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CLINICAS DEL CAMINO REAL INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CLINICAS DEL CAMINO REAL INC (EIN 95-2977147)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-17
IRS object ID
202121379349304437
Schema version
2019v5.0
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

FieldValueIRS element (for citing)
Return2021-05-17T10:48:26-07:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN330278891PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Oscar G Armijo CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line141-990 Cook St Suite 501AddressLine1Txt
CityPalm DesertCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92211ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN952977147EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Clinicas Del Camino RealBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCLINBusinessNameControlTxt
Phone8056591740PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 4566AddressLine1Txt
CityVenturaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93007ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonChristina M VelascoPersonNm
Person TitleCFOPersonTitleTxt
Signature2021-05-17SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonOscar G Armijo CPAPreparerPersonNm
PTINP01429445PTIN
Phone7607734078PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 4566AddressLine1Txt
CityVenturaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93007ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$116,190,587GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.clinicas.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionIt is the explicit mission of Clinias del Camino Real to save lives and restore good health by providing quality comprehensive and preventative personal and humane health care services to the medically underserved population of Ventura County. This mission is accomplished by eliminating the barriers of limited income, resources, cultural, and language through the use of outreach programs, bilingual and bicultural staff members, and a sliding fee program based on a patient's ability to pay.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee977TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$16,216,000PYContributionsGrantsAmt
CY Contributions Grants$21,701,214CYContributionsGrantsAmt
PY Program Service Revenue$84,868,113PYProgramServiceRevenueAmt
CY Program Service Revenue$79,769,466CYProgramServiceRevenueAmt
PY Investment Income$1,155,065PYInvestmentIncomeAmt
CY Investment Income$1,450,677CYInvestmentIncomeAmt
PY Other Revenue$9,494,160PYOtherRevenueAmt
CY Other Revenue$13,269,230CYOtherRevenueAmt
PY Total Revenue$111,733,338PYTotalRevenueAmt
CY Total Revenue$116,190,587CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$60,969,811PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$62,589,419CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$43,552,552PYOtherExpensesAmt
CY Other Expenses$46,595,763CYOtherExpensesAmt
PY Total Expenses$104,522,363PYTotalExpensesAmt
CY Total Expenses$109,185,182CYTotalExpensesAmt
PY Revenues Less Expenses$7,210,975PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,005,405CYRevenuesLessExpensesAmt
Total Assets BOY$130,777,485TotalAssetsBOYAmt
Total Assets EOY$187,327,763TotalAssetsEOYAmt
Total Liabilities BOY$44,579,468TotalLiabilitiesBOYAmt
Total Liabilities EOY$94,341,302TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$86,198,017NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$92,986,461NetAssetsOrFundBalancesEOYAmt
MissionIt is the explicit mission of Clinias del Camino Real to save lives and restore good health by providing quality comprehensive and preventative personal and humane health care services to the medically underserved population of Ventura County. This mission is accomplished by eliminating the barriers of limited income, resources, cultural, and language through the use of outreach programs, bilingual and bicultural staff members, and a sliding fee program based on a patient's ability to pay.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$72,288,032ExpenseAmt
Revenue$94,489,373RevenueAmt
DescIt is the explicit mission of Clinias del Camino Real to save lives and restore good health by providing quality comprehensive and preventative personal and humane health care services to the medically underserved population of Ventura County. This mission is accomplished by eliminating the barriers of limited income, resources, cultural, and language through the use of outreach programs, bilingual and bicultural staff members, and a sliding fee program based on a patient's ability to pay. Total Patient encounters for the year were 301,349.Desc
Total Program Service Expenses$72,288,032TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document359IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee977EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHRISTINE M VELASCO CFOPersonNm
Phone8056591740PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 S WELLS RDAddressLine1Txt
CityVenturaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93007ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Roberto S Juarez
CEO40.000.00Yes (X)$1,587,462$0$31,250
Antonio Alatorre
CBDO40.000.00$766,638$0$24,903
Menashe Ehrenburg
Physician40.000.00$422,062$0$14,976
Ta Thuc Ngu Dinh
Physician40.000.00$396,236$0$14,427
Christina M Velasco
CFO40.000.00Yes (X)$370,586$0$25,250
Todd Wayne Monroe
Physician40.000.00$365,958$0$14,322
Tihele L Walkousky
Physician40.000.00$352,581$0$13,947
Heidi Lee Miller
Physician40.000.00$348,203$0$14,147
Gagan Pawar
Medical Director40.000.00$306,595$0$20,859
Kelly Lynn Bennett
Human Resources Director40.000.00$194,331$0$19,024
Anwar Ali Abbas
CIO40.000.00$198,602$0$9,000
Barbara A Journet
Treasurer1.000.00Yes (X)$0$0$0Yes (X)
Dr Nancy Carroll
Board Member1.000.00$0$0$0Yes (X)
Karen R Burnham
Secretary1.000.00Yes (X)$0$0$0Yes (X)
Charles Hookstra
President1.000.00Yes (X)$0$0$0Yes (X)
Dr Adolfo Murillo
Vice President1.000.00Yes (X)$0$0$0Yes (X)
Angel Arreola
Board Member1.000.00$0$0$0Yes (X)
Javier M Ochoa
Parliamentarian1.000.00$0$0$0Yes (X)
Kristin Cady Benites
Board Member1.000.00$0$0$0Yes (X)
Candelaria Franco
Board Member1.000.00$0$0$0Yes (X)
Eder Gaona-Macedo
Board Member1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,309,254TotalReportableCompFromOrgAmt
Total Other Compensation$202,105TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K108IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Palms Imaging Medical Group Inc
PO Box 190Simi ValleyCA93062x-ray$933,452
Quest Diagnostics Inc
PO Box 912411PasadenaCA91110Laboratory$969,152
Flavio Guerra
1930 Wilshire Blvd Suite 504Los AngelesCA90057Advertisement$798,421
Ventura County Medical Center
2323 Knoll DriveVenturaCA93003Medical$737,066
Premier Physical Therapy
1160 N Ventura RoadOxnardCA93030Medical$634,857
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K47CntrctRcvdGreaterThan100KCnt
Government Grants$21,249,703GovernmentGrantsAmt
All Other Contributions$451,511AllOtherContributionsAmt
Total Contributions$21,701,214TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUEDesc
Business621400BusinessCd
Total Revenue Column$79,769,466TotalRevenueColumnAmt
Related Or Exempt Func Income$79,769,466RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$79,769,466TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,450,677TotalRevenueColumnAmt
Related Or Exempt Func Income$1,450,677RelatedOrExemptFuncIncomeAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISC. REVENUEDesc
Business561000BusinessCd
Total Revenue Column$13,269,230TotalRevenueColumnAmt
Related Or Exempt Func Income$13,269,230RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$13,269,230OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$116,190,587TotalRevenueColumnAmt
Related Or Exempt Func Income$94,489,373RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,798,480TotalAmt
Management And General$1,798,480ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$48,338,940TotalAmt
Program Services$35,366,157ProgramServicesAmt
Management And General$12,972,783ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$987,067TotalAmt
Program Services$673,725ProgramServicesAmt
Management And General$313,342ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,503,080TotalAmt
Program Services$5,121,245ProgramServicesAmt
Management And General$2,381,835ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,961,852TotalAmt
Program Services$2,704,171ProgramServicesAmt
Management And General$1,257,681ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$688,921TotalAmt
Management And General$688,921ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$646,262TotalAmt
Management And General$646,262ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$101,548TotalAmt
Management And General$101,548ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$129,098TotalAmt
Management And General$129,098ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$26,170,523TotalAmt
Program Services$17,081,168ProgramServicesAmt
Management And General$9,089,355ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,477,150TotalAmt
Program Services$899,350ProgramServicesAmt
Management And General$577,800ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$312,974TotalAmt
Program Services$123,839ProgramServicesAmt
Management And General$189,135ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$947,105TotalAmt
Program Services$563,669ProgramServicesAmt
Management And General$383,436ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,724,341TotalAmt
Program Services$541,500ProgramServicesAmt
Management And General$2,182,841ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$936,636TotalAmt
