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AMPLA HEALTH: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
AMPLA HEALTH (EIN 94-2210447)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-02
IRS object ID
202041849349300224
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

FieldValueIRS element (for citing)
Return2020-07-02T10:35:44-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN680037990PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GILBERT CPASBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12880 GATEWAY OAKS DR STE 100AddressLine1Txt
CitySACRAMENTOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95833ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN942210447EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMPLA HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAMPLBusinessNameControlTxt
Phone5306744261PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1935 MARKET STREETAddressLine1Txt
CityYUBA CITYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95991ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBENJAMIN H FLORES MPHPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone5306744261PhoneNum
Signature2020-06-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKEITH R GLENPreparerPersonNm
PTINP01317613PTIN
Phone9166466464PhoneNum
Preparation2020-06-05PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address207.231.71.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-06-05IPDt
IP Tm16:42:42IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id67639D8D55F6B218ED5E382FB77B71D17F0527F1AtSubmissionCreationDeviceId
At Submission Filing Device Id67639D8D55F6B218ED5E382FB77B71D17F0527F1AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-04-17 16:48:07ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBENJAMIN H FLORES MPHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1935 MARKET STREETAddressLine1Txt
CityYUBA CITYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95991ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$67,781,739GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AMPLAHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionAMPLA HEALTH STRIVES TO PROVIDE HIGH QUALITY MEDICAL, DENTAL, SOCIAL ANDEDUCATIONAL HEALTH SERVICES THAT MEET THE UNIQUE NEEDS OF ALL PATIENTSESPECIALLY THOSE WHO ARE MEDICALLY UNDER SERVED INCLUDING FARM WORKERSAND OTHERS WITHOUT FINCIAL RESOURCES.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee512TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$503,018PYContributionsGrantsAmt
CY Contributions Grants$9,835,212CYContributionsGrantsAmt
PY Program Service Revenue$58,675,047PYProgramServiceRevenueAmt
CY Program Service Revenue$57,903,012CYProgramServiceRevenueAmt
PY Investment Income$39,928PYInvestmentIncomeAmt
CY Investment Income$43,515CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$59,217,993PYTotalRevenueAmt
CY Total Revenue$67,781,739CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$39,937,568PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$42,758,591CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$16,380,536PYOtherExpensesAmt
CY Other Expenses$20,969,935CYOtherExpensesAmt
PY Total Expenses$56,318,104PYTotalExpensesAmt
CY Total Expenses$63,728,526CYTotalExpensesAmt
PY Revenues Less Expenses$2,899,889PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,053,213CYRevenuesLessExpensesAmt
Total Assets BOY$32,088,065TotalAssetsBOYAmt
Total Assets EOY$33,969,892TotalAssetsEOYAmt
Total Liabilities BOY$14,138,479TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,967,093TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,949,586NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$22,002,799NetAssetsOrFundBalancesEOYAmt
MissionAMPLA HEALTH STRIVES TO PROVIDE HIGH QUALITY MEDICAL, DENTAL, SOCIAL AND EDUCATIONAL HEALTH SERVICES THAT MEET THE UNIQUE NEEDS OF ALL PATIENTS ESPECIALLY THOSE WHO ARE MEDICALLY UNDER SERVED INCLUDING FARM WORKERS AND OTHERS WITHOUT FINANCIAL RESOURCES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$51,530,261ExpenseAmt
Revenue$57,903,012RevenueAmt
DescAMPLA HEALTH PROVIDES MEDICAL SERVICES AND BASIC DENTAL SERVICES TO LOW-INCOME AND MIGRANT PATIENTS. IT ALSO PROVIDES HEALTH AND PRENATAL INFORMATION TO LOW-INCOME AND MIGRANT INDIVIDUALS, AS WELL AS, SUPPLEMENTAL FOOD TO ELIGIBLE LOW-INCOME WOMEN. FISCAL YEAR ENDED JUNE 30, 2019 HAD 316,523 PATIENT ENCOUNTERS.Desc
