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CAMARENA HEALTH: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
CAMARENA HEALTH (EIN 94-2503904)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-04-24
IRS object ID
201401199349300715
Schema version
2013v3.0
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)
Return2014-04-24T13:53:59-07:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN202707086PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1TCA Partners LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11111 E Herndon Avenue Suite 211AddressLine1
CityFresnoCity
StateCAState
ZIP Code93720ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN942503904EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Camarena HealthBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCAMABusinessNameControlTxt
Phone5596644000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 299AddressLine1
CityMaderaCity
StateCAState
ZIP Code93639ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPaulo SoaresPersonNm
Person TitleChief Executive OfficerPersonTitleTxt
Phone5596644000PhoneNum
Signature2014-04-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeremy WarePreparerPersonNm
PTINP00642659PTIN
Phone5594317708PhoneNum
Preparation2014-04-01PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPaulo SoaresPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 299AddressLine1
CityMaderaCity
StateCAState
ZIP Code93639ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$20,663,087GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.camarenahealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTo provide the highest quality healthcare to the communities we are privileged to serve, in a caring and compassionate manner.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee223TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,014,873PYContributionsGrantsAmt
CY Contributions Grants$6,684,970CYContributionsGrantsAmt
PY Program Service Revenue$13,393,901PYProgramServiceRevenueAmt
CY Program Service Revenue$13,787,324CYProgramServiceRevenueAmt
PY Investment Income$109PYInvestmentIncomeAmt
CY Investment Income$2,761CYInvestmentIncomeAmt
PY Other Revenue$478,971PYOtherRevenueAmt
CY Other Revenue$188,032CYOtherRevenueAmt
PY Total Revenue$16,887,854PYTotalRevenueAmt
CY Total Revenue$20,663,087CYTotalRevenueAmt
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$10,925,681PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,748,765CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,733CYTotalFundraisingExpenseAmt
PY Other Expenses$5,082,152PYOtherExpensesAmt
CY Other Expenses$5,067,570CYOtherExpensesAmt
PY Total Expenses$16,007,833PYTotalExpensesAmt
CY Total Expenses$16,816,335CYTotalExpensesAmt
PY Revenues Less Expenses$880,021PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,846,752CYRevenuesLessExpensesAmt
Total Assets BOY$8,881,696TotalAssetsBOYAmt
Total Assets EOY$13,144,624TotalAssetsEOYAmt
Total Liabilities BOY$4,255,132TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,671,308TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,626,564NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,473,316NetAssetsOrFundBalancesEOYAmt
MissionTo provide the highest quality healthcare to the communities we are privileged to serve, in a caring and compassionate manner.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$14,500,480ExpenseAmt
Grant$0GrantAmt
Revenue$20,666,119RevenueAmt
DescThe Organization provides both medical and dental care to patients regardless of ability to pay. During the year, Camarena Health provided over 97,642 encounters; 75,009 medical and 22,633 dental.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$14,500,480TotalProgramServiceExpensesAmt
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 Liabilities0ReportOtherLiabilitiesInd
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 Document43IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld Compliance0BackupWthldComplianceInd
Employee223EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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

FieldValueIRS element (for citing)
PersonMargarita MedinaPersonNm
Phone5596444000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1344 E 6th StreetAddressLine1
CityMaderaCity
StateCAState
ZIP Code93639ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Patty Thompson
Board Member20Yes (X)$0$0$0
Jutta Webb
Board Member20Yes (X)$0$0$0
Cal Crane
Board Member20Yes (X)$0$0$0
Ross Thorton
Board Member20Yes (X)$0$0$0
Patty Pistoresi
Board Member20Yes (X)$0$0$0
Monic Asenjo Wilhite
Board Member20Yes (X)$0$0$0
Cecilia Massetti
Board Member20Yes (X)$0$0$0
Muriel Fore
Board Member20Yes (X)$0$0$0
Melissa Nassar
Board Member20Yes (X)$0$0$0
Abimail Vargas
Board Member20Yes (X)$0$0$0
Seann Garcia
Board Member20Yes (X)$0$0$0
Edgar Jimenez
Board Member20Yes (X)$0$0$0
James Powell
Board Member20Yes (X)$0$0$0
Paulo Soares
CEO400$214,010$0$22,977Yes (X)
Christine Nicole Howland
Chief Operations Officer400$119,980$0$9,947Yes (X)
Jonathon Forncrook
Chief Medical Officer400$171,446$0$16,929Yes (X)Yes (X)
Michael Lee Gaskin
Chief Information Officer400$121,105$0$13,531Yes (X)
Kenneth Bernstein
Chief Medical Officer320$188,475$0$27,972Yes (X)
Kirandeep Panatch
Dentist480$163,039$0$13,264Yes (X)
Phillip Kim
Staff Physician400$180,684$0$24,723Yes (X)
Guillermo Sandoval
Staff Physician400$213,533$0$27,443Yes (X)
Joseph McFarland
Dentist400$143,569$0$22,400Yes (X)
Mary Louise Moxley
Chief Human Resources Officer40$132,471$0$8,119Yes (X)Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,648,312TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$187,305TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K19IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
McCombs Claude and Rose
250 San Juan AvenueSanta CruzCA95062Rent$169,485
Oscar Young
363 E Almond Avenue 101MaderaCA93637Physician$130,825
Bronco Professional Park LLC
20 Via CerioniMaderaCA93637Rent$108,428
Quest Diagnostics
PO Box 515002SacramentoCA95851Medical Laboratory$105,629
Peter Nassar
363 East Almond AvenueMaderaCA93637Physician$121,960
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$6,663,134GovernmentGrantsAmt
All Other Contributions$21,836AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$6,684,970TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNet Patient Service RevenueDesc
Business621400BusinessCd
Total Revenue Column$13,787,324TotalRevenueColumnAmt
Related Or Exempt Func Income$13,787,324RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$13,787,324TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,761TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,761ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMeaningful UseDesc
