2019-03-14T16:50:04-05:00 2018-04-30 330700332 VASQUEZ & COMPANY LLP 655 N CENTRAL AVENUE STE 1550 GLENDALE CA 91203 990 2017-05-01 952810095 ALTAMED HEALTH SERVICES CORPORATION ALTA 3237258751 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 JOSE ESPARZA SR. VP OF FINANCE AND CFO 3237258751 2019-03-14 1 LYNN D BOSTER P00440365 2138731700 12.246.196.18 2019-03-14 09:21:27 PD P 25D4679CBD63AF40F0B427329F599593086348EB 25D4679CBD63AF40F0B427329F599593086348EB 2017 2019-02-21 02:37:17Z JOSE ESPARZA 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 685173821 0 X HTTP://WWW.ALTAMED.ORG X 1970 CA SEE SCHEDULE O : TO ELIMINATE DISPARITIES IN HEALTH CARE ACCESS AND OUTCOMES BY PROVIDING SUPERIOR QUALITY HEALTH AND HUMAN SERVICES THROUGH AN INTEGRATED WORLD-CLASS DELIVERY SYSTEM FOR LATINO , MULTI-ETHNIC AND UNDERSERVED COMUNITIES IN SOUTHERN CALIFORNIA.VISION: TO BE THE LEADING COMMUNITY-BASED PROVIDER OF QUALITY HEALTH CARE AND HUMAN SERVICES. 9 9 3340 0 291879 290879 29582873 33053650 517605058 581661935 6337387 24989146 4199846 7212249 557725164 646916980 636218 1323250 0 0 206443042 230289473 0 0 2181453 281062779 328398950 488142039 560011673 69583125 86905307 584158588 733197247 201288455 268566891 382870133 464630356 X TO ELIMINATE DISPARITIES IN HEALTH CARE ACCESS AND OUTCOMES BY PROVIDING SUPERIOR QUALITY HEALTH AND HUMAN SERVICES THROUGH AN INTEGRATED WORLD-CLASS DELIVERY SYSTEM FOR LATINO, MULTI-ETHNIC UNDERSERVED COMMUNITIES IN SOUTHERN CALIFORNIA. 0 0 381307557 1323250 361607373 CLINICS. ALTAMED OPERATES A TOTAL OF 29 PRIMARY CARE AND DENTAL CLINICS IN THE LOS ANGELES AND ORANGE COUNTIES. ADDITIONALLY, 3 MOBILE UNITS OFFER MEDICAL, DENTAL, HIV SERVICES, AND OUTREACH. THE 10 CLINICS IN ORANGE COUNTY AND 19 CLINICS IN LOS ANGELES COUNTY SEE OVER 210,000 PATIENTS PER YEAR. THE DENTAL CLINICS, MOBILE UNIT, AND 5 PORTABLE DENTAL UNITS PROVIDE ORAL HEALTH CARE TO OVER 55,000 CHILDREN AND ADULTS ANNUALLY. ALTAMED PROVIDES INTEGRATED SERVICES ALONG A CONTINUUM OF CARE THAT INCLUDES PERINATAL SERVICES, PEDIATRIC AND ADOLESCENT CARE, WOMEN'S HEALTH, AND GERIATRIC MEDICINE AND HEALTH FOR THE FRAIL AND NON-FRAIL ELDERLY. ALONG WITH ITS PREVENTIVE AND PRIMARY CARE SERVICES, ALTAMED SPECIALIZES IN SERVICES THAT INCLUDE A PEDIATRIC AND ADOLESCENT OBESITY PROGRAM AND A CHRONIC DISEASE MANAGEMENT PROGRAM. OTHER SERVICES INCLUDE LABORATORY TESTING, RADIOLOGIC SCREENING, PHARMACY SERVICES, INCLUDING MEDICATION MANAGEMENT AND RECONCILIATION. HEALTH SERVICES ARE ALSO SUPPORTED BY A COMMUNITY OUTREACH AND HEALTH EDUCATION TEAM PROMOTING HEALTHY BEHAVIORS AND ADVANCING THE OVERALL HEALTH AND WELL-BEING AMONG THOSE LIVING IN MEDICALLY-UNDERSERVED COMMUNITIES.THE MANAGED CARE TEAM IS COMPOSED OF OVER 350 PEOPLE DEDICATED TO MANAGING DELEGATED RISK FROM HEALTH PLANS. THIS TEAM CURRENTLY SERVICES ONE CLIENT COVERING OVER 240,000 CAPITATED LIVES IN LOS ANGELES AND ORANGE COUNTY. THE MAJOR TEAMS INVOLVED WITH THESE OPERATIONS COVERS: UTILIZATION MANAGEMENT, CASE MANAGEMENT, CARE MANAGEMENT, CLAIMS ADMINISTRATION, ELIGIBILITY, ACCOUNTING, INFORMATION TECHNOLOGIES, CONTRACTING, PROVIDER SERVICES, CREDENTIALING, CUSTOMER SERVICE, AND CONFIGURATION. FUNCTIONING AS A COHESIVE TEAM, THESE DEPARTMENTS GOAL IS TO PROVIDE HIGH QUALITY AND LOW COST CARE TO MEMBERS ENROLLED WITH ALTAMED. 155372782 217113214 LONG TERM CARE. EACH YEAR, OVER 2,600 FRAIL AND ELDERLY SENIORS AND DISABLED ADULTS ARE SUPPORTED BY AN ARRAY OF SERVICES THROUGH ALTAMED'S 8 PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) SITES. SERVICES INCLUDE PRIMARY CARE/GERIATRIC MEDICINE NURSING CARE, REHABILITATION THERAPY, FAMILY SUPPORT INTERVENTIONS, COUNSELING, MEDICATION MANAGEMENT, NUTRITION EDUCATION, SOCIAL ACTIVITIES, AND "DOOR TO DOOR" TRANSPORTATION SERVICES BOTH TO PARTICIPANTS' HOMES AND SPECIALTY CARE MEDICAL APPOINTMENTS. ALTAMED ALSO PROVIDES SPECIALIZED IN-HOME SUPPORTIVE PROGRAMS AND SERVICES THAT ENHANCE THE LIVES OF NEARLY 4,500 SENIORS LIVING INDEPENDENTLY IN THE COMMUNITY OR WHO ARE AT-RISK OF INSTITUTIONALIZED CARE. 12210608 9767138 HIV SERVICES. AS THE ONLY PROVIDER THAT OFFERS A COMPREHENSIVE MEDICAL HOME SPECIALIZING IN HIV CARE FOR LATINOS IN LOS ANGELES, ALTAMED OPERATES A TOTAL OF FOUR HIV PRIMARY CARE CLINICS - THREE (3) IN