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CAMINO HEALTH CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CAMINO HEALTH CENTER (EIN 33-0574214)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-04-26
IRS object ID
201711169349301266
Schema version
2015v3.0
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)
Return2017-04-26T17:07:51-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN330783700PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PDM LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13460 TORRANCE BLVD STE 200AddressLine1Txt
CityTORRANCECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90503ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN330574214EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAMINO HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCAMIBusinessNameControlTxt
Phone9492402030PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line130300 CAMINO CAPISTRANOAddressLine1Txt
CitySAN JUAN CAPISTRANOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92675ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL CACERESPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone9492402030PhoneNum
Signature2017-04-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTHONY P BOZANIC CPAPreparerPersonNm
PTINP01314417PTIN
Phone3105404118PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPAUL CACERESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line130300 CAMINO CAPISTRANOAddressLine1Txt
CitySAN JUAN CAPISTRANOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92675ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$10,795,555GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CAMINOHEALTHCENTER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1992FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionIMPROVE HEALTH OF UNDERSERVED IN S. ORANGE COUNTY BY PROVIDING AFFORDABLE, QUALITY PRIMARY CARE.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee75TotalEmployeeCnt
Total Volunteers125TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,452,192PYContributionsGrantsAmt
CY Contributions Grants$4,750,830CYContributionsGrantsAmt
PY Program Service Revenue$4,897,022PYProgramServiceRevenueAmt
CY Program Service Revenue$5,773,237CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$188,293PYOtherRevenueAmt
CY Other Revenue$271,488CYOtherRevenueAmt
PY Total Revenue$9,537,507PYTotalRevenueAmt
CY Total Revenue$10,795,555CYTotalRevenueAmt
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$4,992,243PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,423,223CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,327,663PYOtherExpensesAmt
CY Other Expenses$2,902,821CYOtherExpensesAmt
PY Total Expenses$7,319,906PYTotalExpensesAmt
CY Total Expenses$9,326,044CYTotalExpensesAmt
PY Revenues Less Expenses$2,217,601PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,469,511CYRevenuesLessExpensesAmt
Total Assets BOY$7,627,483TotalAssetsBOYAmt
Total Assets EOY$9,567,769TotalAssetsEOYAmt
Total Liabilities BOY$747,377TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,060,527TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,880,106NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,507,242NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE THE HEALTH STATUS OF THE UNDERSERVED IN SOUTH ORANGE COUNTY BY PROVIDING AFFORDABLE, QUALITY PRIMARY CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,916,569ExpenseAmt
Revenue$6,044,725RevenueAmt
DescTHE ORGANIZATION PROVIDES AFFORDABLE, QUALITY PRIMARY MEDICAL CARE, DENTAL CARE, AND BEHAVIORAL HEALTH SERVICES THROUGH ITS MEDICAL CLINIC, MOBILE MEDICAL VANS, AND PEDIATRIC DENTAL CLINIC. THE ORGANIZATION IS DEVOTED TO THE SERVICE OF THE RESIDENTS IN ITS COMMUNITY AND NEIGHBORING AREAS IN ORANGE COUNTY, INCLUDING THE SERVICE OF THE UNDERSERVED AND VULNERABLE POPULATIONS. THE ORGANIZATION SERVES OVER 100,000 PATIENT VISITS ANNUALLY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,274,853ExpenseAmt
DescTHE 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.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$8,191,422TotalProgramServiceExpensesAmt
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 LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee75EmployeeCnt
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
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PAUL CACERESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9492402030PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line130300 CAMINO CAPISTRANOAddressLine1Txt
CitySAN JUAN CAPISTRANOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92675ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
KIMSA DUONG
BOARD MEMBER1.00Yes (X)$0$0$0
PHORSHIA DILLARDGATEWOOD
BOARD MEMBER1.00Yes (X)$0$0$0
SISTER MARTHA ANN FITZPATRICK PHD
BOARD MEMBER1.00Yes (X)$0$0$0
HELEN SMITH-GARDNER
BOARD MEMBER1.00Yes (X)$0$0$0
MARY LOU NAVA HAMAKER PHD
CHAIR1.00Yes (X)$0$0$0Yes (X)
DAVID JOFFE
BOARD MEMBER1.00Yes (X)$0$0$0
