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ANDERSON VALLEY HEALTH CENTER INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
ANDERSON VALLEY HEALTH CENTER INC (EIN 94-2347424)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-10
IRS object ID
202401319349303270
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

FieldValueIRS element (for citing)
Return2024-05-10T12:20:53-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN464016990PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1THE PUN GROUP LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 E SANDPOINTE AVENUE SUITE 600AddressLine1Txt
CitySANTA ANACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92707ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN942347424EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANDERSON VALLEY HEALTH CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlANDEBusinessNameControlTxt
Phone7078953477PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line113500 AIRPORT ROADAddressLine1Txt
CityBOONEVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP954150338ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHLOE GUAZZONE-RUGEBREGTPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7078953477PhoneNum
Signature2024-05-10SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCHLOEPersonFirstNm
Person LastGUAZZONE-RUGEBREGTPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKENNETH HPUNPreparerPersonNm
PTINP01443751PTIN
Phone9497778800PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerERIN CHLOE GUAZZONE RUGEBPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line113500 AIRPORT ROADAddressLine1Txt
CityBOONVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95415ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,584,325GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AVHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROVIDE COMPREHENSIVE AND LOW COST MEDICAL, PSYCHIATRIC AND HEALTH RELATED SERVICES, REGARDLESS OF RACE, COLOR, CREED, NATIONAL ORIGIN, AGE, SEX, SOCIAL OR POLITICAL BELIEFS, HANDICAPPED STATUS OR ABILITY TO PAY; PROVIDE PREVENTATIVE HEALTH EDUCATION IN THE SCHOOLS AND COMMUNITY OF ANDERSON VALLEY, MENDOCINO COUNTY, CALIFORNIA AND ITS ENVIRONS; EDUCATE AND TRAIN PARAMEDICS AND CITIZENRY IN EMERGENCY FIRST AID; ACT AS A COMMUNITY RESOURCE AND AS A CENTER OF HEALTH CARE INFORMATION.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee56TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,052,181PYContributionsGrantsAmt
CY Contributions Grants$4,251,035CYContributionsGrantsAmt
PY Program Service Revenue$2,142,367PYProgramServiceRevenueAmt
CY Program Service Revenue$2,269,057CYProgramServiceRevenueAmt
PY Investment Income-$6,741PYInvestmentIncomeAmt
CY Investment Income$12,612CYInvestmentIncomeAmt
PY Other Revenue$18,952PYOtherRevenueAmt
CY Other Revenue$51,621CYOtherRevenueAmt
PY Total Revenue$7,206,759PYTotalRevenueAmt
CY Total Revenue$6,584,325CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,718,369PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,514,319CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,011,088PYOtherExpensesAmt
CY Other Expenses$2,414,937CYOtherExpensesAmt
PY Total Expenses$4,729,457PYTotalExpensesAmt
CY Total Expenses$5,929,256CYTotalExpensesAmt
PY Revenues Less Expenses$2,477,302PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$655,069CYRevenuesLessExpensesAmt
Total Assets BOY$9,652,728TotalAssetsBOYAmt
Total Assets EOY$10,181,654TotalAssetsEOYAmt
