OLE HEALTH: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- OLE HEALTH (EIN 23-7221695)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-12
- IRS object ID
- 202301329349307090
- Schema version
- 2021v4.2
- 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 | 2023-05-12T14:44:04-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SECOND STREET SUITE 900 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237221695 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OLE HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OLEH | BusinessNameControlTxt |
| Phone | 7072541770 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1141 PEAR TREE LANE 100 | AddressLine1Txt |
| City | NAPA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94558 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALICIA HARDY | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7072541770 | PhoneNum |
| Signature | 2023-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ALICIA | PersonFirstNm |
| Person Last | HARDY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL LUMSDEN | PreparerPersonNm |
| PTIN | P01262236 | PTIN |
| Phone | 4159561500 | PhoneNum |
| Preparation | 2023-05-11 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALICIA HARDY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1141 PEAR TREE LANE 100 | AddressLine1Txt |
| City | NAPA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94558 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $45,635,552 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.OLEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | OLE HEALTH IS THE MEDICAL HOME FOR THE COMMUNITY'S UNDERSERVED PATIENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 378 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $16,551,956 | PYContributionsGrantsAmt |
| CY Contributions Grants | $13,012,362 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $29,402,943 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $31,382,690 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,733,904 | PYInvestmentIncomeAmt |
| CY Investment Income | $984,723 | CYInvestmentIncomeAmt |
| PY Other Revenue | $60,160 | PYOtherRevenueAmt |
| CY Other Revenue | $177,570 | CYOtherRevenueAmt |
| PY Total Revenue | $47,748,963 | PYTotalRevenueAmt |
| CY Total Revenue | $45,557,345 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $5,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $26,047,547 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $31,404,945 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,386,593 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,440,302 | PYOtherExpensesAmt |
| CY Other Expenses | $13,135,018 | CYOtherExpensesAmt |
| PY Total Expenses | $39,487,849 | PYTotalExpensesAmt |
| CY Total Expenses | $44,544,963 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,261,114 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,012,382 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $53,712,305 | TotalAssetsBOYAmt |
| Total Assets EOY | $56,303,054 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,759,458 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,554,803 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $42,952,847 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $40,748,251 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OLE HEALTH BUILDS STRONGER COMMUNITIES BY ENSURING HIGH QUALITY, COMPREHENSIVE AND PERSONALIZED CARE FOR EVERYONE WHO LIVES AND WORKS IN THE PLACES WE CALL HOME. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $20,936,074 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $25,759,193 | RevenueAmt |
| Desc | OLE HEALTH IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), SERVING BOTH NAPA AND SOLANO COUNTIES. WE PROVIDE PRIMARY MEDICAL CARE, INCLUDING PERINATAL AND NUTRITION SERVICES, TO OVER 30,000 PATIENTS PER YEAR. ALL OF THESE SERVICES ARE AVAILABLE AT LITTLE TO NO COST FOR PATIENTS THROUGH THE SLIDING FEE SCALE DISCOUNT PROGRAM. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,961,077 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $3,361,870 | RevenueAmt |
| Desc | THE DENTAL SERVICES PROGRAM AT OLE HEALTH PROVIDES AFFORDABLE DENTAL CARE TO APPROXIMATELY 6,000 PATIENTS PER YEAR. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,855,398 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,832,990 | RevenueAmt |
