ALIADOS HEALTH: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- ALIADOS HEALTH (EIN 94-3220029)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-03-07
- IRS object ID
- 202440679349301239
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-03-07T16:38:22-06:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 953001179 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINDES INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | POBOX 87 | AddressLine1Txt |
| City | LONG BEACH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 908010087 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 943220029 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALIADOS HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ALIA | BusinessNameControlTxt |
| Phone | 7077927900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1310 REDWOOD WAY 135 | AddressLine1Txt |
| City | PETALUMA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94954 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TRACY MENDEZ | PersonNm |
| Person Title | ACTING CEO | PersonTitleTxt |
| Phone | 7077927900 | PhoneNum |
| Signature | 2024-03-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TRACY | PersonFirstNm |
| Person Last | MENDEZ | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 953001179 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AARON PHILLIPS | PreparerPersonNm |
| PTIN | P00286656 | PTIN |
| Phone | 5624351191 | PhoneNum |
| Preparation | 2024-03-06 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Change | Yes (X) | NameChangeInd |
| Principal Officer | TRACY MENDEZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1310 REDWOOD WAY 135 | AddressLine1Txt |
| City | PETALUMA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94954 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,737,994 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ALIADOSHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O.ALIADOS HEALTH STRENGTHENS THE CAPACITY OF MEMBER HEALTH CENTERS TO PROVIDE COMPREHENSIVE, INTEGRATED CARE THAT IMPROVES HEALTH AND HEALTH EQUITY IN THEIR COMMUNITIES. THROUGH LEADERSHIP IN ADVOCACY, INFORMATICS, OUTREACH, ENROLLMENT AND POPULATION HEALTH, OUR WORK ENSURES THAT MEMBERS HAVE THE SUPPORT AND RESOURCES THEY NEED TO OFFER CONSISTENTLY HIGH-QUALITY CLINICAL CARE AND EFFECTIVE CARE COORDINATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 48 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,763,612 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,821,502 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,419,079 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,912,109 | CYProgramServiceRevenueAmt |
| PY Investment Income | $950 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,383 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $8,183,641 | PYTotalRevenueAmt |
| CY Total Revenue | $8,737,994 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,874,143 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,933,021 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,097,316 | PYOtherExpensesAmt |
| CY Other Expenses | $4,744,831 | CYOtherExpensesAmt |
| PY Total Expenses | $6,971,459 | PYTotalExpensesAmt |
| CY Total Expenses | $8,677,852 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,212,182 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $60,142 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,397,777 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,157,311 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,174,048 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,873,440 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,223,729 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,283,871 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O.ALIADOS HEALTH STRENGTHENS THE CAPACITY OF MEMBER HEALTH CENTERS TO PROVIDE COMPREHENSIVE, INTEGRATED CARE THAT IMPROVES HEALTH AND HEALTH EQUITY IN THEIR COMMUNITIES. THROUGH LEADERSHIP IN ADVOCACY, INFORMATICS, OUTREACH, ENROLLMENT AND POPULATION HEALTH, OUR WORK ENSURES THAT MEMBERS HAVE THE SUPPORT AND RESOURCES THEY NEED TO OFFER CONSISTENTLY HIGH-QUALITY CLINICAL CARE AND EFFECTIVE CARE COORDINATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,645,577 | ExpenseAmt |
| Revenue | $1,912,109 | RevenueAmt |
