2025-05-13T19:01:28-05:00 2024-06-30 953001179 WINDES INC PO BOX 87 LONG BEACH CA 908010087 990 2023-07-01 954536824 COMMUNITY HEALTH ALLIANCE OF PASADENA COMM 3235732517 2055 LINCOLN AVENUE PASADENA CA 91103 DEYNER ZAPATA CEO 6263986300 2025-05-13 1 1 ELEANOR A LIVINGSTON CPA MST P00226461 5624351191 2025-05-13 2023 2025-03-06 01:10:19Z X CHAPCARE DEYNER ZAPATA 2055 LINCOLN AVENUE PASADENA CA 91103 8436551 0 X N/A X 1995 CA PROVIDE MEDICAL, DENTAL, BEHAVORIAL HEALTH, AND OPTOMETRY SERVICES TO THE RESIDENTS OF THE SAN GABRIEL VALLEY. X 3 3 204 11 0 0 8967984 2886110 14125562 5489370 28178 41212 35166 19859 23156890 8436551 0 0 0 0 14572299 5272556 0 0 0 12074717 5307116 26647016 10579672 -3490126 -2143121 22307764 9184182 13855831 5604057 8451933 3580125 TO PROVIDE EXCELLENT, COMPREHENSIVE, INNOVATIVE HEALTH CARE THAT IS ACCESSIBLE TO THE RESIDENTS OF THE SAN GABRIEL VALLEY. 0 0 6703206 4824780 CHAPCARE OFFERS A FULL RANGE OF PRIMARY MEDICAL CARE SERVICES, PHYSICAL EXAMINATION FOR PEOPLE OF ALL AGES, CHOLESTEROL CHECKS, CANCER SCREENING, COMMUNICALBE DISEASE SCREENING, VISION AND HEARING TESTING, FAMILY PLANNING, BLOOD PRESSURE SCREENING, LAB AND RADIOLOGY, MEDICATIONS, PRESCRIPITIONS, AND CASE MANAGEMENT SERVICES. CHAPCARE PROVIDED OVER 20,000 MEDICAL VISITS TO OVER 7,000 UNDUPLICATED PATIENTS DURING THE FISCAL YEAR, JUNE 30, 2024. 707007 664590 CHAPCARE OFFERS DENTAL SERVICES FOR CHILDREN AND ADULTS. SERVICES INCLUDE ROUTINE CLEANING, EXMINATION AND RESTORATEIVE WORK. IN THE REPORTING YEAR, OVER 2,765 DENTAL VISITS WERE PROVIDED TO OVER 1,000 UNDUPLICATED PATIENTS. 7410213 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 12 0 1 204 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X X SAM ORTIZ 5628461250 13112 HADLEY ST SUITE 109 WHITTIER CA 90601 DR PAMELA WALD CHAIRPERSON 1.00 X X 0 0 0 JAY LEE TREASURER 1.00 X X 0 0 0 MAURICETTE MONTREDON SECRETARY 1.00 X X 0 0 0 THOMAS THORMAN BOARD MEMBER (UNTIL 12/2023) 1.00 X 0 0 0 PORFIRIO FRAUSTO BOARD MEMBER (UNTIL 12/2023) 1.00 X 0 0 0 MICHAEL OLIVARES BOARD MEMBER (UNTIL 11/2023) 1.00 X 0 0 0 DR CONSUELO CASILLAS BOARD MEMBER (UNTIL 11/2023) 1.00 X 0 0 0 ARMANDO LUNA BOARD MEMBER (UNTIL 12/2023) 1.00 X 0 0 0 JANICE LEW BOARD MEMBER (UNTIL 11/2023) 1.00 X 0 0 0 BERNABETH HO BOARD MEMBER (UNTIL 11/2023) 1.00 X 0 0 0 ERIC TAM BOARD MEMBER (UNTIL 12/2023) 1.00 X 0 0 0 DEYNER ZAPATA INTERIM CEO 40.00 X 279431 0 39120 JENNIE WEINKLE GARY PHYSICIAN 40.00 X 227350 0 31829 EMMELINE CHAN PHYSICIAN 40.00 X 215139 0 30119 ENRIQUE HUGO VALLOTA PHYSICIAN 40.00 X 214388 0 30014 SUSANNA SACKITEY PHYSICIAN 40.00 X 214169 0 29984 KEVIN THANG DINH PHAM PODIATRIST 40.00 X 166564 0 