2024-11-01T14:25:37-05:00 2023-12-31 953309779 GURSEY SCHNEIDER LLP 16633 VENTURA BLVD SUITE 1320 ENCINO CA 91436 990 2023-01-01 452799660 CENTRAL VALLEY MEDICAL SERVICES CORP CENT 9492285577 2042 KERN ST FRESNO CA 937212008 IBRAHIM MAROUF CFO 9492285577 2024-08-19 1 1 BEN HOY P01237140 3105520960 2023 2024-10-15 13:58:12Z X IBRAHIM MAROUF 2042 KERN STREET FRESNO CA 93721 5118865 0 X N/A X 2011 CA THE ORGANIZATION PROVIDES PRIMARY CARE SERVICES TO A PROGRAM OF ALL-INCLUSIVE CARE("PACE") 5 3 25 0 0 0 0 0 2701750 4758950 126067 158392 106975 201523 2934792 5118865 0 0 0 0 2612832 4484922 0 0 0 460212 239092 3073044 4724014 -138252 394851 7310973 6436461 229623 489867 7081350 5946594 THE ORGANIZATION PROVIDES PRIMARY CARE SERVICES TO A PROGRAM OF ALL-INCLUSIVE CARE ("PACE"). 0 0 4330771 4758950 THE PROGRAM PROVIDES COORIDINATED MEDICAL SERVICES TO PACE PROGRAMS. PACE PROGRAMS ARE AN ALTERNATIVE TO NURSING HOME CARE WITH PARTICIPANTS WITH INDIVIDUALIZED NEEDS. 4330771 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 1 25 1 0 0 0 0 0 0 0 0 0 0 X 5 3 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 1 0 0 0 CA X IBRAHIM MAROUF 9492285577 1200 NEWPORT CENTER DRIVE STE 230 NEWPORT BEACH CA 92660 ERLINDA DILAN BOARD MEMBER 1.00 X 0 0 0 CHRIS THOMPSON BOARD MEMBER 1.00 X 0 0 0 RICA BURTON BOARD MEMBER 1.00 X 0 0 0 MAROUF GHANIM SECRETARY 30.00 X X 0 0 0 MAROUF IBRAHIM CFO 40.00 X X 0 0 0 MASATSUGU DR MILES CHIEF MEDICAL OFFICER 40.00 X 488152 0 30000 BANIPALSIN DR SARKIS MEDICAL DIRECTOR 40.00 X 335988 0 0 REDMOND DR BILLY MEDICAL DIRECTOR OF QUALITY AND CLINICAL 40.00 X 333808 0 0 BASRAM DR RANJOT MEDICAL DIRECTOR 40.00 X 299740 0 21980 CHAMBERLAIN DR EDWARD PRIMARY CARE PHYSICIAN 40.00 X 290000 0 0 CODY DR CHRISTOPHER PRIMARY CARE PHYSICIAN 40.00 X 288211 0 0 NAQVI DR SYED PRIMARY CARE PHYSICIAN 40.00 X 280884 0 0 CORONEL DR MARLEEN SANTOS PRIMARY CARE PHYSICIAN 40.00 X 198193 0 30000 HENG XEE NURSE PRACTITIONER 40.00 X 165582 0 0 HEU CHONG NURSE PRACTITIONER 40.00 X 164638 0 8750 RODRIGUEZ DR ADRIAN PRIMARY CARE PHYSICIAN 40.00 X 154733 0 22500 2999929 0 113230 14 0 1 0 0 MEDICAL SERVICE REVENU 623990 4758950 4758950 4758950 158392 158392 MISCELLANEOUS REVENUE 900099 201523 201523 201523 5118865 4758950 0 359915 3788450 3638450 150000 452052 452052 27345 27345 217075 204808 12267 2135 2135 44600 44600 3746 3746 85917 85917 21085 1207 19878 38366 38366 MEALS & ENTERTAINMENT 24979 6909 18070 PAYROLL PROCESSING 7369 7369 COMPUTER AND INTERNET 4042 4042 LICENSES 3511 3511 3342 3342 4724014 4330771 393243 0 1007861 1961042 351577 929468 4345187 3496115 335232 285396 1606348 49836 7310973 6436461 229623 489867 229623 489867 X 7081350 5946594 7081350 5946594 7310973 6436461 X 394851 -1504627 -24980 X X 0 1 X 1 0 X 213915 213915 1537105 2036917 3031490 2701750 4758950 14066212 1537105 2036917 3245405 2701750 4758950 14280127 0 0 0 14280127 1537105 2036917 3245405 2701750 4758950 14280127 1.00000 1.00000 0.00000 X 67609 53720 13889 267623 231676 35947 49836 5118865 0 5118865 0 5118865 4748994 24980 24980 4724014 0 4724014 PART XII, LINE 2D - OTHER ADJUSTMENTS: MEALS & ENTERTAINMENT BOOK TO TAX DIFFERENCE