2012-05-15T17:13:14-05:00 2011-06-30 AKT LLP 312 S JUNIPER STREET SUITE 100 ESCONDIDO CA 92025 990 2010-07-01 202356830 PALOMAR POMERADO NORTH COUNTY HEALTH DEVELOPMENT INC PALO 7607406385 2227 ENTERPRISE STREET ESCONDIDO CA 92029 ROBERT A HEMKER 7607406385 2012-05-09 1 ELSA A ROMERO 7607461560 2012-05-09 2010 2016-02-24 21:20:13Z ROBERT A HEMKER 2227 ENTERPRISE STREET ESCONDIDO CA 92029 3230284 0 X WWW.PPH.ORG X 2005 CA TO IDENTIFY THE COMMUNITY'S HEALTHCARE PRIORITIES. 5 3 0 7 0 0 3338954 3027425 0 202564 329 295 0 0 3339283 3230284 0 0 0 0 1512890 1433630 0 0 0 1676998 1137248 3189888 2570878 149395 659406 1210692 1247228 4083719 3460849 -2873027 -2213621 X 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. 1 0 1752134 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. 268200 TRANSITIONS INTO PRACTICE - PROVIDES CUSTOMIZED TRAINING BENEFITING 30 INDIVIDUALS THAT WILL RESULT IN EMPLOYMENT IN REGISTERED NURSING POSITIONS. 168414 168414 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. 53546 34150 IDENTIFY THE COMMUNITY'S HEALTHCARE PRIORITIES AND MEET THESE PRIORITIES IN CONNECTION WITH PALOMAR POMERADO HEALTH, A CALIFORNIA HEALTH CARE DISTRICT. 53546 34150 2242294 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 7 0 1 0 0 0 0 0 0 0 0 0 0 0 X 5 3 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 0 0 0 CA X PALOMAR POMERADO NORTH COUNTY HEALTH DEVELOPMENT 7604807938 2227 ENTERPRISE STREET ESCONDIDO CA 92029 LINDA GREER RN 1.00 X X 0 5858 0 BRUCE KRIDER 1.00 X X 0 5996 0 MICHAEL COVERT 1.00 X X 0 1246224 0 ROBERT HEMKER 1.00 X X 0 582514 0 MARCELO RIVERA MD 1.00 X 0 5791 0 0 1846383 0 0 0 1 0 0 2428034 599391 469485 3027425 MEDI-CAL REIMBURSEMENT 900099 168414 168414 PROTOCOL REVIEW FEES 900099 22050 22050 RESEARCH REVENUE 900099 12100 12100 202564 295 295 3230284 202564 0 295 1238103 1079861 158242 118765 103586 15179 76762 66951 9811 16200 14129 2071 76010 66295 9715 6174 5385 789 33137 28901 4236 9823 8567 1256 13178 11494 1684 107800 94022 13778 1471 1283 188 1380 1204 176 PURCHASED SERVICES 824057 718734 105323 SUPPLIES 20603 17970 2633 EQUIPMENT RENTAL 6386 5570 816 OUTSIDE TRAINING 4767 4158 609 REPAIRS 3439 2999 440 12823 11185 1638 2570878 2242294 328584 0 104998 114255 549845 607226 551244 522815 2331 2128 13931 13127 1791 804 483 0 1210692 1247228 540602 449022 128007 95720 3415110 2916107 4083719 3460849 X -2911967 -2643184 38940 429563 -2873027 -2213621 1210692 1247228 659406 0 X 0 1 1 X 0 X 2097296 2195235 3680081 3338954 3027425 14338991 2097296 2195235 3680081 3338954 3027425 14338991 14338991 14912 15145 16199 329 295 46880 14385871 992287 0.99670 0.99550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13931 13127 804 804 LINE OF CREDIT FROM PPH 2916107 2916107 3230284 2570878 659406 0 659406 3230284 0 3230284 0 3230284 2570878 0 2570878 0 2570878 0 0 0 0 0 0 0 0 0 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 SUPPLEMENTAL INFORMATION PART III 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. X FORGIVENESS OF INTEREST 1 469485 0 0 0 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. PALOMAR POMERADO HEALTH 456 GRAND AVE ESCONDIDO CA 92025 956003843 MEDICAL CARE CA 115(1) N/A 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0