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AMPLA HEALTH: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
AMPLA HEALTH (EIN 94-2210447)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-06-17
IRS object ID
201931689349300808
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

FieldValueIRS element (for citing)
Return2019-06-17T10:03:10-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN680037990PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GILBERT ASSOCIATES INCBusinessNameLine1Txt

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 Begin2017-07-01TaxPeriodBeginDt

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
Signature2019-06-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKEITH R GLENPreparerPersonNm
PTINP01317613PTIN
Phone9166466464PhoneNum
Preparation2019-05-28PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address207.231.71.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-06-07IPDt
IP Tm15:34:15IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6945AA45E2A4D6609A435EBA012900DEADB11BA3AtSubmissionCreationDeviceId
At Submission Filing Device IdE3152073A5A10C551B4FB59E07D8A80CB564240AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

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$59,217,993GrossReceiptsAmt
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 Employee475TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,385,427PYContributionsGrantsAmt
CY Contributions Grants$503,018CYContributionsGrantsAmt
PY Program Service Revenue$40,846,138PYProgramServiceRevenueAmt
CY Program Service Revenue$58,675,047CYProgramServiceRevenueAmt
PY Investment Income$23,174PYInvestmentIncomeAmt
CY Investment Income$39,928CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$50,254,739PYTotalRevenueAmt
CY Total Revenue$59,217,993CYTotalRevenueAmt
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$36,764,346PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$39,937,568CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$13,668,250PYOtherExpensesAmt
CY Other Expenses$16,380,536CYOtherExpensesAmt
PY Total Expenses$50,432,596PYTotalExpensesAmt
CY Total Expenses$56,318,104CYTotalExpensesAmt
PY Revenues Less Expenses-$177,857PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,899,889CYRevenuesLessExpensesAmt
Total Assets BOY$31,333,396TotalAssetsBOYAmt
Total Assets EOY$32,088,065TotalAssetsEOYAmt
Total Liabilities BOY$15,475,578TotalLiabilitiesBOYAmt
Total Liabilities EOY$14,138,479TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,857,818NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$17,949,586NetAssetsOrFundBalancesEOYAmt
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$44,994,230ExpenseAmt
Revenue$58,675,047RevenueAmt
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, 2018 HAD 300,029 PATIENT ENCOUNTERS.Desc
Total Program Service Expenses$44,994,230TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
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 LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 Document48IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee475EmployeeCnt
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
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 - VICE CHAIR0.69Yes (X)Yes (X)$0$0$0
ELIZABETH SKELLY
BOARD OF DIRECTORS - TREASURER0.69Yes (X)Yes (X)$0$0$0
MICHELE WALTERS
BOARD OF DIRECTORS - SECRETARY0.69Yes (X)Yes (X)$0$0$0
MARY JANE GRIEGO
BOARD OF DIRECTORS - PARLIAMENTARIAN0.69Yes (X)Yes (X)$0$0$0
KIM OWENS
BOARD OF DIRECTORS - MEMBER0.69Yes (X)$0$0$0
CARLOS O PALACIOS
BOARD OF DIRECTORS - MEMBER0.38Yes (X)$0$0$0
WENCESLAO VASQUEZ
BOARD OF DIRECTORS - MEMBER0.38Yes (X)$0$0$0
ERNEST GARICA DDS
BOARD OF DIRECTORS - MEMBER0.38Yes (X)$0$0$0
MARK LUNDBERG MD
BOARD OF DIRECTORS - MEMBER0.38Yes (X)$0$0$0
LILIA CHILDS
BOARD OF DIRECTORS - MEMBER0.46Yes (X)$0$0$0
ALEJANDRO LUQUIN
BOARD OF DIRECTORS - MEMBER0.46Yes (X)$0$0$0
ROBERTO GONZALEZ
BOARD OF DIRECTORS - MEMBER0.46Yes (X)$0$0$0
DEBBIE PORCAYO
