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GARDNER FAMILY HEALTH NETWORK INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
GARDNER FAMILY HEALTH NETWORK INC (EIN 94-1743078)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-09
IRS object ID
201441299349302909
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)
Timestamp2014-05-09T16:23:52-07:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Patel & Associates CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1266 17th Street Suite 200AddressLine1
CityOaklandCity
StateCAState
ZIP Code946124124ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN941743078EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Gardner Family Health Network IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGARDNameControl
Phone4089353906Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1240AddressLine1
CityAlvisoCity
StateCAState
ZIP Code95002ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEfrain CoriaName
TitleCOOTitle
Date Signed2014-05-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRamesh Patel CPAName
PTINP00422725PTIN
Phone5104525051Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonReymundo EspinozaNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 1240AddressLine1
CityAlvisoCity
StateCAState
ZIP Code95002ZIPCode
FieldValueIRS element (for citing)
Gross Receipts28423738GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.gardnerhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1967YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTo improve the health status of the communities we serve, especially the disenfranchised, poor & most vulnerable members by providing high quality, comprehensive care, which is affordable, respectful, culturally, linguistically & age appropriate.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees409TotalNbrEmployees
Total Nbr Volunteers16TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year11279371ContributionsGrantsPriorYear
Contributions Grants Current Year11370339ContributionsGrantsCurrentYear
Program Service Revenue Prior Year22239406ProgramServiceRevenuePriorYear
Program Service Revenue CY15761489ProgramServiceRevenueCY
Investment Income Prior Year107585InvestmentIncomePriorYear
Investment Income Current Year94958InvestmentIncomeCurrentYear
Other Revenue Prior Year228335OtherRevenuePriorYear
Other Revenue Current Year1118502OtherRevenueCurrentYear
Total Revenue Prior Year33854697TotalRevenuePriorYear
Total Revenue Current Year28345288TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year24781459SalariesEtcPriorYear
Salaries Etc Current Year27180680SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year26583TotalFundrsngExpCurrentYear
Other Expense Prior Year8849741OtherExpensePriorYear
Other Expenses Current Year9075318OtherExpensesCurrentYear
Total Expenses Prior Year33631200TotalExpensesPriorYear
Total Expenses Current Year36255998TotalExpensesCurrentYear
Revenues Less Expenses Prior Year223497RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-7910710RevenuesLessExpensesCY
Total Assets BOY23615095TotalAssetsBOY
Total Assets EOY15372392TotalAssetsEOY
Total Liabilities BOY7156630TotalLiabilitiesBOY
Total Liabilities EOY10947052TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16458465NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4425340NetAssetsOrFundBalancesEOY
Mission DescriptionTo improve the health status of the communities we serve, especially the disenfranchised, poor & most vulnerable members by providing high quality, comprehensive care, which is affordable, respectful, culturally, linguistically & age appropriate.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense29784381Expense
Revenue15761489Revenue
DescriptionPrimary Care Program: provides medical, dental, optometry, pharmaceutical, podiatry and ancillary services to low income residents of Santa Clara County. Provided 160,654 visits to 41,106 patients.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense137671Expense
Revenue187755Revenue
DescriptionJob Corps: Provides physical examinations and medical services to individuals participating in the Job Corps program.Description
FieldValueIRS element (for citing)
Total Program Service Expense29922052TotalProgramServiceExpense
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 AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
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 MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109682NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees409NumberOfEmployees
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
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 PolicyfalseDocumentRetentionPolicy
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 PersonJoseph H DemontNamePerson
Telephone Number4089353906TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 1240AddressLine1
CityAlvisoCity
StateCAState
ZIP Code95002ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Armand Sanchez PhD
Board Member2.002.00X000
Angelica M Ruiz MD
Board Member2.002.00X000
Consuelo Ponce
Board Member2.002.00X000
Rhonda Mason
Board Member2.002.00X000
Frank V Serrano
Board Member2.002.00X000
Lucinda Hirahoka-Pisano NPPA
Board Member2.002.00X000
Lloyd Alvarado
Board Member2.002.00X000
Noe Lozano PhD
Board Member2.002.00X000
Irma M Terrazas
Secretary2.002.00X000
Ingrid Holguin
Treasurer2.002.00X000
Khanh D Bui
Vice Chair2.002.00X000
Esther M Duran PA-C
Board Chair2.002.00X000
Wunna Mine
CIO20.0020.00828525579812451X
Ignacio Perez
CFO36.004.001311731799816095X
Efrain Coria
COO24.0016.0012391410062236812X
Reymundo Espinoza
CEO24.0016.0013565510451256127X
Ricardo Lopez
Medical Director40.000.0025626608547X
George Barghouth
Dental Director40.000.00152753036047X
Michael Fauria
Optometry Director40.000.0077218027743X
Ranjani Chandramouli
Physician40.000.00175445024773X
Madhur Bhatnagar
Physician40.000.00211457022700X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1346733TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs278930TotalReportableCompFrmRltdOrgs
Total Other Compensation241295TotalOtherCompensation
Number Individuals GT100 K35NumberIndividualsGT100K
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
Santa Clara Valley Health
2325 Enborg LaneSan JoseCA95128Medical Services356288
Staff Care Inc
PO Box 281923AtlantaGA30384Medical Staffing278010
Med Staffing LLC
39039 Paseo Padre PkwyFremontCA94538Medical Staffing353119
BRMS
PO Box 2140FolsomCA95763Insurance515370
Barney & Barney
PO Box 87610San DiegoCA92138Worker's Comp Insur.337567
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K
Government Grants10354730GovernmentGrants
All Other Contributions1015609AllOtherContributions
Noncash Contributions945599NoncashContributions
Total Contributions11370339TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Risk Pool621110850520850520
Private & Other621110267946267946
Pharmacy621110628928628928
MediCal & Medicare6211101401409514014095
FieldValueIRS element (for citing)
Total Program Service Revenue15761489TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column94958TotalRevenueColumn
Related Or Exempt Function Income94958RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real78450Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real78450Real