BRENDA JULIAN
BOARD MEMBER1.00Yes (X)$0$0$0
MELODY VISE
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
TAMMY ALVAREZ
BOARD MEMBER1.00Yes (X)$0$0$0
CAROL HALESWORTH
BOARD MEMBER1.00Yes (X)$0$0$0
SUSAN HOFFNAGLE
BOARD MEMBER1.00Yes (X)$0$0$0
TAREK SALAWAY
BOARD MEMBER1.00Yes (X)$0$0$0
DEBRA DREW
CEO50.00$207,395$0$18,021Yes (X)
SERGIO ULISES RODAS
CMO50.00$234,630$0$30,839Yes (X)
PAUL CACERES
CFO50.00$153,308$0$19,670Yes (X)
RANDY SMITH
COO50.00$132,584$0$25,429Yes (X)
THUYTRANG NGUYEN
STAFF PHYSICIAN24.00$124,632$0$9,211Yes (X)
VELVA BERGER
CAMINO NURSE PRACTITIONER40.00$134,893$0$20,530Yes (X)
AUDREY ROCCO
CAMINO STAFF PHYSICIAN40.00$187,782$0$28,495Yes (X)
FIROZEH GRUBER
STAFF PHYSICIAN40.00$122,500$0$19,670Yes (X)
JULIE WILHELMI
STAFF DENTIST40.00$113,662$0$13,074Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,411,386TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$184,939TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
QUEST DIGNOSTICS INC
675 CAMINO DE LOS MARES STE 300SAN CLEMENTECA92673LAB SERVICES$389,775
AFTER HOURS SUPPORT SERVICES LLC
23832 ROCKFIELD BLVD 195LAKE FORESTCA92630IT SERVICES$383,536
ALLSCRIPTS HEALTHCARE LLC
8529 SIX FORKS RDRALEIGHNC27615EMR SERVICES$343,776
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Related Organizations$1,338,633RelatedOrganizationsAmt
Government Grants$3,287,379GovernmentGrantsAmt
All Other Contributions$124,818AllOtherContributionsAmt
Total Contributions$4,750,830TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES624100$5,362,236$5,362,236
CAPITATION REVENUE624100$411,001$411,001
FieldValueIRS element (for citing)
Total Program Service Revenue$5,773,237TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business624100BusinessCd
Total Revenue Column$271,488TotalRevenueColumnAmt
Related Or Exempt Func Income$271,488RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$271,488OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,795,555TotalRevenueColumnAmt
Related Or Exempt Func Income$6,044,725RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$732,968TotalAmt
Program Services$385,006ProgramServicesAmt
Management And General$347,962ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,542,977TotalAmt
Program Services$3,382,823ProgramServicesAmt
Management And General$160,154ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$245,182TotalAmt
Program Services$216,156ProgramServicesAmt
Management And General$29,026ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,559,901TotalAmt
Program Services$1,385,585ProgramServicesAmt
Management And General$174,316ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$342,195TotalAmt
Program Services$301,780ProgramServicesAmt
Management And General$40,415ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$18,200TotalAmt
Program Services$3,094ProgramServicesAmt
Management And General$15,106ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$589,321TotalAmt
Program Services$477,069ProgramServicesAmt
Management And General$112,252ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,462TotalAmt
Program Services$2,300ProgramServicesAmt
Management And General$3,162ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$581,520TotalAmt
Program Services$517,918ProgramServicesAmt
Management And General$63,602ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$683,982TotalAmt
Program Services$616,635ProgramServicesAmt
Management And General$67,347ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$40,929TotalAmt
Program Services$35,694ProgramServicesAmt
Management And General$5,235ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$207,080TotalAmt
Program Services$207,080ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$68,583TotalAmt
Program Services$47,142ProgramServicesAmt
Management And General$21,441ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
WIC PROGRAM$219,414$142,364$77,050
LAB SERVICES$208,639$208,639
REGISTRIES$203,236$203,236

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$76,455TotalAmt
Program Services$58,901ProgramServicesAmt
Management And General$17,554ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,326,044TotalAmt
Program Services$8,191,422ProgramServicesAmt
Management And General$1,134,622ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,855,120BOYAmt
EOY$7,395,322EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$327,493BOYAmt
EOY$260,268EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$509,213BOYAmt
EOY$494,197EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$157,987BOYAmt
EOY$99,677EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,849,876LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,532,582LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$777,566BOYAmt
EOY$1,317,294EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$104BOYAmt
EOY$1,011EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,627,483BOYAmt
EOY$9,567,769EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$555,883BOYAmt
