LUMIRA HEALTHCARE: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- LUMIRA HEALTHCARE (EIN 94-1719656)
- Tax period
- 2017-05-01 to 2018-04-30
- Filed
- 2019-03-04
- IRS object ID
- 201910639349300896
- Schema version
- 2017v2.3
- 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 | 2019-03-04T15:50:13-06:00 | ReturnTs |
| Tax Period End | 2018-04-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SECOND STREET SUITE 900 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-05-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941719656 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LIVINGSTON COMMUNITY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LIVI | BusinessNameControlTxt |
| Phone | 2093947913 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1140 MAIN STREET | AddressLine1Txt |
| City | LIVINGSTON | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95334 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LESLIE ABASTA-CUMMINGS | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 2093947913 | PhoneNum |
| Signature | 2019-03-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAUREN A HAVERLOCK | PreparerPersonNm |
| PTIN | P00545829 | PTIN |
| Phone | 4159561500 | PhoneNum |
| Preparation | 2019-03-01 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.129.7.100 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-03-01 | IPDt |
| IP Tm | 13:50:16 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 5029E8FD9FE66385FA59B177B15FCADA276E8E0F | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 32BFBF1104AA8EEBC72962A0CCB0C2C16BC479E3 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LESLIE ABASTA-CUMMINGS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1140 MAIN STREET | AddressLine1Txt |
| City | LIVINGSTON | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95334 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $21,001,227 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VISITLCH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1970 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 233 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,680,994 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,745,311 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,490,227 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,196,742 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $41,210 | CYInvestmentIncomeAmt |
| PY Other Revenue | $15,957 | PYOtherRevenueAmt |
| CY Other Revenue | $17,964 | CYOtherRevenueAmt |
| PY Total Revenue | $18,187,178 | PYTotalRevenueAmt |
| CY Total Revenue | $21,001,227 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,448,331 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,619,801 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,444,495 | PYOtherExpensesAmt |
| CY Other Expenses | $6,752,006 | CYOtherExpensesAmt |
| PY Total Expenses | $16,892,826 | PYTotalExpensesAmt |
| CY Total Expenses | $20,371,807 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,294,352 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $629,420 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $16,263,015 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,097,395 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,326,062 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,531,022 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,936,953 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,566,373 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | LIVINGSTON COMMUNITY HEALTH IS A NON-PROFIT COMMUNITY HEALTH CENTER PROVIDING COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $15,472,817 | ExpenseAmt |
| Revenue | $14,196,742 | RevenueAmt |
| Desc | LIVINGSTON COMMUNITY HEALTH (LCH) IS A FEDERALLY QUALIFIED HEALTH CENTER THAT PROVIDES COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTH SERVICES TO ALL PATIENTS REGARDLESS OF ABILITY TO PAY. THE ORGANIZATION SERVES THE MEDICALLY UNDERSERVED POPULATION OF THE LIVINGSTON, HILMAR, STEVINSON, CRESSEY, ATWATER, WATERFORD, PATTERSON, AND DELHI AREAS; PATIENT SERVICES ARE RENDERED AT THE LIVINGSTON, HILMAR, WATERFORD, PATTERSON, AND DELHI CLINICS. SERVICES RENDERED INCLUDE FAMILY PRACTICE, INFANT/CHILDHOOD PHYSICALS, IMMUNIZATIONS, GYNECOLOGY, CHRONIC DISEASE MANAGEMENT, COMPREHENSIVE PERINATAL SERVICES, LABORATORY, ULTRASOUND, BEHAVIORAL HEALTH, DENTAL, AND CLINIC-BASED EDUCATION. SERVICES ARE OFFERED 6 DAYS A WEEK WITH 64 HOURS OF WEEKLY OPERATIONS. DURING THE TAX YEAR ENDING APRIL 30, 2018, LCH HAD APPROXIMATELY 24,000 PATIENTS AND RENDERED OVER 79,000 PATIENT VISITS DURING THE YEAR. | Desc |
| Total Program Service Expenses | $15,472,817 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 50 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 233 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANGELA ROBINSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5104022348 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1140 MAIN STREET | AddressLine1Txt |
| City | LIVINGSTON | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95334 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| MARY ELLEN ARANA | |||||||
