STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST INC (EIN 95-3253302)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201431349349306688
Schema version
2012v2.0
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)
Timestamp2014-05-14T14:45:40-07:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Oscar G Armijo CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line141-990 Cook St Suite 501AddressLine1
CityPalm DesertCity
StateCAState
ZIP Code92211ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN953253302EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Community Health Centers of theBusinessNameLine1
Business Name Line2Central Coast IncBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone8059293211Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1150 Tejas PlaceAddressLine1
CityNipomoCity
StateCAState
ZIP Code93444ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRON CASTLEName
TitleCEOTitle
Date Signed2014-05-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameOscar G Armijo CPAName
PTINP01429445PTIN
Phone7607734078Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRon CastleNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1150 Tejas PlaceAddressLine1
CityNIPOMOCity
StateCAState
ZIP Code93444ZIPCode
FieldValueIRS element (for citing)
Gross Receipts67287535GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.chccc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTo provide primary health and dental care services to the low income population of the central coast communities in California.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees589TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year16988490ContributionsGrantsPriorYear
Contributions Grants Current Year15035953ContributionsGrantsCurrentYear
Program Service Revenue Prior Year48019346ProgramServiceRevenuePriorYear
Program Service Revenue CY51957288ProgramServiceRevenueCY
Investment Income Prior Year3867InvestmentIncomePriorYear
Investment Income Current Year1787InvestmentIncomeCurrentYear
Other Revenue Prior Year242437OtherRevenuePriorYear
Other Revenue Current Year292507OtherRevenueCurrentYear
Total Revenue Prior Year65254140TotalRevenuePriorYear
Total Revenue Current Year67287535TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year34801303SalariesEtcPriorYear
Salaries Etc Current Year37031191SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year27219982OtherExpensePriorYear
Other Expenses Current Year30818372OtherExpensesCurrentYear
Total Expenses Prior Year62021285TotalExpensesPriorYear
Total Expenses Current Year67849563TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3232855RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-562028RevenuesLessExpensesCY
Total Assets BOY43611547TotalAssetsBOY
Total Assets EOY49958535TotalAssetsEOY
Total Liabilities BOY12808513TotalLiabilitiesBOY
Total Liabilities EOY19717529TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY30803034NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY30241006NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide primary health and dental care services to the low income population of the central coast communities in California.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense45578124Expense
Revenue52251582Revenue
DescriptionCommunity Health Centers of the Central Coast provides comprehensive health care services to low income patients including primary health care services, mental health services, dental services, and nutritional and health education. Total encounters during the reporting period totaled 374,050Description
Total Program Service Expense45578124TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096173NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees589NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBOB LOTWALA CFONamePerson
Telephone Number8059293211TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1150 TEJAS PLACEAddressLine1
CityNIPOMOCity
StateCAState
ZIP Code93444ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Michael E Marks
Director1.000.00X000
Biz Stienberg
Director1.000.00X000
Will Gordon
President1.000.00X000X
Sharon Smith
Vice President1.000.00X000X
Diane Farao
Treasurer1.000.00X000X
Penny Borenstein
Ex-Officio1.000.00X000
Lisa Sheehy
Director1.000.00X000
Bertha Campos
Secretary1.000.00X000
Kathy Johnson
Director1.000.00X000
Clark Channing
Director1.000.00X000
Ann Lazo
Director1.000.00X000
Bhupendra Lotawala
CFO40.000.00207502052075X
William Esakoff
Director1.000.00000X
Ron Castle
CEO40.000.00295700033090X
John Khan-Variba
Medical Director40.000.00333398054037X
Jennifer Hendershot
PHYSICIAN40.000.00204098037639X
Anika Moore
PHYSICIAN40.000.00286350022298X
Gerald D Ebner
PHYSICIAN40.000.00264065044625X
Joseph Mercardante
PHYSICIAN40.000.00222063023414X
Marilyn Ortiz
PHYSICIAN40.000.00216021018861X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2029197TotalReportableCompFromOrg
Total Other Compensation286039TotalOtherCompensation
Number Individuals GT100 K75NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Brett R Halley
802 Tanis PlaceNipomoCA93444Janitorial499292
The Neenan Company LLP
2607 Midpoint DriveFort CollinsCO80525Contruction6638073
Service Master
3130 Skyway Drive Suite 701Santa MariaCA93455Janitorial318554
Focus Professional Employment
2125 S Broadway Suite 112Santa MariaCA93455Contracted Employees351073
Comphealth
PO Box 972651DallasTX753972651Contracted Employees659303
FieldValueIRS element (for citing)
Number Of Contractors GT100 K18NumberOfContractorsGT100K
Government Grants12086720GovernmentGrants
All Other Contributions2949233AllOtherContributions
Noncash Contributions2745833NoncashContributions
Total Contributions15035953TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Business Code621400BusinessCode
Total Revenue Column51957288TotalRevenueColumn
Related Or Exempt Function Income51957288RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue51957288TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1787TotalRevenueColumn
Related Or Exempt Function Income1787RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISC. INCOMEDescription
Business Code561000BusinessCode
Total Revenue Column292507TotalRevenueColumn
Related Or Exempt Function Income292507RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue292507TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column67287535TotalRevenueColumn
Related Or Exempt Function Income52251582RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total644969Total
Management And General644969ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total29134685Total
Program Services19957616ProgramServices
Management And General9177069ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total982377Total
Program Services676131ProgramServices
Management And General306246ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4013030Total
Program Services2745333ProgramServices
Management And General1267697ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2256130Total
Program Services1516784ProgramServices
Management And General739346ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total136166Total
Program Services115460ProgramServices
Management And General20706ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total119864Total
Program Services101637ProgramServices
Management And General18227ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total73733Total
Program Services62521ProgramServices
Management And General11212ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9952038Total
Program Services8438676ProgramServices
