AMPLA HEALTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: AMPLA HEALTH (EIN 94-2210447)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2012-11-02
IRS object ID: 201203079349300435
Schema version: 2011v1.2
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 C
Schedule D
Schedule J
Schedule K
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-02T08:10:09-07:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Ortega & Associates CPA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	5151 Shoreham Pl Suite 100	AddressLine1
City	San Diego	City
State	CA	State
ZIP Code	92122	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	942210447	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	AMPL	NameControl
Phone	5306744261	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	935 B MARKET STREET	AddressLine1
City	YUBA CITY	City
State	CA	State
ZIP Code	95991	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	WAGIH MICHAEL PHD	Name
Title	CFO	Title
Date Signed	2012-10-31	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Mario G Ortega	Name
Phone	8586232786	Phone
Self Employed	X	SelfEmployed

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	35360259	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	WWW.AMPLAHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1973	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	AMPLA HEALTH STRIVES TO PROVIDE HIGH QUALITY MEDICAL, DENTAL, SOCIAL AND EDUCATIONAL HEALTH SERVICES THAT MEET THE UNIQUE NEEDS OF ALL PATIENTS ESPECIALLY THOSE WHO ARE MEDICALLY UNDER SERVED INCLUDING FARM WORKERS AND OTHERS WITHOUT FINANCIAL RESOURCES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	457	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	7833567	ContributionsGrantsPriorYear
Contributions Grants Current Year	6800043	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	27111999	ProgramServiceRevenuePriorYear
Program Service Revenue CY	28559598	ProgramServiceRevenueCY
Investment Income Prior Year	12653	InvestmentIncomePriorYear
Investment Income Current Year	618	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	34958219	TotalRevenuePriorYear
Total Revenue Current Year	35360259	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	26030496	SalariesEtcPriorYear
Salaries Etc Current Year	24975362	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	8825891	OtherExpensePriorYear
Other Expenses Current Year	8057965	OtherExpensesCurrentYear
Total Expenses Prior Year	34856387	TotalExpensesPriorYear
Total Expenses Current Year	33033327	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	101832	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	2326932	RevenuesLessExpensesCY
Total Assets BOY	22678035	TotalAssetsBOY
Total Assets EOY	25407625	TotalAssetsEOY
Total Liabilities BOY	12289098	TotalLiabilitiesBOY
Total Liabilities EOY	12691756	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	10388937	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	12715869	NetAssetsOrFundBalancesEOY
Mission Description	AMPLA HEALTH STRIVES TO PROVIDE HIGH QUALITY MEDICAL, DENTAL, SOCIAL AND EDUCATIONAL HEALTH SERVICES THAT MEET THE UNIQUE NEEDS OF ALL PATIENTS ESPECIALLY THOSE WHO ARE MEDICALLY UNDER SERVED INCLUDING FARM WORKERS AND OTHERS WITHOUT FINANCIAL RESOURCES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	27610583	Expense
Description	AMPLA HEALTH PROVIDES MEDICAL SERVICES AND BASIC DENTAL SERVICES TO LOW-INCOME AND MIGRANT PATIENTS. IT ALSO PROVIDES HEALTH AND PRENATAL INFORMATION TO LOW-INCOME AND MIGRANT INDIVIDUALS, AS WELL AS, SUPPLEMENTAL FOOD TO ELIGIBLE LOW-INCOME WOMEN. SEE SCEHDULE O FOR MORE INFORMATION ON THE PROGRAMS OFFERED. FISCAL YEAR ENDED JUNE 30, 2012 HAD 288,090 PATIENT ENCOUNTERS.	Description
Total Program Service Expense	27610583	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	41	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	457	NumberOfEmployees
Employment Tax Returns Filed	false	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	false	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Form720 Filed	false	Form720Filed
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Policies Reference Chapters	false	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	VERONICA RICHTER	NamePerson
Telephone Number	5306744261	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	935 MARKET STREET	AddressLine1
City	YUBA CITY	City
State	CA	State
ZIP Code	95991	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
J ANGEL CALDERON
MEMBER	0.00	X	0	0	0
CHIRSTINA MEZA
MEMBER	0.00	X	0	0	0
JULIAN MEZA
MEMBER	0.00	X	0	0	0
ROBERTO GONZALEZ
MEMBER	0.00	X	0	0	0
LILIAN DELATORRE
MEMBER	0.00	X	0	0	0
WENCESLAO VASQUEZ
PARLIAMENTARIAN	0.00	X	0	0	0	X
MARSHA HENDERSON
Secretary	0.00	X	0	0	0	X
MARK SCHWIND
Treasurer	0.00	X	0	0	0	X
DEBBIE PORCAYO
VICE CHAIR	0.00	X	0	0	0	X
KIM OWENS
BOARD CHAIR	0.00	X	0	0	0	X
RANJIT SINGH
COO	40.00		99449	0	6465	X
HILTON PEREZ
COO	40.00		96770	0	9698	X
MARK WOOLERY
CFO	40.00		132550	0	9698	X
BENJAMIN FLORES
CEO	40.00		174524	0	9698	X
CINDY SNELGROVE
NURSING DIRECTOR	40.00		100390	0	9698		X
MUSTAFA AMMAR
CHIEF MEDICAL OFFICER	40.00		397302	0	9698		X
STEVE RIPPY
CHIEF DENTAL OFFICER	40.00		169728	0	9698		X
ABDULLAH AL-DWAIRI
PHYSICIAN	40.00		221128	0	9698			X
ARUN KUMAR
PHYSICIAN	40.00		214314	0	9698			X
BAL JAGDEEP
PHYSICIAN	40.00		204418	0	9698			X
THIN THIN AUNG
PHYSICIAN	40.00		202098	0	9698			X
ALPNA MULLICK
PHYSICIAN	40.00		193522	0	9698			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2206193	TotalReportableCompFromOrg
Total Other Compensation	113143	TotalOtherCompensation
Number Individuals GT100 K	62	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
KEN LOGAN MD
1515 LITTLE RON RD	CHICO	CA	95973	CONTRACT PHYSICIAN	113700
YUBA SUTTER HOSPITALIST GROUP
726 4TH STREET	MARYSVILLE	CA	95901	CONTRACT PHYSICIANS	292800
STAFF CARE INC
PO BOX 281923	ATLANTA	GA	303841923	CONTRACT PHYSICIANS	178119
REVENUEXI INC
19925 STEVENS CREEK RD	CUPERTINO	CA	95014	TRANSCRIPTION	368108
MARTIN FLETCHER & ASSOCIATES
PO BOX 671031	DALLAS	TX	752671031	LEGAL	133228