| BOARD CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAVID BLEVINS | |||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| EVA DELONG | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROBERT WEIMER | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JORGE CISNEROS | |||||||
| DIRECTOR THROUGH 7/2017 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TRAVIS LAKE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEVE MOELLER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN PEDROZO | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HILDA PIMENTEL | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROSALINDA RUIZ | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LILLIAN SANCHEZ-RAMOS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PHIL SCHIBER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LESLIE ABASTA-CUMMINGS | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $270,003 | $0 | $17,741 | ||
| SELINA MONTOYA | |||||||
| CFO THROUGH 1/2018 | 40.00 | Yes (X) | $150,934 | $0 | $8,144 | ||
| ANGELA ROBINSON | |||||||
| INTERIM CFO START 2/2018 | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| BETHANY MAXWELL | |||||||
| CHIEF MEDICAL OFFICER THROUGH 7/2017 | 40.00 | Yes (X) | $171,191 | $0 | $10,951 | ||
| GLEN VILLANUEVA | |||||||
| CHIEF MEDICAL OFFICER START 8/2017 | 40.00 | Yes (X) | $66,274 | $0 | $0 | ||
| FERAS KHOURY | |||||||
| CHIEF OPERATIONS OFFICER START 12/2017 | 40.00 | Yes (X) | $20,508 | $0 | $272 | ||
| JANELLE D SHEARS | |||||||
| CHIEF ADMINISTRATION OFFICER | 40.00 | Yes (X) | $103,758 | $0 | $1,762 | ||
| JESUS CORRAL | |||||||
| PHYSICIAN ASSISTANT | 64.00 | $242,453 | $0 | $9,441 | Yes (X) | ||
| AILEEN JARO LOPEN | |||||||
| PHYSICIAN | 40.00 | $205,957 | $0 | $741 | Yes (X) | ||
| AFNAN QADEER | |||||||
| PHYSICIAN | 40.00 | $201,135 | $0 | $3,255 | Yes (X) | ||
| CARLOS GASHA TAMASHIRO | |||||||
| PHYSICIAN | 40.00 | $181,445 | $0 | $705 | Yes (X) | ||
| MYRIAM CASTANEDA | |||||||
| PHYSICIAN ASSISTANT | 40.00 | $157,592 | $0 | $1,930 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,771,250 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $54,942 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 20 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SIMILE CONSTRUCTION | |||||
| 4725 ENTERPRISE WAY SUITE 1 | MODESTO | CA | 95356 | CONSTRUCTION | $1,077,151 |
| VERNAL GROUP | |||||
| 1035 E OLIVE AVENUE | FRESNO | CA | 93728 | ARCHITECTURE | $336,000 |
| STAFF CARE | |||||
| PO BOX 281923 | ATLANTA | GA | 303841923 | TEMPORARY STAFFING | $329,706 |
| PROVIDER HEALTH CARE | |||||
| 2455 EAST PARLEYS WAY SUITE 130 | SALT LAKE CITY | UT | 84109 | TEMPORARY STAFFING | $265,527 |
| BARTON & BARTON ASSOCIATES | |||||
| PO BOX 417844 | BOSON | MA | 022417844 | TEMPORARY STAFFING | $219,966 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,191,086 | GovernmentGrantsAmt |
| All Other Contributions | $554,225 | AllOtherContributionsAmt |
| Total Contributions | $6,745,311 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERV REV | 621400 | $11,558,519 | $11,558,519 |
| CAPITATION REVENUE | 621400 | $2,128,467 | $2,128,467 |
| PHARMACY REVENUE | 621400 | $509,756 | $509,756 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,196,742 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,210 | TotalRevenueColumnAmt |
| Exclusion | $41,210 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,964 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,964 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,964 | TotalRevenueColumnAmt |
| Exclusion | $17,964 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,001,227 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,196,742 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $59,174 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $937,249 | TotalAmt |
| Program Services | $258,198 | ProgramServicesAmt |
| Management And General | $679,051 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,813,576 | TotalAmt |
| Program Services | $8,039,153 | ProgramServicesAmt |
| Management And General | $1,774,423 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,847 | TotalAmt |
| Program Services | $32,847 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,947,429 | TotalAmt |
| Program Services | $1,583,761 | ProgramServicesAmt |
| Management And General | $363,668 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $888,700 | TotalAmt |
| Program Services | $629,111 | ProgramServicesAmt |
| Management And General | $259,589 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,048 | TotalAmt |
| Management And General | $50,048 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,851 | TotalAmt |
| Management And General | $21,851 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,555,884 | TotalAmt |
| Program Services | $1,299,135 | ProgramServicesAmt |
| Management And General | $256,749 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,492 | TotalAmt |
| Program Services | $176,910 | ProgramServicesAmt |