| Desc | ALIADOS HEALTH SUPPORTS MEMBER HEALTH CENTERS IN MEETING THE MISSION OF IMPROVING THE SAFETY-NET HEALTHCARE SYSTEM THROUGH A VARIETY OF PROGRAM EFFORTS. AH'S SERVICES INCLUDE HOSTING PEER LEARNING COLLABORATIVES AND OFFERING TRAINING AND TECHNICAL ASSISTANCE TO DEVELOP AND IMPROVE WORKFLOWS, IMPLEMENT BEST CLINICAL PRACTICES, OPTIMIZE ELECTRONIC HEALTH RECORD USE, IMPROVE DATA COLLECTION AND DATA ANALYTICS, AND PERFORM OTHER QUALITY IMPROVEMENT WORK. IN ADDITION, AH OUTREACHES DIRECTLY TO COMMUNITY MEMBERS AND PATIENTS TO EDUCATE THEM ABOUT AND ENROLL THEM IN HEALTH INSURANCE AND PUBLIC BENEFITS AS WELL AS CONNECTING THEM TO SOCIAL SERVICES. AH ALSO CONVENES STAKEHOLDERS AND PARTNERS TO WORK ON STRATEGIC PLANNING AND REGIONAL HEALTH SYSTEM IMPROVEMENT EFFORTS. | Desc |
| Total Program Service Expenses | $6,645,577 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 38 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 48 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHELLE LOUNIBOS RUSSELL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7077927900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1310 REDWOOD WAY 135 | AddressLine1Txt |
| City | PETALUMA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94954 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| ALVARO FUENTES | ||||||||
| CEO | 20.00 | 20.00 | Yes (X) | $215,912 | $0 | $11,496 | ||
| MICHELLE RUSSELL | ||||||||
| SENIOR DIRECTOR OF FINANCE | 40.00 | $123,084 | $0 | $24,207 | Yes (X) | |||
| LAURA ARNOLD | ||||||||
| SR DIR. OF HUMAN RESOURCES & COMPL. | 40.00 | $117,418 | $0 | $20,831 | Yes (X) | |||
| COLLEEN PETERSON | ||||||||
| DEPARTMENT DIRECTOR | 40.00 | $100,293 | $0 | $24,428 | Yes (X) | |||
| MICHELLE ROSASCHI | ||||||||
| SENIOR DIRECTOR OF PROGRAMS | 40.00 | $107,538 | $0 | $12,707 | Yes (X) | |||
| CHRIS KELSCH | ||||||||
| BOARD CHAIR (UNTIL 1/1/23) | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| KATHIE POWELL | ||||||||
| BOARD TREASURER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ALICIA HARDY | ||||||||
| BOARD VICE CHAIR (UNTIL 1/1/23) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JANE GARCIA | ||||||||
| BOARD SECRETARY | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DONNA WALDMAN | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| MITESH POPAT | ||||||||
| BOARD MEMBER (UNTIL 1/1/23) | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| MELISSA MARSHALL | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| CHERYL JOHNSON | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JASON CUNNINGHAM | ||||||||
| BOARD MEMBER | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| CHRISTINE NOGUERA | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| DAVID VILET | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $664,245 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $93,669 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| RELEVANT HEALTHCARE INC | |||||
| 11 PARK PLACE FLOOR 3 | NEW YORK | NY | 10007 | LICENSE & FEES | $862,110 |
| CALIFORNIA CHOICE BENEFIT ADMINISTRATORS | |||||
| 721 SOUTH PARKER SUITE 200 | ORANGE | CA | 92868 | HEALTH INSURANCE | $341,080 |
| QS SYSTEMS INC | |||||
| PO BOX 24368 | KNOXVILLE | TN | 37933 | CONTRACTED SERVICES | $194,000 |
| WIPFLI LLP | |||||
| PO BOX 801 | WAUSAU | WI | 54402 | CONTRACTED SERVICES | $148,477 |
| MEDICUS LLC | |||||
| 100 NORTH POINT CENTER EAST SUITE | ALPHARETTA | GA | 30022 | CONTRACTED SERVICES | $143,670 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $159,400 | MembershipDuesAmt |
| Government Grants | $3,742,067 | GovernmentGrantsAmt |
| All Other Contributions | $2,920,035 | AllOtherContributionsAmt |
| Total Contributions | $6,821,502 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SERVICE/SUPPORT/MAINTE | 621300 | $907,777 | $907,777 |
| MANAGED CARE | 621300 | $855,141 | $855,141 |
| SERVICE FEES | 621300 | $149,191 | $149,191 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,912,109 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,383 | TotalRevenueColumnAmt |
| Exclusion | $4,383 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,737,994 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,912,109 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,383 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,309 | TotalAmt |
| Management And General | $238,309 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,983,934 | TotalAmt |
