CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC (EIN 95-2801772)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-05-13
IRS object ID
201121339349301017
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)
Timestamp2011-05-13T00:42:06-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Lucy Reimche CPA MBABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11111 East Herndon Ave Suite 211AddressLine1
CityFresnoCity
StateCAState
ZIP Code93720ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN952801772EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Centro De Salud La Comunidad De San Ysidro IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCENTNameControl
Phone6194281330Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14004 Beyer BlvdAddressLine1
CitySan YsidroCity
StateCAState
ZIP Code92173ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEd MartinezName
TitleChief Executive OfficerTitle
Phone6194281330Phone
Date Signed2011-05-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameM L ReimcheName
Phone5593090943Phone
Date Prepared2011-05-10DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1San Ysidro Health CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonEd MartinezNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14004 Beyer BlvdAddressLine1
CitySan YsidroCity
StateCAState
ZIP Code92173ZIPCode
FieldValueIRS element (for citing)
Gross Receipts60339870GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.syhc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionCentro De Salud De La Communidad De San Ysidro, Inc (DBA- San Ysidro Health Center) Operates community Health centers located in San Diego County, Ca. The Organization mission is to improve the health and well being of their community's traditionally undeserved and culturally diverse people.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees806TotalNbrEmployees
Total Nbr Volunteers52TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year15371951ContributionsGrantsPriorYear
Contributions Grants Current Year17758107ContributionsGrantsCurrentYear
Program Service Revenue Prior Year39308475ProgramServiceRevenuePriorYear
Program Service Revenue CY42439298ProgramServiceRevenueCY
Investment Income Prior Year72075InvestmentIncomePriorYear
Investment Income Current Year8244InvestmentIncomeCurrentYear
Other Revenue Prior Year858838OtherRevenuePriorYear
Other Revenue Current Year134221OtherRevenueCurrentYear
Total Revenue Prior Year55611339TotalRevenuePriorYear
Total Revenue Current Year60339870TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year35492852SalariesEtcPriorYear
Salaries Etc Current Year37901176SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year19562032OtherExpensePriorYear
Other Expenses Current Year20091035OtherExpensesCurrentYear
Total Expenses Prior Year55054884TotalExpensesPriorYear
Total Expenses Current Year57992211TotalExpensesCurrentYear
Revenues Less Expenses Prior Year556455RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2347659RevenuesLessExpensesCY
Total Assets BOY40582860TotalAssetsBOY
Total Assets EOY42636814TotalAssetsEOY
Total Liabilities BOY20860800TotalLiabilitiesBOY
Total Liabilities EOY20567095TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY19722060NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY22069719NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe Mission of San Ysidro Health Center is to improve the health and well being of our community's traditionally under served and culturally diverse people.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change1SignificantChange
Expense47071405Expense
Grants0Grants
Revenue59514265Revenue
DescriptionThe Mission of San Ysidro Health Center is to improve the health and well being of our community's traditionally under-served and culturally diverse people. The Center took care of over 77,000 patients.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense47071405TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109698NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees806NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMichael PendarvisNamePerson
Telephone Number6192056339TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11275 30th StreetAddressLine1
CitySan DiegoCity
StateCAState
ZIP Code92154ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Magdalena Peraza
Board Member2X50000
Gilbert Fimbres
Treasurer2X255000
Gloria Ramirez
Second Vice President2X195000
Mercedes Bernal
Board Member2X205000
Thomas Urtasun
Board Member2X65000
Roy Cazares
Board Member2X20000
Efrain Ibarra
Board Member2X35000
Yolanda Santana
Secretary2X145000
Victor Nieto
Vice President2X125000
Ruth Covell
Board Member2X135000
Raul Eribez
Board Member2X150000
Margarita Navarro
Board Member2X135000
Reynaldo Perez
Board Member2X106000
Macario Gutierrez
President2X225000
Laura Andrews
Board Member2X185000
Michael Owens MD
Board Member2X80000
Edward A Martinez
President and CEO4036548900XXX
Kevin Mattson
SVP and CFO4026945900XXX
George Matthew Weeks
Chief Medical Officer4027694500XXX
Terry Whitaker
Chief Operations Officer4019893500XX
Mianda Cheree Carr Cook
MD-OB-GYN4022660800X
Lesley Nurse
MD-OB/GYN4029701600X
Oscar Rivera
Director Dental Satellite Clinics4023475600X
My-Thanh Thi Dinh
MD-OB-GYN4022560200X
Ramos Sy
MD-Internal Medicine4020714900X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2323069TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K63NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Regents of the University of California
200 West Arbor Drive/ code 6881San DiegoCA921038681Medical Providers - HIV/AIDs212984
Consolidated Contracting Services
181 Avenida la Pata Number 200San ClementeCA921038681Construction-General Contractor924518
Therapy Specialists
3760 Convoy Street ste 204San DiegoCA92111Medical Provider - ADHC185737
Pacific Building Group
9752 Aspen Creek Court ste 150San DiegoCA92126Construction - Contractor342758
Raymond Fox & Assoc
1660 Hotel Circle North ste 340San DiegoCA92108Architecture Consultant197968
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events152262FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants14858929GovernmentGrants
All Other Contributions2746916AllOtherContributions
Noncash Contributions303968NoncashContributions
Total Contributions17758107TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient and third party revenue, netDescription
Business Code621400BusinessCode
Total Revenue Column42439298TotalRevenueColumn
Related Or Exempt Function Income42439298RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue42439298TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8244TotalRevenueColumn
Related Or Exempt Function Income8244RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4785Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real4785Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column4785TotalRevenueColumn
Related Or Exempt Function Income4785RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events152262CntrbtnsRprtdFundraisingEvents

