2022-11-01T12:30:50-05:00 2021-12-31 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2021-01-01 680162903 CARES COMMUNITY HEALTH % MICHELLE MONROE CARE 9169146274 1500 21ST STREET SACRAMENTO CA 95811 MICHELLE MONROE CEO 9164433299 2022-09-29 true MICHELLE MONROE 999009999 Krystal K Creach P01248198 4178658701 2 2021 2022-09-23 18:48:47Z ONE COMMUNITY HEALTH MICHELLE MONROE 1500 21ST STREET SACRAMENTO CA 95811 102769818 false X WWW.ONECOMMUNITYHEALTH.COM X 1988 CA ONE COMMUNITY HEALTH IS A PRIMARY HEALTHCARE AND SPECIALTY CARE PROVIDER DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY. 10 10 415 14 0 0 7579728 7249990 73763310 79500122 542877 2794900 10663 15513 81896578 89560525 899578 543051 0 0 26131549 26626469 0 0 0 50887318 50781457 77918445 77950977 3978133 11609548 71949456 85728206 13477596 13308665 58471860 72419541 X ONE COMMUNITY HEALTH TRANSFORMS LIVES THROUGH CARE, RESEARCH AND COMMUNITY AWARENESS. false false 38880898 13917 47667598 PHARMACY - ONE COMMUNITY HEALTH PROVIDES PHARMACY SERVICES FOR PATIENTS' PRESCRIPTION. THE PHARMACY FILLED 157,407 SCRIPTS IN 2021. 19661247 275124 27939307 MEDICAL CARE - ONE COMMUNITY HEALTH PROVIDES PRIMARY CARE SERVICES AND SPECIALTY CARE FOR PATIENTS THAT INCLUDES PREVENTATIVE CARE, ROUTINE CHECKUPS, IMMUNIZATION AND MANAGEMENT OF ACUTE AND CHRONIC ILLNESSES. MEDICAL VISITS - 68,213 DENTAL CARE - ONE COMMUNITY HEALTH PROVIDES PREVENTATIVE DENTAL CARE, ROUTINE CHECKUPS AND DENTAL PROCEDURES. DENTAL VISITS - 9,823 3070887 231346 987374 ENABLING VISITS - COUNSELORS WORK WITH PATIENTS TO PROVIDE HEALTH INFORMATION, SECURE INSURANCE, SEEK SUPPLEMENTS FOR RENT AND UTILITIES, SECURE TRANSPORTATION AND OTHER SERVICES THAT ALLOW PATIENTS TO BE ABLE TO SECURE MEDICAL AND MENTAL HEALTH SERVICES AND ALLOW THEM TO STAY IN CARE. ENABLING VISITS - 7,077. 3417098 22664 2905843 65030130 true true false false false false false false false false true false false true false false true false false false false false false false false false false true true true false false false false false false false false false false false false false false false false false true 156 0 true 415 true false false false false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true false false CA X MICHELLE MONROE 9168333216 1500 21ST STREET SACRAMENTO CA 95811 CHARLENE HANSEN SITE MEDICAL DIRECTOR 40.0 0.0 X 277514 0 17222 DAVID SMITH PSYCHIATRIST 30.0 0.0 X 272383 0 10895 JEFFREY GERSTEIN PSYCHIATRIST 27.0 0.0 X 254232 0 10169 RACHEL CASPER ADDICTION PHYSICIAN 40.0 0.0 X 245450 0 12740 CORINA GONZALEZ PEDIATRICIAN 40.0 0.0 X 239981 0 9957 MICHELLE MONROE CHIEF EXECUTIVE OFFICER 40.0 0.0 X 234420 0 8763 HEATHER NEWHARD MEDICAL INFORMATICIST 40.0 0.0 X 234420 0 7418 FLORA ASUNCION