Liabilities / Assets
56th percentile
Higher debt load relative to assets than 56% of similar nonprofits.
EIN 77-0465378 • 501(c)3 • Tulare, CA
Profile
Compassionate quality health care
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
56th percentile
Higher debt load relative to assets than 56% of similar nonprofits.
Liabilities / Revenue
56th percentile
Higher debt load relative to revenue than 56% of similar nonprofits.
Net Margin
53rd percentile
Higher net margin than 53% of similar nonprofits.
Top Officer Pay
68th percentile
Higher top officer pay than 68% of similar nonprofits.
Top officer pay equals 1.3% of source-year revenue.
Asset Growth
76th percentile
Faster asset growth than 76% of similar nonprofits.
Revenue Growth
38th percentile
Faster revenue growth than 38% of similar nonprofits.
Assets
Up$52,579,934
Up $6,577,076 (+14%) from 2023
Liabilities
Up$16,291,189
Up $4,089,564 (+34%) from 2023
Net Assets
Up$36,288,745
Up $2,487,512 (+7.4%) from 2023
Revenue
Up$37,924,656
Up $1,514,867 (+4.2%) from 2023
Expenses
Up$35,842,606
Up $1,864,928 (+5.5%) from 2023
Net Income
Down$2,082,050
Down $350,061 (-14%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Compassionate quality health care
Compassionate quality health care.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $29,387,539 | $34,219,441 | ▲ $4,831,902 |
| Savings and Temporary Cash Investments | $7,793,377 | $10,448,389 | ▲ $2,655,012 |
| Cash and Non-Interest-Bearing Accounts | $4,440,419 | $3,968,486 | ▼ $471,933 |
| Accounts Receivable | $2,957,931 | $2,616,714 | ▼ $341,217 |
| Intangible Assets | $885,125 | $568,439 | ▼ $316,686 |
| Pledges and Grants Receivable | $294,505 | $344,773 | ▲ $50,268 |
| Prepaid Expenses and Deferred Charges | $222,152 | $271,882 | ▲ $49,730 |
| Total Assets | $46,002,858 | $52,579,934 | ▲ $6,577,076 |
| Other Assets Total | $21,810 | $141,810 | ▲ $120,000 |
| Liabilities | |||
| Unsecured Notes Loans Payable | $9,952,160 | $13,644,651 | ▲ $3,692,491 |
| Accounts Payable and Accrued Expenses | $2,249,465 | $2,428,279 | ▲ $178,814 |
| Mortgage Notes Payable Secured by Investment Property | - | $218,259 | - |
| Total Liabilities | $12,201,625 | $16,291,189 | ▲ $4,089,564 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $33,801,233 | $36,288,301 | ▲ $2,487,068 |
| Net Assets With Donor Restrictions | - | $444 | - |
| Total Net Assets Fund Balance | $33,801,233 | $36,288,745 | ▲ $2,487,512 |
| Total Liabilities and Net Assets / Fund Balance | $46,002,858 | $52,579,934 | ▲ $6,577,076 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $29,220,312 | $1,111,730 | $30,332,042 |
| Equipment | $458,499 | $5,103,895 | $5,562,394 |
| Land | $3,817,935 | - | $3,817,935 |
| Leasehold Improvements | $370,157 | $1,639,092 | $2,009,249 |
| Other Land Buildings | $352,538 | $374,731 | $727,269 |
| Name | Title | Full / Part Time | Base | Total |
|---|---|---|---|---|
| Ricardo Zegarra | Physician Pediatric Direct | FT | $496,191 | $496,191 |
| Christian Borberg | Physician Ob Director | FT | $468,314 | $468,314 |
| Graciela Soto-perez | Chief Executive Officer | FT | $424,373 | $424,373 |
| Rodolfo Vicente | Physician Ob | FT | $414,751 | $414,751 |
| Jorge Rivera | Chief Medical Officer | FT | $392,544 | $392,544 |
| Shimeka L Banks | Physician Ob | FT | $390,906 | $390,906 |
| Ivan Sarria | Physician Ob | FT | $360,514 | $360,514 |
| Mary Beth Palomaki | Physician Pediatrics | FT | $307,257 | $307,257 |
| Bakri Dabbagh | Physician Pediatrics | FT | $298,770 | $298,770 |
| Bryan Cruz | Physician Family Medicine | FT | $278,149 | $278,149 |
| Arnulfo Reyoso | Chief Information Officer | FT | $246,990 | $246,990 |
