UNICARE COMMUNITY HEALTH CENTER INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- UNICARE COMMUNITY HEALTH CENTER INC (EIN 95-4746420)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-14
- IRS object ID
- 202501349349310260
- Schema version
- 2023v6.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-14T15:37:33-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 954746420 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNICARE COMMUNITY HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UNIC | BusinessNameControlTxt |
| Phone | 9099882555 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 437 N EUCLID AVENUE | AddressLine1Txt |
| City | ONTARIO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91762 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AVETIK MACHKALYAN | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9099882555 | PhoneNum |
| Signature | 2025-05-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2025-05-02 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | AVETIK MACHKALYAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 437 N EUCLID AVENUE | AddressLine1Txt |
| City | ONTARIO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91762 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $41,570,505 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UNICARECHC.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO BE A COMMUNITY HEALTH CARE ORGANIZATION THAT TREATS EVERYONE WITH DIGNITY, RESPECT AND CULTURAL SENSITIVITY TO HELP CREATE AN ENVIRONMENT IN WHICH ALL CAN PROSPER. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 330 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,352,852 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,104,678 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $26,594,281 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $35,110,629 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,405 | PYInvestmentIncomeAmt |
| CY Investment Income | $23,259 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,313,143 | PYOtherRevenueAmt |
| CY Other Revenue | $4,331,939 | CYOtherRevenueAmt |
| PY Total Revenue | $35,261,681 | PYTotalRevenueAmt |
| CY Total Revenue | $41,570,505 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,982,584 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $27,123,797 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,703,189 | PYOtherExpensesAmt |
| CY Other Expenses | $18,935,848 | CYOtherExpensesAmt |
| PY Total Expenses | $35,685,773 | PYTotalExpensesAmt |
| CY Total Expenses | $46,059,645 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$424,092 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,489,140 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $44,047,928 | TotalAssetsBOYAmt |
| Total Assets EOY | $47,816,833 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $41,539,783 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $49,797,828 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,508,145 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$1,980,995 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | A GRASS ROOT, COMMUNITY-BASED FQHC WITH THE DUTY TO SERVE THE UNMET HEALTH CARE NEEDS OF LOW-INCOME PERSONS BY DELIVERING COST-EFFECTIVE, ACCESSIBLE QUALITY CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $38,957,251 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $39,432,481 | RevenueAmt |
| Desc | UCHC PROVIDES PATIENT CARE SERVICES IN RESPONSE TO A WIDE RANGE OF MEDICAL CARE NEEDS OF INDIVIDUALS OF ALL AGES - REGARDLESS OF RACE, COLOR, CREED, NATIONAL ORIGIN, GENDER OR DISABILITY - SIX DAYS A WEEK.UCHC'S PRIMARY FUNCTION AND PURPOSE IS TO PREVENT DISEASE BY HEALTH PROMOTION/EDUCATION IN ACTIVITIES AND PRIMARY, SECONDARY AND TERTIARY PREVENTION MODALITIES; TO MINIMIZE RESIDUAL PHYSICAL AND MENTAL DISABILITIES; TO AID THE PATIENT IN ACHIEVING HIS/HER MAXIMUM POTENTIAL WITHIN HIS/HER CAPABILITIES; TO ACCELERATE CONVALESCENCE AND REDUCE THE LENGTH OF THE FUNCTIONAL RECOVERY AND TO EMPOWER MEMBERS OF THE COMMUNITY TO HELP THEMSELVES IN MAINTENANCE OF THEIR HEALTH.UCHC OFFERS A DIVERSE SELECTION OF PROGRAMS AND SERVICES TO CATER TO YOUR INDIVIDUALIZED HEALTH NEEDS. PROGRAMS OFFERED ARE:-FAMILY PACT-FAMILY PLANNING (BIRTH CONTROL METHODS)-CHDP-PHYSICAL EXAM (SCHOOL, SPORTS, AND FOSTER CARE)-PRENATAL CARE AND POSTNATAL CARE-EVERY WOMAN COUNTS (BREAST AND CERVICAL SCREENING)SERVICES OFFERED ARE:-PHYSICAL EXAM-ADULTS AND PEDIATRIC IMMUNIZATION-HEALTH AND EDUCATION COUNSELING-SCREENING FOR CANCER (BREAST, COLON, PROSTATE, ETC.)-DIAGNOSIS AND TREATMENT FOR DISEASES-PRIMARY CARE FOR ACUTE, EPISODIC ILLNESS-MANAGEMENT OF CHRONIC ILLNESSES SUCH AS DIABETES, HYPERTENSION, HEART DISEASE, ASTHMA, ALLERGIES, ETC.-LAB SCREENING AND ANALYSES-ULTRASOUNDS-DENTAL CARE (ONLY OFFERED AT ONTARIO, POMONA, FONTANA, AND WESTLAKE LOCATIONS)-BEHAVIORAL HEALTH | Desc |