Total Liabilities BOY$1,610,439TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,408,260TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,042,289NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,773,394NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionANDERSON VALLEY HEALTH CENTER, INC.(AVHC), A CALIFORNIA NOT-FOR-PROFIT ORGANIZATION WAS INCORPORATED IN 1977 FOR THE PURPOSE OF RENDERING PROFESSIONAL MEDICAL AND HEALTH SERVICES TO THE RURAL AREA OF ANDERSON VALLEY. AVHC IS A FEDERALLY QUALIFIED HEALTH CENTER AND, AS THE SOLE PROVIDER OF HEALTH CARE SERVICES IN THE AREA, OFFERS PRIMARY MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES. AVHC DERIVES SUPPORT THROUGH GRANTS AND CONTRACTS WITH THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AND THE CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY. THE MAJORITY OF THE REVENUE IS DERIVED FROM PATIENT SERVICES AND THE REMAINDER FROM THE AFOREMENTIONED GRANTS AND CONTRACTS AS WELL AS OTHER STATE AND LOCAL GRANTS.AS A NOT-FOR-PROFIT ORGANIZATION RECEIVING PUBLIC FUNDS, AVHC PROVIDES SERVICES TO QUALIFIED INDIVIDUALS ON A SLIDING FEE SCALE AS WELL AS TO PATIENTS WITH MEDICAL AND MEDICARE COVERAGE, PRIVATE INSURANCE AND SELF-PAY STATUS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,942,071ExpenseAmt
Revenue$1,407,872RevenueAmt
DescPRIMARY CARE - COMPREHENSIVE PRIMARY CARE FOR ALL AGES WITH AN EMPHASIS ON HEALTH EDUCATION, FAMILY PLANNING, WOMEN'S HEALTH, PHYSICAL EXAMINATIONS FOR SPORTS, DMV, CAMP, SCHOOL AND CHDP, TEEN HEALTH, URGENT CARE, EFERRALS, AND WORKER'S COMPENSATION & SPECIALTY CLINICS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$879,578ExpenseAmt
Revenue$613,194RevenueAmt
DescDENTAL SERVICES - ANDERSON VALLEY HEALTH CENTER OFFERS COMPREHENSIVE DENTAL SERVICES. ON STAFF DENTISTRY OFFERS A FULL SCOPE OF DENTAL SERVICES TO PATIENTS OF ALL AGES. CUSTOMARY ORAL CARE SERVICES, PATIENTS REQUIRING SPECIALTY SERVICES ARE OFTEN REFERRED TO OUT OF NETWORK TO PROFESSIONAL PARTNERS. AVHC IS FOCUSED ON THE PREVENTION AND DENTAL SCREENING TO THE COMMUNITY.PREVENTIVE DENTAL SERVICES INCLUDE COMPLETE ORAL EXAMINATIONS, DIGITAL X-RAYS, ROUTINE CLEANING, BASIC PERIODONTAL SERVICES, SEALANT APPLICATION, MERCURY FREE RESTORATIONS, CROWNS/BRIDGES, ROOT CANALS, EXTRACTIONS, COMPLETE AND PARTIAL DENTURES, EMERGENCY TREATMENT, AND SPECIALTY REFERAL.PREVENTIVE PROGRAMS INCLUDE MAJOR DENTAL INSURANCE, DENTI-CAL/MEDICAL, COUNTY MEDICAL SERVIES PROGRAM (CMSP), HEALTH FAMILIES DELTA DENTAL/PREMIER ACCESS, AND SLIDING FEE SCALE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$347,846ExpenseAmt
Revenue$247,990RevenueAmt
DescBEHAVIORAL HEALTH - STAFF CLINICAL PSYCHOLOGISTS ARE DEDICATED TO IMPROVING THE OVERALL QUALITY OF LIFE FOR CHILDREN, ADULTS AND FAMILIES BY PROVIDING TIME-TESTED AND SKILLS BASED TREATMENTS. QUALIFIED TECHNIQUES ARE USED TO FOSTER A GREATER SENSE OF PEACE AND WELL-BEING.BEHAVIORAL HEALTH SERVICES OF THE HUMAN CONDITION TO INCLUDE BUT NOT LIMITED TO - DEPRESSION, ANXIETY, ADHD, SUBSTANCE USE, COUPLE'S THERAPY, AND TRAUMA RESOLUTION.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$3,169,495TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document57IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee56EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FABIOLA CORNEJO-PEREZBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7078953477PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line113500 AIRPORT ROADAddressLine1Txt
CityBOONVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95415ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RICHARD C BONNER
CHAIR PERSON5.00Yes (X)Yes (X)$0$0$0
ERIC LABOWITZ
BOARD MEMBER2.00Yes (X)$0$0$0
KATHLEEN COX
BOARD MEMBER2.00Yes (X)$0$0$0
HEIDI KNOTT GUNDLING
BOARD MEMBER2.00Yes (X)$0$0$0
ELISABETH VEGA
BOARD MEMBER2.00Yes (X)$0$0$0
CLAY EUBANK
BOARD MEMBER2.00Yes (X)$0$0$0
LUCY PLANCARTE
BOARD MEMBER2.00Yes (X)$0$0$0
AUTUMN EHNOW
BOARD MEMBER2.00Yes (X)$0$0$0
IVAN JIMENEZ
BOARD MEMBER2.00Yes (X)$0$0$0
XIMENA FLORES
BOARD MEMBER2.00Yes (X)$0$0$0
ERIN CHLOE GUAZZONE RUGEBREGT
EXECUTIVE DIRECTOR40.00Yes (X)$163,484$0$23,318
CINDY NOVELLA
MEDICAL DIRECTOR40.00Yes (X)$137,415$0$0