23319 1317041 0 184385 19 0 1 0 OCHIN 1881 SW NAITO PARKWAY PORTLAND CA 97201 ELECTRONIC HEALTH RECORD PROVIDER 535398 NOMAD DESK BY NOMAD DWELLING LLC 1110 N VIRGIL AVE LOS ANGELES CA 90029 SERVICE & DATA ENTRY 422606 GLOBAL IT COMMUNICATIONS 6720 BRIGHT AVENUE WHITTIER CA 90601 NETWORK & IT SERVICES 333653 SAMUEL ORTIZ CPA 13112 HADLEY STREET SUITE 109 WHITTIER CA 90601 INTERIM CFO 305200 STRATUS VIDEO LLC PO BOX 674954 DETROIT MI 48267 INTERPRETATION SERVICES 270503 18 2084055 802055 2886110 PATIENT FEES 624100 3649129 3649129 PHARMACY 624100 1606628 1606628 PROGRAM PARTICIPANT IN 624100 218646 218646 OTHER PROGRAM INCOME 624100 14967 14967 5489370 41212 41212 19859 0 19859 19859 19859 8436551 5489370 0 61071 318551 229231 89320 4175626 3004805 1170821 434149 312416 121733 344230 247710 96520 168271 168271 430899 430899 809444 566605 242839 31741 14268 17473 143674 108566 35108 138554 65120 73434 1245082 964872 280210 4880 1822 3058 109696 54848 54848 252407 102007 150400 SUPPLIES - PHARMACY 839399 839399 DEPRECIATION AND AMORTI 365119 277490 87629 ELECTRONIC HEALTH RECOR 199077 199077 SUPPLIES - CLINICAL 197485 197485 371388 224492 146896 10579672 7410213 3169459 0 5918483 5377826 1703560 1951232 19248 1477480 539203 225342 0 7708866 4715582 1855124 22307764 9184182 1736571 139973 5386498 6732762 5464084 13855831 5604057 X 8451933 3580125 8451933 3580125 22307764 9184182 X -2143121 -2728687 X 0 1 X 1 1 1 X 8820620 10191350 10389474 8967984 2886110 41255538 587902 587902 9408522 10191350 10389474 8967984 2886110 41843440 41843440 28040 32396 32473 63344 61071 217324 42060764 65239552 0.99480 0.99640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS 1855124 1855124 DUE TO THIRD-PARTY PAYOR 4045712 ALTAMED PAYABLE 1418372 5464084 X 8436551 0 8436551 0 8436551 13308359 2728687 2728687 10579672 0 10579672 PART X, LINE 2: THE ORGANIZATION HAS BEEN DESIGNATED AS TAX-EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), IS ALSO EXEMPT FROM STATE FRANCHISE TAXES UNDER SECTION 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE AND IS NOT GENERALLY SUBJECT TO FEDERAL OR STATE INCOME TAXES. U.S. GAAP PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. IT REQUIRES THAT AN ORGANIZATION RECOGNIZE IN THE FINANCIAL STATEMENTS THE IMPACT OF THE TAX POSITION IF THAT POSITION WILL MORE LIKELY THAN NOT BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. AS OF AND FOR THE YEAR ENDED JUNE 30, 2024, THE ORGANIZATION HAD NO UNRECOGNIZED TAX BENEFITS, TAX PENALTIES, OR INTEREST. THE ORGANIZATION IS SUBJECT TO POTENTIAL INCOME TAX AUDITS ON OPEN TAX YEARS BY ANY TAXING JURISDICTION IN WHICH IT OPERATES. THE STATUTE OF LIMITATIONS