| Program Services | $2,168,160 | ProgramServicesAmt |
| Management And General | $815,774 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,324 | TotalAmt |
| Program Services | $91,137 | ProgramServicesAmt |
| Management And General | $6,187 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $450,324 | TotalAmt |
| Program Services | $379,204 | ProgramServicesAmt |
| Management And General | $71,120 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,130 | TotalAmt |
| Program Services | $136,900 | ProgramServicesAmt |
| Management And General | $26,230 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,440 | TotalAmt |
| Program Services | $12,480 | ProgramServicesAmt |
| Management And General | $18,960 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,467 | TotalAmt |
| Management And General | $64,467 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $985,396 | TotalAmt |
| Program Services | $709,292 | ProgramServicesAmt |
| Management And General | $276,104 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,815 | TotalAmt |
| Program Services | $41,034 | ProgramServicesAmt |
| Management And General | $54,781 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,220,366 | TotalAmt |
| Program Services | $1,123,517 | ProgramServicesAmt |
| Management And General | $96,849 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $318,096 | TotalAmt |
| Program Services | $86,606 | ProgramServicesAmt |
| Management And General | $231,490 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,160 | TotalAmt |
| Program Services | $56,497 | ProgramServicesAmt |
| Management And General | $62,663 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,260 | TotalAmt |
| Program Services | $18,923 | ProgramServicesAmt |
| Management And General | $5,337 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,876 | TotalAmt |
| Program Services | $24,323 | ProgramServicesAmt |
| Management And General | $28,553 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CHC GRANT ALLOCATION | $1,785,504 | $1,785,504 | |
| DUES & SUBSCRIPTIONS | $42,063 | $12,000 | $30,063 |
| EQUIPMENT RENT & LEASE | $5,388 | $5,388 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,677,852 | TotalAmt |
| Program Services | $6,645,577 | ProgramServicesAmt |
| Management And General | $2,032,275 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,149,996 | BOYAmt |
| EOY | $1,167,503 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,831,791 | BOYAmt |
| EOY | $1,735,960 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,151,730 | BOYAmt |
| EOY | $1,846,782 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,310 | BOYAmt |
| EOY | $67,890 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,362 | BOYAmt |
| EOY | $64,459 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $251,886 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $251,886 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,934 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $195,654 | BOYAmt |
| EOY | $274,717 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,397,777 | BOYAmt |
| EOY | $5,157,311 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,400,309 | BOYAmt |
| EOY | $664,159 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $773,739 | BOYAmt |
| EOY | $1,133,259 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $76,022 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,174,048 | BOYAmt |
| EOY | $1,873,440 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,223,729 | BOYAmt |
| EOY | $3,283,871 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,223,729 | BOYAmt |
| EOY | $3,283,871 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,397,777 | BOYAmt |
| EOY | $5,157,311 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $60,142 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,513,045 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,117,825 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,602,740 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,763,612 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,821,502 | CurrentTaxYearAmt |
| Total | $23,818,724 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,513,045 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,117,825 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,602,740 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,763,612 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,821,502 | CurrentTaxYearAmt |