FABIOLA PEREZ
OPERATIONS DIRECTOR40.00Yes (X)$121,509$0$17,331
DREW COLFAX
VICE CHAIR2.00Yes (X)$0$0$0
JAMES JR COLLINS
TREASURER2.00Yes (X)$0$0$0
MAUREEN HOCHBERG
SECRETARY2.00Yes (X)$0$0$0
JOHN A ROCHAT
PHYSICIAN40.00$188,263$0$0Yes (X)
MARK APFEL
FORMER PHYSICIAN40.00$123,623$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$734,294TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$40,649TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CUPPLES & SONS CONSTRUCTION INC
221 OLIVE AVE SUITE GUKIAHCA95482CONSTRUCTION$705,787
WIPFLI LLP
PO BOX 3160MILWAUKEEWI53201ACCOUNTING SERVICES$345,730
VALLEY PAVING
PO BOX 559REDWOOD VALLEYCA95470CONSTRUCTION$275,110
VITAL ENERGY SOLUTIONS
321 S MAIN ST 545SEBASTOPOLCA95472CONSTRUCTION$161,278
MEDICUS IT
100 NORTH POINT CENTER EAST SUITE 1ALPHARETTAGA30022COMPUTER IT SUPPORT$145,021
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Government Grants$3,915,094GovernmentGrantsAmt
All Other Contributions$335,941AllOtherContributionsAmt
Total Contributions$4,251,035TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUDesc
Business624100BusinessCd
Total Revenue Column$2,269,057TotalRevenueColumnAmt
Related Or Exempt Func Income$2,269,057RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,269,057TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,612TotalRevenueColumnAmt
Exclusion$12,612ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$6,000RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$6,000RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,000TotalRevenueColumnAmt
Exclusion$6,000ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$1,200FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,200TotalRevenueColumnAmt
Exclusion$1,200ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
OTHER INCOME900099$42,441$42,441
REBATE900099$1,980$1,980
FieldValueIRS element (for citing)
Other Revenue Total$44,421OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,584,325TotalRevenueColumnAmt
Related Or Exempt Func Income$2,269,057RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$64,233ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$325,643TotalAmt
Program Services$111,072ProgramServicesAmt
Management And General$214,571ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,591,857TotalAmt
Program Services$1,844,023ProgramServicesAmt
Management And General$747,834ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$74,090TotalAmt
Program Services$51,108ProgramServicesAmt
Management And General$22,982ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$295,601TotalAmt
Program Services$203,910ProgramServicesAmt
Management And General$91,691ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$227,128TotalAmt
Program Services$148,830ProgramServicesAmt
Management And General$78,298ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$317,759TotalAmt
Program Services$6,386ProgramServicesAmt
Management And General$311,373ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$142,691TotalAmt
Program Services$55,877ProgramServicesAmt
Management And General$86,814ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$39,419TotalAmt
Program Services$7,826ProgramServicesAmt
Management And General$31,593ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$43,422TotalAmt
Program Services$25,450ProgramServicesAmt
Management And General$17,972ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$230,945TotalAmt
Program Services$93,117ProgramServicesAmt
Management And General$137,828ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$28,098TotalAmt
Program Services$5,000ProgramServicesAmt
Management And General$23,098ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$1,038,034$312,854$725,180
SUPPLIES$361,962$218,816$143,146
OTHER$119,898$68,950$50,948
COMMUNICATIONS$52,690$8,073$44,617

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$40,019TotalAmt
