2025-10-27T15:28:48-07:00 2024-12-31 472251777 CHW LLP 7797 N First Street Suite 15 Fresno CA 93720 990 2024-01-01 452424322 COMMUNITY MEDICAL WELLNESS CENTERS USA COMM 5622470565 1360 E Anaheim Street Long Beach CA 90813 Sompia Paigne CEO 5595495400 2025-10-10 1 1 Jeremy Ware P00642659 5595495400 2025-09-29 2024 2025-03-06 01:10:19Z CMWC 1360 E Anaheim Street Long Beach CA 90813 14768096 0 X X 2011 CA TO PROVIDE QUALITY HEALTH CARE AND HEALTH EDUCATION TO PERSONS & COMMUNITIES NATIONALLY RECOGNIZED AS HAVING SIGNIFICANT BARRIERS TO ACCESS TO QUALITY CARE & EDUCATION. 10 10 129 0 0 0 4320848 3272945 13098782 11424044 87 0 79079 71107 17498796 14768096 10950 0 9547418 15316184 0 0 7526140 3651510 17073558 18978644 425238 -4210548 18156268 15827647 11531949 13413876 6624319 2413771 TO PROVIDE QUALITY HEALTH CARE AND HEALTH EDUCATION TO PERSONS & COMMUNITIES NATIONALLY RECOGNIZED AS HAVING SIGNIFICANT BARRIERS TO ACCESS TO QUALITY CARE & EDUCATION. 0 0 13661911 0 0 TO PROVIDE QUALITY HEALTH CARE AND HEALTH EDUCATION TO PERSONS & COMMUNITIES NATIONALLY RECOGNIZED AS HAVING SIGNIFICANT BARRIERS TO ACCESS TO QUALITY CARE & EDUCATION. 0 0 0 13661911 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 71 0 1 129 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Veronica Sanford 8448882692 1360 E Anaheim Street Long Beach CA 90813 Maurice I Zeitlin Psychiatrist 40 0 X 465876 0 7542 Javier Quesada MEDICAL DOCTOR 40 0 X 349475 0 32618 Sompia Paigne CEO 40 0 X 292538 0 11915 Ceasar A Valle MEDICAL DOCTOR 32 0 X 252508 0 10200 Eliza Fernando MEDICAL DOCTOR 32 0 X 190540 0 9868 Lloyd Ligayo NP 40 0 X 176614 0 11478 Malcolm Tran Board Member 1 0 X 0 0 0 Viseth Vann Board Member 1 0 X 0 0 0 Lany Sok Board Member 1 0 X 0 0 0 Kenneth Harley Board Chair 1 0 X 0 0 0 Michelle Larios Treasurer 1 0 X 0 0 0 Norith Soth Secretary 1 0 X 0 0 0 Sok San Board Member 1 0 X 0 0 0 Crystal Hollingsworth Board Member 1 0 X 0 0 0 Bun Sok Board Member 1 0 X 0 0 0 Uberto Hernandez Board Member 1 0 X 0 0 0 1727551 0 83621 21 0 1 0 Facktor and Associates 1801 W Olympic Blvd Pasadena CA 91199 Consulting Services 799200 13 0 0 0 0 3272945 0 0 3272945 Net patient service revenue 621400 8008771 8008771 0 0 Capitation revenues 621400 2197747 2197747 0 0 1217526 1217526 0 0 11424044 0 0 0 0 0 71107 71107 0 0 71107 14768096 11495151 0 0 10950 10950 206975 148960 58015 13247838 9534469 3713369 222514 160143 62371 1033749 743989 289760 605108 435496 169612 24731 17799 6932 103417 74429 28988 271273 195235 76038 695648 500658 194990 59910 43117 16793 37574 27017 10557 437156 314621 122535 740236 532748 207488 105859 76187 29672 Supplies 950393 683998 266395 0 Professional Fees 223237 160664 62573 0 2076 1431 645 18978644 13661911 5316733 0 411779 796671 122742 474535 376633 1869956 1460032 64613 103916 12410543 0 12230668 12410543 900566 679852 2081409 18156268 15827647 2519409 4171568 242500 8070040 8671308 700000 571000 11531949 13413876 X 6624319 2413771 0 0 6624319 2413771 18156268 15827647 -4210548 X 0 1 X 1 1 1 X 0 11734246 11734246 0 0 0 0 0 0 0 0 0 0 0 0 0 676297 0 676297 12410543 14768096 0 0 0 0 0 14768096 0 0 0 14768096 18978644 0 0 0 0 0 18978644 0 0 0 18978644 X X 0 0 0 0 0 0 0 0 0 Maurice I Zeitlin Psychiatrist 465876 0 0 0 0 0 0 0 7542 0 473418 0 0 0 Javier Quesada MEDICAL DOCTOR 349475 0 0 0 0 0 0 0 32618 0 382093 0 0 0 Ceasar A Valle MEDICAL DOCTOR 252508 0 0 0 0 0 0 0 10200 0 262708 0 0 0 Sompia Paigne CEO 