Management And General1513362ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4059113Total
Program Services674375ProgramServices
Management And General3384738ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total591724Total
Program Services311575ProgramServices
Management And General280149ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total570804Total
Program Services104643ProgramServices
Management And General466161ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1891635Total
Program Services591899ProgramServices
Management And General1299736ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total297857Total
Program Services208222ProgramServices
Management And General89635ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Employee Recruitment59172224810566912
Telephone874268110374763894
Donated Pharmaceuticals27458332745833
Supplies59711875686468284719

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2942428Total
Program Services1505767ProgramServices
Management And General1436661ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total67849563Total
Program Services45578124ProgramServices
Management And General22271439ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2267858BOY
EOY1521836EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY15229404BOY
EOY8902949EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7338651BOY
EOY8759141EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY352802BOY
EOY185353EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY460904BOY
EOY475987EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis39709431LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10118075LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY17326415BOY
EOY29591356EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY575383BOY
EOY481053EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY60130BOY
EOY40860EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY43611547BOY
EOY49958535EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6624014BOY
EOY5672797EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY410000BOY
EOY375000EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY5720790BOY
EOY13616983EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY53709BOY
EOY52749EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12808513BOY
EOY19717529EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18146561BOY
EOY21583116EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY12656473BOY
EOY8657890EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY30803034BOY
EOY30241006EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY43611547BOY
EOY49958535EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-562028ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16980817CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11272902CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19432572CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16988490CurrentTaxYearMinus1Year
Current Tax Year15035953CurrentTaxYear
Total79710734Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16980817CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11272902CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19432572CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16988490CurrentTaxYearMinus1Year
Current Tax Year15035953CurrentTaxYear
Total79710734Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17079710734PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22160CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11174CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14955CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3867CurrentTaxYearMinus1Year
Current Tax Year1787CurrentTaxYear
Total53943Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years48000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years124563CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years153551CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year248738CurrentTaxYearMinus1Year
Current Tax Year292507CurrentTaxYear
Total867359Total
FieldValueIRS element (for citing)
Total Support80632036TotalSupport
Public Support Pertcentage1700.98860PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99660PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2852900OtherCostOrOtherBasis
Book Value2852900BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis28718181OtherCostOrOtherBasis
Depreciation6463735Depreciation
Book Value22254446BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1490502OtherCostOrOtherBasis
Depreciation920604Depreciation
Book Value569898BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6647848OtherCostOrOtherBasis
Depreciation2733736Depreciation
Book Value3914112BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings29591356TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOther liabilitiesDescription
Amount$52,749Amount
FieldValueIRS element (for citing)
Total Of Amounts52749TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt67287535TotRevenueEtcAuditedFinclStmt
Revenue Subtotal67287535RevenueSubtotal
Total Revenue Per Form99067287535TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt67849563TotExpensesEtcAuditedFinclStmt
Expenses Subtotal67849563ExpensesSubtotal
Total Expenses Per Form99067849563TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Ron Castle
CEO260599351011048022610328790
Marilyn Ortiz
PHYSICIAN2109245097450014361234882
Joseph Mercardante
PHYSICIAN2147167347471818696245477
John Khan-Variba
Medical Director3332971011127342764387435
Jennifer Hendershot
PHYSICIAN18233721761450033139241737
Gerald D Ebner
PHYSICIAN263964101432740298308690
Bhupendra Lotawala
CFO2059341568931142764259577
Anika Moore
PHYSICIAN286249101450017798308648

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonJennifer AmadorNamePerson
FieldValueIRS element (for citing)
RelationshipCEO's StepdaughterRelationship
Amount Of Transaction351072AmountOfTransaction
Description Of TransactionVendor, Emply. AgencyDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9902745833NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableForm 990 is available upon written request during normal business hours at the organizations administrative office in Nipomo, CA
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe organization conducts periodic surveys of compensation at other similiar organizations in the state. This is done through the California Primary Care Association, MGMA, and the National Association of Community Health Centers. The local cost of living and housing are also factors in determining salaries. Compensation is reviewed periodically.
Form 990, Part VI, Line 15aForm 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementThe organization conducts periodic surveys of compensation at other similiar organizations in the state. This is done through the California Primary Care Association, MGMA, and the National Association of Community Health Centers. The local cost of living and housing are also factors in determining salaries. Compensation is reviewed periodically.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe organization engages in normal due diligence in assuring there is no conflict of interest in any material transactions. The organization also relies partly on self-declaration of the parties involved. The organization regularly communicates this policy to it's key employees and board members.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessTo organizations form 990 is prepared by an independent CPA, reveiwed by the organization's CFO, then reviewed and signed by the CEO and filed by the independent CPA