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)
DescriptionOther RevenuesDescription
Business Code621110BusinessCode
Total Revenue Column1118502TotalRevenueColumn
Related Or Exempt Function Income1118502RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1118502TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column28345288TotalRevenueColumn
Related Or Exempt Function Income16974949RelatedOrExemptFunctionIncome

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)
Total558651Total
Program Services462024ProgramServices
Management And General96178ManagementAndGeneral
Fundraising449Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total20484534Total
Program Services16968085ProgramServices
Management And General3500096ManagementAndGeneral
Fundraising16353Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total393528Total
Program Services322944ProgramServices
Management And General70256ManagementAndGeneral
Fundraising328Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4338465Total
Program Services3560305ProgramServices
Management And General774541ManagementAndGeneral
Fundraising3619Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1405502Total
Program Services1153406ProgramServices
Management And General250922ManagementAndGeneral
Fundraising1174Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total113482Total
Program Services34183ProgramServices
Management And General79123ManagementAndGeneral
Fundraising176Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total55225Total
Program Services16635ProgramServices
Management And General38505ManagementAndGeneral
Fundraising85Fundraising

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)
Total1867047Total
Program Services1113660ProgramServices
Management And General752210ManagementAndGeneral
Fundraising1177Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total974190Total
Program Services738891ProgramServices
Management And General232257ManagementAndGeneral
Fundraising3042Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1706641Total
Program Services1471141ProgramServices
Management And General235320ManagementAndGeneral
Fundraising180Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total117636Total
Program Services73491ProgramServices
Management And General44145ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total54556Total
Program Services54556ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total132267Total
Management And General132267ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1386826Total
Program Services1385807ProgramServices
Management And General1019ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total98540Total
Program Services49271ProgramServices
Management And General49269ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Company Events14211131511060
Miscellaneous & Other Expenses988214862650195
In-Kind Supplies902280902280
Medical Supplies15535961553596

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total36255998Total
Program Services29922052ProgramServices
Management And General6307363ManagementAndGeneral
Fundraising26583Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY507955BOY
EOY94979EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY302816BOY
EOY39697EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1153223BOY
EOY1201645EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9657389BOY
EOY3269983EOY

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)
BOY286303BOY
EOY254898EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY134765BOY
EOY371939EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis25352601LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16493662LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8951660BOY
EOY8858939EOY

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)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2620984BOY
EOY1280312EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY23615095BOY
EOY15372392EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3204722BOY
EOY5944516EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY234211EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3951908BOY
EOY4768325EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7156630BOY
EOY10947052EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY16458465BOY
EOY4322021EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY103319EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16458465BOY
EOY4425340EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23615095BOY
EOY15372392EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-7910710ReconcilationRevenueExpenses
Reconcilation Other Changes-4122415ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
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 Years9128473CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9845912CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9846137CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11279371CurrentTaxYearMinus1Year
Current Tax Year11370339CurrentTaxYear
Total51470232Total

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 Years9128473CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9845912CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9846137CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11279371CurrentTaxYearMinus1Year
Current Tax Year11370339CurrentTaxYear
Total51470232Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total2394899AmountsSubstContributorsTotal
Public Support Total17049075333PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years100388CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years94332CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years105413CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year107585CurrentTaxYearMinus1Year
Current Tax Year58078CurrentTaxYear
Total465796Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-125471CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years365146CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years294736CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year213518CurrentTaxYearMinus1Year
Current Tax Year1155382CurrentTaxYear
Total1903311Total
FieldValueIRS element (for citing)
Total Support53839339TotalSupport
Public Support Pertcentage1700.91150PublicSupportPertcentage170
Public Support Pertcent Prior Year0.96260PublicSupportPertcentPriorYear
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 Basis2107308OtherCostOrOtherBasis
Book Value2107308BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15432984OtherCostOrOtherBasis
Depreciation11394359Depreciation
Book Value4038625BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis314963OtherCostOrOtherBasis
Depreciation314963Depreciation

