2016-03-30T14:55:48-07:00 2015-12-31 472251777 CHW LLP 7797 N First Street Suite 15 Fresno CA 93720 990 2015-01-01 952671433 Open Door Community Health Centers OPEN 7078268633 670 Ninth Street Suite 203 Arcata CA 95521 James A Bella Jr CFO 7078268633 2016-03-28 1 Jeremy Ware P00642659 5595495400 2016-03-28 2015 2016-09-27 15:27:22Z James Bella 670 Ninth Street Number 203 Arcata CA 95521 57523212 0 X www.opendoorhealth.com X 1971 CA The OPEN DOOR COMMUNITY HEALTH CENTERS exist to provide health care and education to residents of Humboldt and Del Norte Counties and surrounding rural areas. ODCHC operates 9 clinic sites for the residents of Del Norte and Humboldt Counties. 60% of the patients serviced by ODCHD live on less than 100% of the federal poverty level and 90% live on less than 200% of the federal poverty level. ODCHD also provided a mobile dental program to school-aged children in remote locations. In addition, ODCHD commenced services in Willow Creek, providing medical, dental and behavioral health care to that community and surrounding communities in Trinity and Siskiyou Counties. ODCHD provides health care to all patients regardless of the patients inability to pay. 11 11 635 0 0 0 6600287 7632262 39259510 49202749 20166 15412 755191 672789 46635154 57523212 0 0 0 0 28760858 34077839 0 0 0 16539171 22114904 45300029 56192743 1335125 1330469 29925316 32706613 15172870 16647933 14752446 16058680 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 13 clinics and three mobile clinics. In 2015, ODCHC served 54,850 unique individuals, providing 247,264 provider/patient/encounters. Of its patients, 43% are known to live at or below 100% FPL and, cumulatively, 66% are known to live at or below 200% FPL; 15% are uninsured and 59% 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 48176984 0 57523212 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 13 clinics and three mobile clinics. In 2015, ODCHC served 54,850 unique individuals, providing 247,264 provider/patient/encounters. Of its patients, 43% are known to live at or below 100% FPL and, cumulatively, 66% are known to live at or below 200% FPL; 15% are uninsured and 59% 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 48176984 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 44 0 1 635 1 0 0 0 0 0 0 X 11 11 1 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 Sydney Fisher Larson President 2 0 X 0 0 0 Kathleen E Moxon Vice President 2 0 X 0 0 0 Felicia Oldfather Treasurer 2 0 X 0 0 0 Cyn Van Fleet Secretary 2 0 X 0 0 0 Zuretti Goosby Board Member 2 0 X 0 0 0 Elizabeth Murguia Board Member 2 0 X 0 0 0 Jim Pfingstel Board Member 2 0 X 0 0 0 Neal Sanders Board Member 2 0 X 0 0 0 Lindsay Righter Board Member 2 0 X 0 0 0 Connie Stewart Board Member 2 0 X 0 0 0 Alison Talbot Board Member 2 0 X 0 0 0 Cheyenne Spetzler COO 40 0 X 155070 0 0 James A Bella CFO 40 0 X 146201 0 0 Hermann Spetzler CEO 40 0 X 224288 0 0 Willard Hunter Co- Medical Director 40 0 X 219675 0 0 Julie Ohnemus Co-Medical Director 40 0 X 220161 0 0 Carter Wright Dentist 40 0 X 216641 0 0 Norman Bensky Physician 40 0 X 224569 0 0 Gerald Alston Physician 40 0 X 231730 0 0 Devin Wong Physician 40 0 X 240860 0 0 Kelvin Vu Physician 40 0 X 252045 0 0 2131240 0 0 50 0 1 0 Barton Associates PO Box 417844 Boston MA 02241 Professional Recruiting 1245262 OCHIN Inc 707 SW Washington Street Suite 1200 Portland OR 97205 Software Support 819104 Above and Beyond Cleaning Services 1570 McCullen Avenue Eureka CA 95503 Janitorial 324309 On site Testing Specialists 5308 Park Avenue Bethel Park PA 15102 Construction 139570 North Coast Cleaning Services Inc PO Box 177 Eureka CA 95502 Cleaning services 118467 6 0 0 0 0 7161067 471195 458406 7632262 Net patient service revenue 621400 49202749 49202749 0 0 0 0 0 0 49202749 15412 0 0 15412 0 0 0 0 0 0 0 0 0 0 0 0 0 Meaninful Use Incentive 621400 297500 297500 0 0 375289 375289 0 0 672789 57523212 49875538 0 15412 965395 399836 565559 26271667 22228281 4043386 817112 687412 129700 3982153 2781346 1200807 2041512 1691304 350208 49026 32392 16634 28493 23293 5200 5535442 5486094 49348 30920 16052 14868 364637 245155 119482 1880826 1506696 374130 3270205 2764253 505952 282672 132286 150386 496310 463056 33254 1784006 1645619 138387 238109 207016 31093 Medical Supplies 7544662 7412014 132648 0 Bad debt 1548 0 1548 0 Postage and Shipping 91237 72135 19102 0 Equipment rental 484806 371204 113602 0 32005 11540 20465 56192743 48176984 8015759 0 36182 31585 6194656 9564364 1277563 1798494 3890392 3268220 625819 562090 383475 416689 29511336 13589136 16645174 15922200 0 872055 1142971 29925316 32706613 3046150 3365256 386047 239687 10240673 9560777 1500000 3482213 15172870 16647933 X 14752446 16058680 0 0 0 0 14752446 16058680 29925316 32706613 1330469 -24235 0 0 0 0 X 0 1 X 1 1 1 X 5569719 11476605 7249433 6600287 7632262 38528306 22436963 26903549 31029815 39259510 49202749 168832586 0 0 0 0 0 0 28006682 38380154 38279248 45859797 56835011 207360892 0 0 0 0 0 0 207360892 13602 14356 16002 20166 15412 79538 13602 14356 16002 20166 15412 79538 768582 673811 1160448 586500 297500 3486841 28788866 39068321 39455698 46466463 57147923 210927271 0.98309 0.98096 0.00038 0.00043 X Schedule A, Part III, Line 12 Meaningful Use and other incentive revenue. 0 3151196 3151196 0 14713524 5620777 9092747 0 2685545 1216723 1468822 0 8677666 6751636 1926030 0 283405 0 283405 15922200 0 Estimated third party settlements 3482213 3482213 57523212 0 0 0 0 0 57523212 0 0 0 57523212 56192743 0 0 0 0 0 56192743 0 0 0 56192743 X 0 0 0 0 0 0 0 0 0 Hermann Spetzler CEO 223288 0 1000 0 0 0 0 0 0 0 224288 0 0 0 Cheyenne Spetzler COO 154070 0 1000 0 0 0 0 0 0 0 155070 0 0 0 Willard Hunter Co- Medical Director 199567 0 20109 0 0 0 0 0 0 0 219676 0 0 0 Julie Ohnemus Co-Medical Director 201676 0 18485 0 0 0 0 0 0 0 220161 0 0 0 Gerald Alston Physician 158806 0 72924 0 0 0 0 0 0 0 231730 0 0 0 Norman Bensky Physician 173833 0 50736 0 0 0 0 0 0 0 224569 0 0 0 Kelvin Vu Physician 201840 0 50205 0 0 0 0 0 0 0 252045 0 0 0 Devin Wong Physician 172084 0 68776 0 0 0 0 0 0 0 240860 0 0 0 Carter Wright Dentist 183141 0 33500 0 0 0 0 0 0 0 216641 0 0 0 X 1 300000 FMV X 12 155256 FMV X Rent 1 3150 FMV 0 0 1 0 Form 990, Part VI, Section A, Line 2 Hermann and Cheyenne Spetzler are husband and wife. 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.