LOMPOC VALLEY COMMUNITY HEALTHCARE ORGANIZATION: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- LOMPOC VALLEY COMMUNITY HEALTHCARE ORGANIZATION (EIN 77-0494140)
- Tax period
- 2015-04-01 to 2016-03-31
- Filed
- 2016-07-12
- IRS object ID
- 201601959349300000
- Schema version
- 2015v2.0
- 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 | 2016-07-12T20:58:43-07:00 | ReturnTs |
| Tax Period End | 2016-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JWT & Associates LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 East Herndon Avenue Suite 211 | AddressLine1Txt |
| City | Fresno | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93720 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 770494140 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lompoc Valley Community | BusinessNameLine1Txt |
| Business Name Line2 | Healthcare Organization Inc | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LOMP | BusinessNameControlTxt |
| Phone | 8057364580 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 368 | AddressLine1Txt |
| City | Lompoc | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93438 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Ashley Costa | PersonNm |
| Person Title | Executive Director | PersonTitleTxt |
| Signature | 2016-07-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Inger Sullenger CPA | PreparerPersonNm |
| PTIN | P01464277 | PTIN |
| Phone | 5413636707 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Ashley Costa | PrincipalOfficerNm |
| Gross Receipts | $6,913,753 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.lvcho.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | To improve the health of the community by assuring local access to a coordinated system of health promotion, disease prevention, and treatment services available to all. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 200 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $6,601,779 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,911,809 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,950 | PYInvestmentIncomeAmt |
| CY Investment Income | -$4,339 | CYInvestmentIncomeAmt |
| PY Other Revenue | $24,170 | PYOtherRevenueAmt |
| CY Other Revenue | $6,283 | CYOtherRevenueAmt |
| PY Total Revenue | $6,627,899 | PYTotalRevenueAmt |
| CY Total Revenue | $6,913,753 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $406,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $306,000 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $26,389 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,505 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,352,520 | PYOtherExpensesAmt |
| CY Other Expenses | $6,331,709 | CYOtherExpensesAmt |
| PY Total Expenses | $6,784,909 | PYTotalExpensesAmt |
| CY Total Expenses | $6,657,214 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$157,010 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $256,539 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,402,522 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,119,669 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $586,171 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,046,779 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $816,351 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,072,890 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To improve the health of the community by assuring local access to a coordinated system of health promotion, disease prevention, and treatment services available to all. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,673,736 | ExpenseAmt |
| Desc | BOP network assured access to care for inmates; during the last year over 2,000 inmates received services through the network. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $427,190 | ExpenseAmt |
| Grant | $306,000 | GrantAmt |
| Revenue | $6,283 | RevenueAmt |
| Desc | Community Health Improvement Program efforts including: In the prior year, the organization received a grant to implement a needs assessment for caregivers in the Lompoc Valley with the aim at strengthening the safety net for the aging population. Building off the previous years' project, the organization received a grant to implement a program for caregivers in the Lompoc Valley with the aim at strengthening the safety net for the aging population. The organization also received an extension to complete a grant to install creative crosswalks in Old Town Lompoc to increase walk-ability and pedestrian patronage of local businesses in the adjacent areas. The organization researched the impact of the County of Santa Barbara becoming a HEAL community and in conjunction with the Healthy Lompoc Coalition and Live Well Santa Barbara County, actively worked to formal approval of the County Supervisors to have the County of Santa Barbara become a HEAL (Healthy Eating and Active Living) Community. The LVCHO and its community coalition implemented a strategic plan to further imbed HEAL into the local culture. Provided funding for low income and uninsured individuals to receive needed prescription medications, coordinated a summer food program providing free lunch to over 300 children each day; presented healthy living workshops to multiple community organizations upon request; provided a weekly education article on healthy lifestyles in the local newspaper; reviewed all elements of the Lompoc General Plan to assure they reflect current knowledge about health and made recommendations for change when current policy does not further community health; staffed Healthy Lompoc Task Force to assure broad community participation in community health decision-making; recommended to Lompoc City Council that the city become a HEAL (Healthy Eating and Active Living) community; accepted responsibility for developing HEAL implementation plan; Implemented a Safe Routes to School Program in partnership with the Lompoc School District, Lompoc Policy and Lompoc Engineering Department; held a city wide "walk and roll"day to promote walking and biking to school; held a bike to work day to encourage everyone to bike to work; Developed grade appropriate curricullum for K - 12 regarding bike safety; curricullum accepted by LUSD and incorporated into the classrooms at all LUSD K-8 schools; enhanced enforcement of traffic laws around school zones at beginning and end of school day; provided over 500 bike helmets to students who successfully completed a bike safety education program; held a city wide bike rodeo to further educate children and parents about bike safety; Conducted a community neededs assessments around caregiving and senior issues; coordinated collaborative partners to implement a collaborative program to strength the safety net for seniors; Facillitated the installation of creative crosswalks to promote art, economy and health; Facillitated the Healthy Lompoc Coalition and supported member agencies with thier health efforts; developed a HEAL outreach team to educate the community about the benefits of HEAL; Established a HEAL Advisory Cabinet to further imbed HEAL into the culture of leadership in Lompoc. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $6,100,926 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 57 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Employment Tax Returns Filed | false | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | 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 | Ashley Costa Exec Dir | PersonNm |
| Phone | 8057364509 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1593 East Chestnut Ave | AddressLine1Txt |
| City | Lompoc | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93436 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| Rollin C Bailey MD | ||||||
| President | 1.00 | 0.00 | Yes (X) | $6,000 | $0 | $0 |
| Kathi Froemming | ||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| James J Raggio | ||||||
| Treasurer | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| Gilbert O Andersen MD | ||||||
| Director | 1.00 | 0.00 | Yes (X) | $9,507 | $0 | $0 |
| Cecelia Ramos MD | ||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| Carl Schlosser MD | ||||||
| Director | 1.00 | 0.00 | Yes (X) | $6,000 | $0 | $0 |
| Susan Warnstrom | ||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| Linual White | ||||||
| Secretary | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $21,507 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Lompoc Valley Medical Center | |||||
| 1515 East Ocean | Lompoc | CA | 93436 | Hospital Services | $3,237,747 |
| Cottage Hospital | |||||
| Pueblo at Bath Streets | Santa Barbara | CA | 93105 | Hospital Services | $412,660 |
| Marian Medical Center | |||||
| 1400 East Church Street | Santa Maria | CA | 93454 | Hospital Services | $326,504 |
| Lawrence Riemer Inc MD | |||||
| 601 E Ocean Ave Ste 7 | Lompoc | CA | 93436 | Physician Services | $124,740 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,779,798 | GovernmentGrantsAmt |
| All Other Contributions | $132,011 | AllOtherContributionsAmt |
| Total Contributions | $6,911,809 | TotalContributionsAmt |
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,339 | TotalRevenueColumnAmt |
| Exclusion | -$4,339 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Refunds & Other | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $6,283 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,283 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,283 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,913,753 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,283 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$4,339 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,000 | TotalAmt |
| Program Services | $306,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,505 | TotalAmt |
| Management And General | $19,505 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,336 | TotalAmt |
| Management And General | $12,336 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,393 | TotalAmt |
| Management And General | $209,393 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,458 | TotalAmt |
| Management And General | $12,458 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,000 | TotalAmt |
| Management And General | $1,000 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical claims-bureau prisons | $5,673,647 | $5,673,647 | |
| Contract Labor | $274,276 | $274,276 | |
| Other Medical Program Services | $62,889 | $62,889 | |
| Other Medical Donations | $58,390 | $58,390 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,320 | TotalAmt |
| Management And General | $27,320 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,657,214 | TotalAmt |
| Program Services | $6,100,926 | ProgramServicesAmt |
| Management And General | $556,288 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $345,369 | BOYAmt |
| EOY | $559,660 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $399,534 | BOYAmt |
| EOY | $388,509 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,155 | BOYAmt |
| EOY | $32,099 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $630,069 | BOYAmt |
| EOY | $1,133,865 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,247 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,711 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,395 | BOYAmt |
| EOY | $5,536 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,402,522 | BOYAmt |
| EOY | $2,119,669 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $537,013 | BOYAmt |
| EOY | $985,053 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,158 | BOYAmt |
| EOY | $61,726 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $586,171 | BOYAmt |
| EOY | $1,046,779 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $816,351 | BOYAmt |
| EOY | $1,072,890 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $816,351 | BOYAmt |
| EOY | $1,072,890 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,402,522 | BOYAmt |
| EOY | $2,119,669 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $256,539 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,729,345 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,415,863 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,106,587 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,601,779 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,911,809 | CurrentTaxYearAmt |
| Total | $32,765,383 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,729,345 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,415,863 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,106,587 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,601,779 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,911,809 | CurrentTaxYearAmt |
| Total | $32,765,383 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $32,765,383 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,380 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,602 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,171 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,950 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | -$4,339 | CurrentTaxYearAmt |
| Total | $2,764 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,622 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,850 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,406 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,170 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,283 | CurrentTaxYearAmt |
| Total | $46,331 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $32,814,478 | TotalSupportAmt |
| Public Support CY170 | 0.99850 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99830 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,247 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,711 | DepreciationAmt |
| Book Value | $5,536 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,536 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $6,913,753 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $6,913,753 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $6,913,753 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,657,214 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $6,657,214 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $6,657,214 | TotalExpensesPerForm990Amt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| Lompoc Hospital Foundation | ||||||||||
| PO Box 883 | Lompoc | CA | 93438 | 770262454 | 501c3 | $6,000 | $0 | Cash Value | N/A | Access to care, medically indigent |
| Lompoc Valley Medical Center | ||||||||||
| 1515 East Ocean Ave | Lompoc | CA | 93436 | 956001880 | Govt Hlthcare Dist | $300,000 | $0 | Cash Value | N/A | Access to care, medically indigent |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Grantmaker's Description of How Grants are Used | FormAndLineReferenceDesc |
| Explanation | When a grant is awarded to the organization, the work plan and budget are monitored monthly to assure that the promised work is achieved and the the funds are spent according to the budget presented and approved by the entity which made the award. Reporting to the grant funder is made in a timely manner in accordance with grant requirements. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| James Raggio | |||
| Director | $3,237,747 | Prov of Hlthcare Svc | false |
| Linual White | |||
| Director | $3,237,747 | Prov of Hlthcare Svc | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule L, Part V Supplemental Information | FormAndLineReferenceDesc |
| Explanation | Dr. Andersen is contracted with the LVCHO to provide physician services to inmates when such services are requested by the Bureau of Prisons, and provide regular quality/utilization review of all medical services provided by contractors of the LVCHO. During the fiscal year ended 3/31/2015, compensation paid to Dr. Andersen was less than $10,000, so not reportable on schedule L.LVCHO had a service contract with Lompoc Valley Medical Center (LVMC) for the provision of healthcare services. Since James Raggio is an Officer of LVMC, and a Director of LVCHO, this material business transaction is reportable on the schedule L. The same applies to Linual White who serves as a Director for both LVCHO and LVMC. LVCHO and LVMC do not meet the requirements to be reported as related organizations, as they do not share a majority of the same board members, nor does one exercise control over the other. When issues regarding providing grants or assistance to the LVMC come before the LVCHO Board Mr. Raggio and Mr. White abstain from the vote. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 1a: Explanation of Delegated Broad Authority to Committee | The organization has a committee that assumes responsibility for oversight of the audited financial statements and selection of an independent accountant. |
| Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | Dr. Andersen, and Dr. Bailey are contracted with the LVCHO to provide physician services to inmates when such services are requested by the Bureau of Prisons, and provide regular quality/utilization review of all medical services provided by contractors of the LVCHO. Dr. Schlosser is contracted to provide quality/utilization review. During fiscal 3/31/2016,compensation was less than $10,000 annually to Dr. Bailey, Dr. Schlosser, and Dr. Andersen (not reportable on Schedule L).Lompoc Valley Medical Center (LVMC) - is a tax exempt governmental entity. LVCHO and LVMC do not meet the requirements to be reported as related organizations, as they do not share a majority of the same board members, nor does one exercise control over the other. One LVCHO Board Member is the CEO of the LVMC, James Raggio. Also, Linual White serves as both an LVCHO and LVMC Board Member. There is a material business transaction between LVCHO and LVMC for the provision of healthcare services, which is reported on Schedule L. When issues regarding providing grants or assistance to the LVMC come before the LVCHO Board, Mr. Raggio and Mr. White abstain from the vote. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | The completed 990 is provided to each member a minimum of four days prior to the meeting in which the 990 is discussed and approved. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | Annual review |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | An analysis of comparable positions is completed by an independent professional compensation organization and those comparables are used to set compensation for top management. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | An analysis of comparable positions is completed by an independent professional compensation organization and those comparables are used to set compensation for top management. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Upon written request |
| Form 990 Part VII Section A | LVCHO's Executive Director is an employee of the Lompoc Valley Medical Center and works for the LVCHO under contract between the LVCHO and LVMC. During the fiscal year 4/2015-3/2016, compensation from LVMC for performance of LVCHO Officer duties was: $90,410 to Ashley Costa as Executive Director at 40 average hours per week.LVCHO and LVMC do not meet the requirements to be reported as related organizations, as they do not share a majority of the same board members, nor does one exercise control over the other. |