COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC (EIN 95-3253302)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-08
IRS object ID
201211299349301336
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)
Timestamp2012-05-08T11:37:12-07:00Timestamp
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)
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 Signed2012-05-08DateSigned

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 Receipts67295972GrossReceipts
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 Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees573TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year12898264ContributionsGrantsPriorYear
Contributions Grants Current Year22498980ContributionsGrantsCurrentYear
Program Service Revenue Prior Year39381873ProgramServiceRevenuePriorYear
Program Service Revenue CY44628486ProgramServiceRevenueCY
Investment Income Prior Year11174InvestmentIncomePriorYear
Investment Income Current Year14955InvestmentIncomeCurrentYear
Other Revenue Prior Year124563OtherRevenuePriorYear
Other Revenue Current Year153551OtherRevenueCurrentYear
Total Revenue Prior Year52415874TotalRevenuePriorYear
Total Revenue Current Year67295972TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year30777831SalariesEtcPriorYear
Salaries Etc Current Year36319053SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year20354551OtherExpensePriorYear
Other Expenses Current Year23051242OtherExpensesCurrentYear
Total Expenses Prior Year51132382TotalExpensesPriorYear
Total Expenses Current Year59370295TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1283492RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7925677RevenuesLessExpensesCY
Total Assets BOY28791991TotalAssetsBOY
Total Assets EOY38885782TotalAssetsEOY
Total Liabilities BOY9147489TotalLiabilitiesBOY
Total Liabilities EOY11315603TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY19644502NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY27570179NetAssetsOrFundBalancesEOY
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
Expense39689736Expense
Revenue44796992Revenue
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 335,846Description
Total Program Service Expense39689736TotalProgramServiceExpense
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 With1096176NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees573NumberOfEmployees
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
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 (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
WILLIAM ESAKOFF
Vice President1.00XX000
Will Gordon
Secretary1.00XX000
Vinh Vo
PHYSICIAN40.00254284016604X
Sharon Smith
President1.00XX000
RON CASTLE
CEO40.00X277146026818
Penny Borenstein
Ex-Officio1.00X000
Neil Correia
PHYSICIAN40.00293310016750X
Mike Stevens
Ex-Officio1.00X000
MIKE MARKS
Board Member1.00X000
Lisa Sheehy
BOARD MEMBER1.00X000
Kathy Johnson
Board Member1.00X000
John Khan-Variba
PHYSICIAN40.00329684026342X
Gloria Leavenworth
BOARD MEMBER1.00X000
Gerald Ebner
PHYSICIAN40.00253162013447X
DIANE FARAO
Treasurer1.00XX000
Clark Channing
BOARD MEMBER1.00X000
BIZ STEINBERG
BOARD MEMBER1.00X000
Bhupendra Lotawala
CFO40.00X218093022333
BERTHA CAMPOS
BOARD MEMBER1.00X000
Ann Lazo
Board Member1.00X000
Anika Moore
PHYSICIAN40.00277694013465X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1903373TotalReportableCompFromOrg
Total Other Compensation135759TotalOtherCompensation
Number Individuals GT100 K64NumberIndividualsGT100K
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 K24NumberOfContractorsGT100K
Government Grants19432572GovernmentGrants
All Other Contributions3066408AllOtherContributions
Noncash Contributions2805579NoncashContributions
Total Contributions22498980TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Business Code621400BusinessCode
Total Revenue Column44628486TotalRevenueColumn
Related Or Exempt Function Income44628486RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue44628486TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column14955TotalRevenueColumn
Related Or Exempt Function Income14955RelatedOrExemptFunctionIncome

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 Column153551TotalRevenueColumn
Related Or Exempt Function Income153551RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue153551TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column67295972TotalRevenueColumn
Related Or Exempt Function Income44796992RelatedOrExemptFunctionIncome

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)
Total1320788Total
Management And General1320788ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total27534619Total
Program Services19575118ProgramServices
Management And General7959501ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1377617Total
Program Services947609ProgramServices
Management And General430008ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4030768Total
Program Services2772608ProgramServices
Management And General1258160ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2055261Total
Program Services1413734ProgramServices
Management And General641527ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total53916Total
Management And General53916ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total75102Total
Management And General75102ManagementAndGeneral