Program Services$8,203ProgramServicesAmt
Management And General$31,816ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,929,256TotalAmt
Program Services$3,169,495ProgramServicesAmt
Management And General$2,759,761ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,590,986BOYAmt
EOY$1,575,158EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$498,056EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$417,663BOYAmt
EOY$474,690EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$205,048BOYAmt
EOY$326,211EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$400,000BOYAmt
EOY$400,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$58,808BOYAmt
EOY$73,054EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,933,649LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,099,164LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,980,223BOYAmt
EOY$6,834,485EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,652,728BOYAmt
EOY$10,181,654EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$824,796BOYAmt
EOY$701,819EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$785,643BOYAmt
EOY$706,441EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,610,439BOYAmt
EOY$1,408,260EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,936,809BOYAmt
EOY$8,589,826EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$105,480BOYAmt
EOY$183,568EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,042,289BOYAmt
EOY$8,773,394EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,652,728BOYAmt
EOY$10,181,654EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$655,069ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,052NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$78,088OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,988,841CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,582,280CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,444,955CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,052,181CurrentTaxYearMinus1YearAmt
Current Tax Year$4,251,035CurrentTaxYearAmt
Total$17,319,292TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,988,841CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,582,280CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,444,955CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,052,181CurrentTaxYearMinus1YearAmt
Current Tax Year$4,251,035CurrentTaxYearAmt
Total$17,319,292TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$17,319,292PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$78,729CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,093CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,492CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,512CurrentTaxYearMinus1YearAmt
Current Tax Year$12,612CurrentTaxYearAmt
Total$145,438TotalAmt
FieldValueIRS element (for citing)
Total Support$17,464,730TotalSupportAmt
Gross Receipts Rltd Activities$2,410,919GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99170PublicSupportCY170Pct
Public Support PY1700.98570PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$242,743OtherCostOrOtherBasisAmt
Book Value$242,743BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,659,605OtherCostOrOtherBasisAmt
Depreciation$1,716,907DepreciationAmt
Book Value$5,942,698BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,692OtherCostOrOtherBasisAmt
Depreciation$6,333DepreciationAmt
Book Value$5,359BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$535,852OtherCostOrOtherBasisAmt
Depreciation$375,924DepreciationAmt
Book Value$159,928BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$483,757OtherCostOrOtherBasisAmt
Book Value$483,757BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,834,485TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$6,582,273TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$2,052NetUnrealizedGainsInvstAmt
