2017-01-23T15:42:23-07:00 2016-06-30 472251777 CHW LLP 7797 N First Street Suite 15 Fresno CA 93720 990 2015-07-01 942188574 CommuniCare Health Centers COMM 5307533498 PO Box 1260 Davis CA 95617 Robin Affrime CEO 5307533498 2016-12-29 1 Jeremy Ware P00642659 5595495400 2016-12-27 2015 2021-01-29 14:40:06Z Carolina Apicella 2051 John Jones Road Davis CA 94556 23264902 0 X www.communicarehc.org X 1973 CA CommuniCare Health Centers is a private, non-profit health care organization providing comprehensive medical and dental services, substance abuse treatment, behavioral health services, and health education throughout Yolo County at four community clinic sites located in Davis, Woodland, Esparto, and West Sacramento. Since 1972, CommuniCare has been promoting healthy communities by providing affordable and culturally competent health care for those in need. CommuniCare Health Centers is a Federally Qualified Health Center (FQHC). 13 13 342 0 0 0 7070917 7203167 14059093 15149839 25459 27132 148750 884764 21304219 23264902 0 0 0 0 16132645 16843513 0 0 138521 5066002 5783425 21198647 22626938 105572 637964 18185230 16571873 5337675 3086536 12847555 13485337 CommuniCare Health Centers' mission is to provide high quality health care to those in need. We will carry out this mission in the following ways. We will turn no one away based on inability to pay. We will deliver health care in a supportive, safe, non-judgmental manner, stressing patient involvement and responsibility, health education, counseling, and preventive health care in all of our programs. We will continue to emphasize the importance of the volunteer in our organization. We will continue our commitment to the underlying philosophy that health care is a right not a privilege. In fulfillment of CommuniCare Health Centers' mission, total patient visits during the year reached 98,533; the number of patients 28,962; Health Education & community outreach encounters totaled 10,326. 0 0 9045044 0 11303542 CommuniCare operates three primary care centers at carefully chosen locations to provide the best access to healthcare for Yolo county residents who cannot afford the full cost of healthcare and have no health insurance. Services include primary care, reproductive health, pediatric and adolescent services. Clinical facilities are located in Davis, West Sacramento, and Woodland. Visits totaled 56,690; total patients served was 15,375. 3337026 0 3486781 Perinatal Services - A full spectrum of pre and post natal care, births health education, nutrition counseling, and social work support for low-income and indigent women of Yolo county. The program is a certified California Perinatal Services Program (CPSP). Services are offered at five facilities in Davis, West Sacramento, Woodland, Winters and Dixon with births at Sutter Davis Hospital. Visits totaled 10,326 and births at Sutter Davis Hospital totaled over 500. 4110418 0 3947928 Behavioral Health Services is an outpatient substance abuse treatment program which offers medically assisted withdrawal and treatment to adults and adolescents involved with methamphetamine, opiates, and marijuana in groups and one on one counseling. Additionally, this department now offers life counseling services provided by licensed clinical social workers. Services are offered at three CommuniCare facilities: Davis, West Sacramento and Woodland. Visits totaled 13,827. 2752972 0 4007925 Dental Program- Acute and preventive dental care is provided for children and adults. Services include complete oral exams, X-Rays, Fillings, Root canals, Surgery, Gum Therapy, and specialty referrals. Services are provided at four sites in Yolo County: Davis, West Sacramento, Woodland and Esparto. CommuniCare also visits schools, child care centers and health fairs offering free exams, sealants and oral education materials. Visits totaled 17,690. 2752972 0 4007925 19245460 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 28 0 1 342 1 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Carolina Apicella 5307531206 2051 John Jones Road Davis CA 95616 Michael Golde President 1 0 X 0 0 0 Rose Conroy Vice President 1 0 X 0 0 0 Meg Sheldon Secretary and Treasurer 1 0 X 0 0 0 Beatriz Cabezon Director 1 0 X 0 0 0 Rick Baker MD Director 1 0 X 0 0 0 Glenn Campanelli Director 1 0 X 0 0 0 Eva Hurtado Director 1 0 X 0 0 0 Emma Knight Director 1 0 X 0 0 0 Teresa Gonzalez Director 1 0 X 0 0 0 Kimberly Maslaniak Director 1 0 X 0 0 0 Walter Woodard Director 1 0 X 0 0 0 Bonnye Zuurbier Director 1 0 X 0 0 0 Robin Affrime Chief Executive Officer 40 0 X 190646 0 22937 Hao Kai Chang DDS Dental Director 40 0 X 176633 0 14874 Betzabel Kunkel Physician 40 0 X 176687 0 17497 Lorraine Lunden Physician Assistant 40 0 X 170912 0 19872 Jason Auriemma Physician 40 0 X 166734 0 17223 Barbara Boehler Perinatal Director 40 0 X 166432 0 14219 Sherry Cauchois Chief Financial Officer 40 0 X 153007 0 10784 1201051 0 117406 18 1 1 0 Comp Tx 5050 Laguna Blvd 112304 Elk Grove CA 95758 IT Outsourcing 286680 Comphealth PO Box 972651 Dallas TX 75397 Professional Services 380514 Staff Care Inc PO Box 281923 Atlanta GA 30384 Staffing Services 132165 Leon Schimmel 3816 Halcon Place Davis CA 95618 Contract Physician 155825 Sutter Medical Foundation 2750 Gateway Oaks Drive Sacramento CA 95833 Professional Services 250214 6 0 0 0 0 7203167 0 0 7203167 Net Patient Service Revenue 621400 15149839 15149839 0 0 0 0 0 0 15149839 27132 0 0 27132 0 0 0 0 0 0 0 0 0 0 0 0 0 884764 884764 0 0 884764 23264902 16034603 0 27132 13376626 11435841 1877588 63197 3466887 3095385 363225 8277 1678387 1381991 293446 2950 16834 24 16810 315192 171410 143238 544 728575 290699 437874 2 508881 455591 51118 2172 179695 146269 32872 554 91958 59086 32872 736079 736079 95072 93660 1412 Supplies 1129285 1121449 7791 45 303467 258000 1497 43970 22626938 19245460 3242957 138521 2195062 802588 533865 794407 656743 446209 1150824 1235440 132265 189809 357670 408384 15941862 4739007 11875138 11202855 1283663 1492181 18185230 16571873 1564712 1845763 1285434 1240773 2487529 0 5337675 3086536 X 12774659 13089193 72896 396144 0 0 12847555 13485337 18185230 16571873 637964 -182 0 0 0 0 X 0 1 X 1 1 1 X 6916144 8868969 8134978 7070917 7203167 38194175 8996567 10609431 12007117 14059093 15149839 60822047 15912711 19478400 20142095 21130010 22353006 99016222 0 0 0 0 0 0 0 0 0 0 99016222 5518 19267 22396 25459 27132 99772 5518 19267 22396 25459 27132 99772 15918229 19497667 20164491 21155469 22380138 99115994 0.99899 0.99869 0.00101 0.00080 X 0 282268 282268 0 10699431 4739007 5960424 0 2152829 0 2152829 0 2622250 0 2622250 0 185084 0 185084 11202855 Third party settlements 1492181 1492181 0 X 23264902 0 0 0 0 0 23264902 0 0 0 23264902 22626938 0 0 0 0 0 22626938 0 0 0 22626938 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). Accordingly, no provision for income taxes is included in the accompanying financial statements. The tax years of 2012 through 2015 remain open and subject to examination by the appropriate government agencies in the United States and California. X 0 0 0 0 0 0 0 0 0 Robin Affrime Chief Executive Officer 190646 0 0 0 24000 0 8937 0 0 0 223583 0 0 0 Jason Auriemma Physician 166734 0 0 0 0 0 13518 0 5073 0 185325 0 0 0 Barbara Boehler Perinatal Director 166432 0 0 0 0 0 24000 0 2103 0 192535 0 0 0 Sherry Cauchois Chief Financial Officer 153007 0 0 0 0 0 24000 0 2889 0 179896 0 0 0 Hao Kai Chang DDS Dental Director 176633 0 0 0 0 0 18978 0 2053 0 197664 0 0 0 Lorraine Lunden Physician Assistant 170912 0 0 0 0 0 9367 0 7062 0 187341 0 0 0 Betzabel Kunkel Physician 176687 0 0 0 0 0 9331 0 9935 0 195953 0 0 0 Form 990, Part VI, Section B, Line 11b The CFO and board treasurer review an electronic copy of the Form 990. When they have completed their review, the CFO signs Form 8453 EO to authorize the CPA to E-file the return. Form 990, Part VI, Section B, Line 12c Board members and key employees are required to disclose conflicts of interest as soon as they become aware that a conflict may exist. The remaining board members evaluate the situation and the individual must either resign or excuse themselves from any discussions that involve the agency and the area of conflict. Form 990, Part VI, Section B, Line 15 The Board of Directors maintains a Personnel Committee to review and update the Personnel Policies & Procedures Manual annually; With the Executive Committee, conducts the Chief Executive Officer's annual evaluation process; Reviews and approves the employee benefit package; Participates in formal employee Grievance Procedure when necessary. Form 990, Part VI, Section C, Line 19 Available upon request.