LOS ANGELES COUNTY AND ONE (1) IN ORANGE COUNTY. IN RESPONSE TO THE AIDS EPIDEMIC, ALTAMED LAUNCHED HIV SERVICES IN 1986 TO PROVIDE CULTURALLY-COMPETENT ACCESS TO CARE TO COMBAT THE DISEASE IN ITS PREDOMINANTLY URBAN LATINO SERVICE COMMUNITIES. SINCE THEN, ALTAMED HAS GROWN TO BECOME THE LARGEST PROVIDER OF BILINGUAL HIV MEDICAL SERVICES IN LA, SERVING OVER 1700 HIV PATIENTS EACH YEAR, AND A NATIONAL LEADER IN HIV PREVENTION SERVICES TARGETING LATINO MEN WHO HAVE SEX WITH MEN. ALTAMED OFFERS A FULL CONTINUUM OF CARE THAT INCLUDES: HIV TESTING & COUNSELING; LINKAGE TO CARE/ PATIENT NAVIGATION; MEDICAL OUTPATIENT; MEDICAL CARE COORDINATION; TREATMENT EDUCATION; BENEFITS ASSISTANCE; MENTAL HEALTH SERVICES AND INTERVENTIONS; NUTRITION COUNSELING; MEDICATION ADHERENCE; ANAL CANCER DETECTION/TREATMENT; DENTAL CARE; HOME-BASED CARE; AND SUPPORT GROUPS. ALTAMED ALSO IS AN ESTABLISHED LEADER IN HIV BIOMEDICAL PREVENTION SERVICES AS A PROVIDER OF PRE-EXPOSURE PROPHYLAXIS (PREP) MEDICATION TO REDUCE THE RISK OF CONTRACTING HIV. ALTAMED'S USE OF INNOVATIVE, CULTURALLY-TAILORED OUTREACH CAMPAIGNS HAS SOLIDIFIED ITS STANDING AS A PREFERRED LATINO, GAY- AND YOUTH-FRIENDLY HIV SERVICES PROVIDER. 5406719 3001134 YOUTH SERVICES. ALTAMED PROVIDES AN ARRAY OF YOUTH SERVICES TO OVER 1,500 AT-RISK TEENS AND YOUNG ADULTS IN MEDICALLY-UNDERSERVED COMMUNITIES EACH YEAR. SERVICES INCLUDE: PREGNANCY AND STD PREVENTION PROGRAMS, FAMILY PLANNING, HEALTH EDUCATION AND INFORMATION WORKSHOPS, LINKAGES TO CLINICAL SERVICES, CASE MANAGEMENT FOR PREGNANT/PARENTING TEENS, PARENTING EDUCATION, SUPPORT FOR PARENTING TEENS TO HELP THEM STAY IN SCHOOL AND LIFE-SKILLS DEVELOPMENT. ALTAMED ALSO PROVIDES INTENSIVE TUTORING FOR HIGH SCHOOL STUDENTS, MENTORSHIP, GUIDANCE INTO COLLEGE AND TECHNICAL SCHOOLS, AND WORKFORCE DEVELOPMENT WITH CAREER PIPELINES IN THE MEDICAL FIELD.THE ALTAMED INSTITUTE FOR HEALTH EQUITY (AIHE). THROUGH INNOVATION AND COMMUNITY ENGAGEMENT, THE WORK OF THE INSTITUTE IS TO STUDY A WIDE ARRAY OF HEALTH PROBLEMS THAT DISPROPORTIONATELY AFFECT RACIAL AND ETHNIC GROUPS, INCLUDING ADDRESSING THE MULTIPLE DETERMINANTS OF HEALTH WHICH LEAD TO DISPARITIES IN CLINICAL OUTCOMES. ALTAMED'S PATIENT POPULATION IS OVERWHELMINGLY FROM RACIAL/ETHNIC MINORITIES INCLUDING INDIVIDUALS WITH LIMITED ENGLISH PROFICIENCY THAT SUFFER DISPROPORTIONATELY FROM HEALTH DISPARITIES. THROUGH TRANSLATIONAL RESEARCH, GRANTS, AND STRATEGIC PARTNERSHIPS, THE INSTITUTE IS DEVELOPING EVIDENCE-BASED STRATEGIES TO IMPROVE PATIENT CARE. THE INSTITUTE REPRESENTS THE ESTABLISHMENT OF CRITICAL RESOURCES TO ADVISE ALTAMED HEALTH SERVICES ON SYSTEMATICALLY ADDRESSING KEY ISSUES IN HEALTH EQUITY BY DEVELOPING AND ADVANCING CONSENSUS STRATEGIES THAT ARE EFFECTIVE, SUSTAINABLE AND THAT CAN BE IMPLEMENTED LOCALLY. 5406719 3001134 554297666 1 1 0 1 0 0 0 1 0 0 1 0 0 1 1 1 1 1 0 1 1 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 1 1 1 0 0 1 3340 0 1 3340 1 1 1 0 0 0 0 1 1 0 0 0 0 X 9 9 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X JOSE ESPARZA SR VP OF FINANCE AND CFO 3237258751 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 FERNANDO DE NECOCHEA BOARD CHAIRMAN 1.60 X X 0 0 0 EFRAIN TALAMANTES BOARD VICE CHAIR 1.60 X X 0 0 0 MARIA GRIMALDO CONSUMER BOARD MEMBER 1.20 X 0 0 0 GREGORY VALENZUELA CONSUMER BOARD MEMBER 1.60 X 0 0 0 ADOLFO CHANEZ BOARD TREASURER 1.60 X X 0 0 0 GLORIA CARRILLO ZAMORA CONSUMER BOARD MEMBER 1.20 X 0 0 0 MARC VICTOR BOARD MEMBER 1.60 X 0 0 0 RICARDO ROBLES BOARD SECRETARY 1.60 X X 0 0 0 LILIANA RAMIREZ CONSUMER BOARD MEMBER 1.20 X 0 0 0 CASTULO DELA ROCHA JD PRESIDENT & CEO 40.00 X 1138122 0 156116 JOSE U ESPARZA SR. VP OF FINANCE & CFO 40.00 X 484461 0 13364 MARIE TORRES SR.VP, GOV RELATIONS & RESEARCH 40.00 X 388177 0 12114 MARTIN LEE SEROTA MD SVP, CHIEF MEDICAL OFFICER 40.00 X 469742 0 8115 ZOILA ESCOBAR SR.VP STRATEGIC DEV & COMM SUPPORT 40.00 X 414164 0 14128 JENNIFER SPALDING SR.VP CHIEF OPERATION OFFI 40.00 X 568038 0 12656 JACQUELINE RITACCO SVP. CHIEF ADMINISTRATIVE OFFICER 40.00 X 373345 0 21975 ANNA TRAN SENIOR STRATEGY EXECUTIVE 40.00 X 435653 0 4399 MARY ANN BARNES EVP. CHIEF OPERATING OFFICER 40.00 X 361251 0 122 ANGELA D PEOPLES-ROBERTS SVP, FACILITY DEVELOPMENT & MGMT 40.00 X 372472 0 16028 CRISTIAN RICO MD