| Desc | THE MENTAL HEALTH PROGRAM AT OLE HEALTH PROVIDES AFFORDABLE MENTAL HEALTH CARE TO APPROXIMATELY 2,600 PATIENTS PER YEAR. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $412,078 | ExpenseAmt |
| Grant | $5,000 | GrantAmt |
| Revenue | $428,637 | RevenueAmt |
| Desc | OLE HEALTH'S COMPREHENSIVE OPTOMETRY SERVICES INCLUDE DIAGNOSIS AND TREATMENT OF THE EYE AND VISUAL SYSTEM, AND A MODERN OPTICAL DISPENSARY FEATURING THE LATEST DESIGNER EYEWEAR TECHNOLOGY. OPTOMETRY SERVICES INCLUDE: EYE AND VISION EXAMS; RED-EYE EXAMS; FRAME SELECTION; AND AN OPTICAL DEPARTMENT. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $412,078 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $5,000 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $428,637 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $27,164,627 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 42 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 378 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CINDY JOHNSON | PersonNm |
| Phone | 7072541770 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2650 NAPA VALLEY CORPORATE DRIVE | AddressLine1Txt |
| City | NAPA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94558 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| ALICIA HARDY | |||||||||
| CHIEF EXECUTIVE OFFICER | 38.00 | 2.00 | Yes (X) | $332,978 | $0 | $24,171 | |||
| TERESA L SHINDER DO FAAP | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0.00 | Yes (X) | $310,513 | $0 | $18,092 | |||
| GABRIELA BERMUDEZ MD | |||||||||
| MEDICAL DIRECTOR, UP VALLEY SITES | 40.00 | 0.00 | $297,754 | $0 | $20,961 | Yes (X) | |||
| ROSE MACISAAC | |||||||||
| CFO/COO THROUGH 2/2022 | 31.00 | 9.00 | Yes (X) | $275,658 | $0 | $22,373 | |||
| JENNIFER ANN WILSON MD | |||||||||
| FAMILY MEDICINE PHYSICIAN | 36.00 | 0.00 | $262,273 | $0 | $18,647 | Yes (X) | |||
| HAMED ZAMANI MD | |||||||||
| FAMILY MEDICINE PHYSICIAN | 40.00 | 0.00 | $257,525 | $0 | $18,686 | Yes (X) | |||
| ALLISON CRISP DO MPH | |||||||||
| PEDIATRICIAN | 40.00 | 0.00 | $261,816 | $0 | $13,365 | Yes (X) | |||
| LYNETTE LEIGHTON MD | |||||||||
| FAMILY MEDICINE PHYSICIAN | 36.00 | 0.00 | $263,188 | $0 | $10,813 | Yes (X) | |||
| ANDREW TORGE | |||||||||
| CHIEF HUMAN RESOURCES OFFICER | 40.00 | 0.00 | $271,013 | $0 | $1,258 | Yes (X) | |||
| VINCENT FILANOVA DDS | |||||||||
| CHIEF DENTAL OFFICER THROUGH 3/2022 | 40.00 | 0.00 | Yes (X) | $253,242 | $0 | $14,242 | |||
| GARY FEDLER | |||||||||
| CHIEF INFORMATION OFFICER | 40.00 | 0.00 | $222,864 | $0 | $22,085 | Yes (X) | |||
| SONIA TOLBERT | |||||||||
| CHIEF DEVELOPMENT OFFICER | 20.00 | 20.00 | $183,150 | $0 | $5,554 | Yes (X) | |||
| HEMANTA MUNGUR | |||||||||
| CHIEF FINANCIAL OFFICER START 2/2022 | 31.00 | 9.00 | Yes (X) | $0 | $0 | $0 | |||
| AISHA AMIN DMD MPH | |||||||||
| DENTAL DIRECTOR START 4/2022 | 40.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PETE RICHMOND | |||||||||
| CHAIR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| ARTHUR ROOSA | |||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PATRICIA MCFARLAND | |||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MADELINE HERNANDEZ | |||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MAIRA AYALA | |||||||||
| BOARD MEMBER | 1.00 | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| JOE CARRILLO | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| DEBORAH GOODIN | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| RICHARD JONES | |||||||||
| BOARD MEMBER | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | |||
| BEATRICE LABASTIDA | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| BRANDY LANE | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| CYNTHIA MACIAS | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| MONIN MARTIN | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| JO MOORE | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| CEPHAS MUGERWA | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| BRYAN NAZARIO | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| ANNA ROTH | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| DAWNIELLE THORNBURGH | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| LORI WILSON | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,191,974 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $190,247 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 60 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FALCON CLEANING & JANITORIAL SERVICES | |||||
