GARDNER FAMILY HEALTH NETWORK INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
GARDNER FAMILY HEALTH NETWORK INC (EIN 94-1743078)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201121369349306622
Schema version
2009v1.7
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)
Timestamp2011-05-16T16:33:47-07:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Patel & Associates CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1266 17th Street Suite 200AddressLine1
CityOaklandCity
StateCAState
ZIP Code946124124ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN941743078EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Gardner Family Health Network IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGARDNameControl
Phone4089353906Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1240AddressLine1
CityAlvisoCity
StateCAState
ZIP Code95002ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameIgnacio PerezName
TitleCFOTitle
Date Signed2011-05-16DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonIgnacio PerezNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 1240AddressLine1
CityAlvisoCity
StateCAState
ZIP Code95002ZIPCode
FieldValueIRS element (for citing)
Gross Receipts28746255GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web Sitewww.gardnerhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1967YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTo improve the health status of the communities we serve, especially the disenfranchised, poor & most vulnerable members by providing high quality, comprehensive care, which is affordable, respectful, culturally, linguistically & age appropriate.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees369TotalNbrEmployees
Total Nbr Volunteers26TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year8940147ContributionsGrantsPriorYear
Contributions Grants Current Year9845912ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19352274ProgramServiceRevenuePriorYear
Program Service Revenue CY18259761ProgramServiceRevenueCY
Investment Income Current Year355143InvestmentIncomeCurrentYear
Other Revenue Prior Year270239OtherRevenuePriorYear
Other Revenue Current Year182779OtherRevenueCurrentYear
Total Revenue Prior Year28562660TotalRevenuePriorYear
Total Revenue Current Year28643595TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year20910752SalariesEtcPriorYear
Salaries Etc Current Year21663242SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year245466TotalFundrsngExpCurrentYear
Other Expense Prior Year7559287OtherExpensePriorYear
Other Expenses Current Year7508910OtherExpensesCurrentYear
Total Expenses Prior Year28470039TotalExpensesPriorYear
Total Expenses Current Year29172152TotalExpensesCurrentYear
Revenues Less Expenses Prior Year92621RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-528557RevenuesLessExpensesCY
Total Assets BOY19895537TotalAssetsBOY
Total Assets EOY21154100TotalAssetsEOY
Total Liabilities BOY2477438TotalLiabilitiesBOY
Total Liabilities EOY4264558TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17418099NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16889542NetAssetsOrFundBalancesEOY
Mission DescriptionTo improve the health status of the communities we serve, especially the disenfranchised, poor & most vulnerable members by providing high quality, comprehensive care, which is affordable, respectful, culturally, linguistically & age appropriate.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense24300496Expense
Revenue18068267Revenue
DescriptionPrimary Care Program: provides medical, dental, optometry, pharmaceutical, podiatry and ancillary services to low income residents of Santa Clara county. Provided 146,906 visits to 36,791 patients.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense127591Expense
Revenue191494Revenue
DescriptionSpecial projets/events Program is designed to meet the unique needs of its population, including Job Corps Programs.Description
FieldValueIRS element (for citing)
Total Program Service Expense24428087TotalProgramServiceExpense
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
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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 MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109666NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees369NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
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
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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 BodytrueForm990ProvidedToGoverningBody
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 PersonIgnacio PerezNamePerson
Telephone Number4089353906TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 1240AddressLine1
CityAlvisoCity
StateCAState
ZIP Code95002ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirectorHighest Compensated EmployeeHighestCompensatedEmployee
Ricardo Lopez
Dir-Medical Svc40.00X225803028208
Rhonda Mason
Board Member2.00000X
Reymundo Espinoza
CEO24.00X13223511125535142
Ranjani Chandramouli
Physician40.0015988703454X
Noe Lozano
Treasurer2.00000X
Nghi Khue Luu
Physician40.0016112503480X
Madhur Bhatnagar
Physician0.21038704544X
Lucinda Hirahoka-Pisano
Secretary2.00000X
Lloyd Alvarado
Board Member2.00000X
Kahn D Bui
Vice Chair2.00000X
Jose Becerra
HR Director24.00X67565186514488
Irma Terrazas
Board Member2.00000X
Ingrid Faulhaber
Board Member2.00000X
Ignacio Perez
CFO36.00X132613174199851
Frank Serrano
Board Member2.00000X
Esther Duran
Board Chair2.00000X
Efrain Coria
COO24.00X12178110904634320
Edgar Orate
Physician40.0016036903464X
Benjamin A Hernandez-C
Physician40.0016351503532X
Armand Sanchez
Board Member2.00000X
Angelica M Ruiz
Board Member2.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1474471TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs289585TotalReportableCompFrmRltdOrgs
Total Other Compensation140483TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
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
Santa Clara Valley Health
2325 Enborg LaneSan JoseCA95112Medical Services397280
Saylor & Hill Co
1999 Harrison StreetOaklandCA94612Worker's Comp Insur.279940
NextGen HealthCare
795 Horsham RdHoshamPA19044Computer Equipment158558
BRMS
PO Box 2140FolsomCA95630Insurance243022
Axcelerate Networks Inc
1500 E Hamilton AveCampbellCA95008Computer Equipment105213
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants8764624GovernmentGrants
All Other Contributions1081288AllOtherContributions
Noncash Contributions726086NoncashContributions
Total Contributions9845912TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Risk Pool621110701367701367
Private & Other62111062042136204213
Pharmacy621110593376593376
MediCal & Medicare6211101076080510760805
FieldValueIRS element (for citing)
Total Program Service Revenue18259761TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column355143TotalRevenueColumn
Related Or Exempt Function Income355143RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real102660Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real102660Real

