COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC (EIN 95-3253302)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-14
IRS object ID
201130459349302058
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)
Timestamp2011-02-14T16:08:38-08:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 Date2009-07-01TaxPeriodBeginDate

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 Signed2011-02-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameOscar G Armijo CPAName
Phone7607734078Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts52415874GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web Sitewww.chccc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTo provide primary health care services to low income patients in the Central Coast Communities of CaliforniaActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees573TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year16980817ContributionsGrantsPriorYear
Contributions Grants Current Year12898264ContributionsGrantsCurrentYear
Program Service Revenue Prior Year34415036ProgramServiceRevenuePriorYear
Program Service Revenue CY39381873ProgramServiceRevenueCY
Investment Income Prior Year22160InvestmentIncomePriorYear
Investment Income Current Year11174InvestmentIncomeCurrentYear
Other Revenue Prior Year48000OtherRevenuePriorYear
Other Revenue Current Year124563OtherRevenueCurrentYear
Total Revenue Prior Year51466013TotalRevenuePriorYear
Total Revenue Current Year52415874TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year28106574SalariesEtcPriorYear
Salaries Etc Current Year30777831SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year17621866OtherExpensePriorYear
Other Expenses Current Year20354551OtherExpensesCurrentYear
Total Expenses Prior Year45728440TotalExpensesPriorYear
Total Expenses Current Year51132382TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5737573RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1283492RevenuesLessExpensesCY
Total Assets BOY26744395TotalAssetsBOY
Total Assets EOY28791991TotalAssetsEOY
Total Liabilities BOY8383385TotalLiabilitiesBOY
Total Liabilities EOY9147489TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18361010NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19644502NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide primary health care services to low income patients in the Central Coast Communities of CaliforniaMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense33979225Expense
Revenue39517610Revenue
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 313,449Description
Total Program Service Expense33979225TotalProgramServiceExpense
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 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
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
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
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
Sharon Smith
President1.00XX000
Satish Raj
PHYSICIAN0.223773015066X
RON CASTLE
CEO40.00X292816025593
Penny Borenstein
Ex-Officio1.00X000
Mike Stevens
Ex-Officio1.00X000
MIKE MARKS
Board Member1.00X000
Lisa Sheehy
BOARD MEMBER1.00X000
Kathy Johnson
Board Member1.00X000
John Khan-Variba
PHYSICIAN40.00364774026278X
Jeffery Kaplan
PHYSICIAN40.00291744015239X
Gloria Leavenworth
BOARD MEMBER1.00X000
DIANE FARAO
Treasurer1.00XX000
Clark Channing
BOARD MEMBER1.00X000
BIZ STEINBERG
BOARD MEMBER1.00X000
Bhupendra Lotawala
CFO40.00X207883021553
BERTHA CAMPOS
BOARD MEMBER1.00X000
Bala Baht
PHYSICIAN40.00218505015259X
Ann Lazo
Board Member1.00X000
Anika Moore
PHYSICIAN40.0025789505923X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1857390TotalReportableCompFromOrg
Total Other Compensation124911TotalOtherCompensation
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
San Joaquin Health
PO Box 187CrestonCA93432CHIROPRACTIC1065871
Reaves Construction
1141 El Camino Real GArroyo GrandeCA93420Construction1025860
Patrick J Spalding MD
1551 Bishop Medical Plaza Suite C31San Luis ObispoCA93401CONTRACT PHYSICIAN386475
Omkar Investments LP
PO Box 1570TempltonCA93465Lease Holder483759
Central Coast Obstetrics
100 Casa St Suite BSan Luis ObispoCA93405CONTRACT PHYSICIAN445498
FieldValueIRS element (for citing)
Number Of Contractors GT100 K22NumberOfContractorsGT100K
Government Grants11272902GovernmentGrants
All Other Contributions1625362AllOtherContributions
Noncash Contributions1360118NoncashContributions
Total Contributions12898264TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Business Code621400BusinessCode
Total Revenue Column39381873TotalRevenueColumn
Related Or Exempt Function Income39381873RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue39381873TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11174TotalRevenueColumn
Related Or Exempt Function Income11174RelatedOrExemptFunctionIncome

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 Column124563TotalRevenueColumn
Related Or Exempt Function Income124563RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue124563TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column52415874TotalRevenueColumn
Related Or Exempt Function Income39517610RelatedOrExemptFunctionIncome