SCHEDULE D PART XI AND PART XII THE ORGANIZATION IS EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701D OF THE CALIFORNIA REVENUE AND TAXATION AND IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, THE ORGANIZATION IS SUBJECT TO INCOME TAXES ON ANY NET INCOME THAT IS DERIVED FROM AN UNRELATED BUSINESS ACTIVITY AND NOT IN FURTHERANCE OF THE PURPOSES FOR WHICH IT WAS GRANTED EXEMPTION. NO INCOME TAX PROVISION HAS BEEN RECORDED, AS THE NET INCOME, IF ANY, FROM ANY UNRELATED TRADE OR BUSINESS, IN THE OPINION OF MANAGEMENT, IS NOT MATERIAL TO THE ACCOMPANYING FINANCIAL STATEMENTS TAKEN AS A WHOLE. THE ORGANIZATION TAX YEARS 2021 AND 2020 ARE OPEN TO REVIEW FOR FEDERAL AND STATE TAX PURPOSES. THE ORGANIZATION FOLLOWS THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A NONPUBLIC ENTITY'S FINANCIAL STATEMENTS. IT DETAILS HOW ENTITIES SHOULD RECOGNIZE, MEASURE, PRESENT, AND DISCLOSE UNCERTAIN TAX POSITIONS THAT HAVE BEEN OR ARE EXPECTED TO BE TAKEN. AS SUCH, FINANCIAL STATEMENTS WILL REFLECT EXPECTED FUTURE TAX CONSEQUENCES OF UNCERTAIN TAX POSITIONS PRESUMING THE TAXING AUTHORITIES' FULL KNOWLEDGE OF THE POSITION AND ALL RELEVANT FACTS. THERE WAS NO IMPACT TO THE ORGANIZATION'S FINANCIAL STATEMENTS AS A RESULT OF THESE PROVISIONS. 0 0 0 0 0 0 0 0 0 MASATSUGU DR MILES CHIEF MEDICAL OFFICER 488152 0 0 0 0 0 30000 0 0 0 518152 0 0 0 BANIPALSIN DR SARKIS MEDICAL DIRECTOR 335988 0 0 0 0 0 0 0 0 0 335988 0 0 0 REDMOND DR BILLY MEDICAL DIRECTOR OF QUALITY AND CLIN 333808 0 0 0 0 0 0 0 0 0 333808 0 0 0 BASRAM DR RANJOT MEDICAL DIRECTOR 299740 0 0 0 0 0 21980 0 0 0 321720 0 0 0 CHAMBERLAIN DR EDWARD PRIMARY CARE PHYSICIAN 290000 0 0 0 0 0 0 0 0 0 290000 0 0 0 CODY DR CHRISTOPHER PRIMARY CARE PHYSICIAN 288211 0 0 0 0 0 0 0 0 0 288211 0 0 0 NAQVI DR SYED PRIMARY CARE PHYSICIAN 280884 0 0 0 0 0 0 0 0 0 280884 0 0 0 CORONEL DR MARLEEN SANTOS PRIMARY CARE PHYSICIAN 198193 0 0 0 0 0 30000 0 0 0 228193 0 0 0 RODRIGUEZ DR ADRIAN PRIMARY CARE PHYSICIAN 154733 0 0 0 0 0 22500 0 0 0 177233 0 0 0 HEU CHONG NURSE PRACTITIONER 164638 0 0 0 0 0 8750 0 0 0 173388 0 0 0 HENG XEE NURSE PRACTITIONER 165582 0 0 0 0 0 0 0 0 0 165582 0 0 0 VARIOUS BOARD MEMBERS E.D & BOARD PROPERTY X 600000 327291 0 1 1 VARIOUS BOARD MEMBERS E.D & BOARD PROPERTY X 1914252 820332 0 1 1 VARIOUS BOARD MEMBERS E.D & BOARD PROPERTY X 3500000 2348492 0 1 1 3496115 VARIOUS BOARD MEMBERS E.D & BOARD SEE ATTACHED 0 SCHEDULE L PART IV THE ORGANIZATION RECEIVED THE FOLLOWING SERVICES FROM COMPANIESCONTROLLED/OWNED BY MEMBERS OF THE BOARD OF DIRECTORS:HEALTH CARE STAFFING SERVICES: 4,758,950TOTAL $4,758,950 FORM 990, PART VI, SECTION A, LINE 2 TWO BOARD MEMBERS AND AN EMPLOYEE HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 8B COMMITTEE'S SEEK APPROVAL FROM GOVERNING BODY BEFORE ANY ACTIONS ARE TAKEN. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF FORM 990 IS PROVIDED TO THE CFO AND A BOARD MEMBER FOR REVIEW. ALL QUESTIONS AND COMMENTS ARE ADDRESSED PRIOR TO THE FILING OF FORM 990. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: BOOK TO TAX DIFFERENCE -24,980. FORM 990, PART XII, LINE 2C PROCESS DID NOT CHANGE FROM PRIOR YEAR.