CARES COMMUNITY HEALTH: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- CARES COMMUNITY HEALTH (EIN 68-0162903)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-15
- IRS object ID
- 202103199349312615
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-15T10:43:22-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 680162903 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARES COMMUNITY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MICHELLE MONROE | InCareOfNm |
| Business Name Control | CARE | BusinessNameControlTxt |
| Phone | 9169146274 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 21ST STREET | AddressLine1Txt |
| City | SACRAMENTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95811 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHELLE MONROE | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9164433299 | PhoneNum |
| Signature | 2021-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MICHELLE | PersonFirstNm |
| Person Last | MONROE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Krystal K Creach | PreparerPersonNm |
| PTIN | P01248198 | PTIN |
| Phone | 4178658701 | PhoneNum |
| Preparation | 2021-11-10 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | TrustedCustomerGrp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ONE COMMUNITY HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHELLE MONROE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 21ST STREET | AddressLine1Txt |
| City | SACRAMENTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95811 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $95,332,554 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ONECOMMUNITYHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1988 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | ONE COMMUNITY HEALTH IS A PRIMARY HEALTHCARE AND SPECIALTY CARE PROVIDER DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 364 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,245,315 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,579,728 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,544,490 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $73,763,310 | CYProgramServiceRevenueAmt |
| PY Investment Income | $816,821 | PYInvestmentIncomeAmt |
| CY Investment Income | $542,877 | CYInvestmentIncomeAmt |
| PY Other Revenue | $16,711,306 | PYOtherRevenueAmt |
| CY Other Revenue | $10,663 | CYOtherRevenueAmt |
| PY Total Revenue | $36,317,932 | PYTotalRevenueAmt |
| CY Total Revenue | $81,896,578 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,237,150 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $899,578 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,593,022 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $26,131,549 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,450,525 | PYOtherExpensesAmt |
| CY Other Expenses | $50,887,318 | CYOtherExpensesAmt |
| PY Total Expenses | $39,280,697 | PYTotalExpensesAmt |
| CY Total Expenses | $77,918,445 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,962,765 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,978,133 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $64,133,564 | TotalAssetsBOYAmt |
| Total Assets EOY | $71,949,456 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,846,053 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,477,596 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $51,287,511 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $58,471,860 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ONE COMMUNITY HEALTH TRANSFORMS LIVES THROUGH CARE, RESEARCH AND COMMUNITY AWARENESS. | MissionDesc |
| Significant New Program Srvc | Yes (true) | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $41,221,318 | ExpenseAmt |
| Grant | $23,284 | GrantAmt |
| Revenue | $54,273,855 | RevenueAmt |
| Desc | PHARMACY - ONE COMMUNITY HEALTH PROVIDES PHARMACY SERVICES FOR PATIENTS' PRESCRIPTION. THE PHARMACY FILLED 175,655 SCRIPTS IN 2020. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $20,423,314 | ExpenseAmt |
| Grant | $339,484 | GrantAmt |
| Revenue | $16,330,921 | RevenueAmt |
| Desc | 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 - 79,559 DENTAL CARE - ONE COMMUNITY HEALTH PROVIDES PREVENTATIVE DENTAL CARE, ROUTINE CHECKUPS AND DENTAL PROCEDURES. DENTAL VISITS - 7,599 | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,139,203 | ExpenseAmt |
| Grant | $370,393 | GrantAmt |
| Revenue | $927,289 | RevenueAmt |
| Desc | 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 VISTITS - 9,209. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,689,670 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $166,417 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $2,231,245 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $66,473,505 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 154 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 364 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHELLE MONROE | PersonNm |
| Phone | 9168333216 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 21ST STREET | AddressLine1Txt |
