COPPERTOWER FAMILY MEDICAL CENTER INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: COPPERTOWER FAMILY MEDICAL CENTER INC (EIN 68-0345901)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-15
IRS object ID: 202321359349305627
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-15T10:41:59-05:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	680456752	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Dillwood Burkel & Millar LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	175 Concourse Boulevard Suite A	AddressLine1Txt
City	Santa Rosa	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95403	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	680345901	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COPPERTOWER FAMILY MED CTR INC	BusinessNameLine1Txt
Business Name Line2	DBA ALEXANDER VALLEY HEALTHCARE	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	COPP	BusinessNameControlTxt
Phone	7078944229	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	106 East 1st St Suite B	AddressLine1Txt
City	Cloverdale	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95425	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Debbie Howell	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	7078944229	PhoneNum
Signature	2023-05-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Debbie	PersonFirstNm
Person Last	Howell	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Christina Z Hollingsworth	PreparerPersonNm
PTIN	P02090706	PTIN
Phone	7075778806	PhoneNum
Preparation	2023-05-12	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)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	Debbie Howell	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	106 East 1st Street	AddressLine1Txt
City	Cloverdale	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95425	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$7,004,716	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ALEXANDERVALLEYHEALTHCARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1994	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	To provide comprehensive primary care, addressing the whole person needs, including behavioral and oral health care.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	91	TotalEmployeeCnt
Total Volunteers	12	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,381,052	PYContributionsGrantsAmt
CY Contributions Grants	$3,373,235	CYContributionsGrantsAmt
PY Program Service Revenue	$4,128,939	PYProgramServiceRevenueAmt
CY Program Service Revenue	$3,630,375	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$1,106	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$6,509,991	PYTotalRevenueAmt
CY Total Revenue	$7,004,716	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$4,976,895	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$4,969,226	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$72,689	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,335,223	PYOtherExpensesAmt
CY Other Expenses	$1,509,219	CYOtherExpensesAmt
PY Total Expenses	$6,312,118	PYTotalExpensesAmt
CY Total Expenses	$6,478,445	CYTotalExpensesAmt
PY Revenues Less Expenses	$197,873	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$526,271	CYRevenuesLessExpensesAmt
Total Assets BOY	$5,700,215	TotalAssetsBOYAmt
Total Assets EOY	$5,356,116	TotalAssetsEOYAmt
Total Liabilities BOY	$1,316,785	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$446,415	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,383,430	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$4,909,701	NetAssetsOrFundBalancesEOYAmt
Mission	To provide patient-centered health care with excellence in quality, services, and access for all.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$4,938,238	ExpenseAmt
Revenue	$3,630,375	RevenueAmt
Desc	The health center provided in excess of 26,000 primary care, dental, and behavioral health care visits/services to 4739 unique patients. Provided more than 1,500 COVID tests, 2,500 COVID immunizations to patients and community members.	Desc
Total Program Service Expenses	$4,938,238	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	15	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	91	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Jenine Saunders	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7078944229	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	106 E 1st St Suite B	AddressLine1Txt
City	Cloverdale	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95425	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Kirsten Tellez
Former Chairman	2.00	Yes (X)	$0	$0	$0
Jeanne Cox
Vice Chairman	2.00	Yes (X)	$0	$0	$0
Bob Freelen
Secretary	2.00	Yes (X)	$0	$0	$0
James Novak
Director	2.00	Yes (X)	$0	$0	$0
James Berry
Chairman & Treasurer	2.00	Yes (X)	$0	$0	$0
Juli Southard
Director	2.00	Yes (X)	$0	$0	$0
Maria Gonzalez
Director	2.00	Yes (X)	$0	$0	$0
Tony Bugica
Director	2.00	Yes (X)	$0	$0	$0
Jeff Meier
Director	2.00	Yes (X)	$0	$0	$0
Deb Grizzard
Director	2.00	Yes (X)	$0	$0	$0
Chuck Levine
Director	2.00	Yes (X)	$0	$0	$0
Mark Thayer
Director	2.00	Yes (X)	$0	$0	$0
Debbie Howell
CEO	40.00		$206,465	$0	$21,408	Yes (X)
Jenine Saunders
