2021-10-25T15:59:18-05:00 2020-12-31 330700332 VASQUEZ & COMPANY LLP 655 N CENTRAL AVENUE STE 1550 GLENDALE CA 91203 990 2020-01-01 952810095 ALTAMED HEALTH SERVICES CORPORATION ALTA 3237258751 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 JOSE ESPARZA SVP FIN. & CFO 3237258751 2021-10-22 1 JOSE ESPARZA 999009999 REGINA L PRINCE CPA P00576936 2138731700 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JOSE ESPARZA 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 909282503 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 COMMUNITIES IN SOUTHERN CALIFORNIA.VISION: TO BE THE LEADING COMMUNITY-BASED PROVIDER OF QUALITY HEALTH CARE AND HUMAN SERVICES. 9 9 3810 9 204887 203887 21501198 59831177 454709183 742904849 41018800 17174106 5168608 51322691 522397789 871232823 472750 318750 0 0 192688709 324155477 0 0 3574300 272577226 476014808 465738685 800489035 56659104 70743788 897610595 1022946635 328950510 338030612 568660085 684916023 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 497314197 318750 480057868 CLINICS - ALTAMED OPERATES A TOTAL OF 26 PRIMARY CARE AND DENTAL CLINICS IN LOS ANGELES AND ORANGE COUNTIES. ADDITIONALLY, 1 MOBILE UNITS OFFER MEDICAL, DENTAL, AND COMMUNITY OUTREACH. IN 2020, THE 10 CLINICS IN ORANGE COUNTY AND 15 CLINICS IN LOS ANGELES COUNTY SAW OVER 250,000 PATIENTS. IN 2020 THE DENTAL CLINICS, MOBILE UNIT, AND 6 PORTABLE ORAL HEALTH UNITS PROVIDED DENTAL CARE TO OVER 41,000 CHILDREN AND ADULTS. ALTAMED PROVIDES INTEGRATED SERVICES THAT INCLUDE PERINATAL SERVICES, PEDIATRIC AND ADOLESCENT CARE, FAMILY HEALTH, BEHAVIORAL HEALTH, WOMEN'S HEALTH, AND GERIATRIC CARE. THROUGH ITS EDUCATION DEPARTMENT, ALTAMED PROVIDES PROGRAMMING FOR PATIENTS WITH OBESITY AND OTHER CHRONIC CARE CONDITIONS. OTHER SERVICES INCLUDE LAB TESTING, RADIOLOGY, TRANSPORTATION, TRANSLATION, AND OTHER ENABLING SERVICES.THE PANDEMIC YEAR OF 2020, ALTAMED HAD TO PIVOT HEALTH CARE DELIVERY TO INCLUDE A VIRTUAL FORMAT, INTRODUCE COVID SCREENINGS, ADMINISTER COVID VACCINATIONS, AND CHANGE MANY CLINIC PROCESS FLOWS TO MAINTAIN SAFETY FOR PATIENTS AND STAFF. PARTNERSHIPS WITH THE DEPT. OF PUBLIC HEALTH, CITIES, GOVERNMENT, AND MEDIA INSURED WE KEPT THE COMMUNITY EDUCATED ABOUT MAINTAINING THEIR HEALTH AND PROTECTION THROUGH THE PANDEMIC.THE MANAGED CARE TEAM IS COMPOSED OF OVER 360 STAFF MEMBERS DEDICATED TO MANAGING DELEGATED RISK FROM HEALTH PLANS. THIS TEAM CURRENTLY SERVICES OVER 328,000 UNIQUE CAPITATED LIVES IN LOS ANGELES AND ORANGE COUNTIES CALIFORNIA. THE MAJOR TEAMS INVOLVED WITH THESE OPERATIONS COVER: UTILIZATION MANAGEMENT, CASE 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. 196568555 265445330 LONG TERM CARE - EACH YEAR 3,000 FRAIL AND ELDERLY SENIORS AND DISABLED ADULTS ARE SUPPORTED BY AN ARRAY OF SERVICES THROUGH ALTAMED'S 10 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 THROUGH 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. 