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OPEN DOOR COMMUNITY HEALTH CENTERS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
OPEN DOOR COMMUNITY HEALTH CENTERS (EIN 95-2671433)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-29
IRS object ID
201342419349300104
Schema version
2012v2.0
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

FieldValueIRS element (for citing)
Timestamp2013-07-29T18:18:58-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN202707086EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TCA Partners LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11111 E Herndon Avenue Suite 211AddressLine1
CityFresnoCity
StateCAState
ZIP Code93720ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN952671433EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Open Door Community Health CentersBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOPENNameControl
Phone7078268633Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1670 Ninth Street Number 203AddressLine1
CityArcataCity
StateCAState
ZIP Code95521ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJames A Bella JrName
TitleCFOTitle
Phone7078268633Phone
Date Signed2013-07-04DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJeremy WareName
PTINP00642659PTIN
Phone5594317708Phone
Date Prepared2013-07-03DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJames BellaNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1670 Ninth Street Suite 203AddressLine1
CityArcataCity
StateCAState
ZIP Code95521ZIPCode
FieldValueIRS element (for citing)
Gross Receipts39068321GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.opendoorhealth.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionThe 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 Tirnity and Siskiyou Counties. ODCHD provides health care to all patients regardless of the patients inability to pay.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees479TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7156038ContributionsGrantsPriorYear
Contributions Grants Current Year11476606ContributionsGrantsCurrentYear
Program Service Revenue Prior Year22436964ProgramServiceRevenuePriorYear
Program Service Revenue CY26903549ProgramServiceRevenueCY
Investment Income Prior Year13602InvestmentIncomePriorYear
Investment Income Current Year14356InvestmentIncomeCurrentYear
Other Revenue Prior Year768582OtherRevenuePriorYear
Other Revenue Current Year673810OtherRevenueCurrentYear
Total Revenue Prior Year30375186TotalRevenuePriorYear
Total Revenue Current Year39068321TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year20339150SalariesEtcPriorYear
Salaries Etc Current Year22091512SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7676314OtherExpensePriorYear
Other Expenses Current Year10354305OtherExpensesCurrentYear
Total Expenses Prior Year28015464TotalExpensesPriorYear
Total Expenses Current Year32445817TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2359722RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6622504RevenuesLessExpensesCY
Total Assets BOY16174386TotalAssetsBOY
Total Assets EOY23070607TotalAssetsEOY
Total Liabilities BOY11428748TotalLiabilitiesBOY
Total Liabilities EOY11652067TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4745638NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY11418540NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionODCHC 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. ODCHD provides health-care to all patients regardless of the patients inability to pay. Open Door Community Health Centers assumed the 330 (h) grant and responsibilities of the Mobile Medical Offices. Mobile Medical Offices terminated their corporation, and the assets were transferred to ODCHC. ODCHC closed its Old Town Dental location in July 2011. All dental patients were transferred to ODCHC's Burre Dental Center.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense27921847Expense
Revenue39068321Revenue
DescriptionThe organization served 43,496 unique individuals in 2012, providing 191,151 direct visits between health care practitioners and case managers and significantly more contacts provided by ancillary professional staff. Of the individuals served 97% reside in the primary service area of the organization (Del Norte County and Humboldt County, CA). Children (<19 years of age) account for 30% of all patients served and geriatrics (>64 years of age) account for 8% of all patients served. The patient population represents the ethnic and racial make-up of the community. Among patients, 53% reported incomes and family sizes which place them at or below 100% of federal poverty guidelines. Cumulatively, 85% of all patients live at or below of 200% of federal poverty guidelines based on reported income and family size. Among all patients, 29% reported no health insurance coverage, public or private, in 2012. In addition, many coverage plans do not provide comprehensive coverage. For example, a patient with Medicaid is covered for most medical care but not for most dental care. The number of patients uninsured varies by services needed. Overall, 51% of patients relied on some form of public health insurance (e.g., Medicaid, Medicare, CHIP) for at least their basic medical care. An additional 20% of patients seen had some form of private insured, yet here again, not all insurance plans cover all needed services. During 2012, ODCHC recognized approximately $4,014,185 in uncompensated patient services. It has remained true throughout the history of the organization, no patient has ever been denied care on the basis of the ability to pay.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense27921847TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109651NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees479NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJames A Bella JrNamePerson
Telephone Number7078268633TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1670 Ninth Street Suite 203AddressLine1
CityArcataCity
StateCAState
ZIP Code95521ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Sydney Fisher Larson
President20X000
Kathleen E Moxon
Vice President20X000
Felicia Oldfather
Treasurer20X000
Cyn Van Fleet
Secretary20X000
Zuretti Goosby
Board Member20X000
Elizabeth Murguia
Board Member20X000
Jim Pfingstel
