2025-04-15T13:13:28-05:00 2024-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2023-07-01 952977147 CLINICAS DEL CAMINO REAL INC CLIN 8056591740 PO BOX 4566 VENTURA CA 93007 FARHAD FRED BENHARASH CFO 8056591740 2025-04-11 1 0 MICHAEL J PETERSON CPA P01833529 2187224705 2025-04-11 2023 2025-03-06 01:10:19Z FARHAD FRED BENHARASH PO BOX 4566 VENTURA CA 93007 145522216 0 X WWW.CLINICAS.ORG X 1971 CA IT IS THE EXPLICIT MISSION OF CLINICAS DEL CAMINO REAL TO SAVE LIVES AND RESTORE GOOD HEALTH BY PROVIDING QUALITY COMPREHENSIVE AND PREVENTATIVE PERSONAL AND HUMANE HEALTH CARE SERVICES TO THE MEDICALLY UNDERSERVED POPULATION OF VENTURA COUNTY. THIS MISSION IS ACCOMPLISHED BY ELIMINATING THE BARRIERS OF LIMITED INCOME, RESOURCES, CULTURAL, AND LANGUAGE THROUGH THE USE OF OUTREACH PROGRAMS, BILINGUAL AND BICULTURAL STAFF MEMBERS, AND A SLIDING FEE PROGRAM BASED ON A PATIENT'S ABILITY TO PAY. 8 8 1029 9 0 0 18133336 16758380 101895947 122057665 2213539 972787 173761 5733384 122416583 145522216 0 0 0 0 68946632 76459187 0 0 0 57023037 62242489 125969669 138701676 -3553086 6820540 159336662 167060104 103229161 100993552 56107501 66066552 X IT IS THE EXPLICIT MISSION OF CLINICAS DEL CAMINO REAL TO SAVE LIVES AND RESTORE GOOD HEALTH BY PROVIDING QUALITY COMPREHENSIVE AND PREVENTATIVE PERSONAL AND HUMANE HEALTH CARE SERVICES TO THE MEDICALLY UNDERSERVED POPULATION OF VENTURA COUNTY. THIS MISSION IS ACCOMPLISHED BY ELIMINATING THE BARRIERS OF LIMITED INCOME, RESOURCES, CULTURAL, AND LANGUAGE THROUGH THE USE OF OUTREACH PROGRAMS, BILINGUAL AND BICULTURAL STAFF MEMBERS, AND A SLIDING FEE PROGRAM BASED ON A PATIENT'S ABILITY TO PAY. 0 0 108417678 0 110096133 IT IS THE EXPLICIT MISSION OF CLINICAS DEL CAMINO REAL TO SAVE LIVES AND RESTORE GOOD HEALTH BY PROVIDING QUALITY COMPREHENSIVE AND PREVENTATIVE PERSONAL AND HUMANE HEALTH CARE SERVICES TO THE MEDICALLY UNDERSERVED POPULATION OF VENTURA COUNTY. THIS MISSION IS ACCOMPLISHED BY ELIMINATING THE BARRIERS OF LIMITED INCOME, RESOURCES, CULTURAL, AND LANGUAGE THROUGH THE USE OF OUTREACH PROGRAMS, BILINGUAL AND BICULTURAL STAFF MEMBERS, AND A SLIDING FEE PROGRAM BASED ON A PATIENT'S ABILITY TO PAY. TOTAL PATIENT ENCOUNTERS FOR THE YEAR WERE 336,314. 108417678 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 504 0 1029 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X FARHAD (FRED) BENHARASH 8056591740 1040 FLYNN RD CAMARILLO CA 93012 CHARLES HOOKSTRA PRESIDENT 1.00 X X 0 0 0 KRISTIN CADY VICE PRESIDENT 1.00 X X 0 0 0 DR ADOLFO MURILLO VICE PRESIDENT 1.00 X X 0 0 0 BARBARA A JOURNET TREASURER 1.00 X X 0 0 0 JAVIER M OCHOA PARLIAMENTARIAN 1.00 X X 0 0 0 ANGEL ARREOLA BOARD MEMBER 1.00 X 0 0 0 CANDELARIA FRANCO BOARD MEMBER 1.00 X 0 0 0 DANIEL GONZALEZ BOARD MEMBER 1.00 X 0 0 0 GAGAN PAWAR CEO 40.00 X 529710 0 11250 ROBERT C STREETER IV CMO 40.00 X 376322 0 14384 FARHAD FRED BENHARASH CFO 40.00 X 364112 0 16320 KATHRYN ADAMS CHR 40.00 X 254425 0 16320 ANWAR ALI ABBAS CIO 40.00 X 268568 0 10030 RAFAEL DIAZ DDIT 40.00 X 238373 0 9556 JASPREET BAL DD 40.00 X 184974 0 5629 TANISORN BOONYASETHA DABI 40.00 X 158347 0 10629 ALBA A CHACON HED 40.00 X 165910 0 258 ANNA BELL MONROY COO 40.00 X 123292 0 19290 YASMIN SARAFZADEH PHYSICIAN 40.00 X 327376 0 22547 MENASHE EHRENBURG PHYSICIAN 