VP MEDICAL GROUP MEDICAL DIRECTOR 40.00 X 384998 0 20153 ALEX CHEN INTERIM EXECUTIVE, CHIEF MEDICAL OFFICER 40.00 X 403068 0 12114 HENRY HOLGUIN SVP, GENERAL COUNSEL 40.00 X 554083 0 56999 ESIQUIO CASILLAS VP , MEDICAL DIRECTOR MEDICAL MGMT 40.00 X 388636 0 18098 6736210 0 366381 387 0 1 0 CHILDRENS HOSPITAL LA MED GRP INC 3701 WILSHIRE BLVD STE 600 LOS ANGELES CA 90010 MEDICAL SERVICES 14760314 ANVIL CONSTRUCTION COMPANY INC 8895 RESEARCH AVENUE IRVINE CA 92618 CONTRUCTION 10911440 WHITE MEMORIAL MEDICAL CENTER 1720 E CESAR E CHAVEZ AVE LOS ANGELES CA 90033 MEDICAL SERVICES 8150831 PHARMEDQUEST PHARMACY SERVICES INC POBOX 9236 BREA CA 92822 PHARMACY SERVICES 5883516 CITY OF HOPE NATIONAL MEDICAL CENTER PO BOX 27447 SALT LAKE CITY UT 84127 MEDICAL SERVICES 5163774 377 434125 31541891 1077634 125474 33053650 MANAGED CARE SERVICES 624100 449606484 449606484 PATIENT FEES 624100 132055451 132055451 581661935 24989146 291879 24697267 281655 434125 975753 -694098 -694098 40369502 37281088 3088414 3088414 OTHER CONTRACT SERVICES 624100 2632464 2632464 INCOME FROM AMS LLC 900099 1635546 1635546 REFUND/REIMBURSEMENT/DEPOSIT 900099 609947 609947 -60024 -60024 4817933 646916980 589568282 291879 24003169 1323250 1323250 6736210 6736210 175862228 174765535 1096693 4697922 4669734 28188 29255590 29081004 174586 13737523 13655077 82446 1771460 1771460 9870648 9870648 3254046 3247293 6753 7745093 7745093 3160264 3160264 12214334 12214334 3920040 3912366 7674 SPECIALTY SERVICES 154215275 154215275 MEDICAL SERVICES 53544929 53544929 ADMINISTRATIVE SERVICES 27528213 25460433 1745999 321781 MEDICAL SUPPLIES 11012227 11012161 66 40162421 39684060 15095 463266 560011673 554297666 3532554 2181453 6201436 5206541 6018435 7577061 4817397 5727394 41690350 34136216 24714839 38779640 11603316 6126462 821233 1368775 1108934 3969159 256527925 80779093 155255253 175748832 295326114 377476426 6565324 9351490 30035957 67729251 584158588 733197247 89882531 103596883 1541646 48506267 107032168 111445173 2075971 4563440 756139 455128 201288455 268566891 X 380624246 461928143 2245887 2702213 382870133 464630356 584158588 733197247 X 86905307 -5176302 31218 X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 401643 401643 0 PART II-B, LINE 1: AMOUNTS WERE PAID TO LEGISLATIVE CONSULTANTS FOR LOBBYING ACTIVITIES. 1620849 X X X 0 37244225 37244225 56073970 24878280 31195690 89316581 5407061 83909520 73893149 50493752 23399397 175748832 ASSETS LIMITED AS TO USE 62195968 CONTRIBUTION AND OTHER RECEIVABLES 2034054 DEPOSITS 2566913 DUE FROM RELATED PARTIES 932316 67729251 INTEREST RATE SWAP 455128 455128 X 678242182 -5176302 39908510 34732208 643509974 1771460 1635546 3407006 646916980 596481959 38256841 38256841 558225118 1771460 15095 1786555 560011673 PART III, LINE 4: ALTAMED HEALTH SERVICES IS A NON-PROFIT ORGANIZATION THAT PROVIDES QUALITY HEALTHCARE AND HUMAN SERVICES TO THE UNDERSERVED COMMUNITIES OF SOUTHERN CALIFORNIA. THE ORGANIZATION RECOGNIZES THE THERAPEUTIC EFFECT OF CULTURALLY RELEVANT WORKS OF ART AND THEIR EFFECT ON PATIENTS, DONORS AND MEMBERS OF THE PUBLIC. AS PART OF ITS HOLISTIC APPROACH TO HEALTHCARE, THE ORGANIZATION HOLDS A SIGNIFICANT COLLECTION OF ART BY A DIVERSE RANGE OF EMERGING, MID-CAREER AND ESTABLISHED ARTISTS BASED IN LOS ANGELES, AS WELL AS CHICANO/A ARTISTS, AND INTERNATIONALLY RECOGNIZED ARTISTS FROM MEXICO, LATIN AMERICA, ASIA , AND THE UNITED STATES FOR THE PURPOSE OF EXHIBITION AND PRESENTATION THROUGHOUT ITS CLINICS AND OTHER OF ITS HEALTH SERVICES CENTERS. THIS APPROACH HAS BEEN INSTRUMENTAL IN GIVING ALTAMED PATIENTS A CALM, CURATIVE ENVIRONMENT ALLEVIATING STRESSES ASSOCIATED WITH BEING IN A CLINICAL SETTING. ALTAMED BELIEVES THAT EVERYONE, REGARDLESS OF AGE, RACE, GENDER, OR SOCIAL STANDING, HAS THE RIGHT TO EXPERIENCE ART IN THEIR EVERYDAY LIFE. PART X, LINE 2: THE CORPORATION QUALIFIES AS A TAX EXEMPT ORGANIZATION UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE 23701D. THE CORPORATION HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED RELATE TO THE CORPORATION CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE ARE UNRELATED BUSINESS INCOME ACTIVITIES THAT WOULD BE TAXABLE. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS WILL MORE LIKELY THAN NOT (>50%) BE SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURE OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE CORPORATION FILES INFORMATION RETURNS IN THE US FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA. WITH FEW EXCEPTIONS, THE CORPORATION IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2013. PART XI, LINE 2D - OTHER ADJUSTMENTS: INTERCOMPANY REVENUE 1,651,669. COST OF GOOD SOLD-PHARMACY 37,281,088. FUNDRAISING EXPENSES 975,753. PART XI, LINE 4B - OTHER ADJUSTMENTS: INCOME FROM ALTAMED MANAGEMENT SERVICES LLC 1,635,546. PART XII, LINE 2D - OTHER ADJUSTMENTS: PHARMACY COST 37,281,088. FUNDRAISING EXPENSES 975,753. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES FROM ALTAMED MANAGEMENT SERVICES LLC 15,095. NORTH AMERICA 1 FUNDRAISING ART EXHIBIT FOR FUNDRAISING/BUSINESS INVESTMENT. 32480 0 1 0 0 0 1 32480 0 32480 0 0 0 0 0 0 X X X X X X 0 FOOD & WINE TASTING 474660 225705 248955 481873 15837 112328 171935 HB GOLF TOURNAMENT 111088 87488 23600 21138 1218 47168 15882 5 130032 120932 9100 37184 4899 10521 55770 715780 434125 281655 540195 21954 170017 243587 975753 -694098 1 AMERICAN CANCER SOCIETY INC 250 WILLIAMS STREET NW SUITE 4B ATLANTA GA 30303 131788491 501(C)(3) 6000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. AMERICAN HEART ASSOCIATION 816 SOUTH FIGUEROA STREET 3RD FLOOR FLOOR LOS ANGELES CA 90017 135613797 501(C)(3) 10000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. AMERICAN NURSES FOUNDATION INC PO BOX 504342 ST LOUIS MO 63150 131893924 501(C)(3) 43750 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. ALLIANCE IN MENTORSHIP 3000 AMERICAN RIVER DRIVE SACRAMENTO CA 95864 454825887 501(C)(3) 10000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. AUTRY MUSEUM OF THE AMERICAN WEST 4700 WESTERN HERITAGE WAY LOS ANGELES CA 90027 953947744 501(C)(3) 5000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. BELLE REVE THEATRE COMPANY PO BOX 46456 WEST HOLLYWOOD CA 90046 821235400 501(C)(3) 10000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. BUNNY BOY PRODUCTIONS LLC 9654 HEATHER CT BEVERLY HILLS CA 90210 812707751 60000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. CAL STATE LA UNIVERSITY AUXILLIARY SERVICES INC 5151 STATE UNIVERSITY DRIVE GE 314 LOS ANGELES CA 90032 954016653 501(C)(3) 10000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. CCALAC 700 SOUTH FLOWER STREET SUITE 3150 LOS ANGELES CA 90017 954576023 501(C)(3) 6000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. CENTER THEATRE GROUP 601 WEST TEMPLE STREET LOS ANGELES CA 90012 952466183 501(C)(3) 50000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. CENTRAL AMERICAN RESOURCE CENTER 2845 W 7TH STREET LOS ANGELES CA 90005 953867724 501(C)(3) 10000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. CHARLES R DREW UNIVERSITY OF MEDICINE AND SCIENCE 1731 E 120TH ST LOS ANGELES CA 90059 956151774 501(C)(3) 12500 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. CHILDREN'S HOSPITAL LOS ANGELES 4650 SUNSET BLVD76 LOS ANGELES CA 90027 951690977 501(C)(3) 10000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. COMITE MEXICANO CIVICO PATRIOTICO INC 6035 PACIFIC BLVD HUNTINGTON PARK CA 90255 811048949 10000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. COMMUNITY COALITION FOR SUBSTANCE ABUSE PREVENTION AND TREATMENT 8101 S VERMONT AVENUE LOS ANGELES CA 90044 954298811 501(C)(3) 7500 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. COMMUNITY HEALTH ALLIANCE OF PASADENA 455 WEST MONTANA STREET PASADENA CA 91103 954536824 501(C)(3) 15000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. CONGRESSIONAL HISPANIC CAUCUS INSTITUTE 1128 16ST STREET NW WASHINGTON DC 20036 521114225 501(C)(3) 120000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. CORO SOUTHERN CALIFORNIA INC 1000 NORTH ALAMEDA ST SUITE 240 LOS ANGELES CA 90012 954274561 501(C)(3) 10000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. EAST LOS ANGELES COLLEGE FOUNDATION 1301 AVENIDA CESAR CHAVEZ MONTEREY PARK CA 91754 330034221 501(C)(3) 15500 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. EASTMONT COMMUNITY CENTER 701 SOUTH HOEFNER AVENUE LOS ANGELES CA 90022 956221642 501(C)(3) 7000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. EL CENTRO DEL PUEBLO 1157 LEMOYNE