CHIEF OPERATING OFFICER 40.0 0.0 X 178271 0 11828 NOAH PINCK CHIEF INFORMATION OFFICER 40.0 0.0 X 167883 0 6715 CLARA PETERSON CHIEF FINANCIAL OFFICER 40.0 0.0 X 141855 0 7173 STEVEN HAAS CHIEF HR OFFICER BEGIN 3/21 40.0 0.0 X 134679 0 6069 TASNIM KHAN CHIEF MEDICAL OFFICER END 3/21 40.0 0.0 X 95071 0 5448 ALEXANDRA AKAKA CHIEF HR OFFICER END 3/21 40.0 0.0 X 96449 0 3726 ANTONIO BALATBAT CHIEF MED OFFICER BEGIN 9/21 40.0 0.0 X 95941 0 982 RICHARD SOOHOO CHAIRPERSON 1.0 0.0 X X 0 0 0 MICHAEL MARTINEZ VICE-CHAIRPERSON 1.0 0.0 X X 0 0 0 GAYLENE HUNTSMAN SECRETARY 1.0 0.0 X X 0 0 0 BOB PASCUZZI TREASURER 1.0 0.0 X X 0 0 0 SUSAN BERGIN BOARD MEMBER 1.0 0.0 X 0 0 0 ARTURO DURAZO PHD BOARD MEMBER END 6/21 1.0 0.0 X 0 0 0 ROBERTO JIMENEZ BOARD MEMBER END 6/21 1.0 0.0 X 0 0 0 SHELLY MCGRIFF BOARD MEMBER 1.0 0.0 X 0 0 0 CHARLES MCNEIL BOARD MEMBER 1.0 0.0 X 0 0 0 DOUG SMITH BOARD MEMBER 1.0 0.0 X 0 0 0 JASON VEGA BOARD MEMBER 1.0 0.0 X 0 0 0 CATHERINE APKER BOARD MEMBER BEGIN 4/21 1.0 0.0 X 0 0 0 2668549 0 119105 55 false true false UCDMC-PHARMACY PO BOX 989062 WEST SACRAMENTO CA 95798 CONTRACTED PHARMACY 3146973 UNIVERSITY OF CALIFORNIA PO BOX 989062 WEST SACRAMENTO CA 96798 CONTRACTED PHYSICIAN 1016811 ACCESS EYE HEALTHCARE 114 MISSING RANCH BLVD STE 50 CHICO CA 95926 CONTRACTED OPTOMETRY 444495 OCHIN 1881 SW NAITO PARKWAY PORTLAND OR 97201 HEALTH RECORDS MGMT 778661 QUEST DIAGNOSTICS 500 PLAZA DRIVE SECAUCUS NJ 07094 LAB SERVICES 500664 20 5833561 1416429 800 7249990 NET PATIENT SERVICE REVENUE 621400 28696507 28696507 PHARMACY REVENUE 446110 50431226 50431226 OTHER REVENUE 900099 372389 372389 79500122 761212 761212 0 0 15513 15513 0 15513 15513 15242981 13209293 2033688 2033688 2033688 0 0 0 0 0 0 0 0 0 0 89560525 79500122 2810413 48433 48433 494618 494618 0 0 1490009 492178 997831 0 20547133 15118510 5428623 655533 491464 164069 2466034 1785417 680617 1467760 1058673 409087 0 193407 193407 96105 96105 0 0 204166 204166 7388847 6407495 981352 111156 111156 2045673 850637 1195036 1592578 687696 904882 0 1011805 584739 427066 45145 28163 16982 0 106893 24368 82525 232230 181766 50464 0 1344415 1011625 332790 135704 22394 113310 PHARMACY SUPPLIES 34081809 34081809 MEDICAL SUPPLIES & DRUGS 1313699 1313699 RECRUITING & RETENTION 318259 25470 292789 LICENSES, DUES, SUBSCRIPTIONS 309866 124506 185360 249700 196470 53230 77950977 65030130 12920847 0 3422134 1089777 1528502 1703197 1196516 863961 3796530 3473431 0 0 0 0 0 0 1837143 1664883 443012 545832 28538388 10997113 18667443 17541275 37298428 45823598 0 0 0 0 0 0 3759748 13022252 71949456 85728206 5470775 5889476 0 0 135023 171391 0 0 0 0 0 0 7871798 7247798 0 0 0 0 13477596 13308665 X 58471860 72419541 0 0 58471860 72419541 71949456 85728206 11609548 