Total Program Service Expenses$51,530,261TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document37IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee512EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VERONICA RICHTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5306744261PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1935 MARKET STREETAddressLine1Txt
CityYUBA CITYCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95991ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
HORACIO PARAS
BOARD OF DIRECTORS - CHAIR0.69Yes (X)Yes (X)$0$0$0
J ANGEL CALDERON
BOARD OF DIRECTORS - VICE0.69Yes (X)Yes (X)$0$0$0
ELIZABETH SKELLY
BOARD OF DIRECTORS - TREA0.69Yes (X)Yes (X)$0$0$0
MICHELE WALTERS
BOARD OF DIRECTORS - SECRE0.69Yes (X)Yes (X)$0$0$0
MARY JANE GRIEGO
BOARD OF DIRECTORS - PARLI0.69Yes (X)Yes (X)$0$0$0
KIM OWENS
BOARD OF DIRECTORS - MEMBER0.69Yes (X)Yes (X)$0$0$0
CARLOS O PALACIOS
BOARD OF DIRECTORS - MEMBE0.38Yes (X)$0$0$0
WENCESLAO VASQUEZ
BOARD OF DIRECTORS - MEMBE0.38Yes (X)$0$0$0
ERNEST GARICA DDS
BOARD OF DIRECTORS - MEMBE0.38Yes (X)$0$0$0
MARK LUNDBERG MD
BOARD OF DIRECTORS - MEMBE0.38Yes (X)$0$0$0
LILIA CHILDS
BOARD OF DIRECTORS - MEMBE0.46Yes (X)$0$0$0
VALDOVINOS LORENZO
BOARD OF DIRECTORS - MEMBER0.46Yes (X)$0$0$0
ALEJANDRO LUQUIN
BOARD OF DIRECTORS - MEMBE0.46Yes (X)$0$0$0
ROBERTO GONZALEZ
BOARD OF DIRECTORS - MEMBE0.46Yes (X)$0$0$0
DEBBIE PORCAYO
BOARD OF DIRECTORS - MEMBE0.69Yes (X)$0$0$0
THOMAS KELEM
BOARD OF DIRECTORS - MEMBE0.23Yes (X)$0$0$0
BENJAMIN FLORES
CEO40.00Yes (X)$334,488$0$30,155
CARLOS PERALTA CORRALES
COO40.00Yes (X)$185,734$0$17,369
DANIEL SIRI
DENTAL DIRECTOR40.00$248,272$0$23,824Yes (X)
MUSTAFA AMMAR
MEDICAL DIRECTOR40.00$585,408$0$29,707Yes (X)
KANESHKA ALAMSHAHI
MEDICAL DOCTOR40.00$361,183$0$21,586Yes (X)
ARUN KUMAR
MEDICAL DOCTOR40.00$351,189$0$35,205Yes (X)
THINN AUNG
MEDICAL DOCTOR40.00$320,004$0$28,066Yes (X)
SARTAJ SANDHU
MEDICAL DOCTOR40.00$342,795$0$20,413Yes (X)
ALPINA MULLICK
MEDICAL DOCTOR40.00$313,354$0$29,088Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,042,427TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$235,413TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K89IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
IRIS TELEHEALTH
807 WEST AVEAUSTINTX78701CONTRACTUAL TELEPSYCHIATRY$779,676
GE HEALTHCARE FINANCIAL SERVICE
PO BOX 641419PITTSBURGHPA15264CONTRACTUAL DATA SERVICES$396,740
COMCAST
PO BOX 37601PHILADELPHIAPA19101CONTRACTUAL DATA SERVICES$298,314
R&S NORTHEAST LLC
PO BOX 935485ATLANTAGA31193CONTRACTUAL PHARMACY$249,248
BARTON ASSOCIATES INC
PO BOX 417844BOSTONMA02241CONTRACTUAL PHYSICIANS$243,185
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K18CntrctRcvdGreaterThan100KCnt
Government Grants$9,473,783GovernmentGrantsAmt
All Other Contributions$361,429AllOtherContributionsAmt
Noncash Contributions$19,997NoncashContributionsAmt
Total Contributions$9,835,212TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE621110$38,711,706$38,711,706
FEES FOR SERVICES621110$19,016,389$19,016,389
PPS RATE ADJUSTMENT INCOME621110$174,917$174,917
FieldValueIRS element (for citing)
Total Program Service Revenue$57,903,012TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,515TotalRevenueColumnAmt
Exclusion$43,515ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$67,781,739TotalRevenueColumnAmt
Related Or Exempt Func Income$57,903,012RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$43,515ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,454,955TotalAmt
Program Services$1,251,261ProgramServicesAmt
Management And General$203,694ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$34,220,231TotalAmt
Program Services$28,591,534ProgramServicesAmt
Management And General$5,628,697ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$795,214TotalAmt
Program Services$663,873ProgramServicesAmt
Management And General$131,341ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,898,054TotalAmt
Program Services$3,259,419ProgramServicesAmt
Management And General$638,635ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,390,137TotalAmt
Program Services$1,999,224ProgramServicesAmt