40.00 X 407701 0 19292 TA THUC NGU DINH PHYSICIAN 40.00 X 448321 0 18975 TODD WAYNE MONROE PHYSICIAN 40.00 X 379013 0 16320 CHRISTINE JOHNSTON PHYSICIAN 40.00 X 343965 0 5749 4570409 0 196549 130 0 1 0 VENTURA COUNTY MEDICAL CENTER 800 S VICTORIA AVE VENTURA CA 93009 MEDICAL SERVICES 2242733 QUEST DIAGNOSTICS PO BOX 912411 PASADENA CA 91110 LAB SERVICES 1422033 PALMS IMAGING MEDICAL GROUP PO BOX 190 SIMI VALLEY CA 93062 RADIOLOGY SERVICES 1205017 BEVERLY RADIOLOGY MEDICAL GROUP PO BOX 101418 PASADENA CA 91189 RADIOLOGY SERVICES 1125618 CEP AMERICA CALIFORNIA PO BOX 582663 MODESTO CA 95358 MEDICAL SERVICES 1100199 70 16751004 7376 16758380 PATIENT SERVICE REVENUE 621400 120262815 120262815 340(B) PHARMACY REVENUE 456110 1794850 1794850 122057665 954787 954787 18000 0 18000 18000 18000 INCENTIVE PAYMENT 561000 5532500 5532500 GAIN ON DEFEASEMENT OF DEBT 561000 195423 195423 5461 5461 5733384 145522216 122057665 0 6706171 X 3028802 1500222 1528580 59697120 45622489 14074631 1338319 1028322 309997 7602927 5880698 1722229 4792019 3682036 1109983 744511 744511 593310 593310 201899 201899 35389301 34080226 1309075 1447774 1435089 12685 2469332 1395882 1073450 1318516 1305374 13142 1488812 1136160 352652 218954 161483 57471 151486 127839 23647 1901269 1167953 733316 4314416 652211 3662205 834893 619396 215497 SUPPLIES 7131152 7020072 111080 TAXES & LICENSES 1291885 683570 608315 REPAIRS & MAINTENANCE 1054831 600487 454344 EQUIPMENT RENTALS 607988 318169 289819 1082160 1082160 138701676 108417678 30283998 0 18267 19622 23948018 12249038 500460 885893 12904634 23977749 784671 906135 122120438 47118400 78737528 75002038 27147895 30462321 1848060 1848060 13447129 21709248 159336662 167060104 18406119 19647458 395500 297000 67816394 63153863 512099 1962384 16099049 15932847 103229161 100993552 X 56107501 66066552 56107501 66066552 159336662 167060104 6820540 3138511 0 X 0 1 X 1 1 1 X 21701214 29985344 24065683 18133336 16758380 110643957 93038696 111412476 87842055 102069708 127791049 522153984 114739910 141397820 111907738 120203044 144549429 632797941 0 0 0 632797941 1450677 678314 568550 744348 954787 4396676 1450677 678314 568550 744348 954787 4396676 116190587 142076134 112476288 120947392 145504216 637194617 0.99310 0.99240 0.00690 0.00760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8429982 8429982 76486519 27483487 49003032 20637795 7535077 13102718 13455918 11754524 1701394 3110224 345312 2764912 75002038 ESTIMATED THIRD-PARTY PAYOR RECEIVABLES 5917155 SECURITY DEPOSITS 31785 RELATED PARTY NOTES RECEIVABLE 13602967 RIGHT OF USE ASSETS 2157341 21709248 ESTIMATED THIRD-PARTY PAYOR LIABILITIES 13775506 OBLIGATIONS UNDER CAPITAL LEASES 2157341 15932847 X X 1 0 0 0 0 0 0 0 0 GAGAN PAWAR CEO 529710 0 0 0 0 0 0 0 11250 0 540960 0 0 0 TA THUC NGU DINH PHYSICIAN 419492 0 0 0 28829 0 0 0 18975 0 467296 0 0 0 MENASHE EHRENBURG PHYSICIAN 392562 0 0 0 15139 0 0 0 19292 0 426993 0 0 0 TODD WAYNE MONROE PHYSICIAN 351779 0 0 0 27234 0 0 0 16320 0 395333 0 0 0 ROBERT C STREETER IV CMO 350372 0 1079 0 24871 0 0 0 14384 0 390706 0 0 0 FARHAD FRED BENHARASH CFO 341054 0 0 0 23058 0 0 0 16320 0 380432 0 0 0 YASMIN SARAFZADEH PHYSICIAN 327316 0 0 0 60 0 0 0 22547 0 349923 0 0 0 CHRISTINE JOHNSTON PHYSICIAN 265303 0 0 0 78662 0 0 0 5749 0 349714 0 0 0 ANWAR ALI ABBAS CIO 243376 0 0 0 25192 0 0 0 10030 0 278598 0 0 0 KATHRYN ADAMS CHR 254425 0 0 0 0 0 0 0 16320 0 270745 0 0 0 RAFAEL DIAZ DDIT 219611 0 0 0 18762 0 0 0 9556 0 247929 0 0 0 JASPREET BAL DD 170436 0 0 0 14538 0 0 0 5629 0 190603 0 0 0 TANISORN BOONYASETHA DABI 138708 0 0 0 19639 0 0 0 10629 0 168976 0 0 0 ALBA A CHACON HED 142652 0 0 0 23258 0 0 0 258 0 166168 0 0 0 PART I, LINE 4A SEVERANCE PAYMENT MADE TO RAFAEL DIAZ IN FY 2024 FOR 99,005. A CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048VNU8 2020-03-19 71427330 REFINANCE DEBT & CONSTRUCTION 1 0 0 A 2160000 2196203 71427330 1250253 2233118 450294 26664708 40828957 2024 0 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT CPA AND THEN REVIEWED BY THE CFO. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION INVESTIGATES POTENTIAL CONFLICTS OF INTEREST WHEN THEY ARISE BY COMPLIANCE STAFF. ALL STAFF ARE COVERED UNDER THE CONFLICT OF INTEREST POLICIES. STAFF ARE REQUIRED TO SELF-REPORT ANY CONFLICT OF INTEREST AND DOCUMENT THE CONFLICT. CONFLICTS ARE REVIEWED BY COMPLIANCE AND SUPERVISING STAFF. DETERMINATIONS ARE MADE AS TO THE VIABILITY OF USING VENDORS/CONTRACTORS FOR COMPANY ACTIVITY AND WOULD PRECLUDE ANY CONFLICTED CDCR EMPLOYEE FROM BEING INVOLVED IN THE DECISION MAKING AND APPROVAL PROCESS. ANY VIOLATIONS ARE HANDLED IN ACCORDANCE WITH THE WRITTEN POLICIES AND PROCEDURES. FORM 990, PART VI, SECTION B, LINE 15 EVERY YEAR THE BOARD OF DIRECTORS FINANCE COMMITTEE EVALUATES THE CEO'S PERFORMANCE AND COMPENSATION. ANNUALLY THE CEO AND HR DIRECTOR WORK TOGETHER USING STATE AND NATIONALLY BASED SALARY SURVEYS TO COMPARE THE CORPORATION'S OFFICERS' SALARIES TO THOSE OF SIMILAR CORPORATIONS. COMPARISON SURVEYS ARE PERFORMED BY THE CEO AND HUMAN RESOURCES DIRECTOR USING STATE AND NATIONAL DATABASES. ANNUAL REVIEWS ARE PERFORMED BY THE BOARD OF DIRECTORS FOR ALL OFFICERS, KEY EMPLOYEES, AND OTHER HIGHLY COMPENSATED EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 FORM 990 IS AVAILABLE FOR REVIEW AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE DURING NORMAL BUSINESS HOURS. OTHER FORMS SUCH AS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE INTERNAL CORPORATE DOCUMENTS. FORM 990, PART IX, LINE 11G CLINICAL SERVICES: PROGRAM SERVICE EXPENSES 25,945,977. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,945,977. LAB SERVICES: PROGRAM SERVICE EXPENSES 2,333,799. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,333,799. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,800,450. MANAGEMENT AND GENERAL EXPENSES 1,309,075. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,109,525. AMERICASHEALTH PLAN INC 1000 TOWN CENTER DRIVE SUITE 410 OXNARD CA 93036 271073990 MANAGED CARE HEALTH PLAN CA CLINICAS DEL CAMINO REAL INC C 1684827 1883592 1.00000 1 MEDPARTNERS MSO INCORPORATED 1040 FLYNN RD CAMARILLO CA 93012 814231443 INSURANCE BILLING CA CLINICAS DEL CAMINO REAL INC C 6112155 4712964 1.00000 1 1 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 AMERICASHEALTH PLAN INC D 99492 CASH AMERICASHEALTH PLAN INC I 49094 CASH MEDPARTNERS MSO INCORPORATED INC A 29160 CASH MEDPARTNERS MSO INCORPORATED INC M 6032469 CASH MEDPARTNERS MSO INCORPORATED INC D 157306 CASH MEDPARTNERS MSO INCORPORATED INC Q 604926 CASH