292538 0 0 0 0 0 0 0 11915 0 304453 0 0 0 Eliza Fernando MEDICAL DOCTOR 190540 0 0 0 0 0 0 0 9868 0 200408 0 0 0 Lloyd Ligayo NP 176614 0 0 0 0 0 0 0 11478 0 188092 0 0 0 Form 990, Part VI, Section A, Line 2 SOMPIA PAIGNE CEO, KITTYA PAIGNE PHYSICIAN, BOZA PHENG COO, AND BAKHENG PHENG CMO ARE ALL SIBLINGS Form 990, Part VI, Section B, Line 11b ONCE THE FORM 990 IS COMPLETED, A COPY IS DELIVERED TO MEMBERS OF THE BOARD. THE BOARD REVIEWS THE RETURN AND IF ANY CHANGES ARE NEEDED, THE PREPARER IS NOTIFIED. Form 990, Part VI, Section B, Line 12c EACH EMPLOYEE OR AGENT ENGAGED IN THE SELECTION, AWARD, AND ADMINISTRATION OF CONTRACTS, AND EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ARE REQUIRED TO ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY; AND (D) UNDERSTANDS CMWC USA IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. DUTY TO DISCLOSE. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION, ARRANGEMENT, OR CONTRACT. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE LEAVES THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS DECIDE IF A CONFLICT OF INTEREST EXISTS. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE LEAVES THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION, ARRANGEMENT OR CONTRACT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE, IF APPROPRIATE, WILL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE AN ALTERNATIVE TO THE PROPOSED TRANSACTION, ARRANGEMENT OR CONTRACT. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE DETERMINES WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION, ARRANGEMENT OR CONTRACT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION, ARRANGEMENT OR CONTRACT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE DETERMINES BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION, ARRANGEMENT OR CONTRACT IS IN CMWC USA'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. VIOLATIONS OF THE CONFLICT OF INTEREST POLICY. IF THE GOVERNING BOARD OR COMMITTEE HAS A REASONABLE CAUSE TO BELIEVE AN INTERESTED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT INFORMS THE INTERESTED PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD THE INTERESTED PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE INTERESTED PERSON'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THE INTERESTED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT WILL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION UP TO AND INCLUDING IMMEDIATE TERMINATION. Form 990, Part VI, Section B, Line 15 THE CEO'S COMPENSATION PACKAGE IS REVIEWED ON THE PERFORMANCE AND CAPABILITIES OF THE CEO, AND APPROVED IN ADVANCE BY THE GOVERNING BOARD MEMBERS WHO DO NOT RECEIVE ANY COMPENSATION. THE COMPARABILITY DATA UTILIZED IS GALLAGHER SURVEYS AND THE CALIFORNIA PRIMARY CARE ASSOCIATION (CPCA) COMPENSATION AND BENEFITS SURVEY. THE SURVEYS PROVIDE DETAILED INFORMATION ON EXECUTIVE, CLINICAL AND ADMINISTRATIVE PERSONNEL WORKING IN PRIMARY CARE COMMUNITY HEALTH CENTERS. THE ORGANIZATION CONTEMPORANEOUSLY SUBSTANTIATES THE DELIBERATION AND DECISION PROCESS OF THE GOVERNING BOARD IN THE BOARD MINUTES, INCLUDING A DESCRIPTION OF THE COMPARABLE DATA AND HOW IT WAS OBTAINED, THE DATE APPROVED, A DESCRIPTION OF THE TRANSACTION, AND WHO WAS PRESENT. THE PROCESS FOR DETERMINING THE COMPENSATION PACKAGES FOR OTHER OFFICERS AND KEY EMPLOYEES IS THE SAME PROCESS AS FOR THE CEO Form 990, Part VI, Section C, Line 19 Available upon request.