LOMPOC VALLEY COMMUNITY HEALTHCARE ORGANIZATION: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- LOMPOC VALLEY COMMUNITY HEALTHCARE ORGANIZATION (EIN 77-0494140)
- Tax period
- 2021-04-01 to 2022-03-31
- Filed
- 2023-02-08
- IRS object ID
- 202340399349301529
- Schema version
- 2021v4.1
- 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 | 2023-02-08T17:01:06-08:00 | ReturnTs |
| Tax Period End | 2022-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 472718509 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JWT & Associates LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 East Herndon Avenue Suite 211 | AddressLine1Txt |
| City | Fresno | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93720 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 770494140 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lompoc Valley Community | BusinessNameLine1Txt |
| Business Name Line2 | Healthcare Organization Inc | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LOMP | BusinessNameControlTxt |
| Phone | 8057364580 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 368 | AddressLine1Txt |
| City | Lompoc | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93438 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Ashley Costa | PersonNm |
| Person Title | Executive Director | PersonTitleTxt |
| Signature | 2023-02-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Ashley | PersonFirstNm |
| Person Last | Costa | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Inger Sullenger CPA | PreparerPersonNm |
| PTIN | P01464277 | PTIN |
| Phone | 5594317708 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
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 |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-03-07 01:45:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Ashley Costa | PrincipalOfficerNm |
| Gross Receipts | $4,685,297 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.lvcho.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | To improve the health of the community by ensuring equal access to a coordinated, local system of health promotion, disease prevention, and high-quality treatment service. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $9,847,707 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,659,912 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $58,768 | PYInvestmentIncomeAmt |
| CY Investment Income | $25,152 | CYInvestmentIncomeAmt |
| PY Other Revenue | $602 | PYOtherRevenueAmt |
| CY Other Revenue | $233 | CYOtherRevenueAmt |
| PY Total Revenue | $9,907,077 | PYTotalRevenueAmt |
| CY Total Revenue | $4,685,297 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $802,500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $153,060 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $19,500 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,500 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,407,392 | PYOtherExpensesAmt |
| CY Other Expenses | $4,631,971 | CYOtherExpensesAmt |
| PY Total Expenses | $10,229,392 | PYTotalExpensesAmt |
| CY Total Expenses | $4,804,531 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$322,315 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$119,234 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,436,961 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,297,882 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $641,002 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $621,056 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,795,959 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,676,826 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To improve the health of the community by ensuring equal access to a coordinated, local system of health promotion, disease prevention, and high-quality treatment service. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,841,156 | ExpenseAmt |
| Desc | BOP network assured access to care for inmates; during the last year over 2,000 inmates received services through the network. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $308,118 | ExpenseAmt |
| Grant | $153,060 | GrantAmt |
| Revenue | $233 | RevenueAmt |
| Desc | Community Health Improvement Program efforts including: Building off the previous seven years' projects, the organization has partnered with county-wide agencies to begin the Caring Together Santa Barbara County campaign and network, aimed at strengthening the safety net for the aging population. In 2020 the LVCHO managed and completed a capital campaign to renovate the track and field at Huyck Stadium in Lompoc. The school district-owned stadium is now open for community use and the LVCHO is working to ensure robust utilization of the facility for recreation and physical activity. The LVCHO has held events at the track and field to promote the facility and improve the health of local families. After a delay last fiscal year due to budget, the LVCHO is in the process of hiring a bilingual cultural advocate and program coordinator to better connect with the Lompoc community. After the LVCHO completed a three-year strategic plan in 2019, COVID created a delay in implementation, however work to fulfil the plan is still ongoing. The LVCHO partnered with Route One Farmers Market to implement a buffering services grant to patients at the Lompoc Health Care Center and Youth and the Lompoc Family YMCA. Recipients of the program learned about healthy coping mechanisms for trauma informed care and healthy eating habits. The LVCHO and Route One also completed the California Department of Food and Agriculture grant to purchase and launch the first mobile farmers market in Santa Barbara County, creating a placed-based solution to increasing healthy food access to underserved communities. Additionally, the LVCHO completed the Together Toward