31934472 35183530 HIV SERVICES - WITH TWO DECADES OF EXPERIENCE AS A RYAN WHITE PART C PROVIDER, ALTAMED SERVES 2,000 CLIENTS ANNUALLY THROUGH HIV MEDICAL CARE SERVICES, AND 3,000 CLIENTS THROUGH HIV PREVENTION PROGRAMS. ALTAMED OPERATES THREE (3) HIV MEDICAL OUTPATIENT CLINICS IN LOS ANGELES AND ORANGE COUNTIES. ALTAMED'S HIV SERVICES DIVISION INCLUDES TRADITIONAL AND BIOMEDICAL HIV PREVENTION, MEDICAL CARE, MENTAL HEALTH, NUTRITION COUNSELING, ORAL HEALTH, CASE MANAGEMENT, AND SOCIAL SUPPORT SERVICES IN A ONE-STOP MODEL TO LATINX AND OTHER UNDERSERVED POPULATIONS. 7351624 5375313 YOUTH SERVICES - ALTAMED PROVIDES AN ARRAY OF YOUTH SERVICES TO OVER 1,200 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 ADDRESS A WIDE ARRAY OF HEALTH INEQUITIES THAT DISPROPORTIONATELY AFFECT RACIAL AND ETHNIC GROUPS, INCLUDING ADDRESSING THE MULTIPLE SOCIAL 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.ALTAMED INTRODUCED 8 SPECIALTY CARE SERVICES TO REMOVE THE BARRIERS TO CARE MANY WERE EXPERIENCING WHEN TRYING TO ACCESS THESE MUCH NEEDED SERVICES. EXPANSION OF THE WORKFORCE PIPELINES CONTINUE TO EDUCATE AND TRAIN COMMUNITY MEMBERS IN MA, LVN, AND NURSE CAREER PATHWAYS. ALTAMED HAS GROWN THE NEWLY FORMED CIVIC ENGAGEMENT DEPARTMENT TO ADDRESS SOCIAL DETERMINANTS OF HEALTH AND TRAIN COMMUNITY MEMBERS ON HOW TO ADVOCATE AT THE GRASSROOTS LEVEL FOR INCREASED AND PARTICULAR HEALTH ACCESS AND REFORMS, AND ENCOURAGE COMMUNITY TO GET INVOLVED WITH LOCAL ISSUES AND VOTE. 7351624 5375313 733168848 1 1 0 1 0 0 0 1 0 0 1 0 0 0 1 1 0 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 0 1 0 1 788 0 1 3810 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 9 9 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X JOSE ESPARZA SR VP OF FINANCE AND CFO 3237258751 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 HECTOR BARRETO BOARD CHAIRPERSON 1.60 X X 0 0 0 RICARDO ROBLES BOARD SECRETARY 1.60 X X 0 0 0 MARIA GRIMALDO CONSUMER BOARD MEMBER 1.20 X 0 0 0 JOSEPH GOMEZ CONSUMER BOARD MEMBER 1.60 X 0 0 0 ADOLFO CHANEZ BOARD MEMBER 1.60 X 0 0 0 NADIA ALVAREZ CONSUMER BOARD MEMBER 1.20 X 0 0 0 MARC VICTOR BOARD TREASURER 1.60 X X 0 0 0 JOSE AVALOS MD BOARD VICE-CHAIR 1.60 X X 0 0 0 LUCY HERRERA CONSUMER BOARD MEMBER 1.20 X 0 0 0 CASTULO DELA ROCHA JD PRESIDENT & CEO 40.00 X 981049 0 197757 JOSE U ESPARZA SVP FINANCE & CFO 40.00 X 479149 0 51661 ZOILA ESCOBAR SVP, CHIEF ADMIN OFFICER 40.00 X 447639 0 32623 ANNA TRAN SR.STRATEGY EXECUTIVE 40.00 X 601406 0 22511 EFRAIN TALAMANTES SVP, HS CHIEF OPERATING OFFICER 40.00 X 422496 0 69684 ESIQUIO CASILLAS VP, MEDICAL DIRECTOR, PACE 40.00 X 393239 0 48320 RICO CRISTIAN INTERIM CMO 40.00 X 392607 0 46828 PARHAM NAGHDECHI HOSPITALIST 40.00 X 542336 0 50186 DARREN MCLACHLAN VP, IPA OPERATION 40.00 X 558907 0 69683 HENRY HOLGUIN SVP, GENERAL COUNSEL 40.00 X 525227 0 37712 ANGELA D PEOPLES SVP, FACILITY DEV. & MGMT 40.00 X 395168 0 55639 SHOKOOHY FARIBA PHYSICIAN, FAMILY PRACTICE 40.00 X 444766 0 54070 6183989 0 736674 640 0 1 0 CHILDRENS HOSPITAL LA MED GRP INC 3701 WILSHIRE BLVD