CARES COMMUNITY HEALTH: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- CARES COMMUNITY HEALTH (EIN 68-0162903)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-16
- IRS object ID
- 202023219349322707
- Schema version
- 2019v5.1
- 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 | 2020-11-16T18:16:03-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2882 PROSPECT PARK DR STE 300 | AddressLine1Txt |
| City | RANCHO CORDOVA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95670 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | 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) |
|---|---|---|
| Business Name Control | CARE | BusinessNameControlTxt |
| Phone | 9164433299 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 21ST STREET | AddressLine1Txt |
| City | SACRAMENTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 958115216 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHELLE MONROE | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9164433299 | PhoneNum |
| Signature | 2020-11-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TRACY S PAGLIA | PreparerPersonNm |
| PTIN | P00366884 | PTIN |
| Phone | 9165038100 | PhoneNum |
| Preparation | 2020-11-16 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 172.9.161.112 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-16 | IPDt |
| IP Tm | 15:32:48 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | AB62784BFBBCE89412A377BC0839915E4371C5BE | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 | 958115216 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $74,319,220 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | 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 | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 344 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,612,195 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,245,315 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,026,545 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,544,490 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,682,438 | PYInvestmentIncomeAmt |
| CY Investment Income | $816,821 | CYInvestmentIncomeAmt |
| PY Other Revenue | $16,851,533 | PYOtherRevenueAmt |
| CY Other Revenue | $16,711,306 | CYOtherRevenueAmt |
| PY Total Revenue | $39,172,711 | PYTotalRevenueAmt |
| CY Total Revenue | $36,317,932 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,812,819 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,237,150 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $19,357,305 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,593,022 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,791,731 | PYOtherExpensesAmt |
| CY Other Expenses | $15,450,525 | CYOtherExpensesAmt |
| PY Total Expenses | $35,961,855 | PYTotalExpensesAmt |
| CY Total Expenses | $39,280,697 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,210,856 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,962,765 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $63,652,947 | TotalAssetsBOYAmt |
| Total Assets EOY | $64,133,564 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $14,059,859 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,846,053 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $49,593,088 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $51,287,511 | 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 | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $17,674,384 | ExpenseAmt |
| Grant | $517,019 | GrantAmt |
| Revenue | $9,102,905 | 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 - 49,162.DENTAL CARE - ONE COMMUNITY HEALTH PROVIDES PREVENTIVE DENTAL CARE, ROUTINE CHECKUPS AND DENTAL PROCEDURES. DENTAL VISITS - 9,356. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,841,505 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $16,568,023 | RevenueAmt |
| Desc | PHARMACY (RETAIL) - ONE COMMUNITY HEALTH PROVIDES PHARMACY SERVICES FOR PATIENTS' PRESCRIPTIONS. THE PHARMACY FILLED 169,288 SCRIPTS IN 2019. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,075,805 | ExpenseAmt |
| Grant | $532,887 | GrantAmt |
| Revenue | $1,149,975 | 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. VISITS - 6,802. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,102,059 | ExpenseAmt |
| Grant | $187,243 | GrantAmt |
| Revenue | $2,291,610 | RevenueAmt |
| Desc | BEHAVIORAL HEALTH (PSYCHIATRY, PSYCHOLOGICAL COUNSELING AND SUBSTANCE ABUSE COUNSELING) - ONE COMMUNITY HEALTH PROVIDES COUNSELING, PSYCHIATRIC EVALUATION AND MEDICATION MANAGEMENT TO PATIENTS THROUGH SCREENING, ASSESSMENT, GROUP AND INDIVIDUAL TREATMENT. PSYCHIATRIST VISITS - 2,708; OTHER - 20,256.OPTOMETRY - 4,415 VISITS AND EXPENSES TOTALING TO $192,168, REVENUE $561,657. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,102,059 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $187,243 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $2,291,610 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $27,693,753 | 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 | Yes (1) | 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 | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | 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 | 107 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 344 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | 0 | 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 | TALIA PETERSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9164433299 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1500 21ST STREET | AddressLine1Txt |
| City | SACRAMENTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 958115216 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Key EmployeeKeyEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| TASNIM AAMIR KHAN | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | Yes (X) | $334,929 | $0 | $36,570 | |||
| DAVID WAYNE SMITH | ||||||||
| PSYCHIATRIST | 30.00 | $281,257 | $0 | $11,200 | Yes (X) | |||
| ANTON SISANTE | ||||||||
| PHYSICIAN | 36.00 | $251,009 | $0 | $23,900 | Yes (X) | |||
| JOHN PALMER LOVEJOY | ||||||||
| PHYSICIAN | 40.00 | $254,018 | $0 | $15,399 | Yes (X) | |||
| CORINA LYNN MD GONZALEZ | ||||||||
| PEDIATRICIAN | 40.00 | $236,990 | $0 | $20,724 | Yes (X) | |||
| JEFFREY GERSTEIN | ||||||||
| PSYCHIATRIST | 27.00 | $238,932 | $0 | $9,557 | Yes (X) | |||
| HEATHER MARTHA NEWHARD | ||||||||
| ASSIST SITE MEDICAL DIRECTOR | 40.00 | $193,749 | $0 | $6,972 | Yes (X) | |||
| CHRISTY ELLEN WARD | ||||||||
| CHIEF EXECUTIVE OFFICER (THRU 08/19) | 40.00 | Yes (X) | $179,239 | $0 | $17,598 | |||
| PAMELA CAVINESS | ||||||||
| DENTAL DIRECTOR | 40.00 | $170,122 | $0 | $16,036 | Yes (X) | |||
| KARYNSUE ROSE-THOMAS | ||||||||
| CHIEF INFORMATION/QUALITY OFFICER | 40.00 | Yes (X) | $169,844 | $0 | $13,519 | |||
| ALONDRA LITICE THOMPSON | ||||||||
| BEHAVIOR HEALTH DIRECTOR | 40.00 | $152,869 | $0 | $17,795 | Yes (X) | |||
| ROSEMARIE BAUTISTA MACISAAC | ||||||||
| CHIEF FIN OFFICER (THRU 10/19) | 40.00 | Yes (X) | $151,808 | $0 | $15,972 | |||
| ALEXANDRA AKAKA | ||||||||
| VP OF HUMAN RESOURCES | 40.00 | Yes (X) | $160,668 | $0 | $6,003 | |||
| DONA MARIA WEISSENFELS | ||||||||
| INTERIM CEO/CHIEF OPERATIONS OFF | 40.00 | Yes (X) | $87,129 | $0 | $4,452 | |||
| KATHLEEN ANN MARSHALL | ||||||||
| CHIEF OPERATING OFFICER (THRU 04/19) | 40.00 | Yes (X) | $69,199 | $0 | $6,988 | |||
| RICHARD SOOHOO | ||||||||
| CHAIRPERSON | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MICHAEL MARTINEZ | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| GAYLENE HUNTSMAN | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| BOB PASCUZZI | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SUSAN BERGIN | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| ARTURO DURAZO | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| ROBERT JIMENEZ | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| SHELLY MCGRIFF | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| DOUGLAS SMITH | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| JASON VEGA | ||||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,931,762 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $222,685 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 39 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| UCDMC-PHARMACY | |||||
| PO BOX 989062 | WEST SACRAMENTO | CA | 95798 | UC DAVIS PHARMACY CONTRACTORS | $3,030,372 |
| BENEFIT & RISK MANAGEMENT SERVICE | |||||
| 80 IRON POINT CIRCLE SUITE 200 | FOLSOM | CA | 95630 | EMPLOYEE BENEFITS MANAGEMENT | $2,568,532 |
| OCHIN | |||||
| 1881 SW NAITO PARKWAY | PORTLAND | OR | 97201 | ELECTRONIC HEALTH RECORDS | $1,222,516 |
| UNIVERSITY OF CALIFORNIA | |||||
| PO BOX 989062 | WEST SACRAMENTO | CA | 95798 | CONTRACTED PHYSICIANS | $1,179,087 |
| PROVIDER HEALTHCARE LLC | |||||
| 2455 E PARLEYS WAY SUITE 310 | SALT LAKE CITY | UT | 84109 | STAFFING SERVICES | $525,858 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,759,018 | GovernmentGrantsAmt |
| All Other Contributions | $486,297 | AllOtherContributionsAmt |
| Total Contributions | $6,245,315 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ANCILLARY OUTPATIENT REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $12,544,490 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,544,490 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,544,490 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $755,380 | TotalRevenueColumnAmt |
| Exclusion | $755,380 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,523 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,523 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,523 | TotalRevenueColumnAmt |
| Exclusion | $3,523 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,743,587 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,663,602 | SecuritiesAmt |
| Other | $18,544 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $79,985 | SecuritiesAmt |
| Other | -$18,544 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,441 | TotalRevenueColumnAmt |
| Exclusion | $61,441 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $50,887,165 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $34,319,142 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,568,023 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,568,023 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $139,760 | TotalRevenueColumnAmt |
| Exclusion | $139,760 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $139,760 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,317,932 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,112,513 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $960,104 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $381,859 | TotalAmt |
| Program Services | $381,859 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $855,291 | TotalAmt |
| Program Services | $855,291 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,811,460 | TotalAmt |
| Program Services | $711,132 | ProgramServicesAmt |
| Management And General | $1,100,328 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,398,509 | TotalAmt |
| Program Services | $11,540,812 | ProgramServicesAmt |
| Management And General | $4,857,697 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $510,578 | TotalAmt |
| Program Services | $358,707 | ProgramServicesAmt |
| Management And General | $151,871 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,499,278 | TotalAmt |
| Program Services | $1,714,488 | ProgramServicesAmt |
| Management And General | $784,790 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,373,197 | TotalAmt |
| Program Services | $926,451 | ProgramServicesAmt |
| Management And General | $446,746 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $385,833 | TotalAmt |
| Program Services | $158,498 | ProgramServicesAmt |
| Management And General | $227,335 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,149 | TotalAmt |
| Management And General | $104,149 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,970 | TotalAmt |
| Management And General | $153,970 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,752,947 | TotalAmt |
| Program Services | $5,686,833 | ProgramServicesAmt |
| Management And General | $1,066,114 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,960 | TotalAmt |
| Management And General | $144,960 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,133,545 | TotalAmt |
| Program Services | $573,889 | ProgramServicesAmt |
| Management And General | $559,656 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,730,695 | TotalAmt |
| Program Services | $773,765 | ProgramServicesAmt |
| Management And General | $956,930 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,636,511 | TotalAmt |
| Program Services | $1,184,315 | ProgramServicesAmt |
| Management And General | $452,196 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,916 | TotalAmt |
| Program Services | $58,902 | ProgramServicesAmt |
| Management And General | $79,014 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,055 | TotalAmt |
| Program Services | $23,745 | ProgramServicesAmt |
| Management And General | $11,310 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $270,470 | TotalAmt |
| Program Services | $218,513 | ProgramServicesAmt |
| Management And General | $51,957 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,482,804 | TotalAmt |
| Program Services | $1,138,746 | ProgramServicesAmt |
| Management And General | $344,058 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,482 | TotalAmt |
| Program Services | $71,619 | ProgramServicesAmt |
| Management And General | $93,863 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAL CLINIC SUPPLIES | Desc |
| Total | $1,316,188 | TotalAmt |
| Program Services | $1,316,188 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,280,697 | TotalAmt |
| Program Services | $27,693,753 | ProgramServicesAmt |
| Management And General | $11,586,944 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $991,443 | BOYAmt |
| EOY | $1,566,952 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $498,601 | BOYAmt |
| EOY | $894,356 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,762,384 | BOYAmt |
| EOY | $1,398,458 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,289,432 | BOYAmt |
| EOY | $3,652,452 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,289,046 | BOYAmt |
| EOY | $1,307,397 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $603,696 | BOYAmt |
| EOY | $692,563 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $28,212,134 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,208,810 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,314,494 | BOYAmt |
| EOY | $20,003,324 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,529,175 | BOYAmt |
| EOY | $31,839,885 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,374,676 | BOYAmt |
| EOY | $2,778,177 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,652,947 | BOYAmt |
| EOY | $64,133,564 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,901,076 | BOYAmt |
| EOY | $4,020,907 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,744 | BOYAmt |
| EOY | $72,624 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,071,798 | BOYAmt |
| EOY | $8,471,798 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,241 | BOYAmt |
| EOY | $280,724 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,059,859 | BOYAmt |
| EOY | $12,846,053 | 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 | $49,593,088 | BOYAmt |
| EOY | $51,287,511 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,593,088 | BOYAmt |
| EOY | $51,287,511 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,652,947 | BOYAmt |
| EOY | $64,133,564 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$2,962,765 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,657,188 | NetUnrlzdGainsLossesInvstAmt |
| 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,630,170 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,627,961 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,017,885 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,612,195 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,245,315 | CurrentTaxYearAmt |
| Total | $32,133,526 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,630,170 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,627,961 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,017,885 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,612,195 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,245,315 | CurrentTaxYearAmt |
| Total | $32,133,526 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,101,027 | SubstantialContributorsTotAmt |
| Public Support Total170 | $31,032,499 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $743,314 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $575,700 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $722,738 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $747,668 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $758,903 | CurrentTaxYearAmt |
| Total | $3,548,323 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $58,835 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $42,948 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $39,887 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $122,203 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $139,760 | CurrentTaxYearAmt |
| Total | $403,633 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $36,085,482 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $245,661,976 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.86000 | PublicSupportCY170Pct |
| Public Support PY170 | 0.86130 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2015 AMOUNT: $ 58,835. 2016 AMOUNT: $ 42,948. 2017 AMOUNT: $ 39,887. 2018 AMOUNT: $ 122,203. 2019 AMOUNT: $ 139,760. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
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 | $5,172,150 | DepreciationAmt |
| Book Value | $14,567,168 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,053,982 | OtherCostOrOtherBasisAmt |
| Depreciation | $289,412 | DepreciationAmt |
| Book Value | $764,570 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,809,834 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,747,248 | DepreciationAmt |
| Book Value | $2,062,586 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $20,003,324 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED LEASE LIABILITY | Desc |
| Amt | $280,724 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $280,724 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $40,821,150 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $4,657,188 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $4,657,188 | RevenueNotReportedAmt |
| Revenue Subtotal | $36,163,962 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $153,970 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $153,970 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $36,317,932 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $39,126,727 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $39,126,727 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $153,970 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $153,970 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $39,280,697 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | OCH HAS BEEN GRANTED TAX-EXEMPT STATUS BY THE INTERNAL REVENUE SERVICE PURSUANT TO CODE SECTION 501(C)(3) AND ALSO BY THE CALIFORNIA REVENUE AND TAX CODE SECTION 23701D. OCH HAS NO UNRECOGNIZED TAX POSITIONS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. HOWEVER, OCH FILES INFORMATIONAL RETURNS ANNUALLY WITH FEDERAL AND STATE TAXING AUTHORITIES. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| SIERRA FOOTHILLS AIDS FOUNDATION | |||||||
| 12183 LOCKSLEY LANE SUITE 208 | AUBURN | CA | 95602 | 680179770 | 501(C)(3) | $63,948 | HIV PREVENTION |
| HARM REDUCTION SERVICES | |||||||
| 2800 STOCKTON BLVD | SACRAMENTO | CA | 95817 | 680300656 | 501(C)(3) | $15,000 | HIV PREVENTION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (11 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| IN-HOUSE SUBSTANCE ABUSE TREATEMENT | 17 | $135,050 | $0 | ||
| CLIENT HOUSING | 188 | $306,893 | $0 | ||
| CLIENT UTILITIES | 118 | $43,259 | $0 | ||
| CLIENT TRANSPORTATION | 420 | $36,271 | $0 | ||
| INSURANCE ASSISTANCE | 15 | $8,021 | $0 | ||
| CLIENT PHARMACY ASSISTANCE | 125 | $36,522 | $0 | ||
| DENTAL CLIENT REFERRALS | 57 | $82,428 | $0 | ||
| DENTAL LABS | 323 | $47,414 | $0 | ||
| MEDICAL LABS | 411 | $77,864 | $0 | ||
| CLIENT FOOD VOUCHERS | 514 | $71,610 | $0 | ||
| CLIENT FOOD | 567 | $0 | $9,959 | FMV | FOOD PROVIDED FOR PATIENTS |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| PART III, COLUMN (A): | ONE COMMUNITY HEALTH RECEIVES GRANT FUNDS THAT ARE USED TO PAY FOR SERVICES NOT COVERED BY INSURANCE FOR CLIENTS. ADDITIONALLY, THERE ARE GRANT FUNDS USED TO PAY INSURANCE PREMIUMS, SUPPLEMENT RENT, UTILITY AND FOOD FOR CERTAIN PATIENTS. |
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 | 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 (13 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 AAMIR KHAN | ||||||||||||||
| CHIEF MEDICAL OFFICER | $308,659 | $0 | $23,770 | $0 | $2,500 | $0 | $11,200 | $0 | $25,370 | $0 | $371,499 | $0 | $0 | $0 |
| DAVID WAYNE SMITH | ||||||||||||||
| PSYCHIATRIST | $258,284 | $0 | $17,848 | $0 | $5,125 | $0 | $11,200 | $0 | $0 | $0 | $292,457 | $0 | $0 | $0 |
| ANTON SISANTE | ||||||||||||||
| PHYSICIAN | $233,500 | $0 | $15,038 | $0 | $2,471 | $0 | $8,967 | $0 | $14,933 | $0 | $274,909 | $0 | $0 | $0 |
| JOHN PALMER LOVEJOY | ||||||||||||||
| PHYSICIAN | $242,158 | $0 | $9,360 | $0 | $2,500 | $0 | $9,227 | $0 | $6,172 | $0 | $269,417 | $0 | $0 | $0 |
| CORINA LYNN MD GONZALEZ | ||||||||||||||
| PEDIATRICIAN | $218,240 | $0 | $15,058 | $0 | $3,692 | $0 | $8,042 | $0 | $12,682 | $0 | $257,714 | $0 | $0 | $0 |
| JEFFREY GERSTEIN | ||||||||||||||
| PSYCHIATRIST | $228,522 | $0 | $8,723 | $0 | $1,687 | $0 | $9,557 | $0 | $0 | $0 | $248,489 | $0 | $0 | $0 |
| HEATHER MARTHA NEWHARD | ||||||||||||||
| ASSIST SITE MEDICAL DIRECTOR | $166,950 | $0 | $19,513 | $0 | $7,286 | $0 | $6,666 | $0 | $306 | $0 | $200,721 | $0 | $0 | $0 |
| CHRISTY ELLEN WARD | ||||||||||||||
| CHIEF EXECUTIVE OFFICER (THRU 08/19) | $162,931 | $0 | $15,000 | $0 | $1,308 | $0 | $7,169 | $0 | $10,429 | $0 | $196,837 | $0 | $0 | $0 |
| PAMELA CAVINESS | ||||||||||||||
| DENTAL DIRECTOR | $161,408 | $0 | $6,214 | $0 | $2,500 | $0 | $6,556 | $0 | $9,480 | $0 | $186,158 | $0 | $0 | $0 |
| KARYNSUE ROSE-THOMAS | ||||||||||||||
| CHIEF INFORMATION/QUALITY OFFICER | $157,846 | $0 | $9,998 | $0 | $2,000 | $0 | $6,637 | $0 | $6,882 | $0 | $183,363 | $0 | $0 | $0 |
| ALONDRA LITICE THOMPSON | ||||||||||||||
| BEHAVIOR HEALTH DIRECTOR | $145,665 | $0 | $4,704 | $0 | $2,500 | $0 | $5,927 | $0 | $11,868 | $0 | $170,664 | $0 | $0 | $0 |
| ROSEMARIE BAUTISTA MACISAAC | ||||||||||||||
| CHIEF FIN OFFICER (THRU 10/19) | $151,808 | $0 | $0 | $0 | $0 | $0 | $2,794 | $0 | $13,178 | $0 | $167,780 | $0 | $0 | $0 |
| ALEXANDRA AKAKA | ||||||||||||||
| VP OF HUMAN RESOURCES | $146,818 | $0 | $10,600 | $0 | $3,250 | $0 | $6,003 | $0 | $0 | $0 | $166,671 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE COMPLETED FORM IS SENT FOR REVIEW AND COMMENTS TO THE CFO AND THE AUDIT COMMITTEE, WHOSE MEMBERSHIP INCLUDES TWO INDIVIDUALS OUTSIDE OF THE BOARD OF DIRECTORS OF ONE COMMUNITY HEALTH. |
| FORM 990, PART VI, SECTION B, LINE 12C | 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 OR COMMITTEE MEETING AT WHICH BOARD OR 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 | 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. |
| FORM 990, PART VI, SECTION C, LINE 19 | 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. |
| FORM 990, PART IX, LINE 11G | DOCTORS: PROGRAM SERVICE EXPENSES 2,110,110. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,110,110. PHARMACY: PROGRAM SERVICE EXPENSES 3,053,180. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,053,180. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 523,543. MANAGEMENT AND GENERAL EXPENSES 1,066,114. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,589,657. |