2018-06-04T14:17:26-07:00 2017-12-31 472251777 CHW LLP 7797 N First Street Suite 15 Fresno CA 93720 990 2017-01-01 952671433 Open Door Community Health Centers OPEN 7078268633 670 Ninth Street Suite 203 Arcata CA 95521 James Bella CFO 7078268633 2018-05-09 1 Jeremy Ware P00642659 5595495400 2018-05-02 2017 2022-09-23 18:48:47Z James Bella 670 Ninth Street Suite 203 Arcata CA 95521 73527967 0 X www.opendoorhealth.com X 1971 CA Open Door Community Health Centers (ODCHC) exists to provide primary health care - medical, dental and behavioral - and health care education to the residents of Del Norte and Humboldt Counties, California and surrounding rural areas, ODCHC operates 14 clinics and three mobile clinics. In 2016, ODCHC served 55,159 unique individuals, providing 269,015 provider/patient/encounters. Of its patients, 22% are known to live at or below 100% FPL and, cumulatively, 40% are known to live at or below 200% FPL; 5% are uninsured and 75% rely on some form of public insurance. ODCHC provides health care services to all who seek it regardless of the inability to pay. 11 11 757 0 0 0 8968611 8988632 56069972 63632961 16340 36295 574399 870079 65629322 73527967 0 0 0 0 37559388 42887252 0 0 0 24672280 29273431 62231668 72160683 3397654 1367284 49787673 50863868 30307044 29852777 19480629 21011091 Open Door Community Health Centers (ODCHC) exists to provide primary health care - medical, dental and behavioral - and health care education to the residents of Del Norte and Humboldt Counties, California and surrounding rural areas, ODCHC operates 14 clinics and three mobile clinics. Of its patients, 15% are known to live at or below 100% FPL and, cumulatively, 29% are known to live at or below 200% FPL; 4% are uninsured and 77% rely on some form of public insurance. ODCHC provides health care services to all who seek it regardless of the inability to pay. 0 0 61464440 0 63632961 Open Door Community Health Centers (ODCHC) exists to provide primary health care - medical, dental and behavioral - and health care education to the residents of Del Norte and Humboldt Counties, California and surrounding rural areas, ODCHC operates 14 clinics and three mobile clinics. In 2017, ODCHC served 57,013 unique individuals, providing 281,268 provider/patient/encounters. Of its patients, 15% are known to live at or below 100% FPL and, cumulatively, 29% are known to live at or below 200% FPL; 4% are uninsured and 77% rely on some form of public insurance. ODCHC provides health care services to all who seek it regardless of the inability to pay. 0 0 0 61464440 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 53 0 1 757 1 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X James A Bella Jr 7078268633 670 Ninth Street Number 203 Arcata CA 95521 Kathleen E Moxon President 1 0 X 0 0 0 Cyn Van Fleet Vice President 1 0 X 0 0 0 Felicia Oldfather Treasurer 1 0 X 0 0 0 Jim Pfingstel Secretary 1 0 X 0 0 0 Sydney Fisher Larson Board Member 1 0 X 0 0 0 Elizabeth Murguia Board Member 1 0 X 0 0 0 Neal Sanders Board Member 1 0 X 0 0 0 Lindsay Righter Board Member 1 0 X 0 0 0 Connie Stewart Board Member 1 0 X 0 0 0 Alison Talbot Board Member 1 0 X 0 0 0 Cheyenne Spetzler COO 40 0 X 206723 0 0 Hermann Spetzler CEO 40 0 X 311003 0 0 James A Bella CFO 40 0 X 230413 0 0 Willard Hunter Co- Medical Director 40 0 X 311745 0 0 Carter Wright Dentist 40 0 X 266804 0 0 Jason Christensen Physician 40 0 X 249034 0 0 Kelvin Vu Physician 40 0 X 259603 0 0 Julie Ohnemus Co-Medical Director 40 0 X 243135 0 0 2078460 0 0 29 0 1 0 Pacific Builders 880 L Street Arcata CA 95521 Construction Services 5337608 Barton Associates PO Box 417844 Boston MA 02241 Professional Recruiting 2026286 OCHIN Inc 707 SW Washington Street Suite 1200 Portland OR 97205 Software Support 764848 CompHealth 35 Nutmeg Drive Trumbull CT 06611 Professional Recruiting 906741 Above and Beyond Cleaning Services 1570 McCullen Avenue Eureka CA 95503 Janitorial 548883 5 0 0 0 0 8853950 134682 126388 8988632 Net patient service revenue 621400 57911361 57911361 0 0 5721600 5721600 0 0 63632961 36295 0 0 36295 0 0 0 0 0 0 0 0 0 0 0 0 0 Meaningful use and other incentive 621400 743750 743750 0 0 126329 126329 0 0 870079 73527967 64503040 0 36295 0 1303019 554880 748139 32987428 27101211 5886217 1374321 1105642 268679 4652121 3510744 1141377 2570363 2073194 497169 3181611 3174524 7087 61687 32334 29353 27949 20960 6989 6146125 6136838 9287 9536 5478 4058 500822 344012 156810 2065558 1626190 439368 3433459 2582298 851161 270530 174438 96092 0 0 0 474555 442392 32163 1747972 1547955 200017 257128 218715 38413 Supplies 10304834 10182691 122143 0 Bad debt 3216 0 3216 0 Postage and shipping 134425 108618 25807 0 Equipment 616954 510167 106787 0 37070 11159 25911 72160683 61464440 10696243 0 29762 318643 13245219 11452200 2167924 4075360 3085940 5193253 578780 627552 877541 555470 37492548 15845442 16834503 21647106 12968004 6994284 49787673 50863868 4301625 4829393 303076 353446 21423516 21281736 1000000 4278827 2388202 30307044 29852777 X 19480629 21011091 0 0 0 0 19480629 21011091 49787673 50863868 1367284 163178 0 0 0 0 X 0 1 X 1 1 1 X 7249433 6600287 7632262 8968611 8988632 39439225 31029815 39259510 49202749 50665058 57911361 228068493 38279248 45859797 56835011 59633669 66899993 267507718 0 0 0 0 0 0 267507718 16002 20166 15412 16340 36295 104215 16002 20166 15412 16340 36295 104215 1160448 586500 297500 574399 870079 3488926 39455698 46466463 57147923 60224408 67806367 271100859 0.98675 0.98607 0.00038 0.00034 X Schedule A, Part III, Line 12 Other revenues. 0 3259787 3259787 0 14968970 6684687 8284283 0 3043367 1912140 1131227 0 8348332 7248615 1099717 0 7872092 0 7872092 21647106 Assets limited as to use 6994284 6994284 Estimated third party settlements 2388202 2388202 X 73691145 163178 0 0 0 163178 73527967 0 0 0 73527967 72160683 0 0 0 0 0 72160683 0 0 0 72160683 Schedule D, Part X, Line 2 The Center has been recognized by the Internal Revenue Service as a non-profit corporation as described in Sec. 501(c)(3) of the Internal Revenue Code (IRC) and is exempt from federal and state income taxes on related income pursuant to Sec. 501(a) of the IRC and California Revenue and Taxation code Section 23701(d). Tax returns are generally open and subject to examination by the appropriate government agencies in the United States and California for three years after they are filed. X 0 0 0 0 0 0 0 0 0 Hermann Spetzler CEO 310003 0 1000 0 0 0 0 0 0 0 311003 0 0 0 Willard Hunter Co- Medical Director 310745 0 1000 0 0 0 0 0 0 0 311745 0 0 0 Carter Wright Dentist 265804 0 1000 0 0 0 0 0 0 0 266804 0 0 0 Kelvin Vu Physician 258494 0 1109 0 0 0 0 0 0 0 259603 0 0 0 Jason Christensen Physician 248034 0 1000 0 0 0 0 0 0 0 249034 0 0 0 Julie Ohnemus Co-Medical Director 241042 0 2094 0 0 0 0 0 0 0 243136 0 0 0 X 1 126388 FMV 0 0 1 0 Form 990, Part VI, Section B, Line 11b Working closely with the appropriate management staff, the CFO gathers and presents the data to the CPA preparing the Form 990 and then presents the draft Form 990 to the Finance Committee of the Board of Directors prior to the Board's review and formal acceptance in a monthly meeting. Form 990, Part VI, Section B, Line 12c Personnel Policies require disclosure of any transactions or business situations (involving the employee and immediate family) which may present a conflict of interest by providing financial benefit resulting from that employees relationship with ODCHC. Board members receive no compensation for their services and are required to provide written Conflict of Interest agreements which are reviewed periodically. Form 990, Part VI, Section B, Line 15 The Board of Directors reviews local, state and national independently prepared salary surveys of community health centers periodically. This data is evaluated in aggregate and with consideration for comparable scope of duties, unique rural conditions, and general economic conditions as well as the economic stability and viability of the organization. Form 990, Part VI, Section C, Line 19 Available upon request.