2019-05-02T19:21:24-05:00 2018-06-30 330783700 PDM LLP 3460 TORRANCE BLVD STE 200 TORRANCE CA 90503 990 2017-07-01 330574214 CAMINO HEALTH CENTER CAMI 9492402030 30300 CAMINO CAPISTRANO SAN JUAN CAPISTRANO CA 92675 PAUL CACERES CHIEF FINANCIAL OFFICER 9492402030 2019-05-01 1 ANTHONY P BOZANIC CPA P01314417 3105404118 64.183.112.46 2019-05-01 16:41:53 PD P 6100595947F2C56822133FA001DBA701B74366D3 0CF3F662CC2085D1938B31A23831BF3714BC300A 2017 2019-02-21 02:37:17Z PAUL CACERES 30300 CAMINO CAPISTRANO SAN JUAN CAPISTRANO CA 92675 14872254 0 X WWW.CAMINOHEALTHCENTER.ORG X 1992 CA IMPROVE HEALTH OF UNDERSERVED IN S. ORANGE COUNTY BY PROVIDING AFFORDABLE, QUALITY PRIMARY CARE. 12 12 112 12 0 0 6555006 6567228 7207401 8241665 0 63361 0 0 13762407 14872254 0 0 0 0 7777387 8804379 0 0 0 3580698 3781775 11358085 12586154 2404322 2286100 12332033 14675674 1577844 1638135 10754189 13037539 TO IMPROVE THE HEALTH STATUS OF THE UNDERSERVED IN SOUTH ORANGE COUNTY BY PROVIDING AFFORDABLE, QUALITY PRIMARY CARE. 0 0 9925840 8241665 THE ORGANIZATION PROVIDES AFFORDABLE, QUALITY PRIMARY MEDICAL CARE, DENTAL CARE, AND BEHAVIORAL HEALTH SERVICES THROUGH ITS MEDICAL CLINIC AND DENTAL CLINICS. THE ORGANIZATION IS DEVOTED TO SERVING THE UNDERSERVED AND VULNERABLE POPULATION IN THE COMMUNITY OF SOUTH ORANGE COUNTY. THE ORGANIZATION SERVES OVER 100,000 PATIENT VISITS ANNUALLY. 1225933 THE ORGANIZATION PROVIDES EDUCATIONAL AND SOCIAL SERVICES THROUGH THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN (WIC). THE PROGRAM PROVIDES SUPPLEMENTAL NUTRITION FOOD VOUCHERS, NUTRITION EDUCATION, AND REFERRALS TO HEALTH CARE FOR LOW-INCOME PERSONS DURING CRITICAL PERIODS OF GROWTH AND DEVELOPMENT. SUCH PERSONS INCLUDE PREGNANT WOMEN, BREAST-FEEDING WOMEN UP TO ONE YEAR POSTPARTUM, NON-BREAST FEEDING WOMEN UP TO SIX MONTHS POSTPARTUM, INFANTS, AND CHILDREN UNDER AGE FIVE DETERMINED TO BE AT NUTRITIONAL RISK. INTERVENTION DURING THE PRENATAL PERIOD IMPROVES FETAL DEVELOPMENT AND REDUCES THE INCIDENCE OF LOW BIRTH WEIGHT, SHORT GESTATION, AND ANEMIA. 11151773 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 8 0 1 112 1 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X PAUL CACERES 9492402030 30300 CAMINO CAPISTRANO SAN JUAN CAPISTRANO CA 92675 MELODY VISE CHAIR 1.00 X X 0 0 0 BRENDA JULIAN VICE CHAIR 1.00 X X 0 0 0 CAROL HALESWORTH BOARD MEMBER 1.00 X 0 0 0 DAVID JOFFE BOARD MEMBER 1.00 X 0 0 0 HELEN SMITH-GARDNER BOARD MEMBER 1.00 X 0 0 0 KIMSA DUONG BOARD MEMBER 1.00 X 0 0 0 PHORSHIA DILLARDGATEWOOD BOARD MEMBER 1.00 X 0 0 0 SISTER MARTHA ANN FITZPATRICK PHD BOARD MEMBER 1.00 X 0 0 0 SUSAN HOFFNAGLE BOARD MEMBER 1.00 X 0 0 0 TAMMY ALVAREZ BOARD MEMBER 1.00 X 0 0 0 TAREK SALAWAY BOARD MEMBER 1.00 X 0 0 0 MARY LOU NAVA HAMAKER PHD BOARD MEMBER 1.00 X 0 0 0 DEBRA DREW CEO 50.00 X 296052 0 29583 PAUL CACERES CFO 50.00 X 189221 0 30189 SERGIO ULISES RODAS CMO 50.00 X 265890 0 47500 RANDY SMITH COO 50.00 X 174178 0 18520 ANH TRAM DENTAL DIRECTOR 40.00 X 149038 0 33981 VELVA BERGER CAMINO NURSE PRACTITIONER 40.00 X 151933 0 27598 JULIE WILHELMI STAFF DENTIST 40.00 X 173676 0 18324 AUDREY ROCCO CAMINO STAFF PHYSICIAN 40.00 X 185819 0 38264 CRISTINA MONTERO STAFF PHYSICIAN 40.00 X 158387 0 30189 1744194 0 274148 17 0 1 0 AFTER HOURS SUPPORT SERVICES LLC 23832 ROCKFIELD BLVD 195 LAKE FOREST CA 92630 IT SERVICES 294110 QUEST DIAGNOSTICS INC 675 CAMINO DE LOS MARES STE 300 SAN CLEMENTE CA 92673 LAB SERVICES 212110 MCKESSON MEDICAL SURGICAL INC PO