2023-10-26T16:27:21-05:00 2022-12-31 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-01-01 680162903 CARES COMMUNITY HEALTH % MICHELLE MONROE CARE 9169146420 1500 21ST STREET SACRAMENTO CA 95811 MICHELLE MONROE CEO 9164433299 2023-05-08 true MICHELLE MONROE 999009999 Krystal K Creach P01248198 4178658701 2 2022 2023-04-26 12:10:37Z ONE COMMMUNITY HEALTH MICHELLE MONROE 1500 21ST STREET SACRAMENTO CA 95811 114082531 false X WWW.ONECOMMUNITYHEALTH.COM X 1988 CA ONE COMMUNITY HEALTH IS A PRIMARY HEALTHCARE AND SPECIALTY CARE PROVIDER DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITY. 9 9 416 15 0 0 7249990 6777870 79500122 84137744 2794900 2379774 15513 17941 89560525 93313329 543051 877176 0 0 26626469 28790805 0 0 0 50781457 54544417 77950977 84212398 11609548 9100931 85728206 85851365 13308665 13002897 72419541 72848468 X ONE COMMUNITY HEALTH TRANSFORMS LIVES THROUGH CARE, RESEARCH AND COMMUNITY AWARENESS. false false 41060921 11658 46896447 PHARMACY - ONE COMMUNITY HEALTH PROVIDES PHARMACY SERVICES FOR PATIENTS' PRESCRIPTIONS. THE PHARMACY FILLED 149,268 SCRIPTS IN 2022. 22916630 556484 32853000 MEDICAL CARE - ONE COMMUNITY HEALTH PROVIDES PRIMARY CARE SERVICES AND SPECIALTY CARE FOR PATIENTS THAT INCLUDES PREVENTATIVE CARE, ROUTINE CHECKUPS, IMMUNIZATION AND MANAGEMENT OF ACUTE AND CHRONIC ILLNESSES. MEDICAL VISITS - 61,620 DENTAL CARE - ONE COMMUNITY HEALTH PROVIDES PREVENTATIVE DENTAL CARE, ROUTINE CHECKUPS AND DENTAL PROCEDURES. DENTAL VISITS - 10,126 3517108 89133 2342752 BEHAVIORAL HEALTH (PSYCHIATRY, PSYCHOLOGICAL SUBSTANCE ABUSE COUNSELING)-ONE COMMUNITY HEALTH PROVIDES COUNSELING, PSYCHIATRIC EVALUATION AND MEDICATION PATIENTS THROUGH SCREENING, ASSESSMENT, GROUP AND TREATMENT. PSYCHIATRY AND RELATED VISITS - 15,709 3845658 219901 2045545 71340317 true true false true false false false false false false true false false true true false true false false false false false false false false false false true true true false false false false false false false false false false false false false false false false false true 128 0 true 416 true false false false false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true false false CA X MICHELLE MONROE 9169146420 1500 21ST STREET SACRAMENTO CA 95811 ANTONIO BALATBAT CHIEF MEDICAL OFFICER 40.0 0.0 X 371228 0 86618 DAVID SMITH PSYCHIATRIST 38.0 0.0 X 288230 0 78523 CHARLENE HANSEN SITE MEDICAL DIRECTOR 40.0 0.0 X 279999 0 76335 RACHEL CASPER ADDICTION PHYSICIAN 40.0 0.0 X 276142 0 72371 CORINA GONZALEZ PEDIATRICIAN 40.0 0.0 X 268578 0 66015 HEATHER NEWHARD MEDICAL INFORMATICIST 40.0 0.0 X 281670 0 43892 JEFFREY GERSTEIN PSYCHIATRIST 27.0 0.0 X 252740 0 68839 MICHELLE MONROE CHIEF EXECUTIVE OFFICER 40.0 0.0 X 241986 0 61792 STEVEN HAAS CHIEF HR OFFICER 40.0 0.0 X 186995 0 48553 ROBERT BEAUDRY COO BEGIN 06/22 40.0 0.0 X 107500 0 26056 RICK BURTON CFO BEGIN 7/22 40.0 0.0 X 91346 0 23299 FLORA ASUNCION COO END 03/22 40.0 0.0 X 50365 0 13661 RICHARD SOOHOO CHAIR END 2/22 BOARD END 