2014-03-28T18:31:01-05:00 2013-06-30 930623286 AKT LLP 312 S JUNIPER STREET SUITE 100 ESCONDIDO CA 92025 990 2012-07-01 202356830 PALOMAR HEALTH DEVELOPMENT INC PALO 7607392144 2227 ENTERPRISE STREET ESCONDIDO CA 92029 ROBERT A HEMKER 7607392144 2014-03-20 1 ELSA A ROMERO P00485021 7607461560 2014-03-20 2012 2015-11-30 17:44:51Z ROBERT A HEMKER 2227 ENTERPRISE STREET ESCONDIDO CA 92029 3908430 0 X WWW.PALOMARHEALTH.ORG X 2005 CA TO IDENTIFY THE COMMUNITY'S HEALTHCARE PRIORITIES. 5 3 0 7 0 0 2187496 2619010 1143823 1289208 250 212 0 0 3331569 3908430 0 0 0 0 1435478 1575986 0 0 0 1778809 2321356 3214287 3897342 117282 11088 1552027 1296522 3648366 3381773 -2096339 -2085251 TO IDENTIFY THE COMMUNITY'S HEALTHCARE PRIORITIES AND MEET THOSE PRIORITIES IN CONJUNCTION WITH THE STRATEGIC PRIORITIES OF PALOMAR HEALTH AS A CALIFORNIA HEALTH CARE DISTRICT. 0 0 1949154 THE HEALTHY DEVELOPMENT SERVICES (HDS) - ADMINISTERED BY PALOMAR HEALTH DEVELOPMENT IS A NORTH SAN DIEGO COUNTY PROJECT TO PROMOTE AND SUPPORT AN INTEGRATED NETWORK OF SERVICES THAT ADDRESS THE HEALTH AND DEVELOPMENT NEEDS OF CHILDREN FROM BIRTH THROUGH FIVE YEARS OF AGE. 269502 310486 MAA (MEDI-CAL ADMINISTRATIVE ACTIVITIES) IS A GOVERNMENT PROGRAM AVAILABLE TO PHD TO RECOVER SOME OF THE ADMINISTRATIVE COSTS ASSOCIATED WITH PROVIDING MEDI-CAL SERVICES. 324364 978722 IDENTIFY THE COMMUNITY'S HEALTHCARE PRIORITIES AND MEET THESE PRIORITIES IN CONNECTION WITH PALOMAR HEALTH, A CALIFORNIA HEALTH CARE DISTRICT. 2543020 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 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 1 0 0 0 1 6 0 1 0 0 0 0 0 0 0 0 0 0 0 X 5 3 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 0 0 0 CA X THE ORGANIZATION 7604807938 2227 ENTERPRISE STREET ESCONDIDO CA 92029 LINDA GREER RN 1.00 10.00 X X 0 5358 0 BRUCE KRIDER MA 1.00 10.00 X X 0 6162 0 MICHAEL COVERT FACHE 1.00 40.00 X 0 1010994 0 ROBERT HEMKER 1.00 40.00 X X 0 496041 0 MARCELO RIVERA MD 1.00 10.00 X X 0 5196 0 0 1523751 0 0 0 1 0 0 2386298 232712 2619010 RESEARCH REVENUE 900099 953772 953772 MEDI-CAL REIMBURSEMENT 900099 310486 310486 PROTOCOL REVIEW FEES 900099 24950 24950 1289208 212 212 3908430 1289208 0 212 1334697 870890 463807 139185 90818 48367 102104 66623 35481 24400 24400 60700 55528 5172 603 394 209 23391 15263 8128 5642 3682 1960 8191 5345 2846 94418 94418 345 225 120 1375 897 478 SUPPLIES 1083066 706701 376365 PURCHASED SERVICES 963464 690269 273195 EQUIPMENT 31907 20819 11088 REPAIRS 13420 8757 4663 10434 6809 3625 3897342 2543020 1354322 0 215960 315543 629601 498235 703981 480657 2140 2087 13931 13931 345 0 1552027 1296522 740599 596267 136182 39510 2771585 2745996 3648366 3381773 X -2430659 -2330153 334320 244902 -2096339 -2085251 1552027 1296522 11088 0 X X 0 1 X 1 0 X 3680081 3338954 3027425 2187496 2619010 14852966 3680081 3338954 3027425 2187496 2619010 14852966 14852966 16199 329 295 250 212 17285 14870251 2635595 0.99880 0.99780 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13931 13931 0 0 LINE OF CREDIT FROM PPH 2745996 2745996 X 3908430 0 3908430 0 3908430 3897342 0 3897342 0 3897342 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ORGANIZATION HAS CONSIDERED THE TAX POSITIONS TAKEN IN ITS TAX RETURNS AND BELIEVES THAT ALL OF THE POSITIONS TAKEN BY THE ORGANIZATION IN ITS FEDERAL AND STATE EXEMPT ORGANIZATION TAX RETURNS ARE MORE LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION. 0 0 0 0 0 0 0 0 0 MICHAEL COVERT FACHE 0 867073 0 143921 0 0 0 0 0 0 0 1010994 0 0 ROBERT HEMKER 0 496041 0 0 0 0 0 0 0 0 0 496041 0 0 PART I, LINE 3 PALOMAR HEALTH DEVELOPMENT DOES NOT PAY ANY OFFICERS OR KEY EMPLOYEES. PALOMAR HEALTH, A RELATED ORGANIZATION, DOES COMPENSATE EMPLOYEES. PALOMAR HEALTH HAS A FORMAL COMPENSATION REVIEW POLICY. FORM 990, PART VI, SECTION A, LINE 8B THE ENTITY HAS NO COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE SENIOR ACCOUNTANT AND CFO REVIEW THE 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C AS A CONTROLLED ORGANIZATION, PHD IS SUBJECT TO THE POLICIES OF PALOMAR HEALTH (PH). PH HAS ESTABLISHED WRITTEN POLICIES FOR CONFLICT OF INTEREST, WHISTLE BLOWING, AND DOCUMENT RETENTION AND DESTRUCTION. THESE POLICIES ARE REVIEWED ANNUALLY BY IN-HOUSE COUNSEL AND ARE PROVIDED TO EMPLOYEES AND BOARD MEMBERS THROUGH HARD COPY ON-LINE ACCESS. OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE PROVIDED WITH A QUESTIONNAIRE ANNUALLY WHICH REQUIRES THEM TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST. PALOMAR HEALTH DEVELOPMENT, INC. DOES NOT PAY ANY COMPENSATION TO OFFICERS OR KEY EMPLOYEES. PALOMAR HEALTH, A RELATED ORGANIZATION, DOES COMPENSATE EMPLOYEES. PALOMAR HEALTH HAS A FORMAL COMPENSATION REVIEW POLICY. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATIONAL DOCUMENTS OF THE ORGANIZATION WILL BE AVAILABLE FOR INSPECTION AT THE ORGANIZATION'S MAIN OFFICE DURING NORMAL BUSINESS HOURS. FORM 990, PART VI, SECTION C, LINE 19 INFORMATION PROVIDED UPON REQUEST. FORM 990, PART XII, LINE 2C THERE HAVE NOT BEEN ANY CHANGES FROM THE PREVIOUS YEAR. PALOMAR HEALTH 456 GRAND AVE ESCONDIDO CA 92025 956003843 MEDICAL CARE CA 115(1) N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 PALOMAR HEALTH E 2745996 LOAN AGREEMENT PALOMAR HEALTH P 339786 INVOICES