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
Government Grants	6748395	GovernmentGrants
All Other Contributions	51648	AllOtherContributions
Total Contributions	6800043	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PROGRAM SERVICE REVENUE	621110	27212832	27212832
OTHER	621110	8016	8016
MEDI-CAL EHR INCENTIVE	621110	1338750	1338750

Field	Value	IRS element (for citing)
Total Program Service Revenue	28559598	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	618	TotalRevenueColumn
Related Or Exempt Function Income	618	RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	35360259	TotalRevenueColumn
Related Or Exempt Function Income	28560216	RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1235366	Total
Program Services	908896	ProgramServices
Management And General	326470	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	19347344	Total
Program Services	16909464	ProgramServices
Management And General	2437880	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1480178	Total
Program Services	1287755	ProgramServices
Management And General	192423	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2912474	Total
Program Services	2515822	ProgramServices
Management And General	396652	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	106675	Total
Management And General	106675	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	132188	Total
Management And General	132188	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	99225	Total
Management And General	99225	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2209048	Total
Program Services	2010288	ProgramServices
Management And General	198760	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	328419	Total
Program Services	310562	ProgramServices
Management And General	17857	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	224494	Total
Program Services	96313	ProgramServices
Management And General	128181	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	425466	Total
Program Services	329318	ProgramServices
Management And General	96148	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	770701	Total
Program Services	659429	ProgramServices
Management And General	111272	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	206899	Total
Program Services	38429	ProgramServices
Management And General	168470	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Utilities	407566	379700	27866
SUPPLIES	1302879	1197944	104935
PROMOTIONAL	248237	12270	235967
COMMUNICATIONS	498729	343180	155549
BAD DEBT EXPENSE	256490	175499	80991

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	840949	Total
Program Services	435714	ProgramServices
Management And General	405235	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	33033327	Total
Program Services	27610583	ProgramServices
Management And General	5422744	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1845507	BOY
EOY	1399692	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2220108	BOY
EOY	1890411	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	542454	BOY
EOY	469088	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	2147974	BOY
EOY	2702079	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	215236	BOY
EOY	271770	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	965350	BOY
EOY	890638	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	25246016	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	10809300	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	13520363	BOY
EOY	14436716	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	991043	BOY
EOY	994984	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	230000	BOY
EOY	2352247	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	22678035	BOY
EOY	25407625	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3349485	BOY
EOY	3974455	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	6983958	BOY
EOY	6726126	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1955655	BOY
EOY	1991175	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	12289098	BOY
EOY	12691756	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10369808	BOY
EOY	12678469	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	19129	BOY
EOY	37400	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	10388937	BOY
EOY	12715869	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	22678035	BOY
EOY	25407625	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	2326932	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	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	7034031	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7145639	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	7398487	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7833567	CurrentTaxYearMinus1Year
Current Tax Year	6800043	CurrentTaxYear
Total	36211767	Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

Field	Value	IRS element (for citing)
Total	0	Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7034031	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7145639	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	7398487	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7833567	CurrentTaxYearMinus1Year
Current Tax Year	6800043	CurrentTaxYear
Total	36211767	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	0	AmountsSubstContributorsTotal
Public Support Total170	36211767	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	144998	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	37580	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	36833	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	12653	CurrentTaxYearMinus1Year
Current Tax Year	618	CurrentTaxYear
Total	232682	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Total Support	36444449	TotalSupport
Gross Receipts From Admissions Etc	135059066	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.99360	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.98980	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$20,065	OtherActivitiesAmount
Total Lobbying Expenditures IIB	20065	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i	Identifier
Return Reference	Part II-B, Line 1i - Other Activities Description	ReturnReference
Explanation	PART II-B, LINE 1(I), OTHER LOBBYING ACTIVITIES:THE ORGANIZATION PAID DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND TO THE CALIFORNIA PRIMARY CARE ASSOCIATION (CPCA). A PORTION OF THE DUES PAID MAY BE USED FOR LOBBYING.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2187234	OtherCostOrOtherBasis
Book Value	2187234	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15757188	OtherCostOrOtherBasis
Depreciation	5962212	Depreciation
Book Value	9794976	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	56761	OtherCostOrOtherBasis
Depreciation	25040	Depreciation
Book Value	31721	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5631770	OtherCostOrOtherBasis
Depreciation	4822048	Depreciation
Book Value	809722	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1613063	OtherCostOrOtherBasis
Book Value	1613063	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	14436716	TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescription	Book ValueBookValue
Other receivable	1136926
Due from other third parties	1215321

Field	Value	IRS element (for citing)
Total Book Value Other Assets	2352247	TotalBookValueOtherAssets
Total Revenue	35360259	TotalRevenue
Total Expenses	33033327	TotalExpenses
Excess Or Deficit For Year	2326932	ExcessOrDeficitForYear
Excess Or Deficit Per FS	2326932	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	35360259	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	35360259	RevenueSubtotal
Total Revenue Per Form990	35360259	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	33033327	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	33033327	ExpensesSubtotal
Total Expenses Per Form990	33033327	TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg
THIN THIN AUNG
164036	38062	9698	202098	9698
STEVE RIPPY
143859	25869		179426		9698
MUSTAFA AMMAR
252418	144884		407000		9698
BENJAMIN FLORES
174524			184222		9698
BAL JAGDEEP
148899	55519		214116		9698
ARUN KUMAR
179760	34554		224012		9698
ALPNA MULLICK
166827	26695		203220		9698
ABDULLAH AL-DWAIRI
186437	34691		230826		9698

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Sch J, Part I, Line 7	Identifier
Return Reference	Part I, Line 7: Non-Fixed payments not listed above	ReturnReference
Explanation	BONUS AND INCENTIVE PAYMENTS ARE BASED ON ENCOUNTER PRODUCTIVITY, WITH 400 ENCOUNTERS BEING THE STANDARD.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	US BANK - SER 2003-CSCDA	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	521598225	IssuerEIN
CUSIP Number	130911TT7	CUSIPNumber
Date Issued	2003-12-01	DateIssued
Issue Price	8795000	IssuePrice
Description Of Purpose	BUILDING PURCHASES	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	8795000	TotalProceeds
Amount In Reserve Fund	603169	AmountInReserveFund
Year Of Subst Completion	2006	YearOfSubstCompletion
Current Refunding	false	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	false	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	false	ExceptionToRebate

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO BE MAILED UPON WRITTEN REQUEST, HOWEVER, FINANCIAL STATEMENTS ARE NOT MADE PUBLIC.
Form 990, Part VI, Line 11	Form 990, Part VI, Line 11: Form 990 Review Process	AN INDEPENDENT ACCOUNTING FIRM PREPARES THE FORM 990 WITH INFORMATION PROVIDED BY THE ORGANIZATION ACCOUNTING DEPARTMENT. THEN, THE COMPLETED 990 IS SENT TO THE CFO OF THE ORGANIZATION TO BE REVIEWED. THE CFO REVIEWED AND DISTRIBUTES THE 990 AMONG THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS FOR REVIEW AND QUESTIONS AT THE BOARD MEETING. UPON COMPLETION OF REVIEW AND APPROVAL, THE FORM 990 IS FILED.