| Management And General | $25,582 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $680,602 | TotalAmt |
| Program Services | $340,073 | ProgramServicesAmt |
| Management And General | $340,529 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $796,234 | TotalAmt |
| Program Services | $630,573 | ProgramServicesAmt |
| Management And General | $165,661 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $462,599 | TotalAmt |
| Program Services | $370,385 | ProgramServicesAmt |
| Management And General | $92,214 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $292,608 | TotalAmt |
| Program Services | $98,798 | ProgramServicesAmt |
| Management And General | $193,810 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $534,324 | TotalAmt |
| Program Services | $210,799 | ProgramServicesAmt |
| Management And General | $323,525 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,284 | TotalAmt |
| Program Services | $173,502 | ProgramServicesAmt |
| Management And General | $47,782 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $440,025 | TotalAmt |
| Program Services | $361,307 | ProgramServicesAmt |
| Management And General | $78,718 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,987 | TotalAmt |
| Program Services | $62,655 | ProgramServicesAmt |
| Management And General | $15,332 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL/DENTAL SUPPLIES | $984,596 | $984,596 | |
| SUBCONTRACT-GRANT PYMNT | $99,570 | $99,570 | |
| BUILDING REPAIR & MAINT | $82,251 | $56,611 | $25,640 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249,651 | TotalAmt |
| Program Services | $164,403 | ProgramServicesAmt |
| Management And General | $85,248 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,371,807 | TotalAmt |
| Program Services | $15,472,817 | ProgramServicesAmt |
| Management And General | $4,898,990 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,388,696 | BOYAmt |
| EOY | $2,010,935 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,004,937 | BOYAmt |
| EOY | $1,408,867 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $975,309 | BOYAmt |
| EOY | $400,796 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,418,220 | BOYAmt |
| EOY | $838,540 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $7,313,949 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,670 | BOYAmt |
| EOY | $123,240 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,463 | BOYAmt |
| EOY | $151,606 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,246,086 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,373,707 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,814,779 | BOYAmt |
| EOY | $3,872,379 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,977,083 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $423,941 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,263,015 | BOYAmt |
| EOY | $18,097,395 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $975,093 | BOYAmt |
| EOY | $1,001,084 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,338 | BOYAmt |
| EOY | $49,841 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,174,124 | BOYAmt |
| EOY | $5,909,822 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,074,507 | BOYAmt |
| EOY | $1,570,275 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,326,062 | BOYAmt |
| EOY | $8,531,022 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,936,953 | BOYAmt |
| EOY | $9,566,373 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,936,953 | BOYAmt |
| EOY | $9,566,373 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,263,015 | BOYAmt |
| EOY | $18,097,395 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $629,420 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | 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 | $2,290,664 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,802,776 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,525,728 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,680,994 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,745,311 | CurrentTaxYearAmt |
| Total | $23,045,473 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,290,664 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,802,776 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,525,728 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,680,994 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,745,311 | CurrentTaxYearAmt |
| Total | $23,045,473 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $23,045,473 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $44 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $465 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,986 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $59,174 | CurrentTaxYearAmt |
| Total | $68,669 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,251 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,819 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $39,890 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,971 | CurrentTaxYearMinus1YearAmt |
