PALOMAR HEALTH DEVELOPMENT INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- PALOMAR HEALTH DEVELOPMENT INC (EIN 20-2356830)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-15
- IRS object ID
- 201241369349307444
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-15T17:13:14-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AKT LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 312 S JUNIPER STREET SUITE 100 | AddressLine1 |
| City | ESCONDIDO | City |
| State | CA | State |
| ZIP Code | 92025 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202356830 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PALOMAR POMERADO NORTH COUNTY HEALTH | BusinessNameLine1 |
| Business Name Line2 | DEVELOPMENT INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PALO | NameControl |
| Phone | 7607406385 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2227 ENTERPRISE STREET | AddressLine1 |
| City | ESCONDIDO | City |
| State | CA | State |
| ZIP Code | 92029 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT A HEMKER | Name |
| Title | CFO | Title |
| Phone | 7607406385 | Phone |
| Date Signed | 2012-05-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ELSA A ROMERO | Name |
| Phone | 7607461560 | Phone |
| Date Prepared | 2012-05-09 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROBERT A HEMKER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2227 ENTERPRISE STREET | AddressLine1 |
| City | ESCONDIDO | City |
| State | CA | State |
| ZIP Code | 92029 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 3230284 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PPH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2005 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | TO IDENTIFY THE COMMUNITY'S HEALTHCARE PRIORITIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 7 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3338954 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3027425 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 202564 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 329 | InvestmentIncomePriorYear |
| Investment Income Current Year | 295 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3339283 | TotalRevenuePriorYear |
| Total Revenue Current Year | 3230284 | 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 | 1512890 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1433630 | 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 | 1676998 | OtherExpensePriorYear |
| Other Expenses Current Year | 1137248 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 3189888 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2570878 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 149395 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 659406 | RevenuesLessExpensesCY |
| Total Assets BOY | 1210692 | TotalAssetsBOY |
| Total Assets EOY | 1247228 | TotalAssetsEOY |
| Total Liabilities BOY | 4083719 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3460849 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -2873027 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -2213621 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO IDENTIFY THE COMMUNITY'S HEALTHCARE PRIORITIES AND MEET THOSE PRIORITIES IN CONJUNCTION WITH THE STRATEGIC PRIORITIES OF PALOMAR POMERADO HEALTH AS A CALIFORNIA HEALTH CARE DISTRICT. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1752134 | Expense |
| Description | THE HEALTHY DEVELOPMENT SERVICES PROGRAM (PROGRAM), ADMINISTERED BY PALOMAR POMERADO NORTH COUNTY HEALTH DEVELOPMENT, INC. (PPNCHD), IS A NORTH SAN DIEGO COUNTY PROJECT TO PROMOTE AND SUPPORT AN INTEGRATED NETWORK OF SERVICES THAT ADDRESS THE HEALTH AND DEVELOPMENT NEEDS OF CHILDREN FROM BIRTH THROUGH FIVE YEARS OF AGE. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 268200 | Expense |
| Description | TRANSITIONS INTO PRACTICE - PROVIDES CUSTOMIZED TRAINING BENEFITING 30 INDIVIDUALS THAT WILL RESULT IN EMPLOYMENT IN REGISTERED NURSING POSITIONS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 168414 | Expense |
| Revenue | 168414 | Revenue |
| Description | MAA (MEDI-CAL ADMINISTRATIVE ACTIVITIES) IS A GOVERNMENT PROGRAM AVAILABLE TO PPH TO RECOVER SOME OF THE ADMINISTRATIVE COSTS ASSOCIATED WITH PROVIDING MEDI-CAL SERVICES. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 53546 | Expense |
| Revenue | 34150 | Revenue |
| Description | IDENTIFY THE COMMUNITY'S HEALTHCARE PRIORITIES AND MEET THESE PRIORITIES IN CONNECTION WITH PALOMAR POMERADO HEALTH, A CALIFORNIA HEALTH CARE DISTRICT. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 53546 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 34150 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 2242294 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| 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 | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | 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 | 7 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| 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 |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | 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 | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | 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 | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PALOMAR POMERADO NORTH COUNTY HEALTH DEVELOPMENT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7604807938 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2227 ENTERPRISE STREET | AddressLine1 |