STE 600 LOS ANGELES CA 90010 MEDICAL SERVICES 16185012 PHARMEDQUEST PHARMACY SERVICES INC PO BOX 9236 BREA CA 92822 PHARMACY SERVICES 4857009 HENRY SCHEIN 135 DURYEA ROAD MELVILLE NY 11747 MEDICAL SERVICES 1592797 STANLEY K MATHIS DPM INC 211 AVENIDA BARCELONA SAN CLEMENTE CA 92672 MEDICAL SERVICES 780297 CALIBRATED HEALTHCARE NETWORK LLC PO BOX 845087 LOS ANGELES CA 90084 MEDICAL SERVICES 572707 52 27302 45117573 14686302 989984 59831177 MANAGED CARE CONTRACTS 624100 526855770 526855770 NET PATIENT SERVICES 624100 165081978 165081978 PHARMACY REVENNUE 624100 50243090 50243090 WELLNESS INCENTIVES 624100 724011 724011 742904849 20678753 204887 20473866 34509261 38013908 -3504647 -3504647 -3504647 57064 27302 35772 21292 21292 ADMINISTRATIVE SUPPORT 541900 28241016 28241016 MANAGEMENT SERVICES 541610 21766580 21766580 CONTRACT SERVICES 531110 1293803 1293803 51301399 871232823 742904849 204887 68291910 X 318750 318750 6920663 6179557 686618 54488 256995313 229478484 25497609 2019220 5477403 4890182 543353 43868 37128568 33148087 3683121 297360 17633530 15743074 1749231 141225 43024176 22722619 19624729 676828 455679 455679 497310 497310 249464171 249459145 5026 7383671 7383671 3319315 3317089 2226 10889081 10889081 6572745 6572745 21878592 11707941 10169947 704 5990255 5971644 18611 PHARMACEUTICALS 45938974 45938974 MANAGEMENT SERVICES 25267772 25267772 MEDICAL SUPPLIES 12266277 12257196 9081 EQUIPMENT RENTAL, REPAI 10923376 10878844 44532 32143414 30588314 1293969 261131 800489035 733168848 63745887 3574300 31197548 50891319 35088166 15614526 3641654 4137654 39445895 24576945 32732471 33146360 14440280 13258223 1794297 1594396 8542917 9069495 431240946 127270388 275904946 303970558 399350444 523153071 15333297 20469821 40138680 23064267 897610595 1022946635 118162871 132293289 16880667 16973103 181436441 167032147 12066183 21373911 404348 358162 328950510 338030612 X 563668298 677136459 4991787 7779564 568660085 684916023 897610595 1022946635 X 70743788 49870262 -4358112 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 505000 505000 0 PART II-B, LINE 1: AMOUNTS WERE PAID TO LEGISLATIVE CONSULTANTS FOR LOBBYING ACTIVITIES. 2169979 X X X 0 52939370 52939370 16435715 8750097 7685618 214489913 41507617 172982296 137648982 77012674 60636308 9726966 9726966 303970558 INTEREST RATE SWAP 358162 358162 X 898874966 49870262 35771 49906033 848968933 497310 21766580 22263890 871232823 774759724 35771 35771 774723953 497310 25267772 25765082 800489035 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 35,771. PART XI, LINE 4B - OTHER ADJUSTMENTS: GROSS REVENUE FROM ALTURA MGMT SERVICES LLC 21,766,580. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 35,771. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES FROM ALTURA MANAGEMENT SERVICES LLC 25,267,772. NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 1 PROGRAM SERVICES/ART EXHIBIT AND FUNDRAISING ART EXHIBIT FOR FUNDRAISING/BUSINESS INVESTMENT. 