COPPERTOWER FAMILY MEDICAL CENTER INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- COPPERTOWER FAMILY MEDICAL CENTER INC (EIN 68-0345901)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-15
- IRS object ID
- 202401369349306350
- 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 | 2024-05-15T10:48:55-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 680456752 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DILLWOOD BURKEL & MILLAR LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 175 CONCOURSE BOULEVARD SUITE A | AddressLine1Txt |
| City | SANTA ROSA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95403 | 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 | 680345901 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COPPERTOWER FAMILY MED CTR INC | BusinessNameLine1Txt |
| Business Name Line2 | DBA ALEXANDER VALLEY HEALTHCARE | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COPP | BusinessNameControlTxt |
| Phone | 7078944229 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 106 EAST 1ST ST SUITE B | AddressLine1Txt |
| City | CLOVERDALE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95425 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEBBIE HOWELL | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7078944229 | PhoneNum |
| Signature | 2024-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DEBBIE | PersonFirstNm |
| Person Last | HOWELL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHRISTINA Z HOLLINGSWORTH | PreparerPersonNm |
| PTIN | P02090706 | PTIN |
| Phone | 7075778806 | PhoneNum |
| Preparation | 2024-05-13 | 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) |
|---|---|---|
| Principal Officer | DEBBIE HOWELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 106 EAST 1ST STREET | AddressLine1Txt |
| City | CLOVERDALE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95425 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,819,923 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ALEXANDERVALLEYHEALTHCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE COMPREHENSIVE PRIMARY CARE, ADDRESSING THE WHOLE PERSON NEEDS, INCLUDING BEHAVIORAL AND ORAL HEALTH CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 81 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,373,235 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,280,061 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,630,375 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,538,510 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,106 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,352 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $7,004,716 | PYTotalRevenueAmt |
| CY Total Revenue | $6,819,923 | 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 | $4,969,226 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,757,491 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $218,727 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,509,219 | PYOtherExpensesAmt |
| CY Other Expenses | $1,658,610 | CYOtherExpensesAmt |
| PY Total Expenses | $6,478,445 | PYTotalExpensesAmt |
| CY Total Expenses | $7,416,101 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $526,271 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$596,178 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,356,116 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,549,178 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $446,415 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,235,655 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,909,701 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,313,523 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE PATIENT-CENTERED HEALTH CARE WITH EXCELLENCE IN QUALITY, SERVICES, AND ACCESS FOR ALL. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,881,703 | ExpenseAmt |
| Revenue | $3,538,510 | RevenueAmt |
| Desc | THE HEALTH CENTER PROVIDED 17,000 PRIMARY CARE, BEHAVIORAL HEALTH, AND GENERAL DENTISTRY ENCOUNTERS TO 4,100 PATIENTS DURING THE YEAR. | Desc |
| Total Program Service Expenses | $4,881,703 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 | 0 | 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 | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 11 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 81 | 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 |
| 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | JENINE SAUNDERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7078944229 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 106 E 1ST ST SUITE B | AddressLine1Txt |
