2024-05-09T16:13:21-05:00 2023-06-30 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 200 STOCKTON CA 952192367 990 2022-07-01 300564526 WASHINGTON TOWNSHIP MEDICAL FOUNDATION WASH 5102481005 39300 CIVIC CENTER DRIVE 250 FREMONT CA 94538 CHRISTINE NUNEZ PRESIDENT 5102481005 2024-05-03 1 CHRISTINE NUNEZ 999009999 0 TRACY S PAGLIA P00366884 2099556100 2024-05-02 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X CHRISTINE NUNEZ 39300 CIVIC CENTER DRIVE 250 FREMONT CA 94538 50663120 0 X WWW.MYWTMF.COM X 2008 CA THE MISSION OF WASHINGTON TOWNSHIP MEDICAL FOUNDATION IS TO ENGAGE IN,SPONSOR, ADVANCE, ENCOURAGE, AND PROMOTE CHARITABLE HEALTH CARE,EDUCATIONAL, AND MEDICAL RESEARCH ACTIVITIES THROUGH THE OPERATION ANDMAINTENANCE OF MULTI-SPECIALTY PRIMARY CARE MEDICAL CLINICS. 5 2 287 0 0 0 211403 0 49713698 50663120 0 0 0 0 49925101 50663120 0 0 0 0 16966634 19076333 0 0 0 55388169 59287892 72354803 78364225 -22429702 -27701105 8231715 9220939 229091370 257781371 -220859655 -248560432 THE MISSION OF WASHINGTON TOWNSHIP MEDICAL FOUNDATION IS TO ENGAGE IN,SPONSOR, ADVANCE, ENCOURAGE, AND PROMOTE CHARITABLE HEALTH CARE,EDUCATIONAL, AND MEDICAL RESEARCH ACTIVITIES THROUGH THE OPERATION ANDMAINTENANCE OF MULTI-SPECIALTY PRIMARY CARE MEDICAL CLINICS. 0 0 69508842 50663120 WASHINGTON TOWNSHIP MEDICAL FOUNDATION HAS ESTABLISHED, OPERATED AND MAINTAINED MULTI-SPECIALTY MEDICAL CLINICS, PROVIDING PRIMARY AND SPECIALTY CARE TO THE COMMUNITY. 69508842 1 0 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 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 45 0 1 287 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 2 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X DANIEL NARDONI 5102481057 39300 CIVIC CENTER DRIVE SUITE 250 FREMONT CA 94538 ALBERT BROOKS MD BOARD MEMBER 1.00 0.00 X 0 0 0 ANNAMALAI VEERAPAN MD BOARD MEMBER 1.00 0.00 X 0 0 0 CHRIS HENRY TREASURER (THRU 4/2023) 1.00 49.00 X X 0 591502 41866 KIMBERLY HARTZ CHAIRPERSON 1.00 49.00 X X 0 946567 69142 RANJANA SHARMA MD BOARD MEMBER 1.00 0.00 X 0 0 0 THOMAS MCDONAGH TREASURER (FROM 2/2023) 1.00 49.00 X X 0 0 0 CHRISTINE NUNEZ PRESIDENT 1.00 49.00 X 0 535345 41573 DANIEL NARDONI CHIEF FINANCIAL OFFICER 40.00 0.00 X 0 303627 31459 MICHELLE HUDSON CHIEF OPERATING OFFICER 40.00 0.00 X 0 235336 37767 AARON GARRETT VASCULAR TECHNICIAN 40.00 0.00 X 163512 0 15441 CARMEN MULLIN CONTROLLER 40.00 0.00 X 190240 0 22399 PATRICIA LIMPO REGISTERED NURSE 40.00 0.00 X 164823 0 21637 RAYLENE CRIDER DIRECTOR OF CLINIC OPERATIONS 40.00 0.00 X 152237 0 15103 REYNALDO GOMEZ DIRECTOR OF QUALITY AND COMPLIANCE 40.00 0.00 X 181039 0 29515 851851 2612377 325902 20 0 1 0 WASHINGTON TOWNSHIP MEDICAL GROUP 39300 CIVIC CENTER DRIVE SUITE 250 FREMONT CA 94538 PHYSICIAN PROF SERV 43324110 JACKSON PHYSICIAN SEARCH LLC PO BOX 745644 ATLANTA GA 30374 RECRUITING SERVICES 375349 VINH RYAN TONG 2251 PUMPHERSTON CT SAN JOSE CA 95148 SCRIBE SERVICES 245400 RODRIGUEZ THELMA 2420 SAND CREEK RD C-1 289 BRENTWOOD CA 94513 JANATORIAL SERVICES 240597 CANTOR MEDIA GROUP LLC 218 ELWORTHY RANCH DR DANVILLE CA 94526 ADVERTISING 168750 8 PATIENT REVENUE 621110 34986574 34986574 PROGRAM REVENUE 624100 15676546 15676546 50663120 50663120 50663120 0 0 X 1396078 1396078 13244570 10483201 2761369 3134376 2318277 816099 1301309 941547 359762 49212166 47547954 1664212 567484 567484 3501599 3209832 291767 230925 206844 24081 18734 13037 5697 SUPPLIES 3474616 3450059 24557 EQUIPMENT RENTAL 11637 7323 4314 2270731 1330768 939963 78364225 69508842 8855383 0 3688034 3359633 397500 330411 15030 10561 3591672 2427099 882939 1164573 3248212 4355761 8231715 9220939 2134305 4053748 85 50 -41 226956980 253727614 