2014-04-24T13:53:59-07:00 2013-12-31 202707086 TCA Partners LLP 1111 E Herndon Avenue Suite 211 Fresno CA 93720 990 2013-01-01 942503904 Camarena Health CAMA 5596644000 PO Box 299 Madera CA 93639 Paulo Soares Chief Executive Officer 5596644000 2014-04-02 1 Jeremy Ware P00642659 5594317708 2014-04-01 2013 2015-11-30 17:44:51Z Paulo Soares PO Box 299 Madera CA 93639 20663087 0 X www.camarenahealth.org X 1978 CA To provide the highest quality healthcare to the communities we are privileged to serve, in a caring and compassionate manner. 13 13 223 0 0 0 3014873 6684970 13393901 13787324 109 2761 478971 188032 16887854 20663087 0 0 0 0 10925681 11748765 0 0 2733 5082152 5067570 16007833 16816335 880021 3846752 8881696 13144624 4255132 4671308 4626564 8473316 To provide the highest quality healthcare to the communities we are privileged to serve, in a caring and compassionate manner. 0 0 14500480 0 20666119 The 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. 0 0 0 14500480 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 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 43 0 0 223 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 CA X Margarita Medina 5596444000 344 E 6th Street Madera CA 93639 Patty Thompson Board Member 2 0 X 0 0 0 Jutta Webb Board Member 2 0 X 0 0 0 Cal Crane Board Member 2 0 X 0 0 0 Ross Thorton Board Member 2 0 X 0 0 0 Patty Pistoresi Board Member 2 0 X 0 0 0 Monic Asenjo Wilhite Board Member 2 0 X 0 0 0 Cecilia Massetti Board Member 2 0 X 0 0 0 Muriel Fore Board Member 2 0 X 0 0 0 Melissa Nassar Board Member 2 0 X 0 0 0 Abimail Vargas Board Member 2 0 X 0 0 0 Seann Garcia Board Member 2 0 X 0 0 0 Edgar Jimenez Board Member 2 0 X 0 0 0 James Powell Board Member 2 0 X 0 0 0 Paulo Soares CEO 40 0 X 214010 0 22977 Christine Nicole Howland Chief Operations Officer 40 0 X 119980 0 9947 Jonathon Forncrook Chief Medical Officer 40 0 X X 171446 0 16929 Michael Lee Gaskin Chief Information Officer 40 0 X 121105 0 13531 Kenneth Bernstein Chief Medical Officer 32 0 X 188475 0 27972 Kirandeep Panatch Dentist 48 0 X 163039 0 13264 Phillip Kim Staff Physician 40 0 X 180684 0 24723 Guillermo Sandoval Staff Physician 40 0 X 213533 0 27443 Joseph McFarland Dentist 40 0 X 143569 0 22400 Mary Louise Moxley Chief Human Resources Officer 40 X X 132471 0 8119 1648312 0 187305 19 1 1 0 McCombs Claude and Rose 250 San Juan Avenue Santa Cruz CA 95062 Rent 169485 Oscar Young 363 E Almond Avenue 101 Madera CA 93637 Physician 130825 Bronco Professional Park LLC 20 Via Cerioni Madera CA 93637 Rent 108428 Quest Diagnostics PO Box 515002 Sacramento CA 95851 Medical Laboratory 105629 Peter Nassar 363 East Almond Avenue Madera CA 93637 Physician 121960 8 0 0 0 0 6663134 21836 0 6684970 Net Patient Service Revenue 621400 13787324 13787324 0 0 13787324 2761 0 0 2761 0 0 0 0 0 0 0 0 0 0 0 0 0 Meaningful Use 621400 137063 137063 0 0 50969 50969 0 0 188032 20663087 13975356 0 2761 8869973 7982976 886997 2878792 2590913 287879 1674671 1507204 167467 722742 250468 472274 192992 173693 19299 94122 84710 9412 194282 174854 19428 480831 432748 48083 82637 74373 8264 Medical Supplies 1190255 1190255 0 0 435038 38286 394019 2733 16816335 14500480 2313122 2733 1688291 2480702 56384 53352 23019 508076 963981 708447 244620 203082 14641563 5474431 5856762 9167132 48639 23833 8881696 13144624 874108 1388268 85830 337008 3295194 2946032 0 4255132 4671308 X 4570179 8419963 56385 53353 0 0 4626564 8473316 8881696 13144624 3846752 X 0 1 X 1 1 1 X 0 560446 560446 0 6841734 2649094 4192640 0 0 0 0 0 3519599 2825337 694262 0 3719784 0 3719784 9167132 0 0 X 20663087 0 0 0 0 0 20663087 0 0 0 20663087 16816335 0 0 0 0 0 16816335 0 0 0 16816335 Schedule D, Part X, Line 2 The 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. X X 0 0 0 0 0 0 0 0 0 Paulo Soares CEO 191033 0 0 0 0 0 17500 0 5477 0 214010 0 0 0 Guillermo Sandoval Staff Physician 183749 0 2340 0 0 0 23000 0 4443 0 213532 0 0 0 Kenneth Bernstein Chief Medical Officer 160503 0 0 0 0 0 22808 0 5164 0 188475 0 0 0 Phillip Kim Staff Physician 154461 0 1500 0 0 0 17059 0 7664 0 180684 0 0 0 Jonathon Forncrook Chief Medical Officer 153428 0 0 0 0 0 16808 0 1210 0 171446 0 0 0 Kirandeep Panatch Dentist 134145 0 15630 0 0 0 8100 0 5164 0 163039 0 0 0 Form 990, Part VI, Section B, Line 11b The Form 990 is reviewed and approved by the finance committee. Form 990, Part VI, Section B, Line 12c Achieved through annual evaluation of both board and employees. Annual review and signing of conflict of interest policy. Form 990, Part VI, Section B, Line 15 Survey of comparable Chief Executive Officer positions in local regional area. Form 990, Part VI, Section C, Line 19 Available upon request.