180784 0 1 0 0 0 1 180784 0 180784 0 0 0 0 0 0 PART III ACCOUNTING METHOD: FOOD & WINE TASTING 60572 20070 40502 467 36055 GALA 11867 7232 4635 -3375 -11234 4 11927 11927 7002 376 6481 84366 27302 57064 3627 843 31302 35772 21292 1 50TH CHICANO MORATORIUM 1923 OAK STREET SOUTH PASADENA CA 91030 841753342 501(C)(3) 15000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. ALLIANCE IN MENTORSHIP 2548 KNOXVILLE AVENUE LONG BEACH CA 90815 454825887 501(C)(3) 25000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. AMERICAN NURSES FOUNDATION INC PO BOX 504342 ST LOUIS MO 63150 131893924 501(C)(3) 25000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. CALIFORNIA STATE UNIVERSITY SACRAMENTO 6000 J STREET SACRAMENTO CA 95819 680365325 501(C)(3) 5000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. FAMILIES IN SCHOOLS 1541 WILSHIRE BLVD SUITE 430 LOS ANGELES CA 90017 954818894 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. J PAUL GETTY TRUST 1200 GETTY CENTER DRIVE SUITE 400 LOS ANGELES CA 90049 951790021 501(C)(3) 20000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. JOHN BENSON SCHOLARSHIP FOUNDATION INC 3915 S FORECASTLE AVE WEST COVINA CA 91792 461299728 501(C)(3) 10000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. LA PLAZA DE CULTURA Y ARTES 501 N MAIN ST LOS ANGELES CA 90012 753059288 501(C)(3) 10000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. LATINO FILM INSTITUTE YOUTH CINEMA PROJECT 143 S GLENDALE AVE SUITE 204 GLENDALE CA 91205 475010246 501(C)(3) 5000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. LATINO VICTORY PROJECT PO BOX 34104 WASHINGTON DC 20005 464651149 501(C)(3) 50000 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. NATIONAL MEDICAL FELLOWSHIPS 12 E 46TH STREET SUITE 5E NEW YORK NY 10017 010963657 501(C)(3) 53750 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. TEACH FOR AMERICA INC 25 BROADWAY 12TH FLOOR NEW YORK NY 10004 133541913 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) 10000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. THE CHILDRENS PARTNERSHIP 811 WILSHIRE BLVD SUITE 1000 LOS ANGELES CA 90017 464106389 501(C)(3) 5000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. THE LATINO COALITION INC 100 SPECTRUM CENTER DRIVE SUITE 900 IRVINE CA 92618 522266386 501(C)(3) 30000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. US MEXICO FOUNDATION 1250 H STREET NW SUITE 300 WASHINGTON DC 20005 742984884 501(C)(3) 10000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. VINCENT PRICE ART MUSEUM FOUNDATION 1301 AVENIDA CESAR CHAVEZ MONTEREY PARK CA 91754 330368470 501(C)(3) 5000 BOOK REDUCE HEALTH DISPARITY IN UNDERSERVED COMMUNITIES. 