2022-02-14T09:41:03-08:00 2021-06-30 873976308 Goranson Tax and Consulting Inc 717 College Ave First Floor Santa Rosa CA 95404 990 2020-07-01 680345901 Coppertower Family Med Ctr Inc dba Alexander Valley Healthcare COPP 7078944229 100 W Third Street Cloverdale CA 95425 Debbie Howell CEO 2022-02-14 true Debbie Howell 999009999 Blake Gunter P02457939 7075421256 3 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z Debbie Howell 100 W Third Street Cloverdale CA 95425 6509991 false X www.alexandervalleyhealthcare.org X 1994 CA To provide excellent and comprehensive primary care services 9 9 69 16 0 1556649 2381052 3868225 4128939 0 0 5424874 6509991 0 0 4270811 4976895 0 0 1433864 1335223 5704675 6312118 -279801 197873 5554670 5700215 1369113 1316785 4185557 4383430 To provide excellent and comprehensive primary care services false false 4396204 3954040 We are the only medical provider in the community and provide care to people of all ages. A high percentage of our patient population is financially indigent. 4396204 true true false false false false false false false false true false false false false true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 14 0 true 69 true false false false false false false false 0 false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false CA X Jenine Saunders 7078944229 100 W Third Street Cloverdale CA 95425 Nor Hashem Former Physician 32.00 0.00 251040 0 20595 Shellie Burdick Former CMO 32.00 0.00 201928 0 20338 Debbie Howell CEO 40.00 0.00 X 199541 0 20985 Cary Wheeler CMO 36.00 0.00 197742 0 12807 Jenine Saunders CFO 40.00 0.00 X 185602 0 14710 Denis FITo Physician 32.00 0.00 174133 0 5783 Samantha Guthman COO 40.00 0.00 148731 0 5903 Bob Freelen Secretary 2.00 0.00 X 0 0 0 James Novak Director 2.00 0.00 X 0 0 0 Kirsten Tellez Chairman 2.00 0.00 X 0 0 0 Juli Southard Director 2.00 0.00 X 0 0 0 Maria Gonzalez Director 2.00 0.00 X 0 0 0 Tony Bugica Director 2.00 0.00 X 0 0 0 James Berry Director 2.00 0.00 X 0 0 0 Jeanne Cox vice chair 2.00 0.00 X 0 0 0 Jeff Meier Director 2.00 0.00 X 0 0 0 1358717 101121 12 true true false 0 2232472 148580 2381052 Medical fees 3954040 3954040 Other revenue 174899 174899 4128939 0 0 0 0 0 0 0 0 0 6509991 4128939 0 0 0 0 420838 420838 0 4556057 3310611 1245446 0 0 0 0 0 0 0 0 0 79039 51053 27986 11335 11335 0 161015 106955 54060 0 231671 169132 62539 876 876 0 0 0 0 28164 20107 8057 32760 27436 5324 supplies 282527 270913 11614 consultants and contractors 180950 178151 2799 Software support and fees 83815 66601 17214 Laboratory Fees 49862 49862 193209 145383 47826 6312118 4396204 1915914 0 2278789 840194 1963727 2956536 228381 236390 327000 681014 0 0 0 74120 85509 102051 102340 1073175 444944 580602 628231 0 0 0 170000 1 5554670 5700215 467150 373884 20118 11056 881845 931845 1369113 1316785 X 4185557 4333430 50000 4185557 4383430 5554670 5700215 197873 X false true X true true true X 1326342 1362826 1236333 1556649 2381052 7863202 0 0 1326342 1362826 1236333 1556649 2381052 7863202 0 7863202 0 0 306665 345501 299411 164853 174899 1291329 9154531 0.85890 0.84910 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 508296 444944 63352 564879 564879 628231 X 6509991 6509991 6509991 6312118 6312118 6312118 Part X : FIN48 Footnote The Organization is exempt from Federal and State Income taxes under Internal Revenue Code Section 501(c)(3) and California Franchise Tax Board Code Section 23701(d). Therefore, no provision for income taxes has been made in the accompanying financial statements. In addition, the Internal Revenue Service has determined the Organization is not a private foundation within the meaning of Section 509(a) of the Internal Revenue Code.Management of the Organization considers the likelihood of changes by taxing authorities in its filed tax returns and recognizes a liability for or discloses potential significant changes if management believes it is more likely than not for a change to occur, including changes to the Organizations status as a not-for-profit entity. Management believes the Organization met the requirements to maintain its tax-exempt status and has not income subject to unrelated business income tax; therefore no provision for income taxes has been provided in these financial statements. The Organizations tax returns for the past three years are subject to examination by tax authorities, and may change upon examination. X X X false false false false false false false false false Cary Wheeler CMO 197241 501 1750 11057 210549 Debbie Howell CEO 194083 5458 9964 11021 220526 Denis FITo Physician 173658 475 5783 179916 Jenine Saunders CFO 168963 16639 9230 5480 200312 Nor Hashem Former Physician 250564 476 11573 9022 271635 Samantha Guthman COO 148731 5903 154634 Shellie Burdick Former CMO 201453 475 10127 10211 222266 Form 990, Part VI, Line 11b: Form 990 Review Process 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, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The Executive Director and CFO are responsible for fully disclosing to the board any potential conflicts of interest that may arise. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees By performance review and as comparable to peers as obtained through the California Primary Care Association annual salary survey results. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available 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.