2024-05-07T17:08:10-05:00 2023-06-30 330783700 PDM LLP 3460 TORRANCE BLVD STE 200 TORRANCE CA 90503 990 2022-07-01 452996531 TRI-STATE COMMUNITY HEALTHCARE CENTER TRI- 3239285086 1535 EAST COLORADO STREET GLENDALE CA 91205 ARAM MANOUKIAN CHIEF EXECUTIVE OFFICER 3239285086 2024-05-07 1 ARAM MANOUKIAN 999009999 0 ANTHONY P BOZANIC CPA P01314417 3105404118 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X ARAM MANOUKIAN 1402 BAILEY AVE NEEDLES CA 92363 18823791 0 X HTTP://TRISTATECLINICS.ORG/ X 2012 CA TO ASSURE HEALTHCARE SERVICES ARE AVAILABLE TO LOW-INCOME RESIDENTS IN THE MOJAVE DESERT AREA. 11 11 197 11 0 0 4159600 3654875 11194595 15168916 0 0 11037 0 15365232 18823791 0 0 0 0 7947808 10134297 0 0 0 5540170 7462265 13487978 17596562 1877254 1227229 11445910 12983892 5211420 5563943 6234490 7419949 TO HELP ASSURE THAT COMPREHENSIVE PRIMARY HEALTHCARE SERVICES WOULD BE AVAILABLE TO THE MOJAVE DESERT AREA UNDER-SERVED, WITH A HIGH CONCENTRATION OF LOW-INCOME RESIDENTS. 0 0 14647564 15168916 THE ORGANIZATION'S DUTY IS TO SERVE THE UNMET HEALTH CARE NEEDS OF LOW INCOME PERSONS AND THEIR FAMILIES IN THE MOJAVE DESERT TRI-STATE COMMUNITY. THE GOAL IS TO PROVIDE THE BEST CARE FOR THE PATIENTS AND TO PROVIDE EFFECTIVE INTEGRATION OF QUALITY PATIENT CARE. THE OBJECTIVE OF THE ORGANIZATION IS TO DELIVERY QUALITY CARE TO THE MOST NUMBER OF PEOPLE IN AN ACCESSIBLE MANNER AT MINIMAL COST. THE ORGANIZATION PROVIDES COMPREHENSIVE SERVICES INCLUDING PRIMARY CARE, DENTAL AND BEHAVIORAL HEALTH, AS WELL AS LABORATORY AND 340B PHARMACY SERVICES. 14647564 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 56 0 1 197 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X ARAM MANOUKIAN 7603260222 1402 BAILEY AVE NEEDLES CA 92363 ARAM MANOUKIAN CHIEF EXECUTIVE OFFICER 40.00 X 271049 0 0 MARIA SOTNIKOVA CHIEF OPERATIONS OFFICER 40.00 X 170000 0 0 DR JOHN PAZIRANDEH CHIEF FINANCIAL OFFICER 20.00 X 130318 0 0 DR EDWARD PAGET CMO 20.00 X 78000 0 0 JEFF WILLIAMS CHAIRMAN 2.00 X X 0 0 0 BETTY STARR SECRETARY 1.00 X X 0 0 0 PAMELA JEAN BLAKE VICE CHAIR 1.00 X X 0 0 0 JANICE BAKER TREASURER 1.00 X X 0 0 0 ARMEN MATEVOSIAN BUSINESS DEVELOPER 40.00 X 161645 0 0 DR MARK FOLMSBEE PROVIDER 40.00 X 272521 0 0 DR QIANNA LIU PROVIDER 40.00 X 240385 0 0 DR IFEOMA S NWEKE PROVIDER 40.00 X 225788 0 0 DR REUBEN THAKER PROVIDER 40.00 X 199231 0 0 GEORGE DELEON BOARD MEMBER 1.00 X 0 0 0 MAGED S HANAWWI BOARD MEMBER 1.00 X 0 0 0 MARY STEIN BOARD MEMBER 1.00 X 0 0 0 BARBARA LEWIS BOARD MEMBER 1.00 X 0 0 0 NANCY NELSON BOARD MEMBER 1.00 X 0 0 0 TIGRAN SURAKHANOV BOARD MEMBER 1.00 X 0 0 0 KELLIE MCKENZIE BOARD MEMBER 1.00 X 0 0 0 1748937 0 0 8 0 1 0 HQ MEDICAL BIILLING LLC NANA CHA 1228 WEST GLENOAKS BLVD UNIT A GLENDALE CA 91201 MEDICAL BILLING 540435 HOPE HEALTHCARE A MEDICAL CORPORATION 1532 E SAN BERNARDINO POMONA CA 91767 MEDICAL PROVIDER 501322 HUNGER'S HERO 2667 BOGUE DRIVE GLENDALE CA 91208 ADVERTISING 302895 ADVANCE COGNITIVE & CLINICAL SOLUTIONS 225 E BROADWAY BLVD B-102 GLENDALE CA 91205 MEDICAL PROVIDER 278950 ADVANCE FIRST MEDICAL SOLUTIONS 428 EAST CYPRESS AVE APT E BURBANK CA 91501 MEDICAL PROVIDER 255180 5 3418845 236030 3654875 PATIENT SERVICE REVENUE 621400 15088757 15088757 OTHER REVENUE 621400 44034 44034 PHARMACEUTICAL REVENUE 621400 36125 36125 15168916 18823791 15168916 0 0 X 499746 424784 74962 8284400 7041740 1242660 1350151 1147628 202523 111274 94583 16691 94937 80696 14241 2254014 2194756 59258 781148 392374 388774 510141 204056 306085 535817 482235 53582 350164 221008 129156 137134 116564 20570 741505 667355 74150 250663 250663 COMMUNITY OUTREACH 700926 700926 MEDICAL SUPPLIES 400699 400699 REPAIRS AND MAINTENANCE 