2018-02-13T11:34:41-07:00 2017-06-30 472551777 CHW LLP 7797 N First Street Suite 15 Fresno CA 93720 990 2016-07-01 237255435 Tri-City Health Center Inc TRI- 5107708133 39500 Liberty Street Fremont CA 94538 Zettie Page CEO 5595495400 2018-01-26 1 Jeremy Ware P00642659 5595495400 2018-01-11 96.67.208.101 2016 2021-01-29 14:40:06Z Jagat Sheth 39500 Liberty Street Fremont CA 94538 32320096 0 X www.tri-cityhealth.org X 1970 CA TRI-CITY IS A FISCALLY RESPONSIBLE NON-PROFIT HEALTH CENTER PROVIDING A DIVERSE SPECTRUM OF EDUCATION, HEALTHCARE AND SOCIAL SERVICES. WE ARE A FREE STANDING COMMUNITY HEALTH CENTER AND MEMBER OF A KEY SERVICE PROVIDER NETWORK WHO SERVE EVERYONE WITHOUT REGARD TO FINANCIAL POSITION, ETHNICITY, LANGUAGE, CULTURE, SEXUAL ORIENTATION OR ANY OTHER CRITERION. WITH A COMMITMENT TO SERVE IN A CARING, NURTURING ATMOSPHERE, WE STRIVE TO PROMOTE OPTIMAL HEALTH, ELIMINATE PREVENTABLE DISEASES, AND IMPROVE THE QUALITY OF LIFE FOR EVERY INDIVIDUAL AND FAMILY IN OUR SOUTH, EASTERN AND CENTRAL ALAMEDA COUNTY COMMUNITY. 13 13 340 0 0 0 9457370 9591758 16880234 20355032 0 5710 3993245 2367596 30330849 32320096 0 0 0 0 14248974 17638285 0 8499 177797 10357516 11931742 24606490 29578526 5724359 2741570 26005702 29660639 13075585 13988952 12930117 15671687 TRI-CITY IS A FISCALLY RESPONSIBLE NON-PROFIT HEALTH CENTER PROVIDING A DIVERSE SPECTRUM OF EDUCATION, HEALTHCARE AND SOCIAL SERVICES. 0 0 22746577 0 20355032 TRI-CITY IS A FISCALLY RESPONSIBLE NON-PROFIT HEALTH CENTER PROVIDING A DIVERSE SPECTRUM OF EDUCATION, HEALTHCARE AND SOCIAL SERVICES. WE ARE A FREE STANDING COMMUNITY HEALTH CENTER AND MEMBER OF A KEY SERVICE PROVIDER NETWORK WHO SERVE EVERYONE WITHOUT REGARD TO FINANCIAL POSITION, ETHNICITY, LANGUAGE, CULTURE, SEXUAL ORIENTATION OR ANY OTHER CRITERION. WITH A COMMITMENT TO SERVE IN A CARING, NURTURING ATMOSPHERE, WE STRIVE TO PROMOTE OPTIMAL HEALTH, ELIMINATE PREVENTABLE DISEASES, AND IMPROVE THE QUALITY OF LIFE FOR EVERY INDIVIDUAL AND FAMILY IN OUR SOUTH, EASTERN AND CENTRAL ALAMEDA COUNTY COMMUNITY. FOR CALENDAR YEAR 2016, TRI-CITY SERVED 22,768 PATIENTS WITH A TOTAL OF 120,778 VISITS. 0 0 0 22746577 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 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 85 0 1 340 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Tri-City Health Center 5107708133 39500 Liberty Street Fremont CA 94538 Robert Wyckoff Chair 1 0 X 0 0 0 Ana Alvarez Board Member 1 0 X 0 0 0 Jackie Belser Welch Board Member 1 0 X 0 0 0 Ana Isabel Alvarez Board Member 1 0 X 0 0 0 Brenda Quillin Board Member 1 0 X 0 0 0 Louis Chicoine Board Member 1 0 X 0 0 0 Steve Zhu Board Member 1 0 X 0 0 0 Najia Hamid Board Member 1 0 X 0 0 0 John Nguyen Cleary Board Member 1 0 X 0 0 0 Jenny Feng Board Member 1 0 X 0 0 0 Phillip Johnson Board Member 1 0 X 0 0 0 Kobin Lee Board Member 1 0 X 0 0 0 Elaine Nagel Board Member 1 0 X 0 0 0 Stephanie Reddell Board Member 1 0 X 0 0 0 Zettie Page CEO 40 0 X 236016 0 9441 Jagat Sheth CFO 40 0 X 158581 0 6343 Suksham Puri-Kumar Clinic Director 40 0 X 193156 0 7726 Durriyah Mogri Physician 40 0 X 179044 0 7162 Nikhat Nazneen Physician 40 0 X 171172 0 