2024-05-15T08:20:47-05:00 2023-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-07-01 942210447 AMPLA HEALTH AMPL 5306744261 935 MARKET STREET YUBA CITY CA 95991 KATHY WALKER CFO 5306744261 2024-05-14 1 KATHY WALKER 999009999 1 MICHAEL J PETERSON CPA P01833529 2187224705 2024-05-14 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z BENJAMIN H FLORES MPH 935 MARKET STREET YUBA CITY CA 95991 107161464 0 X HTTPS://WWW.AMPLAHEALTH.ORG/ X 1973 CA AMPLA HEALTH PROVIDES HIGH QUALITY MEDICAL, DENTAL, SOCIAL AND EDUCATIONAL HEALTH SERVICES THAT MEET THE UNIQUE NEEDS OF ALL PATIENTS ESPECIALLY THOSE WHO ARE MEDICALLY UNDER SERVED INCLUDING FARM WORKERS AND OTHERS WITHOUT FINANCIAL RESOURCES. 14 14 839 14 91542 68658 20400235 18371573 68513297 82931225 31339 27454 4376319 5758427 93321190 107088679 0 0 0 0 61853191 71762611 0 0 0 24219602 31561796 86072793 103324407 7248397 3764272 58961636 75967682 26508190 49063796 32453446 26903886 AMPLA HEALTH PROVIDES HIGH QUALITY MEDICAL, DENTAL, SOCIAL AND EDUCATIONAL HEALTH SERVICES THAT MEET THE UNIQUE NEEDS OF ALL PATIENTS ESPECIALLY THOSE WHO ARE MEDICALLY UNDER SERVED INCLUDING FARM WORKERS AND OTHERS WITHOUT FINANCIAL RESOURCES. 0 0 63328052 0 59522479 AMPLA HEALTH PROVIDES MEDICAL SERVICES AND BASIC DENTAL SERVICES TO LOW-INCOME AND MIGRANT PATIENTS. IT ALSO PROVIDES HEALTH SERVICES TO LOW-INCOME AND MIGRANT INDIVIDUALS, AS WELL AS, SUPPLEMENTAL FOOD TO ELIGIBLE LOW-INCOME INDIVIDUALS. FISCAL YEAR ENDED JUNE 30, 2023 HAD 386,024 PATIENT ENCOUNTERS.AMPLA HEALTH PROVIDES PHARMACY SERVICES THAT SPECIALIZE IN PROVIDING AFFORDABLE PRESCRIPTIONS TO OUR PATIENTS. 11036337 0 28408747 AMPLA HEALTH OFFERS PHARMACY SERVICES THAT SPECIALIZE IN PROVIDING AFFORDABLE PRESCRIPTIONS TO OUR PATIENTS. 74364389 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 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 1 1 1 0 0 1 90 0 839 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X VERONICA RICHTER 5306744261 935 MARKET STREET YUBA CITY CA 95991 MUSTAFA AMMAR MEDICAL DIRECTOR 40.00 X 674762 0 16344 BENJAMIN FLORES CEO 40.00 X 484960 0 22944 THIYAGU GANESAN MEDICAL DOCTOR 40.00 X 486291 0 10240 KANESHKA ALAMSHANI MEDICAL DOCTOR 40.00 X 428538 0 16344 AMITABH SINGH MEDICAL DOCTOR 40.00 X 405525 0 15162 NANAK BOPARAI MEDICAL DOCTOR 40.00 X 400076 0 16344 OLUSOLA ASAFA MEDICAL DOCTOR 40.00 X 402304 0 10626 CARLOS PERALTA CORRALES COO 40.00 X 242958 0 14697 KATHY WALKER CFO 40.00 X 241955 0 15029 THERESA ANAYA HUMAN RESOURCE DIRECTOR 40.00 X 219549 0 11791 CINDY SNELGROVE NURSING DIRECTOR 40.00 X 211726 0 12379 JOHN FLEMING PLANNING & DEVELOPMENT DIR 40.00 X 158524 0 12615 HORACIO PARAS BOARD CHAIR 0.69 X X 0 0 0 KIM OWENS VICE CHAIR 0.69 X X 0 0 0 DEBBIE PORCAYO SECRETARY 0.69 X X 0 0 0 WENCESLAO VASQUEZ TREASURER 0.69 X X 0 0 0 MARK LUNDBERG PARLIAMENTARIAN 0.69 X X 0 0 0 VAISHALI AUSTIN BOARD MEMBER 