2025-11-14T17:11:52-06:00 2024-12-31 330700332 VASQUEZ COMPANY LLP 655 N CENTRAL AVE STE 1550 GLENDALE CA 91203 990 2024-01-01 273261289 BARTZ-ALTADONNA COMMUNITY HEALTH CENTER BART 6618744050 43322 GINGHAM AVENUE LANCASTER CA 93535 MARY CUMMINGS CEO 6618744050 2025-11-14 1 1 REGINA L PRINCE CPA P00576936 2138731700 2024 2025-03-06 01:10:19Z MARY CUMMINGS 43322 GINGHAM AVENUE LANCASTER CA 93535 27802844 0 X WWW.BACHC.ORG X 2010 CA A STATE-LICENSED CLINIC THAT PROVIDES COMPREHENSIVE PRIMARY MEDICAL CARE, INCLUDING WOMEN'S CARE, FOR LOW-INCOME, UNINSURED, UNDERINSURED, AND HOMELESS PERSONS. 9 9 201 9 0 0 3870986 4623283 22219264 22783849 360826 334093 29248 61314 26480324 27802539 0 0 0 0 14756469 15925007 0 0 0 6471013 8437879 21227482 24362886 5252842 3439653 35281822 41409533 14268967 16957025 21012855 24452508 X TO PROVIDE PATIENT-CENTERED HIGH-QUALITY, TRAUMA-INFORMED HEALTH CARE SERVICES TO ALL RESIDENTS WITH INTESIVE OUTREACH TO THE HOMELESS OF THE ANTELOPE VALLEY WITHOUT REGARD TO SOCIAL BARRIERS OR ABILITY TO PAY. 0 0 21620734 22783849 BARTZ-ALTADONNA COMMUNITY HEALTH CENTER (BACHC) IS THE ANTELOPE VALLEY'S FIRST FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND IS COMMITTED TO PROVIDING PATIENT-CENTERED TRAUMA-INFORMED PRIMARY CARE SERVICES TO ALL ITS PATIENTS. BACHC'S CLINICS IN LANCASTER, PALMDALE, CAL-CITY AND BORON AND ITS FOUR MOBILE UNITS PROVIDED OUTPATIENT MEDICAL CARE; SPECIALTY CARE FOR HIV/AIDS AND HIV RELATED ILLNESS AND URGENT CARE FOR WALK-INS; REFERRALS FOR SPECIALTY CARE, MENTAL HEALTH, BEHAVIORAL, AND PSYCHIATRIC SERVICES; AND SUBSTANCE ABUSE DISORDER ASSESSMENTS AND COUNSELING SERVICES. BACHC ALSO PROVIDED LIMITED PROCEDURES FOR HEALTH CARE SUCH AS IM INJECTIONS, TB TESTS, EAR LAVAGE, EKG(S), AND HEALTH PHYSICALS. OTHER SERVICES INCLUDE FEMALE EXAMINATIONS AND CARE, LIMITED LABORATORY SERVICES AND GENERAL EXAMINATIONS THAT INCLUDE NUTRITIONAL SERVICES. BEGINNING JANUARY 2021, BACHC PROVIDED A HYBRID MODEL OF CARE TO ALL ITS PATIENTS. THIS HYBRID MODEL ALLOWED US TO DECREASE NO-SHOW RATES, INCREASE PROVIDER PRODUCTIVITY, IMPROVE PATIENT OUTCOMES, AND IMPROVE PATIENT SATISFACTION. DURING 2024, BACHC SERVICED 20,503 UNDUPLICATED PATIENTS; PROVIDING 54,286 CLINIC VISITS AND 39,802 VIRTUAL VISITS. THIS INCLUDES 3,763 MENTAL HEALTH CLINIC VISITS AND 3,055 MENTAL HEALTH VIRTUAL VISITS. 21620734 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 46 0 1 201 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X ERLINDA MAGALONA 6618744050 43322 GINGHAM AVENUE LANCASTER CA 93535 ROBERT WEBB CHAIRPERSON 2.00 X X 0 0 0 ISMENE HERNANDEZ VICE CHAIR 2.00 X X 0 0 0 DAN ANGEL TREASURER 2.00 X X 0 0 0 TAMARA BINNS SECRETARY 2.00 X X 0 0 0 RICCARDO MANSON BOARD MEMBER 2.00 X 0 0 0 SUSAN GUTIERREZ BOARD MEMBER 2.00 X 0 0 0 ALBERTINA THORNTON BOARD MEMBER 2.00 X 0 0 0 SONIA HICKS BOARD MEMBER 2.00 X 0 0 0 SHELLY KELLER-GAGE BOARD MEMBER 2.00 X 0 0 0 MARY CUMMINGS CHIEF EXECUTIVE OFFICER 40.00 X 753262 0 26912 JO VASQUEZ CFO UNTIL 09/2024 40.00 X 235568 0 15419 ERLINDA O MAGALONA CFO AS OF 10/2024 40.00 X 104945 0 5717 SILVIA SOLOMON CHIEF OF COMPLIANCE 40.00 X 203279 0 15434 PAMELA GRIFFIN COS 40.00 X 297751 0 15754 TABBA LARAIB CMO 40.00 X 475928 0 30901 CARLOS COYUKIAT HR DIRECTOR 40.00 X 186769 0 20586 CARL HAYES PROVIDER 40.00 X 284208 0 15542 RYAN GORJI PROVIDER 40.00 X 300884 0 22028 AYESHA OGLE PROVIDER 40.00 X 303030 0 16499 ASHRUTA PATEL PROVIDER 40.00 X 347586 0 24801 SIMONA MYERS PROVIDER 40.00 X 272400 0 71 3765610 0 209664 27 0 1 0 MAC URBAN CONSTRUCTION 357 E CARSON STREET STE 211 CARSON CA 90745 CONSTRUCTION SERVICES 1176290 ANDERSON CONSTRUCTION 49440 ELISE ST LANCASTER CA 93536 CONSTRUCTION SERVICES 450500 CROSS COUNTRY STAFFING PO BOX 404691 ATLANTA GA 30384 MEDICAL SERVICE WORKFORCE 271489 OLIVER NEIL REFUGIO 330 N WESTLAKE AVE APT 717 LOS ANGELES CA 90026 MEDICAL SERVICE WORKFORCE 216576 MEHRNAZ KOUHKAN 11690 MONTANA AVE APT105 LOS ANGELES CA 90049 MEDICAL SERVICE PROVIDER 210940 7 2815817 1807466 164821 4623283 NET PATIENT SERVICES 621400 20548278 20548278 CAPITATION REVENUE 621400 1287993 1287993 PHARMACY REVENUE 621400 947578 947578 22783849 334093 334093 57249 0 57249 57249 57249 1266 305 961 961 OTHER INCOME 621400 3104 3104 3104 27802539 22783849 0 395407 2388224 2053849 334375 11243796 9669554 1574242 293713 252590 41123 748770 643935 104835 1250504 1075421 175083 89580 79734 9846 371169 327391 43778 29269 28524 745 490070 379038 111032 721588 712821 8767 618336 451364 166972 30441 29226 1215 65365 62755 2610 821136 821136 998568 961132 37436 244609 236793 7816 PROGRAM EXPENSES 2730964 2720498 10466 SETTLEMENT COSTS 694266 617955 76311 REPAIRS & MAINTENANCE 238430 219438 18992 DUES AND LICENSING 156212 154464 1748 137876 123116 14760 24362886 21620734 2742152 0 1125062 324330 8403874 6572925 217364 305407 2146280 3232094 31914 22395 124743 134146 34136049 3909363 22485363 30226686 747222 591550 35281822 41409533 1595769 3519045 11857101 13295084 816097 142896 14268967 16957025 X 21012855 24452508 21012855 24452508 35281822 41409533 3439653 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5869478 5869478 16633466 1216541 15416925 3249198 1115955 2133243 2531413 1576867 954546 5852494 5852494 30226686 LEASE LIABILITY 87875 ESTIMATED SETTLEMENT AMOUNTS DUE TO THIRD PARTY PAYERS 55021 142896 X 27802539 0 27802539 0 27802539 24362886 0 24362886 0 24362886 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701D OF THE CALIFORNIA REVENUE AND TAXATION CODE AND IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, THE ORGANIZATION IS SUBJECT TO INCOME TAXES ON ANY NET INCOME THAT IS DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON, AND NOT IN FURTHERANCE OF THE PURPOSES FOR WHICH IT WAS GRANTED AN EXEMPTION. NO INCOME TAX PROVISION HAS BEEN RECORDED AS THE NET INCOME, IF ANY, FROM ANY UNRELATED TRADE OR BUSINESS, IN THE OPINION OF MANAGEMENT, IS NOT MATERIAL TO THE FINANCIAL STATEMENTS TAKEN AS A WHOLE. U.S. GAAP PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED RELATE TO THE ORGANIZATION'S CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE IS A MATERIAL UNRELATED TRADE OR BUSINESS INCOME TAX LIABILITY. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS, BASED ON THE TECHNICAL MERITS OF THE POSITION, WILL MORE-LIKELY-THAN-NOT BE SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION. THEREFORE, NO DISCLOSURES OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. X X X 1 0 0 0 0 0 0 0 0 MARY CUMMINGS CHIEF EXECUTIVE OFFICER 537190 0 87567 0 128505 0 19387 0 7525 0 780174 0 0 0 TABBA LARAIB CMO 315967 0 98120 0 61841 0 19730 0 11171 0 506829 0 0 0 ASHRUTA PATEL PROVIDER 190119 0 102180 0 55287 0 16196 0 8605 0 372387 0 0 0 RYAN GORJI PROVIDER 263847 0 12682 0 24355 0 17645 0 4383 0 322912 0 0 0 AYESHA OGLE PROVIDER 162360 0 115830 0 24840 0 11843 0 4656 0 319529 0 0 0 PAMELA GRIFFIN COS 224522 0 27363 0 45866 0 15471 0 283 0 313505 0 0 0 CARL HAYES PROVIDER 242010 0 5230 0 36968 0 15471 0 71 0 299750 0 0 0 SIMONA MYERS PROVIDER 239200 0 2000 0 31200 0 0 0 71 0 272471 0 0 0 JO VASQUEZ CFO UNTIL 09/2024 115694 0 0 0 119874 0 9792 0 5627 0 250987 0 0 0 SILVIA SOLOMON CHIEF OF COMPLIANCE 147378 0 23653 0 32248 0 10778 0 4656 0 218713 0 0 0 CARLOS COYUKIAT HR DIRECTOR 151539 0 15452 0 19778 0 9362 0 11224 0 207355 0 0 0 ERLINDA O MAGALONA CFO AS OF 10/2024 97740 0 522 0 6683 0 5717 0 0 0 110662 0 0 0 PART I, LINE 4A IN 2024, JO VASQUEZ, WHO SERVED AS CHIEF FINANCIAL OFFICER, RECEIVED SEVERANCE COMPENSATION TOTALING $61,509. X 3 163649 COMPARABLE SALES X FURNITURE 1 1172 THRIFT SHOP VALUE 0 0 0 PART I COLUMN B THE ORGANIZATION IS REPORTING IN PART I, COLUMN (B), THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE MEETS TO REVIEW THE FORM BEFORE IT IS FILED WITH THE IRS. A COMPLETE COPY OF FORM 990, INCLUDING ALL SCHEDULES, IS PROVIDED TO THE ENTIRE VOTING BOARD BEFORE IT IS E-FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE INTERESTED PERSONS COVERED UNDER THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS ANY PERSON SERVING AS AN OFFICER, EMPLOYEE, MEMBER OF THE BOARD OF DIRECTORS, MAJOR DONOR, OR ANYONE ELSE WHO IS IN A POSITION OF CONTROL OVER BARTZ-ALTADONNA COMMUNITY HEALTH CENTER WHO HAS A PERSONAL INTEREST THAT CONFLICTS WITH THE INTERESTS OF BARTZ-ALTADONNA COMMUNITY HEALTH CENTER. ANNUALLY, EACH EMPLOYEE, OFFICER, OR BOARD MEMBER IS REQUIRED TO SUBMIT A CONFLICT OF INTEREST ATTESTATION AND DISCLOSURE FORM. PROCEDURE. PRIOR TO BOARD OR COMMITTEE ACTION ON A CONTRACT OR TRANSACTION INVOLVING A CONFLICT OF INTEREST, A DIRECTOR OR COMMITTEE MEMBER HAVING A CONFLICT OF INTEREST WHO ATTENDS THE MEETING MUST DISCLOSE ALL FACTS IN WRITING MATERIAL TO THE CONFLICT OF INTEREST. SUCH PROCEDURE IS REFLECTED IN THE MINUTES OF THE MEETING. A PERSON WHO HAS A CONFLICT OF INTEREST MUST NOT PARTICIPATE IN OR BE PERMITTED TO HEAR THE BOARD'S OR COMMITTEE'S DISCUSSION OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND TO RESPOND TO QUESTIONS. SUCH PERSON MUST NOT ATTEMPT TO EXERT HIS OR HER PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, EITHER AT OR OUTSIDE THE MEETING. INTERESTED PERSONS WHO ARE NOT MEMBERS OF THE BOARD OF DIRECTORS MUST DISCLOSE IN WRITING TO THEIR SUPERVISOR, OR THE CHAIR, OR THE CHAIR'S DESIGNEE, ANY CONFLICT OF INTEREST THAT SUCH PERSON HAS WITH RESPECT TO A CONTRACT OR TRANSACTION. SUCH DISCLOSURE MUST BE MADE AS SOON AS THE CONFLICT OF INTEREST IS KNOWN TO THE INTERESTED PERSON. THE INTERESTED PERSON SHALL REFRAIN FROM ANY ACTION THAT MAY AFFECT BARTZ-ALTADONNA COMMUNITY HEALTH CENTER'S PARTICIPATION IN SUCH CONTRACT OR TRANSACTION. IN THE EVENT IT IS NOT ENTIRELY CLEAR THAT A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE POTENTIAL CONFLICT MUST DISCLOSE IN WRITING THE CIRCUMSTANCES TO HER OR HER SUPERVISOR OR THE CHAIR OR THE CHAIR'S DESIGNEE, WHO MUST DETERMINE WHETHER FULL BOARD DISCUSSION IS WARRANTED OR WHETHER THERE EXISTS A CONFLICT OF INTEREST THAT IS SUBJECT TO THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S BOARD OF DIRECTORS HAS A PROCESS FOR REVIEWING AND APPROVING THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND OTHER OFFICERS AND KEY EMPLOYEES ON A REGULAR BASIS TO DETERMINE IT IS FAIR AND REASONABLE WITH THE GOAL OF RETAINING EMPLOYEES AT COMPENSATION LEVELS WITHIN APPROPRIATE MARKET RANGE. THE PROCESS FOR DETERMINING THE COMPENSATION PAID TO THE CHIEF EXECUTIVE OFFICER AND OTHER OFFICERS AND KEY EMPLOYEES INCLUDES THE APPROVAL OF THE COMPENSATION ARRANGEMENT IN ADVANCE, WITH ALL PERSONS WITH A CONFLICT OF INTEREST ABSTAINING FROM THE DELIBERATION AND DISCUSSION OF THE TRANSACTION. THE BOARD OF DIRECTORS REVIEWS DATA OF COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED NONPROFIT EXECUTIVES AT SIMILARLY SITUATED ENTITIES. THE DOCUMENTATION IN THE BOARD MINUTES INCLUDES THE TERMS OF THE TRANSACTION AND THE DATE OF APPROVAL, THE MEMBERS WHO WERE PRESENT DURING THE DEBATE AND VOTE ON THE TRANSACTION, A DESCRIPTION OF THE COMPARABLE DATA AND HOW IT WAS OBTAINED, AND DOCUMENTATION OF THE BASIS FOR THE DETERMINATION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, THE CONFLICT-OFINTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. HOWEVER, CURRENT TAX LAW DOES NOT REQUIRE THESE DOCUMENTS TO BE PROVIDED TO THE PUBLIC.