2020-05-15T13:01:35-07:00 2019-12-31 472251777 CHW LLP 7797 N First Street Suite 15 Fresno CA 93720 990 2019-01-01 942503904 Camarena Health CAMA 5596644000 PO Box 299 Madera CA 93639 Paulo Soares CEO 5596644000 2020-05-15 1 Jeremy Ware P00642659 5595495400 2020-05-13 172.58.38.148 2019 2020-09-23 17:36:50Z Paulo Soares PO Box 299 Madera CA 93639 45460730 0 X www.camarenahealth.org X 1978 CA To provide the highest quality healthcare to the communities we are privileged to serve, in a caring and compassionate manner. 13 13 503 29 0 0 6599608 6852363 34409757 37467554 69146 0 528121 1140813 41606632 45460730 0 0 0 0 23091172 26103537 0 0 0 14977155 14079565 38068327 40183102 3538305 5277628 38576808 47538705 9824871 13509140 28751937 34029565 To provide the highest quality healthcare to the communities we are privileged to serve, in a caring and compassionate manner. 0 0 34557470 0 37467554 To provide the highest quality healthcare to the communities we are privileged to serve, in a caring and compassionate manner. During the year, Camarena Health served 46,906 patients; provided 235,691 visits; 168,085 Medical Dental 46,955, Behavioral Health 11,304, Optometry 4,936 and Chiropractic 4,411. 0 0 0 34557470 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 55 0 1 503 1 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Margarita Medina 5596444000 344 E 6th Street Madera CA 93639 Seann Garcia Board Member 2 0 X 0 0 0 Edgar Jimenez Board Member 2 0 X 0 0 0 Monic Wilhite Board Member 2 0 X 0 0 0 Patty Thompson Board Member 2 0 X 0 0 0 Anita Damiano Board Member 2 0 X 0 0 0 Martha Cardona Board Member 2 0 X 0 0 0 Calvin Crane Board Member 2 0 X 0 0 0 Muriel Fore Board Member 2 0 X 0 0 0 Cecilia Massetti Board Member 2 0 X 0 0 0 Patty Pistoresi Board Member 2 0 X 0 0 0 Raquel Rodarte Board Member 2 0 X 0 0 0 Abimail Vargas Board Member 2 0 X 0 0 0 Paulo A Soares CEO 40 0 X 394094 0 34179 Margarita Medina CFO 40 0 X 147385 0 6261 Joel F Ramirez Chief Medical Officer 40 0 X 341975 0 7379 Bassem Kelada Staff Physician 40 0 X 292591 0 0 Guillermo Sandoval Jr Staff Physician 40 0 X 250927 0 12384 Rex Nzeribe Staff Physician 40 0 X 241140 0 6049 Pushkal Jadaun Staff Physician 40 0 X 229823 0 0 1897935 0 66252 29 0 1 0 Provider Healthcare 2455 E Parleys Way Salt Lake City UT 84109 Physician 454606 Valley Childrens Medical Group 9300 Valley Childrens Place Madera CA 93636 Physician 245930 Peter Nassar MD INC 2037 West Bullard 315 Fresno CA 93711 Physician 213165 David Grilione 1454 California Street Kingsburg CA 93631 Chiropractor 173480 Robert T Bratty PO Box 170 Bass Lake CA 93604 Rental expense 168209 12 0 0 0 0 6191702 660661 0 6852363 Net patient service revenue 621400 31671445 31671445 0 0 Capitation services revenue 621400 3926072 3926072 0 0 1870037 1870037 0 0 37467554 0 0 0 0 0 1140813 1140813 0 0 1140813 45460730 38608367 0 0 21629005 18600944 3028061 4474532 3848098 626434 4000580 3440499 560081 397838 342141 55697 2052302 1764980 287322 251766 216519 35247 404203 347615 56588 2090339 1797692 292647 154792 133121 21671 Professional fees 3060395 2631940 428455 0 1667350 1433921 233429 40183102 34557470 5625632 0 7356456 7786771 1999147 2401724 105302 175131 2117983 2213842 802433 1573637 1168639 1063041 45016639 12692080 24965960 32324559 60888 0 38576808 47538705 3208132 3308059 23830 13235 6592909 8627846 0 1560000 0 0 9824871 13509140 X 28751937 33825101 0 204464 28751937 34029565 38576808 47538705 5277628 0 0 0 0 0 X 0 1 X 1 1 1 X 0 1233166 1233166 0 25593418 12692080 12901338 0 5324683 0 5324683 0 9982679 0 9982679 0 2882693 0 2882693 32324559 0 X 45460730 0 0 0 0 0 45460730 0 0 0 45460730 40183102 0 0 0 0 0 40183102 0 0 0 40183102 Schedule D, Part X, Line 2 The Center is a not-for-profit corporation and has been determined to be exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code and Section 23701d of the State of California Revenue and Taxation Code by the IRS and Franchise Tax Board, respectively. Accordingly, no provision for income taxes is included in the accompanying financial statements. The Center has adopted the accounting guidance related to uncertain tax positions, and has evaluated its tax positions and believes that all of the positions taken by the Center in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. The Center's returns are subject to examination by federal and state taxing authorities generally for three years after they are filed. X 0 0 0 0 0 0 0 0 0 Pushkal Jadaun Staff Physician 227204 0 1010 0 0 0 0 0 1608 0 229822 0 0 0 Rex Nzeribe Staff Physician 229552 0 1140 0 0 0 6049 0 4400 0 241141 0 0 0 Guillermo Sandoval Jr Staff Physician 216414 0 1380 0 0 0 25000 0 8133 0 250927 0 0 0 Bassem Kelada Staff Physician 265716 0 3000 0 0 0 19000 0 4875 0 292591 0 0 0 Joel F Ramirez Chief Medical Officer 341635 0 340 0 0 0 0 0 0 0 341975 0 0 0 Paulo A Soares CEO 368104 0 0 0 0 0 19000 0 6989 0 394093 0 0 0 Form 990, Part VI, Section B, Line 11b The Form 990 is reviewed and approved by the finance committee, and made available to all board members. Form 990, Part VI, Section B, Line 12c Achieved through annual evaluation of both board and employees. Annual review and signing of conflict of interest policy. Form 990, Part VI, Section B, Line 15 Survey of comparable Chief Executive Officer positions in local regional area, and at least an annual review by board of directors in closed session. Form 990, Part VI, Section C, Line 19 Available upon request.