19 0 PART I, LINE 2: THE ORGANIZATION MONITORS THE USE OF THE GRANT FUNDS BY REQUIRING FULL AND COMPLETE REPORTS FROM THE GRANTEE ORGANIZATION ON HOW FUNDS ARE SPENT TO ACCOMPLISH CHARITABLE PURPOSES. X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 CASTULO DELA ROCHA JD PRESIDENT & CEO 857168 0 0 0 123881 0 191082 0 6675 0 1178806 0 0 0 DARREN MCLACHLAN VP, IPA OPERATION 423706 0 0 0 135201 0 38997 0 30686 0 628590 0 0 0 ANNA TRAN SR.STRATEGY EXECUTIVE 588301 0 0 0 13105 0 0 0 22511 0 623917 0 0 0 PARHAM NAGHDECHI HOSPITALIST 406107 0 0 0 136229 0 19500 0 30686 0 592522 0 0 0 HENRY HOLGUIN SVP, GENERAL COUNSEL 496419 0 0 0 28808 0 25997 0 11715 0 562939 0 0 0 JOSE U ESPARZA SVP FINANCE & CFO 445314 0 0 0 33835 0 45497 0 6164 0 530810 0 0 0 SHOKOOHY FARIBA PHYSICIAN, FAMILY PRACTICE 281937 0 0 0 162829 0 41885 0 12185 0 498836 0 0 0 EFRAIN TALAMANTES SVP, HS CHIEF OPERATING OFFICER 395942 0 666 0 25888 0 38998 0 30686 0 492180 0 0 0 ZOILA ESCOBAR SVP, CHIEF ADMIN OFFICER 429454 0 0 0 18185 0 25997 0 6626 0 480262 0 0 0 ANGELA D PEOPLES SVP, FACILITY DEV. & MGMT 286194 0 98738 0 10236 0 43924 0 11715 0 450807 0 0 0 ESIQUIO CASILLAS VP, MEDICAL DIRECTOR, PACE 367524 0 0 0 25715 0 31553 0 16767 0 441559 0 0 0 RICO CRISTIAN INTERIM CMO 388351 0 2377 0 1879 0 16142 0 30686 0 439435 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. PART I, LINES 4A-B 4A: ANGELA D. PEOPLES, SVP, FACILITY DEVELOPMENT & MANAGEMENT RECEIVED A SEVERANCE PAYMENT OF $98,738 PURSUANT TO A SEPTEMBER 9, 2020 SEVERANCE AGREEMENT. 4B; AT THE PRESENT TIME THE PRESIDENT AND CEO IS 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. THE ORGANIZATION MADE A CONTRIBUTION IN THE AMOUNT OF $165,084 ON BEHALF OF CASTULO DELA ROCHA, J.D., PRESIDENT & CEO, DURING THE TAX YEAR. ALTAMED HAS ESTABLISHED A NON-QUALIFIED PLAN PURSUANT TO 457(F) OF THE INTERNAL REVENUE CODE. THE PURPOSE OF THIS PLAN IS TO INCENTIVIZE THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT IN RECOGNITION OF THE FACT THEY ARE REQUIRED TO DEVOTE SIGNIFICANT AMOUNTS OF TIME, SKILL, AND ENERGY TO THE ORGANIZATION. THE AMOUNTS DEFERRED ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. ONCE VESTED THE AMOUNTS UNDER THIS PLAN ARE REPORTED ON FORM W-2 AS TAXABLE COMPENSATION TO THE INDIVIDUAL. NO AMOUNTS WERE PAID OR DEFERRED DURING THE TAX YEAR. 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 C CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY 521643828 2018-10-30 20000000 FINANCE CAPITAL PROJECTS AND PAY COSTS OF INSURANCE. 0 0 0 A 26856758 117507079 1707227 113974568 3500000 325264 2020 1 0 1 1 B 7012500 7012500 2008 0 0 1 1 C 8278043 20299968 127748 20172221 0 0 0 1 A 0 1 1 1 0 0 0 1 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 1 A 0 1 1 0 1 0 0 1 1 B 0 0 0 0 1 1 BANK OF THE WEST 15.000000000000 0 0 0 0 0 C 0 1 0 0 0 0 0 0 1 A 1 B 0 C 1 SCHEDULE K PART 1-A (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-A (F) THE PRIOR LOAN WAS ISSUED ON FEBRUARY 14, 2011. SCHEDULE K PART 1-A (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-A, 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-A, 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-A, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. SCHEDULE K PATY IV-A, LINE 2(B) THE REFUNDING PORTION OF THE BONDS HAS MET THE 6-MONTH SPENDING