Revenue Not Reported-$2,052RevenueNotReportedAmt
Revenue Subtotal$6,584,325RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,584,325TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,929,256TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$5,929,256ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,929,256TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE HEALTH CENTER HAS BEEN RECOGNIZED AS A NOT-FOR-PROFIT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)3 AND CALIFORNIA REVENUE CODE SECTION 23701(D) AND IS EXEMPT FROM FEDERAL AND CALIFORNIA INCOME TAXES ON RELATED INCOME FOR THE YEARS ENDED JUNE 30, 2023 AND 2022. EFFECTIVE JULY 1, 2009, THE CENTER ADOPTED NEWLY ISSUED GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. UNDER THIS NEW GUIDANCE, THE CENTER UTILIZES A TWO-STEP APPROACH TO RECOGNIZING AND MEASURING UNCERTAIN TAX POSITIONS. THE FIRST STEP IS TO EVALUATE THE TAX POSITION FOR RECOGNITION BY DETERMINING IF THE WEIGHT OF AVAILABLE EVIDENCE INDICATES IT IS MORE LIKELY THAN NOT THAT, THE POSITION WILL BE SUSTAINED ON AUDIT, INCLUDING RESOLUTION OF RELATED APPEALS OR LITIGATION PROCESSES. THE SECOND STEP IS TO MEASURE THE TAX BENEFIT AS THE LARGEST AMOUNT, WHICH IS MORE THAN 50% LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ADOPTION OF SUCH GUIDANCE DID NOT HAVE A MATERIAL EFFECT TO THE FINANCIAL STATEMENTS. AT JUNE 30, 2023 AND 2022, THERE WERE NO UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN A ROCHAT
PHYSICIAN$188,263$0$0$0$0$0$0$0$0$0$188,263$0$0$0
ERIN CHLOE GUAZZONE RUGEBREGT
EXECUTIVE DIRECTOR$163,484$0$0$0$0$0$4,673$0$18,645$0$186,802$0$0$0
CINDY NOVELLA
MEDICAL DIRECTOR$137,415$0$0$0$0$0$0$0$0$0$137,415$0$0$0
MARK APFEL
FORMER PHYSICIAN$123,623$0$0$0$0$0$0$0$0$0$123,623$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE PROCESS OF DETERMING COMPENSATION FOR ANDERSON VALLEY HEALTH CENTER'S TOP MANAGEMENT AND KEY EMPLOYEES INVOLVES OUR HUMAN RESOURCES DEPARTMENT. IT IS BASED ON A NUMBER OF CONSIDERATIONS SUCH AS THE NATURE AND SCOPE OF INDIVIDUAL DUTIES, BACKGROUND, EXPERTISE, SIZE, COMPLEXITY OF ORGANIZATION, AND AMOUNT PAID BY SIMILAR ORGANIZATIONS OF SIMILAR SIZE AND TYPE. HUMAN RESOURCES ROUTINELY CONDUCTS SALARY SURVEYS AND PERFORMS ASSESSMENTS OF THE JOB MARKET. THE FINAL DECISION RESTS WITH THE GOVERNING BOARD WHEN THE ANNUAL CORPORATE BUDGET IS REVIEWED AND APPROVED FOR ADOPTION.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS SUBMITTED TO THE BOARD OF DIRECTORS AND MANAGEMENT FOR REVIEW. UPON FINAL APPROVAL, THE FORM IS FINALIZED AND SUBMITTED TO THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CANDERSON VALLEY HEALTH CENTER MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY HAVING A CORPORATE COMPLIANCE COMMITTEE ACTIVELY AND PERIODICALLY PERFORMING AUDITS TO ENSURE COMPLIANCE. STAFF ARE TRAINED ANNUALLY TO REMIND THEM OF THEIR ONGOING OBLIGATION TO REPORT ANY INCIDENT OF FRAUD OR CONFLICT OF INTEREST. THERE IS A HOTLINE TO CALL WHERE THEY CAN REMAIN ANONYMOUS.
FORM 990, PART VI, SECTION B, LINE 15THE PROCESS OF DETERMING COMPENSATION FOR ANDERSON VALLEY HEALTH CENTER'S TOP MANAGEMENT AND KEY EMPLOYEES INVOLVES OUR HUMAN RESOURCES DEPARTMENT. IT IS BASED ON A NUMBER OF CONSIDERATIONS SUCH AS THE NATURE AND SCOPE OF INDIVIDUAL DUTIES, BACKGROUND, EXPERTISE, SIZE, COMPLEXITY OF ORGANIZATION, AND AMOUNT PAID BY SIMILAR ORGANIZATIONS OF SIMILAR SIZE AND TYPE. HUMAN RESOURCES ROUTINELY CONDUCTS SALARY SURVEYS AND PERFORMS ASSESSMENTS OF THE JOB MARKET. THE FINAL DECISION RESTS WITH THE GOVERNING BOARD WHEN THE ANNUAL CORPORATE BUDGET IS REVIEWED AND APPROVED FOR ADOPTION.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE FURNISHED UPON REQUEST.
FORM 990, PART XII, LINE 2C:ALL REVIEW AND PROCESS FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR REMAINS CONSISTENT BETWEEN YEARS.