BOX 634404 CINCINNATI OH 45263 MEDICAL SERVICES 117529 3 1892371 4156195 518662 6567228 PATIENT SERVICES 624100 7424344 7424344 CAPITATION REVENUE 624100 488681 488681 OTHER REVENUE 624100 328640 328640 8241665 63361 63361 14872254 8241665 0 63361 894411 453645 440766 5154977 4917801 237176 271242 240880 30362 2020881 1801696 219185 462868 411421 51447 22050 3969 18081 957422 800563 156859 44028 6796 37232 618410 570920 47490 792320 709669 82651 45177 40170 5007 582752 513272 69480 83187 79486 3701 LAB SERVICES 234370 234370 WIC PROGRAM 200610 190732 9878 OTHER EXPENSES 105665 80599 25066 REGISTRIES 95784 95784 12586154 11151773 1434381 0 3377530 2560696 4010671 6823882 364788 337250 685263 1118442 412604 517948 5357650 2290960 3470777 3066690 10400 250766 12332033 14675674 1253454 1358128 324390 280007 1577844 1638135 X 10751439 13037539 2750 0 10754189 13037539 12332033 14675674 X 2286100 -2750 X X 0 1 X 1 1 1 X 4573582 4452192 4750830 6555006 6567228 26898838 3965689 5085315 6044725 7207401 8241665 30544795 8539271 9537507 10795555 13762407 14808893 57443633 0 0 0 57443633 63361 63361 63361 63361 8539271 9537507 10795555 13762407 14872254 57506994 0.99890 1.00000 0.00110 X 3012658 1266239 1746419 2344992 1024721 1320271 3066690 DEFERRED RENT 280007 280007 X 14872254 0 14872254 0 14872254 12586154 0 12586154 0 12586154 PART X, LINE 2: CAMINO RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT OF BEING SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. TO DATE, THE ORGANIZATION HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS. CAMINO RECOGNIZES POTENTIAL ACCRUED INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS IN INCOME TAX EXPENSE. DURING THE YEAR ENDED JUNE 30, 2018, CAMINO DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS. X X 0 0 0 0 0 0 0 1 0 DEBRA DREW CEO 296052 0 0 0 0 0 15301 0 14282 0 325635 0 0 0 PAUL CACERES CFO 189221 0 0 0 0 0 10313 0 19876 0 219410 0 0 0 SERGIO ULISES RODAS CMO 265890 0 0 0 0 0 14231 0 33269 0 313390 0 0 0 RANDY SMITH COO 174178 0 0 0 0 0 8142 0 10378 0 192698 0 0 0 ANH TRAM DENTAL DIRECTOR 149038 0 0 0 0 0 8334 0 25647 0 183019 0 0 0 VELVA BERGER CAMINO NURSE PRACTITIONER 151933 0 0 0 0 0 8163 0 19435 0 179531 0 0 0 JULIE WILHELMI STAFF DENTIST 173676 0 0 0 0 0 8895 0 9429 0 192000 0 0 0 AUDREY ROCCO CAMINO STAFF PHYSICIAN 185819 0 0 0 0 0 8469 0 29795 0 224083 0 0 0 CRISTINA MONTERO STAFF PHYSICIAN 158387 0 0 0 0 0 9055 0 21134 0 188576 0 0 0 PART I, LINE 7 THE CHIEF EXECUTIVE OFFICER OF CAMINO HEALTH CENTER IS ELIGIBLE TO RECEIVE AN AT-RISK PAY. THE PAY IS BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE GOALS INCLUDE BOTH QUALITY AND FINANCIAL METRICS. FORM 990, PART VI, SECTION B, LINE 11B A COMPLETE COPY OF THE 990 IS PROVIDED TO THE BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C VARIOUS FUNDERS ALSO REQUIRE REVIEW OF THE CONFLICT OF INTEREST POLICY AND MONITORING OF THE POLICY THROUGHOUT THE YEAR. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS REVIEWED BASED ON A COMPARISON TO THE ANNUAL SALARY SURVEY FOR CALIFORNIA COMMUNITY CLINICS AND HEALTH CENTERS PUBLISHED BY THE CALIFORNIA PRIMARY CARE ASSOCIATION. FORM 990, PART VI, SECTION C, LINE 19 THE TAX RETURN IS AVAILABLE TO THE PUBLIC UPON REQUEST AND ON GUIDESTAR'S WEBSITE. FORM 990, PART XI, LINE 9: DECREASE IN TEMPORARILY RESTRICTED NET ASSETS -2,750. FORM 990, PART XII, LINE 2C: THE AUDIT COMMITTE HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS DURING THE YEAR.