EXCEPTION TO REBATE. SCHEDULE K PART II-C LINE 3 DIFFERENCE BETWEEN PART 1-C (E) AND PART II-C, LINE 3 IS DUE TO INTEREST EARNINGS ON NOTE PROCEEDS. SCHEDULE K PART III-C 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-C, 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-C, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. CASTULO DE LA ROCHA OFFICER SPLIT DOLLAR LIFE INSURANCE X 14789912 16662989 0 1 1 ZOILA D ESCOBAR OFFICER SPLIT DOLLAR LIFE INSURANCE X 3560000 4010858 0 1 1 JOSE U ESPARZA OFFICER SPLIT DOLLAR LIFE INSURANCE X 3562400 4013562 0 1 1 MARIE S TORRES OFFICER SPLIT DOLLAR LIFE INSURANCE X 4059304 4573397 0 1 1 MARTIN SEROTA OFFICER SPLIT DOLLAR LIFE INSURANCE X 3405795 3885554 0 1 1 33146360 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. X 1 63514 FMV X MARKETING MATERIALS 3 665250 FMV X TABLETS & KINDLES 1 130530 FMV X MEDICAL & MISC. SUPPLIES 1 111721 FMV X FOOD SUPPLIES 1 13969 FMV X TRANSPORTATION 1 5000 FMV 0 1 0 FORM 990, PART VI, SECTION A, LINE 2 THE PRESIDENT AND CEO IS RELATED BY MARRIAGE TO THE SENIOR VICE PRESIDENT & CHIEF ADMINISTRATIVE OFFICER. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED TO CHANGE ARTICLE V, SECTION 1, OFFICERS - TO REMOVE THE IMMEDIATE PAST CHAIR POSITION AS AN OFFICER OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B ALTAMED HEALTH SERVICES CORPORATION'S OUTSIDE CPA FIRM AND FINANCE STAFF PREPARE FORM 990. THE FORM IS THEN REVIEWED AND APPROVED BY BOTH THE ORGANIZATION'S PRESIDENT AND CEO, AND THE 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 ("ALTAMED") MAINTAINS POLICIES THAT REQUIRE ANNUAL ACKNOWLEDGMENT OF ALTAMED'S CONFLICT OF INTEREST POLICIES AND THE SUBSEQUENT DISCLOSURE OF ANY SUCH CONFLICTS, AS NECESSARY, BY ALL BOARD MEMBERS, EMPLOYEES AND AGENTS ("DISCLOSING PARTIES") 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. DISCLOSING PARTIES MUST NOTIFY AND DISCLOSE ANY SUSPECTED OR KNOWN CONFLICTS OF INTEREST TO THE OFFICE OF COMPLIANCE AND RISK MANAGEMENT ("OCRM"). ALTAMED'S POLICIES ARE REVIEWED WITH DISCLOSING PARTIES ANNUALLY THROUGH TRAINING VIDEOS AND IN-PERSON PRESENTATIONS, WITH SIGNED ACKNOWLEDGMENTS OBTAINED WHERE POSSIBLE AND APPROPRIATE. ALTAMED MAINTAINS A DETAILED REVIEW PROCESS FOR ANY POTENTIAL CONFLICTS IDENTIFIED BY ANY DISCLOSING PARTIES. THIS PROCESS INCLUDES FACT GATHERING, REVIEW OF THE CIRCUMSTANCES, A DETERMINATION OF ANY ACTUAL CONFLICTS, AND REMEDIATION STEPS TO ADDRESS SUCH ACTUAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS SERVES AS THE COMPENSATION COMMITTEE AND REVIEWS THE PRESIDENT & CEO'S COMPENSATION. ADDITIONALLY, A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTANT FIRM IS ENGAGED TO REVIEW THE PRESIDENT & CEO'S COMPENSATION. THE FIRM UNDERTAKES SPECIFIC PROTOCOLS AND OBTAINS ORGANIZATIONAL DATA FROM NUMEROUS COMPANIES AND PEER GROUPS AND THEN RENDERS A "REASONABLENESS" OPINION THAT IS PRESENTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE FIRM'S PROCESS INCLUDES A REVIEW OF