CFO	40.00		$163,497	$0	$17,534	Yes (X)
Samantha Guthman
COO	40.00		$147,328	$0	$5,970		Yes (X)
Cary Wheeler
CMO	36.00		$207,977	$0	$17,534		Yes (X)
Kevin Garvin
Dental Director	40.00		$158,768	$0	$15,873		Yes (X)
Steven Simms
Former CQO	40.00		$128,861	$0	$13,634			Yes (X)
Dennis Fito
Physician	32.00		$198,429	$0	$15,229			Yes (X)
Norr Hashem
Physician	32.00		$148,328	$0	$11,128			Yes (X)
Anne Hilow
Project Director	40.00		$124,947	$0	$15,842			Yes (X)
Amy Brom
BH Director	40.00		$123,280	$0	$10,857			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,607,880	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$145,009	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	10	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$3,017,465	GovernmentGrantsAmt
All Other Contributions	$355,770	AllOtherContributionsAmt
Total Contributions	$3,373,235	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Medical Fees	$3,562,535	$3,562,535
Other Revenue	$67,840	$67,840

Field	Value	IRS element (for citing)
Total Program Service Revenue	$3,630,375	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,106	TotalRevenueColumnAmt
Exclusion	$1,106	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,004,716	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,630,375	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,106	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,059,132	TotalAmt
Program Services	$485,488	ProgramServicesAmt
Management And General	$573,644	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$3,190,433	TotalAmt
Program Services	$2,639,476	ProgramServicesAmt
Management And General	$534,109	ManagementAndGeneralAmt
Fundraising	$16,848	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$57,446	TotalAmt
Program Services	$52,745	ProgramServicesAmt
Management And General	$4,679	ManagementAndGeneralAmt
Fundraising	$22	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$359,795	TotalAmt
Program Services	$283,884	ProgramServicesAmt
Management And General	$75,815	ManagementAndGeneralAmt
Fundraising	$96	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$302,420	TotalAmt
Program Services	$224,082	ProgramServicesAmt
Management And General	$77,114	ManagementAndGeneralAmt
Fundraising	$1,224	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,640	TotalAmt
Management And General	$3,640	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$10,947	TotalAmt
Program Services	$8,111	ProgramServicesAmt
Management And General	$2,817	ManagementAndGeneralAmt
Fundraising	$19	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$216,932	TotalAmt
Program Services	$214,430	ProgramServicesAmt
Management And General	$2,471	ManagementAndGeneralAmt
Fundraising	$31	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$22,149	TotalAmt
Management And General	$22,149	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$76,152	TotalAmt
Program Services	$66,003	ProgramServicesAmt
Management And General	$8,154	ManagementAndGeneralAmt
Fundraising	$1,995	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$236,851	TotalAmt
Program Services	$173,344	ProgramServicesAmt
Management And General	$62,825	ManagementAndGeneralAmt
Fundraising	$682	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,747	TotalAmt
Program Services	$1,226	ProgramServicesAmt
Management And General	$2,415	ManagementAndGeneralAmt
Fundraising	$106	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$15,316	TotalAmt
Program Services	$10,951	ProgramServicesAmt
Management And General	$3,368	ManagementAndGeneralAmt
Fundraising	$997	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$114,439	TotalAmt
Program Services	$110,017	ProgramServicesAmt
Management And General	$4,422	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$29,001	TotalAmt
Program Services	$24,084	ProgramServicesAmt
Management And General	$4,874	ManagementAndGeneralAmt
Fundraising	$43	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Communications	$49,145	$36,415	$12,646	$84
Equipment expenses	$32,321	$30,955	$1,366
Equipment rental and ma	$24,815	$23,052	$1,751	$12
Dues and memberships	$24,625	$19,864	$4,650	$111

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$649,139	TotalAmt
Program Services	$534,111	ProgramServicesAmt
Management And General	$64,609	ManagementAndGeneralAmt
Fundraising	$50,419	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,478,445	TotalAmt
Program Services	$4,938,238	ProgramServicesAmt
Management And General	$1,467,518	ManagementAndGeneralAmt
Fundraising	$72,689	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$840,194	BOYAmt
EOY	$2,382,588	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,956,536	BOYAmt
EOY	$905,919	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$236,390	BOYAmt
EOY	$357,821	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$681,014	BOYAmt
EOY	$448,885	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$85,509	BOYAmt
EOY	$83,406	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$102,340	BOYAmt
EOY	$98,188	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,461,272	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$559,382	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$628,231	BOYAmt