0.69 X 0 0 0 DIVINDER K BAINS BOARD MEMBER 0.69 X 0 0 0 J ANGEL CALDERON BOARD MEMBER 0.69 X 0 0 0 ERNEST L GARCIA DDS BOARD MEMBER 0.69 X 0 0 0 ROBERTO GONZALEZ BOARD MEMBER 0.69 X 0 0 0 CARLOS O PALACIOS BOARD MEMBER 0.69 X 0 0 0 JOYCE POPE BOARD MEMBER 0.69 X 0 0 0 LORENZO VALDOVINOS BOARD MEMBER 0.69 X 0 0 0 TENG VANG BOARD MEMBER 0.69 X 0 0 0 4357168 0 174515 126 0 1 0 PHARMACY SOLUTIONS SIMPLIFIED 27 GLEN RIDDLE ROAD MEDIA PA 19063 CONTRACTUAL PHARMACY MANAGEMENT 2220091 ECLINICAL PO BOX 847950 BOSTON MA 02284 CONTRACTUAL DATA SERVICES 1115813 MALWA DOCTOR'S INC 1420 E ROSEVILLE PKWY 140-217 ROSEVILLE CA 95661 CONTRACTUAL PHYSICIAN 713625 ELITE UNIVERSAL SECURITY 5548 FEATHER RIVER BLVD OLIVEHURST CA 95961 CONTRACTUAL STAFFING/TEM SRV 507386 LANGUAGE LINE SERVICES PO BOX 202564 DALLAS TX 75320 CONTRACTUAL HEALTH SERVICE CONSUL 494857 13 18364541 7032 18371573 PATIENT SERVICE REVENUE 621110 49626437 49626437 PHARMACY REVENUE 621110 28408747 28408747 CAPITATION REVENUE 900099 4896041 4896041 82931225 27454 27454 164327 72785 91542 91542 91542 INCENTIVE REVENUE 900099 5000001 5000001 666884 666884 5666885 107088679 87931226 91542 694338 X 2965273 2965273 56651091 44353555 12297536 1655214 1280837 374377 6527818 4896876 1630942 3963215 2953806 1009409 186223 186223 90818 90818 19679844 13749010 5930834 565002 41615 523387 305512 270561 34951 1773010 1210288 562722 459949 159845 300104 370845 46526 324319 792186 119802 672384 1928675 1175093 753582 451081 13450 437631 MEDICAL SUPPLIES 4134769 3580625 554144 REPAIRS AND MAINTENANCE 515627 394110 121517 LICENSES AND DUES 306043 116178 189865 2212 2212 103324407 74364389 28960018 0 9862192 2946702 3982139 229212 1892259 1139231 10709438 18129630 0 30158150 366115 366115 1131784 966286 48475265 26887862 30811924 21587403 205785 444953 58961636 75967682 9908270 12825663 14236 0 14590106 36030977 1995578 207156 26508190 49063796 X 32453446 26903886 32453446 26903886 58961636 75967682 X 3764272 7282 -9321114 X 0 1 X 1 1 1 X 9835212 11223871 17549015 20400235 18371573 77379906 9835212 11223871 17549015 20400235 18371573 77379906 77379906 43515 127293 72475 31339 27454 302076 37543 91542 129085 77811067 341189005 0.99450 0.99410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7125 7125 0 PART II-B, LINE 1: DURING FISCAL YEAR 2023 A PORTION OF THE DUES PAID TO CALIFORNIA PRIMARY CARE ASSOCIATION WERE ALLOCATED TO LOBBYING EXPENDITURES. 2409175 2409175 27986709 14717111 13269598 13130600 11501591 1629009 4948781 669160 4279621 21587403 OPERATING LEASE LIABILITY 207156 207156 107168746 7282 72785 80067 107088679 0 107088679 103402619 78212 78212 103324407 0 103324407 PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 72,785. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 72,785. RELATED PARTY EXPENSES 5,427. X X X 0 0 0 0 0 0 0 0 0 MUSTAFA AMMAR MEDICAL DIRECTOR 674762 0 0 0 0 0 9900 0 6444 0 691106 0 0 0 BENJAMIN FLORES CEO 484960 0 0 0 0 0 16500 0 6444 0 507904 0 0 0 THIYAGU GANESAN MEDICAL DOCTOR 486291 0 0 0 0 0 9749 0 491 0 496531 0 0 0 KANESHKA ALAMSHANI MEDICAL DOCTOR 428538 0 0 0 0 0 9900 0 6444 0 444882 0 0 0 AMITABH SINGH MEDICAL DOCTOR 405525 0 0 0 0 0 8718 0 6444 0 420687 0 0 0 NANAK BOPARAI MEDICAL DOCTOR 400076 0 0 0 0 0 9900 0 6444 0 416420 0 0 0 OLUSOLA ASAFA MEDICAL DOCTOR 402304 0 0 0 0 0 5784 0 4842 0 412930 0 0 0 CARLOS PERALTA CORRALES COO 242958 0 0 0 0 0 8253 0 6444 0 257655 0 0 0 KATHY WALKER CFO 241955 0 0 0 0 0 8585 0 6444 0 256984 0 0 0 THERESA ANAYA HUMAN RESOURCE DIRECTOR 219549 0 0 0 0 0 6949 0 4842 0 231340 0 0 0 CINDY SNELGROVE NURSING DIRECTOR 211726 0 0 0 0 0 6966 0 5413 0 224105 0 0 0 JOHN FLEMING PLANNING & DEVELOPMENT DIR 158524 0 0 0 0 0 6171 0 6444 0 171139 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES THE FORM 990 WITH THE INFORMATION PROVIDED BY THE ORGANIZATION ACCOUNTING DEPARTMENT. THEN THE COMPLETED 990 IS SENT TO THE CFO OF THE ORGANIZATION TO BE REVIEWED. THE CFO REVIEWS AND DISTRIBUTES THE 990 AMONG THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO BE MAILED UPON WRITTEN REQUEST. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION IS DETERMINED FOR THE CEO BY HIRING A CONSULTANT WHO GATHERS INFORMATION OF OTHER CEO'S PAY. THE CONSULTANT THEN PRESENTS THE SALARY RANGES TO THE BOARD OF DIRECTORS WHO THEN WILL DECIDE ON THE COMPENSATION FOR THE CEO. ANNUAL REVIEWS AND ANNUAL SALARY SURVEYS ARE DONE TO MAKE SURE THE CEO IS COMPENSATED FAIRLY. THE ANNUAL REVIEW AND ANNUAL SALARY SURVEY IS DONE YEARLY AROUND MARCH OR APRIL. THE COMPENSATION IS DETERMINED FOR THE KEY EMPLOYEES IS DETERMINED BY HIRING A CONSULTANT WHO GATHERS INFORMATION OF OTHER KEY EMPLOYEES PAY. THE CONSULTANT THEN PRESENTS THE SALARY RANGES TO THE CEO WHO THEN WILL DECIDE ON THE COMPENSATION FOR THE KEY EMPLOYEE. ANNUAL REVIEWS AND ANNUAL SALARY SURVEYS ARE DONE TO MAKE SURE THE KEY EMPLOYEES ARE COMPENSATED FAIRLY. THE ANNUAL REVIEW AND ANNUAL SALARY SURVEY IS DONE YEARLY AROUND MARCH OR APRIL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO BE MAILED UPON REQUEST. HOWEVER, FINANCIAL STATEMENTS ARE NOT MADE PUBLIC. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 13,749,010. MANAGEMENT AND GENERAL EXPENSES 5,930,834. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,679,844. FORM 990, PART XI, LINE 9: NET ASSET TRANSFER TO SUPPORTING ORGANIZATIONS -9,321,114. AMPLA HEALTH YUBA CITY QALICB 935 MARKET STREET YUBA CITY CA 95991 922650763 SUPPORTING ORGANIZATION CA 501(C)(3) LINE 12B, II AMPLA HEALTH 1 AMPLA HEALTH MARYSVILLE QALICB 935 MARKET STREET YUBA CITY CA 95991 921716997 SUPPORTING ORGANIZATION CA 501(C)(3) LINE 12B, II AMPLA HEALTH 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 AMPLA HEALTH YUBA CITY QALICB R 8480972 AMPLA HEALTH MARYSVILLE QALICB R 840142