COMPENSATION DATA OF SIMILARLY CONSTITUTED COMPANIES, MARKET TRENDS, THE ORGANIZATION'S PRESENT COMPENSATION PACKAGE FOR THE PRESIDENT & CEO, INCLUDING CASH AND NON-CASH BENEFITS, AND THE METHODOLOGY AND PHILOSOPHY USED FOR THE ASSESSMENT AND TOTAL COMPENSATION ANALYSIS. ADDITIONALLY, MARKET BENEFIT AND RECRUITMENT AND RETENTION TRENDS ARE CONSIDERED AND EVALUATED. THE FIRM'S REPORT, INCLUDING OPINIONS ARE PROVIDED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, WHICH IS COMPRISED OF FOUR INDEPENDENT DIRECTORS. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IS PROVIDED WITH EXTERNAL PEER GROUP DATA THAT INCLUDES EXECUTIVE COMPENSATION (IN U.S. DOLLARS AND MARKET PERCENTILES) OF COMPARABLY SIZED CALIFORNIA NON-PROFIT AND SOME FOR-PROFIT HEALTHCARE ORGANIZATIONS. THE FIRM'S OPINIONS ARE BASED ON COMPARABILITY DATA FROM NATIONAL AND REGIONAL DATA BASES, FROM WHICH COMPARISONS OF THE ORGANIZATION'S PRESIDENT & CEO COMPENSATION WITH EXTERNAL PEER GROUP COMPENSATION LEVELS CAN BE MADE, WHICH IS PROVIDED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IN ITS REPORT. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IS ALSO PRESENTED WITH DATA THAT COMPARES THE ORGANIZATION'S COMPENSATION PACKAGE FOR THE PRESIDENT & CEO TO THE LEVEL GENERALLY TARGETED IN THE ORGANIZATION'S COMPENSATION PHILOSOPHY. BASED UPON THE TOTALITY OF THE DATA GARNERED BY THE COMPENSATION CONSULTING FIRM, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IS PROVIDED WITH THE FIRM'S OPINION AS TO THE "REASONABLENESS" OF THE PRESIDENT & CEO'S COMPENSATION. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS 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 OF THE BOARD OF DIRECTORS ALSO INTERVIEWS THE PRESIDENT & CEO AND CONSIDERS THE PRESIDENT & CEO'S SELF-EVALUATION AND OTHER INFORMATION RELEVANT TO ASSESSING THE PRESIDENT & CEO'S COMPENSATION. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS THEN PROVIDES ITS RECOMMENDATIONS TO THE BOARD OF DIRECTORS FOR THE PRESIDENT & CEO'S COMPENSATION. THE BOARD OF DIRECTORS IS PROVIDED WITH AVAILABLE INFORMATION AND THE OPINIONS OF THE EXPERTS AND DELIBERATES AND DISCUSSESS SUCH INFORMATION AND OPINIONS AS IT DEEMS NECESSARY TO PROPERLY ASSESS THE COMPENSATION LEVELS OF THE ORGANIZATION'S PRESIDENT & CEO. ALL PERSONS WITH A CONFLICT OF INTEREST ABSTAIN FROM DELIBERATION AND DISCUSSION. THE EXECUTIVE GROUP LEADERSHIP TEAM OF ALTAMED PERIODICALLY RECEIVES A REPORT FROM A NATIONALLY RECOGNIZED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT COMPILES COMPENSATION BENCHMARKS AND COMPARES THE COMPENSATION ARRANGEMENTS OF SIMILAR EXECUTIVES ACROSS THE COUNTRY IN SIMILAR INDUSTRIES FOR OTHER EXECUTIVES. THE EXECUTIVE GROUP LEADERSHIP TEAM ANNUALLY REVIEWS THE FIXED AND VARIABLE COMPENSATION OF "OTHER OFFICERS OR KEY EMPLOYEES" OF ALTAMED. THIS REVIEW AND ASSESSMENT INCLUDES THE FOLLOWING: AN EMPLOYEE'S CURRENT FIXED AND VARIABLE COMPENSATION PACKAGE; MARKET COMPENSATION DATA, NATIONAL AND/OR LOCAL, OF SIMILARLY