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Nonprofiteer
← AMPLA HEALTH

Form 990 for tax year 2022

Filed by AMPLA HEALTH.

Totals

Total revenue
$107,088,679
Total expenses
$103,324,407
Contributions and grants received
$18,371,573
Grants paid
$0
Program service revenue
$82,931,225
Investment income
$27,454
Other revenue
$5,758,427
Total assets, end of year
$75,967,682
Total liabilities, end of year
$49,063,796
Net assets or fund balances, end of year
$26,903,886
Program services expenses (Part IX)
$74,364,389
Management and general expenses
$28,960,018
Fundraising expenses
$0
Program service expenses (Part III)
$74,364,389

Program services were 72.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $18,364,541

  • 1f · All other contributions, gifts and grants

    $7,032

  • 2a · Program service revenue: PATIENT SERVICE REVENUE

    total $49,626,437 · related or exempt $49,626,437

  • 2b · Program service revenue: PHARMACY REVENUE

    total $28,408,747 · related or exempt $28,408,747

  • 2c · Program service revenue: CAPITATION REVENUE

    total $4,896,041 · related or exempt $4,896,041

  • 3 · Investment income

    total $27,454 · excluded $27,454

  • 6a · Gross rents

    real property $164,327

  • 6b · Less rental expenses

    real property $72,785

  • 6c · Rental income or loss

    real property $91,542

  • 6d · Net rental income or loss

    total $91,542 · unrelated business $91,542

  • 11a · Other revenue: INCENTIVE REVENUE

    total $5,000,001 · related or exempt $5,000,001

  • 11d · All other revenue

    total $666,884 · excluded $666,884

  • 11e · Other revenue, total

    $5,666,885

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $2,965,273 · management and general $2,965,273

  • 7 · Other salaries and wages

    total $56,651,091 · program services $44,353,555 · management and general $12,297,536

  • 8 · Pension plan contributions

    total $1,655,214 · program services $1,280,837 · management and general $374,377

  • 9 · Other employee benefits

    total $6,527,818 · program services $4,896,876 · management and general $1,630,942

  • 10 · Payroll taxes

    total $3,963,215 · program services $2,953,806 · management and general $1,009,409

  • 11b · Fees: legal

    total $186,223 · management and general $186,223

  • 11c · Fees: accounting

    total $90,818 · management and general $90,818

  • 11g · Fees: other

    total $19,679,844 · program services $13,749,010 · management and general $5,930,834

  • 12 · Advertising and promotion

    total $565,002 · program services $41,615 · management and general $523,387

  • 13 · Office expenses

    total $305,512 · program services $270,561 · management and general $34,951

  • 16 · Occupancy

    total $1,773,010 · program services $1,210,288 · management and general $562,722

  • 17 · Travel

    total $459,949 · program services $159,845 · management and general $300,104

  • 19 · Conferences, conventions and meetings

    total $370,845 · program services $46,526 · management and general $324,319

  • 20 · Interest

    total $792,186 · program services $119,802 · management and general $672,384

  • 22 · Depreciation, depletion and amortization

    total $1,928,675 · program services $1,175,093 · management and general $753,582

  • 23 · Insurance

    total $451,081 · program services $13,450 · management and general $437,631

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $4,134,769 · program services $3,580,625 · management and general $554,144

  • 24b · Other expenses: REPAIRS AND MAINTENANCE

    total $515,627 · program services $394,110 · management and general $121,517

  • 24c · Other expenses: LICENSES AND DUES

    total $306,043 · program services $116,178 · management and general $189,865

  • 24e · All other expenses

    total $2,212 · program services $2,212

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $9,862,192 · end of year $2,946,702

  • 2 · Savings and temporary cash investments

    beginning of year $3,982,139 · end of year $229,212

  • 3 · Pledges and grants receivable

    beginning of year $1,892,259 · end of year $1,139,231

  • 4 · Accounts receivable

    beginning of year $10,709,438 · end of year $18,129,630

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $30,158,150

  • 8 · Inventories for sale or use

    beginning of year $366,115 · end of year $366,115

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,131,784 · end of year $966,286

  • 10a · Land, buildings and equipment: cost or other basis

    $48,475,265

  • 10b · Land, buildings and equipment: accumulated depreciation

    $26,887,862

  • 10c · Land, buildings and equipment, net

    beginning of year $30,811,924 · end of year $21,587,403

  • 15 · Other assets

    beginning of year $205,785 · end of year $444,953

  • 17 · Accounts payable and accrued expenses

    beginning of year $9,908,270 · end of year $12,825,663

  • 19 · Deferred revenue

    beginning of year $14,236 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $14,590,106 · end of year $36,030,977

  • 25 · Other liabilities

    beginning of year $1,995,578 · end of year $207,156

  • 27 · Net assets without donor restrictions

    beginning of year $32,453,446 · end of year $26,903,886

Mission and programs · 2022

Mission

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.

  • 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.

    Expenses $63,328,052 · Revenue $59,522,479

  • AMPLA HEALTH OFFERS PHARMACY SERVICES THAT SPECIALIZE IN PROVIDING AFFORDABLE PRESCRIPTIONS TO OUR PATIENTS.

    Expenses $11,036,337 · Revenue $28,408,747

As filed on the 2022 return.

Listed in Part VII

  • Mustafa Ammar

    MEDICAL DIRECTOR

    Total calculated
    $691,106
    From this org
    $674,762
    From related orgs
    $0
    Other
    $16,344
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $674,762
    Bonus
    $0
    Other
    $0
    Deferred
    $9,900
    Nontaxable benefits
    $6,444
    Filer's total
    $691,106
  • Benjamin Flores

    CEO

    Total calculated
    $507,904
    From this org
    $484,960
    From related orgs
    $0
    Other
    $22,944
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $484,960
    Bonus
    $0
    Other
    $0
    Deferred
    $16,500
    Nontaxable benefits
    $6,444
    Filer's total
    $507,904
  • Thiyagu Ganesan

    MEDICAL DOCTOR

    Total calculated
    $496,531
    From this org
    $486,291
    From related orgs
    $0
    Other
    $10,240
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $486,291
    Bonus
    $0
    Other
    $0
    Deferred
    $9,749
    Nontaxable benefits
    $491
    Filer's total
    $496,531
  • Kaneshka Alamshani

    MEDICAL DOCTOR

    Total calculated
    $444,882
    From this org
    $428,538
    From related orgs
    $0
    Other
    $16,344
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $428,538
    Bonus
    $0
    Other
    $0
    Deferred
    $9,900
    Nontaxable benefits
    $6,444
    Filer's total
    $444,882
  • Amitabh Singh

    MEDICAL DOCTOR

    Total calculated
    $420,687
    From this org
    $405,525
    From related orgs
    $0
    Other
    $15,162
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $405,525
    Bonus
    $0
    Other
    $0
    Deferred
    $8,718
    Nontaxable benefits
    $6,444
    Filer's total
    $420,687
  • Nanak Boparai

    MEDICAL DOCTOR

    Total calculated
    $416,420
    From this org
    $400,076
    From related orgs
    $0
    Other
    $16,344
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $400,076
    Bonus
    $0
    Other
    $0
    Deferred
    $9,900
    Nontaxable benefits
    $6,444
    Filer's total
    $416,420
  • Olusola Asafa

    MEDICAL DOCTOR

    Total calculated
    $412,930
    From this org
    $402,304
    From related orgs
    $0
    Other
    $10,626
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $402,304
    Bonus
    $0
    Other
    $0
    Deferred
    $5,784
    Nontaxable benefits
    $4,842
    Filer's total
    $412,930
  • Carlos Peralta Corrales

    COO

    Total calculated
    $257,655
    From this org
    $242,958
    From related orgs
    $0
    Other
    $14,697
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $242,958
    Bonus
    $0
    Other
    $0
    Deferred
    $8,253
    Nontaxable benefits
    $6,444
    Filer's total
    $257,655
  • Kathy Walker

    CFO

    Total calculated
    $256,984
    From this org
    $241,955
    From related orgs
    $0
    Other
    $15,029
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $241,955
    Bonus
    $0
    Other
    $0
    Deferred
    $8,585
    Nontaxable benefits
    $6,444
    Filer's total
    $256,984
  • Theresa Anaya

    HUMAN RESOURCE DIRECTOR

    Total calculated
    $231,340
    From this org
    $219,549
    From related orgs
    $0
    Other
    $11,791
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $219,549
    Bonus
    $0
    Other
    $0
    Deferred
    $6,949
    Nontaxable benefits
    $4,842
    Filer's total
    $231,340
  • Cindy Snelgrove

    NURSING DIRECTOR

    Total calculated
    $224,105
    From this org
    $211,726
    From related orgs
    $0
    Other
    $12,379
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $211,726
    Bonus
    $0
    Other
    $0
    Deferred
    $6,966
    Nontaxable benefits
    $5,413
    Filer's total
    $224,105
  • John Fleming

    PLANNING & DEVELOPMENT DIR

    Total calculated
    $171,139
    From this org
    $158,524
    From related orgs
    $0
    Other
    $12,615
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $158,524
    Bonus
    $0
    Other
    $0
    Deferred
    $6,171
    Nontaxable benefits
    $6,444
    Filer's total
    $171,139
  • Horacio Paras

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    0.69
  • Kim Owens

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.69
  • Debbie Porcayo

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.69
  • Wenceslao Vasquez

    TREASURER

    Total calculated
    $0
    Hours/week
    0.69
  • Mark Lundberg

    PARLIAMENTARIAN

    Total calculated
    $0
    Hours/week
    0.69
  • Vaishali Austin

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.69
  • Divinder K Bains

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.69
  • J Angel Calderon

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.69
  • Ernest L Garcia DDS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.69
  • Roberto Gonzalez

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.69
  • Carlos O Palacios

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.69
  • Joyce Pope

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.69
  • Lorenzo Valdovinos

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.69
  • Teng Vang

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0.69

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
14 May 2024
IRS schema version
2022v5.0
Source object
202421369349303127

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