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)
Total7435727Total
Program Services6305594ProgramServices
Management And General1130133ManagementAndGeneral

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)
Total3017528Total
Program Services481512ProgramServices
Management And General2536016ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total489517Total
Program Services240228ProgramServices
Management And General249289ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total403427Total
Program Services21231ProgramServices
Management And General382196ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1502023Total
Program Services495994ProgramServices
Management And General1006029ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total329869Total
Program Services244613ProgramServices
Management And General85256ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Telephone67781284905592907
Supplies Pharmacy217103221699131119
Supplies Office773246515572257674
Supplies121975812184421316
Donated Pharmaceuticals19855791985579

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2916706Total
Program Services1217084ProgramServices
Management And General1699622ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total59370295Total
Program Services39689736ProgramServices
Management And General19680559ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2519438BOY
EOY1408512EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1760118BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY8246870BOY
EOY15366255EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4499875BOY
EOY5915055EOY

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)
BOY281326BOY
EOY248453EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY555052BOY
EOY450662EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis22371465LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7475767LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10691272BOY
EOY14895698EOY

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)
BOY212500BOY
EOY575383EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY25540BOY
EOY25764EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY28791991BOY
EOY38885782EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4027507BOY
EOY4322531EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY470000BOY
EOY440000EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY4598264BOY
EOY6501665EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY51718BOY
EOY51407EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9147489BOY
EOY11315603EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11365085BOY
EOY12367038EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8279417BOY
EOY15203141EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19644502BOY
EOY27570179EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY28791991BOY
EOY38885782EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses7925677ReconcilationRevenueExpenses
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 Years11408168CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12417989CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16980817CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11272902CurrentTaxYearMinus1Year
Current Tax Year19432572CurrentTaxYear
Total71512448Total

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 Years11408168CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12417989CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16980817CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11272902CurrentTaxYearMinus1Year
Current Tax Year19432572CurrentTaxYear
Total71512448Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17071512448PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years136257CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years119274CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22160CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11174CurrentTaxYearMinus1Year
Current Tax Year14955CurrentTaxYear
Total303820Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36822CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35841CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years48000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year124563CurrentTaxYearMinus1Year
Current Tax Year153551CurrentTaxYear
Total398777Total
FieldValueIRS element (for citing)
Total Support72215045TotalSupport
Public Support Pertcentage1700.99030PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98910PublicSupportPertcentPriorYear
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 Basis13166953OtherCostOrOtherBasis
Depreciation4436096Depreciation
Book Value8730857BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis999545OtherCostOrOtherBasis
Depreciation708626Depreciation
Book Value290919BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5352067OtherCostOrOtherBasis
Depreciation2331045Depreciation
Book Value3021022BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14895698TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOther liabilitiesDescription
Amount$51,407Amount
FieldValueIRS element (for citing)
Total Of Amounts51407TotalOfAmounts
Total Revenue67295972TotalRevenue
Total Expenses59370295TotalExpenses
Excess Or Deficit For Year7925677ExcessOrDeficitForYear
Excess Or Deficit Per FS7925677ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt67295972TotRevenueEtcAuditedFinclStmt
Revenue Subtotal67295972RevenueSubtotal
Total Revenue Per Form99067295972TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt59370295TotExpensesEtcAuditedFinclStmt
Expenses Subtotal59370295ExpensesSubtotal
Total Expenses Per Form99059370295TotalExpensesPerForm990

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
Vinh Vo
25428451916085270888
RON CASTLE
2771461559811220303964
Neil Correia
293310173115019310060
John Khan-Variba
3296841519911143356026
Gerald Ebner
25316245008947266609
Bhupendra Lotawala
218093147777556240426
Anika Moore
27769445008965291159

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 Transaction261439AmountOfTransaction
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 Contributions12NumberOfContributions
Noncash Contribs Rptd F9901985579NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XGoodwill1374550FMV
XEquipment1416000FMV
XInventory129450FMV
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 ProcessTo organizations 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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