Health grant which provided up to date COVID-19 information to the Lompoc community, and partnered to expand vaccination opportunities in our area. The LVCHO piloted a new program entitled Wellness Empowerment for Lompoc Leaders (WELL), which has provided a common language around trauma in our community for local leadership, has fostered a network of compassion and understanding around mental health. The organization, and its community coalitions, continue to host meetings, foster connections, and distribute a monthly newsletter in an effort to fulfill our mission and further embed Health and Wellbeing into the local culture.Provided funding for low income and uninsured individuals to receive needed prescription medications; presented healthy living workshops to multiple community organizations upon request; staffed Healthy Lompoc Task Force to assure broad community participation in community health decision-making; recommended to Lompoc City Council that the city become a HEAL (Healthy Eating and Active Living) community; accepted responsibility for developing HEAL implementation plan; Developed grade appropriate curriculum for K - 12 regarding bike safety; curriculum accepted by LUSD and incorporated into the classrooms at all LUSD K-8 schools; enhanced enforcement of traffic laws around school zones at beginning and end of school day; Conducted a community needs assessments around caregiving and senior issues; coordinated collaborative partners to implement a collaborative program to strengthen the safety net for seniors and caregivers; Supported the opening of a Family Caregiver Support Network; Managed campaign to raise awareness and self-identification of caregivers; Grew local caregiver initiative to county-wide Cating Together Santa Barbara County network and initiative. Facilitated the installation of creative crosswalks to promote art, economy and health; Facilitated the Healthy Lompoc Coalition and supported member agencies with their health efforts; developed a HEAL outreach team to educate the community about the benefits of HEAL; Established a HEAL Advisory Cabinet to further imbed HEAL into the culture of leadership in Lompoc; purchased and installed community bicycle repair stations; Helped secure grant funds for refrigerated and filtered water bottle refill and water fountain stations; promoted the use of electronic benefits transfer at local Farmers Markets; Facilitated discussion about opening a third Farmers Market for the Lompoc community; Helped to open a new Farmer's Market in the Lompoc Valley; Increased food literacy and healthy food access through the new Farmer's Market in the Lompoc Valley; Secured funding for mobile farmers market and for a CalFresh bilingual Market Navigator; Partnered on purchase of this mobile market as a place-based soluttion to increasing healthy food access to underserved communities; Contracted with the CA Office of Traffic Safety to promote pedestrian and bicycle safety; Planned and implemented Lompoc's first and second annual Open Streets event to promote active transportation; Raised funds for local disaster relief; Initiated and completed fundraising for a capital campaign and public awareness campaign around the renovation of local track and field facility for athlete, student and community use; raised funds and installed a community exercise zone at the track and field facility; Facilitated the expansion of the Healthy People Healthy Trails program into Lompoc; Helped identify isolated seniors in need during the COVID-19 pandemic to get them connected to needed services; Secured funding for COVID-19 vaccine promotion in the Lompoc Valley; Published monthly informational e-newsletter to distribute local partner health information; Facilitated effort to increase participation in the 2020 Census particularly in the hard-to-count neighborhoods in Lompoc; Acted as Lompoc voice for numerous county-wide initiatives. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $4,149,274 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 58 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Ashley Costa Exec Dir | PersonNm |
| Phone | 8057365985 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1593 East Chestnut Ave | AddressLine1Txt |
| City | Lompoc | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93436 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| Rollin C Bailey MD | ||||||
| President | 1.00 | 0.00 | Yes (X) | $6,500 | $0 | $0 |
| Gilbert O Andersen MD | ||||||
| Director | 1.00 | 0.00 | Yes (X) | $6,500 | $0 | $0 |
| Carl Schlosser MD | ||||||
| Director | 1.00 | 0.00 | Yes (X) | $6,500 | $0 | $0 |
| Kathi Froemming | ||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| Stephen Popkin | ||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| Katherine Remington | ||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| Susan Warnstrom | ||||||
| Secretary | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| Roger McConnell | ||||||
| Treasurer | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $19,500 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Lompoc Valley Medical Center | |||||
| 1515 E Ocean | Lompoc | CA | 93436 | Hospital Services | $2,304,287 |
| Santa Barbara Cottage Hospital | |||||
| Pueblo at Bath Streets | Santa Barbara | CA | 93105 | Hospital Services | $524,559 |
| Marian Medical Center | |||||
| 1400 East Church Street | Santa Maria | CA | 93454 | Hospital Services | $616,322 |
| Lompoc Valley Cardiovascular Center | |||||
| 136 N Third St 1 | Lompoc | CA | 93436 | Hospital Services | $115,005 |
| UC Davis Medical Center | |||||
| 4301 X Street | Sacramento | CA | 95817 | Physician Services | $109,027 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,414,750 | GovernmentGrantsAmt |
| All Other Contributions | $245,162 | AllOtherContributionsAmt |
| Total Contributions | $4,659,912 | TotalContributionsAmt |
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,152 | TotalRevenueColumnAmt |
| Exclusion | $25,152 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Refunds & Other | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $233 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $233 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $233 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,685,297 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $233 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $25,152 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,060 | TotalAmt |
| Program Services | $153,060 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,500 | TotalAmt |
| Program Services | $16,341 | ProgramServicesAmt |
| Management And General | $3,159 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,305 | TotalAmt |
| Program Services | $164,351 | ProgramServicesAmt |
| Management And General | $25,954 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,656 | TotalAmt |
| Program Services | $10,066 | ProgramServicesAmt |
| Management And General | $1,590 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,750 | TotalAmt |
| Program Services | $11,875 | ProgramServicesAmt |
| Management And General | $1,875 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,000 | TotalAmt |
| Program Services | $10,363 | ProgramServicesAmt |
| Management And General | $1,637 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,380 | TotalAmt |
| Program Services | $17,601 | ProgramServicesAmt |
| Management And General | $2,779 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical claims-bureau prisons | $3,841,156 | $3,317,287 | $523,869 |
| Contract Labor | $363,898 | $293,892 | $70,006 |
| Pharmacy & Other Medical Svcs | $69,000 | $59,590 | $9,410 |
| Other Community Medical | $66,558 | $57,481 | $9,077 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,268 | TotalAmt |
| Program Services | $37,367 | ProgramServicesAmt |
| Management And General | $5,901 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,804,531 | TotalAmt |
| Program Services | $4,149,274 | ProgramServicesAmt |
| Management And General | $655,257 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,011,475 | BOYAmt |
| EOY | $673,820 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $781,577 | BOYAmt |
| EOY | $804,535 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,991 | BOYAmt |
| EOY | $113,348 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $607,328 | BOYAmt |
| EOY | $698,077 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,590 | BOYAmt |
| EOY | $8,102 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,247 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,247 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,436,961 | BOYAmt |
| EOY | $2,297,882 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $570,886 | BOYAmt |
| EOY | $594,677 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,116 | BOYAmt |
| EOY | $26,379 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $641,002 | BOYAmt |
| EOY | $621,056 | 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 | $1,773,017 | BOYAmt |
| EOY | $1,653,783 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,942 | BOYAmt |
| EOY | $23,043 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,795,959 | BOYAmt |
| EOY | $1,676,826 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,436,961 | BOYAmt |
| EOY | $2,297,882 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$119,234 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $101 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
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 | $9,470,905 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,620,632 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,160,724 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,847,707 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,659,912 | CurrentTaxYearAmt |
| Total | $39,759,880 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,470,905 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,620,632 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,160,724 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,847,707 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,659,912 | CurrentTaxYearAmt |
| Total | $39,759,880 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $39,759,880 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,883 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $45,628 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | -$38,087 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $58,768 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,152 | CurrentTaxYearAmt |
| Total | $112,344 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $429 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $257 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,976 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $602 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $233 | CurrentTaxYearAmt |
| Total | $3,497 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $39,875,721 | TotalSupportAmt |
| Public Support CY170 | 0.99710 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99730 | 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
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,247 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,247 | DepreciationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Rev Etc Audited Fincl Stmt | $4,685,297 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $4,685,297 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $4,685,297 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,804,531 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $4,804,531 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $4,804,531 | TotalExpensesPerForm990Amt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| Lompoc Hospital Foundation | ||||||||||