| Total Program Service Expenses | $38,957,251 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 70 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 330 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GAREGIN POGOSIAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9099882555 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 437 N EUCLID AVENUE | AddressLine1Txt |
| City | ONTARIO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91762 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| MARTHA ZUNIGA | |||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NAZELI NERCESSIAN | |||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ALMA ENCISO | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROSIO HOBBS | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ISHMAEL ARIAS | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ANTONIA CISNEROS | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| YADIRA CONTRERAS | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ABRAHAM DE GUZMAN | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SERGIO MARTINEZ | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL NOFFSINGER | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KASSANDRA SANDOVAL | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| VAGHINAK VASILYAN | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| AVETIK MACHALYAN | |||||||
| CEO | 40.00 | Yes (X) | $431,065 | $0 | $40,237 | ||
| EDUARD GYADUKYAN | |||||||
| COO | 40.00 | Yes (X) | $342,050 | $0 | $34,646 | ||
| GAREGIN POGOSIAN | |||||||
| CFO | 40.00 | Yes (X) | $265,905 | $0 | $33,631 | ||
| ANITA HADPAWAT-LEE | |||||||
| ASSOCIATE MEDICAL DIRECTOR | 40.00 | $308,625 | $0 | $35,992 | Yes (X) | ||
| KELLY VO | |||||||
| VICE PRESIDENT | 40.00 | $315,743 | $0 | $21,258 | Yes (X) | ||
| WILLIAM PALEY DO | |||||||
| CMO | 40.00 | $291,887 | $0 | $29,294 | Yes (X) | ||
| SARKIS MARKARIAN | |||||||
| FAMILY MEDICINE PHYSICIAN | 40.00 | $294,116 | $0 | $22,329 | Yes (X) | ||
| NAILA MUBASHAR | |||||||
| FAMILY MEDICINE PHYSICIAN | 40.00 | $290,510 | $0 | $18,997 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,539,901 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $236,384 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 55 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| VISIUM SOLUTIONS | |||||
| 5050 PALO VERDE ST | MONTCLAIR | CA | 91763 | OUTREACH/INREACH | $4,351,280 |
| CALL NOOR LLC | |||||
| 123 W E STREET | ONTARIO | CA | 91762 | CALL CENTER SERVICES | $1,737,756 |
| AEG BILLING INC | |||||
| 123 W E STREET | ONTARIO | CA | 91762 | BILLING SERVICES | $891,305 |
| ECLINICAL WORKS | |||||
| PO BOX 847950 | BOSTON | MA | 01581 | EMR MANAGEMENT | $566,182 |
| SECURITAS SECURITY SERVICES INC | |||||
| 430 N VINEYARD AVE SUITE 335 | ONTARIO | CA | 91764 | SECURITY SERVICES | $499,716 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,074,678 | GovernmentGrantsAmt |
| All Other Contributions | $30,000 | AllOtherContributionsAmt |
| Total Contributions | $2,104,678 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621400 | $26,761,762 | $26,761,762 |
| CAPITATION REVENUE | 621400 | $8,348,867 | $8,348,867 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $35,110,629 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,259 | TotalRevenueColumnAmt |
| Exclusion | $23,259 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | EHR INCENTIVE REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $4,321,852 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,321,852 | RelatedOrExemptFuncIncomeAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,087 | TotalRevenueColumnAmt |
| Exclusion | $10,087 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,331,939 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,570,505 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $39,432,481 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $33,346 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,210,253 | TotalAmt |