CONSTITUTED COMPANIES AND EXECUTIVES AS PROVIDED BY MERCER; MARKET TRENDS, NATIONAL AND/OR LOCAL; AN EVALUATION OF THE EMPLOYEE'S PERFORMANCE LEVELS FOR THE RELEVANT PERFORMANCE CYCLE INCLUDING AN EMPLOYEE SELF-REVIEW; AN EVALUATION OF ALTAMED'S PERFORMANCE LEVELS FOR THE RELEVANT PERFORMANCE CYCLE; COMPENSATION DATA OF INTERNAL PEERS; THE METHODOLOGY AND/OR COMPENSATION PHILOSOPHY USED FOR THE RELEVANT PERFORMANCE CYCLE; INPUT FROM HUMAN RESOURCES; AND, OTHER RELEVANT AND LAWFUL INFORMATION, AS APPROPRIATE. AFTER REVIEW AND ASSESSMENT, THE EXECUTIVE GROUP LEADERSHIP TEAM WILL DETERMINE WHETHER THE COMPENSATION PROVIDED TO THE EMPLOYEE APPROPRIATELY REPRESENTS: (1) COMPENSATION LEVELS WITH SIMILAR ORGANIZATIONS, POSITIONS AND CIRCUMSTANCES, AND (2) FAIR MARKET VALUE FOR THE SERVICES RENDERED BY THE EMPLOYEE ON A REALISTIC BASIS. THE EXECUTIVE GROUP LEADERSHIP TEAM THEN DETERMINES COMPENSATION ADJUSTMENTS, AS APPROPRIATE. FORM 990, PART VI, SECTION C, LINE 19 SOME OR ALL OF THESE ITEMS MAY BE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 13,207,637. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 5,026. TOTAL EXPENSES 13,212,663. SPECIALTY SERVICES: PROGRAM SERVICE EXPENSES 165,373,616. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 165,373,616. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 70,321,110. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,321,110. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 414,680. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 414,680. THERAPEUTIC SERVICES: PROGRAM SERVICE EXPENSES 142,102. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 142,102. FORM 990, PART XI, LINE 9: ALTURA BEGINNING NET ASSETS -4,358,112. ALTURA MANAGEMENT SERVICES LLC 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 810785877 MANAGED CARE CA -3501192 10444218 ALTAMED HEALTH SERVICES CORPORATION ALTAMED LLC 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 853915845 MANAGED CARE CA 0 0 ALTAMED HEALTH SERVICES CORPORATION ALTAMED FOUNDATION 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 954090420 FUNDRAISING CA 501(C)(3) LINE 10 ALTAMED HEALTH SERVICES CORPORATION 1 ALTAMED HEALTH NETWORK INC 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 460635843 MANAGED CARE CA ALTAMED HEALTH SERVICES CORP C 1747382 35579864 1.00000 1 ALTAMED HOLDINGS INC 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 842867692 HOLDING COMPANY-REAL ESTATE CA ALTAMED HEALTH SERVICES CORP C -450 1.00000 1 OMNICARE MEDICAL GROUP INC 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 954449869 MANAGED CARE CA ALTAMED HEALTH SERVICES CORP C -800948 19147658 1.00000 1 ALTAMED INDEPENDENT PHYSICIAN NETWORK INC 2040 CAMFIELD AVENUE LOS ANGELES CA 90040 810777048 MANAGED CARE CA ALTAMED HEALTH SERVICES CORP C -23039 50663 1.00000 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ALTAMED HEALTH NETWORK INC D 6000000 ACTUAL AMOUNT PAID OMNICARE MEDICAL GROUP INC A 204887 ACTUAL AMOUNT PAID