7/22 1.0 0.0 X X 0 0 0 MICHAEL MARTINEZ VICE CHAIR/CHAIR BEGIN 02/22 1.0 0.0 X X 0 0 0 GAYLENE HUNTSMAN SEC./VICE CHAIR BEGIN 02/22 1.0 0.0 X X 0 0 0 BOB PASCUZZI TREASURER END 10/22 1.0 0.0 X X 0 0 0 SUSAN BERGIN BOARD MEMBER/SEC. BEGIN 02/22 1.0 0.0 X X 0 0 0 SHELLY MCGRIFF BOARD MEMBER 1.0 0.0 X 0 0 0 CHARLES MCNEIL BOARD MEMBER 1.0 0.0 X 0 0 0 DOUG SMITH BOARD MEMBER 1.0 0.0 X 0 0 0 JASON VEGA BOARD MEMBER END 04/22 1.0 0.0 X 0 0 0 CATHERINE APKER BOARD MEMBER 1.0 0.0 X 0 0 0 SABRINA CRUZ BOARD MEMBER 1.0 0.0 X 0 0 0 RONALD COLEMAN BOARD MEMBER BEG 11/22 1.0 0.0 X 0 0 0 2696779 0 665954 84 false true false UCDMC-PHARMACY PO BOX 989062 WEST SACRAMENTO CA 95798 CONTRACTED PHARMACY 3153292 UNIVERSITY OF CALIFORNIA PO BOX 989062 WEST SACRAMENTO CA 96798 CONTRACTED PHYSICIAN 1131891 PROVIDER HEALTHCARE LLC 2455 E PARLEYS WAY SUITE 130 SALT LAKE CITY UT 84109 CONTRACTED PHYSICIAN 927292 OCHIN 1881 SW NAITO PARKWAY PORTLAND OR 97201 HEALTH RECORDS MGMT 655755 QUEST DIAGNOSTICS 500 PLAZA DRIVE SECAUCUS NJ 07094 LAB SERVICES 504946 45 5682671 1095199 6777870 NET PATIENT SERVICE REVENUE 621400 34723264 34723264 PHARMACY REVENUE 446110 48988079 48988079 OTHER REVENUE 900099 426401 426401 84137744 743508 743508 0 0 17941 17941 0 17941 17941 22405468 20769202 1636266 1636266 1636266 0 0 0 0 0 0 0 0 0 0 93313329 84137744 2397715 X 30606 30606 846570 846570 0 0 1665733 814180 851553 0 22184462 16708165 5476297 737927 555182 182745 2582613 1975723 606890 1620070 1193441 426629 0 150809 150809 93800 93800 0 0 196764 196764 8780232 7269757 1510475 111605 10200 101405 1436760 1018307 418453 1704599 660349 1044250 0 1047791 594384 453407 45502 22143 23359 0 136386 41401 94985 204772 155625 49147 0 1277561 995206 282355 155311 22620 132691 PHARMACY SUPPLIES 36474671 36474671 MEDICAL SUPPLIES & DRUGS 1541390 1541390 RECRUITING & RETENTION 472267 5379 466888 LICENSES, DUES, SUBSCRIPTIONS 432518 188341 244177 281679 216677 65002 84212398 71340317 12872081 0 1089777 479104 1703197 2985392 863961 1139760 3473431 4411618 0 0 0 0 0 0 1664883 1618243 545832 480484 28687654 12274672 17541275 16412982 45823598 39852410 0 0 0 0 0 0 13022252 18471372 85728206 85851365 5889476 6076345 0 0 171391 0 0 0 0 0 0 0 7247798 6591584 0 0 0 334968 13308665 13002897 X 72419541 72848468 0 0 72419541 72848468 85728206 85851365 9100931 -8672004 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 7500 7500 false false SCHEDULE C, PART II-B, LINE 1(I) OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE CALIFORNIA PRIMARY CARE ASSOCIATION (CPCA). A PORTION OF THESE DUES ARE USED FOR LOBBYING ACTIVITIES. 