229091370 257781371 X 0 0 0 0 -220859655 -248560432 -220859655 -248560432 8231715 9220939 X -27701105 328 X 0 1 X 1 1 1 X X X 1 WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION 942930643 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 910730 419388 491342 2633015 2005911 627104 47927 1800 46127 1164573 DUE FROM AFFILIATES 2736617 DUE FROM MEDICAL GROUP 1619144 4355761 DUE TO DEVCO 252099885 ACCRUED VACATION 778102 SALARIES AND TAXES PAYABLE 588061 HEALTH BENEFITS PAYABLE 261566 253727614 0 0 0 0 0 0 0 1 0 KIMBERLY HARTZ CHAIRPERSON 0 927156 0 0 0 19411 0 40114 0 29028 0 1015709 0 0 CHRIS HENRY TREASURER (THRU 4/2023) 0 541082 0 40000 0 10420 0 12838 0 29028 0 633368 0 0 CHRISTINE NUNEZ PRESIDENT 0 482384 0 45000 0 7961 0 12545 0 29028 0 576918 0 0 DANIEL NARDONI CHIEF FINANCIAL OFFICER 0 281829 0 20000 0 1798 0 9571 0 21888 0 335086 0 0 MICHELLE HUDSON CHIEF OPERATING OFFICER 0 220112 0 15000 0 224 0 8739 0 29028 0 273103 0 0 CARMEN MULLIN CONTROLLER 190240 0 0 0 0 0 5707 0 16692 0 212639 0 0 0 REYNALDO GOMEZ DIRECTOR OF QUALITY AND COMPLIANCE 181039 0 0 0 0 0 5431 0 24084 0 210554 0 0 0 PATRICIA LIMPO REGISTERED NURSE 164823 0 0 0 0 0 4945 0 16692 0 186460 0 0 0 AARON GARRETT VASCULAR TECHNICIAN 163512 0 0 0 0 0 4905 0 10536 0 178953 0 0 0 RAYLENE CRIDER DIRECTOR OF CLINIC OPERATIONS 142237 0 10000 0 0 0 4567 0 10536 0 167340 0 0 0 PART I, LINE 3 THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THE METHODS DESCRIBED ON PART I, LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. PART I, LINE 7 A DISCRETIONARY BONUS WAS PAID TO AN INDIVIDUAL ON PART VII AT THE SOLE DISCRETION OF THE CHAIRPERSON OF THE BOARD BASED ON HER INDIVIDUAL PERFORMANCE. WASHINGTON TOWNSHIP MEDICAL GROUP 35% CONTROLLED ENTITY BY BOARD MEMBER AL BROOKS 43324110 PHYSICIAN PROFESSIONAL SERVICES 0 FORM 990, PART VI, SECTION A, LINE 2 DR. BROOKS HAS A BUSINESS RELATIONSHIP WITH ANNAMALAI VEERAPAN, MD AND WITH RANJANA SHARMA, MD. FORM 990, PART VI, SECTION A, LINE 6 WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION IS THE SOLE MEMBER OF WASHINGTON TOWNSHIP MEDICAL FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF WASHINGTON TOWNSHIP HOSPITAL DEVELOPMENT CORPORATION HAS THE RIGHT TO APPOINT MEMBERS OF THE GOVERNING BODY OF WASHINGTON TOWNSHIP MEDICAL FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B WASHINGTON TOWNSHIP MEDICAL FOUNDATION'S FORM 990 IS PREPARED BY MOSS ADAMS, LLP WITH INFORMATION PROVIDED BY MANAGEMENT AND IS DISTRIBUTED TO AND REVIEWED BY MANAGEMENT, AND PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS MONITORED THROUGH THE COMPLETION OF THE CALIFORNIA STATEMENT OF ECONOMIC INTEREST FORM 700. THESE FORMS ARE FILED AND MONITORED ANNUALLY IN ACCORDANCE WITH THE CORPORATION'S CONFLICT OF INTEREST POLICY. IF A CONFLICT IS DISCOVERED IN THIS PROCESS, THE AFFECTED INDIVIDUALS WOULD NOT PARTICIPATE IN THE ORGANIZATION'S DECISION MAKING PROCESSES IN CONNECTION WITH THE CONFLICT. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS AVAILABLE ON GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 45,690,087. MANAGEMENT AND GENERAL EXPENSES 1,664,212. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,354,299. BILLING SERVICES: PROGRAM SERVICE EXPENSES 1,857,867. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,857,867. FORM 990, PART XI, LINE 9: OTHER CHANGE IN NET ASSETS 328. WASHINGTON TOWNSHIP HOSPITAL DEV CORP 2000 MOWRY AVENUE FREMONT CA 94538 942930643 HEALTHCARE CA 501(C)(3) EXEMPT WTH DISTRICT 0 WASHINGTON TOWNSHIP HEALTHCARE DISTRICT 2000 MOWRY AVENUE FREMONT CA 94538 946030667 HOSPITAL CA LOCAL GOVT EXEMPT N/A 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0