Civic Intelligence

Altura Centers for Health

EIN 77-0465378 • 501(c)3 • Tulare, CA

Profile

Compassionate quality health care

1134 E Cartmill AveTulare, CA 93274

altura.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

56th percentile

0.31x

Higher debt load relative to assets than 56% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Liabilities / Revenue

56th percentile

0.43x

Higher debt load relative to revenue than 56% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Net Margin

53rd percentile

5.5%

Higher net margin than 53% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Top Officer Pay

68th percentile

$496,191

Higher top officer pay than 68% of similar nonprofits.

Top officer pay equals 1.3% of source-year revenue.

501(c)3 • $50M-$100M nonprofits • Source year 2024

Asset Growth

76th percentile

14%

Faster asset growth than 76% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

Revenue Growth

38th percentile

4.2%

Faster revenue growth than 38% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2023 to 2024

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

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$60M$40M$20M$0Assets 2010: $5,748,317Liabilities 2010: $2,511,873Net Assets 2010: $3,236,4442010Assets 2011: $5,686,529Liabilities 2011: $3,063,239Net Assets 2011: $2,623,2902011Assets 2012: $6,579,471Liabilities 2012: $2,732,076Net Assets 2012: $3,847,3952012Assets 2013: $8,854,043Liabilities 2013: $2,239,728Net Assets 2013: $6,614,3152013Assets 2014: $11,151,702Liabilities 2014: $2,194,979Net Assets 2014: $8,956,7232014Assets 2015: $13,614,099Liabilities 2015: $1,952,613Net Assets 2015: $11,661,4862015Assets 2016: $17,873,252Liabilities 2016: $3,371,534Net Assets 2016: $14,501,7182016Assets 2017: $18,520,748Liabilities 2017: $2,213,801Net Assets 2017: $16,306,9472017Assets 2018: $19,528,457Liabilities 2018: $1,945,489Net Assets 2018: $17,582,9682018Assets 2019: $18,941,434Liabilities 2019: $2,134,819Net Assets 2019: $16,806,6152019Assets 2020: $23,629,239Liabilities 2020: $7,421,157Net Assets 2020: $16,208,0822020Assets 2021: $29,240,731Liabilities 2021: $4,252,208Net Assets 2021: $24,988,5232021Assets 2022: $33,957,378Liabilities 2022: $2,720,606Net Assets 2022: $31,236,7722022Assets 2023: $46,002,858Liabilities 2023: $12,201,625Net Assets 2023: $33,801,2332023Assets 2024: $52,579,934Liabilities 2024: $16,291,189Net Assets 2024: $36,288,7452024

Highlighted filing

2024

Assets$52,579,934
Liabilities$16,291,189
Net Assets$36,288,745

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$30M$20M$10M$0-$10MExpenses 2010: $12,372,2072010Revenue 2011: $12,749,116Expenses 2011: $13,362,270Net Income 2011: -$613,1542011Expenses 2012: $13,317,5522012Expenses 2013: $14,181,1542013Revenue 2014: $19,359,028Expenses 2014: $17,001,536Net Income 2014: $2,357,4922014Revenue 2015: $21,014,165Expenses 2015: $18,312,692Net Income 2015: $2,701,4732015Revenue 2016: $25,126,135Expenses 2016: $22,307,642Net Income 2016: $2,818,4932016Revenue 2017: $25,661,471Expenses 2017: $23,834,383Net Income 2017: $1,827,0882017Revenue 2018: $25,904,559Expenses 2018: $24,622,538Net Income 2018: $1,282,0212018Revenue 2019: $25,369,606Expenses 2019: $26,164,959Net Income 2019: -$795,3532019Revenue 2020: $26,528,239Expenses 2020: $27,054,262Net Income 2020: -$526,0232020Revenue 2021: $37,555,225Expenses 2021: $28,887,759Net Income 2021: $8,667,4662021Revenue 2022: $36,783,844Expenses 2022: $30,457,589Net Income 2022: $6,326,2552022Revenue 2023: $36,409,789Expenses 2023: $33,977,678Net Income 2023: $2,432,1112023Revenue 2024: $37,924,656Expenses 2024: $35,842,606Net Income 2024: $2,082,0502024

