEL CAMINO REAL INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CLINICAS DEL CAMINO REAL INC (EIN 95-2977147)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-12
IRS object ID
201210729349300126
Schema version
2010v3.2
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)
Timestamp2012-03-12T14:51:35-07:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN952977147EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Clinicas Del Camino RealBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCLINNameControl
Phone8056591740Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 4566AddressLine1
CityVenturaCity
StateCAState
ZIP Code93007ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameChristina M VelascoName
TitleCFOTitle
Date Signed2012-03-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameOscar G Armijo CPAName
Phone7607734078Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts34239576GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.clinicas.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTo provide quality, comprehensive and preventative, health care services to the underserved community in Ventura County. It is the explicit mission of Clinicas del Camino Real, Inc. to save lives and restore good health at rates that are consistent with a client's ability to pay. Moreover, bilingual and bicultural staff delivers its services on a personal and humane basis, and especially reaches out to members of the community who are traditionally underserved due to limited income, resources, cultural, and language barriers..ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees517TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year10487871ContributionsGrantsPriorYear
Contributions Grants Current Year7405651ContributionsGrantsCurrentYear
Program Service Revenue Prior Year24222017ProgramServiceRevenuePriorYear
Program Service Revenue CY26688637ProgramServiceRevenueCY
Investment Income Prior Year64913InvestmentIncomePriorYear
Investment Income Current Year36352InvestmentIncomeCurrentYear
Other Revenue Prior Year124168OtherRevenuePriorYear
Other Revenue Current Year108936OtherRevenueCurrentYear
Total Revenue Prior Year34898969TotalRevenuePriorYear
Total Revenue Current Year34239576TotalRevenueCurrentYear
Grants And Similar Amnts CY410253GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year22393846SalariesEtcPriorYear
Salaries Etc Current Year25449030SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9323343OtherExpensePriorYear
Other Expenses Current Year11004064OtherExpensesCurrentYear
Total Expenses Prior Year31717189TotalExpensesPriorYear
Total Expenses Current Year36863347TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3181780RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2623771RevenuesLessExpensesCY
Total Assets BOY38854276TotalAssetsBOY
Total Assets EOY40122027TotalAssetsEOY
Total Liabilities BOY15618219TotalLiabilitiesBOY
Total Liabilities EOY19509741TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY23236057NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY20612286NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide quality, comprehensive and preventative, health care services to the underserved community in Ventura County. It is the explicit mission of Clinicas del Camino Real, Inc. to save lives and restore good health at rates that are consistent with a client's ability to pay. Moreover, bilingual and bicultural staff delivers its services on a personal and humane basis, and especially reaches out to members of the community who are traditionally underserved due to limited income, resources, cultural, and language barriers..MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense27736343Expense
Revenue26833925Revenue
DescriptionTo provide comprehensive and preventive health care services on a personal and humane basis to the people of Ventura County who are underserved due to income level or cultural/language barriers. Total patient encounters were 218,289.Description
Total Program Service Expense27736343TotalProgramServiceExpense
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 OrganizationstrueGrantsToOrganizations
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 DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
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 With1096133NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees517NumberOfEmployees
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 Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
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 PersonCHRISTINE M VELASCO CFONamePerson
Telephone Number8056591740TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 S WELLS RD VENTURA CAAddressLine1
CityVenturaCity
StateCAState
ZIP Code93007ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirectorHighest Compensated EmployeeHighestCompensatedEmployeeKey EmployeeKeyEmployee
Roberto S Juarez
CEO40.00X332563023500
Reyna Dominguez
Board Menber1.00000X
RAUL RAMOS
BOARD MEMBER1.00000X
NASR ANEES
Physician40.0022395908763X
Nabeel Afzal Saeed
Physician40.0020608807130X
MIRELA CERNAIANU
Physician40.0032062108935X
LAURA F ESPINOSA
President1.00X000X
KAREN R BURNHAM
Secretary1.00X000X
Johannes Ramirez
Physician40.0022894207503X
JAVIER M OCHOA
BOARD MEMBER1.00000X
GUILLERMO RIOS
Physician40.0022402808482X
CHUCK HOOKSTRA
Vice President1.00X000X
Christina M Velasco
CFO40.00X163681013299
Chawla Anil
Medical Director40.00270654017298X
BERNARDO PEREZ
BOARD MEMBER1.00000X
BARBARA A JOURNET
Treasurer1.00X000X
Antonio Alatorre
COO40.00160237012821X
ANGEL ARREOLA
BOARD MEMBER1.00000X
ADOLFO MURILLO
PARLIAMENTARIAN1.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2130773TotalReportableCompFromOrg
Total Other Compensation107731TotalOtherCompensation
Number Individuals GT100 K26NumberIndividualsGT100K
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
RODOLFO DIAZ
2525 Malabar StLOS ANGELESCA90033MANAGEMENT CONSULT119460
Lauterbach Associates
300 Montgomery AveOxnardCA93036Architects181465
Venopt Optical
2368 Eastman Ave 17VenturaCA93003Optical Manufacturer131384
USC School of Pharmacy
1985 Zonal Ave PSC 700ALos AngelesCA90033Pharmacy School184118
Enrique de la Garza
420 Cross Creed RdVillage of North BayWI53402Management Consult122000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants7187972GovernmentGrants
All Other Contributions217679AllOtherContributions
Total Contributions7405651TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT REVENUEDescription
Business Code621400BusinessCode
Total Revenue Column26688637TotalRevenueColumn
Related Or Exempt Function Income26688637RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue26688637TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column36352TotalRevenueColumn
Related Or Exempt Function Income36352RelatedOrExemptFunctionIncome

