CAMINO HEALTH CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: CAMINO HEALTH CENTER (EIN 33-0574214)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-03-06
IRS object ID: 201300659349300570
Schema version: 2011v1.5
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-03-06T21:06:33-06:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	330783700	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PDM LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	3460 TORRANCE BLVD STE 200	AddressLine1
City	TORRANCE	City
State	CA	State
ZIP Code	90503	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	330574214	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CAMINO HEALTH CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CAMI	NameControl
Phone	9492402030	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	30300 CAMINO CAPISTRANO	AddressLine1
City	SAN JUAN CAPISTRANO	City
State	CA	State
ZIP Code	92675	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DEBRA DREW	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	9492402030	Phone
Date Signed	2013-03-01	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	SCOTT J DONNELLY CPA	Name
PTIN	P00366806	PTIN
Phone	3105404118	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DEBRA DREW	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	30300 CAMINO CAPISTRANO	AddressLine1
City	SAN JUAN CAPISTRANO	City
State	CA	State
ZIP Code	92675	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	5597105	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CAMINOHEALTHCENTER.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1992	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE HEALTH SERVICES TO LOW INCOME PATIENTS AND THEIR FAMILIES IN ORANGE COUNTY, CA	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	52	TotalNbrEmployees
Total Nbr Volunteers	17	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4150925	ContributionsGrantsPriorYear
Contributions Grants Current Year	3890194	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	981233	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1603593	ProgramServiceRevenueCY
Investment Income Prior Year	0	InvestmentIncomePriorYear
Investment Income Current Year	0	InvestmentIncomeCurrentYear
Other Revenue Prior Year	106376	OtherRevenuePriorYear
Other Revenue Current Year	103318	OtherRevenueCurrentYear
Total Revenue Prior Year	5238534	TotalRevenuePriorYear
Total Revenue Current Year	5597105	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	3889243	SalariesEtcPriorYear
Salaries Etc Current Year	3719112	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1565106	OtherExpensePriorYear
Other Expenses Current Year	1436799	OtherExpensesCurrentYear
Total Expenses Prior Year	5454349	TotalExpensesPriorYear
Total Expenses Current Year	5155911	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-215815	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	441194	RevenuesLessExpensesCY
Total Assets BOY	2157740	TotalAssetsBOY
Total Assets EOY	2232793	TotalAssetsEOY
Total Liabilities BOY	408203	TotalLiabilitiesBOY
Total Liabilities EOY	378653	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1749537	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1854140	NetAssetsOrFundBalancesEOY
Mission Description	CAMINO HEALTH CENTER'S MISSION IS TO PROVIDE QUALITY PRIMARY HEALTH CARE SERVICES TO LOW-INCOME PATIENTS AND THIER FAMILIES BY OPERATING A FULLY LICENSED, COMMUNITY-BASED CLINIC IN SAN JUAN CAPISTRANO, CALIFORNIA.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	3272853	Expense
Revenue	1706911	Revenue
Description	THE ORGANIZATION PROVIDES AFFORDABLE, QUALITY PRIMARY MEDICAL AND DENTAL CARE THROUGH ITS MEDICAL CLINIC, MOBILE MEDICAL VANS, AND PEDIATRIC DENTAL CLINIC. THE ORGANIZATION IS DEVOTED TO THE SERVICE OF THE RESIDENTS IN ITS COMMUNITY AND NEIGHBORING AREAS IN ORANGE COUNTY, INCLUDING THE SERVICE OF THE UNDERSERVED AND VULNERABLE POPULATIONS. THE ORGANIZATION SERVES OVER 100,000 VISITS ANNUALLY.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	1209541	Expense
Revenue	0	Revenue
Description	THE ORGANIZATION PROVIDES EDUCATIONAL AND SOCIAL SERVICES THROUGH THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN (WIC). THE PROGRAM PROVIDES SUPPLEMENTAL NUTRITOUS FOOD VOUCHERS, NUTRITION EDUCATION, AND REFERRALS TO HEALTH CARE FOR LOW-INCOME PERSONS DURING CRITICAL PERIODS OF GROWTH AND DEVELOPMENT. SUCH PERSONS INCLUDE PREGNANT WOMEN, BREAST-FEEDING WOMEN UP TO ONE YEAR POSTPARTUM, NON-BREAST FEEDING WOMEN UP TO SIX MONTHS POSTPARTUM, INFANTS, AND CHILDREN UNDER AGE FIVE DETERMINED TO BE AT NUTRITIONAL RISK. INTERVENTION DURING THE PRENATAL PERIOD IMPROVES FETAL DEVELOPMENT AND REDUCES THE INCIDENCE OF LOW BIRTH WEIGHT, SHORT GESTATION, AND ANEMIA.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	4482394	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	8	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	52	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	AARON NEUHARTH	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	9493647767	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	27700 MEDICAL CENTER RD	AddressLine1
City	MISSION VIEJO	City
State	CA	State
ZIP Code	92691	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
GEORGE B AVILA MURP
BOARD MEMBER	1.00	X	0	0	0
CARLOS CARTAGENA
BOARD MEMBER	1.00	X	0	0	0
PHORSHIA DILLARDGATEWOOD
BOARD MEMBER	1.00	X	0	0	0
SISTER MARTHA ANN FITZPATRICK PHD
CHAIR	1.00	X	0	0	0
MARY JANE FOLEY BA
BOARD MEMBER	1.00	X	0	0	0
HELEN SMITH-GARDNER
BOARD MEMBER	1.00	X	0	0	0
MARY LOU NAVA HAMAKER PHD
BOARD MEMBER	1.00	X	0	0	0
STEPHEN R HANNUM
BOARD MEMBER	1.00	X	0	0	0
HORACIO HERNANDEZ
BOARD MEMBER	1.00	X	0	0	0
KENNETH D MCFARLAND CPA MBA
BOARD MEMBER	1.00	X	0	0	0
MELODY VISE
VICE CHAIR	1.00	X	0	0	0
DEBRA DREW
CEO	50.00		154088	0	21227	X
SERGIO ULISES RODAS
CMO	50.00		186167	0	42273	X
THUYTRANG NGUYEN
STAFF PHYSICIAN	24.00		104483	0	32811		X
VELVA BERGER
CAMINO NURSE PRACTITIONER	40.00		111061	0	31960		X
DULCE MOLINA DE BRIONES
CAMINO PHYSICIAN ASSISTANT	40.00		100278	0	12898		X
AUDREY ROCCO
CAMINO STAFF PHYSICIAN	40.00		162337	0	36267		X
JUN CHAE
CAMINO STAFF PHYSICIAN	40.00		159273	0	32419		X
ROBIN BRADLEY
FORMER WIC PROGRAM DIRECTOR	50.00		96811	0	14099			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1074498	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	223954	TotalOtherCompensation
Number Individuals GT100 K	7	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
HEALTHNET
21281 BURBANK BLVD	WOODLANDHILLS	CA	91367	MEDICAL SUPPLIES	583859
QUEST DIAGNOSTICS
500 S ANAHEIM HILLS RD	ANAHEIM	CA	92807	LAB SERVICES	113573