BOARD OF DIRECTORS - MEMBER0.69Yes (X)$0$0$0
THOMAS KELEM
BOARD OF DIRECTORS - MEMBER0.69Yes (X)$0$0$0
BENJAMIN FLORES
CEO40.00Yes (X)$319,003$0$28,635
TIFFANY ROBERTSON
CFO40.00Yes (X)$74,922$0$5,285
CARLOS PERALTA CORRALES
COO40.00Yes (X)$162,466$0$16,441
DANIEL SIRI
DENTAL DIRECTOR40.00$225,618$0$23,199Yes (X)
MUSTAFA AMMAR
MEDICAL DIRECTOR40.00$627,610$0$31,973Yes (X)
KANESHKA ALAMSHAHI
MEDICAL DOCTOR40.00$346,479$0$20,458Yes (X)
ARUN KUMAR
MEDICAL DOCTOR40.00$363,134$0$36,145Yes (X)
THINN AUNG
MEDICAL DOCTOR40.00$347,623$0$26,634Yes (X)
KANWAR MULTANI
MEDICAL DOCTOR40.00$331,709$0$15,060Yes (X)
ALPINA MULLICK
MEDICAL DOCTOR40.00$339,098$0$30,058Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,137,662TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$233,888TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K71IndivRcvdGreaterThan100KCnt
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
GE HEALTHCARE FINANCIAL SERVICE
PO BOX 641419PITTSBURGHPA15264CONTRACTUAL DATA SERVICES$673,618
IRIS TELEHEALTH
807 WEST AVEAUSTINTX78701CONTRACTUAL TELEPSYCHIATRY$622,696
BARTON ASSOCIATES INC
PO BOX 417844BOSTONMA02241CONTRACTUAL PHYSICIANS$502,966
YUBA SUTTER HOSPITALIST GROUP
726 4TH STREETMARYSVILLECA95901CONTRACTUAL PHYSICIANS$292,000
MENDOCINO MEDICAL
235 N PLUMAS STREETWILLOWSCA95988CONTRACTUAL PHYSICIAN$197,195
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
Government Grants$500,068GovernmentGrantsAmt
All Other Contributions$2,950AllOtherContributionsAmt
Noncash Contributions$2,950NoncashContributionsAmt
Total Contributions$503,018TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE621110$35,060,939$35,060,939
FEES FOR SERVICES621110$23,009,965$23,009,965
PPS RATE ADJUSTMENT INCOME621110$604,143$604,143
FieldValueIRS element (for citing)
Total Program Service Revenue$58,675,047TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,928TotalRevenueColumnAmt
Exclusion$39,928ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$59,217,993TotalRevenueColumnAmt
Related Or Exempt Func Income$58,675,047RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$39,928ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,515,152TotalAmt
Program Services$1,303,031ProgramServicesAmt
Management And General$212,121ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$31,107,935TotalAmt
Program Services$25,891,109ProgramServicesAmt
Management And General$5,216,826ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$770,864TotalAmt
Program Services$641,081ProgramServicesAmt
Management And General$129,783ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,360,683TotalAmt
Program Services$3,633,266ProgramServicesAmt
Management And General$727,417ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,182,934TotalAmt
Program Services$1,819,475ProgramServicesAmt
Management And General$363,459ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,284,038TotalAmt
Program Services$6,681,653ProgramServicesAmt
Management And General$1,602,385ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$589,516TotalAmt
Program Services$300,358ProgramServicesAmt
Management And General$289,158ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,403,117TotalAmt
Program Services$714,888ProgramServicesAmt
Management And General$688,229ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$265,877TotalAmt
Program Services$128,567ProgramServicesAmt
Management And General$137,310ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$202,586TotalAmt
Program Services$24,418ProgramServicesAmt
Management And General$178,168ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,626,235TotalAmt
Program Services$947,086ProgramServicesAmt
Management And General$679,149ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$276,779TotalAmt
Program Services$78,570ProgramServicesAmt
Management And General$198,209ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$2,226,637$1,958,999$267,638
BAD DEBT$604,144$412,360$191,784
OTHER EXPENSES$576,734$293,846$282,888
LICENSES$196,157$99,942$96,215