Program Services$594,848ProgramServicesAmt
Management And General$341,788ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Supplies Pharmacy$1,534,316$1,534,316
Promotion$1,529,492$1,528,611$881
Taxes and Licenses$1,505,303$525,576$979,727
Miscellaneous$1,189,142$255,738$933,404

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,702,952TotalAmt
Program Services$4,774,119ProgramServicesAmt
Management And General$1,928,833ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$109,185,182TotalAmt
Program Services$72,288,032ProgramServicesAmt
Management And General$36,897,150ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,461,564BOYAmt
EOY$11,089,215EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$45,182,602BOYAmt
EOY$90,763,081EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,355,473BOYAmt
EOY$13,684,426EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,421,499BOYAmt
EOY$7,924,606EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$281,449BOYAmt
EOY$456,347EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$79,081,709LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$34,097,811LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$42,061,351BOYAmt
EOY$44,983,898EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$12,849,275BOYAmt
EOY$13,959,894EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,164,272BOYAmt
EOY$4,466,296EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$130,777,485BOYAmt
EOY$187,327,763EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,629,209BOYAmt
EOY$12,459,950EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$70,847,011EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$26,844,224BOYAmt
EOY$67,540EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,106,035BOYAmt
EOY$10,966,801EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$44,579,468BOYAmt
EOY$94,341,302EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$74,034,851BOYAmt
EOY$79,315,017EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,163,166BOYAmt
EOY$13,671,444EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$86,198,017BOYAmt
EOY$92,986,461EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$130,777,485BOYAmt
EOY$187,327,763EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$7,005,405ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$216,961NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,989,850CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,602,137CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,486,150CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,216,000CurrentTaxYearMinus1YearAmt
Current Tax Year$21,701,214CurrentTaxYearAmt
Total$86,995,351TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,989,850CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,602,137CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,486,150CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,216,000CurrentTaxYearMinus1YearAmt
Current Tax Year$21,701,214CurrentTaxYearAmt
Total$86,995,351TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$86,995,351PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$166,471CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$277,233CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$773,649CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,155,065CurrentTaxYearMinus1YearAmt
Current Tax Year$1,450,677CurrentTaxYearAmt
Total$3,823,095TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,641,502CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,841,367CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,255,083CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,494,160CurrentTaxYearMinus1YearAmt
Current Tax Year$13,269,230CurrentTaxYearAmt
Total$36,501,342TotalAmt
FieldValueIRS element (for citing)
Total Support$127,319,788TotalSupportAmt
Public Support CY1700.68330PublicSupportCY170Pct
Public Support PY1700.74760PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,429,982OtherCostOrOtherBasisAmt
Book Value$8,429,982BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$43,478,751OtherCostOrOtherBasisAmt
Depreciation$17,980,364DepreciationAmt
Book Value$25,498,387BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,567,051OtherCostOrOtherBasisAmt
Depreciation$4,794,991DepreciationAmt
Book Value$3,772,060BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,701,881OtherCostOrOtherBasisAmt
Depreciation$11,085,652DepreciationAmt
Book Value$1,616,229BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,904,044OtherCostOrOtherBasisAmt
Depreciation$236,804DepreciationAmt
Book Value$5,667,240BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$44,983,898TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Estimated 3rd Party Overpayments$10,887,986
Other liabilities$78,815
FieldValueIRS element (for citing)
Total Liability$10,966,801TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$115,844,528TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$216,961NetUnrealizedGainsInvstAmt
Revenue Not Reported-$216,961RevenueNotReportedAmt
Revenue Subtotal$116,061,489RevenueSubtotalAmt
Investment Expenses Not Incld$129,098InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$129,098RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$116,190,587TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$109,056,084TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$109,056,084ExpensesSubtotalAmt
Investment Expenses Not Incld2$129,098InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$129,098ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$109,185,182TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationThe accounting standard on accounting for uncertainty in income taxes addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under the guidance, the Organization may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Organization and various positions related to the potential sources of unrelated business taxable income (UBIT). The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. There were no unrecognized tax benefits identified or recorded as liabilities for fiscal year 2020.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Antonio Alatorre
CBDO$250,834$2,500$513,304$18,903$6,000$791,541
Anwar Ali Abbas
CIO$197,602$1,000$9,000$207,602
Christina M Velasco
CFO$363,441$2,500$4,645$19,250$6,000$395,836
Gagan Pawar
Medical Director$304,345$2,250$14,859$6,000$327,454
Heidi Lee Miller
Physician$346,703$1,500$14,147$362,350
Kelly Lynn Bennett
Human Resources Director$192,081$2,250$13,024$6,000$213,355
Menashe Ehrenburg
Physician$419,812$2,250$14,976$437,038
Roberto S Juarez
CEO$505,537$2,500$1,079,425$19,250$12,000$1,618,712
Ta Thuc Ngu Dinh
Physician$393,986$2,250$14,427$410,663
Tihele L Walkousky
Physician$351,081$1,500$13,947$366,528
Todd Wayne Monroe
Physician$363,708$2,250$14,322$380,280

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1a: Relevant information in regards to selections on 1a.
Part I, Line 7: Non-Fixed payments not listed aboveNonfixed payemnts include holiday and other bonuses. Holiday bonuses are given based on time worked at the company. At year end, the CEO will propose to the Board of Directors additional bonuses for management based on various company performance measures. The Board approves the amounts to award.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1California Municipal FinaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN201563466BondIssuerEIN
CUSIP13048VNU8CUSIPNum
Bond Issued2020-03-19BondIssuedDt
Issue Price$71,427,330IssuePriceAmt
PurposeTo construct health care facilPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$71,427,330TotalProceedsAmt
In Reserve Fund$1,250,253InReserveFundAmt
Capitalized Interest$422,466CapitalizedInterestAmt
Issuance Costs From Proceeds$927,699IssuanceCostsFromProceedsAmt
Capital Expenditures$2,471,702CapitalExpendituresAmt
Unspent$38,345,196UnspentAmt
Refunding Tax Exempt BondsfalseRefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe Form 990 is prepared by an independent CPA and then reviewed by the CFO.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe organization investigates potential conflicts of interest when they arise. Any violations are handled in accordance with the written policies and procedures.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementEvery year the Board of Directors Finance Committee evaluates the CEO's performance and compensation. Annually The CEO and HR Director work together using state and nationally based salary surveys to compare the corporations officers' salaries to those of similar corporations.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesComparsion surveys are performed by the CEO and Human Resources Director using state and national databases. Annual reviews are performed by the Board of Directors for all officers, key employees, and other highly compensated employees.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableForm 990 is available for review at the organizations administrative office during normal business hours. Other forms such as governing documents, conflict of interest policy, and financial statements are internal corporate documents.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
AmericasHealth Plan Inc
1000 Town Center Drive Suite 410VenturaCA93004271073990Managed Care Health PlanCACDCRC Corp$13,445,688$5,319,1281.00000Yes (true)
MedPartners MSO Incorporated
1040 Flynn RdCamarilloCA93012814231443Insurance BillingCACDCRC Corp$1,896,531$276,4611.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
AmericasHealth Plan Inc
a$25,886Cash Payment
AmericasHealth Plan Inc
d$759,000Cash Payment
AmericasHealth Plan Inc
l$550,280Cash Payment
MedPartners MSO Incorporated
m$1,896,529Cash Payment