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7497346OtherCostOrOtherBasis
Depreciation4784340Depreciation
Book Value2713006BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8858939TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDue from AffiliateDescription
Book Value1280312BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets1280312TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Restrcited Accounts Payable$907,333
Loan Payable-Related Organization$2,079,198
Incurred but not reported Liability$761,448
Due to Affiliate$1,020,346
FieldValueIRS element (for citing)
Total Of Amounts4768325TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt28423738TotRevenueEtcAuditedFinclStmt
Other Revenues78450OtherRevenues
Revenue Not Rptd F99078450RevenueNotRptdF990
Revenue Subtotal28345288RevenueSubtotal
Total Revenue Per Form99028345288TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt36334448TotExpensesEtcAuditedFinclStmt
Other Expenses Included78450OtherExpensesIncluded
Expenses Not Rptd F99078450ExpensesNotRptdF990
Expenses Subtotal36255998ExpensesSubtotal
Total Expenses Per Form99036255998TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XII, Line 2dPart XII, Line 2d: Other expenses and losses per audited F/SRental Expenses Netted in Part VIII $78450
Part XI, Line 2dPart XI, Line 2d: Other revenue amounts included in F/S but not included on form 990Rental Expenses Netted in Part VIII $78450
Part XPart X : FIN48 FootnoteGFHNI is a not-for-profit corporation as described in Section 501(c) (3) of the Internal Revenue Code and has been granted tax-exempt status by the Internal Revenue Service and the California Franchise Tax Board. Accordingly, no provision for federal and state income taxes has been made in the accompanying financial statements. There was no unrelated business income for fiscal year 2013. GAAP provides accounting and disclosure guidance about positions taken by an organization in its tax returns that might be uncertain. Management has considered its tax positions and believes that all of the positions taken by GFHNI in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. GFHNIs returns for the years ended June 30, 2012, 2011 and 2010 are subject to examination by federal and state taxing authorities generally for three years after they are filed.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
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 OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrg
Wunna Mine
CIO8285255798303376986499453456567
Ricardo Lopez
Medical Director233516854726481322750
Reymundo Espinoza
CEO13565510451229302184331354169939126355
Ranjani Chandramouli
Physician175445379020983200218
Madhur Bhatnagar
Physician211457456718133234157
Ignacio Perez
CFO1311731799848013881090614688018386
George Barghouth
Dental Director152753559030457188800
Efrain Coria
COO1239141006222677367830457157048104300

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990902280NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part XI, Line 9Other Changes In Net Assets Or Fund Balances - Other DecreasesVariance in Accounts Receivable posted = -$3597548
Form 990, Part XI, Line 9Other Changes In Net Assets Or Fund Balances - Other DecreasesUnrecorded Excess Reimbursements from State = -$432349
Form 990, Part XI, Line 9Other Changes In Net Assets Or Fund Balances - Other DecreasesUnrecorded Depreciation = -$92518
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe organization's governing documents, policies and financial statements are made available to the public upon request.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesFor the compensation of other officers or key employees, the HR Director periodically obtains/performs compensation analysis surveys of similar positions to ensure compensation is reasonable and competitive.
Form 990, Part VI, Line 15aForm 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementThe CEO compensation is determined and approved by the Board Executive Committee through salary compensation surveys of organizations in the same industry and comparable budgets.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe organization has a Compliance Officer who overseas the conflict of interest policy and provides annual ongoing training to the Board of Directors and staff.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessThe Form 990 and related schedules are reviewed by the CFO and Controller of the organization. Additionally, the Form 990 is subsequently distributed to the Finance Committee of the Board of Directors.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Gardner Family Care CorporationBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1160 East Virginia Suite 255AddressLine1
CitySan JoseCity
StateCAState
ZIP Code95112ZIPCode
FieldValueIRS element (for citing)
EIN237153068EIN
Primary ActivitiesHealth OrganizationPrimaryActivities
Legal Domicile StateCALegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status7PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Gardner Family Care Corporation
p312304FMV/Cost
Gardner Family Care Corporation
k322812FMV/Cost
Gardner Family Care Corporation
j78444FMV/Cost
Gardner Family Care Corporation
e675000FMV/Cost
Gardner Family Care Corporation
d1280312FMV/Cost