| Total | $23,818,724 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,079,258 | SubstantialContributorsTotAmt |
| Public Support Total170 | $22,739,466 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,875 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,746 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,139 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $950 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,383 | CurrentTaxYearAmt |
| Total | $51,093 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $50,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $78,427 | CurrentTaxYearMinus2YearsAmt |
| Total | $128,427 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $23,998,244 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $7,247,039 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.94750 | PublicSupportCY170Pct |
| Public Support PY170 | 0.94750 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2020 AMOUNT: $ 78,427. FRAUD INSURANCE REVENUE - 2019 AMOUNT: $ 50,000. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $6,650,914 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $6,650,914 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $482,546 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $120,637 | FilingOrganizationsTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $346,910 | CurrentYearMinus3Amt |
| Current Year Minus2 | $358,878 | CurrentYearMinus2Amt |
| Current Year Minus1 | $425,879 | CurrentYearMinus1Amt |
| Current Year | $482,546 | CurrentYearAmt |
| Total | $1,614,213 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $2,421,320 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $872 | CurrentYearMinus3Amt |
| Total | $872 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $86,728 | CurrentYearMinus3Amt |
| Current Year Minus2 | $89,720 | CurrentYearMinus2Amt |
| Current Year Minus1 | $106,470 | CurrentYearMinus1Amt |
| Current Year | $120,637 | CurrentYearAmt |
| Total | $403,555 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $605,333 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $101,075 | OtherCostOrOtherBasisAmt |
| Depreciation | $101,075 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $150,811 | OtherCostOrOtherBasisAmt |
| Depreciation | $150,811 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSITS | $11,544 |
| DUE FROM RELATED PARTY | $187,779 |
| OPERATING LEASE | $75,394 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $274,717 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE | Desc |
| Amt | $76,022 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $76,022 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $8,737,994 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $8,737,994 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $8,737,994 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $8,677,852 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $8,677,852 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $8,677,852 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | FIN 48: THE ORGANIZATION HAS RECEIVED TAX-EXEMPT STATUS FROM THE INTERNAL REVENUE SERVICE AND CALIFORNIA FRANCHISE TAX BOARD UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE, RESPECTIVELY. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR INCOME TAXES IN THESE FINANCIAL STATEMENTS. THE ORGANIZATION RECOGNIZES THE FINANCIAL STATEMENT BENEFIT OF TAX POSITIONS, SUCH AS THE FILING STATUS OF TAX-EXEMPT, ONLY AFTER DETERMINING THAT THE RELEVANT TAX AUTHORITY WOULD MORE LIKELY THAN NOT SUSTAIN THE POSITION FOLLOWING AN AUDIT. THE ORGANIZATION IS SUBJECT TO POTENTIAL INCOME TAX AUDITS ON OPEN TAX YEARS BY ANY TAXING JURISDICTION IN WHICH IT OPERATES. THE STATUTE OF LIMITATIONS FOR FEDERAL AND CALIFORNIA PURPOSES IS GENERALLY THREE AND FOUR YEARS, RESPECTIVELY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALVARO FUENTES | PersonNm |
| Title | CEO | TitleTxt |
| Base Compensation Filing Org | $195,512 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $20,400 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $10,796 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $700 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $227,408 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | ORGANIZATION CHANGED THEIR NAME DURING THE FISCAL YEAR FROM REDWOOD COMMUNITY HEALTH COALITION TO ALIADOS HEALTH. |