2609000 2609000 19754528 7693249 12061279 1108110 515777 592333 5216016 4065646 1150370 16412982 ESTIMATED DUE TO THIRD PARTY 18110608 SECURITY DEPOSITS 45599 ROU ASSET 315165 18471372 0 ROU LIABILITY 334968 334968 X 84444561 -8672004 -8672004 93116565 196764 196764 93313329 84015634 84015634 196764 196764 84212398 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. true SIERRA FOOTHILLS AIDS FOUNDATION 12183 LOCKSLEY LANE STE 208 AUBURN CA 95602 680179770 501(C)(3) 30606 HIV/AIDS PREVENTION COALITION 1 IN-HOUSE SUBSTANCE ABUSE TREATMENT 72 89899 CLIENT HOUSING 66 85513 CLIENT UTILITIES 109 45353 CLIENT TRANSPORTATION 401 25320 CLIENT PHARMACY ASSISTANCE 19 11658 MEDICAL CLIENT REFERRALS 226 480913 MEDICAL LABS 363 44965 CLIENT FOOD VOUCHERS 491 50931 CLIENT INSURANCE ASSISTANCE 7 10990 SCHEDULE I, PART I, LINE 2 ONE COMMUNITY HEALTH HAS SUB-GRANTEES FOR FEDERAL GRANTS. ONE COMMUNITY HEALTH MONITORS EACH GRANTEE TO ASSURE THAT THEY FOLLOW THE SAME A-133 REQUIREMENTS THAT EACH GRANT CONTRACT REQUIRES OF ONE COMMUNITY HEALTH PLUS ANY SPECIFIC REQUIREMENTS OF THE SUBGRANTEE CONTRACT. X X X X X true false false false false true false false false MICHELLE MONROE CHIEF EXECUTIVE OFFICER 226986 0 15000 0 0 0 8981 0 52811 0 303778 0 0 0 STEVEN HAAS CHIEF HR OFFICER 176534 0 10461 0 0 0 7480 0 41073 0 235548 0 0 0 ANTONIO BALATBAT CHIEF MEDICAL OFFICER 337095 0 34133 0 0 0 8188 0 78430 0 457846 0 0 0 CHARLENE HANSEN SITE MEDICAL DIRECTOR 279014 0 985 0 0 0 11419 0 64916 0 356334 0 0 0 DAVID SMITH PSYCHIATRIST 287942 0 288 0 0 0 11529 0 66994 0 366753 0 0 0 JEFFREY GERSTEIN PSYCHIATRIST 251830 0 910 0 0 0 10247 0 58592 0 321579 0 0 0 RACHEL CASPER ADDICTION PHYSICIAN 263577 0 12565 0 0 0 11046 0 61325 0 348513 0 0 0 CORINA GONZALEZ PEDIATRICIAN 254209 0 14369 0 0 0 6870 0 59145 0 334593 0 0 0 HEATHER NEWHARD MEDICAL INFORMATICIST 163163 0 2712 0 115795 0 5930 0 37962 0 325562 0 0 0 SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENT: THE FOLLOWING EMPLOYEE RECEIVED A SEVERANCE PAYMENT IN THE CURRENT YEAR: - HEATHER NEWHARD $115,795 SCHEDULE J, PART I, LINE 6A CONTINGENT COMPENSATION: IN ADDITION TO BASE SALARY, EMPLOYEES HAVE THE ABILITY TO EARN INCENTIVES BASED UPON THEIR PERFORMANCE AND THE EARNINGS OF THE ORGANIZATION. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES: ENABLING VISITS - COUNSELORS WORK WITH PATIENTS TO PROVIDE HEALTH INFORMATION, SECURE INSURANCE, SEEK SUPPLEMENTS FOR RENT AND UTILITIES, SECURE TRANSPORTATION AND OTHER SERVICES THAT ALLOW PATIENTS TO BE ABLE TO SECURE MEDICAL AND MENTAL HEALTH SERVICES AND ALLOW THEM TO STAY IN CARE. ENABLING VISITS - 7,179 PROGRAM EXPENSES - $3,331,687 PROGRAM GRANTS PAID - $218,873 PROGRAM REVENUE - $1,173,824 OPTOMETRY VISITS - 3,828 PROGRAM EXPENSES - $513,971 PROGRAM GRANTS PAID - $1,028 PROGRAM REVENUE - $871,721 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 BOARD REVIEW POLICY: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A COPY OF THE DRAFT FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY COMPLIANCE: THE CONFLICT OF INTEREST POLICY COVERED ALL MEMBERS OF THE BOARD OF DIRECTORS. EACH NEW RESPONSIBLE PERSON SHALL BE REQUIRED TO REVIEW A COPY OF THE POLICY AND TO ACKNOWLEDGE IN WRITING THAT HE OR SHE HAS DONE SO AND AGREES TO COMPLY WITH THE POLICY. UPON ELECTION OR RE-ELECTION TO THE BOARD OF DIRECTORS, AND ANNUALLY THEREAFTER, EACH RESPONSIBLE PERSON SHALL COMPLETE A DISCLOSURE FORM IDENTIFYING ANY RELATIONSHIPS, POSITIONS, OR CIRCUMSTANCES IN WHICH THE RESPONSIBLE PERSON IS INVOLVED THAT HE OR SHE BELIEVES COULD CONTRIBUTE TO THE ARISING OF A CONFLICT OF INTEREST. THIS POLICY SHALL BE REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. BEFORE BOARD OR COMMITTEE ACTION ON A CONTRACT OR TRANSACTION INVOLVING A CONFLICT OF INTEREST, A RESPONSIBLE PERSON WHO HAS, OR MAY HAVE, A CONFLICT OF INTEREST SHALL DISCLOSE THE EXISTENCE OF THE ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST TO THE CHAIRPERSON OF THE BOARD OF DIRECTORS, OR THE CHAIR OF THE APPLICABLE COMMITTEE IN WRITING AS SOON AS THE RESPONSIBLE PERSON HAS REASON TO BELIEVE THAT HE/SHE MAY HAVE A CONFLICT. THE CHAIR OF THE BOARD OF COMMITTEE MEETING AT WHICH BOARD OF COMMITTEE ACTION RELATED TO THE CONTRACT OR TRANSACTION MAY OCCUR SHALL REPORT THE DISCLOSURE AT THE MEETING, AND THE DISCLOSURE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. A RESPONSIBLE PERSON WHO HAS A CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN OR BE PERMITTED TO HEAR THE BOARD'S DISCUSSION OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND TO RESPOND TO QUESTIONS AND SHALL NOT BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM FOR PURPOSES OF THE VOTE. ANY ACTUAL OR PERCEIVED VIOLATION BY A RESPONSIBLE PERSON OF THIS CONFLICT OF INTEREST POLICY SHOULD BE BROUGHT TO THE ATTENTION OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION DETERMINATION POLICY: THE CHIEF EXECUTIVE OFFICER'S SALARY IS DETERMINED AND APPROVED BY THE BOARD OF THE ORGANIZATION. A FIRM SPECIALIZING IN EXECUTIVE LEVEL COMPENSATION WAS ENGAGED TO REVIEW AND BENCHMARK TO LOCAL INDUSTRY STANDARDS AND TRENDS. WHEN COMPARING AND ANALYZING DATA, THE FIRM MAY MAKE RECOMMENDATIONS TO THE COMPENSATION COMMITTEE REGARDING THE SALARY GRADES AND RANGES. THE COMPENSATION COMMITTEE REVIEWS THE SALARY GRADES AND RANGES AND HAS THE RESPONSIBILITY OF APPROVING THEM. THE DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN MEETING MINUTES. THE MOST RECENT COMPENSATION REVIEW OF THE ORGANIZATION'S CEO WAS OCTOBER 2022 CONDUCTED BY THE BOARD OR DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: ONE COMMUNITY HEALTH'S ANNUAL REPORT IS PLACED ON OUR WEBSITE, WWW.ONECOMMUNITYHEALTH.COM. ONE COMMUNITY HEALTH'S AUDITED FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE FOR INSPECTION AT OUR OFFICES LOCATED AT 1500 21ST STREET, SACRAMENTO CA 95811. FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT PHARMACY LABOR TOTAL FEES:3113259 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT PHYSICIANS TOTAL FEES:2536001 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONTRACT LABOR TOTAL FEES:1044764 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:877505 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:644868 FORM 990 PART IX LINE 11G DESCRIPTION:LAB FEES TOTAL FEES:403065 FORM 990 PART IX LINE 11G DESCRIPTION:PROCESSING SERVICE FEES TOTAL FEES:160770