CLINICAS DEL CAMINO REAL INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- CLINICAS DEL CAMINO REAL INC (EIN 95-2977147)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-06-15
- IRS object ID
- 202011679349302091
- Schema version
- 2018v3.1
- 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 | 2020-06-15T17:08:50-07:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 330278891 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Oscar G Armijo CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 41-990 Cook St Suite 501 | AddressLine1Txt |
| City | Palm Desert | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92211 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952977147 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Clinicas Del Camino Real | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CLIN | BusinessNameControlTxt |
| Phone | 8056591740 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 4566 | AddressLine1Txt |
| City | Ventura | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93007 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Christina M Velasco | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2020-06-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Oscar G Armijo CPA | PreparerPersonNm |
| PTIN | P01429445 | PTIN |
| Phone | 7607734078 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 4566 | AddressLine1Txt |
| City | Ventura | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93007 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $111,733,338 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.clinicas.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | It 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 Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 977 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $15,486,150 | PYContributionsGrantsAmt |
| CY Contributions Grants | $16,216,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $78,683,070 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $84,868,113 | CYProgramServiceRevenueAmt |
| PY Investment Income | $773,649 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,155,065 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,255,083 | PYOtherRevenueAmt |
| CY Other Revenue | $9,494,160 | CYOtherRevenueAmt |
| PY Total Revenue | $101,197,952 | PYTotalRevenueAmt |
| CY Total Revenue | $111,733,338 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $59,181,445 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $60,969,811 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $34,888,049 | PYOtherExpensesAmt |
| CY Other Expenses | $43,552,552 | CYOtherExpensesAmt |
| PY Total Expenses | $94,069,494 | PYTotalExpensesAmt |
| CY Total Expenses | $104,522,363 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,128,458 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,210,975 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $118,318,414 | TotalAssetsBOYAmt |
| Total Assets EOY | $130,777,485 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $39,801,646 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $44,579,468 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $78,516,768 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $86,198,017 | NetAssetsOrFundBalancesEOYAmt |
| Mission | It 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $72,207,250 | ExpenseAmt |
| Revenue | $95,517,338 | RevenueAmt |
| Desc | It 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 344,718. | Desc |
| Total Program Service Expenses | $72,207,250 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 284 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 977 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTINE M VELASCO CFO | PersonNm |
| Phone | 8056591740 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 S WELLS RD | AddressLine1Txt |
| City | Ventura | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93007 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Barbara A Journet | |||||||||
| Treasurer | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Dr Nancy Carroll | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Karen R Burnham | |||||||||
| Secretary | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Charles Hookstra | |||||||||
| President | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Dr Adolfo Murillo | |||||||||
| Vice President | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Angel Arreola | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Javier M Ochoa | |||||||||
| Parliamentarian | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Kristin Cady | |||||||||
| Vice President | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Raul Ramos | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Eder Gaona-Macedo | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Roberto S Juarez | |||||||||
| CEO | 40.00 | 0.00 | Yes (X) | $1,587,462 | $0 | $31,250 | |||
| Christina M Velasco | |||||||||
| CFO | 40.00 | 0.00 | Yes (X) | $370,586 | $0 | $25,250 | |||
| Gagan Pawar | |||||||||
| Medical Director | 40.00 | 0.00 | $306,595 | $0 | $20,859 | Yes (X) | |||
| Antonio Alatorre | |||||||||
| COO | 40.00 | 0.00 | $766,638 | $0 | $24,903 | Yes (X) | |||
| Rafael Diaz | |||||||||
| IT Director | 40.00 | 0.00 | $216,913 | $0 | $14,778 | Yes (X) | |||
| Jaspreet Bal | |||||||||
| Dental Director | 40.00 | 0.00 | $158,237 | $0 | $10,716 | Yes (X) | |||
| Kelly Lynn Bennett | |||||||||
| Human Resources Director | 40.00 | 0.00 | $194,331 | $0 | $19,024 | Yes (X) | |||
| Anwar Ali Abbas | |||||||||
| CIO | 40.00 | 0.00 | $198,602 | $0 | $9,000 | Yes (X) | |||
| Lucrecia Campos-Juarez | |||||||||
| Mental Health Director | 40.00 | 0.00 | $160,144 | $0 | $10,845 | Yes (X) | |||
| Menashe Ehrenburg | |||||||||
| Physician | 40.00 | 0.00 | $422,062 | $0 | $14,976 | Yes (X) | |||
| Todd Wayne Monroe | |||||||||
| Physician | 40.00 | 0.00 | $365,958 | $0 | $14,322 | Yes (X) | |||
| Ta Thuc Ngu Dinh | |||||||||
| Physician | 40.00 | 0.00 | $396,236 | $0 | $14,427 | Yes (X) | |||