| Hermawan Tjioe | Chief Dental Officer | FT | $232,543 | $232,543 |
| Max Hernandez | Chief Financial Officer | FT | $207,443 | $207,443 |
| Danna M Tamayo | Dentist | FT | $163,100 | $163,100 |
| Name | Title |
|---|---|
| Juan M Mota Jr | President |
| Omar Jimenez | Vice President |
| Alda M Noronha | Director |
| Bertha a Cortinas | Director |
| Jessie Irwin | Director |
| Lance M Brooks | Director |
| Patrick Isherwood | Director |
| Sesar Alderete Carreno | Director |
| Ernestine Dees | Secretary |
| Luis Rene Ruiz | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Nextgen Healthcare Information | Electronic Medical Record Services | PO BOX 511449, Los Angeles, CA 90051-8004 | $558,247 |
| Customized Custodial Services | Contracted Provider | 2185 N LINWOOD, Visalia, CA 93291 | $483,100 |
| Medicus It LLC | Janitorial Services | PO BOX 102387, Pasadena, CA 91189 | $305,329 |
| Well Health INC | It Services & Support | PO BOX 66936, St Louis, MO 63166 | $223,464 |
| - | It Services & Support | 1025 CHAPALA STREET, Santa Barbara, CA 93101 | $188,032 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $25,370,634 |
| Other Expenses | $10,436,307 |
| Grants and Similar Amounts Paid | $35,665 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $17,938,655 | $3,137,664 | - | $21,076,319 |
| Fees for Services Other | $1,581,520 | $280,211 | - | $1,861,731 |
| Information Technology | $218,012 | $1,587,406 | - | $1,805,418 |
| Other Employee Benefits | $1,407,848 | $295,833 | - | $1,703,681 |
| Payroll Taxes | $1,141,139 | $239,789 | - | $1,380,928 |
| Occupancy | $1,011,216 | $268,280 | - | $1,279,496 |
| Current Officers, Directors, Trustees, and Key Employees | - | $631,816 | - | $631,816 |
| Pension Plan Contributions | $477,543 | $100,347 | - | $577,890 |
| All Other Expenses | $140,838 | $420,302 | - | $561,140 |
| Depreciation Depletion | $507,497 | $50,551 | - | $558,048 |
| Other Expenses | $134,730 | $103,555 | - | $238,285 |
| Office Expenses | $76,676 | $157,874 | - | $234,550 |
| Advertising | $65,822 | $135,525 | - | $201,347 |
| Insurance | $60,446 | $133,855 | - | $194,301 |
| Fees for Services Legal | $91 | $138,577 | - | $138,668 |
| Fees for Services Accounting | $54 | $81,378 | - | $81,432 |
| Conferences and Meetings | $20,087 | $41,359 | - | $61,446 |
| Grants to Domestic Orgs | $35,665 | - | - | $35,665 |
| Travel | $17,520 | $2,958 | - | $20,478 |
| Fees for Services Lobbying | $15,000 | - | - | $15,000 |
| Interest | $8,671 | - | - | $8,671 |
| Total Functional Expenses | $27,583,340 | $8,259,266 | $0 | $35,842,606 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $35,842,606 |
| Total Expenses per Audited Statements | $35,842,606 |
| Total Expenses per Form 990 | $35,842,606 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“Organization has delegated control over management duties performed under direct supervision of other officer, director, trustee, or key employee.”
“A copy of the form 990 and all related schedules and statements will be provided to the board for discussion.”
“Conflict of interest statements covering the board of directors are reviewed periodically by the board and updated accordingly. If there is a conflict, the board takes appropriate action to resolve the conflict.”
“The executive director's compensation is set by the board of directors, which considers salaries at similar-sized non-profits and the organization's budget. Additionally, a compensation committee evaluates salary ranges according to job roles.”
“Documents are available upon request”
“Changes in temporarily restricted net assets -48,331.”
“The organization did not change its oversight process or selection process during the tax year.”