STREET LOS ANGELES CA 90026 953187780 501(C)(3) 5500 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. ESSENTIAL ACCESS HEALTH 3600 WILSHIRE BOULEVARD SUITE 600 LOS ANGELES CA 90010 952564024 501(C)(3) 10000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. FIESTA EDUCATIVA INC PO BOX 31285 LOS ANGELES CA 90031 954055182 501(C)(3) 10000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. GWENDOLYN AND JOSEPH STRAUS CHARITABLE FUND INC 173 BRIDGE PLAZA NORTH FORT LEE NJ 07024 471133616 501(C)(3) 7500 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. HISPANIC CHAMBER OF COMMERCE OF ORANGE COUNTY 2130 E 4TH ST SUITE 125 SANTA ANA CA 92705 330234833 501(C)(3) 5000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. INNERCITY STRUGGLE 530 SOUTH BOYLE AVENUE LOS ANGELES CA 90033 272133211 501(C)(3) 10000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. J PAUL GETTY TRUST 1200 GETTY CENTER DRIVE SUITE 400 LOS ANGELES CA 90049 951790021 501(C)(3) 40000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. JOHN BENSON SCHOLARSHIP FOUNDATION INC PO BOX 578 WALNUT CA 91788 461299728 501(C)(3) 10000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. LACMA 801 S GRAND AVE SUITE 425 LOS ANGELES CA 90017 950948250 501(C)(6) 30000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. LATINO COMMUNITY FOUNDATION 235 MONTGOMERY ST SUITE 1160 SAN FRANCISCO CA 94104 810564400 501(C)(3) 15000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. LATINO LEADERS NETWORK INC 1101 17TH STREET NW SUITE 607 WASHINGTON DC 20036 510601578 501(C)(3) 5000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. LOS ANGELES COUNTY MUSEUM ART 5905 WILSHIRE BLVD LOS ANGELES CA 90036 952264067 501(C)(3) 10000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. LOS ANGELES LATINO CHAMBER OF COMMERCE 801 SOUTH GRAND AVE SUITE 400 LOS ANGELES CA 90017 262949706 501(C)(3) 74500 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. LOS ANGELES PARKS FOUNDATION 2650 N COMMONWEALTH RD LOS ANGELES CA 90027 262358338 501(C)(3) 5000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. MAOF 401 NORTH GARFIELD AVENUE MONTEBELLO CA 90640 952594166 501(C)(3) 17100 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. MEXICAN AMERICAN BAR FOUNDATION P O BOX 862127 LOS ANGELES CA 90086 954358513 501(C)(3) 15000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. MEXICAN AMERICAN LEGAL DEFENSE AND EDUCATIONAL FUND 634 SOUTH SPRING ST 11TH FLOOR LOS ANGELES CA 90014 741563270 501(C)(3) 110000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. NATIONAL HISPANIC HEALTH FOUNDATION 1920 L STREET NW SUITE 725 WASHINGTON DC 20036 260051902 501(C)(3) 25000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. NATIONAL HISPANIC MEDICAL ASSOCIATION 1920 L STREET NW SUITE 725 WASHINGTON DC 20036 521884446 501(C)(6) 35000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. NATIONAL MEDICAL FELLOWSHIPS 347 FIFTH AVENUE SUITE 510 NEW YORK NY 10016 010963657 501(C)(3) 162500 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. NORTH STAR ALLIANCES P O BOX 4552 CULVER CITY CA 90231 472701273 10000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. NSMAVA 345 LA FATA STREET SUITE B ST HELENA CA 94574 202780485 15000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. PATIENT CARE FOUNDATION OF LOS ANGELES COUNTY 801 S GRAND AVE SUITE 425 LOS ANGELES CA 90017 262974477 501(C)(3) 5000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. PLAZA COMMUNITY SERVICES 4018 CITY TERRACE DR LOS ANGELES CA 90063 951691302 501(C)(3) 5000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. PLAZA DE LA RAZA INC 3540 NORTH MISSION ROAD LOS ANGELES CA 90031 237109631 501(C)(3) 5000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. PROYECTO PASTORAL 135 NORTH MISSION ROAD LOS ANGELES CA 90033 953213958 501(C)(3) 5000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. ROOSEVELT HIGH SCHOOL MED 456 SOUTH MATHEWS STREET LOS ANGELES CA 90033 950000000 20500 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. SOUTHERN CALIFORNIA LEADERSHIP EDUCATION ADVANCEMENT AND DEVELOPMENT FOUNDA 525 E SEASIDE WAY 101-C LONG BEACH CA 90802 260798747 501(C)(3) 5000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. TELACU EDUCATION FOUNDATION 5400 