Board Member20X000
Neal Sanders
Board Member20X000
Lindsay Righter
Board Member20X000
Connie Stewart
Board Member20X000
Cheyenne Spetzler
COO40011932200X
James A Bella
CFO40012146900X
Hermann Spetzler
CEO40018185600X
Willard Hunter
Co- Medical Director40017204400X
Julie Ohnemus
Co-Medical Director40015143100X
Carter Wright
Dentist40019769500X
Norman Bensky
Physician40018647100X
Gerald Alston
Physician40019932900X
Tara Vu
Physician40017727800X
Eloi Hoopman
Physician40018818400X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1695079TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K29NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DANCO Builders Northwest
5251 Ericson WayArcataCA95521Building Construction5583661
North Coast Cleaning Services Inc
PO Box 177EurekaCA95502Cleaning services117880
OCHIN Inc
707 SW Washington Street Suite 1200PortlandOR97205Software Support1329319
Lab Corp of America
PO Box 2240BurlingtonNC27216Lab testing220688
Above and Beyond Cleaning Services
1570 McCullen AvenueEurekaCA95503Janitorial149909
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants10572588GovernmentGrants
All Other Contributions904018AllOtherContributions
Noncash Contributions191781NoncashContributions
Total Contributions11476606TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient Service RevenueDescription
Business Code621400BusinessCode
Total Revenue Column26903549TotalRevenueColumn
Related Or Exempt Function Income26903549RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue26903549TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column14356TotalRevenueColumn
Related Or Exempt Function Income14356RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMeaningful UseDescription
Business Code621400BusinessCode
Total Revenue Column662731TotalRevenueColumn
Related Or Exempt Function Income662731RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column11079TotalRevenueColumn
Related Or Exempt Function Income11079RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue673810TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column39068321TotalRevenueColumn
Related Or Exempt Function Income27591715RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total746122Total
Program Services303475ProgramServices
Management And General442647ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16476053Total
Program Services14159487ProgramServices
Management And General2316566ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total180000Total
Program Services155207ProgramServices
Management And General24793ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3346396Total
Program Services2926146ProgramServices
Management And General420250ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1342941Total
Program Services1128327ProgramServices
Management And General214614ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total373676Total
Program Services372131ProgramServices
Management And General1545ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total24435Total
Program Services15521ProgramServices
Management And General8914ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total24235Total
Program Services19401ProgramServices
Management And General4834ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total337173Total
Program Services336461ProgramServices
Management And General712ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total17737Total
Program Services9374ProgramServices
Management And General8363ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total151089Total
Program Services109375ProgramServices
Management And General41714ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1085796Total
Program Services923221ProgramServices
Management And General162575ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2009501Total
Program Services1701462ProgramServices
Management And General308039ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total133963Total
Program Services83748ProgramServices
Management And General50215ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total322864Total
Program Services211680ProgramServices
Management And General111184ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total871478Total
Program Services684198ProgramServices
Management And General187280ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total145859Total
Program Services134825ProgramServices
Management And General11034ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Supplies3322529331763048990
Professional Fees1041142104114200
Postage and shipping574684758498840
Equipment rental and maintenance309123241022681010

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total126237Total
Program Services430ProgramServices
Management And General125807ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total32445817Total
Program Services27921847ProgramServices
Management And General4523970ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8470BOY
EOY19003EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1222199BOY
EOY3173779EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY442835BOY
EOY1073488EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5950039BOY
EOY3746312EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY563245BOY
EOY531076EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY320296BOY
EOY163282EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis23665160LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9301493LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7667302BOY
EOY14363667EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16174386BOY
EOY23070607EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3097316BOY
EOY3113242EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY398736BOY
EOY269541EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5202446BOY
EOY6369284EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY2730250BOY
EOY1900000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11428748BOY
EOY11652067EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4745638BOY
EOY11418540EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4745638BOY
EOY11418540EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16174386BOY
EOY23070607EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses6622504ReconcilationRevenueExpenses
Reconciliation Unrealized Invest50398ReconciliationUnrealizedInvest
Reconcilation Donated Services0ReconcilationDonatedServices
Reconcilation Invest Expenses0ReconcilationInvestExpenses
Reconcilation Prior Adjustment0ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5201141CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6206002CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4626633CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5569719CurrentTaxYearMinus1Year
Current Tax Year11284825CurrentTaxYear
Total32888320Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17519023CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20225301CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21724704CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22436963CurrentTaxYearMinus1Year
Current Tax Year26903549CurrentTaxYear
Total108809540Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22720164CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26431303CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26351337CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28006682CurrentTaxYearMinus1Year
Current Tax Year38188374CurrentTaxYear
Total141697860Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total509141697860PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years32274CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14983CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12783CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13602CurrentTaxYearMinus1Year
Current Tax Year14356CurrentTaxYear
Total87998Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years32274CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14983CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12783CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13602CurrentTaxYearMinus1Year
Current Tax Year14356CurrentTaxYear
Total87998Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years119120CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years103728CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years167371CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year768582CurrentTaxYearMinus1Year
Current Tax Year673811CurrentTaxYear
Total1832612Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22871558CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26550014CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26531491CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28788866CurrentTaxYearMinus1Year
Current Tax Year38876541CurrentTaxYear
Total143618470Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98663PublicSupportPercentage509
Prior Year Support Percentage0.98839PriorYearSupportPercentage
Investment Income Percentage0.00061InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00085PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationNoneGeneralExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1659339OtherCostOrOtherBasis
Book Value1659339BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis4736789OtherCostOrOtherBasis
Depreciation3255523Depreciation
Book Value1481266BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1468597OtherCostOrOtherBasis
Depreciation930149Depreciation
Book Value538448BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis6609059OtherCostOrOtherBasis
Depreciation5115821Depreciation
Book Value1493238BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis9191376OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value9191376BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14363667TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt39118718TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments50397NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F99050397RevenueNotRptdF990
Revenue Subtotal39068321RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99039068321TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt32445817TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal32445817ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99032445817TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Hermann Spetzler
CEO18150003560000000181856000
Gerald Alston
Physician1367790625500000000199329000
Norman Bensky
Physician1410850453860000000186471000
Eloi Hoopman
Physician1222450659390000000188184000
Tara Vu
Physician1011960760820000000177278000
Carter Wright
Dentist1713230263720000000197695000

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F990191781NoncashContribsRptdF990
Method Of Determining RevenuesMobile Medical VanMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P03_S00_L02Form 990, Part III, Line 2The organization has engaged in meeting Electronic Health Record Meaningful Use standards of the US DHHS and recognition under Patient Centered Medical Home standards of the National Committee for Quality Assurance. It has enhanced its focus on wellness, health maintenance and disease prevention while continuing to deliver high quality primary medical, dental and behavioral health treatment. Throughout the organization there has been increased focus on improving access and ODCHC saw more individuals and provided more service visits in 2012 than any prior year. Efforts continue to make services more accessible to more patients, including expansion of clinic hours, increase triage activity and more same-day appointments. The organization finished construction of a new, larger community health center in Eureka, replacing a facility that was inadequate to meet the demand for care within the community. This new facility was not open for service until 12/26/2012, so the impact on 2012 activities was minimal. While the workflows related to scheduling patients and improving access have been improved, the delivery of high quality primary medical, dental and behavioral health care remains the same.
F990_P06_S0A_L02Form 990, Part VI, Section A, Line 2Hermann and Cheyenne Spetzler are husband and wife.
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bWorking 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.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cPersonnel 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.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15The 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.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Available upon request.