392326 333477 58849 MISCELLANEOUS 84434 46439 37995 117083 98244 18839 17596562 14647564 2948998 0 4943159 3668056 724916 1037688 120000 112000 6608119 662767 4953537 5945352 821767 971580 2531 1129216 11445910 12983892 867905 311099 52876 4343515 5199968 5211420 5563943 X 6234490 7419949 6234490 7419949 11445910 12983892 X 1227229 -41770 X X 0 1 X 1 1 1 X 1344141 2504016 3535196 4159600 3654875 15197828 1344141 2504016 3535196 4159600 3654875 15197828 15197828 15197828 42679286 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1909607 1909607 4330383 620535 3709848 368129 42232 325897 5945352 SECURITY DEPOSIT 2531 OPERATING LEASE OF RIGHT-OF-USE ASSETS (ASC 842) 1126685 1129216 NOTES PAYABLE 3179910 ECONOMIC INJURY DISASTER LOAN 146695 MEDI-CAL RECONCILIATION PAYABLE 700000 OPERATING LEASE LIABILITY 1173363 5199968 X 18823791 0 18823791 0 18823791 17596562 0 17596562 0 17596562 PART X, LINE 2: THE ORGANIZATION RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT OF BEING SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. TO DATE, THE ORGANIZATION HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS. THE ORGANIZATION RECOGNIZES POTENTIAL ACCRUED INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS IN INCOME TAX EXPENSE. DURING THE YEAR ENDED JUNE 30, 2023 THE ORGANIZATION DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS. X 0 0 0 0 0 0 0 0 0 ARAM MANOUKIAN CHIEF EXECUTIVE OFFICER 271049 0 0 0 0 0 0 0 0 0 271049 0 0 0 MARIA SOTNIKOVA CHIEF OPERATIONS OFFICER 170000 0 0 0 0 0 0 0 0 0 170000 0 0 0 ARMEN MATEVOSIAN BUSINESS DEVELOPER 161645 0 0 0 0 0 0 0 0 0 161645 0 0 0 DR MARK FOLMSBEE PROVIDER 272521 0 0 0 0 0 0 0 0 0 272521 0 0 0 DR QIANNA LIU PROVIDER 240385 0 0 0 0 0 0 0 0 0 240385 0 0 0 DR IFEOMA S NWEKE PROVIDER 225788 0 0 0 0 0 0 0 0 0 225788 0 0 0 DR REUBEN THAKER PROVIDER 199231 0 0 0 0 0 0 0 0 0 199231 0 0 0 ARAM MANOUKIAN CEO AQUISITION COSTS OF PATIENT RECORDS X 452876 52876 0 1 1 52876 FORM 990, PART VI, SECTION B, LINE 11B THE GOVERNING BODY REVIEWED AND APPROVED THE AUDITED FINANCIAL STATEMENTS AND THE TAX RETURN DRAFT BEFORE THE 990 WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST QUESTIONNAIRE IS DISTRIBUTED TO EMPLOYEES, DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS ANNUALLY IN ORDER TO COMMUNICATE THEIR COMPLIANCE WITH, AND ADHERENCE TO, POLICIES REGARDING CONFLICTS OF INTEREST BETWEEN THE INDIVIDUAL AND THE ORGANIZATION. THIS QUESTIONNAIRE MUST BE COMPLETED, SIGNED AND RETURNED TO MANAGEMENT, WHO REVIEWS THE QUESTIONNAIRES FOR POTENTIAL CONFLICTS OF INTEREST. FURTHER CLARIFICATIONS MAY BE BROUGHT TO THE INDIVIDUAL'S ATTENTION FOR MORE INFORMATION, IF NECESSARY. IF ANY CONFLICTS OF INTEREST ARE IDENTIFIED, THEN THE BOARD SHALL ABSTAIN FROM VOTING ON SUCH ISSUES. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD USES COMPARABLE CLINICS' COMPENSATION FROM THE COMPENSATION SURVEY INCLUDED IN THE NACHC HEALTH CENTER COMPENSATION AND BENEFITS REPORT. AFTER BOARD DISCUSSION, AN APPROPRIATE SALARY IS APPROVED BY A BOARD VOTE. THIS PROCESS IS COMPLETED ANNUALLY. A COMPARISON OF COMPARABLE ORGANIZATIONS' SALARIES AND BENEFITS ARE PRESENTED TO THE BOARD OF DIRECTOR'S AND THE CEO FOR REVIEW AND ACTION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 593,319. MANAGEMENT AND GENERAL EXPENSES 59,258. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 652,577. PHYSICIAN CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,601,437. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,601,437. FORM 990, PART XI, LINE 9: ADOPTION OF ACCOUNTING PRINCIPLE -41,770. FORM 990, PART XII, LINE 2C: PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.