E OLYMPIC BLVD THIRD FLOOR LOS ANGELES CA 90022 954384333 501(C)(3) 20000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. THE ILLUMINATION FOUNDATION 2691 RICHTER AVE SUITE 107 IRVINE CA 92606 711047686 501(C)(3) 12000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. THE LATINO COALITION INC 100 SPECTRUM CENTER DRIVE SUITE 900 IRVINE CA 92618 522266386 501(C)(6) 10000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. THE LATINO FOUNDATION 100 SPECTRUM CENTER DRIVE SUITE 900 IRVINE CA 92618 311695419 501(C)(3) 25000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. THE UCLA FOUNDATION 10920 WILSHIRE BLVD 14TH FLOOR LOS ANGELES CA 90024 952250801 501(C)(3) 10650 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. UCLA CHICANO STUDIES RESEARCH CENTER 375 PORTOLA PLAZA 193 HAINES HALL LOS ANGELES CA 90095 956006143 501(C)(3) 20000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. UNIVERSITY OF LA VERNE UNIVERSITY ADVANCEMENT 1950 3RD STREET LA VERNE CA 91750 951644026 501(C)(3) 10000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. USC LATINO ALUMNI ASSOCIATION 3607 TROUSDALE PARKWAY TCC 324 LOS ANGELES CA 90089 951642394 5500 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. VISION TO LEARN 11611 SAN VICENTED BLVD LOS ANGELES CA 90049 453457853 501(C)(3) 5000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. X X 1 1 X X X X X X 1 1 0 0 0 0 0 1 0 CASTULO DELA ROCHA JD PRESIDENT & CEO 740299 0 288005 0 109818 0 154802 0 1314 0 1294238 0 0 0 JOSE U ESPARZA SR. VP OF FINANCE & CFO 384501 0 80245 0 19715 0 10800 0 2564 0 497825 0 0 0 MARIE TORRES SR.VP, GOV RELATIONS & RESEARCH 307711 0 60445 0 20021 0 10800 0 1314 0 400291 0 0 0 MARTIN LEE SEROTA MD SVP, CHIEF MEDICAL OFFICER 178391 0 0 0 291351 0 7807 0 308 0 477857 0 0 0 ZOILA ESCOBAR SR.VP STRATEGIC DEV & COMM SUPPORT 315859 0 66415 0 31890 0 10800 0 3328 0 428292 0 0 0 JENNIFER SPALDING SR.VP CHIEF OPERATION OFFI 413759 0 76532 0 77747 0 9899 0 2757 0 580694 0 0 0 JACQUELINE RITACCO SVP. CHIEF ADMINISTRATIVE OFFICER 293593 0 59758 0 19994 0 10800 0 11175 0 395320 0 0 0 ANNA TRAN SENIOR STRATEGY EXECUTIVE 418688 0 0 0 16965 0 0 0 4399 0 440052 0 0 0 MARY ANN BARNES EVP. CHIEF OPERATING OFFICER 141526 0 100000 0 119725 0 0 0 122 0 361373 0 0 0 ANGELA D PEOPLES-ROBERTS SVP, FACILITY DEVELOPMENT & MGMT 288313 0 65122 0 19037 0 9844 0 6184 0 388500 0 0 0 CRISTIAN RICO MD VP MEDICAL GROUP MEDICAL DIRECTOR 309254 0 63426 0 12318 0 10800 0 9353 0 405151 0 0 0 ALEX CHEN INTERIM EXECUTIVE, CHIEF MEDICAL OFF 325416 0 65150 0 12502 0 10800 0 1314 0 415182 0 0 0 HENRY HOLGUIN SVP, GENERAL COUNSEL 432307 0 68001 0 53775 0 55800 0 1199 0 611082 0 0 0 ESIQUIO CASILLAS VP , MEDICAL DIRECTOR MEDICAL MGMT 321910 0 41807 0 24919 0 10800 0 7298 0 406734 0 0 0 PART I, LINE 1A ALTAMED MAINTAINS A DISCRETIONARY SPENDING ACCOUNT FOR OFFICERS, KEY EMPLOYEES AND OTHERS WHERE THE COMPANY ALLOWS A CERTAIN AMOUNT TO BE USED AT THE DISCRETION OF THE PAYEE FOR BUSINESS EXPENSES SUCH AS AUTOMOBILE EXPENSES . ANY AMOUNTS USED FROM THE DISCRETIONARY ACCOUNT ARE TAXED TO THE RECIPIENT AS PART OF THEIR COMPENSATION. IN ADDITION, ALTAMED PROVIDES A HOUSING SUBSIDY OF $3,000 FOR THE CHIEF MEDICAL OFFICER. PART I, LINES 4A-B SCHEDULE J:AT THE PRESENT TIME THE PRESIDENT AND CEO ARE ELIGIBLE FOR THE ORGANIZATION'S SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) ; FUNDING OF THIS PLAN IS DISCRETIONARY AND ASSETS OF THE PLAN ARE SUBJECT TO THE CLAIMS OF CREDITORS . RETIREMENT AND OTHER DEFERRED COMPENSATION INCLUDES $144,003 PAID TO THE (SERP) IN CALENDAR YEAR 2017. PART I, LINE 7 SCHEDULE J :ALTAMED MAINTAINS A DISCRETIONARY EXECUTIVE AND DIRECTOR LEVEL BONUS PROGRAM THAT AWARDS INCENTIVE COMPENSATION BASED ON ACHIEVEMENT OF CERTAIN ORGANIZATIONAL OBJECTIVES INCLUDING FINANCIAL, OPERATIONAL, QUALITY AND MISSION OBJECTIVES DURING THE FISCAL YEAR. MEMBERS OF THE EXECUTIVE AND DIRECTOR LEADERSHIP TEAM ARE EVALUATED ANNUALLY FOR THEIR ABILITY TO MEET THOSE ORGANIZATIONAL OBJECTIVES TO ARRIVE AT THE INCENTIVE AMOUNT, IF ANY, FOR THE FISCAL YEAR. OVERALL ALTAMED MUST ACHIEVE SPECIFIC FINANCIAL GOALS BEFORE ANY INCENTIVES CAN BE EARNED AND PAID. A CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 2015-10-01 118760000 FINANCE ACQ,CONST,RENOVATION & EQUIPPING OF CAP. PROJ.