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$128,716TotalAmt
Program Services$65,581ProgramServicesAmt
Management And General$63,135ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$56,318,104TotalAmt
Program Services$44,994,230ProgramServicesAmt
Management And General$11,323,874ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,642,282BOYAmt
EOY$1,342,556EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,415,052BOYAmt
EOY$824,987EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$471,255BOYAmt
EOY$418,821EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,888,954BOYAmt
EOY$9,357,797EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$125,910BOYAmt
EOY$132,910EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,003,203BOYAmt
EOY$702,895EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$38,211,893LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$18,903,794LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$20,391,088BOYAmt
EOY$19,308,099EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$395,652BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$31,333,396BOYAmt
EOY$32,088,065EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,607,461BOYAmt
EOY$5,615,662EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$143,094EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$9,868,117BOYAmt
EOY$6,652,268EOYAmt

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,475,578BOYAmt
EOY$14,138,479EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,046,947BOYAmt
EOY$17,889,586EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$810,871BOYAmt
EOY$60,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,857,818BOYAmt
EOY$17,949,586EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,333,396BOYAmt
EOY$32,088,065EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,899,889ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$808,121PriorPeriodAdjustmentsAmt
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$7,945,138CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,477,500CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,214,813CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,385,427CurrentTaxYearMinus1YearAmt
Current Tax Year$503,018CurrentTaxYearAmt
Total$34,525,896TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,945,138CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,477,500CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,214,813CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,385,427CurrentTaxYearMinus1YearAmt
Current Tax Year$503,018CurrentTaxYearAmt
Total$34,525,896TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$34,525,896PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$287CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$660CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,920CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,174CurrentTaxYearMinus1YearAmt
Current Tax Year$39,928CurrentTaxYearAmt
Total$66,969TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$680,627CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,124,736CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,210,422CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,574,444CurrentTaxYearMinus1YearAmt
Total$16,590,229TotalAmt
FieldValueIRS element (for citing)
Total Support$51,183,094TotalSupportAmt
Gross Receipts Rltd Activities$222,059,599GrossReceiptsRltdActivitiesAmt
Public Support CY1700.67460PublicSupportCY170Pct
Public Support PY1700.72180PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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$23,907,373OtherCostOrOtherBasisAmt
Depreciation$10,286,700DepreciationAmt
Book Value$13,620,673BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,844,414OtherCostOrOtherBasisAmt
Depreciation$8,617,094DepreciationAmt
Book Value$2,227,320BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$306,359OtherCostOrOtherBasisAmt
Book Value$306,359BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$19,308,099TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLINE OF CREDITDesc
Amt$1,727,455Amt
FieldValueIRS element (for citing)
Total Liability$1,727,455TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$59,217,993TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$59,217,993RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$59,217,993TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$56,318,104TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$56,318,104ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$56,318,104TotalExpensesPerForm990Amt

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$313,003$0$6,000$0$0$0$17,098$0$11,537$0$347,638$0$0$0
CARLOS PERALTA CORRALES
COO$162,466$0$0$0$0$0$4,904$0$11,537$0$178,907$0$0$0
DANIEL SIRI
DENTAL DIRECTOR$216,418$0$9,200$0$0$0$11,662$0$11,537$0$248,817$0$0$0
MUSTAFA AMMAR
MEDICAL DIRECTOR$392,497$0$235,113$0$0$0$20,436$0$11,537$0$659,583$0$0$0
KANESHKA ALAMSHAHI
MEDICAL DOCTOR$269,038$0$77,441$0$0$0$8,921$0$11,537$0$366,937$0$0$0
ARUN KUMAR
MEDICAL DOCTOR$283,224$0$79,910$0$0$0$24,608$0$11,537$0$399,279$0$0$0
THINN AUNG
MEDICAL DOCTOR$272,743$0$74,880$0$0$0$15,097$0$11,537$0$374,257$0$0$0
KANWAR MULTANI
MEDICAL DOCTOR$236,641$0$95,068$0$0$0$3,523$0$11,537$0$346,769$0$0$0
ALPINA MULLICK
MEDICAL DOCTOR$262,424$0$76,674$0$0$0$18,521$0$11,537$0$369,156$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 6,681,653. MANAGEMENT AND GENERAL EXPENSES 1,602,385. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,284,038.
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.