6847 Harsha Ramchandani CMO 40 0 X 230338 0 9214 Gemma Jamena Clinic Director 40 0 X 163291 0 6532 1331598 0 53265 21 0 1 0 C and J Contracting 331 Commercial Street San Jose CA 95112 Construction 2740987 M Barakzoy DDS Inc 38056 Martha Avenue Fremont CA 94536 Dental Contractor 2690113 Expense Reduction Analysts PO Box 956251 Saint Louis MO 63195 Consultants 254070 Staff Care PO Box 281923 Atlanta GA 30384 Locum Providers 196765 Precision Built Casework 7720 Autumn Lane Loomis CA 95650 Construction 142221 7 0 0 0 0 6734966 2856792 0 9591758 Net patient service revenue 621400 20355032 20355032 0 0 0 0 0 0 20355032 5710 0 0 5710 0 0 0 0 0 0 0 0 0 0 0 0 0 2367596 2367596 0 0 2367596 32320096 22722628 0 5710 X 3070221 1078888 1991333 10776042 9835912 892676 47454 381147 300294 74491 6362 2161447 1616760 524160 20527 1249428 799452 422288 27688 612141 612141 95046 95046 47384 1600 45784 8499 8499 3874534 3469120 405364 50 68653 22362 19640 26651 538625 292772 243956 1897 1656247 1438337 217910 129278 65845 54533 8900 86121 31537 51276 3308 102474 102474 765173 585279 179894 89041 89041 Supplies 1449762 1449762 0 0 Professional Fees 794952 345611 442776 6565 Postage and shipping 33627 12198 21300 129 Equipment rental and maintenance 360766 191022 168069 1675 1227918 1209826 0 18092 29578526 22746577 6654152 177797 6862184 8379345 625179 1001949 1684966 1070381 2052700 2353768 183136 116001 374448 382560 20345415 4951859 13607703 15393556 615386 963079 26005702 29660639 3241135 2014863 134777 57291 7565599 9482911 2134074 2433887 0 13075585 13988952 X 12930117 15671687 0 0 0 0 12930117 15671687 26005702 29660639 2741570 0 0 0 0 0 X 0 1 X 1 1 1 X 11300066 9435864 7949203 9457370 9591758 47734261 11300066 9435864 7949203 9457370 9591758 47734261 47734261 781 559 1366 2863 5710 11279 0 0 0 0 0 47745540 0.99976 0.99040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 2353191 2353191 0 13891236 2190871 11700365 0 385824 171367 214457 0 3677270 2589621 1087649 0 37894 0 37894 15393556 32320096 0 0 0 0 0 32320096 0 0 0 32320096 29578526 0 0 0 0 0 29578526 0 0 0 29578526 X X 0 0 0 0 0 0 0 0 0 Zettie Page CEO 236016 0 0 0 0 0 9441 0 0 0 245457 0 0 0 Jagat Sheth CFO 158581 0 0 0 0 0 6343 0 0 0 164924 0 0 0 Suksham Puri-Kumar Clinic Director 193156 0 0 0 0 0 7726 0 0 0 200882 0 0 0 Durriyah Mogri Physician 179044 0 0 0 0 0 7162 0 0 0 186206 0 0 0 Nikhat Nazneen Physician 171172 0 0 0 0 0 6847 0 0 0 178019 0 0 0 Gemma Jamena Clinic Director 163291 0 0 0 0 0 6532 0 0 0 169823 0 0 0 Form 990, Part VI, Section B, Line 11b Form 990 is reviewed by the audit committee, as delegated by the board of directors, before it is filed. The Form 990 is made available to the full board of directors prior to filing. Form 990, Part VI, Section B, Line 12c The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy. All employees sign a conflict of interest questionnaire when hired. Form 990, Part VI, Section B, Line 15 - Pay grades are established through independent entities, market research, and employment agencies. Form 990, Part VI, Section C, Line 19 Available upon request. Form 990, Part IX, Line 11g Purchased and professional fees.