| Tihele L Walkousky | |||||||||
| Physician | 40.00 | 0.00 | $352,581 | $0 | $13,947 | Yes (X) | |||
| Heidi Lee Miller | |||||||||
| Physician | 40.00 | 0.00 | $348,203 | $0 | $14,147 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,844,548 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $238,444 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 108 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Palms Imaging Medical Group Inc | |||||
| PO Box 190 | Simi Valley | CA | 93062 | x-ray | $918,143 |
| Quest Diagnostics Inc | |||||
| PO Box 912411 | Pasadena | CA | 91110 | Laboratory | $919,969 |
| Beta Healthcare Group RMA | |||||
| 1443 Danville Blvd | Alamo | CA | 94507 | workers compensation | $759,917 |
| Ventura County Medical Center | |||||
| 2323 Knoll Drive | Ventura | CA | 93003 | Medical | $1,181,919 |
| Premier Physical Therapy | |||||
| 1160 N Ventura Road | Oxnard | CA | 93030 | Medical | $606,319 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 43 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $16,093,384 | GovernmentGrantsAmt |
| All Other Contributions | $122,616 | AllOtherContributionsAmt |
| Total Contributions | $16,216,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $84,868,113 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $84,868,113 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $84,868,113 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,155,065 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,155,065 | RelatedOrExemptFuncIncomeAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISC. REVENUE | Desc |
| Business | 561000 | BusinessCd |
| Total Revenue Column | $9,494,160 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,494,160 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,494,160 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $111,733,338 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $95,517,338 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,913,333 | TotalAmt |
| Management And General | $2,913,333 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,491,319 | TotalAmt |
| Program Services | $35,436,799 | ProgramServicesAmt |
| Management And General | $10,054,520 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,240,595 | TotalAmt |
| Program Services | $1,530,221 | ProgramServicesAmt |
| Management And General | $710,374 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,890,331 | TotalAmt |
| Program Services | $4,705,774 | ProgramServicesAmt |
| Management And General | $2,184,557 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,434,233 | TotalAmt |
| Program Services | $2,345,420 | ProgramServicesAmt |
| Management And General | $1,088,813 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $870,551 | TotalAmt |
| Management And General | $870,551 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,478 | TotalAmt |
| Management And General | $152,478 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,784 | TotalAmt |
| Management And General | $110,784 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,727,723 | TotalAmt |
| Program Services | $15,585,046 | ProgramServicesAmt |
| Management And General | $7,142,677 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,398,493 | TotalAmt |
| Program Services | $840,173 | ProgramServicesAmt |
| Management And General | $558,320 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $335,695 | TotalAmt |
| Program Services | $128,386 | ProgramServicesAmt |
| Management And General | $207,309 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,027,492 | TotalAmt |
| Program Services | $648,481 | ProgramServicesAmt |
| Management And General | $379,011 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,443,978 | TotalAmt |
| Program Services | $551,352 | ProgramServicesAmt |
| Management And General | $1,892,626 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $758,758 | TotalAmt |
| Program Services | $431,461 | ProgramServicesAmt |
| Management And General | $327,297 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Promotion | $2,175,580 | $2,069,881 | $105,699 |
| Taxes and Licenses | $1,672,492 | $593,559 | $1,078,933 |
| Supplies Pharmacy | $1,664,509 | $1,664,509 | |
| Supplies Dental | $1,488,869 | $1,488,869 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,725,150 | TotalAmt |
| Program Services | $4,187,319 | ProgramServicesAmt |
| Management And General | $2,537,831 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,522,363 | TotalAmt |
| Program Services | $72,207,250 | ProgramServicesAmt |
| Management And General | $32,315,113 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,687,950 | BOYAmt |
| EOY | $7,461,564 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,898,775 | BOYAmt |
| EOY | $45,182,602 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,342,548 | BOYAmt |
| EOY | $12,355,473 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,612,079 | BOYAmt |
| EOY | $8,421,499 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $214,122 | BOYAmt |
| EOY | $281,449 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $73,549,243 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $31,487,892 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,738,138 | BOYAmt |
| EOY | $42,061,351 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,655,808 | BOYAmt |
| EOY | $12,849,275 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,168,994 | BOYAmt |
| EOY | $2,164,272 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,318,414 | BOYAmt |
| EOY | $130,777,485 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,919,646 | BOYAmt |
| EOY | $12,629,209 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,644,160 | BOYAmt |
| EOY | $26,844,224 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,237,840 | BOYAmt |
| EOY | $5,106,035 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,801,646 | BOYAmt |
| EOY | $44,579,468 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,445,066 | BOYAmt |
| EOY | $74,034,851 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,071,702 | BOYAmt |
| EOY | $12,163,166 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,516,768 | BOYAmt |
| EOY | $86,198,017 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,318,414 | BOYAmt |
| EOY | $130,777,485 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $7,210,975 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $470,274 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,916,344 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,989,850 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,602,137 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,486,150 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,216,000 | CurrentTaxYearAmt |
| Total | $77,210,481 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,916,344 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,989,850 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,602,137 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,486,150 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,216,000 | CurrentTaxYearAmt |
| Total | $77,210,481 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $77,210,481 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,594 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $166,471 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $277,233 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $773,649 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,155,065 | CurrentTaxYearAmt |
| Total | $2,388,012 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $444,217 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,641,502 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,841,367 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,255,083 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,494,160 | CurrentTaxYearAmt |
| Total | $23,676,329 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $103,274,822 | TotalSupportAmt |
| Public Support CY170 | 0.74760 | PublicSupportCY170Pct |
| Public Support PY170 | 0.81950 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,429,982 | OtherCostOrOtherBasisAmt |
| Book Value | $8,429,982 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,178,582 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,659,708 | DepreciationAmt |
| Book Value | $24,518,874 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,343,506 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,281,427 | DepreciationAmt |
| Book Value | $4,062,079 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,477,840 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,359,529 | DepreciationAmt |
| Book Value | $2,118,311 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,119,333 | OtherCostOrOtherBasisAmt |
| Depreciation | $187,228 | DepreciationAmt |
| Book Value | $2,932,105 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $42,061,351 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated 3rd Party Overpayments | $5,054,650 |
| Other liabilities | $51,385 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,106,035 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $112,092,828 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $470,274 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $470,274 | RevenueNotReportedAmt |
| Revenue Subtotal | $111,622,554 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $110,784 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $110,784 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $111,733,338 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $104,411,579 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $104,411,579 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $110,784 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $110,784 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $104,522,363 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X : FIN48 Footnote | FormAndLineReferenceDesc |
| Explanation | The 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 2019. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|
| Antonio Alatorre | ||||||
| COO | $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 | $343,441 | $22,500 | $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 | ||
| Jaspreet Bal | ||||||
| Dental Director | $155,987 | $2,250 | $10,716 | $168,953 | ||
| Kelly Lynn Bennett | ||||||
| Human Resources Director | $192,081 | $2,250 | $13,024 | $6,000 | $213,355 | |
| Lucrecia Campos-Juarez | ||||||
| Mental Health Director | $157,894 | $2,250 | $10,845 | $170,989 | ||
| Menashe Ehrenburg | ||||||
| Physician | $419,812 | $2,250 | $14,976 | $437,038 | ||
| Rafael Diaz | ||||||
| IT Director | $214,413 | $2,500 | $14,778 | $231,691 | ||
| 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a: Relevant information in regards to selections on 1a. | |
| Part I, Line 7: Non-Fixed payments not listed above | Nonfixed 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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b: Form 990 Review Process | The 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 Conflicts | The 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 Management | Every 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 Employees | Comparsion 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 Available | Form 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AmericasHealth Plan Inc | ||||||||||||
| 200S Wells Rd Suite 200 | Ventura | CA | 93004 | 271073990 | Managed Care Health Plan | CA | CDCR | C Corp | $10,158,869 | $5,000,322 | 1.00000 | Yes (true) |
| MedPartners MSO Incorporated | ||||||||||||
| 1040 Flynn Rd | Camarillo | CA | 93012 | 814231443 | Insurance Billing | CA | CDCR | C Corp | $653,850 | $221,719 | 1.00000 | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| AmericasHealth Plan Inc | ||
| a | $27,256 | Cash Payment |
| AmericasHealth Plan Inc | ||
| d | $759,000 | Cash Payment |
| AmericasHealth Plan Inc | ||
| l | $793,849 | Cash Payment |
| MedPartners MSO Incorporated | ||
| m | $504,928 | Cash Payment |