OLE HEALTH: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- OLE HEALTH (EIN 23-7221695)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-14
- IRS object ID
- 201931349349300108
- Schema version
- 2017v2.3
- 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 | 2019-05-14T01:36:01-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | 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 | 101 SECOND STREET SUITE 900 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237221695 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OLE HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OLEH | BusinessNameControlTxt |
| Phone | 7072541770 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 TRANCAS STREET NO 300 | AddressLine1Txt |
| City | NAPA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94558 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BILL DEANE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7072541770 | PhoneNum |
| Signature | 2019-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RICHARD CROGHAN | PreparerPersonNm |
| PTIN | P00089862 | PTIN |
| Phone | 4159561500 | PhoneNum |
| Preparation | 2019-05-09 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.129.7.100 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-13 | IPDt |
| IP Tm | 14:44:39 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 32BFBF1104AA8EEBC72962A0CCB0C2C16BC479E3 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2020-04-17 16:48:07Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALICIA HARDY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 TRANCAS STREET NO 300 | AddressLine1Txt |
| City | NAPA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94558 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $31,453,490 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.OLEHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | OLE HEALTH IS THE MEDICAL HOME FOR THE COMMUNITY'S UNDERSERVED PATIENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 299 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $19,333,292 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,182,508 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,337,600 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $24,171,160 | CYProgramServiceRevenueAmt |
| PY Investment Income | $268,275 | PYInvestmentIncomeAmt |
| CY Investment Income | $392,292 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,702,747 | PYOtherRevenueAmt |
| CY Other Revenue | $67,528 | CYOtherRevenueAmt |
| PY Total Revenue | $38,641,914 | PYTotalRevenueAmt |
| CY Total Revenue | $30,813,488 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,606,444 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,910,808 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $555,062 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,798,644 | PYOtherExpensesAmt |
| CY Other Expenses | $6,576,230 | CYOtherExpensesAmt |
| PY Total Expenses | $27,405,088 | PYTotalExpensesAmt |
| CY Total Expenses | $27,487,038 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $11,236,826 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,326,450 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $34,717,619 | TotalAssetsBOYAmt |
| Total Assets EOY | $36,877,895 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,202,995 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,021,635 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $27,514,624 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $30,856,260 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OLE HEALTH IS DEDICATED TO PROVIDING HIGH-QUALITY PRIMARY HEALTH CARE TO OUR ENTIRE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $15,015,881 | ExpenseAmt |
| Revenue | $20,228,045 | RevenueAmt |
| Desc | OLE HEALTH IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND THE ONLY NOT-FOR-PROFIT HEALTH CENTER IN NAPA COUNTY. THE HEALTH CENTER PROVIDES AFFORDABLE MEDICAL, PERINATAL, AND NUTRITION CARE TO APPROXIMATELY 30,000 PATIENTS PER YEAR. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,431,799 | ExpenseAmt |
| Revenue | $3,188,256 | RevenueAmt |
| Desc | THE DENTAL SERVICES PROGRAM AT OLE HEALTH PROVIDES AFFORDABLE DENTAL CARE TO APPROXIMATELY 6,000 PATIENTS PER YEAR. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,090,080 | ExpenseAmt |
| Revenue | $754,859 | RevenueAmt |
| Desc | THE MENTAL HEALTH PROGRAM AT OLE HEALTH PROVIDES AFFORDABLE MENTAL HEALTH CARE TO APPROXIMATELY 2,600 PATIENTS PER YEAR. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $417,489 | ExpenseAmt |
| Revenue | $0 | RevenueAmt |
| Desc | OLE HEALTH PROVIDES HEALTH EDUCATION TO THE COUNTY'S LOW-INCOME, UNINSURED AND UNDERINSURED RESIDENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $417,489 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $18,955,249 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 42 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 299 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | 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 | Yes (1) | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BILL DEANE | PersonNm |
| Phone | 7072541770 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1100 TRANCAS STREET SUITE 300 | AddressLine1Txt |
| City | NAPA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94558 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| RICK JONES | |||||||||
| CHAIR | 2.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KEVIN FITZPATRICK | |||||||||
| VICE CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PATTI MCFARLAND | |||||||||
| TREASURER | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MAIRA I AYALA | |||||||||
| SECRETARY | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RACHEL ALLEN | |||||||||
| DIRECTOR THROUGH 12/2017 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LYNN ARTHUR | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOE CARILLO MD | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| TERESA FOSTER | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROSE HARI | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BETTY LABASTIDA | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHANNA MOORE | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES NEAVE | |||||||||
| DIRECTOR THROUGH 4/2018 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PETE RICHMOND | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAWNIELLE THORNBURGH | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| TANIR AMI | |||||||||
| CEO THROUGH 11/2017 | 40.00 | 1.00 | Yes (X) | $264,866 | $0 | $22,949 | |||
| ALICIA HARDY | |||||||||
| CEO | 40.00 | 0.00 | Yes (X) | $209,848 | $0 | $20,821 | |||
| MOLLY NELSON | |||||||||
| CFO THROUGH 11/2017 | 32.00 | 9.00 | Yes (X) | $186,026 | $0 | $13,518 | |||
| EMMA MAYER | |||||||||
| INTERIM CFO 11/2017 - 2/2018 | 32.00 | 8.00 | Yes (X) | $14,300 | $0 | $0 | |||
| BILL DEANE | |||||||||
| INTERIM CFO START 2/2018 | 32.00 | 8.00 | Yes (X) | $1,237 | $0 | $0 | |||
| STEVE RAMIREZ | |||||||||
| CMO THROUGH 12/2017 | 40.00 | 0.00 | Yes (X) | $257,968 | $0 | $13,326 | |||
| CARL HEARD | |||||||||
| INTERIM CMO 12/2017 - 3/2018 | 16.00 | 0.00 | Yes (X) | $6,241 | $0 | $0 | |||
| DAVID GORCHOFF | |||||||||
| CMO START 3/2018 | 40.00 | 0.00 | Yes (X) | $13,142 | $0 | $0 | |||
| VINCENT FILANOVA | |||||||||
| DENTAL DIRECTOR | 40.00 | 0.00 | Yes (X) | $195,000 | $0 | $13,508 | |||
| ANA KORMOS | |||||||||
| CHIEF CLINICAL OFF. THROUGH 2/2018 | 40.00 | 0.00 | $151,929 | $0 | $14,273 | Yes (X) | |||
| COLLEEN TOWNSEND | |||||||||
| FAMILY PRACTICE PHYSICIAN | 40.00 | 0.00 | $243,378 | $0 | $17,965 | Yes (X) | |||
| MEGAN CONNICK | |||||||||
| SITE MEDICAL DIRECTOR | 40.00 | 0.00 | $234,544 | $0 | $10,227 | Yes (X) | |||
| JENNIFER WILSON | |||||||||
| MED DIR OF CLINICAL QUALITY IMPROV | 40.00 | 0.00 | $234,079 | $0 | $17,407 | Yes (X) | |||
| GABRIELA BERMUDEZ | |||||||||
| SITE MEDICAL DIRECTOR | 40.00 | 0.00 | $215,118 | $0 | $24,757 | Yes (X) | |||
| LYNETTE LEIGHTON | |||||||||
| FAMILY PRACTICE PHYSICIAN | 40.00 | 0.00 | $205,269 | $0 | $16,284 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,432,945 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $185,035 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 45 | 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 |
|---|---|---|---|---|---|
| KLH CONSULTING INC | |||||
| 2324 BETHARDS DRIVE | SANTA ROSA | CA | 95405 | ANNUAL MAINTENANCE AGREEMENTS | $203,989 |
| REDWOOD COMMUNITY HEALTH COALITION | |||||
| 1310 REDWOOD WAY SUITE 135 | PETALUMA | CA | 94954 | ANNUAL MAINTENANCE AGREEMENTS | $162,776 |
| TPX COMMUNICATIONS | |||||
| PO BOX 509013 | SAN DIEGO | CA | 921509013 | COMMUNICATIONS/IT/CONNECTIVITY SERVICES | $131,595 |
| RAVIX GROUP | |||||
| 226 AIRPORT PARKWAY SUITE 400 | SAN JOSE | CA | 95110 | CONTRACTED SERVICES | $123,750 |
| HARVEY KATZMAN | |||||
| 12317 MELANIE CT | NEVADA CITY | CA | 95959 | CONSULTING SERVICES | $114,757 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $148,095 | RelatedOrganizationsAmt |
| Government Grants | $3,446,008 | GovernmentGrantsAmt |
| All Other Contributions | $2,588,405 | AllOtherContributionsAmt |
| Total Contributions | $6,182,508 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERV REV | 621400 | $15,338,693 | $15,338,693 |
| PHC PROVIDER INCENTIVE | 621400 | $3,473,120 | $3,473,120 |
| CAPITATION REVENUE | 621400 | $3,169,246 | $3,169,246 |
| 340B COMPLIANCE REBATE | 621400 | $1,674,078 | $1,674,078 |
| EHR INCENTIVE REVENUE | 621400 | $516,023 | $516,023 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $24,171,160 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $386,116 | TotalRevenueColumnAmt |
| Exclusion | $386,116 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $646,178 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $640,002 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,176 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,176 | TotalRevenueColumnAmt |
| Exclusion | $6,176 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $67,528 | TotalRevenueColumnAmt |
| Exclusion | $67,528 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $67,528 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,813,488 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $24,171,160 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $459,820 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,228,522 | TotalAmt |
| Program Services | $619,254 | ProgramServicesAmt |
| Management And General | $609,268 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,720,412 | TotalAmt |
| Program Services | $11,196,189 | ProgramServicesAmt |
| Management And General | $4,118,810 | ManagementAndGeneralAmt |
| Fundraising | $405,413 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $525,309 | TotalAmt |
| Program Services | $370,685 | ProgramServicesAmt |
| Management And General | $141,690 | ManagementAndGeneralAmt |
| Fundraising | $12,934 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,268,555 | TotalAmt |
| Program Services | $1,589,265 | ProgramServicesAmt |
| Management And General | $623,593 | ManagementAndGeneralAmt |
| Fundraising | $55,697 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,168,010 | TotalAmt |
| Program Services | $815,543 | ProgramServicesAmt |
| Management And General | $324,422 | ManagementAndGeneralAmt |
| Fundraising | $28,045 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,043 | TotalAmt |
| Management And General | $37,043 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,869 | TotalAmt |
| Management And General | $136,869 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,251,920 | TotalAmt |
| Program Services | $670,034 | ProgramServicesAmt |
| Management And General | $580,836 | ManagementAndGeneralAmt |
| Fundraising | $1,050 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,173 | TotalAmt |
| Program Services | $3,078 | ProgramServicesAmt |
| Management And General | $35,874 | ManagementAndGeneralAmt |
| Fundraising | $4,221 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $355,238 | TotalAmt |
| Program Services | $222,059 | ProgramServicesAmt |
| Management And General | $128,900 | ManagementAndGeneralAmt |
| Fundraising | $4,279 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,552 | TotalAmt |
| Program Services | $82,315 | ProgramServicesAmt |
| Management And General | $90,514 | ManagementAndGeneralAmt |
| Fundraising | $1,723 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,037,774 | TotalAmt |
| Program Services | $813,085 | ProgramServicesAmt |
| Management And General | $214,557 | ManagementAndGeneralAmt |
| Fundraising | $10,132 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,608 | TotalAmt |
| Program Services | $24,131 | ProgramServicesAmt |
| Management And General | $30,403 | ManagementAndGeneralAmt |
| Fundraising | $2,074 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,313 | TotalAmt |
| Program Services | $15,872 | ProgramServicesAmt |
| Management And General | $46,163 | ManagementAndGeneralAmt |
| Fundraising | $278 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,284 | TotalAmt |
| Program Services | $22,284 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $738,459 | TotalAmt |
| Program Services | $573,382 | ProgramServicesAmt |
| Management And General | $165,077 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,027 | TotalAmt |
| Program Services | $61,513 | ProgramServicesAmt |
| Management And General | $24,976 | ManagementAndGeneralAmt |
| Fundraising | $2,538 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL/PHARM SUPPLIES | $1,423,818 | $1,423,818 | ||
| REPAIRS AND MAINTENANCE | $418,600 | $55,411 | $363,189 | |
| DUES & SUBSCRIPTIONS | $104,311 | $133 | $100,428 | $3,750 |
| RECRUITMENT | $74,172 | $9,476 | $64,696 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $550,069 | TotalAmt |
| Program Services | $387,722 | ProgramServicesAmt |
| Management And General | $139,419 | ManagementAndGeneralAmt |
| Fundraising | $22,928 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,487,038 | TotalAmt |
| Program Services | $18,955,249 | ProgramServicesAmt |
| Management And General | $7,976,727 | ManagementAndGeneralAmt |
| Fundraising | $555,062 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,893,774 | BOYAmt |
| EOY | $6,037,235 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $995,730 | BOYAmt |
| EOY | $428,026 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,330,533 | BOYAmt |
| EOY | $2,272,650 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,330,990 | BOYAmt |
| EOY | $14,330,990 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,062 | BOYAmt |
| EOY | $46,678 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $305,272 | BOYAmt |
| EOY | $370,211 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,929,957 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,197,322 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,310,283 | BOYAmt |
| EOY | $2,732,635 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,792,956 | BOYAmt |
| EOY | $8,020,474 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,488,727 | BOYAmt |
| EOY | $1,528,278 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,013 | BOYAmt |
| EOY | $37,013 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,190,279 | BOYAmt |
| EOY | $1,073,705 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,717,619 | BOYAmt |
| EOY | $36,877,895 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,057,302 | BOYAmt |
| EOY | $5,430,761 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $380,841 | BOYAmt |
| EOY | $21,041 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $764,852 | BOYAmt |
| EOY | $569,833 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,202,995 | BOYAmt |
| EOY | $6,021,635 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,539,166 | BOYAmt |
| EOY | $26,021,609 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,975,458 | BOYAmt |
| EOY | $4,834,651 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,514,624 | BOYAmt |
| EOY | $30,856,260 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,717,619 | BOYAmt |
| EOY | $36,877,895 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,326,450 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $15,186 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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 |
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
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,382,224 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,688,636 | DepreciationAmt |
| Book Value | $1,693,588 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,725,784 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,814,310 | DepreciationAmt |
| Book Value | $911,474 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $821,949 | OtherCostOrOtherBasisAmt |
| Depreciation | $694,376 | DepreciationAmt |
| Book Value | $127,573 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,732,635 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A NONPROFIT CORPORATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND HAS BEEN GRANTED TAX-EXEMPT STATUS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA REVENUE AND TAXATION CODE. AS OF JUNE 30, 2018 AND 2017, THE ORGANIZATION HAD NO UNRECOGNIZED TAX POSITIONS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TANIR AMI | ||||||||||||||
| CEO THROUGH 11/2017 | $264,386 | $0 | $0 | $0 | $480 | $0 | $7,229 | $0 | $15,720 | $0 | $287,815 | $0 | $0 | $0 |
| ALICIA HARDY | ||||||||||||||
| CEO | $209,368 | $0 | $0 | $0 | $480 | $0 | $8,823 | $0 | $11,998 | $0 | $230,669 | $0 | $0 | $0 |
| MOLLY NELSON | ||||||||||||||
| CFO THROUGH 11/2017 | $148,702 | $0 | $0 | $0 | $37,324 | $0 | $7,441 | $0 | $6,077 | $0 | $199,544 | $0 | $0 | $0 |
| STEVE RAMIREZ | ||||||||||||||
| CMO THROUGH 12/2017 | $203,155 | $0 | $50,000 | $0 | $4,813 | $0 | $5,308 | $0 | $8,018 | $0 | $271,294 | $0 | $0 | $0 |
| VINCENT FILANOVA | ||||||||||||||
| DENTAL DIRECTOR | $194,640 | $0 | $0 | $0 | $360 | $0 | $6,000 | $0 | $7,508 | $0 | $208,508 | $0 | $0 | $0 |
| ANA KORMOS | ||||||||||||||
| CHIEF CLINICAL OFF. THROUGH 2/2018 | $151,449 | $0 | $0 | $0 | $480 | $0 | $6,090 | $0 | $8,183 | $0 | $166,202 | $0 | $0 | $0 |
| COLLEEN TOWNSEND | ||||||||||||||
| FAMILY PRACTICE PHYSICIAN | $242,898 | $0 | $0 | $0 | $480 | $0 | $9,782 | $0 | $8,183 | $0 | $261,343 | $0 | $0 | $0 |
| MEGAN CONNICK | ||||||||||||||
| SITE MEDICAL DIRECTOR | $233,968 | $0 | $216 | $0 | $360 | $0 | $2,044 | $0 | $8,183 | $0 | $244,771 | $0 | $0 | $0 |
| JENNIFER WILSON | ||||||||||||||
| MED DIR OF CLINICAL QUALITY IMPROV | $231,943 | $0 | $1,656 | $0 | $480 | $0 | $6,156 | $0 | $11,251 | $0 | $251,486 | $0 | $0 | $0 |
| GABRIELA BERMUDEZ | ||||||||||||||
| SITE MEDICAL DIRECTOR | $209,718 | $0 | $4,920 | $0 | $480 | $0 | $8,945 | $0 | $15,812 | $0 | $239,875 | $0 | $0 | $0 |
| LYNETTE LEIGHTON | ||||||||||||||
| FAMILY PRACTICE PHYSICIAN | $200,891 | $0 | $444 | $0 | $3,934 | $0 | $8,220 | $0 | $8,064 | $0 | $221,553 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | FROM NOVEMBER 2017 - FEBRUARY 2017, THE ORGANIZATION CONTRACTED WITH EMMA MAYER, AN INDEPENDENT CONSULTANT, TO FULFILL THE ROLE OF INTERIM CFO. THEREAFTER, THE ORGANIZATION CONTRACTED WITH BILL DEANE, AN INDEPENDENT CONSULTANT, TO FULFILL THE ROLE OF INTERIM CFO UNTIL AUGUST 2018, WHEN THE INTERIM TITLE WAS REMOVED AND HE WAS ELEVATED TO A FULL-TIME EMPLOYEE. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION UTILIZED A PROFESSIONAL ACCOUNTING FIRM TO PREPARE THE FORM 990, WHO WORKED IN CONJUNCTION WITH THE ORGANIZATION'S FINANCE AND ACCOUNTING TEAM TO GATHER THE REQUIRED INFORMATION. UPON REVIEW OF THE FORM 990 AMONGST THE ORGANIZATION'S MANAGEMENT TEAM, THE FORM 990 WAS THEN SENT TO THE AUDIT & BENEFITS COMMITTEE OF THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THE AUDIT COMMITTEE ALSO PRESENTS THE RESULTS OF ITS REVIEW PROCESS TO THE BOARD OF DIRECTORS, WHO RECEIVES A COPY OF THE FORM PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL EMPLOYEES AND BOARD MEMBERS MUST COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. IT IS ALSO THE CONTINUING RESPONSIBILITY OF THE BOARD, OFFICERS, AND MANAGEMENT EMPLOYEES TO SCRUTINIZE THEIR TRANSACTIONS, OUTSIDE BUSINESS INTERESTS, AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES. TRANSACTIONS WITH PARTIES WITH WHOM A CONFLICTING INTEREST EXISTS MAY BE UNDERTAKEN ONLY IF ALL OF THE FOLLOWING ARE OBSERVED: (1) THE CONFLICTING INTEREST IS FULLY DISCLOSED; (2) THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION; (3) A COMPETITIVE BID OR COMPARABLE VALUATION EXISTS; AND (4) THE BOARD HAS DETERMINED THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. DISCLOSURE FROM EMPLOYEES OF THE ORGANIZATION SHOULD BE MADE TO THE CHIEF EXECUTIVE OFFICER (OR IF HE/SHE IS THE ONE WITH THE CONFLICT, THEN TO THE BOARD CHAIR); DISCLOSURES INVOLVING DIRECTORS SHOULD BE MADE TO THE BOARD CHAIR (OR IF HE/SHE IS THE ONE WITH THE CONFLICT, THEN TO THE BOARD VICE CHAIR). |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO AND CFO SALARIES ARE APPROVED BY THE BOARD OF DIRECTORS AFTER PERFORMANCE REVIEWS AND COMPENSATION STUDIES. THE OTHER KEY LEADERSHIP POSITIONS ARE BASED ON A COMPENSATION STUDY DONE BY AN INDEPENDENT FIRM EVERY TWO TO THREE YEARS. IF NECESSARY TO EVALUATE OUTSIDE OF THAT TIME PERIOD, THE HUMAN RESOURCES DEPARTMENT WILL EVALUATE BY SOLICITING EXTERNAL COMPENSATION DATA AND PLACE THE POSITION APPROPRIATELY WITHIN THE ORGANIZATIONAL STRUCTURE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE AUDITED FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. BOUND COPIES OF AUDITED FINANCIAL STATEMENTS ARE AVAILABLE AT THE ADMINISTRATORS DESK FOR ANYONE WHO ASKS FOR A COPY. THE MOST RECENT AUDITED FINANCIALS AND FORM 990 ARE PUBLISHED ON OUR WEBSITE. ALSO WE PUBLISH A COMMUNITY REPORT WITH CONDENSED FINANCIAL INFORMATION INCLUDED. |
| FORM 990, PART X: | REVISIONS HAVE BEEN MADE TO THE PRIOR YEAR BALANCE SHEET (AS REFLECTED ON THE FORM 990 FOR THE TAX YEAR ENDING JUNE 30, 2018) WHEN COMPARED TO THE AMOUNTS DECLARED ON THE FORM 990 FOR THE TAX YEAR ENDING JUNE 30, 2017 TO CONFORM WITH ADJUSTMENTS MADE ON THE AUDITED FINANCIAL STATEMENTS. THERE WERE NO ADJUSTMENTS TO TOTAL ASSETS, LIABILITIES, OR NET ASSETS; RATHER, THESE ADJUSTMENTS ARE SIMPLY CHANGES IN CLASSIFICATION. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| OLE HEALTH FOUNDATION | ||||||||||
| 1100 TRANCAS STREET SUITE 300 | NAPA | CA | 94558 | 680149424 | FUNDRAISING | CA | 501(C)(3) | LINE 12A, I | OLE HEALTH | Yes (1) |
| OLE HEALTH NMTC | ||||||||||
| 1100 TRANCAS STREET SUITE 300 | NAPA | CA | 94558 | 815395044 | NMTC FINANCING FOR EXEMPT ACTIVITIES | CA | 501(C)(3) | LINE 12A, I | OLE HEALTH | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| OLE HEALTH FOUNDATION | ||
| A | $10,054 | BOOK/ACTUAL VALUE |
| OLE HEALTH FOUNDATION | ||
| C | $148,095 | BOOK/ACTUAL VALUE |
| OLE HEALTH FOUNDATION | ||
| D | $237,933 | BOOK/ACTUAL VALUE |
| OLE HEALTH NMTC | ||
| D | $19,651,000 | LOAN GUARANTEE AMOUNT |