| City | SACRAMENTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95811 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 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 |
|---|---|---|---|---|---|---|---|---|---|
| TASNIM KHAN | |||||||||
| CHIEF MEDICAL OFFICER | 40.0 | 0.0 | Yes (X) | $336,463 | $0 | $41,576 | |||
| JOHN LOVEJOY | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $283,380 | $0 | $15,558 | Yes (X) | |||
| DAVID SMITH | |||||||||
| PSYCHITRIST | 30.0 | 0.0 | $285,147 | $0 | $11,942 | Yes (X) | |||
| CORINA GONZALEZ | |||||||||
| PEDIATRICIAN | 40.0 | 0.0 | $250,327 | $0 | $29,990 | Yes (X) | |||
| HEATHER NEWHARD | |||||||||
| ASSIST SITE MEDICAL DIRECTOR | 40.0 | 0.0 | $272,084 | $0 | $7,621 | Yes (X) | |||
| JEFFREY GERSTEIN | |||||||||
| PSYCHIATRIST | 27.0 | 0.0 | $263,190 | $0 | $10,555 | Yes (X) | |||
| SIMONE ASANTE | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $244,128 | $0 | $9,663 | Yes (X) | |||
| MICHELLE MONROE | |||||||||
| CHIEF EXECUTIVE OFFICER | 40.0 | 0.0 | Yes (X) | $216,589 | $0 | $14,591 | |||
| CLARA PETERSON | |||||||||
| CHIEF FINAN OFFICER BEG 04/20 | 40.0 | 0.0 | Yes (X) | $166,657 | $0 | $9,394 | |||
| ALEXANDRA AKAKA | |||||||||
| CHIEF HR OFFICER | 40.0 | 0.0 | Yes (X) | $159,602 | $0 | $13,998 | |||
| NOAH PINCK | |||||||||
| CHIEF INFORM OFFICER BEG 04/20 | 40.0 | 0.0 | Yes (X) | $135,924 | $0 | $4,259 | |||
| DONA WEISSENFELS | |||||||||
| CHIEF OPERATING OFFICER | 40.0 | 0.0 | Yes (X) | $116,988 | $0 | $10,849 | |||
| RICHARD SOOHOO | |||||||||
| CHAIRPERSON | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MICHAEL MARTINEZ | |||||||||
| VICE-CHAIRPERSON | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| GAYLENE HUNTSMAN | |||||||||
| SECRETARY | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| BOB PASCUZZI | |||||||||
| TREASURER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SUSAN BERGIN | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| ARTURO DURAZO PHD | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| ROBERTO JIMENEZ | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| SHELLY MCGRIFF | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| CHARLES MCNEIL | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| DOUG SMITH | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| JASON VEGA | |||||||||
| BOARD MEMBER | 1.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,730,479 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $179,996 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 65 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UCDMC-PHARMACY | |||||
| PO BOX 989062 | WEST SACRAMENTO | CA | 95798 | CONTRACTED PHARMACY | $3,605,643 |
| UNIVERSITY OF CALIFORNIA | |||||
| PO BOX 989062 | WEST SACRAMENTO | CA | 96798 | CONTRACTED PHYSICIAN | $1,028,534 |
| ACCESS EYE HEALTHCARE | |||||
| 114 MISSING RANCH BLVD STE 50 | CHICO | CA | 95926 | CONTRACTED OPTOMETRY | $476,335 |
| STRATUS INDEMAND INC | |||||
| PO BOX 675248 | DETROIT | MI | 48267 | LANGUAGE SERVICES | $235,690 |
| BENEFIT RISK MANAGEMENT SERVICE | |||||
| 80 IRON POINT CIRCLE SUITE 200 | FOLSOM | CA | 95630 | EMP BENEFIT MGMT | $222,021 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,382,538 | GovernmentGrantsAmt |
| All Other Contributions | $1,197,190 | AllOtherContributionsAmt |
| Noncash Contributions | $47,602 | NoncashContributionsAmt |
| Total Contributions | $7,579,728 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PHARMACY REVENUE | 446110 | $54,273,855 | $54,273,855 |
| NET PATIENT SERVICE REVENUE | 621400 | $19,122,095 | $19,122,095 |
| OTHER REVENUE | 900099 | $367,360 | $367,360 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $73,763,310 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $666,716 | TotalRevenueColumnAmt |
| Exclusion | $666,716 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,663 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,663 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,663 | TotalRevenueColumnAmt |
| Exclusion | $10,663 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,312,137 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,435,976 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$123,839 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$123,839 | TotalRevenueColumnAmt |
| Exclusion | -$123,839 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $81,896,578 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $73,763,310 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $553,540 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,000 | TotalAmt |
| Program Services | $135,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $764,578 | TotalAmt |
| Program Services | $764,578 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,506,595 | TotalAmt |
| Program Services | $657,746 | ProgramServicesAmt |
| Management And General | $848,849 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,072,120 | TotalAmt |
| Program Services | $14,572,003 | ProgramServicesAmt |
| Management And General | $5,500,117 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $661,144 | TotalAmt |
| Program Services | $477,705 | ProgramServicesAmt |