Management And General$390,913ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,327,814TotalAmt
Program Services$10,191,003ProgramServicesAmt
Management And General$2,136,811ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$607,597TotalAmt
Program Services$351,008ProgramServicesAmt
Management And General$256,589ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,417,131TotalAmt
Program Services$1,070,327ProgramServicesAmt
Management And General$346,804ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$320,842TotalAmt
Program Services$134,558ProgramServicesAmt
Management And General$186,284ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$237,619TotalAmt
Program Services$74,155ProgramServicesAmt
Management And General$163,464ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,545,494TotalAmt
Program Services$938,965ProgramServicesAmt
Management And General$606,529ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$204,447TotalAmt
Program Services$73,492ProgramServicesAmt
Management And General$130,955ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$2,790,575$2,520,614$269,961
OTHER EXPENSES$935,573$253,130$682,443
LICENSES$223,649$60,512$163,137
TRAINING$184,277$49,859$134,418

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$174,917TotalAmt
Program Services$47,327ProgramServicesAmt
Management And General$127,590ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$63,728,526TotalAmt
Program Services$51,530,261ProgramServicesAmt
Management And General$12,198,265ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,342,556BOYAmt
EOY$4,918,073EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$824,987BOYAmt
EOY$1,463,512EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$418,821BOYAmt
EOY$977,319EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,357,797BOYAmt
EOY$7,304,728EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$132,910BOYAmt
EOY$132,910EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$702,895BOYAmt
EOY$1,021,894EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$38,600,744LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,449,288LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$19,308,099BOYAmt
EOY$18,151,456EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$32,088,065BOYAmt
EOY$33,969,892EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,615,662BOYAmt
EOY$5,214,262EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$143,094BOYAmt
EOY$784,134EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,652,268BOYAmt
EOY$5,968,697EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,727,455BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,138,479BOYAmt
EOY$11,967,093EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,889,586BOYAmt
EOY$22,002,799EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$60,000BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,949,586BOYAmt
EOY$22,002,799EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$32,088,065BOYAmt
EOY$33,969,892EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,053,213ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)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$7,477,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,214,813CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,385,427CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$503,018CurrentTaxYearMinus1YearAmt
Current Tax Year$9,835,212CurrentTaxYearAmt
Total$36,415,970TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,477,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,214,813CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,385,427CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$503,018CurrentTaxYearMinus1YearAmt
Current Tax Year$9,835,212CurrentTaxYearAmt
Total$36,415,970TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$36,415,970PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$660CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,920CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,174CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$39,928CurrentTaxYearMinus1YearAmt
Current Tax Year$43,515CurrentTaxYearAmt
Total$110,197TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,124,736CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,210,422CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,574,444CurrentTaxYearMinus2YearsAmt
