2026-04-21T13:22:14-05:00 2025-06-30 330783700 PDM LLP 3460 TORRANCE BLVD STE 200 TORRANCE CA 90503 990 2024-07-01 452996531 TRI-STATE COMMUNITY HEALTHCARE CENTER TRI- 3239285086 1535 EAST COLORADO STREET GLENDALE CA 91205 ARAM MANOUKIAN CHIEF EXECUTIVE OFFICER 3239285086 2026-04-17 1 1 ANTHONY P BOZANIC CPA P01314417 3105404118 2024 2025-03-06 01:10:19Z ARAM MANOUKIAN 1402 BAILEY AVE NEEDLES CA 92363 31155297 0 X HTTP://TRISTATECLINICS.ORG/ X 2012 CA TO ASSURE HEALTHCARE SERVICES ARE AVAILABLE TO LOW-INCOME RESIDENTS IN THE MOJAVE DESERT AREA. 9 9 53 9 0 0 3274113 1972301 22376051 29103550 97 69446 21000 10000 25671261 31155297 0 0 0 0 14144928 17172208 0 0 0 11126680 14349925 25271608 31522133 399653 -366836 14553379 14771894 6733777 7319128 7819602 7452766 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 25497044 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. THEY OPERATE 9 MEDICAL CLINICS WITH LOCATIONS IN NEEDLES, ADELANTO, HEMET, POMONA, GLENDALE, LOS ANGELES, AND SAN FERNANDO IN CALIFORNIA, LAUGHLIN IN NEVADA, AND MOHAVE VALLEY IN ARIZONA. THE ORGANIZATION ALSO OPERATES TWO MOBILE AND FOUR DENTAL CLINICS IN THEIR EXISTING AREAS. 25497044 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 79 0 1 53 1 0 0 0 0 0 0 0 0 0 0 X 9 9 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 JEFF WILLIAMS CHAIRMAN 5.00 X X 0 0 0 BETTY STARR SECRETARY 5.00 X X 0 0 0 PAMELA JEAN BLAKE VICE CHAIR 5.00 X X 0 0 0 MARK HANNAWI TREASURER 5.00 X X 0 0 0 GEORGE DELEON BOARD MEMBER 5.00 X 0 0 0 ARMENAK TAKHMIZYAN BOARD MEMBER 5.00 X 0 0 0 MARY STEIN BOARD MEMBER 5.00 X 0 0 0 ARTAK PARONYAN BOARD MEMBER 5.00 X 0 0 0 KELLIE MCKENZIE BOARD MEMBER 5.00 X 0 0 0 ARAM MANOUKIAN CHIEF EXECUTIVE OFFICER 40.00 X 340000 0 0 MARIA SOTNIKOVA CHIEF OPERATIONS OFFICER 40.00 X 149628 0 5985 JOHN PAZIRANDEH CHIEF FINANCIAL OFFICER 20.00 X 175000 0 7000 DR EDWARD PAGET CMO 20.00 X 0 0 0 DR JARNAIL S GUGGA PROVIDER 40.00 X 314979 0 12599 DR MARK FOLMSBEE PROVIDER 40.00 X 266712 0 16600 DR QIANNA LIU PROVIDER 40.00 X 293992 0 14255 DR SHAHRAM MIRHASHEMI PROVIDER 40.00 X 321803 0 12872 PARVIZ AKHAVAN PROVIDER 40.00 X 253368 0 16067 2115482 0 85378 8 0 1 0 HQ MEDICAL BIILLING LLC NANA CHA 1228 WEST GLENOAKS BLVD UNIT A GLENDALE CA 91201 MEDICAL BILLING 995389 ADVANCE COGNITIVE & CLINICAL SOLUTIONS 225 E BROADWAY BLVD B-102 GLENDALE CA 91205 MEDICAL PROVIDER 763800 HUNGER'S HERO 2667 BOGUE DRIVE GLENDALE CA 91208 ADVERTISING 458465 JIL-ADOPIAN PROFESSIONAL CORPORATION 5744 SAN FERNANDO RD SUITE 202 GLENDALE CA 91202 MEDICAL SERVICES 371885 ONMIBUS MEDICAL CORPORATION 12566 VALLEY VIEW STREET GARDEN GROVE CA 92845 MEDICAL SERVICES 355664 5 1937482 34819 1972301 PATIENT SERVICE REVENUE 621400 28838258 28838258 PHARMACEUTICAL REVENUE 621400 264251 264251 1041 1041 29103550 69446 69446 10000 0 10000 10000 10000 31155297 29103550 0 79446 X 664628 564934 99694 14639623 12443679 2195944 1867957 1587763 280194 249384 211976 37408 111129 94460 16669 5301730 5111641 190089 1735478 867739 867739 527660 211064 316596 1620338 876973 743365 838010 754209 83801 372608 316717 55891 135054 114796 20258 1007966 907169 100797 650645 650645 REPAIRS AND MAINTENANCE 720712 614078 106634 MEDICAL SUPPLIES 686689 686689 MISCELLANEOUS 154604 85032 69572 SETTLEMENT 111012 111012 126906 48125 78781 31522133 25497044 6025089 0 2289065 1762014 1200000 988557 2215308 2733319 90000 440000 100000 487915 7732747 1627807 6218836 6104940 783246 347146 1656924 1908003 14553379 14771894 388922 842042 66493 24113 3024582 3145757 3253780 3307216 6733777 7319128 X 7819602 7452766 7819602 7452766 14553379 14771894 -366836 0 X X 0 1 X 1 1 1 X 3535196 4159600 3654875 3274113 1972301 16596085 3535196 4159600 3654875 3274113 1972301 16596085 16596085 97 79446 79543 16675628 85698615 0.99520 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1909607 1909607 4749186 1150651 3598535 1073954 477156 596798 6104940 SECURITY DEPOSIT 2531 OPERATING LEASE OF RIGHT-OF-USE ASSETS (ASC 842) 1543801 MEDI-CAL RECONCILIATION RECEIVABLE 361671 1908003 OPERATING LEASE LIABILITY 1637716 OTHER LIABILITY 1669500 3307216 X 31155297 0 31155297 0 31155297 31522133 0 31522133 0 31522133 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, 2025 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 340000 0 0 0 0 0 0 0 0 0 340000 0 0 0 DR SHAHRAM MIRHASHEMI PROVIDER 321803 0 0 0 0 0 12872 0 0 0 334675 0 0 0 DR JARNAIL S GUGGA PROVIDER 314979 0 0 0 0 0 12599 0 0 0 327578 0 0 0 DR QIANNA LIU PROVIDER 293992 0 0 0 0 0 11760 0 2495 0 308247 0 0 0 DR MARK FOLMSBEE PROVIDER 266712 0 0 0 0 0 10668 0 5932 0 283312 0 0 0 PARVIZ AKHAVAN PROVIDER 253368 0 0 0 0 0 10135 0 5932 0 269435 0 0 0 JOHN PAZIRANDEH CHIEF FINANCIAL OFFICER 175000 0 0 0 0 0 7000 0 0 0 182000 0 0 0 MARIA SOTNIKOVA CHIEF OPERATIONS OFFICER 149628 0 0 0 0 0 5985 0 0 0 155613 0 0 0 ARAM MANOUKIAN CEO AQUISITION COSTS OF PATIENT RECORDS X 452876 24113 0 1 1 24113 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 1,710,803. MANAGEMENT AND GENERAL EXPENSES 190,089. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,900,892. PHYSICIAN CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 3,400,838. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,400,838. FORM 990, PART XII, LINE 2C THE PROCESS IS SIMILAR TO PRIOR YEAR.