Business621400BusinessCd
Total Revenue Column$137,063TotalRevenueColumnAmt
Related Or Exempt Func Income$137,063RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,969TotalRevenueColumnAmt
Related Or Exempt Func Income$50,969RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$188,032OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,663,087TotalRevenueColumnAmt
Related Or Exempt Func Income$13,975,356RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,761ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,869,973TotalAmt
Program Services$7,982,976ProgramServicesAmt
Management And General$886,997ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,878,792TotalAmt
Program Services$2,590,913ProgramServicesAmt
Management And General$287,879ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,674,671TotalAmt
Program Services$1,507,204ProgramServicesAmt
Management And General$167,467ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$722,742TotalAmt
Program Services$250,468ProgramServicesAmt
Management And General$472,274ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$192,992TotalAmt
Program Services$173,693ProgramServicesAmt
Management And General$19,299ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$94,122TotalAmt
Program Services$84,710ProgramServicesAmt
Management And General$9,412ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$194,282TotalAmt
Program Services$174,854ProgramServicesAmt
Management And General$19,428ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$480,831TotalAmt
Program Services$432,748ProgramServicesAmt
Management And General$48,083ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$82,637TotalAmt
Program Services$74,373ProgramServicesAmt
Management And General$8,264ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMedical SuppliesDesc
Total$1,190,255TotalAmt
Program Services$1,190,255ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$435,038TotalAmt
Program Services$38,286ProgramServicesAmt
Management And General$394,019ManagementAndGeneralAmt
Fundraising$2,733FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,816,335TotalAmt
Program Services$14,500,480ProgramServicesAmt
Management And General$2,313,122ManagementAndGeneralAmt
Fundraising$2,733FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,688,291BOYAmt
EOY$2,480,702EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$56,384BOYAmt
EOY$53,352EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$23,019BOYAmt
EOY$508,076EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$963,981BOYAmt
EOY$708,447EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$244,620BOYAmt
EOY$203,082EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,641,563LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,474,431LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,856,762BOYAmt
EOY$9,167,132EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$48,639BOYAmt
EOY$23,833EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,881,696BOYAmt
EOY$13,144,624EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$874,108BOYAmt
EOY$1,388,268EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$85,830BOYAmt
EOY$337,008EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,295,194BOYAmt
EOY$2,946,032EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,255,132BOYAmt
EOY$4,671,308EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,570,179BOYAmt
EOY$8,419,963EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$56,385BOYAmt
EOY$53,353EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,626,564BOYAmt
EOY$8,473,316EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,881,696BOYAmt
EOY$13,144,624EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,846,752ReconcilationRevenueExpnssAmt
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)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$560,446OtherCostOrOtherBasisAmt
Book Value$560,446BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$6,841,734OtherCostOrOtherBasisAmt
Depreciation$2,649,094DepreciationAmt
Book Value$4,192,640BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$3,519,599OtherCostOrOtherBasisAmt
Depreciation$2,825,337DepreciationAmt
Book Value$694,262BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$3,719,784OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$3,719,784BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,167,132TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$20,663,087TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$0NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$20,663,087RevenueSubtotalAmt
Investment Expenses Not Incld$0InvestmentExpensesNotIncldAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$20,663,087TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$16,816,335TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$16,816,335ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$16,816,335TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2FormAndLineReferenceDesc
ExplanationThe Center is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal corporate income taxes on related income pursuant to Section 501(a) of the Code. The Center is also exempt from State corporate income taxes. The tax years of 2007 through 2012 remain open and subject to examination by the appropriate agencies in the United States and California.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
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 Payments0AnyNonFixedPaymentsInd
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
Paulo Soares
CEO$191,033$0$0$0$0$0$17,500$0$5,477$0$214,010$0$0$0
Guillermo Sandoval
Staff Physician$183,749$0$2,340$0$0$0$23,000$0$4,443$0$213,532$0$0$0
Kenneth Bernstein
Chief Medical Officer$160,503$0$0$0$0$0$22,808$0$5,164$0$188,475$0$0$0
Phillip Kim
Staff Physician$154,461$0$1,500$0$0$0$17,059$0$7,664$0$180,684$0$0$0
Jonathon Forncrook
Chief Medical Officer$153,428$0$0$0$0$0$16,808$0$1,210$0$171,446$0$0$0
Kirandeep Panatch
Dentist$134,145$0$15,630$0$0$0$8,100$0$5,164$0$163,039$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11bThe Form 990 is reviewed and approved by the finance committee.
Form 990, Part VI, Section B, Line 12cAchieved through annual evaluation of both board and employees. Annual review and signing of conflict of interest policy.
Form 990, Part VI, Section B, Line 15Survey of comparable Chief Executive Officer positions in local regional area.
Form 990, Part VI, Section C, Line 19Available upon request.