2338133 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2609000 2609000 19739318 6852646 12886672 1108110 435561 672549 5081960 3708906 1373054 17541275 ESTIMATED DUE FROM THIRD PARTY 13002778 SECURITY DEPOSITS 19474 13022252 X 91694492 2338133 2338133 89356359 204166 204166 89560525 77746811 77746811 204166 204166 77950977 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true SIERRA FOOTHILLS AIDS FOUNDATION 12183 LOCKSLEY LANE STE 208 AUBURN CA 95602 680179770 501(C)(3) 48433 HIV/AIDS PREVENTION COALITION 1 IN-HOUSE SUBSTANCE ABUSE TREATMENT 9 18385 CLIENT HOUSING 142 149995 CLIENT UTILITIES 74 33703 CLIENT TRANSPORTATION 166 20931 CLIENT PHARMACY ASSISTANCE 30 13917 DENTAL CLIENT REFERRALS 52 102060 MEDICAL CLIENT REFERRALS 3 15995 MEDICAL LABS 279 112915 CLIENT FOOD VOUCHERS 358 22582 CLIENT INSURANCE ASSISTANCE 8 4135 SCHEDULE I, PART I, LINE 2 ONE COMMUNITY HEALTH HAS SUB-GRANTEES FOR FEDERAL GRANTS. ONE COMMUNITY HEALTH MONITORS EACH GRANTEE TO ASSURE THAT THEY FOLLOW THE SAME A-133 REQUIREMENTS THAT EACH GRANT CONTRACT REQUIRES OF ONE COMMUNITY HEALTH PLUS ANY SPECIFIC REQUIREMENTS OF THE SUBGRANTEE CONTRACT. X X X X X false false false false false false false false false MICHELLE MONROE CHIEF EXECUTIVE OFFICER 219420 0 15000 0 0 0 6732 0 2031 0 243183 0 0 0 FLORA ASUNCION CHIEF OPERATING OFFICER 175866 0 20 0 2385 0 6776 0 5052 0 190099 0 0 0 NOAH PINCK CHIEF INFORMATION OFFICER 167863 0 20 0 0 0 6715 0 0 0 174598 0 0 0 CHARLENE HANSEN SITE MEDICAL DIRECTOR 271972 0 0 0 5542 0 11336 0 5886 0 294736 0 0 0 DAVID SMITH PSYCHIATRIST 267258 0 0 0 5125 0 10895 0 0 0 283278 0 0 0 JEFFREY GERSTEIN PSYCHIATRIST 242800 0 0 0 11432 0 10169 0 0 0 264401 0 0 0 RACHEL CASPER ADDICTION PHYSICIAN 235360 0 0 0 10090 0 9450 0 3290 0 258190 0 0 0 CORINA GONZALEZ PEDIATRICIAN 231812 0 0 0 8169 0 6464 0 3493 0 249938 0 0 0 HEATHER NEWHARD MEDICAL INFORMATICIST 217865 0 20 0 16535 0 4592 0 2826 0 241838 0 0 0 FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES: BEHAVIORAL HEALTH (PSYCHIATRY, PSYCHOLOGICAL SUBSTANCE ABUSE COUNSELING) -ONE COMMUNITY HEALTH PROVIDES COUNSELING, PSYCHIATRIC EVALUATION AND MEDICATION PATIENTS THROUGH SCREENING, ASSESSMENT, GROUP AND TREATMENT. PSYCHIATRY AND RELATED VISITS - 9,898 PROGRAM EXPENSES - $2,834,519 PROGRAM GRANTS PAID - $18,385 PROGRAM REVENUE - $2,084,624 OPTOMETRY - 4,595 VISITS PROGRAM EXPENSES - $582,579 PROGRAM GRANTS PAID - $4,279 PROGRAM REVENUE - $821,219 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 BOARD REVIEW POLICY: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A COPY OF THE DRAFT FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY COMPLIANCE: THE CONFLICT OF INTEREST POLICY COVERED ALL MEMBERS OF THE BOARD OF DIRECTORS. EACH