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. REVENUEDescription
Business Code561000BusinessCode
Total Revenue Column108936TotalRevenueColumn
Related Or Exempt Function Income108936RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue108936TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column34239576TotalRevenueColumn
Related Or Exempt Function Income26833925RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total410253Total
Program Services410253ProgramServices

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)
Total928293Total
Management And General928293ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total19753738Total
Program Services16413282ProgramServices
Management And General3340456ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total620419Total
Program Services474669ProgramServices
Management And General145750ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2517829Total
Program Services1926335ProgramServices
Management And General591494ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1628751Total
Program Services1246121ProgramServices
Management And General382630ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total806301Total
Program Services806301ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total30354Total
Management And General30354ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total69900Total
Management And General69900ManagementAndGeneral

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)
Total907192Total
Program Services350917ProgramServices
Management And General556275ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total470649Total
Program Services393479ProgramServices
Management And General77170ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total989229Total
Program Services595160ProgramServices
Management And General394069ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total190873Total
Program Services92761ProgramServices
Management And General98112ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total723626Total
Program Services427044ProgramServices
Management And General296582ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1522259Total
Program Services369746ProgramServices
Management And General1152513ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total232078Total
Program Services93806ProgramServices
Management And General138272ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Telephone472783244596228187
Supplies-Pharmacy606187606187
Supplies-Medical5970095920274982
Supplies-IT44185840135640502
Promotion4521114510111100

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2491655Total
Program Services1841292ProgramServices
Management And General650363ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total36863347Total
Program Services27736343ProgramServices
Management And General9127004ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8181877BOY
EOY6088727EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY999438BOY
EOY999300EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY9232761BOY
EOY7598183EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2186382BOY
EOY1721843EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY32869BOY
EOY20436EOY

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)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY635922BOY
EOY544377EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis37899006LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec14749845LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY17585027BOY
EOY23149161EOY

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)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY38854276BOY
EOY40122027EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3222932BOY
EOY3406467EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY7594281BOY
EOY7144515EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4563485BOY
EOY8695712EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY237521BOY
EOY263047EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY15618219BOY
EOY19509741EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14536141BOY
EOY13052378EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8699916BOY
EOY7559908EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23236057BOY
EOY20612286EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY38854276BOY
EOY40122027EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-2623771ReconcilationRevenueExpenses
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 Years3424996CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6974022CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11283232CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10487871CurrentTaxYearMinus1Year
Current Tax Year7405651CurrentTaxYear
Total39575772Total

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 Years3424996CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6974022CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11283232CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10487871CurrentTaxYearMinus1Year
Current Tax Year7405651CurrentTaxYear
Total39575772Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17039575772PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years125181CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years163619CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years99647CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year64913CurrentTaxYearMinus1Year
Current Tax Year36352CurrentTaxYear
Total489712Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years42386CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47622CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years103650CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year124168CurrentTaxYearMinus1Year
Current Tax Year108936CurrentTaxYear
Total426762Total
FieldValueIRS element (for citing)
Total Support40492246TotalSupport
Public Support Pertcentage1700.97740PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97630PublicSupportPertcentPriorYear
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 Basis4126034OtherCostOrOtherBasis
Book Value4126034BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis23159746OtherCostOrOtherBasis
Depreciation8879934Depreciation
Book Value14279812BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2945075OtherCostOrOtherBasis
Depreciation1644567Depreciation
Book Value1300508BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5734099OtherCostOrOtherBasis
Depreciation3510604Depreciation
Book Value2223495BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1934052OtherCostOrOtherBasis
Depreciation714740Depreciation
Book Value1219312BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings23149161TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOther liabilitiesDescription
Amount$263,047Amount
FieldValueIRS element (for citing)
Total Of Amounts263047TotalOfAmounts
Total Revenue34239576TotalRevenue
Total Expenses36863347TotalExpenses
Excess Or Deficit For Year-2623771ExcessOrDeficitForYear
Excess Or Deficit Per FS-2623771ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt34239576TotRevenueEtcAuditedFinclStmt
Revenue Subtotal34239576RevenueSubtotal
Total Revenue Per Form99034239576TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt36863347TotExpensesEtcAuditedFinclStmt
Expenses Subtotal36863347ExpensesSubtotal
Total Expenses Per Form99036863347TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrant
San Benito Health Foun
351 Felice DriveHollisterCA950239422999591014950Electronic Medical Records
CHCOTCC
150 Tejas Place PO Box 430NipomoCA934449532533023087580Electronic Medical Records
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
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 (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Roberto S Juarez
3325631150012000356063
NASR ANEES
2239598763232722
Nabeel Afzal Saeed
2060887130213218
MIRELA CERNAIANU
3206218935329556
Johannes Ramirez
2289427503236445
GUILLERMO RIOS
2240288482232510
Christina M Velasco
16368172996000176980
Chawla Anil
270654112986000287952
Antonio Alatorre
16023768216000173058

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonRoberto JuarezNamePerson
Purpose Of LoanBridge LoanPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$427,455OriginalPrincipalAmount
Balance Due13259BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due13259TotalBalanceDue

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 for review at the organizations administrative office during normal business hours. Other forms such as governing documents, conflict of interest policy, and financial statements are internal corporate documents.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesComparison surveys are performed by the CEO and Human Resources Director using state and national databases. Annual reviews are performed by the Board of Directors for all officers, key employees, and other highly compensated employees.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe organization investigates potential conflicts of interest when they arise. Any violations are handled in accordance with the written policies and procedures.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe Form 990 is prepared by an independent CPA, and then is reviewed by the CFO.

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