FOR FEDERAL PURPOSES IS THREE YEARS AND FOR CALIFORNIA IS FOUR YEARS. PART XII, LINE 2D - OTHER ADJUSTMENTS: NET TRANSFER OF ASSETS AND LIABILTIES RESULTING FROM LIQUIDIATION 2,728,687. X X X X X 0 0 0 0 0 0 0 0 0 DEYNER ZAPATA INTERIM CEO 279431 0 0 0 0 0 0 0 39120 0 318551 0 0 0 JENNIE WEINKLE GARY PHYSICIAN 227350 0 0 0 0 0 0 0 31829 0 259179 0 0 0 EMMELINE CHAN PHYSICIAN 215139 0 0 0 0 0 0 0 30119 0 245258 0 0 0 ENRIQUE HUGO VALLOTA PHYSICIAN 214388 0 0 0 0 0 0 0 30014 0 244402 0 0 0 SUSANNA SACKITEY PHYSICIAN 214169 0 0 0 0 0 0 0 29984 0 244153 0 0 0 KEVIN THANG DINH PHAM PODIATRIST 166564 0 0 0 0 0 0 0 23319 0 189883 0 0 0 BUILDING, IMPROVEMENTS, AND EQUIPMENT 2023-11-01 2141796 BOOK VALUE OF ASSETS NET OF LIABILITIES 952810095 ALTAMED HEALTH SERVICE CORPORATION 2040 CAMFIELD AVENUE SUITE 30 LOS ANGELES CA 90040 501(C)(3) INVENTORIES 2023-11-01 324930 BOOK VALUE OF ASSETS NET OF LIABILITIES 952810095 ALTAMED HEALTH SERVICE CORPORATION 2040 CAMFIELD AVENUE SUITE 30 LOS ANGELES CA 90040 501(C)(3) MEDICAL SUPPLIES 2023-11-01 261961 BOOK VALUE OF ASSETS NET OF LIABILITIES 952810095 ALTAMED HEALTH SERVICE CORPORATION 2040 CAMFIELD AVENUE SUITE 30 LOS ANGELES CA 90040 501(C)(3) 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B IT IS THE RESPONSIBILITY OF THE FINANCE COMMITTEE TO ACCEPT AND MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS FOR APPROVAL. THE APPROVED 990 IS SIGNED BY THE CEO AND EFILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C REVIEW OF POLICY IS PERFORMED BY THE BOARD OF DIRECTORS AND ANY POTENTIAL CONFLICTS ARE IDENTIFIED. EACH BOARD MEMBER SIGNS AN ETHICS AND CONFLICT OF INTEREST FORM ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD USES A CPCA REPORT AND A LOCAL CLINIC SURVEY TO DETERMINE THE COMPENSATION PACKAGE FOR THE CEO. THE BOARD APPROVES THE COMPENSATION PACKAGE, WHICH IS DOCUMENTED IN THE MINUTES. THE FINANCE COMMITTEE PRESENTS TO THE BOARD A COMPREHENSIVE BUDGET, WHICH INCLUDES THE COMPENSATION OF ALL OTHER OFFICERS AND KEY EMPLOYEES. MANAGEMENT USES A CPCA REPORT AND A LOCAL CLINIC SURVEY TO DETERMINE THE COMPENSATION PACKAGE FOR THE OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION. THE CEO APPROVES THE COMPENSATION PACKAGE, WHICH IS DOCUMENTED IN THE MLNUTES OF THE GOVERNANCE COMMITTEE. THE FINANCE COMMITTEE PRESENTS TO THE BOARD A COMPREHENSIVE BUDGET, WHICH INCLUDES THE COMPENSATION OF ALL OTHER OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 ALL ITEMS ARE AVAILABLE UPON REQUEST. THE ITEMS SHOULD BE REQUESTED, IN WRITING, TO THE ATTENTION OF DEYNER ZAPATA, CEO. FORM 990, PART XI, LINE 9: TRANSFER OF ASSETS AND LIABILITIES ON MERGER -2,728,687.