& REFI A PRIOR LOAN 0 0 0 B CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 2007-12-14 7012000 FINANCE THE COST OF ACQ,CONSTRUCTION,IMPROVEMENT & EQUIPPING OF FACILITIES 0 0 0 A 11370365 119087959 1707227 90692186 3500000 23188546 1 0 0 1 B 1774892 7012500 7012500 2008 0 0 1 1 A 0 1 1 1 1 1 0 0 1 B 0 0 0 0 0 0 0 A 0 1 1 0 1 0 0 0 1 B 0 0 0 0 1 1 BANK OF THE WEST 15.000000000000 0 0 0 0 0 A 1 B 0 SCHEDULE K PART 1 (D) & (E) THE ISSUER HAS FILED TWO 8038S FOR THIS ISSUE. THE ISSUE PRICE FOR THE NOTES (DATED SEPTEMBER 29, 2015) IS $17,200,000; THE ISSUE PRICE FOR THE BONDS (DATED OCTOBER 1, 2015) IS $101,560,000. SCHEDULE K PART 1 (F) THE PRIOR LOAN WAS ISSUED ON FEBRUARY 14, 2011. SCHEDULE K PART 1 (E) & PART II LINE 3 DIFFERENCE BETWEEN PART 1 (E) AND PART II, LINE 3 IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. SCHEDULE K PART III, LINE 7 AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. SCHEDULE K PATY IV, LINE 2(B) THE REFUNDING PORTION OF THE BONDS HAS MET THE 6-MONTH SPENDING EXCEPTION TO REBATE. CASTULO DE LA ROCHA SPLIT DOLLAR LIFE INSURANCE X 12941173 14062125 0 1 1 ZOILA D ESCOBAR SPLIT DOLLAR LIFE INSURANCE X 3115000 3384818 0 1 1 JOSE U ESPARZA SPLIT DOLLAR LIFE INSURANCE X 3117100 3387100 0 1 1 MARIE S TORRES SPLIT DOLLAR LIFE INSURANCE X 3551891 3859552 0 1 1 MARTIN SEROTA SPLIT DOLLAR LIFE INSURANCE X 3405795 3718587 0 1 1 OMNICARE MEDICAL GROUP INC LOAN WAS FOR FINANCING ACQUISITION OF OMNICARE MEDICAL GROUP INC. X 13000000 10367458 0 1 1 38779640 FORM 990 PART X LINE 5 IN 2011 ALTAMED ADOPTED A SPLIT DOLLAR RETENTION AND LOAN PLAN (THE PLAN) DESIGNED TO ASSIST ALTAMED IN RECRUITING AND RETAINING KEY EXECUTIVES AND REWARD FUTURE SERVICE. THE PLAN IS DESIGNED TO SATISFY THE FINAL REGULATIONS DEALING WITH LOANS MADE TO EXECUTIVES TO PAY PREMIUMS ON LIFE INSURANCE POLICIES THEY OWN. REPAYMENT OF THE LOANS ARE SECURED BY THE CASH VALUES AND DEATH BENEFITS IN ACCORDANCE WITH TAX AND CALIFORNIA LEGAL REQUIREMENTS. IN ADDITION, THE LOANS BEAR INTEREST AND BECAUSE OF THE PLAN'S DESIGN, ALTAMED IS EXPECTED TO BE REPAID FULLY WITH THE APPLICABLE FEDERAL RATE OF INTEREST. THE LOANS ARE REPORTED ON PART X AND SCHEDULE L. PART II COLUMN B (RELATIONSHIP WITH ORGANIZATION)FOR OMNICARE MEDICAL GROUP THE VP OF MEDICAL GROUP OF ALTAMED HEALTH SERVICES CORPORATION IS THE SOLE STOCKHOLDER OF ALTAMED INDEPENDENT PHYSICIAN NETWORK INC. WHICH IS THE SOLE STOCKHOLDER OF OMNICARE MEDICAL GROUP INC. X FOR SPECIAL EVENTS 0 125474 FAIR MARKET VALUE 0 1 0 FORM 990, PART VI, SECTION A, LINE 2 THE PRESIDENT AND CEO IS RELATED BY MARRIAGE TO THE VP OF STRATEGIC DEVELOPMENT AND COMMUNITY SUPPORT. FORM 990, PART VI, SECTION B, LINE 11B ALTA MED HEALTH SERVICES CORPORATION OUTSIDE CPA FIRM AND FINANCE STAFF PREPARE FORM 990. THE FORM IS THEN REVIEWED AND APPROVED BY THE ORGANIZATION PRESIDENT AND SR. VP OF FINANCE AND CFO. THE FORM IS THEN PROVIDED TO THE FULL BOARD FOR ACCEPTANCE BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C ALTAMED HEALTH SERVICES CORPORATION REQUIRES ANNUAL DISCLOSURE BY ALL EMPLOYEES AND AGENTS WHO: A) HAVE THE AUTHORITY TO NEGOTIATE OR APPROVE BUSINESS DECISIONS AND/OR REFERRALS TO ENTITIES PAID DIRECTLY OR INDIRECTLY BY MEDICARE AND/OR MEDICAID SERVICES AND B) HAVE PERSONAL, FINANCIAL, AND/OR OTHER INTEREST MUST NOTIFY AND DISCLOSE THE SUSPECTED OR KNOWN CONFLICTS OF INTEREST TO THE OFFICE OF COMPLIANCE AND RISK MANAGEMENT (OCRM). CONFLICTS OF INTEREST ARE: 1. CONFLICT OF INTEREST. ANY SITUATION WHERE FINANCIAL OR OTHER CONSIDERATIONS HAVE THE POTENTIAL TO COMPROMISE OR BIAS PROFESSIONAL JUDGMENT AND OBJECTIVITY. 2. PERSONAL INTEREST. MOTIVATED BY PERSONAL GAIN, WHICH MAY INVOLVE FINANCIAL INTEREST, PERSONAL RELATIONSHIPS OR ACTIVITIES OUTSIDE WORK. 3. FINANCIAL INTEREST. DRIVEN BY THE POTENTIAL GAIN. 4. PERSONAL RELATIONSHIP. ANY RELATIONSHIP OTHER THAN A PROFESSIONAL ONE. PERSONAL RELATIONSHIPS HAVE THE POTENTIAL TO IMPACT PROFESSIONAL OBJECTIVITY. 