2026-05-13T11:41:13-05:00 2025-06-30 393647910 WIPFLI ADVISORY LLC 105 E PINE ST UPPER FLOOR MISSOULA MT 59802 990 2024-07-01 942308748 ALLIANCE MEDICAL CENTER INC ALLI 7073852306 1381 UNIVERSITY AVENUE HEALDSBURG CA 95448 SUSANNAH LABBE CEO 7073852306 2026-04-20 1 1 SAM BRUNSON CPA P01696998 4067281800 2026-04-20 2024 2025-03-06 01:10:19Z SUSANNAH LABBE 1381 UNIVERSITY AVENUE HEALDSBURG CA 95448 30304219 0 X WWW.ALLIANCEMED.ORG X 1971 CA OUR MISSION IS TO IMPROVE THE HEALTH AND WELLNESS OF OUR DIVERSE COMMUNITIES. WE PROVIDE ACCESSIBLE, CARING AND HIGH QUALITY HEALTHCARE SERVICES. 19 18 226 25 0 0 6505544 8097869 15874837 20951966 48734 -867 670632 1142377 23099747 30191345 0 0 0 0 15772671 18043736 165000 0 162120 7710740 9164782 23648411 27208518 -548664 2982827 10371461 13529895 4694232 4869839 5677229 8660056 X OUR MISSION IS TO IMPROVE THE HEALTH AND WELLNESS OF OUR DIVERSE COMMUNITIES. WE PROVIDE ACCESSIBLE, CARING AND HIGH QUALITY HEALTHCARE SERVICES. 1 0 13350982 0 13879498 ALLIANCE MEDICAL CENTER PROVIDES COMPREHENSIVE PRIMARY CARE TO CHILDREN, ADULTS, AND SENIORS ACROSS NORTHERN SONOMA COUNTY, ENSURING ACCESS TO HIGH-QUALITY, CULTURALLY RESPONSIVE HEALTHCARE REGARDLESS OF ABILITY TO PAY. IN 2024-2025, WE DELIVERED OVER 60,000 PATIENT VISITS, OFFERING PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT, WOMEN'S HEALTH, URGENT CARE, VISION SERVICES, IMMUNIZATIONS, AND CANCER SCREENINGS.OUR MULTIDISCIPLINARY TEAM INTEGRATES MEDICAL, BEHAVIORAL HEALTH, AND SOCIAL SUPPORT TO MEET THE COMPLEX NEEDS OF OUR DIVERSE PATIENTS. PROGRAMS SUCH AS ENHANCED CARE MANAGEMENT (ECM) HELP ADDRESS MEDICAL AND SOCIAL CHALLENGES FOR HIGH-NEED INDIVIDUALS. OUR BILINGUAL, BICULTURAL STAFF WORK TO ELIMINATE BARRIERS AND PROMOTE HEALTH EQUITY. ALLIANCE'S MEDICAL PROGRAMS ARE ESSENTIAL TO OUR MISSION OF IMPROVING HEALTH OUTCOMES AND SUPPORTING COMMUNITY WELL-BEING. 4785319 0 5134225 ALLIANCE MEDICAL CENTER PROVIDES COMPREHENSIVE PREVENTIVE AND RESTORATIVE DENTAL SERVICES TO CHILDREN AND ADULTS ACROSS NORTHERN SONOMA COUNTY. IN 2024-2025, OUR DENTAL TEAMS PROVIDED OVER 26,000 VISITS, OFFERING CLEANINGS, SEALANTS, FLUORIDE TREATMENTS, FILLINGS, EXTRACTIONS, AND DENTURES TO PATIENTS REGARDLESS OF ABILITY TO PAY.THROUGH THE EXPANSION OF DENTAL CAPACITY AND INTEGRATION WITH OUR PRIMARY CARE TEAMS, WE ARE ADDRESSING BOTH IMMEDIATE ORAL HEALTH NEEDS AND LONG-TERM DISEASE PREVENTION. BILINGUAL, CULTURALLY RESPONSIVE DENTAL CARE ENSURES EQUITABLE ACCESS FOR ALL PATIENTS. ALLIANCE'S DENTAL SERVICES ARE AN ESSENTIAL PART OF OUR COMMITMENT TO IMPROVING OVERALL HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE. 2797589 0 3001566 ALLIANCE MEDICAL CENTER OFFERS A BROAD RANGE OF SERVICES BEYOND MEDICAL AND DENTAL CARE, INCLUDING BEHAVIORAL HEALTH, SUBSTANCE USE SERVICES, SCHOOL-BASED HEALTH EDUCATION, WIC SUPPORT, AND INTEGRATED WELLNESS PROGRAMS. OUR BILINGUAL, TRAUMA-INFORMED BEHAVIORAL HEALTH TEAM PROVIDES COUNSELING, PSYCHIATRY, AND SUBSTANCE USE SUPPORT TO REDUCE BARRIERS TO CARE. WE PARTNER WITH SCHOOLS TO DELIVER CURRICULA SUCH AS REACH OUT AND READ, MY BODY IS HEALTHY, PUBERTY EDUCATION, HARM REDUCTION DRUG EDUCATION, SAFE DATES, AND REPRODUCTIVE HEALTH EDUCATION. OUR WIC PROGRAM PROMOTES MATERNAL AND CHILD HEALTH THROUGH NUTRITION, BREASTFEEDING SUPPORT, AND ACCESS TO HEALTHY FOODS. INTEGRATED WELLNESS SERVICES INCLUDING NUTRITION COUNSELING, CHIROPRACTIC CARE, AND ACUPUNCTURE EMPOWER PATIENTS TO MANAGE THEIR HEALTH. THESE PROGRAMS ADVANCE ALLIANCE'S MISSION TO STRENGTHEN HEALTH AND WELL-BEING IN OUR COMMUNITY. 20933890 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 43 0 226 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 19 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X AMY G FAWCETT 7073852306 1381 UNIVERSITY AVENUE HEALDSBURG CA 95448 SUSANNAH LABBE CHIEF EXECUTIVE OFFICER 40.00 X X 350919 0 12013 DENISE MARTIN CHAIR (THRU 04/25) 2.00 X X 0 0 0 DENA COCHRAN BOARD CHAIR 2.00 X X 0 0 0 NORMAN FUJITA VICE CHAIR (THRU 06/25) 2.00 X X 0 0 0 KATHRYN BOYD VICE CHAIR 2.00 X X 0 0 0 BEN DURIE SECRETARY (THRU 04/25) 2.00 X X 0 0 0 KRYSTAL HUMPHREY SECRETARY/TREASURER 2.00 X X 0 0 0 JAMIE CAMPOVERDE MEMBER 2.00 X 0 0 0 LYN MURRAY MEMBER 2.00 X 0 0 0 MARY FITZGERALD MEMBER 2.00 X 0 0 0 EZEQUIEL GUZMAN MEMBER (THRU 10/24) 2.00 X 0 0 0 SUSAN LENTZ MEMBER 2.00 X 0 0 0 THERESA MULVANY MEMBER 2.00 X 0 0 0 NANCY NELLA MEMBER 2.00 X 0 0 0 LISZBETH PEREZ MEMBER 2.00 X 0 0 0 EMILY VIRGIL MEMBER 2.00 X 0 0 0 YOLANDA GIRON MEMBER (THRU 9/24) 2.00 X 0 0 0 JOSE JUIS RAMIREZ MEMBER 2.00 X 0 0 0 WILLIAM LELAND MEMBER 2.00 X 0 0 0 MALINALLI LOPEZ ARREGUIN MEMBER 2.00 X 0 0 0 MARISELA CERVANTES MEMBER 2.00 X 0 0 0 SETH AMMERMAN MEMBER 2.00 X 0 0 0 TIM REGAN MEMBER 2.00 X 0 0 0 MARYANNE HARRIS MEMBER 2.00 X 0 0 0 AMY FAWCETT CFO 35.00 X 175844 0 16366 LISA WARD CHIEF MEDICAL OFFICER 40.00 X 335324 0 30094 ANDREW LANE SR DENTAL DIRECTOR 40.00 X 223731 0 28070 DEENA TRUCCO ULUDEMIR HR DIRECTOR 40.00 X 171263 0 28319 CASANDRA HELLER PHYSICIAN 40.00 X 270147 0 12743 CAREY TERRY PHYSICIAN 38.00 X 248741 0 21746 EMBER KEIGHLEY PHYSICIAN 30.00 X 201747 0 22526 ANNA EKSTROM PHYSICIAN 30.00 X 180914 0 15005 PEDRO SAMANIEGO CHIROPRACTOR 40.00 X 171013 0 6422 2329643 0 193304 41 0 1 0 OCHIN INC PO BOX 5426 PORTLAND OR 97228 BILLING & ERP SERVICES & CONSULINT 2095755 WIPFLI LLP PO BOX 3160 MILWAUKEE WI 53201 FINANCIAL CONSULTING 659658 MEDICUS IT 100 NORTH POINT CENTER EAST ALPHARETTA GA 30022 IT CONSULTING 425323 VERISMA SYSTEMS INC PO BOX 201326 DALLAS TX 75320 DATA MANAGEMENT 353117 WRITE CHOICE 2205 LUNDY LANE BETTENDORF IA 52722 GRANT WRITING AND COMP 235468 5 154203 3904293 4039373 481549 8097869 NET PATIENT SERVICE REVENUE 621300 20951966 20951966 20951966 878 1745 -867 -867 -867 87168 154203 98049 -10881 -10881 14000 13080 920 920 PROGRAM REVENUE 621300 618300 618300 MEANINGFUL USE INCENTIVES 621300 314777 314777 SPP REIMBURSEMENTS 621300 130246 130246 89015 89015 1152338 30191345 22015289 0 78187 X 1358876 1221807 137069 13718456 12330584 1225752 162120 442919 399674 43245 1445737 1304580 141157 1077748 972521 105227 45055 45055 518836 518836 3072572 1207777 1864795 1475 195 1280 387693 307334 80359 1116898 11135 1105763 901142 699296 201846 14374 8121 6253 108994 61576 47418 31408 16190 15218 304211 193680 110531 114848 36377 78471 SUPPLIES - PHARMACEUTIC 960528 960528 SUPPLIES - CLINICAL 539148 539148 OTHER OPERATING EXPENSE 444645 123919 320726 SUPPLIES - 340B 353875 353875 249080 185573 63507 27208518 20933890 6112508 162120 19191 27029 1268910 2158470 329579 445385 3042654 5789134 379829 300520 6607347 3592117 3212877 3015230 2118421 1794127 10371461 13529895 2217176 2714521 327862 317343 2149194 1837975 4694232 4869839 X 5553462 8382762 123767 277294 5677229 8660056 10371461 13529895 2982827 0 X X 0 1 X 1 1 1 X PART I, LINE 3: ALLIANCE MEDICAL CENTER, INC. IS A NONPROFIT PROVIDING HEALTH CARE SERVICES TO SOCIALLY AND ECONOMICALLY DEPRESEED SECTORS OF SONOMA COUNTY IN CALIFORNIA. ITS EXEMPT STATUS WAS APPROVED UNDER IRC 509(A)(1) AND 170(B) (1)(A)(III). IT IS NOT REQUIRED TO BE LICENSED AS A HOSPITAL AND THEREFORE IS NOT REQUIRED TO COMPLETE SCHEDULE H. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3482489 1439978 2042511 3073999 2152139 921860 50859 50859 3015230 OPERATING LEASE RIGHT-OF USE ASSETS 1794127 1794127 OPERATING LEASE LIABILITIES 1837975 1837975 X 29940655 65950 98049 163999 29776656 414689 414689 30191345 26957828 65950 98049 163999 26793829 414689 414689 27208518 PART X, LINE 2: THE CENTER IS A NONPROFIT CORPORATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND HAVE BEEN GRANTED TAX-EXEMPT STATUSES BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA REVENUE AND TAXATION CODE. AS OF JUNE 30, 2025 AND 2024, THE CENTER HAD NO UNRECOGNIZED TAX POSITIONS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 98,049. PART XI, LINE 4B - OTHER ADJUSTMENTS: IN-KIND VACCINE DONATION 414,689. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 98,049. PART XII, LINE 4B - OTHER ADJUSTMENTS: IN-KIND VACCINE EXPENSE 414,689. DENIM AND DAZZLE 241371 154203 87168 69367 6510 1400 20772 241371 154203 87168 69367 6510 1400 20772 98049 -10881 X X X 0 0 0 0 0 0 0 1 0 LISA WARD CHIEF MEDICAL OFFICER 333824 0 1500 0 0 0 13731 0 16363 0 365418 0 0 0 SUSANNAH LABBE CHIEF EXECUTIVE OFFICER 350919 0 0 0 0 0 9209 0 2804 0 362932 0 0 0 CASANDRA HELLER PHYSICIAN 270147 0 0 0 0 0 4563 0 8180 0 282890 0 0 0 CAREY TERRY PHYSICIAN 248741 0 0 0 0 0 8528 0 13218 0 270487 0 0 0 ANDREW LANE SR DENTAL DIRECTOR 223731 0 0 0 0 0 7669 0 20401 0 251801 0 0 0 EMBER KEIGHLEY PHYSICIAN 201747 0 0 0 0 0 0 0 22526 0 224273 0 0 0 DEENA TRUCCO ULUDEMIR HR DIRECTOR 171263 0 0 0 0 0 6518 0 21801 0 199582 0 0 0 ANNA EKSTROM PHYSICIAN 180914 0 0 0 0 0 7362 0 7643 0 195919 0 0 0 AMY FAWCETT CFO 175844 0 0 0 0 0 6092 0 10274 0 192210 0 0 0 PEDRO SAMANIEGO CHIROPRACTOR 166013 0 5000 0 0 0 6098 0 324 0 177435 0 0 0 PART I, LINE 7 SCHEDULE J, PART II, COLUMN (B)(II) REPORTS DISCRETIONARY INCENTIVE AMOUNTS THAT WERE APPROVED BY THE BOARD BASED UPON PERFORMANCE. X 1 414689 FMV X WINE AND GIFTS 70 49027 FMV X JEWELRY 1 12500 FMV X VACATION PACKAGES 2 3580 FMV 0 0 0 0 PART I, COLUMN (B): THE NUMBER CONTRIBUTORS IS REPORTED IN PART I. FORM 990, PART III, LINE 2 WE ADDED VISION SERVICES WITH A MOBILE VISION VAN AND EXPANDED DENTAL AND BEHAVIORAL HEALTH SERVICES IN OUR WINDSOR OFFICE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THE ENTIRE BOARD OF DIRECTORS BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C AMC ETHICAL CONDUCT POLICY REQUIRES THAT EACH COVERED INDIVIDUAL REVIEW AND SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY AND, WHEN REQUIRED, A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE INFORMATION PROVIDED ON THE DISCLOSURE STATEMENT IS AVAILABLE FOR INSPECTION BY MEMBERS OF THE BOARD AND AMC'S LEGAL COUNSEL. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS OF ALLIANCE MEDICAL CENTER IS SOLELY RESPONSIBLE FOR THE SELECTION, COMPENSATION AND PERFORMANCE REVIEW OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER. THE BOARD WILL PERFORM AN ANNUAL EVALUATION AND COMPENSATION REVIEW OF THE CEO, COMPARING THE INTERNAL SALARY SCALE WITH THAT OF THE CALIFORNIA PRIMARY CARE ASSOCIATION'S ANNUAL SALARY SURVEY. THE ALLIANCE MEDICAL CENTER'S CEO WILL DETERMINE THE COMPENSATION LEVEL FOR THE CFO, WHICH WILL THEN BE REVIEWED AND APPROVED ANNUALLY BY THE BOARD OF DIRECTORS OR DESIGNATED BOARD COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 AMC'S GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G BILLING SERVICE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,238,145. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,238,145. GRANT WRITING: PROGRAM SERVICE EXPENSES 8,024. MANAGEMENT AND GENERAL EXPENSES 242,188. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 250,212. OTHER CONTRACT SERVICES & PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,199,753. MANAGEMENT AND GENERAL EXPENSES 384,462. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,584,215. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.