| City | CLOVERDALE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95425 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JEANNE COX | ||||||||
| FORMER VICE CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROBERT FREELEN | ||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES NOVAK | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES BERRY | ||||||||
| CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ORBELINA LANDAVERDE | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MARIA GONZALEZ | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| TONY BUGICA | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFFREY MEIER | ||||||||
| VICE CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DEBORAH GRIZZARD | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES LEVINE | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK THAYER | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| KIM PETERSEN | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH WIEDMAN | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRIS SWARTZ | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DEBBIE HOWELL | ||||||||
| CEO | 40.00 | Yes (X) | $213,308 | $0 | $21,694 | |||
| JENINE SAUNDERS | ||||||||
| CFO | 40.00 | Yes (X) | $183,681 | $0 | $18,715 | |||
| SAMANTHA GUTHMAN | ||||||||
| COO | 40.00 | $157,516 | $0 | $6,522 | Yes (X) | |||
| CARY WHEELER | ||||||||
| CMO | 38.00 | $250,824 | $0 | $18,164 | Yes (X) | |||
| KEVIN GARVIN | ||||||||
| DENTAL DIRECTOR | 36.00 | $222,436 | $0 | $19,392 | Yes (X) | |||
| ELIZABETH PILE | ||||||||
| NURSE PRACTITIONER | 32.00 | $142,108 | $0 | $19,392 | Yes (X) | |||
| JAMES MURPHY | ||||||||
| STAFF PHYSICIAN | 40.00 | $147,854 | $0 | $0 | Yes (X) | |||
| ANNE HILOW | ||||||||
| PROJECT DIRECTOR | 32.00 | $125,056 | $0 | $17,794 | Yes (X) | |||
| AMY BROM | ||||||||
| BH DIRECTOR | 40.00 | $129,271 | $0 | $11,549 | Yes (X) | |||
| MARTHA SCHWARTZ | ||||||||
| STAFF DENTIST | 32.00 | $170,803 | $0 | $9,092 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,742,857 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $142,314 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| STROMBERG ARCHITECTURE | |||||
| 1821 5TH STREET | BERKELEY | CA | 94710 | ARCHITECT SERVICES | $213,129 |
| MEDICUS IT | |||||
| PO BOX 66936 | ST LOUIS | MO | 63166 | IT SUPPORT / EQUIPMENT | $155,411 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,918,337 | GovernmentGrantsAmt |
| All Other Contributions | $1,361,724 | AllOtherContributionsAmt |
| Noncash Contributions | $139,902 | NoncashContributionsAmt |
| Total Contributions | $3,280,061 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL FEES | 339110 | $3,418,112 | $3,418,112 |
| OTHER REVENUE | 456199 | $120,398 | $120,398 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,538,510 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,352 | TotalRevenueColumnAmt |
| Exclusion | $1,352 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,819,923 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,538,510 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,352 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,142,980 | TotalAmt |
| Program Services | $521,761 | ProgramServicesAmt |
| Management And General | $621,219 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,785,109 | TotalAmt |
| Program Services | $2,523,099 | ProgramServicesAmt |
| Management And General | $1,103,259 | ManagementAndGeneralAmt |
| Fundraising | $158,751 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,769 | TotalAmt |
| Program Services | $35,432 | ProgramServicesAmt |
| Management And General | $10,525 | ManagementAndGeneralAmt |
| Fundraising | $2,812 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449,538 | TotalAmt |
| Program Services | $288,209 | ProgramServicesAmt |
| Management And General | $144,814 | ManagementAndGeneralAmt |
| Fundraising | $16,515 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $331,095 | TotalAmt |
| Program Services | $205,531 | ProgramServicesAmt |
| Management And General | $114,698 | ManagementAndGeneralAmt |
| Fundraising | $10,866 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,121 | TotalAmt |
| Program Services | $3,800 | ProgramServicesAmt |
| Management And General | $2,120 | ManagementAndGeneralAmt |
| Fundraising | $201 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,425 | TotalAmt |
| Program Services | $28,817 | ProgramServicesAmt |
| Management And General | $16,082 | ManagementAndGeneralAmt |
| Fundraising | $1,526 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,042 | TotalAmt |
| Program Services | $215,279 | ProgramServicesAmt |
| Management And General | $3,658 | ManagementAndGeneralAmt |
