2021-05-04T21:02:07-05:00 2020-06-30 330783700 PDM LLP 3460 TORRANCE BLVD STE 200 TORRANCE CA 90503 990 2019-07-01 330574214 CAMINO HEALTH CENTER CAMI 9492402030 30300 CAMINO CAPISTRANO SAN JUAN CAPISTRANO CA 92675 PAUL CACERES CHIEF FINANCIAL OFFICER 9492402030 2021-04-29 1 ANTHONY P BOZANIC CPA P01314417 3105404118 2019 2022-09-23 18:48:47Z PAUL CACERES 30300 CAMINO CAPISTRANO SAN JUAN CAPISTRANO CA 92675 14964865 0 X WWW.CAMINOHEALTHCENTER.ORG X 1992 CA IMPROVE HEALTH OF UNDERSERVED IN S. ORANGE COUNTY BY PROVIDING AFFORDABLE, QUALITY PRIMARY CARE. 11 11 118 11 0 0 7292985 7040676 8440404 7774563 167943 149626 0 0 15901332 14964865 0 0 0 0 9276421 9837842 0 0 0 4440216 4711277 13716637 14549119 2184695 415746 17009001 19204350 1786767 3566370 15222234 15637980 TO IMPROVE THE HEALTH STATUS OF THE UNDERSERVED IN SOUTH ORANGE COUNTY BY PROVIDING AFFORDABLE, QUALITY PRIMARY CARE. 0 0 11238199 7774563 THE ORGANIZATION PROVIDES AFFORDABLE, QUALITY PRIMARY MEDICAL CARE, DENTAL CARE, AND BEHAVIORAL HEALTH SERVICES THROUGH ITS MEDICAL CLINIC AND DENTAL CLINICS. THE ORGANIZATION IS DEVOTED TO SERVING THE UNDERSERVED AND VULNERABLE POPULATION IN THE COMMUNITY OF SOUTH ORANGE COUNTY. THE ORGANIZATION SERVES OVER 100,000 PATIENT VISITS ANNUALLY. 1270455 THE ORGANIZATION PROVIDES EDUCATIONAL AND SOCIAL SERVICES THROUGH THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN (WIC). THE PROGRAM PROVIDES SUPPLEMENTAL NUTRITION FOOD VOUCHERS, NUTRITION EDUCATION, AND REFERRALS TO HEALTH CARE FOR LOW-INCOME PERSONS DURING CRITICAL PERIODS OF GROWTH AND DEVELOPMENT. SUCH PERSONS INCLUDE PREGNANT WOMEN, BREAST-FEEDING WOMEN UP TO ONE YEAR POSTPARTUM, NON-BREAST FEEDING WOMEN UP TO SIX MONTHS POSTPARTUM, INFANTS, AND CHILDREN UNDER AGE FIVE DETERMINED TO BE AT NUTRITIONAL RISK. INTERVENTION DURING THE PRENATAL PERIOD IMPROVES FETAL DEVELOPMENT AND REDUCES THE INCIDENCE OF LOW BIRTH WEIGHT, SHORT GESTATION, AND ANEMIA. 12508654 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 0 0 0 0 0 0 1 15 0 1 118 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X PAUL CACERES 9492402030 30300 CAMINO CAPISTRANO SAN JUAN CAPISTRANO CA 92675 MARY JANE FOLEY CHAIR 1.00 X X 0 0 0 DAVID JOFFE VICE CHAIR 1.00 X X 0 0 0 HORACIO HERNANDEZ BOARD MEMBER 1.00 X 0 0 0 JOSEPH VISE BOARD MEMBER 1.00 X 0 0 0 CAROL HALESWORTH BOARD MEMBER 1.00 X 0 0 0 TAMMY ALVAREZ BOARD MEMBER 1.00 X 0 0 0 ADRIANA IBARRA BOARD MEMBER 1.00 X 0 0 0 MARTHA ANN FITZPATRICK BOARD MEMBER 1.00 X 0 0 0 BRENDA JULIAN BOARD MEMBER 1.00 X 0 0 0 SUSAN HOFFNAGLE BOARD MEMBER 1.00 X 0 0 0 CLAUDIA MONTES BOARD MEMBER 1.00 X 0 0 0 DEBRA DREW CEO 50.00 X 312118 0 24786 PAUL CACERES CFO 50.00 X 209361 0 24245 SERGIO ULISES RODAS CMO 50.00 X 306067 0 36498 RANDY SMITH COO 50.00 X 174686 0 47982 JOSE MANUEL GARCIA CIO (STARTING APR 2019) 50.00 X 89260 0 11496 CRISTINA MONTERO PHYSICIAN 40.00 X 186044 0 30509 JULIE WILHELMI DENTIST 40.00 X 180940 0 17979 ROSE ROLDAN DENTIST 40.00 X 158176 0 18304 ANH TRAM DENTAL DIRECTOR 40.00 X 171544 0 27351 FIROZEH GRUBER PHYSICIAN 40.00 X 157166 0 29254 1945362 0 268404 21 0 1 0 OCEANS MEDICAL STFFING 27281 LAS RAMBLAS 200 MISSION VIEJO CA 92691 STAFFING 474886 AFTER HOURS SUPPORT SERVICES LLC 23832 ROCKFIELD BLVD 195 LAKE FOREST CA 92630 IT SERVICES 376407 QUEST DIAGNOSTICS INC 675 CAMINO DE LOS MARES STE 300 SAN CLEMENTE CA 92673 LAB SERVICES 305230 ALLSCRIPTS HEALTHCARE LLC 222 MERCHANDISE MART PLZ CHICAGO IL 60654 IT SERVICES 186968 CASITAS SECURITY 23547 MOULTON PKWY 207 LAGUNA HILLS CA 92653 SECURITY 166262 5 2028079 4500264 512333 