| Management And General | $1,210,253 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,080,832 | TotalAmt |
| Program Services | $18,742,545 | ProgramServicesAmt |
| Management And General | $2,338,287 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $364,942 | TotalAmt |
| Program Services | $345,086 | ProgramServicesAmt |
| Management And General | $19,856 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,363,914 | TotalAmt |
| Program Services | $2,074,235 | ProgramServicesAmt |
| Management And General | $289,679 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,103,856 | TotalAmt |
| Program Services | $1,779,441 | ProgramServicesAmt |
| Management And General | $324,415 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,999 | TotalAmt |
| Program Services | $13,532 | ProgramServicesAmt |
| Management And General | $2,467 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,529 | TotalAmt |
| Management And General | $182,529 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,885,068 | TotalAmt |
| Program Services | $1,748,776 | ProgramServicesAmt |
| Management And General | $136,292 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,968 | TotalAmt |
| Program Services | $21,118 | ProgramServicesAmt |
| Management And General | $3,850 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,184,965 | TotalAmt |
| Program Services | $2,693,843 | ProgramServicesAmt |
| Management And General | $491,122 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249,650 | TotalAmt |
| Program Services | $211,154 | ProgramServicesAmt |
| Management And General | $38,496 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,984,703 | TotalAmt |
| Program Services | $4,216,062 | ProgramServicesAmt |
| Management And General | $768,641 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,624 | TotalAmt |
| Program Services | $145,160 | ProgramServicesAmt |
| Management And General | $26,464 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,542 | TotalAmt |
| Program Services | $54,590 | ProgramServicesAmt |
| Management And General | $9,952 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,622,459 | TotalAmt |
| Program Services | $1,372,276 | ProgramServicesAmt |
| Management And General | $250,183 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,862 | TotalAmt |
| Program Services | $136,903 | ProgramServicesAmt |
| Management And General | $24,959 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OUTREACH & INREACH | $4,071,950 | $3,444,055 | $627,895 |
| MEDICAL SUPPLIES | $1,066,810 | $902,308 | $164,502 |
| ELECTRONIC HEALTH RECOR | $561,642 | $475,037 | $86,605 |
| REPAIRS & MAINTENANCE | $539,140 | $456,005 | $83,135 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,937 | TotalAmt |
| Program Services | $125,125 | ProgramServicesAmt |
| Management And General | $22,812 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,059,645 | TotalAmt |
| Program Services | $38,957,251 | ProgramServicesAmt |
| Management And General | $7,102,394 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,624,417 | BOYAmt |
| EOY | $490,679 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,001,861 | BOYAmt |
| EOY | $702,143 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,291,304 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,756,938 | BOYAmt |
| EOY | $3,708,224 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,983 | BOYAmt |
| EOY | $112,082 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,258,687 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,786,799 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,784,226 | BOYAmt |
| EOY | $5,471,888 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $765,300 | BOYAmt |
| EOY | $2,637,450 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,983,203 | BOYAmt |
| EOY | $33,403,063 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,047,928 | BOYAmt |
| EOY | $47,816,833 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,195,499 | BOYAmt |
| EOY | $4,211,847 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $195,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $331,375 | BOYAmt |
| EOY | $1,410,845 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $666,010 | BOYAmt |