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	2	NumberOfContractorsGT100K
Government Grants	1250116	GovernmentGrants
All Other Contributions	2640078	AllOtherContributions
Total Contributions	3890194	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES	624100	1465232	1465232
CAPITATION REVENUE	624100	138361	138361

Field	Value	IRS element (for citing)
Total Program Service Revenue	1603593	TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	OTHER REVENUE	Description
Business Code	624100	BusinessCode
Total Revenue Column	103318	TotalRevenueColumn
Related Or Exempt Function Income	103318	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	103318	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	5597105	TotalRevenueColumn
Related Or Exempt Function Income	1706911	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	461890	Total
Program Services	288533	ProgramServices
Management And General	173357	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1976278	Total
Program Services	1834218	ProgramServices
Management And General	142060	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	141406	Total
Program Services	123266	ProgramServices
Management And General	18140	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	944526	Total
Program Services	828604	ProgramServices
Management And General	115922	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	195012	Total
Program Services	170209	ProgramServices
Management And General	24803	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	2180	Total
Management And General	2180	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	19550	Total
Program Services	5474	ProgramServices
Management And General	14076	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	202472	Total
Program Services	108413	ProgramServices
Management And General	94059	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	14078	Total
Program Services	14078	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	197679	Total
Program Services	185462	ProgramServices
Management And General	12217	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	439694	Total
Program Services	401488	ProgramServices
Management And General	38206	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	15967	Total
Program Services	15618	ProgramServices
Management And General	349	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	110243	Total
Program Services	110243	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	60879	Total
Program Services	45374	ProgramServices
Management And General	15505	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
WIC PROGRAM	117076	101492	15584
LAB SERVICES	114639	114639
REGISTRIES	107192	107192

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	35150	Total
Program Services	28091	ProgramServices
Management And General	7059	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	5155911	Total
Program Services	4482394	ProgramServices
Management And General	673517	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	194097	BOY
EOY	563547	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	844933	BOY
EOY	403392	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	59158	BOY
EOY	430548	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	47053	BOY
EOY	80896	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1665906	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	911496	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	864654	BOY
EOY	754410	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	147845	BOY
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2157740	BOY
EOY	2232793	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	390463	BOY
EOY	365761	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	17740	BOY
EOY	12892	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	408203	BOY
EOY	378653	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1082987	BOY
EOY	1524181	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	666550	BOY
EOY	329959	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1749537	BOY
EOY	1854140	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2157740	BOY
EOY	2232793	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	441194	ReconcilationRevenueExpenses
Reconcilation Other Changes	-336591	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3128267	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3509044	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3813888	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4150925	CurrentTaxYearMinus1Year
Current Tax Year	3890194	CurrentTaxYear
Total	18492318	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3128267	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3509044	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3813888	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4150925	CurrentTaxYearMinus1Year
Current Tax Year	3890194	CurrentTaxYear
Total	18492318	Total

Field	Value	IRS element (for citing)
Public Support Total170	18492318	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4305	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	577	CurrentTaxYearMinus3Years
Total	4882	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	96011	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	106376	CurrentTaxYearMinus1Year
Current Tax Year	103318	CurrentTaxYear
Total	305705	Total

Field	Value	IRS element (for citing)
Total Support	18802905	TotalSupport
Gross Receipts From Admissions Etc	5900040	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.98350	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.98780	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170
General Explanation	SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME	GeneralExplanation
General Explanation	SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: OTHER INCOME INCLUDES INDIRECT REVENUES RELATED TO THE WIC PROGRAM.	GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1020249	OtherCostOrOtherBasis
Depreciation	413306	Depreciation
Book Value	606943	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	323887	OtherCostOrOtherBasis
Depreciation	274428	Depreciation
Book Value	49459	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	321770	OtherCostOrOtherBasis
Depreciation	223762	Depreciation
Book Value	98008	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	754410	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	DEFERRED RENT	Description
Amount	$12,892	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	12892	TotalOfAmounts
Total Revenue	5597105	TotalRevenue
Total Expenses	5155911	TotalExpenses
Excess Or Deficit For Year	441194	ExcessOrDeficitForYear
Other	-$336,591	OtherAmount
Total Adjustments	-336591	TotalAdjustments
Excess Or Deficit Per FS	104603	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	5597105	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	5597105	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	5597105	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	5155911	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	5155911	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	5155911	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	THE ORGANIZATION RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT OF BEING SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. TO DATE, THE ORGANIZATION HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS. THE ORGANIZATION RECOGNIZES POTENTIAL ACCRUED INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS IN INCOME TAX EXPENSE. DURING THE YEARS ENDED JUNE 30, 2012 AND 2011, THE ORGANIZATION DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		DECREASE IN TEMPORARILY RESTRICTED NET ASSETS -336,591.
		THE $336,591 ADJUSTMENT IS THE DECREASE IN TEMPORARILY RESTRICTED NET ASSETS FOR THE YEAR ENDING JUNE 30, 2012.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	X	CompensationSurvey
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DEBRA DREW
153858	0	0	0	230	0	8285	0	12942	0	175315	0	0	0
SERGIO ULISES RODAS
186067	0	0	0	100	0	10383	0	31890	0	228440	0	0	0
AUDREY ROCCO
162237	0	0	0	100	0	8908	0	27359	0	198604	0	0	0
JUN CHAE
159173	0	0	0	100	0	8729	0	23690	0	191692	0	0	0
ROBIN BRADLEY
96811	0	0	0	0	0	5181	0	8918	0	110910	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINE 7	ReturnReference
Explanation	THE EXECUTIVE DIRECTOR OF CAMINO HEALTH CENTER IS ELIGIBLE TO RECEIVE AN AT-RISK PAY. THE PAY IS BASED ON ACHIEVING OR SURPASSING SPECIFIC GOALS THAT ARE DETERMINED BY THE BOARD OF TRUSTEES. THE GOALS INCLUDE BOTH QUALITY AND FINANCIAL METRICS.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11	A COPY OF THE TAX RETURN IS PRESENTED TO THE BOARD MEMBERS FOR APPROVAL BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	VARIOUS FUNDERS ALSO REQUIRE REVIEW OF THE CONFLICT OF INTEREST POLICY AND MONITORING OF THE POLICY THROUGHOUT THE YEAR.
FORM 990, PART VI, SECTION B, LINE 15	THE HUMAN RESOURCES DEPARTMENT OF MISSION HOSPITAL PERFORMS THE REVIEW OF COMPENSATION AND MAKES COMPARISON WITH SIMILAR AGENCIES ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION C, LINE 19	THE TAX RETURN IS AVAILABLE TO THE PUBLIC UPON REQUEST AND ON GUIDESTAR'S WEBSITE.
FORM 990, PART XI, LINE 5:	DECREASE IN TEMPORARILY RESTRICTED NET ASSETS -336,591. TOTAL TO FORM 990, PART XI, LINE 5: -336,591.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C, AUDIT OVERSIGHT PROCESS:	THE ORGANIZATION ESTABLISHED AN INDEPENDENT BOARD OF DIRECTORS THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT.