LOMPOC VALLEY COMMUNITY HEALTHCARE ORGANIZATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: LOMPOC VALLEY COMMUNITY HEALTHCARE ORGANIZATION (EIN 77-0494140)
Tax period: 2011-04-01 to 2012-03-31
Filed: 2012-07-13
IRS object ID: 201231959349300028
Schema version: 2011v1.2
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
Form 990
Schedule A
Schedule D
Schedule I
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-07-13T09:27:54-07:00	Timestamp
Tax Period End Date	2012-03-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TCA Partners LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1111 East Herndon Avenue Suite 211	AddressLine1
City	Fresno	City
State	CA	State
ZIP Code	93720	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-04-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	770494140	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Lompoc Valley Community	BusinessNameLine1
Business Name Line2	Healthcare Organization Inc	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	LOMP	NameControl
Phone	8057364509	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 368	AddressLine1
City	Lompoc	City
State	CA	State
ZIP Code	93438	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Steve McDowell	Name
Title	Executive Director	Title
Date Signed	2012-07-13	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Inger Sullenger CPA	Name
Phone	5594317708	Phone
Self Employed	X	SelfEmployed

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Steve McDowell	NameOfPrincipalOfficerPerson
Gross Receipts	5562247	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	healthylompoc.lvcho.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1999	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	50	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	4888561	ContributionsGrantsPriorYear
Contributions Grants Current Year	5555245	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	4151	InvestmentIncomePriorYear
Investment Income Current Year	2380	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2209	OtherRevenuePriorYear
Other Revenue Current Year	4622	OtherRevenueCurrentYear
Total Revenue Prior Year	4894921	TotalRevenuePriorYear
Total Revenue Current Year	5562247	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	556000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	556000	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	19066	SalariesEtcPriorYear
Salaries Etc Current Year	19123	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	4774245	OtherExpensePriorYear
Other Expenses Current Year	4903575	OtherExpensesCurrentYear
Total Expenses Prior Year	5349311	TotalExpensesPriorYear
Total Expenses Current Year	5478698	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-454390	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	83549	RevenuesLessExpensesCY
Total Assets BOY	1700942	TotalAssetsBOY
Total Assets EOY	1634299	TotalAssetsEOY
Total Liabilities BOY	705072	TotalLiabilitiesBOY
Total Liabilities EOY	554880	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	995870	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1079419	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	4379087	Expense
Description	BOP network assured access to care for inmates; during the last year over 2,122 inmates received services through the network.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	550000	Expense
Grants	550000	Grants
Description	Provided $550,000 to local hosptial to assure access to services for the uninsured or those with no means to pay: providing care to 2,112 patients.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	204998	Expense
Revenue	4622	Revenue
Description	Community Health Improvement Program efforts including: Provided funding for low income and unisured individuals to recieve needed prescription medications; Coordinated a Summer Food Program, which provided free lunch to over 300 children each day; Gathered 150 community members together for a day long "Community Health Summit" to examine the effects of local policy on the health of the community; Coordinated a Walking School Bus Event which included three family fun nights where children and parents learned about safety habits when walking or riding bikes to school, educational materials provided to 459 families and culminated in 60% of children in the participating schools; Provided a weekly educational article on healthy lifestyles in the local newspaper; began a four year "Safe Routes to School" program in conjunction with its partners: LUSD and City of Lompoc, Lompoc Police Department, and Healthy Lompoc.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	6000	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	6000	TotalOfOtherProgramServiceGrnt
Total Program Service Expense	5140085	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	66	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	0	NumberOfEmployees
Employment Tax Returns Filed	false	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	false	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Form720 Filed	false	Form720Filed
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Policies Reference Chapters	false	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Steve McDowell Exec Dir	NamePerson
Telephone Number	8057364509	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1593 East Chestnut	AddressLine1
City	Lompoc	City
State	CA	State
ZIP Code	93436	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
Linual White
Director	1.00	X	0	0	0
Susan Warnstrom
Director	1.00	X	0	0	0
Carl Schlosser MD
Director	1.00	X	6000	0	0
Wallace S Marsh MD
Director	1.00	X	0	0	0
Gilbert O Andersen MD
Director	1.00	X	7433	0	0
James J Raggio
Treasurer	1.00	X	0	0	0
Frank M Signorelli
Secretary	1.00	X	0	0	0
Rollin C Bailey MD
President	1.00	X	6000	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	19433	TotalReportableCompFromOrg
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Santa Barbara Cottage Hospital
File 53309	Los Angeles	CA	900743309	Hospital Services	394454
Michael Gill MD
1025 East Ocean Ave	Lompoc	CA	93436	Physician Services	111743
Marian Medical Center
1400 East Church Street	Santa Maria	CA	93454	Hospital Services	675137
Lompoc Valley Medical Center
1515 East Ocean Ave	Lompoc	CA	93436	Hospital Services	1738480
Lompoc Valley Anesthesia
PO Box 1422	Lompoc	CA	93438	Physician Services	122353

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	6	NumberOfContractorsGT100K
Government Grants	5535901	GovernmentGrants
All Other Contributions	19344	AllOtherContributions
Total Contributions	5555245	TotalContributions
Total Program Service Revenue	0	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2380	TotalRevenueColumn
Exclusion	$2,380	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Refunds & Other	Description
Total Revenue Column	4622	TotalRevenueColumn
Related Or Exempt Function Income	4622	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	4622	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	5562247	TotalRevenueColumn
Related Or Exempt Function Income	4622	RelatedOrExemptFunctionIncome
Exclusion	$2,380	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	556000	Total
Program Services	556000	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	19123	Total
Program Services	19123	ProgramServices

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	0	Total

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	0	Total

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	183622	Total
Management And General	183622	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1104	Total
Management And General	1104	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	9200	Total
Management And General	9200	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	11171	Total
Management And General	11171	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	0	Total

Travel Travel

Field	Value	IRS element (for citing)
Total	0	Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1123	Total
Management And General	1123	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	0	Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
Rent	18944	18944
Postage and Shipping	1612	1612
Other	3273	3273
Medical claims-bureau prisons	4379087		4379087
Contract Labor	294439	108564	185875

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	5478698	Total
Program Services	5140085	ProgramServices
Management And General	338613	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	338650	BOY
EOY	555167	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	456169	BOY
EOY	388191	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	7149	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	897813	BOY
EOY	605633	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
EOY	0	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	16437	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	9250	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	8310	BOY
EOY	7187	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
EOY	70972	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1700942	BOY
EOY	1634299	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	705072	BOY
EOY	483908	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
EOY	70972	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	705072	BOY
EOY	554880	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	993870	BOY
EOY	1078077	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2000	BOY
EOY	1342	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	995870	BOY
EOY	1079419	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1700942	BOY
EOY	1634299	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	83549	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	FederalGrantAuditRequired
Federal Grant Audit Performed	false	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	4426690	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4888561	CurrentTaxYearMinus1Year
Current Tax Year	5729345	CurrentTaxYear
Total	15044596	Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

Field	Value	IRS element (for citing)
Total	0	Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	4426690	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4888561	CurrentTaxYearMinus1Year
Current Tax Year	5729345	CurrentTaxYear
Total	15044596	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	0	AmountsSubstContributorsTotal
Public Support Total170	15044596	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	12151	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	10246	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	6061	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	4151	CurrentTaxYearMinus1Year
Current Tax Year	2380	CurrentTaxYear
Total	34989	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	25	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	246	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2209	CurrentTaxYearMinus1Year
Current Tax Year	4622	CurrentTaxYear
Total	7102	Total

Field	Value	IRS element (for citing)
Total Support	15086687	TotalSupport
Public Support Pertcentage170	0.99720	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.96730	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16437	OtherCostOrOtherBasis
Depreciation	9250	Depreciation
Book Value	7187	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	7187	TotalOfBookValueLandBuildings
Total Revenue	5562247	TotalRevenue
Total Expenses	5478698	TotalExpenses
Excess Or Deficit For Year	83549	ExcessOrDeficitForYear
Excess Or Deficit Per FS	83549	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	5562247	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	5562247	RevenueSubtotal
Total Revenue Per Form990	5562247	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	5478698	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	5478698	ExpensesSubtotal
Total Expenses Per Form990	5478698	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Part XI, Line 8	Identifier
Return Reference	Part XI, Line 8: Other Changes in Net Assets or Fund Balances	ReturnReference
Explanation	Net assets released from restriction $658 Net assets released from restriction $ -658	Explanation

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Purpose Of GrantPurposeOfGrant	IRC SectionIRCSection	Method Of ValuationMethodOfValuation
Lompoc Valley Medical Center
1515 East Ocean Ave	Lompoc	CA	93436	956001880	550000	0	Access to care, medically indigent
Lompoc Hospital Foundation
PO Box 883	Lompoc	CA	93436	770262454	6000	0	Contribution for purchase of hospital equipment	170(B)(1)(A)(VI)	Cash Value

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Grantmaker's Description of How Grants are Used	Identifier
Explanation	The use of grant funds is monitored through reporting. Monthly, quarterly, or annual reporting is required, based on assistance provided.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Lompoc Valley Medical Ctr	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	Svc Contract	Relationship
Amount Of Transaction	1738480	AmountOfTransaction
Description Of Transaction	IP & OP Hospital Svcs	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Explanation	Lompoc Valley Medical Center (LVMC) is a tax exempt governmental entity. One Lompoc Valley Community Healthcare Organization (LVCHO) Board member is also a member of the LVMC Board, Frank Signorelli. One LVCHO Board member is the CEO of the LVMC, James Raggio. When issues regarding providing grants or assistance to the LVMC come before the LVCHO Board Mr Signorelli and Mr Raggio abstain from the vote.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	Upon written request
Form 990, Part VI, Line 15b	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 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	Annual review
Form 990, Part VI, Line 11	Form 990, Part VI, Line 11: 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 3	Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company	The duties of the Executive Director were delegated to a management company, Rural Health Consultants. This delegation ceased as of August 2011, when a contract labor agreement was entered into for the services of the Executive Director.
Form 990, Part VI, Line 2	Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	Dr. Andersen; Dr. Bailey; and Dr. Schlosser - 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. Compensation was less than $10,000 annually to each Board Member.Lompoc Valley Medical Center (LVMC) - is a tax exempt governmental entity. One LVCHO Board member is also a member of the LVMC Board, Frank Signorelli. One LVCHO Board Member is the CEO of the LVMC, James Raggio. When issues regarding providing grants or assistance to the LVMC come before the LVCHO Board, Mr. Signorelli and Mr. Raggio abstain from the vote.
Form 990, Part III, Line 4d	Form 990, Part III, Line 4d : Other Program Services Description	OTHER PROGRAM SERVICES 4: Community Health Improvement Program efforts including: Provided funding for low income and unisured individuals to recieve needed prescription medications; Coordinated a Summer Food Program, which provided free lunch to over 300 children each day; Gathered 150 community members together for a day long "Community Health Summit" to examine the effects of local policy on the health of the community; Coordinated a Walking School Bus Event which included three family fun nights where children and parents learned about safety habits when walking or riding bikes to school, educational materials provided to 459 families and culminated in 60% of children in the participating schools; Provided a weekly educational article on healthy lifestyles in the local newspaper; began a four year "Safe Routes to School" program in conjunction with its partners: LUSD and City of Lompoc, Lompoc Police Department, and Healthy Lompoc.