| City | ESCONDIDO | City |
| State | CA | State |
| ZIP Code | 92029 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (5 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| LINDA GREER RN | ||||||
| CHAIR | 1.00 | X | X | 0 | 5858 | 0 |
| BRUCE KRIDER | ||||||
| VICE CHAIR | 1.00 | X | X | 0 | 5996 | 0 |
| MICHAEL COVERT | ||||||
| SECRETARY | 1.00 | X | X | 0 | 1246224 | 0 |
| ROBERT HEMKER | ||||||
| TREASURER/ACTING EXEC DIRECTOR | 1.00 | X | X | 0 | 582514 | 0 |
| MARCELO RIVERA MD | ||||||
| DIRECTOR | 1.00 | X | 0 | 5791 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1846383 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 2428034 | GovernmentGrants |
| All Other Contributions | 599391 | AllOtherContributions |
| Noncash Contributions | 469485 | NoncashContributions |
| Total Contributions | 3027425 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDI-CAL REIMBURSEMENT | 900099 | 168414 | 168414 |
| PROTOCOL REVIEW FEES | 900099 | 22050 | 22050 |
| RESEARCH REVENUE | 900099 | 12100 | 12100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 202564 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 295 | TotalRevenueColumn |
| Exclusion | $295 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3230284 | TotalRevenueColumn |
| Related Or Exempt Function Income | 202564 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $295 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1238103 | Total |
| Program Services | 1079861 | ProgramServices |
| Management And General | 158242 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 118765 | Total |
| Program Services | 103586 | ProgramServices |
| Management And General | 15179 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76762 | Total |
| Program Services | 66951 | ProgramServices |
| Management And General | 9811 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16200 | Total |
| Program Services | 14129 | ProgramServices |
| Management And General | 2071 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76010 | Total |
| Program Services | 66295 | ProgramServices |
| Management And General | 9715 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6174 | Total |
| Program Services | 5385 | ProgramServices |
| Management And General | 789 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33137 | Total |
| Program Services | 28901 | ProgramServices |
| Management And General | 4236 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9823 | Total |
| Program Services | 8567 | ProgramServices |
| Management And General | 1256 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13178 | Total |
| Program Services | 11494 | ProgramServices |
| Management And General | 1684 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107800 | Total |
| Program Services | 94022 | ProgramServices |
| Management And General | 13778 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1471 | Total |
| Program Services | 1283 | ProgramServices |
| Management And General | 188 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1380 | Total |
| Program Services | 1204 | ProgramServices |
| Management And General | 176 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PURCHASED SERVICES | 824057 | 718734 | 105323 |
| SUPPLIES | 20603 | 17970 | 2633 |
| EQUIPMENT RENTAL | 6386 | 5570 | 816 |
| OUTSIDE TRAINING | 4767 | 4158 | 609 |
| REPAIRS | 3439 | 2999 | 440 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12823 | Total |
| Program Services | 11185 | ProgramServices |
| Management And General | 1638 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2570878 | Total |
| Program Services | 2242294 | ProgramServices |
| Management And General | 328584 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 104998 | BOY |
| EOY | 114255 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 549845 | BOY |
| EOY | 607226 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 551244 | BOY |
| EOY | 522815 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2331 | BOY |
| EOY | 2128 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 13931 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 13127 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1791 | BOY |
| EOY | 804 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 483 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1210692 | BOY |
| EOY | 1247228 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 540602 | BOY |
| EOY | 449022 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 128007 | BOY |
| EOY | 95720 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3415110 | BOY |
| EOY | 2916107 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4083719 | BOY |
| EOY | 3460849 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -2911967 | BOY |
| EOY | -2643184 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38940 | BOY |
| EOY | 429563 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -2873027 | BOY |
| EOY | -2213621 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1210692 | BOY |
| EOY | 1247228 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 659406 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| 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 | 0 | FederalGrantAuditRequired |