| Management And General | $183,439 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,597,215 | TotalAmt |
| Program Services | $1,835,863 | ProgramServicesAmt |
| Management And General | $761,352 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,294,475 | TotalAmt |
| Program Services | $910,105 | ProgramServicesAmt |
| Management And General | $384,370 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,821 | TotalAmt |
| Management And General | $66,821 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,300 | TotalAmt |
| Management And General | $84,300 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,873 | TotalAmt |
| Management And General | $162,873 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,516,820 | TotalAmt |
| Program Services | $5,630,366 | ProgramServicesAmt |
| Management And General | $886,454 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,491 | TotalAmt |
| Management And General | $143,491 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,294,012 | TotalAmt |
| Program Services | $968,670 | ProgramServicesAmt |
| Management And General | $325,342 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,532,547 | TotalAmt |
| Program Services | $763,440 | ProgramServicesAmt |
| Management And General | $769,107 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $951,225 | TotalAmt |
| Program Services | $608,465 | ProgramServicesAmt |
| Management And General | $342,760 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,507 | TotalAmt |
| Program Services | $37,388 | ProgramServicesAmt |
| Management And General | $11,119 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,654 | TotalAmt |
| Program Services | $19,492 | ProgramServicesAmt |
| Management And General | $74,162 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,960 | TotalAmt |
| Program Services | $195,549 | ProgramServicesAmt |
| Management And General | $58,411 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,443,887 | TotalAmt |
| Program Services | $1,080,058 | ProgramServicesAmt |
| Management And General | $363,829 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,844 | TotalAmt |
| Program Services | $25,089 | ProgramServicesAmt |
| Management And General | $100,755 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACY SUPPLIES | $36,449,959 | $36,449,959 | |
| MEDICAL SUPPLIES & DRUGS | $1,073,083 | $1,073,083 | |
| REPAIRS & MAINTENANCE | $260,569 | $201,956 | $58,613 |
| LICENSES, DUES, SUBSCRIPTIONS | $213,821 | $66,990 | $146,831 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,945 | TotalAmt |
| Management And General | $171,945 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,918,445 | TotalAmt |
| Program Services | $66,473,505 | ProgramServicesAmt |
| Management And General | $11,444,940 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,566,952 | BOYAmt |
| EOY | $3,422,134 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $894,356 | BOYAmt |
| EOY | $1,528,502 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,398,458 | BOYAmt |
| EOY | $1,196,516 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,652,452 | BOYAmt |
| EOY | $3,796,530 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,307,397 | BOYAmt |
| EOY | $1,837,143 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $692,563 | BOYAmt |
| EOY | $443,012 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $28,320,143 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,652,700 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,003,324 | BOYAmt |
| EOY | $18,667,443 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,839,885 | BOYAmt |
| EOY | $37,298,428 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,778,177 | BOYAmt |
| EOY | $3,759,748 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,133,564 | BOYAmt |
| EOY | $71,949,456 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,020,907 | BOYAmt |
| EOY | $5,470,775 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,624 | BOYAmt |
| EOY | $135,023 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,471,798 | BOYAmt |
| EOY | $7,871,798 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,724 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,846,053 | BOYAmt |
| EOY | $13,477,596 | 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 | $51,287,511 | BOYAmt |
| EOY | $58,471,860 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,287,511 | BOYAmt |
| EOY | $58,471,860 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,133,564 | BOYAmt |
| EOY | $71,949,456 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,978,133 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,206,216 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,609,000 | OtherCostOrOtherBasisAmt |
| Book Value | $2,609,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,739,318 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,012,398 | DepreciationAmt |
| Book Value | $13,726,920 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,053,982 | OtherCostOrOtherBasisAmt |
| Depreciation | $360,607 | DepreciationAmt |