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)
Total495103Total
Management And General495103ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total23788896Total
Program Services16153652ProgramServices
Management And General7635244ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1214438Total
Program Services818798ProgramServices
Management And General395640ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3351809Total
Program Services2259855ProgramServices
Management And General1091954ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1927585Total
Program Services1299616ProgramServices
Management And General627969ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total44971Total
Management And General44971ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total61880Total
Management And General61880ManagementAndGeneral

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)
Total5769130Total
Program Services5109725ProgramServices
Management And General659405ManagementAndGeneral

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)
Total2637132Total
Program Services402584ProgramServices
Management And General2234548ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total404008Total
Program Services202901ProgramServices
Management And General201107ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total364732Total
Program Services29122ProgramServices
Management And General335610ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1150850Total
Program Services357622ProgramServices
Management And General793228ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total337141Total
Program Services254925ProgramServices
Management And General82216ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Telephone63849467821570673
Supplies42204423929591290851
Repairs and Maintenance862753265108597645
Pharmaceuticals13601181360118
Miscellaneous5330965242908806

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1969804Total
Program Services943497ProgramServices
Management And General1026307ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total51132382Total
Program Services33979225ProgramServices
Management And General17153157ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY701161BOY
EOY2519438EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1006681BOY
EOY1760118EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY9894188BOY
EOY8246870EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5346342BOY
EOY4499875EOY

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)
BOY261432BOY
EOY281326EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY372756BOY
EOY555052EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17323564LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6632292LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8898244BOY
EOY10691272EOY

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)
BOY146400BOY
EOY212500EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY117191BOY
EOY25540EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY26744395BOY
EOY28791991EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3551129BOY
EOY4027507EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY495000BOY
EOY470000EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY4287037BOY
EOY4598264EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY50219BOY
EOY51718EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8383385BOY
EOY9147489EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8531326BOY
EOY11365085EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9829684BOY
EOY8279417EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18361010BOY
EOY19644502EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26744395BOY
EOY28791991EOY
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 Years10970118CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11408168CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12417989CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16980817CurrentTaxYearMinus1Year
Current Tax Year11272902CurrentTaxYear
Total63049994Total

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 Years10970118CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11408168CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12417989CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16980817CurrentTaxYearMinus1Year
Current Tax Year11272902CurrentTaxYear
Total63049994Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17063049994PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years43420CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years136257CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years119274CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22160CurrentTaxYearMinus1Year
Current Tax Year11174CurrentTaxYear
Total332285Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years117018CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years36822CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years35841CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48000CurrentTaxYearMinus1Year
Current Tax Year124563CurrentTaxYear
Total362244Total
FieldValueIRS element (for citing)
Total Support63744523TotalSupport
Public Support Pertcentage1700.98910PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99020PublicSupportPertcentPriorYear
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 Basis1430422OtherCostOrOtherBasis
Book Value1430422BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10906534OtherCostOrOtherBasis
Depreciation3943119Depreciation
Book Value6963415BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis965968OtherCostOrOtherBasis
Depreciation584068Depreciation
Book Value381900BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4020640OtherCostOrOtherBasis
Depreciation2105105Depreciation
Book Value1915535BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10691272TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionBond Trust LiabilitiesDescription
Amount$51,718Amount
FieldValueIRS element (for citing)
Total Of Amounts51718TotalOfAmounts
Total Revenue52415874TotalRevenue
Total Expenses51132382TotalExpenses
Excess Or Deficit For Year1283492ExcessOrDeficitForYear
Excess Or Deficit Per FS1283492ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt52415874TotRevenueEtcAuditedFinclStmt
Revenue Subtotal52415874RevenueSubtotal
Total Revenue Per Form99052415874TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt51132382TotExpensesEtcAuditedFinclStmt
Expenses Subtotal51132382ExpensesSubtotal
Total Expenses Per Form99051132382TotalExpensesPerForm990

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
Satish Raj
223773432710739238839
RON CASTLE
292816180477546318409
John Khan-Variba
364774186537625391052
Jeffery Kaplan
291744450010739306983
Bhupendra Lotawala
207883165055048229436
Bala Baht
218505450010759233764
Anika Moore
2578955923263818

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 Transaction237202AmountOfTransaction
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 F9901360118NoncashContribsRptdF990
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 (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.
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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