| EOY | $532,808 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,151,899 | BOYAmt |
| EOY | $43,642,328 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,539,783 | BOYAmt |
| EOY | $49,797,828 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,508,145 | BOYAmt |
| EOY | -$1,980,995 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,508,145 | BOYAmt |
| EOY | -$1,980,995 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,047,928 | BOYAmt |
| EOY | $47,816,833 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$4,489,140 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,958,638 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,244,643 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,752,133 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,352,852 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,104,678 | CurrentTaxYearAmt |
| Total | $22,412,944 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,519,242 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,700,077 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,007,683 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,897,466 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $39,432,481 | CurrentTaxYearAmt |
| Total | $138,556,949 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $20,346 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,958 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,087 | CurrentTaxYearAmt |
| Total | $40,391 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,477,880 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,944,720 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31,780,162 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $35,260,276 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,547,246 | CurrentTaxYearAmt |
| Total | $161,010,284 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $161,010,284 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $1,009 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $1,405 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,259 | CurrentTaxYearAmt |
| Total | $25,673 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $1,009 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $1,405 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,259 | CurrentTaxYearAmt |
| Total | $25,673 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,477,880 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,945,729 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31,780,162 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $35,261,681 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,570,505 | CurrentTaxYearAmt |
| Total | $161,035,957 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99980 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00020 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,338,940 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,505,229 | DepreciationAmt |
| Book Value | $2,833,711 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $519,609 | OtherCostOrOtherBasisAmt |
| Depreciation | $281,570 | DepreciationAmt |
| Book Value | $238,039 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,400,138 | OtherCostOrOtherBasisAmt |
| Book Value | $2,400,138 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,471,888 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| SECURITY DEPOSITS | $159,554 |
| RIGHT-OF-USE ASSET - OPERATING LEASES | $33,243,509 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $33,403,063 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD-PARTY SETTLEMENTS | $8,211,200 |
| OPERATING LEASE OBLIGATIONS | $34,931,128 |
| LINE OF CREDIT | $500,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $43,642,328 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $41,570,505 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $41,570,505 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $41,570,505 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $46,059,645 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $46,059,645 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $46,059,645 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AVETIK MACHALYAN | ||||||||||||||
| CEO | $431,065 | $0 | $0 | $0 | $0 | $0 | $17,188 | $0 | $23,049 | $0 | $471,302 | $0 | $0 | $0 |
| EDUARD GYADUKYAN | ||||||||||||||