Highlighted filing

2024

Revenue$37,924,656
Expenses$35,842,606
Net Income$2,082,050

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$52.6$16.3$36.3$37.9$35.8$2.08
2023Detailed filing. Detailed filing data is available for this year.$46.0$12.2$33.8$36.4$34.0$2.43
2022Detailed filing. Detailed filing data is available for this year.$34.0$2.72$31.2$36.8$30.5$6.33
2021Detailed filing. Detailed filing data is available for this year.$29.2$4.25$25.0$37.6$28.9$8.67
2020Detailed filing. Detailed filing data is available for this year.$23.6$7.42$16.2$26.5$27.1$0.53
2019Detailed filing. Detailed filing data is available for this year.$18.9$2.13$16.8$25.4$26.2$0.80
2018Detailed filing. Detailed filing data is available for this year.$19.5$1.95$17.6$25.9$24.6$1.28
2017Detailed filing. Detailed filing data is available for this year.$18.5$2.21$16.3$25.7$23.8$1.83
2016Detailed filing. Detailed filing data is available for this year.$17.9$3.37$14.5$25.1$22.3$2.82
2015Detailed filing. Detailed filing data is available for this year.$13.6$1.95$11.7$21.0$18.3$2.70
2014Detailed filing. Detailed filing data is available for this year.$11.2$2.19$8.96$19.4$17.0$2.36
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.85$2.24$6.61$14.2
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.58$2.73$3.85$13.3
2011Summary only. Only limited summary data is available for this year.$5.69$3.06$2.62$12.7$13.4$0.61
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.75$2.51$3.24$12.4
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 5, 2025
Return Version
2023v6.0
Gross Receipts
$37,924,656
Mission and Program Overview

Mission

Compassionate quality health care

Compassionate quality health care.

Balance Sheet Detail
LineBeginningEndChange
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 Categories

AssetBook ValueDepreciationBasis
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Ricardo ZegarraPhysician Pediatric DirectFT$496,191$496,191
Christian BorbergPhysician Ob DirectorFT$468,314$468,314
Graciela Soto-perezChief Executive OfficerFT$424,373$424,373
Rodolfo VicentePhysician ObFT$414,751$414,751
Jorge RiveraChief Medical OfficerFT$392,544$392,544
Shimeka L BanksPhysician ObFT$390,906$390,906
Ivan SarriaPhysician ObFT$360,514$360,514
Mary Beth PalomakiPhysician PediatricsFT$307,257$307,257
Bakri DabbaghPhysician PediatricsFT$298,770$298,770
Bryan CruzPhysician Family MedicineFT$278,149$278,149
Arnulfo ReyosoChief Information OfficerFT$246,990$246,990
Hermawan TjioeChief Dental OfficerFT$232,543$232,543
Max HernandezChief Financial OfficerFT$207,443$207,443
Danna M TamayoDentistFT$163,100$163,100

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Nextgen Healthcare InformationElectronic Medical Record ServicesPO BOX 511449, Los Angeles, CA 90051-8004$558,247
Customized Custodial ServicesContracted Provider2185 N LINWOOD, Visalia, CA 93291$483,100
Medicus It LLCJanitorial ServicesPO BOX 102387, Pasadena, CA 91189$305,329
Well Health INCIt Services & SupportPO BOX 66936, St Louis, MO 63166$223,464
-It Services & Support1025 CHAPALA STREET, Santa Barbara, CA 93101$188,032
Revenue and Support

Revenue Composition

Contributions and Grants
$8,499,016
Program Service Revenue
$29,384,335
Investment Income
$4,247
Other Revenue
$37,058
All Other Contributions
$271,727
Change in Net Assets
$2,082,050

Audited Revenue Reconciliation

Revenue per Audited Statements
$37,924,656
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$453,793
Total Revenue per Audited Statements
$38,378,449
Total Revenue per Form 990
$37,924,656
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
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

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
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

Audited Expense Reconciliation

Line ItemAmount
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
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

Organization has delegated control over management duties performed under direct supervision of other officer, director, trustee, or key employee.

Form 990, Part VI, Section B, Line 11B

A copy of the form 990 and all related schedules and statements will be provided to the board for discussion.

Form 990, Part VI, Section B, Line 12C

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.

Form 990, Part VI, Section B, Line 15

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.

Form 990, Part VI, Section C, Line 19

Documents are available upon request

Filing and Contact Details

Filer

Filer Name
Altura Centers for Health
EIN
77-0465378
Phone
5596859097
Address
1134 E CARTMILL AVE, TULARE, CA 93274

Signing Officer

Name
Graciela Soto-perez
Title
Chief Executive Officer
Phone
5596854601
Signed
2025-05-05

Organization Details

Principal Officer
Graciela Soto Perez
Formed
1997
Legal Domicile
CA
Voting Board Members
10
Independent Board Members
10
Employees
309
Volunteers
10

Preparer

Firm
The Pun Group Llp
Address
200 E SANDPOINTE AVENUE SUITE 600, SANTA ANA, CA 92707
Preparer
Frances Kuo
Phone
9497778800
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Changes in temporarily restricted net assets -48,331.

Form 990 Line 2C

The organization did not change its oversight process or selection process during the tax year.

Financial Statement Notes

PART X, LINE 2:

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.

Raw XML AppendixShowing 400 of 864 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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