7040676 PATIENT SERVICES 624100 6698953 6698953 OTHER REVENUE 624100 537846 537846 CAPITATION REVENUE 624100 537764 537764 7774563 149626 149626 14964865 7774563 0 149626 X 1205415 763891 441524 5704943 5109665 595278 388436 316624 71812 2081548 1704122 377426 457500 368785 88715 1717575 1393066 324509 602873 566302 36571 724049 664491 59558 568556 564544 4012 89562 48502 41060 PROGRAM SUPPLIES 597383 597383 EQUIPMENT AND MAINTENAN 411279 411279 14549119 12508654 2040465 0 2453711 2745453 9998394 12557054 323438 291097 697330 652924 500464 562162 5636989 3387546 2737174 2249443 298490 146217 17009001 19204350 1512989 1750887 1592861 273778 222622 1786767 3566370 X 15222234 15637980 15222234 15637980 17009001 19204350 415746 0 X X 0 1 X 1 1 1 X 4750830 6555006 6567228 7292985 7040676 32206725 6044725 7207401 8241665 8440404 7774563 37708758 10795555 13762407 14808893 15733389 14815239 69915483 0 0 0 69915483 63361 167943 149626 380930 63361 167943 149626 380930 10795555 13762407 14872254 15901332 14964865 70296413 0.99460 0.99640 0.00540 0.00360 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3012658 1933446 1079212 2624331 1454100 1170231 2249443 DEFERRED RENT 222622 222622 X 14964865 0 14964865 0 14964865 14549119 0 14549119 0 14549119 PART X, LINE 2: CAMINO RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT OF BEING SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. TO DATE, THE ORGANIZATION HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS. CAMINO RECOGNIZES POTENTIAL ACCRUED INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS IN INCOME TAX EXPENSE. DURING THE YEAR ENDED JUNE 30, 2020, CAMINO DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS. X X 0 0 0 0 0 0 0 1 0 DEBRA DREW CEO 312118 0 0 0 0 0 15606 0 9180 0 336904 0 0 0 PAUL CACERES CFO 209361 0 0 0 0 0 10468 0 13777 0 233606 0 0 0 SERGIO ULISES RODAS CMO 306067 0 0 0 0 0 15043 0 21455 0 342565 0 0 0 RANDY SMITH COO 174686 0 0 0 0 0 8734 0 39248 0 222668 0 0 0 CRISTINA MONTERO PHYSICIAN 186044 0 0 0 0 0 9302 0 21207 0 216553 0 0 0 JULIE WILHELMI DENTIST 180940 0 0 0 0 0 9047 0 8932 0 198919 0 0 0 ROSE ROLDAN DENTIST 158176 0 0 0 0 0 9302 0 9002 0 176480 0 0 0 ANH TRAM DENTAL DIRECTOR 171544 0 0 0 0 0 8577 0 18774 0 198895 0 0 0 FIROZEH GRUBER PHYSICIAN 157166 0 0 0 0 0 7858 0 21396 0 186420 0 0 0 PART I, LINE 7 THE CHIEF EXECUTIVE OFFICER OF CAMINO HEALTH CENTER IS ELIGIBLE TO RECEIVE AN AT-RISK PAY. THE PAY IS BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE GOALS INCLUDE BOTH QUALITY AND FINANCIAL METRICS. FORM 990, PART VI, SECTION B, LINE 11B A COMPLETE COPY OF THE 990 IS PROVIDED TO THE BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C VARIOUS FUNDERS ALSO REQUIRE REVIEW OF THE CONFLICT OF INTEREST POLICY AND MONITORING OF THE POLICY THROUGHOUT THE YEAR. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS REVIEWED BASED ON A COMPARISON TO THE ANNUAL SALARY SURVEY FOR CALIFORNIA COMMUNITY CLINICS AND HEALTH CENTERS PUBLISHED BY THE CALIFORNIA PRIMARY CARE ASSOCIATION. FORM 990, PART VI, SECTION C, LINE 19 THE TAX RETURN IS AVAILABLE TO THE PUBLIC UPON REQUEST AND ON GUIDESTAR'S WEBSITE. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 698,511. MANAGEMENT AND GENERAL EXPENSES 324,509. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,023,020. CONTRACTORS AND TEMPORARY EMPLOYEES: PROGRAM SERVICE EXPENSES 694,555. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 694,555. FORM 990, PART XII, LINE 2C: THE AUDIT COMMITTE HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS DURING THE YEAR.