EOY	$901,890	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$170,000	BOYAmt
EOY	$170,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1	BOYAmt
EOY	$7,419	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,700,215	BOYAmt
EOY	$5,356,116	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$373,884	BOYAmt
EOY	$446,415	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$11,056	BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$931,845	BOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,316,785	BOYAmt
EOY	$446,415	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,333,430	BOYAmt
EOY	$4,709,701	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$50,000	BOYAmt
EOY	$200,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,383,430	BOYAmt
EOY	$4,909,701	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,700,215	BOYAmt
EOY	$5,356,116	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$526,271	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,362,826	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,236,333	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,556,649	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,381,052	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,373,235	CurrentTaxYearAmt
Total	$9,910,095	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,362,826	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,236,333	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,556,649	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,381,052	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,373,235	CurrentTaxYearAmt
Total	$9,910,095	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$9,910,095	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year	$1,106	CurrentTaxYearAmt
Total	$1,106	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$345,501	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$299,411	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$164,853	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$174,899	CurrentTaxYearMinus1YearAmt
Current Tax Year	$67,840	CurrentTaxYearAmt
Total	$1,052,504	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$10,963,705	TotalSupportAmt
Public Support CY170	0.90390	PublicSupportCY170Pct
Public Support PY170	0.85890	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

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$357,408	OtherCostOrOtherBasisAmt
Depreciation	$309,419	DepreciationAmt
Book Value	$47,989	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$281,651	OtherCostOrOtherBasisAmt
Depreciation	$249,963	DepreciationAmt
Book Value	$31,688	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$822,213	OtherCostOrOtherBasisAmt
Book Value	$822,213	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$901,890	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$7,004,716	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$7,004,716	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$7,004,716	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$6,478,445	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$6,478,445	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$6,478,445	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part X, Line 2:	FormAndLineReferenceDesc
Explanation	AVH determines whether its tax positions are "more-likely-than-not" to be sustained upon examination by the applicable taxing authority based on the technical merits of the positions. As of June 30, 2022, AVH has reviewed its tax positions and has concluded no reserve for uncertain tax positions is required. AVH's exempt organization information returns are subject to review through three years after the date of filing for Federal and four years after the date of filing for State.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Debbie Howell
CEO	$206,465	$0	$0	$0	$0	$0	$10,374	$0	$11,034	$0	$227,873	$0	$0	$0
Cary Wheeler
CMO	$207,977	$0	$0	$0	$0	$0	$6,500	$0	$11,034	$0	$225,511	$0	$0	$0
Dennis Fito
Physician	$198,429	$0	$0	$0	$0	$0	$9,044	$0	$6,185	$0	$213,658	$0	$0	$0
Jenine Saunders
CFO	$163,497	$0	$0	$0	$0	$0	$8,109	$0	$9,425	$0	$181,031	$0	$0	$0
Kevin Garvin
Dental Director	$158,768	$0	$0	$0	$0	$0	$7,344	$0	$8,529	$0	$174,641	$0	$0	$0
Norr Hashem
Physician	$148,328	$0	$0	$0	$0	$0	$7,370	$0	$3,758	$0	$159,456	$0	$0	$0
Samantha Guthman
COO	$147,328	$0	$0	$0	$0	$0	$0	$0	$5,970	$0	$153,298	$0	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section B, line 11b	The form 990 will be made available to the board for review prior to submission in E-Form if available or if not, it will be reviewed at the next regular board meeting.
Form 990, Part VI, Section B, line 12c	The CEO is responsible for fully disclosing to the board any potential conflicts of interest that may arise.
Form 990, Part VI, Section B, line 15	By performance review and as comparable to peers as obtained through the California Primary Care Association annual salary survey results.
Form 990, Part VI, Section C, line 19	Copies of our financial audits are available upon request at our offices. The corporate bylaws and the conflict of interest policy contained within are not available for public inspection.