2022-11-10T13:18:27-05:00 2021-12-31 990 2021-01-01 020714551 HEALTH AND LIFE ORGANIZATION INC % JERRY BLIATOUT HEAL 9166421867 3030 EXPLORER DRIVE SACRAMENTO CA 95827 Jerry Bliatout CEO 2022-11-10 false 2021 2022-09-23 18:48:47Z SACRAMENTO COMMUNITY CLINIC JERRY BLIATOUT 3030 EXPLORER DRIVE SACRAMENTO CA 95827 33550805 false X HALOCARES.ORG X 2003 CA To provide quality comprehensive primary healthcare to low income and ethnically diverse and under-served populations residing within the City of Sacramento. 11 11 346 0 0 0 3570663 2588086 20403722 30902326 3197 670 2912227 59723 26889809 33550805 0 0 0 0 11903974 13134349 0 0 0 7839957 8572130 19743931 21706479 7145878 11844326 40769477 56008336 11655573 15050106 29113904 40958230 To provide quality comprehensive primary healthcare to low income and ethnically diverse and underserved populations residing within the City of Sacramento. false false 21747278 2588086 33550805 Provide medical dental and mental health services to the underserved population specifically to the Southeast Asian Community in the Sacramento region. 0 0 0 0 0 0 0 0 0 21747278 true false false false false false false false false false true false false false false false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false 58 0 true 346 true false false false false false false false 0 false false false false false false false 0 0 false false false 11 11 false false false false false false false true true false false true true true true true true true true false CA X X Bobby Bliatout 9166421865 3030 EXPLORER DRIVE SACRAMENTO CA 95827 Jerry Bliatout Chief Executive Officer 40.00 0.00 X 317867 0 0 Michael Moua Physician 40.00 0.00 X 267918 0 0 Ian Johnson Medical Director 40.00 0.00 X 252278 0 0 Bobby Bliatout Chief Financial Officer 40.00 0.00 X 217845 0 0 Kimberly Filmore Physician 40.00 0.00 X 208621 0 0 Pushpendra Sharma Physician 40.00 0.00 X 198491 0 0 Sunanda Bandyopadhyay Dental Director 40.00 0.00 X 195935 0 0 Arminda Mauricio Physician 32.00 0.00 X 182122 0 0 Tou Vue Physician 40.00 0.00 X 162553 0 0 ALbert Moua COO 40.00 0.00 X 147996 0 0 Mai See Lee Board of Director 0.00 0.00 X 0 0 0 Paly Kha Board of Director 0.00 0.00 X 0 0 0 Stephan Lakos Board of Director 0.00 0.00 X 0 0 0 Sabrina Barnes Board of Director 0.00 0.00 X 0 0 0 Anita Charles Board of Director 0.00 0.00 X 0 0 0 Chao Thor Board of Director 0.00 0.00 X 0 0 0 Bruce Her Board of Director 0.00 0.00 X 0 0 0 Chua Her Board of Director 0.00 0.00 X 0 0 0 Maggie Lu Board of Director 0.00 0.00 X 0 0 0 Kevin Narine Board of Director 0.00 0.00 X 0 0 0 Alejandra Juarez Board of Director 0.00 0.00 X 0 0 0 2151626 0 0 25 false true false Bhumika Jain DDS Dental Corp 700 Chantecler Dr Fremont CA 94539 Dental 231460 Beum Hyun Chong 2400 Sierra Blvd Apt 5 Sacramento CA 95825 Dental 178540 Chainaronk Limanon 804 Still Breeze Way Sacramento CA 95831 Medical 341512 Robert P Hamilton 2925 Corte Miguel Concord CA 94518 Medical 263340 Jun Daniel 875 Graphite Lane W Sacramento CA 95691 Dental 262140 11 0 0 0 0 1341594 1246492 0 2588086 Offices of physicians 621110 27596844 0 0 0 Pharmacies and Drug Stores 900999 3305482 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30902326 670 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Miscellaneous 900999 59723 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 59723 33550805 0 0 0 0 0 0 0 0 0 0 0 1131891 448213 683678 0 0 0 0 0 8834839 7525171 1309668 0 412899 330319 82580 0 1901156 1520924 380231 0 853564 682851 170713 0 415954 332763 83191 0 0 0 0 0 43028 0 43028 0 0 0 0 0 0 0 0 0 0 0 2963164 2963164 0 0 8024 6419 1605 0 420775 336620 84155 0 587501 470001 117500 0 0 0 0 0 229853 229853 0 0 0 0 0 0 0 0 0 0 27442 21954 5488 0 19224 0 19224 0 0 0 0 0 573518 458814 114704 0 285894 228715 57179 0 Clinical Supplies 1485062 1188050 297012 0 Telephone and Internet 358470 286776 71694 0 Utilities 209172 167338 41824 0 Repairs and Maintenance 181589 145271 36318 0 763460 598510 149628 0 21706479 17941726 3749420 0 0 0 0 0 25075387 34835335 0 0 0 0 1354575 1214405 0 0 0 0 0 0 122491 187635 134288 249260 17243499 4243725 12841056 12999774 0 0 0 0 0 0 0 0 1241680 6521927 40769477 56008336 9015196 8440200 0 0 1395928 5576002 1244449 0 0 0 0 0 0 0 0 1033904 0 0 11655573 15050106 X 29113904 40958230 0 0 29113904 40958230 40769477 56008336 11844326 0 0 0 0 0 X false true X true true true X 46125 1295256 680754 3570663 2588086 8180884 15315193 19407558 23415002 26889809 30962719 115990281 15361318 20702814 24095756 30460472 33550805 124171165 124171165 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15361318 20702814 24095756 30460472 33550805 124171165 1 0 X Part III - Line 12 | Year:, Amount:, Description:| 2017, , | 2018, | 2019, | 2020, | 2021, | 3402426 3402426 8922224 8922224 570299 0 570299 4348550 0 4348550 4243725 -4243725 12999774 33550805 0 33550805 0 33550805 21706479 0 21706479 0 21706479 X X false false false false false false false false false Jerry Bliatout Chief Executive Officer 308957 0 8910 0 0 0 0 0 0 0 317867 0 0 0 Michael Moua Physician 260417 0 7501 0 0 0 0 0 0 0 267918 0 0 0 Ian Johnson Medical Director 245222 0 7056 0 0 0 0 0 0 0 252278 0 0 0 Bobby Bliatout Chief Financial Officer 211153 0 6692 0 0 0 0 0 0 0 217845 0 0 0 Kimberly Filmore Physician 202794 0 5827 0 0 0 0 0 0 0 208621 0 0 0 Pushpendra Sharma Physician 192938 0 5553 0 0 0 0 0 0 0 198491 0 0 0 Sunanda Bandyopadhyay Dental Director 190452 0 5483 0 0 0 0 0 0 0 195935 0 0 0 Arminda Mauricio Physician 177036 0 5086 0 0 0 0 0 0 0 182122 0 0 0 Tou Vue Physician 158002 0 4551 0 0 0 0 0 0 0 162553 0 0 0 143830 0 4166 0 0 0 0 0 0 0 147996 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Jerry Bliatout Chief Executive Officer 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Jerry Bliatout Chief Executive Officer 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Part I Line 1a | Name :, Title:, Item Selected:, Description:| Jerry Bliatout, Compensation| Part VI, Line 12c All the officers and board of directors are to submit the conflict of interest form. Part VI, Line 15 The organization uses a compensation salary survey from its local and regional primary care association.