5. OUTSIDE ACTIVITIES. ENGAGEMENT IN OUTSIDE ACTIVITIES WORK WHICH MAY BE IN CONFLICT WITH YOUR JOB. ROUTINE DISCLOSURES: EMPLOYEES ARE INFORM THEY MAY MAKE DISCLOSURES VIA THE COMPLIANCE HOTLINE OR BY CONTACTING THE OFFICER OF COMPLIANCE AND RISK MANAGEMENT DIRECTLY, IN PERSON OR BY TELEPHONE. ALTAMED ALSO REQUIRES ALL BOARD OF DIRECTORS TO ANNUALLY SIGN A STATEMENT AFFIRMING RECEIPT OF ALTAMED CONFLICT OF INTEREST POLICY. BOARD MEMBERS RESUBMIT CONFLICT OF INTEREST STATEMENTS AS PART OF THE ANNUAL REVIEW OF BYLAWS AND MEMBERSHIP. UNDERSTANDING AND AGREEMENT ARE EVIDENCED BY SIGNATURE OF THE CONFLICT OF INTEREST DISCLOSURE FORM. THE CONFLICT OF INTEREST POLICY DESCRIBES HOW ALTAMED WILL RESOLVE POSSIBLE CONFLICTS OF INTEREST AT THE BOARD LEVEL, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS WILL DETERMINE IF A CONFLICT OF INTEREST EXISTS AND, IF SO, HOW TO RESOLVE THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD SERVES AS THE COMPENSATION COMMITTEE. A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTANT FIRM IS ENGAGED TO REVIEW THE CORPORATION'S PRESIDENT & CEO COMPENSATION. THE FIRM UNDERTAKES SPECIFIC PROTOCOLS AND OBTAINS VAST ORGANIZATIONAL DATA FROM NUMEROUS COMPANIES AND PEER GROUPS AND THEN RENDERS A "REASONABLENESS" OPINION TO THE BOARD OF DIRECTORS. THE FIRM'S PROCESS INCLUDES A REVIEW OF COMPENSATION OF SIMILARLY CONSTITUTED COMPANIES, TRENDS, THE ORGANIZATION'S PRESENT COMPENSATION PACKAGES INCLUDING CASH AND NON-CASH BENEFITS, THE METHODOLOGY AND PHILOSOPHY USED FOR THE ASSESSMENT AND THE TOTAL COMPENSATION ANALYSIS. ADDITIONALLY, MARKET BENEFIT AND RECRUITMENT AND RETENTION TRENDS ARE CONSIDERED AND EVALUATED. THE OPINIONS ARE PROVIDED TO THE EXECUTIVE COMMITTEE, WHICH IS COMPRISED OF FOUR INDEPENDENT DIRECTORS. THE EXECUTIVE COMMITTEE IS PROVIDED WITH A REGIONAL PEER GROUP THAT INCLUDES MOST COMPARABLY SIZED CALIFORNIA NON PROFIT AND SOME FOR PROFIT HEALTHCARE ORGANIZATIONS. THE OPINIONS ARE BASED ON COMPARABILITY DATA FROM NATIONAL AND REGIONAL DATA BASES, FROM WHICH COMPARISONS OF THE ORGANIZATION'S EXECUTIVE COMPENSATION WITH PEER GROUP COMPENSATION LEVELS CAN BE MADE, WHICH IS PROVIDED TO THE EXECUTIVE COMMITTEE IN ITS REPORT. THE EXECUTIVE COMMITTEE IS PRESENTED WITH DATA THAT COMPARES THE ORGANIZATION'S COMPENATION PACKAGES TO THE LEVEL TARGETED IN THE COMPENSATION PHILOSOPHY. BASED UPON THE TOTALITY OF THE DATA GARNERED BY THE COMPENSATION CONSULTING FIRM, THE EXECUTIVE COMMITTEE IS PROVIDED WITH RECOMMENDED BASE SALARY AND BENEFIT RANGES FOR THE PERIOD ASSESSED. THE EXECUTIVE COMMITTEE DELIBERATES ON THE DATA TO ASSESS WHETHER IT IS APPROPRIATE IN REPRESENTING COMPENSATION LEVELS WITH SIMILAR ORGANIZATIONS, POSITIONS AND CIRCUMSTANCES AND THAT IT REPRESENTS FAIR MARKET VALUE FOR SERVICES RENDERED ON A REALISTIC BASIS. THE EXECUTIVE COMMITTEE ALSO INTERVIEWS THE PRESIDENT & CEO AND RECEIVES A REPORT FROM HIM AND OTHER PERTINENT INFORMATION RELEVANT TO ASSESSING THE COMPENSATION. THE EXECUTIVE COMMITTEE THEN PROVIDES ITS RECOMMENDATIONS TO THE BOARD OF DIRECTORS FOR THE CEO COMPENSATION. THE CEO IS RESPONSIBLE FOR EVALUATING HIS DIRECT REPORTS. THE BOARD OF DIRECTORS IS PROVIDED WITH AVAILABLE INFORMATION AND THE OPINIONS OF THE EXPERTS AND DELIBERATES AND DISCUSSESS THE RECOMMENDATION AS IT DEEMS NECESSARY TO PROPERLY ASSESS THE COMPENSATION LEVELS OF ITS PRESIDENT & CEO. FORM 990, PART VI, SECTION C, LINE 19 SOME OR ALL OF THESE ITEMS MAY BE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: NET LOSS FROM ALTAMED MANAGEMENT SERVICES LLC 31,218. ALTAMED MANAGEMENT SERVICES LLC 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 810785877 MANAGED CARE CA -31218 717094 ALTAMED HEALTH SERVICES CORPORATION ALTAMED STATE PAC 777 S FIGUEROA ST STE 4050 LOS ANGELES CA 90017 475260687 SUPPORT AND OPPOSE CANDIDATE CA 527 N/A 0 ALTAMED FOUNDATION 2040 CAMFIELD AVE LOS ANGELES CA 90040 954090420 FUNDRAISING CA 501(C)(3) SECTION 509(A)(1) ALTAMED HEALTH SERVICES CORPORATION 0 ALTAMED ACTION FUND 777 S FIGUEROA ST STE 4050 LOS ANGELES CA 90017 465650824 SOCIAL WELFARE ACTIVITIES CA 501(C)(4) N/A 0 ALTAMED HEALTH NETWORK INC 2040 CAMFIELDAVENUE LOS ANGELES CA 90040 460635843 MANAGED CARE CA ALTAMED HEALTH SERVICES CORP C -626827 6021543 1.00000 0 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 ALTAMED ACTION FUND B 305066 ACTUAL AMOUNT PAID ALTAMED HEALTH NETWORK INC A 68712 ACTUAL AMOUNT PAID ALTAMED HEALTH NETWORK INC D 6000000 ACTUAL AMOUNT PAID ALTAMED MANAGEMENT SERVICES LLC L 1678129 AMOUNT ACCRUED ALTAMED HEALTH NETWORK INC Q 94194 AMOUNT ACCRUED