| Total | $85,931 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $23,200,073 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $49,683,704 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99330 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99210 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER REVENUE - 2013 AMOUNT: $ 29,251. 2014 AMOUNT: $ 9,819. 2015 AMOUNT: $ 39,890. 2016 AMOUNT: $ 6,971. 2017 AMOUNT: $ 0. | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,000 | OtherCostOrOtherBasisAmt |
| Book Value | $10,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,011,837 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,217,438 | DepreciationAmt |
| Book Value | $794,399 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,012,741 | OtherCostOrOtherBasisAmt |
| Depreciation | $734,415 | DepreciationAmt |
| Book Value | $2,278,326 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,067,004 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,303,473 | DepreciationAmt |
| Book Value | $763,531 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $144,504 | OtherCostOrOtherBasisAmt |
| Depreciation | $118,381 | DepreciationAmt |
| Book Value | $26,123 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,872,379 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NEW MARKET TAX CREDIT INVESTMENT | Desc |
| Book Value | $1,977,083 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $1,977,083 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ESTIMATED THIRD PARTY SETTLEMENTS | Desc |
| Amt | $1,570,275 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,570,275 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $21,001,227 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $21,001,227 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $21,001,227 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $20,371,807 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $20,371,807 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $20,371,807 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE CENTER HAS BEEN GRANTED TAX-EXEMPT STATUS BY THE INTERNAL REVENUE SERVICE PURSUANT TO CODE SECTION 501(C)(3) AND ALSO BY THE CALIFORNIA REVENUE AND TAX CODE SECTION 23701D. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. HOWEVER, THE CENTER FILES INFORMATIONAL RETURNS ANNUALLY WITH FEDERAL AND STATE TAXING AUTHORITIES. AS OF APRIL 30, 2018, THE CENTER HAD NO UNRECOGNIZED TAX POSITIONS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LESLIE ABASTA-CUMMINGS | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $240,578 | $0 | $11,965 | $0 | $17,460 | $0 | $1,739 | $0 | $16,002 | $0 | $287,744 | $0 | $0 | $0 |
| SELINA MONTOYA | ||||||||||||||
| CFO THROUGH 1/2018 | $143,134 | $0 | $1,500 | $0 | $6,300 | $0 | $0 | $0 | $8,144 | $0 | $159,078 | $0 | $0 | $0 |
| BETHANY MAXWELL | ||||||||||||||
| CHIEF MEDICAL OFFICER THROUGH 7/2017 | $125,060 | $0 | $7,940 | $0 | $38,191 | $0 | $0 | $0 | $10,951 | $0 | $182,142 | $0 | $0 | $0 |
| JESUS CORRAL | ||||||||||||||
| PHYSICIAN ASSISTANT | $144,922 | $0 | $10,973 | $0 | $86,558 | $0 | $975 | $0 | $8,466 | $0 | $251,894 | $0 | $0 | $0 |
| AILEEN JARO LOPEN | ||||||||||||||
| PHYSICIAN | $190,000 | $0 | $9,530 | $0 | $6,427 | $0 | $0 | $0 | $741 | $0 | $206,698 | $0 | $0 | $0 |
| AFNAN QADEER | ||||||||||||||
| PHYSICIAN | $187,100 | $0 | $7,100 | $0 | $6,935 | $0 | $0 | $0 | $3,255 | $0 | $204,390 | $0 | $0 | $0 |
| CARLOS GASHA TAMASHIRO | ||||||||||||||
| PHYSICIAN | $171,517 | $0 | $7,528 | $0 | $2,400 | $0 | $0 | $0 | $705 | $0 | $182,150 | $0 | $0 | $0 |
| MYRIAM CASTANEDA | ||||||||||||||
| PHYSICIAN ASSISTANT | $139,070 | $0 | $8,640 | $0 | $9,882 | $0 | $0 | $0 | $1,930 | $0 | $159,522 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | DURING THE FISCAL YEAR, THE ROLE OF INTERIM CFO WAS FILLED BY ANGELA ROBINSON, A CONSULTANT WITH WIPFLI. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT TAX ACCOUNTANT IN CONJUNCTION WITH THE ORGANIZATION'S FINANCE AND ACCOUNTING STAFF. THE CFO THEN REVIEWS A DRAFT OF THE FORM 990 IN DETAIL; ADJUSTMENTS ARE MADE, AS NECESSARY. THE FORM 990 IS THEN REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY FILE WRITTEN DECLARATIONS OR POTENTIAL CONFLICTS OF INTEREST WITH THE CHAIR OF THE BOARD OF DIRECTORS. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE CONFLICTED INDIVIDUAL IS REQUIRED TO IMMEDIATELY NOTIFY THE BOARD OF DIRECTORS UPON LEARNING OF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. THE BOARD, BY A MAJORITY VOTE (EXCLUDING THE DIRECTOR HAVING SUCH A CONFLICT) MAY ALLOW SUCH A TRANSACTION SO LONG AS THE TRANSACTION BENEFITS THE CORPORATION, IS FAIR AND REASONABLE TO THE CORPORATION, AND THE BOARD DETERMINES THAT IT COULD NOT HAVE OBTAINED A MORE ADVANTAGEOUS TREATMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | SALARY SURVEYS ARE PERFORMED TO DETERMINE THE COMPENSATION OF THE CEO, OTHER OFFICERS OR THE ORGANIZATION, AS WELL AS KEY EMPLOYEES. COMPENSATION CONTRACTS AND AGREEMENTS ARE REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS, TAKING ALSO INTO ACCOUNT PERFORMANCE EVALUATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |