2021-11-15T10:43:22-06:00 2020-12-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2020-01-01 680162903 CARES COMMUNITY HEALTH % MICHELLE MONROE CARE 9169146274 1500 21ST STREET SACRAMENTO CA 95811 MICHELLE MONROE CEO 9164433299 2021-11-10 true MICHELLE MONROE XXX-XX-XXXX Krystal K Creach P01248198 4178658701 2021-11-10 2020 2022-09-23 18:48:47Z ONE COMMUNITY HEALTH MICHELLE MONROE 1500 21ST STREET SACRAMENTO CA 95811 95332554 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. 11 11 364 14 0 0 6245315 7579728 12544490 73763310 816821 542877 16711306 10663 36317932 81896578 1237150 899578 0 0 22593022 26131549 0 0 0 15450525 50887318 39280697 77918445 -2962765 3978133 64133564 71949456 12846053 13477596 51287511 58471860 X ONE COMMUNITY HEALTH TRANSFORMS LIVES THROUGH CARE, RESEARCH AND COMMUNITY AWARENESS. true false 41221318 23284 54273855 PHARMACY - ONE COMMUNITY HEALTH PROVIDES PHARMACY SERVICES FOR PATIENTS' PRESCRIPTION. THE PHARMACY FILLED 175,655 SCRIPTS IN 2020. 20423314 339484 16330921 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 - 79,559 DENTAL CARE - ONE COMMUNITY HEALTH PROVIDES PREVENTATIVE DENTAL CARE, ROUTINE CHECKUPS AND DENTAL PROCEDURES. DENTAL VISITS - 7,599 3139203 370393 927289 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 VISTITS - 9,209. 1689670 166417 2231245 66473505 true true false false false false false false false true false false true false false true false false false false false false false false false false true true true false false false false false false false false true false false false false false false false false true 154 0 true 364 true false false false false false false false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true false false CA X MICHELLE MONROE 9168333216 1500 21ST STREET SACRAMENTO CA 95811 TASNIM KHAN CHIEF MEDICAL OFFICER 40.0 0.0 X 336463 0 41576 JOHN LOVEJOY PHYSICIAN 40.0 0.0 X 283380 0 15558 DAVID SMITH PSYCHITRIST 30.0 0.0 X 285147 0 11942 CORINA GONZALEZ PEDIATRICIAN 40.0 0.0 X 250327 0 29990 HEATHER NEWHARD ASSIST SITE MEDICAL DIRECTOR 40.0 0.0 X 272084 0 7621 JEFFREY GERSTEIN PSYCHIATRIST 27.0 0.0 X 263190 0 10555 SIMONE ASANTE PHYSICIAN 40.0 0.0 X 244128 0 9663 MICHELLE MONROE CHIEF EXECUTIVE OFFICER 40.0 0.0 X 216589 0 14591 CLARA PETERSON CHIEF FINAN OFFICER BEG 04/20 40.0 0.0 X 166657 0 9394 ALEXANDRA AKAKA CHIEF HR OFFICER 40.0 0.0 X 159602 0 13998 NOAH PINCK CHIEF INFORM OFFICER BEG 04/20 40.0 0.0 X 135924 0 4259 DONA WEISSENFELS CHIEF OPERATING OFFICER 40.0 0.0 X 116988 0 10849 RICHARD SOOHOO CHAIRPERSON 1.0 0.0 X X 0 0 0 MICHAEL MARTINEZ VICE-CHAIRPERSON 1.0 0.0 X X 0 0 0 GAYLENE HUNTSMAN SECRETARY 1.0 0.0 X X 0 0 0 BOB PASCUZZI TREASURER 1.0 0.0 X X 0 0 0 SUSAN BERGIN BOARD MEMBER 1.0 0.0 X 0 0 0 ARTURO DURAZO PHD BOARD MEMBER 1.0 0.0 X 0 0 0 ROBERTO JIMENEZ BOARD MEMBER 1.0 0.0 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 1.0 0.0 X 0 0 0 2730479 0 179996 65 false true false UCDMC-PHARMACY PO BOX 989062 WEST SACRAMENTO CA 95798 CONTRACTED PHARMACY 3605643 UNIVERSITY OF CALIFORNIA PO BOX 989062 WEST SACRAMENTO CA 96798 CONTRACTED PHYSICIAN 1028534 ACCESS EYE HEALTHCARE 114 MISSING RANCH BLVD STE 50 CHICO CA 95926 CONTRACTED OPTOMETRY 476335 STRATUS INDEMAND INC PO BOX 675248 DETROIT MI 48267 LANGUAGE SERVICES 235690 BENEFIT RISK MANAGEMENT SERVICE 80 IRON POINT CIRCLE SUITE 200 FOLSOM CA 95630 EMP BENEFIT MGMT 222021 7 6382538 1197190 47602 7579728 PHARMACY REVENUE 446110 54273855 54273855 NET PATIENT SERVICE REVENUE 621400 19122095 19122095 OTHER REVENUE 900099 367360 367360 73763310 666716 666716 0 0 10663 10663 0 10663 10663 13312137 13435976 -123839 -123839 -123839 0 0 0 0 0 0 0 0 0 0 81896578 73763310 553540 135000 135000 764578 764578 0 0 1506595 657746 848849 0 20072120 14572003 5500117 661144 477705 183439 2597215 1835863 761352 1294475 910105 384370 0 66821 66821 84300 84300 0 0 162873 162873 6516820 5630366 886454 143491 143491 1294012 968670 325342 1532547 763440 769107 0 951225 608465 342760 48507 37388 11119 0 93654 19492 74162 253960 195549 58411 0 1443887 1080058 363829 125844 25089 100755 PHARMACY SUPPLIES 36449959 36449959 MEDICAL SUPPLIES & DRUGS 1073083 1073083 REPAIRS & MAINTENANCE 260569 201956 58613 LICENSES, DUES, SUBSCRIPTIONS 213821 66990 146831 171945 171945 77918445 66473505 11444940 0 1566952 3422134 894356 1528502 1398458 1196516 3652452 3796530 0 0 0 0 0 0 1307397 1837143 692563 443012 28320143 9652700 20003324 18667443 31839885 37298428 0 0 0 0 0 0 2778177 3759748 64133564 71949456 4020907 5470775 0 0 72624 135023 0 0 0 0 0 0 8471798 7871798 0 0 280724 0 12846053 13477596 X 51287511 58471860 0 0 51287511 58471860 64133564 71949456 3978133 3206216 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2609000 2609000 19739318 6012398 13726920 1053982 360607 1638148 4917843 3279695 693375 18667443 ESTIMATED DUE TO THIRD PARTY 3743149 SECURITY DEPOSITS 16599 3759748 X 84939921 3206216 3206216 81733705 162873 162873 81896578 77755572 77755572 162873 162873 77918445 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 GOLDEN RULE SERVICES 2800 STOCKTON BLVD SACRAMENTO CA 95817 680476030 501(C)(3) 45000 HIV/AIDS PREVENTION COALITION HARM REDUCTION SERVICES 2800 STOCKTON BLVD SACRAMENTO CA 95817 680300656 501(C)(3) 45000 HIV/AIDS PREVENTION COALITION SIERRA FOOTHILLS AIDS FOUNDATION 12183 LOCKSLEY LANE STE 208 AUBURN CA 95602 680179770 501(C)(3) 45000 HIV/AIDS PREVENTION COALITION 3 IN-HOUSE SUBSTANCE ABUSE TREATMENT 151 162878 CLIENT HOUSING 70 235039 CLIENT UTILITIES 128 53278 CLIENT TRANSPORTATION 461 18286 CLIENT PHARMACY ASSISTANCE 306 23284 DENTAL CLIENT REFERRALS 77 98018 MEDICAL CLIENT REFERRALS 8 2871 MEDICAL LABS 228 49573 CLIENT FOOD VOUCHERS 673 59032 CLIENT INSURANCE ASSISTANCE 9 4759 CLIENT CRITICAL NEED 11 5948 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 false false false false false false false false false TASNIM KHAN CHIEF MEDICAL OFFICER 319386 0 9572 0 7505 0 11400 0 30176 0 378039 0 0 0 DAVID SMITH PSYCHITRIST 270180 0 7812 0 7155 0 11400 0 542 0 297089 0 0 0 JOHN LOVEJOY PHYSICIAN 272341 0 7484 0 3555 0 11400 0 4158 0 298938 0 0 0 HEATHER NEWHARD ASSIST SITE MEDICAL DIRECTOR 252101 0 7499 0 12484 0 3953 0 3668 0 279705 0 0 0 JEFFREY GERSTEIN PSYCHIATRIST 244548 0 7025 0 11617 0 10528 0 27 0 273745 0 0 0 CORINA GONZALEZ PEDIATRICIAN 229923 0 7105 0 13299 0 6274 0 23716 0 280317 0 0 0 SIMONE ASANTE PHYSICIAN 226673 0 6714 0 10741 0 9006 0 657 0 253791 0 0 0 MICHELLE MONROE CHIEF EXECUTIVE OFFICER 200854 0 0 0 15735 0 5954 0 8637 0 231180 0 0 0 CLARA PETERSON CHIEF FINAN OFFICER BEG 04/20 126950 0 13860 0 25847 0 3654 0 5740 0 176051 0 0 0 ALEXANDRA AKAKA CHIEF HR OFFICER 151491 0 4478 0 3633 0 6652 0 7346 0 173600 0 0 0 X 5 47602 FMV false false false SCHEDULE M, PART I, COLUMN B NUMBER OF CONTRIBUTIONS: THE NUMBER OF CONTRIBUTIONS WAS DETERMINED BY THE NUMBER OF CONTRIBUTORS. FORM 990, PART III, LINE 2 SIGNIFICANT PROGRAM CHANGES: COVID RESPONSE AND TESTING SERVICES FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES: BEHAVIORAL HEALTH (PSYCHIATRY, PSYCHOLOGICAL SUBSTANCE ABUSE COUNSELING) - ONE COMMUNITY HEALING COUNSELING, PSYCHIATRIC EVALUATION AND MEDICATION PATIENTS THROUGH SCREENING, ASSESSMENT, GROUP AND TREATMENT. PSYCHIATRY AND RELATED VISITS - 5,863 PROGRAM EXPENSES - $1,166,923 PROGRAM GRANTS PAID - $162,878 PROGRAM REVENUE - $1,166,923 OPTOMETRY - 4,305 VISITS PROGRAM EXPENSES - $522,747 PROGRAM GRANTS PAID - $3,539 PROGRAM REVENUE - $412,665 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 CONFILCT 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 PRSON 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 MUNUTES 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 RECOMMEDATIONS 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 ORGANIZATIONS CEO WAS MAY 2021 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.