| 675 HEGENBERGER RD 240 | OAKLAND | CA | 94621 | JANITORIAL SERVICES | $283,397 |
| E CLINICAL WORKS LLC | |||||
| PO BOX 847950 | BOSTON | MA | 02284 | EHR SOFTWARE/IT SERVICES | $261,657 |
| COMPHEALTH | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | CONTRACTED MEDICAL SERVICES | $236,650 |
| FONEMED LLC | |||||
| PO BOX 911599 | DENVER | CO | 80291 | TELEHEALTH SERVICES | $235,719 |
| SVT GRUPPE | |||||
| PO BOX 270 | NAPA | CA | 94558 | SECURITY SERVICES | $120,534 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,298,619 | RelatedOrganizationsAmt |
| Government Grants | $6,441,893 | GovernmentGrantsAmt |
| All Other Contributions | $4,271,850 | AllOtherContributionsAmt |
| Total Contributions | $13,012,362 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERV REV | 621400 | $19,756,874 | $19,756,874 |
| 340B PROGRAM REVENUE | 621400 | $5,465,096 | $5,465,096 |
| CAPITATION REVENUE | 621400 | $4,460,720 | $4,460,720 |
| PHC PROVIDER INCENTIVES | 621400 | $1,700,000 | $1,700,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $31,382,690 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $604,191 | TotalRevenueColumnAmt |
| Exclusion | $604,191 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $458,739 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $78,207 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $458,739 | SecuritiesAmt |
| Other | -$78,207 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $380,532 | TotalRevenueColumnAmt |
| Exclusion | $380,532 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $177,570 | TotalRevenueColumnAmt |
| Exclusion | $177,570 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $177,570 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,557,345 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $31,382,690 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,162,293 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,000 | TotalAmt |
| Program Services | $5,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,974,350 | TotalAmt |
| Program Services | $596,090 | ProgramServicesAmt |
| Management And General | $1,172,401 | ManagementAndGeneralAmt |
| Fundraising | $205,859 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,943,531 | TotalAmt |
| Program Services | $15,100,266 | ProgramServicesAmt |
| Management And General | $8,406,928 | ManagementAndGeneralAmt |
| Fundraising | $436,337 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $803,290 | TotalAmt |
| Program Services | $509,082 | ProgramServicesAmt |
| Management And General | $278,331 | ManagementAndGeneralAmt |
| Fundraising | $15,877 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,919,243 | TotalAmt |
| Program Services | $1,678,750 | ProgramServicesAmt |
| Management And General | $1,182,712 | ManagementAndGeneralAmt |
| Fundraising | $57,781 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,764,531 | TotalAmt |
| Program Services | $1,064,656 | ProgramServicesAmt |
| Management And General | $654,209 | ManagementAndGeneralAmt |
| Fundraising | $45,666 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,410 | TotalAmt |
| Management And General | $17,572 | ManagementAndGeneralAmt |
| Fundraising | $3,838 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,996 | TotalAmt |
| Management And General | $206,996 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,769 | TotalAmt |
| Management And General | $76,769 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,723,148 | TotalAmt |
| Program Services | $2,692,004 | ProgramServicesAmt |
| Management And General | $934,715 | ManagementAndGeneralAmt |
| Fundraising | $96,429 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,903 | TotalAmt |
| Program Services | $3,358 | ProgramServicesAmt |
| Management And General | $69,403 | ManagementAndGeneralAmt |
| Fundraising | $17,142 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $578,200 | TotalAmt |
| Program Services | $114,800 | ProgramServicesAmt |
| Management And General | $404,606 | ManagementAndGeneralAmt |
| Fundraising | $58,794 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $491,716 | TotalAmt |
| Program Services | $6,467 | ProgramServicesAmt |
| Management And General | $477,749 | ManagementAndGeneralAmt |
| Fundraising | $7,500 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,805,431 | TotalAmt |
| Program Services | $1,862,574 | ProgramServicesAmt |