| COO | $342,050 | $0 | $0 | $0 | $0 | $0 | $13,863 | $0 | $20,783 | $0 | $376,696 | $0 | $0 | $0 |
| ANITA HADPAWAT-LEE | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $308,625 | $0 | $0 | $0 | $0 | $0 | $9,750 | $0 | $26,242 | $0 | $344,617 | $0 | $0 | $0 |
| KELLY VO | ||||||||||||||
| VICE PRESIDENT | $315,743 | $0 | $0 | $0 | $0 | $0 | $2,231 | $0 | $19,027 | $0 | $337,001 | $0 | $0 | $0 |
| WILLIAM PALEY DO | ||||||||||||||
| CMO | $291,887 | $0 | $0 | $0 | $0 | $0 | $12,144 | $0 | $17,150 | $0 | $321,181 | $0 | $0 | $0 |
| SARKIS MARKARIAN | ||||||||||||||
| FAMILY MEDICINE PHYSICIAN | $294,116 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $22,329 | $0 | $316,445 | $0 | $0 | $0 |
| NAILA MUBASHAR | ||||||||||||||
| FAMILY MEDICINE PHYSICIAN | $290,510 | $0 | $0 | $0 | $0 | $0 | $11,577 | $0 | $7,420 | $0 | $309,507 | $0 | $0 | $0 |
| GAREGIN POGOSIAN | ||||||||||||||
| CFO | $265,905 | $0 | $0 | $0 | $0 | $0 | $10,582 | $0 | $23,049 | $0 | $299,536 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| GAREGIN POGOSIAN EDUARD GYADUKYAN & AVETIK MACHKALYAN | |||
| CFO, COO & CEO OF THE ORGANIZATION | $747,560 | THE ORGANIZATION HAS ENTERED INTO A LEASE AGREEMENT WITH 123 WEST EAST STREET, LLC FOR ONE CLINIC LOCATION. | 0 |
| AVETIK MACHKALYAN & EDUARD GYADUKYAN | |||
| CEO AND COO OF THE ORGANIZATION | $275,200 | THE ORGANIZATION HAS ENTERED INTO A LEASE AGREEMENT WITH SILVER LAKE AEG CO. FOR ONE CLINIC LOCATION. | 0 |
| AVETIK MACHKALYAN & EDUARD GYADUKYAN | |||
| CEO AND COO OF THE ORGANIZATION | $288,540 | THE ORGANIZATION HAS ENTERED INTO A LEASE AGREEMENT WITH SILVER LAKE CO. FOR VARIOUS CLINIC LOCATIONS. | 0 |
| AVETIK MACHKALYAN EDUARD GYADUKYAN GAREGIN POGOSIAN & KELLY VO | |||
| CEO, COO, CFO AND VP OF THE ORGANIZATION | $576,426 | THE ORGANIZATION HAS ENTERED INTO A BILLING SERVICES AGREEMENT WITH AEG BILLING | 0 |
| SEE DETAIL | |||
| CEO, COO, CFO, CIO, VP | $1,861,914 | NAME OF INTERESTED PERSONS: AVETIK MACHKALYAN, EDUARD GYADUKYAN, GAREGIN POGOSIAN, ABE POLADYAN & KELLY VODESCRIPTION OF TRANSACTION:THE ORGANIZATION HAS ENTERED INTO AN AGREEMENT WITH CALL NOOR INC FOR CALL CENTER SERVICES. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | GAREGIN POGOSIAN, EDUARD GYADUKYAN & AVETIK MACHALYAN HAVE A BUSINESS RELATIONSHIP. EDUARD GYADUKYAN & AVETIK MACHALYAN HAVE A BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY MANAGEMENT AND THE CONTROLLER. THE FORM 990 IS REVIEWED INTERNALLY BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY APPLIES TO ALL CLINIC PERSONNEL, INCLUDING ADMINISTRATORS, MANAGEMENT STAFF, PROVIDERS, CONTRACTORS, AND STAFF. INDIVIDUALS MUST AVOID CIRCUMSTANCES GIVING RISE TO POTENTIAL BIAS DUE TO CONFLICTING PERSONAL OR INSTITUTIONAL INTERESTS AND INVESTMENTS NOT CONSISTENT WITH THE INDIVIDUAL'S PERFORMANCE OF UNICARE BUSINESS. WHERE A REAL OR PERCEIVED CONFLICT OF INTEREST MAY EXIST, INDIVIDUALS SHOULD FULLY DISCLOSE THE CONFLICT OF INTEREST TO THE OFFICER/EXECUTIVE/MANAGER TO WHOM THE INDIVIDUAL REPORTS. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, UNICARE MAY TAKE CORRECTIVE ACTION NECESSARY ACCORDING TO THE CIRCUMSTANCES. THOUGH THE RESPONSIBILITY TO AVOID ACTING OUT OF CONFLICT OF INTEREST APPLIES TO ALL INDIVIDUALS, MEMBERS OF THE BOARD, OFFICERS, GOVERNANCE COMMITTEES, AND KEY MANAGEMENT EMPLOYEES HAVE A HEIGHTENED DUTY TO DISCLOSE SUCH CONFLICTS AND TO AVOID PARTICIPATION IN CERTAIN SPECIFIC BOARD TRANSACTIONS. AT ANY TIME THAT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST HAS BEEN IDENTIFIED, UNICARE OFFICERS SHALL PERFORM A REVIEW OF THE CIRCUMSTANCES TO DETERMINE WHETHER OR NOT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS. IF IT IS DETERMINED THAT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS THAT HAS NOT ALREADY BEEN DOCUMENTED, THE CIRCUMSTANCES OF THE CONFLICT OF INTEREST SHALL BE SET FORTH IN AN ADDENDUM TO THE CONFLICTS OF INTEREST DISCLOSURE STATEMENT AND THE CONFLICT OF INTEREST MUST BE FULL DISCLOSED TO THE BOARD. ALL OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS MUST AGREE TO AND SIGN THE CONFLICT OF INTEREST DISCLOSURE STATEMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD EVALUATES THE COMPENSATION OF THE CEO AND OTHER OFFICERS USING COMPARABILITY DATA OF OTHERS IN SIMILAR AREAS AND WITH SIMILAR TYPES OF DUTIES AND PAY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |