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LOMPOC VALLEY COMMUNITY HEALTHCARE ORGANIZATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LOMPOC VALLEY COMMUNITY HEALTHCARE ORGANIZATION (EIN 77-0494140)
Tax period
2010-04-01 to 2011-03-31
Filed
2011-07-15
IRS object ID
201101969349300440
Schema version
2010v3.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-07-15T13:21:46-07:00Timestamp
Tax Period End Date2011-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 East Herndon Avenue Suite 211AddressLine1
CityFresnoCity
StateCAState
ZIP Code93720ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN770494140EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Lompoc Valley CommunityBusinessNameLine1
Business Name Line2Healthcare Organization IncBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlLOMPNameControl
Phone8057364509Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 368AddressLine1
CityLompocCity
StateCAState
ZIP Code93438ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSteve McDowellName
TitleExecutive DirectorTitle
Date Signed2011-07-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameInger Sullenger CPAName
Phone5594317708Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSteve McDowellNameOfPrincipalOfficerPerson
Gross Receipts4894921GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.lvcho.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTo 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 Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers45TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year4426690ContributionsGrantsPriorYear
Contributions Grants Current Year4888561ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year6061InvestmentIncomePriorYear
Investment Income Current Year4151InvestmentIncomeCurrentYear
Other Revenue Prior Year246OtherRevenuePriorYear
Other Revenue Current Year2209OtherRevenueCurrentYear
Total Revenue Prior Year4432997TotalRevenuePriorYear
Total Revenue Current Year4894921TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year556000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY556000GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year19066SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3746782OtherExpensePriorYear
Other Expenses Current Year4774245OtherExpensesCurrentYear
Total Expenses Prior Year4302782TotalExpensesPriorYear
Total Expenses Current Year5349311TotalExpensesCurrentYear
Revenues Less Expenses Prior Year130215RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-454390RevenuesLessExpensesCY
Total Assets BOY1986618TotalAssetsBOY
Total Assets EOY1700942TotalAssetsEOY
Total Liabilities BOY536358TotalLiabilitiesBOY
Total Liabilities EOY705072TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1450260NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY995870NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTo 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4223232Expense
DescriptionBOP network assured access to care for inmates; during the last year over 3,000 inmates received services through the network.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense550000Expense
Grants550000Grants
DescriptionProvided $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

FieldValueIRS element (for citing)
Expense186553Expense
Revenue2209Revenue
DescriptionCommunity 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 200 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.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp6000TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt6000TotalOfOtherProgramServiceGrnt
Total Program Service Expense4965785TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSteve McDowell Exec DirNamePerson
Telephone Number8057149529TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11593 East ChestnutAddressLine1
CityLompocCity
StateCAState
ZIP Code93436ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Wallace S Marsh MD
Director1.00X000
Susan Warnstrom
Director1.00X000
Rollin C Bailey MD
President1.00X600000
Linual White
Director1.00X000
James J Raggio
Treasurer1.00X000
Gilbert O Andersen MD
Director1.00X702200
Frank M Signorelli
Secretary1.00X000
Carl Schlosser MD
Director1.00X600000
FieldValueIRS element (for citing)
Total Reportable Comp From Org19022TotalReportableCompFromOrg
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Santa Barbara Cottage Hospital
File 53309Los AngelesCA900743309Hospital Services154133
Rural Health Consultants
1846 East 900 RoadLawrenceKS66049Management Consultnt171996
Marian Medical Center
1400 East Church StreetSanta MariaCA93454Hospital Services712364
Lompoc Valley Medical Center
1515 East Ocean AveLompocCA93436Hospital Services2200094
American Medical Response
File 73329 PO Box 60000San FranciscoCA941603329Medical Transport131782
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Government Grants4865080GovernmentGrants
All Other Contributions23481AllOtherContributions
Total Contributions4888561TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4151TotalRevenueColumn
Exclusion$4,151ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionRefunds & OtherDescription
Total Revenue Column2209TotalRevenueColumn
Related Or Exempt Function Income2209RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2209TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4894921TotalRevenueColumn
Related Or Exempt Function Income2209RelatedOrExemptFunctionIncome
Exclusion$4,151ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total556000Total
Program Services556000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total19066Total
Program Services19066ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total171996Total
Program Services56100ProgramServices
Management And General115896ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9185Total
Management And General9185ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total199905Total
Management And General199905ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6333Total
Management And General6333ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total683Total
Management And General683ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
Rent1643816438
Other medical programs1304913049
Other18520811610404
Medical claims-bureau prisons42041664204166
Contract Labor12535518355107000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8615Total
Management And General8615ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5349311Total
Program Services4965785ProgramServices
Management And General383526ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY568125BOY
EOY338650EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY452083BOY
EOY456169EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY935921BOY
EOY897813EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis16437LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8127LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8993BOY
EOY8310EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY21496BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1986618BOY
EOY1700942EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY536358BOY
EOY705072EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY536358BOY
EOY705072EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1447445BOY
EOY993870EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2815BOY
EOY2000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1450260BOY
EOY995870EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1986618BOY
EOY1700942EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-454390ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year4426690CurrentTaxYearMinus1Year
Current Tax Year4888561CurrentTaxYear
Total9315251Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year4426690CurrentTaxYearMinus1Year
Current Tax Year4888561CurrentTaxYear
Total9315251Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total249956AmountsSubstContributorsTotal
Public Support Total1709065295PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21083CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12151CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10246CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6061CurrentTaxYearMinus1Year
Current Tax Year4151CurrentTaxYear
Total53692Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years25CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year246CurrentTaxYearMinus1Year
Current Tax Year2209CurrentTaxYear
Total2480Total
FieldValueIRS element (for citing)
Total Support9371423TotalSupport
Public Support Pertcentage1700.96730PublicSupportPertcentage170
Public Support Pertcent Prior Year0.91190PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16437OtherCostOrOtherBasis
Depreciation8127Depreciation
Book Value8310BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8310TotalOfBookValueLandBuildings
Total Revenue4894921TotalRevenue
Total Expenses5349311TotalExpenses
Excess Or Deficit For Year-454390ExcessOrDeficitForYear
Excess Or Deficit Per FS-454390ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4894921TotRevenueEtcAuditedFinclStmt
Revenue Subtotal4894921RevenueSubtotal
Total Revenue Per Form9904894921TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt5349311TotExpensesEtcAuditedFinclStmt
Expenses Subtotal5349311ExpensesSubtotal
Total Expenses Per Form9905349311TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XI, Line 8Identifier
Return ReferencePart XI, Line 8: Other Changes in Net Assets or Fund BalancesReturnReference
ExplanationNet assets released from restriction $815 Net assets released from restriction $ -815Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrantIRC SectionIRCSection
Lompoc Valley Medical Center
1515 East Ocean AveLompocCA934369560018805500000Assure access to care in the emergency room for all
Lompoc Hospital Foundation
PO Box 883LompocCA9343677026245460000Contribution for purchase of hospital equipment170(b)(1)(A)(vi)
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationThe 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

FieldValueIRS element (for citing)
Business Name Line1Lompoc Valley Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipContract for svcsRelationship
Amount Of Transaction2200094AmountOfTransaction
Description Of TransactionIP & OP Hospital SvcsDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
ExplanationLompoc 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)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableUpon written request
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesComparables are reviewed. The Board then uses these, and local market realities to make compensation decisions. All these decisions are documented in the Board minutes.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsEach spending decision is reviewed by the Board, and if conflicts are present (rarely), board members with conflicts abstain from voting.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessEach Board member recieves a copy of the 990 and approval to submit is on the agenda of the Board and a formal vote is taken and recorded.
Form 990, Part VI, Line 3Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyThe duties of the Executive Director have been delegated to a management company, Rural Health Consultants.
Form 990, Part VI, Line 2Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtDr. 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. Compensation is normally 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 4dForm 990, Part III, Line 4d : Other Program Services DescriptionOTHER 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 200 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.