| Management And General | $921,370 | ManagementAndGeneralAmt |
| Fundraising | $21,487 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,089 | TotalAmt |
| Program Services | $9,709 | ProgramServicesAmt |
| Management And General | $18,372 | ManagementAndGeneralAmt |
| Fundraising | $8 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,105 | TotalAmt |
| Program Services | $92,459 | ProgramServicesAmt |
| Management And General | $20,034 | ManagementAndGeneralAmt |
| Fundraising | $1,612 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,950 | TotalAmt |
| Program Services | $42,798 | ProgramServicesAmt |
| Management And General | $8,152 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $542,571 | TotalAmt |
| Program Services | $446,312 | ProgramServicesAmt |
| Management And General | $85,172 | ManagementAndGeneralAmt |
| Fundraising | $11,087 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,151 | TotalAmt |
| Management And General | $163,151 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $2,618,231 | $2,540,668 | $77,563 | |
| EQUIPMENT COSTS | $377,609 | $240,153 | $135,022 | $2,434 |
| DUES & SUBSCRIPTIONS | $101,629 | $16,412 | $68,155 | $17,062 |
| STAFF APPRECIATION | $76,101 | $31,390 | $42,496 | $2,215 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,069,009 | TotalAmt |
| Program Services | $111,679 | ProgramServicesAmt |
| Management And General | $571,865 | ManagementAndGeneralAmt |
| Fundraising | $385,465 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,544,963 | TotalAmt |
| Program Services | $27,164,627 | ProgramServicesAmt |
| Management And General | $15,993,743 | ManagementAndGeneralAmt |
| Fundraising | $1,386,593 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,968,314 | BOYAmt |
| EOY | $4,677,200 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,130,064 | BOYAmt |
| EOY | $1,872,828 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $911,920 | BOYAmt |
| EOY | $888,922 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,757,895 | BOYAmt |
| EOY | $2,685,254 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,621,945 | BOYAmt |
| EOY | $14,774,610 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $623,356 | BOYAmt |
| EOY | $661,484 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $15,385,697 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,826,674 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,849,461 | BOYAmt |
| EOY | $8,559,023 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,032,835 | BOYAmt |
| EOY | $17,168,863 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,671,588 | BOYAmt |
| EOY | $1,671,588 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,054,927 | BOYAmt |
| EOY | $3,343,282 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,712,305 | BOYAmt |
| EOY | $56,303,054 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,590,568 | BOYAmt |
| EOY | $5,941,715 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,416,576 | BOYAmt |
| EOY | $2,522,149 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,813,372 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,752,314 | BOYAmt |
| EOY | $4,277,567 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,759,458 | BOYAmt |
| EOY | $15,554,803 | 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 | $42,441,834 | BOYAmt |
| EOY | $40,405,273 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $511,013 | BOYAmt |
| EOY | $342,978 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,952,847 | BOYAmt |
| EOY | $40,748,251 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,712,305 | BOYAmt |
| EOY | $56,303,054 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,012,382 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,200,478 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | -$16,500 | DonatedServicesAndUseFcltsAmt |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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 | $6,182,508 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,783,286 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,502,269 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,551,956 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,012,362 | CurrentTaxYearAmt |
| Total | $50,032,381 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,182,508 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,783,286 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,502,269 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,551,956 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,012,362 | CurrentTaxYearAmt |
| Total | $50,032,381 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $4,317,558 | SubstantialContributorsTotAmt |
| Public Support Total170 | $45,714,823 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $386,116 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $413,870 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $430,270 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $480,969 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $604,191 | CurrentTaxYearAmt |
| Total | $2,315,416 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $67,528 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,583 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $739,428 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $60,160 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $177,570 | CurrentTaxYearAmt |
| Total | $1,055,269 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $53,403,066 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $136,243,443 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.85600 | PublicSupportCY170Pct |
| Public Support PY170 | 0.85010 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2017 AMOUNT: $ 67,528. 2018 AMOUNT: $ 10,583. 2019 AMOUNT: $ 739,428. 2020 AMOUNT: $ 60,160. 2021 AMOUNT: $ 177,570. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $7,125 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $7,125 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | DURING THE JUNE 30, 2022 TAX YEAR, THE ORGANIZATION PAID INDIRECT LOBBYING EXPENSES IN RELATION TO DUES PAID TO THE CALIFORNIA PRIMARY CARE ASSOCIATION ($28,500); 25% OF THOSE DUES ($7,125) WERE INDICATED AS UTILIZED FOR LOBBYING ACTIVITIES ASSOCIATED WITH HEALTH CARE RELATED LEGISLATION. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,540,000 | InvestmentCostOrOtherBasisAmt |
| Book Value | $1,540,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,860,856 | OtherCostOrOtherBasisAmt |
| Depreciation | $80,885 | DepreciationAmt |
| Book Value | $4,779,971 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,146,786 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,585,062 | DepreciationAmt |
| Book Value | $561,724 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,465,303 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,468,685 | DepreciationAmt |
| Book Value | $996,618 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,372,752 | OtherCostOrOtherBasisAmt |
| Depreciation | $692,042 | DepreciationAmt |
| Book Value | $680,710 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,559,023 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM RELATED ORGANIZATIONS | $1,678,523 |
| QUALITY IMPROVEMENT PROGRAM RECEIVABLE | $500,288 |
| DEPOSITS | $20,011 |
| 340B PROGRAM RECEIVABLE | $790,101 |
| AMOUNTS DUE FROM THIRD-PARTY PAYORS | $22,063 |
| OTHER ASSETS | $332,296 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,343,282 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED RENT | $3,937,985 |
| DUE TO RELATED ORGANIZATIONS | $339,582 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,277,567 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A NONPROFIT CORPORATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND HAS BEEN GRANTED TAX-EXEMPT STATUS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA REVENUE AND TAXATION CODE. AS OF JUNE 30, 2022 AND 2021, THE ORGANIZATION HAD NO UNRECOGNIZED TAX POSITIONS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| 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 (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALICIA HARDY | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $319,390 | $0 | $1,088 | $0 | $12,500 | $0 | $11,169 | $0 | $13,002 | $0 | $357,149 | $0 | $0 | $0 |
| TERESA L SHINDER DO FAAP | ||||||||||||||
| CHIEF MEDICAL OFFICER | $304,425 | $0 | $6,088 | $0 | $0 | $0 | $11,481 | $0 | $6,611 | $0 | $328,605 | $0 | $0 | $0 |
| GABRIELA BERMUDEZ MD | ||||||||||||||
| MEDICAL DIRECTOR, UP VALLEY SITES | $265,833 | $0 | $31,921 | $0 | $0 | $0 | $10,442 | $0 | $10,519 | $0 | $318,715 | $0 | $0 | $0 |
| ROSE MACISAAC | ||||||||||||||
| CFO/COO THROUGH 2/2022 | $274,570 | $0 | $1,088 | $0 | $0 | $0 | $9,604 | $0 | $12,769 | $0 | $298,031 | $0 | $0 | $0 |
| JENNIFER ANN WILSON MD | ||||||||||||||
| FAMILY MEDICINE PHYSICIAN | $255,191 | $0 | $7,082 | $0 | $0 | $0 | $7,996 | $0 | $10,651 | $0 | $280,920 | $0 | $0 | $0 |
| HAMED ZAMANI MD | ||||||||||||||
| FAMILY MEDICINE PHYSICIAN | $256,437 | $0 | $1,088 | $0 | $0 | $0 | $8,602 | $0 | $10,084 | $0 | $276,211 | $0 | $0 | $0 |
| ALLISON CRISP DO MPH | ||||||||||||||
| PEDIATRICIAN | $254,595 | $0 | $7,221 | $0 | $0 | $0 | $10,528 | $0 | $2,837 | $0 | $275,181 | $0 | $0 | $0 |
| LYNETTE LEIGHTON MD | ||||||||||||||
| FAMILY MEDICINE PHYSICIAN | $255,906 | $0 | $7,282 | $0 | $0 | $0 | $10,490 | $0 | $323 | $0 | $274,001 | $0 | $0 | $0 |
| ANDREW TORGE | ||||||||||||||
| CHIEF HUMAN RESOURCES OFFICER | $261,331 | $0 | $1,088 | $0 | $8,594 | $0 | $1,154 | $0 | $104 | $0 | $272,271 | $0 | $0 | $0 |
| VINCENT FILANOVA DDS | ||||||||||||||
| CHIEF DENTAL OFFICER THROUGH 3/2022 | $219,154 | $0 | $1,088 | $0 | $33,000 | $0 | $8,993 | $0 | $5,249 | $0 | $267,484 | $0 | $0 | $0 |
| GARY FEDLER | ||||||||||||||
| CHIEF INFORMATION OFFICER | $216,776 | $0 | $6,088 | $0 | $0 | $0 | $8,834 | $0 | $13,251 | $0 | $244,949 | $0 | $0 | $0 |
| SONIA TOLBERT | ||||||||||||||
| CHIEF DEVELOPMENT OFFICER | $178,150 | $0 | $5,000 | $0 | $0 | $0 | $5,231 | $0 | $323 | $0 | $188,704 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 1A | FormAndLineReferenceDesc |
| Explanation | VINCENT FILANOVA, DDS (CHIEF DENTAL OFFICER), RECEIVED A TAXABLE HOUSING ALLOWANCE DURING THE 2021 CALENDAR YEAR, WHICH WAS REPORTED AS TAXABLE INCOME ON HIS 2021 FORM W-2. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | TO PREPARE THE FORM 990, THE ORGANIZATION UTILIZED A PROFESSIONAL ACCOUNTING FIRM WHO WORKED IN CONJUNCTION WITH THE ORGANIZATION'S FINANCE AND ACCOUNTING TEAM TO GATHER THE REQUIRED INFORMATION. UPON REVIEW OF THE FORM 990 AMONGST THE ORGANIZATION'S MANAGEMENT TEAM, THE FORM 990 WAS THEN SENT TO THE AUDIT & BENEFITS COMMITTEE OF THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THE AUDIT & BENEFITS COMMITTEE ALSO PRESENTS THE RESULTS OF ITS REVIEW PROCESS TO THE BOARD OF DIRECTORS, WHO RECEIVES A COPY OF THE FORM 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL EMPLOYEES AND BOARD MEMBERS MUST COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. IT IS ALSO THE CONTINUING RESPONSIBILITY OF THE BOARD, OFFICERS, AND MANAGEMENT EMPLOYEES TO SCRUTINIZE THEIR TRANSACTIONS, OUTSIDE BUSINESS INTERESTS, AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES. TRANSACTIONS WITH PARTIES WITH WHOM A CONFLICTING INTEREST EXISTS MAY BE UNDERTAKEN ONLY IF ALL OF THE FOLLOWING ARE OBSERVED: (1) THE CONFLICTING INTEREST IS FULLY DISCLOSED; (2) THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION; (3) A COMPETITIVE BID OR COMPARABLE VALUATION EXISTS; AND (4) THE BOARD HAS DETERMINED THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. DISCLOSURE FROM EMPLOYEES OF THE ORGANIZATION SHOULD BE MADE TO THE CHIEF EXECUTIVE OFFICER (OR IF HE/SHE IS THE ONE WITH THE CONFLICT, THEN TO THE BOARD CHAIR); DISCLOSURES INVOLVING DIRECTORS SHOULD BE MADE TO THE BOARD CHAIR (OR IF HE/SHE IS THE ONE WITH THE CONFLICT, THEN TO THE BOARD VICE CHAIR). CONFLICTED INDIVIDUALS ARE NOT ALLOWED TO PARTICIPATE IN THE DELIBERATION AND VOTE ON ANY MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO AND CFO SALARIES ARE APPROVED BY THE BOARD OF DIRECTORS AFTER PERFORMANCE REVIEWS AND COMPENSATION STUDIES. THE OTHER KEY LEADERSHIP POSITIONS ARE BASED ON A COMPENSATION STUDY DONE BY AN INDEPENDENT FIRM EVERY TWO TO THREE YEARS. IF NECESSARY TO EVALUATE OUTSIDE OF THAT TIME PERIOD, THE HUMAN RESOURCES DEPARTMENT WILL EVALUATE BY SOLICITING EXTERNAL COMPENSATION DATA AND PLACE THE POSITION APPROPRIATELY WITHIN THE ORGANIZATIONAL STRUCTURE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE AUDITED FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| OLE HEALTH FOUNDATION | ||||||||||
| 1141 PEAR TREE LANE SUITE 100 | NAPA | CA | 94558 | 680149424 | FUNDRAISING | CA | 501(C)(3) | LINE 7 | OLE HEALTH | Yes (1) |
| OLE HEALTH NMTC | ||||||||||
| 1141 PEAR TREE LANE SUITE 100 | NAPA | CA | 94558 | 815395044 | NMTC FINANCING FOR EXEMPT ACTIVITIES | CA | 501(C)(3) | LINE 12A, I | OLE HEALTH | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| OLE HEALTH FOUNDATION | ||
| C | $2,298,619 | BOOK VALUE |
| OLE HEALTH NMTC | ||
| D | $29,651,000 | LOAN GUARANTEE AMOUNT |
| OLE HEALTH NMTC | ||
| K | $534,408 | BOOK VALUE |