NEW RESPONSIBLE PERSON SHALL BE REQUIRED TO REVIEW A COPY OF THE POLICY AND TO ACKNOWLEDGE IN WRITING THAT HE OR SHE HAS DONE SO AND AGREES TO COMPLY WITH THE POLICY. UPON ELECTION OR RE-ELECTION TO THE BOARD OF DIRECTORS, AND ANNUALLY THEREAFTER, EACH RESPONSIBLE PERSON SHALL COMPLETE A DISCLOSURE FORM IDENTIFYING ANY RELATIONSHIPS, POSITIONS, OR CIRCUMSTANCES IN WHICH THE RESPONSIBLE PERSON IS INVOLVED THAT HE OR SHE BELIEVES COULD CONTRIBUTE TO THE ARISING OF A CONFLICT OF INTEREST. THIS POLICY SHALL BE REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. BEFORE BOARD OR COMMITTEE ACTION ON A CONTRACT OR TRANSACTION INVOLVING A CONFLICT OF INTEREST, A RESPONSIBLE PERSON WHO HAS, OR MAY HAVE, A CONFLICT OF INTEREST SHALL DISCLOSE THE EXISTENCE OF THE ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST TO THE CHAIRPERSON OF THE BOARD OF DIRECTORS, OR THE CHAIR OF THE APPLICABLE COMMITTEE IN WRITING AS SOON AS THE RESPONSIBLE PERSON HAS REASON TO BELIEVE THAT HE/SHE MAY HAVE A CONFLICT. THE CHAIR OF THE BOARD OF COMMITTEE MEETING AT WHICH BOARD OF COMMITTEE ACTION RELATED TO THE CONTRACT OR TRANSACTION MAY OCCUR SHALL REPORT THE DISCLOSURE AT THE MEETING, AND THE DISCLOSURE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. A RESPONSIBLE PERSON WHO HAS A CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN OR BE PERMITTED TO HEAR THE BOARD'S DISCUSSION OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND TO RESPOND TO QUESTIONS AND SHALL NOT BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM FOR PURPOSES OF THE VOTE. ANY ACTUAL OR PERCEIVED VIOLATION BY A RESPONSIBLE PERSON OF THIS CONFLICT OF INTEREST POLICY SHOULD BE BROUGHT TO THE ATTENTION OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION DETERMINATION POLICY: THE CHIEF EXECUTIVE OFFICER'S SALARY IS DETERMINED AND APPROVED BY THE BOARD OF THE ORGANIZATION. A FIRM SPECIALIZING IN EXECUTIVE LEVEL COMPENSATION WAS ENGAGED TO REVIEW AND BENCHMARK TO LOCAL INDUSTRY STANDARDS AND TRENDS. WHEN COMPARING AND ANALYZING DATA, THE FIRM MAY MAKE RECOMMENDATIONS TO THE COMPENSATION COMMITTEE REGARDING THE SALARY GRADES AND RANGES. THE COMPENSATION COMMITTEE REVIEWS THE SALARY GRADES AND RANGES AND HAS THE RESPONSIBILITY OF APPROVING THEM. THE DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN MEETING MINUTES. THE MOST RECENT COMPENSATION REVIEW OF THE ORGANIZATION'S CEO WAS MAY 2021 CONDUCTED BY THE BOARD OR DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: ONE COMMUNITY HEALTH'S ANNUAL REPORT IS PLACED ON OUR WEBSITE, WWW.ONECOMMUNITYHEALTH.COM. ONE COMMUNITY HEALTH'S AUDITED FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE FOR INSPECTION AT OUR OFFICES LOCATED AT 1500 21ST STREET, SACRAMENTO CA 95811.