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)
DescriptionOther RevenuesDescription
Business Code621110BusinessCode
Total Revenue Column182779TotalRevenueColumn
Related Or Exempt Function Income182779RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue182779TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column28643595TotalRevenueColumn
Related Or Exempt Function Income18797683RelatedOrExemptFunctionIncome

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)
Total594354Total
Program Services489250ProgramServices
Management And General100727ManagementAndGeneral
Fundraising4377Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15692219Total
Program Services12917259ProgramServices
Management And General2659405ManagementAndGeneral
Fundraising115555Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3722051Total
Program Services3063855ProgramServices
Management And General630786ManagementAndGeneral
Fundraising27410Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1654618Total
Program Services1362022ProgramServices
Management And General280413ManagementAndGeneral
Fundraising12183Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total51314Total
Management And General51314ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33650Total
Management And General33650ManagementAndGeneral

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)
Total805643Total
Program Services696965ProgramServices
Management And General50516ManagementAndGeneral
Fundraising58162Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3388964Total
Program Services3242348ProgramServices
Management And General140101ManagementAndGeneral
Fundraising6515Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total31700Total
Program Services20313ProgramServices
Management And General10651ManagementAndGeneral
Fundraising736Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total982855Total
Program Services790045ProgramServices
Management And General179483ManagementAndGeneral
Fundraising13327Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total106701Total
Program Services52165ProgramServices
Management And General54010ManagementAndGeneral
Fundraising526Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total77941Total
Program Services71416ProgramServices
Fundraising6525Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total3871Total
Management And General3871ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1342650Total
Program Services1342650ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total153304Total
Program Services42422ProgramServices
Management And General110882ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Purchased Services445845335628110217
Miscellaneous84472174982573150

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total29172152Total
Program Services24428087ProgramServices
Management And General4498599ManagementAndGeneral
Fundraising245466Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4296690BOY
EOY2033584EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1817794BOY
EOY1367708EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY770558BOY
EOY1185473EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3009136BOY
EOY3137699EOY

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)
BOY291537BOY
EOY416192EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY219780BOY
EOY239065EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis22363516LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12051172LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8041602BOY
EOY10312344EOY

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)
BOY1448440BOY
EOY2462035EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19895537BOY
EOY21154100EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2460232BOY
EOY2511383EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY7345BOY
EOY7345EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY1736654EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY9861BOY
EOY9176EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2477438BOY
EOY4264558EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17418099BOY
EOY16889542EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17418099BOY
EOY16889542EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19895537BOY
EOY21154100EOY
FieldValueIRS element (for citing)
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 Years7710432CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7842443CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8705894CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9128473CurrentTaxYearMinus1Year
Current Tax Year9845912CurrentTaxYear
Total43233154Total