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column129436TotalRevenueColumn
Related Or Exempt Function Income129436RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue129436TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column60339870TotalRevenueColumn
Related Or Exempt Function Income42581763RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1110822Total
Program Services88180ProgramServices
Management And General1022642ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total31017979Total
Program Services25463676ProgramServices
Management And General5554303ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3569757Total
Program Services2565389ProgramServices
Management And General1004368ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2202618Total
Program Services1807890ProgramServices
Management And General394728ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total143946Total
Program Services11427ProgramServices
Management And General132519ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total131353Total
Program Services11578ProgramServices
Management And General119775ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total40523Total
Program Services16831ProgramServices
Management And General23692ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2212950Total
Program Services1719222ProgramServices
Management And General493728ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total191442Total
Program Services94775ProgramServices
Management And General96667ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1348014Total
Program Services1059285ProgramServices
Management And General288729ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2741032Total
Program Services2676518ProgramServices
Management And General64514ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total226412Total
Program Services153433ProgramServices
Management And General72979ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total232605Total
Program Services56015ProgramServices
Management And General176590ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total822161Total
Program Services555273ProgramServices
Management And General266888ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1711813Total
Program Services1197358ProgramServices
Management And General514455ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total329632Total
Program Services32073ProgramServices
Management And General297559ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Supplies (Medical)6303323630332210
Professional Fees22056722205646260
Bad Debt33937033937000
Postage & shipping9623210773854590
Equipment rental & maintenance7416555024202392350

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total272900Total
Program Services200951ProgramServices
Management And General71949ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total57992211Total
Program Services47071405ProgramServices
Management And General10920806ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6850BOY
EOY8425EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3537792BOY
EOY5394295EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1926206BOY
EOY1911868EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3947442BOY
EOY3034222EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY354877BOY
EOY307002EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY232580BOY
EOY293109EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis42244212LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11252535LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY29156831BOY
EOY30991677EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1420282BOY
EOY696216EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY40582860BOY
EOY42636814EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5404233BOY
EOY5200780EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY774789BOY
EOY469622EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY14681778BOY
EOY14896693EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY20860800BOY
EOY20567095EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY19722060BOY
EOY21956264EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY113455EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19722060BOY
EOY22069719EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY40582860BOY
EOY42636814EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2347659ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8024909CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8777500CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11767425CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14243800CurrentTaxYearMinus1Year
Current Tax Year17758107CurrentTaxYear
Total60571741Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8024909CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8777500CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11767425CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14243800CurrentTaxYearMinus1Year
Current Tax Year17758107CurrentTaxYear
Total60571741Total
FieldValueIRS element (for citing)
Public Support Total17060571741PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years126278CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years220536CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years200146CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year72075CurrentTaxYearMinus1Year
Current Tax Year8244CurrentTaxYear
Total627279Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years506793CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1292915CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1579003CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1984989CurrentTaxYearMinus1Year
Current Tax Year134221CurrentTaxYear
Total5497921Total
FieldValueIRS element (for citing)
Total Support66696941TotalSupport
Public Support Pertcentage1700.90816PublicSupportPertcentage170
Public Support Pertcent Prior Year0.89087PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationPer the IRS the organization is a 501(c)(3) under code 170(b)(1)(A)9vi) of the code.GeneralExplanation