| PO Box 883 | Lompoc | CA | 93438 | 770262454 | 170(b)(1)(A)(iii) | $8,000 | $0 | FMV | N/A | Access to care for all |
| RISB Foundation | ||||||||||
| PO Box 689 | Santa Barbara | CA | 93102 | 260433816 | 170(b)(1)(A)(vi) | $21,700 | $0 | FMV | N/A | Community Support |
| Route One Farmers Market | ||||||||||
| 168 Inverness Ave | Lompoc | CA | 93436 | 844018801 | 509(a)(2) | $95,860 | $0 | FMV | N/A | Facilitate Local Farmers Market |
| Savie Health Corp | ||||||||||
| 136 N Third St Ste 1 | Lompoc | CA | 93436 | 861668790 | 170(b)(1)(A)(iii) | $25,000 | $0 | FMV | N/A | Free Clinic to Uninsured |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Grantmaker's Description of How Grants are Used | FormAndLineReferenceDesc |
| Explanation | Accounting practices are in effect that track grant fund income and expenditure separately from other assets. Written reports are provided to funders. Verbal and written reports are presented to the Board of Directors.Funds given to the Lompoc Unified School District were designated for use as the capital campaign stipulated: to upgrade the stadium and advance physical wellness in the community. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Stephen Popkin | |||
| Director | $2,304,287 | Prov of Hlthcare Svc | false |
| Roger McConnell | |||
| Director | $2,304,287 | Prov of Hlthcare Svc | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part V Supplemental Information | FormAndLineReferenceDesc |
| Explanation | LVCHO had a service contract with Lompoc Valley Medical Center (LVMC) for the provision of healthcare services, which are now provided by a Primary Care Clinic owned by LVMC. LVCHO Board members Stephen Popkin and Roger McConnell serve LVMC in the capacity of CEO and Board member, respectively. Since LVMC owns the Primary Care Clinic, this material business transaction is reportable on the schedule L. The transaction amount listed represents the amount that LVCHO paid to the Primary Care Clinic in the aggregate for all contract medical services received during the year. LVCHO and LVMC are reported as related organizations, as they have common agents. When issues regarding providing grants or assistance to the LVMC come before the LVCHO Board, Mr. Popkin and Mr. McConnell abstain from the vote. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 1a: Explanation of Delegated Broad Authority to Committee | The organization has a committee that assumes responsibility for oversight of the audited financial statements and selection of an independent accountant. |
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | Dr. Andersen, and Dr. Bailey are contracted with the LVCHO to provide physician services to inmates when such services are requested by the Bureau of Prisons, and provide regular quality/utilization review of all medical services provided by contractors of the LVCHO. Dr. Schlosser is contracted to provide quality/utilization review. During fiscal 3/31/2022,compensation to Dr. Bailey, Dr. Schlosser, and Dr. Andersen fell below the reportable Schedule L threshold, and did not compromise voting independence for these particular services.LVCHO had a service contract with Lompoc Valley Medical Center (LVMC) for the provision of healthcare services, which are now provided by a Primary Care Clinic owned by LVMC. LVCHO Board members Stephen Popkin and Roger McConnell serve LVMC in the capacity of CEO and Board member, respectively. Since LVMC owns the Primary Care Clinic, this material business transaction is reportable on the schedule L. The transaction amount listed represents the amount that LVCHO paid to the Primary Care Clinic in the aggregate for all contract medical services received during the year.This reportable business transaction impairs the voting independence of Mr. Popkin and Mr. McConnell as Board Members.Lompoc Valley Medical Center (LVMC) - is a tax exempt governmental entity. LVCHO and LVMC are reported as related organizations, as they have common agents. |
| Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents | 1) The composition of the governing Board was changed slightly. The new language states:Section 3.3 Qualifications; Restrictions on Interested Persons. The Board shall be constituted as follows: (a) At least two (2) Directors shall be affiliated with Lompoc Valley Medical Center (the District), either as a staff member or a Board member of the District; (b) At least two (2) Directors shall be licensed physicians with offices located within the boundaries of the District; (c) At least two (2) Directors shall be community members who reside within the boundaries of the District;. And (d) two (2) or more Directors shall be medical professionals who reside within the boundaries of the District. Notwithstanding anything to the contrary, not more than 49% of the persons serving on the Board may be interested persons. An interested person is (i) any person being compensated by the Corporation for services rendered to it within the previous twelve (12) months, whether as a full- or part-time employee, independent contractor or otherwise, excluding any reasonable compensation paid to a Director as a Director; and (ii) any brother, sister, ancestor, descendant, spouse, brother-in-law, sister-in-law, son-in-law, daughter-in-law, mother-in-law or father-in-law of such person. Notwithstanding, any violation of the interested persons restriction shall not affect the validity or enforceability of any transaction entered into by the Corporation.Section 3.5 Vacancies. A vacancy on the Board shall be deemed to exist on the occurrence of any of the following: (a) the death or resignation of a Director; (b) the vote of at least two-thirds of the Directors, at a duly held meeting, to remove a Director, with or without cause; (c) if the authorized number of Directors is increased; or (d) a Director fails to meet the qualifications set forth in Section 3.3. Any vacancy occurring in the Board shall be filled by the Board provided that such appointments are consistent with the provisions of Section 3.3 above. A vacancy of a District-affiliated Director shall be filled by nomination from a District-affiliated Director and ratified by a majority vote of the Board. A vacancy of a Physician Director shall be filled by nomination from a Physician Director and ratified by a majority vote of the Board. A vacancy of a Community Member Director or a Medical Professional Director shall be nominated by any member of the Board and ratified by a majority vote of the Board. A Director elected to fill a vacancy shall be elected for a term of office continuing only until the expiration of the term of the preceding Director. Any directorship to be filled by reason of an increase in the number of Directors may be filled by election by the Board for a term of office consistent with the provisions of Section 3.4.2) The composition and role of the Audit Committee was outlined.Section 4.2 Committee Members. Each committee shall consist of at least two or more Directors and such non-Directors as determined by the Board, and subject to the limitations, set forth in Section 4.1, shall have such power or authority as is conferred by the Board. To the extent any non-Director is appointed to any committee, the majority of the members of such committee shall be Directors. Further, non-Director committee members shall be entitled to vote on matters brought to a vote by such committee, provided that the matter be a recommendation to another committee or to the Board and does not involve final discretionary action by such committee. In addition to the foregoing, the following shall apply:(a) with respect to the Audit Committee: (i) no staff member shall serve as a voting member; (ii) if the Corporation has a finance committee, it must be a separate committee; (iii) if the Corporation has a finance committee, the chair of the Audit Committee cannot serve on the finance committee; and (iv) if the Corporation has a finance committee, members of the finance committee can serve on the Audit Committee so long as such persons constitute less than one-half of the total number of Audit Committee members |
| Form 990, Part VI, Line 11b: Form 990 Review Process | The completed 990 is provided to each member a minimum of four days prior to the meeting in which the 990 is discussed and approved. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | Executive Director provides copy of policy at annual board meeting. All Board members to sign policy and return copy to LVCHO for recordkeeping. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | An analysis of comparable positions is completed by an independent professional compensation organization and those comparables are used to base compensation for top management. A nonprofit compensation and benefits survey report by Nonprofit Compensation Associates is available for reference of comparables as well. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | An analysis of comparable positions is completed by an independent professional compensation organization and those comparables are used to base compensation for top management. A nonprofit compensation and benefits survey report by Nonprofit Compensation Associates is available for reference of comparables as well. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Upon written request |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Increase in Restricted Net Assets = $101 |
| Form 990 Part V Line 2a, & Part VII Section A | LVCHO's Executive Director is an employee of the Lompoc Valley Medical Center and works for the LVCHO under contract between the LVCHO and LVMC. During the calendar year 2021, compensation from LVMC for performance of LVCHO Officer duties was: Base salary of $145,886, with $51,060 in non-taxable benefits were received in exchange for Executive Director duties performed by Ashley Costa, averaging 40 hours per week.LVCHO and LVMC are reported as related organizations, as they have common agents. |
| Form 990, Part IX, Column D | LVCHO does not categorize any expense as "Fundraising" as it does not typically conduct significant traditional fundraising in the form of special events, etc. Grants that LVCHO receives are considered to be Program in nature, and are used for program activities which generate Program expenses. |
| Form 990, Part V lines 7a & 7b | The organization was the recipient of contributions from donors. However, no contribution was made partly for goods and also for services. Donors made cash donations without the receipt of any goods or services, and the donor was properly notified of the deductible value of the donation they made. Thus questions 7a & 7b were left blank, since no goods and services in combination were received from donors. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lompoc Valley Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1515 East Ocean | AddressLine1Txt |
| City | Lompoc | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93436 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 956001880 | EIN |
| Primary Activities | Healthcare | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | GOVT | ExemptCodeSectionTxt |
| Public Charity Status | N/A | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Lompoc Valley Medical Center | ||
| n | $10,080 | FMV |
| Lompoc Valley Medical Center | ||
| o | $363,898 | FMV |
| Lompoc Valley Medical Center | ||
| r | $69,000 | FMV |