| FORM 990, PART VI, SECTION A, LINE 6 | DESCRIBE THE ORGANIZATIONS MEMBERS OR STOCKHOLDERS. THE CORPORATION SHALL HAVE ONE CLASS OF MEMBERS. EACH MEMBER SHALL HAVE ONE VOTE. THE CHIEF EXECUTIVE OFFICER OF THE MEMBER SHALL EXERCISE THE MEMBER'S VOTE UNLESS A PROXY IS APPOINTED PURSUANT TO SECTION 4.10. MEMBERS SHALL CONSTITUTE LICENSED COMMUNITY, FREE AND TRIBAL CLINICS. EACH MEMBER SHALL HAVE A COMMUNITY-BASED BOARD OF DIRECTORS AND SHALL BE EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. EACH MEMBER SHALL ALSO BE A PRIMARY CARE CLINIC WITH A MISSION TO SERVE LOW-INCOME INDIVIDUALS IN AN AREA LOCATED WITHIN THE CORPORATION'S SERVICE AREA AND TO OFFER SERVICES WITH A SLIDING FEE SCALE AND WITHOUT REGARD FOR A PATIENT'S ABILITY TO PAY. TO BECOME A MEMBER, PROSPECTIVE MEMBERS MUST BE INITIALLY NOMINATED BY A MEMBER IN GOOD STANDING FOR CONSIDERATION BY THE MEMBERSHIP, MUST MEET THE REQUIREMENTS SET FORTH IN THESE BYLAWS, MUST COMPLETE A FORMAL APPLICATION FOR MEMBERSHIP, MUST BE EVALUATED BY THE MEMBERSHIP COMMITTEE, AND MUST BE APPROVED BY THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7A | DESCRIBE THE MEMBERS, STOCKHOLDERS, OR OTHER PERSONS WHO HAVE THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. MEMBERS HAVE THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | DESCRIBE THE DECISIONS OF THE ORGANIZATION THAT ARE SUBJECT TO APPROVAL BY MEMBERS, STOCKHOLDERS, OR OTHER PERSONS OTHER THAN THE GOVERNING BODY. THE FOLLOWING DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE ORGANIZATION'S MEMBERS: 1. APPOINTMENT AND REMOVAL OF DIRECTORS; 2. APPOINTMENT AND REMOVAL OF MEMBERS; 3. ADOPTION OF A PLAN OF MERGER, CONSOLIDATION, OR ASSET ACQUISITION INVOLVING THE ORGANIZATION; AND 4. AUTHORIZATION OR REVOCATION OF PROCEEDINGS FOR A VOLUNTARY DISSOLUTION OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | DESCRIBE THE PROCESS USED TO REVIEW THE FORM 990. THE FORM 990 IS REVIEWED BY THE CEO AND THEN PROVIDED TO THE FINANCE COMMITTEE FOR REVIEW BEFORE FINAL FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | DESCRIBE HOW THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. TRUSTEES, DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO READ AND UNDERSTAND THIS POLICY AND SELF REPORT. IF AN OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE IS INVOLVED IN A CONFLICT OF INTEREST SITUATION, THEY ARE REQUIRED TO BRING IT TO THE ATTENTION OF THE APPROPRIATE PERSON OR GROUP (BOARD CHAIR, THE ENTIRE BOARD OR THE MEMBERS OF THE COMMITTEE CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT THAT RELATES TO THE ACTUAL OR POSSIBLE CONFLICT OF INTEREST) SO THAT THE POTENTIAL CONFLICT CAN BE EVALUATED AND ADDRESSED. |
| FORM 990, PART VI, SECTION B, LINE 15 | DESCRIBE THE PROCESS USED TO DETERMINE COMPENSATION OF THE ORGANIZATION'S OFFICERS, DIRECTORS, AND OTHER EMPLOYEES. COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD PERFORMS AN ANNUAL REVIEW AND DETERMINES ANY SALARY ADJUSTMENTS. COMPENSATION FOR DIRECTORS AND KEY EMPLOYEES IS DETERMINED BY SALARY COMPARISONS AND SURVEYS RELEASED BY SIMILAR COALITIONS AND NETWORKS. |
| FORM 990, PART VI, SECTION C, LINE 19 | DESCRIBE HOW THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ALIADOS HEALTH MAKES ITS DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 709,292. MANAGEMENT AND GENERAL EXPENSES 276,104. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 985,396. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALIADOS HEALTH NETWORK | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1310 REDWOOD WAY SUITE 135 | AddressLine1Txt |
| City | PETALUMA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94954 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 320230954 | EIN |
| Primary Activities | SUPPORT ALIADOS HEALTH | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A,I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALIADOS HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALIADOS HEALTH NETWORK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionTypeTxt |
| Involved | $855,141 | InvolvedAmt |
| Method Of Amount Determination | CASH | MethodOfAmountDeterminationTxt |