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)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis667361OtherCostOrOtherBasis
Book Value667361BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis29321437OtherCostOrOtherBasis
Depreciation5240587Depreciation
Book Value24080850BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis2052221OtherCostOrOtherBasis
Depreciation619694Depreciation
Book Value1432527BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis8443837OtherCostOrOtherBasis
Depreciation5392254Depreciation
Book Value3051583BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1759356OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value1759356BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings30991677TotalOfBookValueLandBuildings
Total Revenue60339870TotalRevenue
Total Expenses57992211TotalExpenses
Excess Or Deficit For Year2347659ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$0OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS2347659ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt60339870TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal60339870RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99060339870TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt57992211TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal57992211ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99057992211TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SYHC Golf TournamentNameOfEvent1
Gross Receipts Event190450GrossReceiptsEvent1
Charitable Contributions Event10CharitableContributionsEvent1
Gross Revenue Event190450GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event128824RentFacilityCostsEvent1
Food And Beverage Event10FoodAndBeverageEvent1
Entertainment Event10EntertainmentEvent1
Other Direct Expenses Event19765OtherDirectExpensesEvent1
Name Of Event2SYHC Annual GalaNameOfEvent2
Gross Receipts Event2182446GrossReceiptsEvent2
Charitable Contributions Event20CharitableContributionsEvent2
Gross Revenue Event2182446GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event20NonCashPrizesEvent2
Rent Facility Costs Event262893RentFacilityCostsEvent2
Food And Beverage Event20FoodAndBeverageEvent2
Entertainment Event20EntertainmentEvent2
Other Direct Expenses Event219152OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total272896GrossReceiptsTotal
Charitable Contributions Total0CharitableContributionsTotal
Gross Revenue Total Events272896GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events91717RentFacilityCostsTotalEvents
Food And Beverage Total Events0FoodAndBeverageTotalEvents
Entertainment Total Events0EntertainmentTotalEvents
Other Direct Expenses Total Events28917OtherDirectExpensesTotalEvents
Direct Expense Summary Events120634DirectExpenseSummaryEvents
Net Income Summary152262NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Edward A Martinez
35948800060020000036549003817960
Kevin Mattson
231792000766703000000026945902224050
George Matthew Weeks
251301020000056440000027694502727500
Lesley Nurse
255695010000403220000029701703078830
Mianda Cheree Carr Cook
225608010000000000226608000
Oscar Rivera
21856801573004580000023475602265890
My-Thanh Thi Dinh
221852010000275000000225602000
Ramos Sy
185849023040189960000020714901961350
Terry Whitaker
19219600067400000019893602191440

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions12NumberOfContributions
Noncash Contribs Rptd F990303968NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P03_S00_L02Form 990, Part III, Line 2Began operations of the Adult Day Health Center (ADHC) in April 2010
F990_P03_S00_L03Form 990, Part III, Line 3Closed the Elm Street (Downtown) Clinic December 2010. Patients and Services were re-directed to the Euclid and Oceanview Clinics
F990_P06_S0B_L11aForm 990, Part VI, Section B, Line 11aThe Tax Return is made available for review to all Board Members. Board Members requesting a copy review the return; and all questions or concerns are addressed with the SVP/CFO prior to filing. The return is reviewed in detail by the Director of Finance and SVP/CFO prior to filing.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cDiscuss possible conflicts as issues arise
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15Review compensation data of similar-sized Health Centers and CPCA's salary surveys
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Available upon request

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