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 Years7710432CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7842443CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8705894CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9128473CurrentTaxYearMinus1Year
Current Tax Year9845912CurrentTaxYear
Total43233154Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17043233154PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31154CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years233155CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years174904CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year100388CurrentTaxYearMinus1Year
Current Tax Year94332CurrentTaxYear
Total633933Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years143354CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years481798CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years566027CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-125471CurrentTaxYearMinus1Year
Current Tax Year365146CurrentTaxYear
Total1430854Total
FieldValueIRS element (for citing)
Total Support45297941TotalSupport
Public Support Pertcentage1700.95440PublicSupportPertcentage170
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)
Investment Cost Or Other Basis2107308InvestmentCostOrOtherBasis
Book Value2107308BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis14906219InvestmentCostOrOtherBasis
Depreciation8232777Depreciation
Book Value6673442BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis5349989InvestmentCostOrOtherBasis
Depreciation3818395Depreciation
Book Value1531594BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10312344TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDue from AffiliateDescription
Book Value2462035BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets2462035TotalBookValueOtherAssets
Total Revenue28643595TotalRevenue
Total Expenses29172152TotalExpenses
Excess Or Deficit For Year-528557ExcessOrDeficitForYear
Excess Or Deficit Per FS-528557ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt28746255TotRevenueEtcAuditedFinclStmt
Other Revenues102660OtherRevenues
Revenue Not Rptd F990102660RevenueNotRptdF990
Revenue Subtotal28643595RevenueSubtotal
Total Revenue Per Form99028643595TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt29274812TotExpensesEtcAuditedFinclStmt
Other Expenses Included102660OtherExpensesIncluded
Expenses Not Rptd F990102660ExpensesNotRptdF990
Expenses Subtotal29172152ExpensesSubtotal
Total Expenses Per Form99029172152TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XIII, Line 2dPart XIII, Line 2d: Other expenses and losses per audited F/SRental Expenses Netted in Part VIII $102660
Part XII, Line 2dPart XII, Line 2d: Other revenue amounts included in F/S but not included on form 990Rental Expenses Netted in Part VIII $102660

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 OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
Ricardo Lopez
225803487723331254011
Reymundo Espinoza
13223528561194414703511125520342131597
Ranjani Chandramouli
1598873454163341
Nghi Khue Luu
1611253480164605
Madhur Bhatnagar
2103874544214931
Ignacio Perez
132613286463491418261741963818057
Efrain Coria
12178126301817014258110904613520122566
Edgar Orate
1603693464163833
Benjamin A Hernandez-C
1635153532167047

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions5741NumberOfContributions
Noncash Contribs Rptd F990726076NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe organization's governing documents, policies and financial statements are made available to the public upon request.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesFor the compensation of other officers or key employees, the HR Director periodically obtains/performs compensation analysis surveys of similar positions to ensure compensation is reasonable and competitive.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe organization has a Compliance Officer who overseas the conflict of interest policy and provides annual ongoing training to the Board of Directors and staff.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe Form 990 and related schedule are reviewed by the CFO and Controller of the organization. Additionally, the FOrm 990 is distributed and reviewed by the Finance Committee of the Board of Directors before it is filed with the IRS.
Form 990, Part V, Line 3bForm 990, Part V, Line 3b: Reason For Not Filing Form 990-TForm 990-T is not required to be filed as the building is not debt-financed.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Gardner Family Care CorporationBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1160 East Virginia Suite 255AddressLine1
CitySan JoseCity
StateCAState
ZIP Code95112ZIPCode
FieldValueIRS element (for citing)
EIN237153068EIN
Primary ActivitiesHealth OrganizationPrimaryActivities
Legal Domicile StateCALegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity StatusHealth Org.PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Gardner Family Care Corporation
o21423
Gardner Family Care Corporation
j222504
Gardner Family Care Corporation
i78444
Gardner Family Care Corporation
d1040000

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