“Financial accounting standards board (fasb) accounting standards codification (asc) 740, income taxes, clarifies the accounting for income taxes by prescribing a minimum recognition threshold that a tax position is required to meet before being recognized in the financial statements. Fasb asc 740 also provides guidance on de-recognition, measurement, classification, interest and penalties, disclosure,and transition. The guidance contained in fasb asc 740 is applicable to pass-through entities and tax-exempt organizations.altura has no significant uncertain tax positions or tax liability for tax benefits, interst or penalties accrued as of june 30, 2024 and 2023.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 2249465 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 2428279 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 2957931 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2616714 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | COMPASSIONATE QUALITY HEALTH CARE. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 135525 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 65822 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 201347 |
| IRS990/AllOtherContributionsAmt | 0 | 271727 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 420302 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 140838 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 561140 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | GRACIELA SOTO-PEREZ |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5596854601 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1134 E CARTMILL AVE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | TULARE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 93274 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 4440419 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 3968486 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 631816 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 631816 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 41359 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 20087 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 61446 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 558247 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 483100 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 305329 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 223464 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 188032 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 511449 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 2185 N LINWOOD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 102387 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | PO BOX 66936 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 1025 CHAPALA STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | LOS ANGELES |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | VISALIA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | PASADENA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | ST LOUIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | SANTA BARBARA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 900518004 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 93291 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 91189 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 63166 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 93101 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | NEXTGEN HEALTHCARE INFORMATION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | CUSTOMIZED CUSTODIAL SERVICES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | MEDICUS IT LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | WELL HEALTH INC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | JOSE L CAMPOS MD |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | ELECTRONIC MEDICAL RECORD SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CONTRACTED PROVIDER |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | JANITORIAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | IT SERVICES & SUPPORT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | IT SERVICES & SUPPORT |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 8499016 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 35665 |
| IRS990/CYInvestmentIncomeAmt | 0 | 4247 |
| IRS990/CYOtherExpensesAmt | 0 | 10436307 |
| IRS990/CYOtherRevenueAmt | 0 | 37058 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 29384335 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 2082050 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 25370634 |
| IRS990/CYTotalExpensesAmt | 0 | 35842606 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 37924656 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 50551 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 507497 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 558048 |
| IRS990/Desc | 0 | MEDICAL SERVICES WERE PROVIDED 151,904 VISITS DURING THE CURRENT FISCAL YEAR ENDED JUNE 30. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 444 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 309 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 23771830 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 81378 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 54 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 81432 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 138577 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 91 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 138668 |
| IRS990/FeesForServicesLobbyingGrp/ProgramServicesAmt | 0 | 15000 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 15000 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 280211 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1581520 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1861731 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | JESSIE IRWIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | SESAR ALDERETE CARRENO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | ALDA M NORONHA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | BERTHA A CORTINAS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | PATRICK ISHERWOOD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | LANCE M BROOKS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | OMAR JIMENEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | LUIS RENE RUIZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | ERNESTINE DEES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JUAN M MOTA JR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | MAX HERNANDEZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | GRACIELA SOTO-PEREZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | RICARDO ZEGARRA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | CHRISTIAN BORBERG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | BRYAN CRUZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JORGE RIVERA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | ARNULFO REYOSO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | HERMAWAN TJIOE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | MARY BETH PALOMAKI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | BAKRI DABBAGH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | SHIMEKA L BANKS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | IVAN SARRIA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | RODOLFO VICENTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | DANNA M TAMAYO |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 207443 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 424373 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 496191 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 468314 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 278149 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 392544 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 246990 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 232543 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 307257 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 298770 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 390906 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 360514 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 414751 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 163100 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CHIEF EXECUTIVE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | PHYSICIAN PEDIATRIC DIRECT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PHYSICIAN OB DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PHYSICIAN FAMILY MEDICINE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CHIEF MEDICAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CHIEF INFORMATION OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CHIEF DENTAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PHYSICIAN PEDIATRICS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PHYSICIAN PEDIATRICS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PHYSICIAN OB |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN OB |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN OB |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | DENTIST |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1997 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 10 |
| IRS990/GovernmentGrantsAmt | 0 | 8227289 |
| IRS990/GrantAmt | 0 | 35665 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 35665 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 35665 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 37924656 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 10 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 15 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 1587406 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 218012 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 1805418 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 133855 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 60446 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 194301 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 885125 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 568439 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 8671 |
| IRS990/InterestGrp/TotalAmt | 0 | 8671 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 4247 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 4247 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 86 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 8229448 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 29387539 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 34219441 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 42448889 |
| IRS990/LegalDomicileStateCd | 0 | CA |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | COMPASSIONATE QUALITY HEALTH CARE |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 218259 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 33801233 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 36288745 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 453793 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 33801233 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 36288301 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 268280 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1011216 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1279496 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 157874 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 76676 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 234550 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 21810 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 141810 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -48331 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 295833 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1407848 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1703681 |
| IRS990/OtherExpensesGrp/Desc | 0 | SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | REPAIR & MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 2 | COMMUNICATION |
| IRS990/OtherExpensesGrp/Desc | 3 | CONTINUING EDUCATION |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 55813 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 41042 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 355131 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 103555 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 2390405 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 333905 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 134730 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 2446218 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 374947 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 355131 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 238285 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 621400 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | OTHER |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 37058 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 37058 |
| IRS990/OtherRevenueTotalAmt | 0 | 37058 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 3137664 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 17938655 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 21076319 |
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