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 | 2097296 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2195235 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3680081 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3338954 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3027425 | CurrentTaxYear |
| Total | 14338991 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2097296 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2195235 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3680081 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3338954 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3027425 | CurrentTaxYear |
| Total | 14338991 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 14338991 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 14912 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 15145 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 16199 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 329 | CurrentTaxYearMinus1Year |
| Current Tax Year | 295 | CurrentTaxYear |
| Total | 46880 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 14385871 | TotalSupport |
| Gross Receipts From Admissions Etc | 992287 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99670 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99550 | 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 D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13931 | OtherCostOrOtherBasis |
| Depreciation | 13127 | Depreciation |
| Book Value | 804 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 804 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LINE OF CREDIT FROM PPH | Description |
| Amount | $2,916,107 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2916107 | TotalOfAmounts |
| Total Revenue | 3230284 | TotalRevenue |
| Total Expenses | 2570878 | TotalExpenses |
| Excess Or Deficit For Year | 659406 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 659406 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 3230284 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 3230284 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 3230284 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 2570878 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 2570878 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 2570878 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL COVERT | |||||||||||||
| 0 | 990008 | 0 | 256216 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1246224 | 0 | 1009616 |
| ROBERT HEMKER | |||||||||||||
| 0 | 491865 | 0 | 90649 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 582514 | 0 | 350587 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | PALOMAR POMERADO NORTH COUNTY HEALTH DEVELOPMENT DOES NOT PAY ANY OFFICERS OR KEY EMPLOYEES. PALOMAR POMERADO HEALTH, A RELATED ORGANIZATION, DOES COMPENSATE EMPLOYEES. PALOMAR POMERADO HEALTH HAS A FORMAL COMPENSATION REVIEW POLICY. | Explanation |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | FORGIVENESS OF INTEREST | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 469485 | NoncashContribsRptdF990 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NEW PROGRAM SERVICES | FORM 990, PART III, LINE 2 | TRANSITIONS INTO PRACTICE - $268,200 WAS AWARDED TO PPNCHD BY SAN DIEGO WORKFORCE PARTNERSHIP TO PROVIDE CUSTOMIZED TRAINING BENEFITING 30 INDIVIDUALS THAT WILL RESULT IN EMPLOYMENT IN REGISTERED NURSING POSITIONS. |
| FORM 990, PART VI, SECTION A, LINE 8B | THE ENTITY HAS NO COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE SENIOR ACCOUNTANT AND CFO REVIEW THE 990 PRIOR TO FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | AS A CONTROLLED ORGANIZATION, PPNCHD IS SUBJECT TO THE POLICIES OF PALOMAR POMERADO HEALTH (PPH). PPH HAS ESTABLISHED WRITTEN POLICIES FOR CONFLICT OF INTEREST, WHISTLE BLOWING, AND DOCUMENT RETENTION AND DESTRUCTION. THESE POLICIES ARE REVIEWED ANNUALLY BY IN-HOUSE COUNSEL AND ARE PROVIDED TO EMPLOYEES AND BOARD MEMBERS THROUGH HARD COPY ON-LINE ACCESS. OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE PROVIDED WITH A QUESTIONNAIRE ANNUALLY WHICH REQUIRES THEM TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST. | |
| PALOMAR POMERADO NORTH COUNTY HEALTH DEVELOPMENT DOES NOT PAY ANY COMPENSATION TO OFFICERS OR KEY EMPLOYEES. PALOMAR POMERADO HEALTH, A RELATED ORGANIZATION, DOES COMPENSATE EMPLOYEES. PALOMAR POMERADO HEALTH HAS A FORMAL COMPENSATION REVIEW POLICY. | ||
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATIONAL DOCUMENTS OF THE ORGANIZATION WILL BE AVAILABLE FOR INSPECTION AT THE ORGANIZATION'S MAIN OFFICE DURING NORMAL BUSINESS HOURS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | INFORMATION PROVIDED UPON REQUEST. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PALOMAR POMERADO HEALTH | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 456 GRAND AVE | AddressLine1 |
| City | ESCONDIDO | City |
| State | CA | State |
| ZIP Code | 92025 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 956003843 | EIN |
| Primary Activities | MEDICAL CARE | PrimaryActivities |
| Legal Domicile State | CA | LegalDomicileState |
| Exempt Code Section | 115(1) | ExemptCodeSection |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |