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EL DORADO COUNTY COMMUNITY HEALTH: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
EL DORADO COUNTY COMMUNITY HEALTH (EIN 42-1533531)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-10
IRS object ID
202031929349300608
Schema version
2018v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-10T07:59:33-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12237AddressLine1Txt
CityGREEN BAYCityNm
State AbbreviationWIStateAbbreviationCd
ZIP543072237ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN421533531EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EL DORADO COMMUNITY HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlELDOBusinessNameControlTxt
Phone5306217700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14327 GOLDEN CENTER DRIVEAddressLine1Txt
CityPLACERVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95667ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJUDY STEINPersonNm
Person TitleFINANCE DIRECTORPersonTitleTxt
Phone5303508201PhoneNum
Signature2020-07-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRI REXRODE CPA MSTPreparerPersonNm
PTINP00096513PTIN
Phone9206620016PhoneNum
Preparation2020-07-09PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address184.97.211.65IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-09IPDt
IP Tm15:05:45IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id7D2FE2EA17AC540A2D29D4112E82844D375299C1AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-22 18:59:49ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTERRI STRATTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14327 GOLDEN CENTER DRIVEAddressLine1Txt
CityPLACERVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95667ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,883,064GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.EDCCHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH & SOCIAL SERVICES TO PEOPLE IN THE EL DORADO COUNTY AREA.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee167TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,516,798PYContributionsGrantsAmt
CY Contributions Grants$3,831,220CYContributionsGrantsAmt
PY Program Service Revenue$13,715,779PYProgramServiceRevenueAmt
CY Program Service Revenue$11,911,704CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$200CYInvestmentIncomeAmt
PY Other Revenue$145,825PYOtherRevenueAmt
CY Other Revenue$125,240CYOtherRevenueAmt
PY Total Revenue$17,378,402PYTotalRevenueAmt
CY Total Revenue$15,868,364CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,529,090PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,462,181CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$4,000CYTotalFundraisingExpenseAmt
PY Other Expenses$5,220,384PYOtherExpensesAmt
CY Other Expenses$4,872,961CYOtherExpensesAmt
PY Total Expenses$14,749,474PYTotalExpensesAmt
CY Total Expenses$16,335,142CYTotalExpensesAmt
PY Revenues Less Expenses$2,628,928PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$466,778CYRevenuesLessExpensesAmt
Total Assets BOY$8,147,934TotalAssetsBOYAmt
Total Assets EOY$8,728,152TotalAssetsEOYAmt
Total Liabilities BOY$1,590,576TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,637,572TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,557,358NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,090,580NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH & SOCIAL SERVICES TO PEOPLE IN THE EL DORADO COUNTY AREA TARGETED PRIMARILY TO THE MEDI-CAL AND UNINSURED POPULATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$13,458,084ExpenseAmt
Revenue$12,035,684RevenueAmt
DescTHE CENTER PROVIDED PRIMARY MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES TO OVER 11,832 PATIENTS AND PERFORMED OVER 65,871 MEDICAL, DENTAL AND BEHAVIORAL HEALTH VISITS. IN ADDITION, THE CENTER HAS A MAT (MEDICALLY ASSISTED TREATMENT) PROGRAM TO HELP PATIENTS WITH OPIOID USE DISORDER).Desc
Total Program Service Expenses$13,458,084TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document39IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee167EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JUDY STEINBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5303508201PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13108 PONTE MORINO DRIVE SUITE 130AddressLine1Txt
CityCAMERON PARKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95682ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL UNGEHEUER
BOARD CHAIR1.00Yes (X)Yes (X)$0$0$0
DAVID HERYET
BOARD MEMBER1.00Yes (X)$0$0$0
KATHY KREJCI
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
STAN STAILEY
BOARD TREASURER1.00Yes (X)Yes (X)$0$0$0
DORIS BLUMENTHAL
BOARD MEMBER1.00Yes (X)$0$0$0
JOHN MCCOY - TERMED
BOARD MEMBER1.00Yes (X)$0$0$0
MARK HICKS
BOARD MEMBER1.00Yes (X)$0$0$0
JIM ZEEK
BOARD MEMBER1.00Yes (X)$0$0$0
JUNE STAILEY
BOARD MEMBER1.00Yes (X)$0$0$0
NANCY CAMPBELL - TERMED
BOARD MEMBER1.00Yes (X)$0$0$0
PATRICIA ROSE PEREZ
BOARD MEMBER1.00Yes (X)$0$0$0
JONAS KRIKSSCIUNAS
BOARD MEMBER1.00Yes (X)$0$0$0
CAROL HERRLIE
MEMBER AT LARGE1.00Yes (X)$0$0$0
FRANK VERDIN
BOARD MEMBER1.00Yes (X)$0$0$0
BRUCE CUNHA
BOARD MEMBER1.00Yes (X)$0$0$0
KEVIN MONSMA
SECRETARY1.00Yes (X)Yes (X)$0$0$0
BEN YOUNG
BOARD MEMBER1.00Yes (X)$0$0$0
JUDY STEIN
FINANCE DIRECTOR40.00Yes (X)$134,961$0$22,511
TERRI STRATTON
CEO40.00Yes (X)$195,723$0$5,600
VERONICA VELASQUEZ-MORFIN
MEDICAL DIRECTOR40.00Yes (X)$272,337$0$13,860
CLINT COLLINS
PHYSICIAN40.00$238,893$0$22,323Yes (X)
MICHAEL NGO
PHYSICIAN40.00$226,761$0$11,062Yes (X)
ANDREA CASILLAS-CHAVEZ
PHYSICIAN40.00$215,526$0$21,631Yes (X)
DIANE BASS
CLINICAL DIRECTOR30.00$157,557$0$11,028Yes (X)
GENE GOWDEY
DENTIST40.00$179,899$0$21,731Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,621,657TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$129,746TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K29IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
340 BASICS INC
309 FELLOWSHIP ROAD STE 200MT LAURELNJ08054ADMINISTRATION OF 340B PROGRAM$299,182
PANOPTIC SERVICES INC
PO BOX 526PLACERVILLECA95667NETWORK SUPPORT$196,967
STAFF CARE INC
PO BOX 281923ATLANTAGA30384LOCUM SERVICE$153,990
CENTURY BUILDING MAINTENANCE
2869 COLD SPRINGS ROADPLACERVILLECA95667JANITORIAL$126,065
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$3,456,578GovernmentGrantsAmt
All Other Contributions$374,642AllOtherContributionsAmt
Total Contributions$3,831,220TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDI-CAL PAYMENTS621400$8,657,671$8,657,671
PATIENT SERVICES621400$2,983,481$2,983,481
PATIENT FEES621400$270,552$270,552
FieldValueIRS element (for citing)
Total Program Service Revenue$11,911,704TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$15,960RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$14,700RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,260RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,260TotalRevenueColumnAmt
Exclusion$1,260ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$200OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$200OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$200TotalRevenueColumnAmt
Exclusion$200ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescE.H.R. INCENTIVEDesc
Business621110BusinessCd
Total Revenue Column$123,980TotalRevenueColumnAmt
Related Or Exempt Func Income$123,980RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$123,980OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,868,364TotalRevenueColumnAmt
Related Or Exempt Func Income$12,035,684RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,460ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$662,361TotalAmt
Program Services$295,981ProgramServicesAmt
Management And General$366,380ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,914,958TotalAmt
Program Services$8,148,632ProgramServicesAmt
Management And General$766,326ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$84,894TotalAmt
Program Services$7,824ProgramServicesAmt
Management And General$77,070ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,119,366TotalAmt
Program Services$713,281ProgramServicesAmt
Management And General$406,085ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$680,602TotalAmt
Program Services$415,386ProgramServicesAmt
Management And General$265,216ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$20,868TotalAmt
Program Services$5,000ProgramServicesAmt
Management And General$15,868ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$62,900TotalAmt
Management And General$62,900ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$489,801TotalAmt
Program Services$276,466ProgramServicesAmt
Management And General$209,335ManagementAndGeneralAmt
Fundraising$4,000FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$23,739TotalAmt
Program Services$5,644ProgramServicesAmt
Management And General$18,095ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$581,294TotalAmt
Program Services$390,755ProgramServicesAmt
Management And General$190,539ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$909,689TotalAmt
Program Services$754,015ProgramServicesAmt
Management And General$155,674ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$54,968TotalAmt
Program Services$23,212ProgramServicesAmt
Management And General$31,756ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$34,852TotalAmt
Program Services$16,667ProgramServicesAmt
Management And General$18,185ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$188,707TotalAmt
Management And General$188,707ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$155,788TotalAmt
Program Services$110,003ProgramServicesAmt
Management And General$45,785ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CLINIC EXPENSES$2,064,362$2,054,478$9,884
BAD DEBT EXPENSE$170,656$170,656
RECRUITING EXPENSES$71,206$44,065$27,141

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$44,131TotalAmt
Program Services$26,019ProgramServicesAmt
Management And General$18,112ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,335,142TotalAmt
Program Services$13,458,084ProgramServicesAmt
Management And General$2,873,058ManagementAndGeneralAmt
Fundraising$4,000FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,239,750BOYAmt
EOY$465,105EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,771BOYAmt
EOY$87,464EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,184,766BOYAmt
EOY$1,580,243EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$37,298BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$165,050BOYAmt
EOY$116,519EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,205,505LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,720,109LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,234,796BOYAmt
EOY$3,485,396EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,275,503BOYAmt
EOY$2,993,425EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,147,934BOYAmt
EOY$8,728,152EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,089,881BOYAmt
EOY$1,279,381EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$65,866BOYAmt
EOY$92,670EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$434,829BOYAmt
EOY$1,265,521EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,590,576BOYAmt
EOY$2,637,572EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,557,358BOYAmt
EOY$6,090,580EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,557,358BOYAmt
EOY$6,090,580EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,147,934BOYAmt
EOY$8,728,152EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$466,778ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationEL DORADO COMMUNITY HEALTH CENTER IS A NOT-FOR-PROFIT CORPORATION THAT PROVIDES HEALTHCARE SERVICES THROUGH MEDICAL, BEHAVIORAL HEALTH AND DENTAL CLINICS. ITS EXEMPT STATUS WAS APPROVED UNDER IRC 509(A) AND 170(B)(1)(A)(III). IT IS NOT REQUIRED TO BE LICENSED AS A HOSPITAL AND THEREFORE IS NOT REQUIRED TO COMPLETE SCHEDULE H.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,001,755OtherCostOrOtherBasisAmt
Book Value$2,001,755BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,638,575OtherCostOrOtherBasisAmt
Depreciation$741,269DepreciationAmt
Book Value$897,306BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,141,178OtherCostOrOtherBasisAmt
Depreciation$930,746DepreciationAmt
Book Value$210,432BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$423,997OtherCostOrOtherBasisAmt
Depreciation$48,094DepreciationAmt
Book Value$375,903BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,485,396TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescESTIMATED THIRD-PARTY PAYOR SETTLEMENTSDesc
Book Value$2,993,425BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,993,425TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$13,999,152TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$1,883,912OtherRevenueAmt
Revenue Not Reported-$1,883,912RevenueNotReportedAmt
Revenue Subtotal$15,883,064RevenueSubtotalAmt
Other Revenues Not Included-$14,700OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$14,700RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,868,364TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,465,930TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$14,700OtherExpensesIncludedAmt
Expenses Not Reported$14,700ExpensesNotReportedAmt
Expenses Subtotal$14,451,230ExpensesSubtotalAmt
Other Expenses Not Included$1,883,912OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,883,912ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$16,335,142TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:340B EXPENSES -1,713,256. PROVISION FOR BAD DEBT -170,656.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CELL TOWER EXPENSES -14,700.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CELL TOWER EXPENSES 14,700.