Total$15,909,602TotalAmt
FieldValueIRS element (for citing)
Total Support$52,435,769TotalSupportAmt
Gross Receipts Rltd Activities$239,116,473GrossReceiptsRltdActivitiesAmt
Public Support CY1700.69450PublicSupportCY170Pct
Public Support PY1700.67460PublicSupportPY170Pct
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$3,153,747OtherCostOrOtherBasisAmt
Book Value$3,153,747BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,191,738OtherCostOrOtherBasisAmt
Depreciation$11,199,024DepreciationAmt
Book Value$12,992,714BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,206,990OtherCostOrOtherBasisAmt
Depreciation$9,250,264DepreciationAmt
Book Value$1,956,726BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,269OtherCostOrOtherBasisAmt
Book Value$48,269BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$18,151,456TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$67,781,739TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$67,781,739RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$67,781,739TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$63,728,526TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$63,728,526ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$63,728,526TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BENJAMIN FLORES
CEO$328,488$0$6,000$0$0$0$18,503$0$11,652$0$364,643$0$0$0
CARLOS PERALTA CORRALES
COO$185,734$0$0$0$0$0$5,717$0$11,652$0$203,103$0$0$0
DANIEL SIRI
DENTAL DIRECTOR$242,152$0$6,120$0$0$0$12,172$0$11,652$0$272,096$0$0$0
MUSTAFA AMMAR
MEDICAL DIRECTOR$441,278$0$144,130$0$0$0$18,055$0$11,652$0$615,115$0$0$0
KANESHKA ALAMSHAHI
MEDICAL DOCTOR$299,909$0$61,274$0$0$0$9,934$0$11,652$0$382,769$0$0$0
ARUN KUMAR
MEDICAL DOCTOR$300,756$0$50,433$0$0$0$23,553$0$11,652$0$386,394$0$0$0
THINN AUNG
MEDICAL DOCTOR$287,014$0$32,990$0$0$0$16,414$0$11,652$0$348,070$0$0$0
SARTAJ SANDHU
MEDICAL DOCTOR$305,185$0$37,610$0$0$0$8,761$0$11,652$0$363,208$0$0$0
ALPINA MULLICK
MEDICAL DOCTOR$276,301$0$37,053$0$0$0$17,436$0$11,652$0$342,442$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationYES, BONUS AND INCENTIVE PAYMENTS ARE BASED ON ENCOUNTER PRODUCTIVITY, WITH 400 ENCOUNTERS BEING STANDARD.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BAN INDEPENDENT ACCOUNTING FIRM PREPARES THE FORM 990 WITH THE INFORMATION PROVIDED BY THE ORGANIZATION ACCOUNTING DEPARTMENT. THEN THE COMPLETED 990 IS SENT TO THE CFO OF THE ORGANIZATION TO BE REVIEWED. THE CFO REVIEWS AND DISTRIBUTES THE 990 AMONG THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS FOR REVIEW AND QUESTIONS AT THE BOARD MEETING. UPON COMPLETION OF REVIEW AND APPROVAL, THE FORM 990 IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO BE MAILED UPON WRITTEN REQUEST.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION IS DETERMINED FOR THE CEO BY HIRING A CONSULTANT WHO GATHERS INFORMATION OF OTHER CEO'S PAY. THE CONSULTANT THEN PRESENTS THE SALARY RANGES TO THE BOARD OF DIRECTORS WHO THEN WILL DECIDE ON THE COMPENSATION FOR THE CEO. ANNUAL REVIEWS AND ANNUAL SALARY SURVEYS ARE DONE TO MAKE SURE THE CEO IS COMPENSATED FAIRLY. THE ANNUAL REVIEW AND ANNUAL SALARY SURVEY IS DONE YEARLY AROUND MARCH OR APRIL. THE COMPENSATION IS DETERMINED FOR THE KEY EMPLOYEES IS DETERMINED BY HIRING A CONSULTANT WHO GATHERS INFORMATION OF OTHER KEY EMPLOYEES PAY. THE CONSULTANT THEN PRESENTS THE SALARY RANGES TO THE CEO WHO THEN WILL DECIDE ON THE COMPENSATION FOR THE KEY EMPLOYEE. ANNUAL REVIEWS AND ANNUAL SALARY SURVEYS ARE DONE TO MAKE SURE THE KEY EMPLOYEES ARE COMPENSATED FAIRLY. THE ANNUAL REVIEW AND ANNUAL SALARY SURVEY IS DONE YEARLY AROUND MARCH OR APRIL.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO BE MAILED UPON REQUEST. HOWEVER, FINANCIAL STATEMENTS ARE NOT MADE PUBLIC.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO BE MAILED UPON REQUEST. HOWEVER, FINANCIAL STATEMENTS ARE NOT MADE PUBLIC.
FORM 990, PART IX, LINE 11GOTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 10,191,003. MANAGEMENT AND GENERAL EXPENSES 2,136,811. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,327,814.
FORM 990 PART XII, LINE 2CNEITHER THE PROCESS FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT NOR THE PROCESS FOR SELECTION OF AN INDEPENDENT ACCOUNTANT HAS CHANGED FROM THE PRIOR YEAR.