| Fundraising | $105 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,246 | TotalAmt |
| Management And General | $16,443 | ManagementAndGeneralAmt |
| Fundraising | $2,803 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,504 | TotalAmt |
| Program Services | $79,279 | ProgramServicesAmt |
| Management And General | $17,605 | ManagementAndGeneralAmt |
| Fundraising | $2,620 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,566 | TotalAmt |
| Program Services | $140,176 | ProgramServicesAmt |
| Management And General | $70,597 | ManagementAndGeneralAmt |
| Fundraising | $1,793 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,472 | TotalAmt |
| Program Services | $9,500 | ProgramServicesAmt |
| Management And General | $4,625 | ManagementAndGeneralAmt |
| Fundraising | $2,347 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,759 | TotalAmt |
| Program Services | $8,545 | ProgramServicesAmt |
| Management And General | $3,872 | ManagementAndGeneralAmt |
| Fundraising | $1,342 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,259 | TotalAmt |
| Program Services | $14,019 | ProgramServicesAmt |
| Management And General | $7,060 | ManagementAndGeneralAmt |
| Fundraising | $180 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,339 | TotalAmt |
| Program Services | $83,491 | ProgramServicesAmt |
| Management And General | $18,537 | ManagementAndGeneralAmt |
| Fundraising | $311 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,636 | TotalAmt |
| Program Services | $19,955 | ProgramServicesAmt |
| Management And General | $8,100 | ManagementAndGeneralAmt |
| Fundraising | $581 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES | $391,004 | $374,293 | $14,539 | $2,172 |
| INTERNET & IT SUPPLIES | $158,220 | $98,397 | $54,639 | $5,184 |
| COMMUNICATIONS | $54,291 | $33,794 | $18,721 | $1,776 |
| EQUIPMENT EXPENSES | $52,619 | $48,345 | $4,274 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,107 | TotalAmt |
| Program Services | $149,981 | ProgramServicesAmt |
| Management And General | $60,284 | ManagementAndGeneralAmt |
| Fundraising | $6,842 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,416,101 | TotalAmt |
| Program Services | $4,881,703 | ProgramServicesAmt |
| Management And General | $2,315,671 | ManagementAndGeneralAmt |
| Fundraising | $218,727 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,382,588 | BOYAmt |
| EOY | $563,094 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $905,919 | BOYAmt |
| EOY | $64,172 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $357,821 | BOYAmt |
| EOY | $337,952 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $448,885 | BOYAmt |
| EOY | $691,942 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,406 | BOYAmt |
| EOY | $90,329 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,188 | BOYAmt |
| EOY | $55,746 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,931,227 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $624,801 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $901,890 | BOYAmt |
| EOY | $3,306,426 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,000 | BOYAmt |
| EOY | $170,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,419 | BOYAmt |
| EOY | $269,517 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,356,116 | BOYAmt |
| EOY | $5,549,178 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $446,415 | BOYAmt |
| EOY | $953,488 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $282,167 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $446,415 | BOYAmt |
| EOY | $1,235,655 | 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 | $4,709,701 | BOYAmt |
| EOY | $3,674,002 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,000 | BOYAmt |
| EOY | $639,521 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,909,701 | BOYAmt |
| EOY | $4,313,523 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,356,116 | BOYAmt |
| EOY | $5,549,178 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$596,178 | 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 | $1,236,333 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,556,649 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,381,052 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,373,235 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,280,061 | CurrentTaxYearAmt |
| Total | $11,827,330 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,236,333 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,556,649 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,381,052 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,373,235 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,280,061 | CurrentTaxYearAmt |