| Book Value | $1,638,148 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,917,843 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,279,695 | DepreciationAmt |
| Book Value | $693,375 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $18,667,443 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ESTIMATED DUE TO THIRD PARTY | $3,743,149 |
| SECURITY DEPOSITS | $16,599 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,759,748 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $84,939,921 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $3,206,216 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $3,206,216 | RevenueNotReportedAmt |
| Revenue Subtotal | $81,733,705 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $162,873 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $162,873 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $81,896,578 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $77,755,572 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $77,755,572 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $162,873 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $162,873 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $77,918,445 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| GOLDEN RULE SERVICES | |||||||
| 2800 STOCKTON BLVD | SACRAMENTO | CA | 95817 | 680476030 | 501(C)(3) | $45,000 | HIV/AIDS PREVENTION COALITION |
| HARM REDUCTION SERVICES | |||||||
| 2800 STOCKTON BLVD | SACRAMENTO | CA | 95817 | 680300656 | 501(C)(3) | $45,000 | HIV/AIDS PREVENTION COALITION |
| SIERRA FOOTHILLS AIDS FOUNDATION | |||||||
| 12183 LOCKSLEY LANE STE 208 | AUBURN | CA | 95602 | 680179770 | 501(C)(3) | $45,000 | HIV/AIDS PREVENTION COALITION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (11 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| IN-HOUSE SUBSTANCE ABUSE TREATMENT | 151 | $162,878 |
| CLIENT HOUSING | 70 | $235,039 |
| CLIENT UTILITIES | 128 | $53,278 |
| CLIENT TRANSPORTATION | 461 | $18,286 |
| CLIENT PHARMACY ASSISTANCE | 306 | $23,284 |
| DENTAL CLIENT REFERRALS | 77 | $98,018 |
| MEDICAL CLIENT REFERRALS | 8 | $2,871 |
| MEDICAL LABS | 228 | $49,573 |
| CLIENT FOOD VOUCHERS | 673 | $59,032 |
| CLIENT INSURANCE ASSISTANCE | 9 | $4,759 |
| CLIENT CRITICAL NEED | 11 | $5,948 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TASNIM KHAN | ||||||||||||||
| CHIEF MEDICAL OFFICER | $319,386 | $0 | $9,572 | $0 | $7,505 | $0 | $11,400 | $0 | $30,176 | $0 | $378,039 | $0 | $0 | $0 |
| DAVID SMITH | ||||||||||||||
| PSYCHITRIST | $270,180 | $0 | $7,812 | $0 | $7,155 | $0 | $11,400 | $0 | $542 | $0 | $297,089 | $0 | $0 | $0 |
| JOHN LOVEJOY | ||||||||||||||
| PHYSICIAN | $272,341 | $0 | $7,484 | $0 | $3,555 | $0 | $11,400 | $0 | $4,158 | $0 | $298,938 | $0 | $0 | $0 |
| HEATHER NEWHARD | ||||||||||||||
| ASSIST SITE MEDICAL DIRECTOR | $252,101 | $0 | $7,499 | $0 | $12,484 | $0 | $3,953 | $0 | $3,668 | $0 | $279,705 | $0 | $0 | $0 |
| JEFFREY GERSTEIN | ||||||||||||||
| PSYCHIATRIST | $244,548 | $0 | $7,025 | $0 | $11,617 | $0 | $10,528 | $0 | $27 | $0 | $273,745 | $0 | $0 | $0 |
| CORINA GONZALEZ | ||||||||||||||
| PEDIATRICIAN | $229,923 | $0 | $7,105 | $0 | $13,299 | $0 | $6,274 | $0 | $23,716 | $0 | $280,317 | $0 | $0 | $0 |
| SIMONE ASANTE | ||||||||||||||
| PHYSICIAN | $226,673 | $0 | $6,714 | $0 | $10,741 | $0 | $9,006 | $0 | $657 | $0 | $253,791 | $0 | $0 | $0 |
| MICHELLE MONROE | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $200,854 | $0 | $0 | $0 | $15,735 | $0 | $5,954 | $0 | $8,637 | $0 | $231,180 | $0 | $0 | $0 |
| CLARA PETERSON | ||||||||||||||
| CHIEF FINAN OFFICER BEG 04/20 | $126,950 | $0 | $13,860 | $0 | $25,847 | $0 | $3,654 | $0 | $5,740 | $0 | $176,051 | $0 | $0 | $0 |
| ALEXANDRA AKAKA | ||||||||||||||
| CHIEF HR OFFICER | $151,491 | $0 | $4,478 | $0 | $3,633 | $0 | $6,652 | $0 | $7,346 | $0 | $173,600 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 5 | ContributionCnt |
| Noncash Contributions Rpt F990 | $47,602 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART I, COLUMN B | FormAndLineReferenceDesc |
| Explanation | NUMBER OF CONTRIBUTIONS: THE NUMBER OF CONTRIBUTIONS WAS DETERMINED BY THE NUMBER OF CONTRIBUTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | SIGNIFICANT PROGRAM CHANGES: COVID RESPONSE AND TESTING SERVICES |
| FORM 990, PART III, LINE 4D | OTHER PROGRAM SERVICES: BEHAVIORAL HEALTH (PSYCHIATRY, PSYCHOLOGICAL SUBSTANCE ABUSE COUNSELING) - ONE COMMUNITY HEALING COUNSELING, PSYCHIATRIC EVALUATION AND MEDICATION PATIENTS THROUGH SCREENING, ASSESSMENT, GROUP AND TREATMENT. PSYCHIATRY AND RELATED VISITS - 5,863 PROGRAM EXPENSES - $1,166,923 PROGRAM GRANTS PAID - $162,878 PROGRAM REVENUE - $1,166,923 OPTOMETRY - 4,305 VISITS PROGRAM EXPENSES - $522,747 PROGRAM GRANTS PAID - $3,539 PROGRAM REVENUE - $412,665 |
| 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 CONFILCT 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 PRSON 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 MUNUTES 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 RECOMMEDATIONS 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 ORGANIZATIONS 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. |