PART XII, LINE 4B - OTHER ADJUSTMENTS:340B EXPENSES 1,713,256. PROVISION FOR BAD DEBT 170,656.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JUDY STEIN
FINANCE DIRECTOR$134,429$0$325$0$207$0$3,647$0$18,864$0$157,472$0$0$0
TERRI STRATTON
CEO$188,004$0$5,325$0$2,394$0$3,647$0$1,953$0$201,323$0$0$0
VERONICA VELASQUEZ-MORFIN
MEDICAL DIRECTOR$251,587$0$17,900$0$2,850$0$5,104$0$8,756$0$286,197$0$0$0
CLINT COLLINS
PHYSICIAN$227,529$0$5,670$0$5,694$0$4,391$0$17,932$0$261,216$0$0$0
MICHAEL NGO
PHYSICIAN$217,035$0$5,154$0$4,572$0$4,047$0$7,015$0$237,823$0$0$0
ANDREA CASILLAS-CHAVEZ
PHYSICIAN$207,046$0$5,000$0$3,480$0$3,761$0$17,870$0$237,157$0$0$0
DIANE BASS
CLINICAL DIRECTOR$140,083$0$13,400$0$4,074$0$1,910$0$9,118$0$168,585$0$0$0
GENE GOWDEY
DENTIST$172,905$0$6,400$0$594$0$3,329$0$18,402$0$201,630$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2BOARD MEMBERS STAN STAILEY AND JUNE STAILEY HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE CFO BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CIT IS THE POLICY OF EL DORADO COUNTY COMMUNITY HEALTH CENTER (THE CENTER) THAT ALL DIRECTORS, OFFICERS, EMPLOYEES AND AGENTS SHALL DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST REGARDLESS OF WHETHER THE INDIVIDUAL THINKS A CONFLICT OF INTEREST ACTUALLY EXISTS. THE BOARD OF DIRECTORS AND THE LEADERSHIP TEAM AT THE CENTER REGULARLY DISCUSS WHETHER THERE IS A CONFLICT OF INTEREST IN DIFFERENT SITUATIONS IN THE CASE OF A POTENTIALLY CONFLICTED PERSON WHO IS A DIRECTOR OR THE CEO. THAT PERSON MAY MAKE A PRESENTATION TO THE BOARD REGARDING WHETHER HE OR SHE HAS A CONFLICT. THE BOARD WILL THEN DISCUSS AND VOTE ON WHETHER A CONFLICT OF INTEREST EXISTS. IN THE CASE OF AN EMPLOYEE, THE CEO WILL DECIDE WHETHER A CONFLICT EXISTS. IF THERE IS REASONABLE CAUSE TO BELIEVE THAT A DIRECTOR, OFFICER, EMPLOYEE OR AGENT HAS FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE INDIVIDUAL SHALL BE INFORMED OF THE BASIS FOR SUCH BELIEF AND AFFORDED AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF AFTER HEARING THE RESPONSE OF THE INDIVIDUAL, THE BOARD OR CEO DETERMINES THE INDIVIDUAL HAS IN FACT FAILED TO DISCLOSE AN INTEREST, AN APPROPRIATE CORRECTIVE AND/OR DISCIPLINARY ACTION SHALL BE TAKEN.
FORM 990, PART VI, SECTION B, LINE 15ANNUAL SALARY SURVERY'S ARE CONDUCTED AND COMPILED BY CPCA WHICH ARE USED TO DETERMINE THE SALARY RANGE FOR EACH POSITION IN THE HEALTH CENTER. THE BOARD OF DIRECTORS APPROVED THE COMPENSATION PHILOSOPHY WHICH IS USING THE CPCA SALARY SURVEY TO COMBINE 2 CATEGORIES AND USING THE AVERAGE OF THEM. OUR SALARY RANGES ARE 105% OF THIS COMBINATION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE OVERSIGHT PROCESS AND SELECTION PROCESS FOR THE AUDIT HAS NOT CHANGED