| Total | $11,827,330 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $11,827,330 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $1,106 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,352 | CurrentTaxYearAmt |
| Total | $2,458 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $299,411 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $164,853 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $174,899 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $67,840 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $120,398 | CurrentTaxYearAmt |
| Total | $827,401 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $12,657,189 | TotalSupportAmt |
| Public Support CY170 | 0.93440 | PublicSupportCY170Pct |
| Public Support PY170 | 0.90390 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,534,018 | OtherCostOrOtherBasisAmt |
| Book Value | $1,534,018 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $232,532 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,751 | DepreciationAmt |
| Book Value | $224,781 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $357,408 | OtherCostOrOtherBasisAmt |
| Depreciation | $356,242 | DepreciationAmt |
| Book Value | $1,166 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $316,105 | OtherCostOrOtherBasisAmt |
| Depreciation | $260,808 | DepreciationAmt |
| Book Value | $55,297 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,491,164 | OtherCostOrOtherBasisAmt |
| Book Value | $1,491,164 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,306,426 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LEASE LIABILITIES | Desc |
| Amt | $282,167 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $282,167 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $6,819,923 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $6,819,923 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $6,819,923 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,416,101 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,416,101 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,416,101 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | AVH DETERMINES WHETHER ITS TAX POSITIONS ARE "MORE-LIKELY-THAN-NOT" TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY BASED ON THE TECHNICAL MERITS OF THE POSITIONS. AS OF JUNE 30, 2023, AVH HAS REVIEWED ITS TAX POSITIONS AND HAS CONCLUDED NO RESERVE FOR UNCERTAIN TAX POSITIONS IS REQUIRED. AVH'S EXEMPT ORGANIZATION INFORMATION RETURNS ARE SUBJECT TO REVIEW THROUGH THREE YEARS AFTER THE DATE OF FILING FOR FEDERAL AND FOUR YEARS AFTER THE DATE OF FILING FOR STATE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARY WHEELER | ||||||||||||||
| CMO | $250,824 | $0 | $0 | $0 | $0 | $0 | $6,500 | $0 | $11,664 | $0 | $268,988 | $0 | $0 | $0 |
| KEVIN GARVIN | ||||||||||||||
| DENTAL DIRECTOR | $222,436 | $0 | $0 | $0 | $0 | $0 | $7,728 | $0 | $11,664 | $0 | $241,828 | $0 | $0 | $0 |
| DEBBIE HOWELL | ||||||||||||||
| CEO | $213,308 | $0 | $0 | $0 | $0 | $0 | $10,030 | $0 | $11,664 | $0 | $235,002 | $0 | $0 | $0 |
| JENINE SAUNDERS | ||||||||||||||
| CFO | $183,681 | $0 | $0 | $0 | $0 | $0 | $8,548 | $0 | $10,167 | $0 | $202,396 | $0 | $0 | $0 |
| MARTHA SCHWARTZ | ||||||||||||||
| STAFF DENTIST | $170,803 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,092 | $0 | $179,895 | $0 | $0 | $0 |
| SAMANTHA GUTHMAN | ||||||||||||||
| COO | $157,516 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,522 | $0 | $164,038 | $0 | $0 | $0 |
| ELIZABETH PILE | ||||||||||||||
| NURSE PRACTITIONER | $142,108 | $0 | $0 | $0 | $0 | $0 | $7,728 | $0 | $11,664 | $0 | $161,500 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | VACCINES FOR CHILDREN | 1640 | $69,967 | FMV |
| Yes (X) | COVID VACCINE | 586 | $66,716 | FMV |
| Yes (X) | FLU VACCINES | 124 | $2,380 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WILL BE MADE AVAILABLE TO THE BOARD FOR REVIEW PRIOR TO SUBMISSION IN E-FORM IF AVAILABLE OR IF NOT, IT WILL BE REVIEWED AT THE NEXT REGULAR BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CEO IS RESPONSIBLE FOR FULLY DISCLOSING TO THE BOARD ANY POTENTIAL CONFLICTS OF INTEREST THAT MAY ARISE. |
| FORM 990, PART VI, SECTION B, LINE 15 | BY PERFORMANCE REVIEW AND AS COMPARABLE TO PEERS AS OBTAINED THROUGH THE CALIFORNIA PRIMARY CARE ASSOCIATION ANNUAL SALARY SURVEY RESULTS. |
| FORM 990, PART VI, SECTION C, LINE 19 | COPIES OF OUR FINANCIAL AUDITS ARE AVAILABLE UPON REQUEST AT OUR OFFICES. THE CORPORATE BYLAWS AND THE CONFLICT OF INTEREST POLICY CONTAINED WITHIN ARE NOT AVAILABLE FOR PUBLIC INSPECTION. |