EOY$984,163EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$191,494BOYAmt
EOY$76,364EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$747,377BOYAmt
EOY$1,060,527EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,877,606BOYAmt
EOY$8,347,117EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,500BOYAmt
EOY$160,125EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,880,106BOYAmt
EOY$8,507,242EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,627,483BOYAmt
EOY$9,567,769EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,469,511ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$157,625OtherChangesInNetAssetsAmt
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,890,194CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,300,513CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,573,582CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,452,192CurrentTaxYearMinus1YearAmt
Current Tax Year$4,750,830CurrentTaxYearAmt
Total$21,967,311TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,603,593CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,521,015CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,851,176CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,897,022CurrentTaxYearMinus1YearAmt
Current Tax Year$5,773,237CurrentTaxYearAmt
Total$18,646,043TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,493,787CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,821,528CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,424,758CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,349,214CurrentTaxYearMinus1YearAmt
Current Tax Year$10,524,067CurrentTaxYearAmt
Total$40,613,354TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$40,613,354PublicSupportTotal509Amt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$103,318CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$270,009CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$114,513CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$188,293CurrentTaxYearMinus1YearAmt
Current Tax Year$271,488CurrentTaxYearAmt
Total$947,621TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,597,105CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,091,537CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,539,271CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,537,507CurrentTaxYearMinus1YearAmt
Current Tax Year$10,795,555CurrentTaxYearAmt
Total$41,560,975TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97720PublicSupportCY509Pct
Public Support PY5090.97830PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,387,202OtherCostOrOtherBasisAmt
Depreciation$679,894DepreciationAmt
Book Value$707,308BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,140,904OtherCostOrOtherBasisAmt
Depreciation$542,730DepreciationAmt
Book Value$598,174BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$321,770OtherCostOrOtherBasisAmt
Depreciation$309,958DepreciationAmt
Book Value$11,812BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,317,294TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DEFERRED RENT$62,667
DUE TO ST. JOSEPH HEALTH$13,697
FieldValueIRS element (for citing)
Total Liability$76,364TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$10,795,555TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$10,795,555RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$10,795,555TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,326,044TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$9,326,044ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$9,326,044TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationCAMINO 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, 2016, CAMINO DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (6 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
DEBRA DREW
CEO$207,395$0$0$0$0$0$10,370$0$7,651$0$225,416$0$0$0
SERGIO ULISES RODAS
CMO$234,630$0$0$0$0$0$11,732$0$19,107$0$265,469$0$0$0
PAUL CACERES
CFO$153,308$0$0$0$0$0$7,665$0$12,005$0$172,978$0$0$0
RANDY SMITH
COO$132,584$0$0$0$0$0$6,629$0$18,800$0$158,013$0$0$0
VELVA BERGER
CAMINO NURSE PRACTITIONER$134,893$0$0$0$0$0$6,745$0$13,785$0$155,423$0$0$0
AUDREY ROCCO
CAMINO STAFF PHYSICIAN$187,782$0$0$0$0$0$9,389$0$19,106$0$216,277$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationTHE 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 BOARD OF TRUSTEES. THE GOALS INCLUDE BOTH QUALITY AND FINANCIAL METRICS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11A COMPLETE COPY OF THE 990 IS PROVIDED TO THE BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CVARIOUS 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 15COMPENSATION 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 19THE TAX RETURN IS AVAILABLE TO THE PUBLIC UPON REQUEST AND ON GUIDESTAR'S WEBSITE.
FORM 990, PART XI, LINE 9:INCREASE IN TEMPORARILY RESTRICTED NET ASSETS 157,625.
FORM 990, PART XII, LINE 2C:THE AUDIT COMMITTEE HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS DURING THE YEAR.