CLINICA SIERRA VISTA: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- CLINICA SIERRA VISTA (EIN 95-2707101)
- Tax period
- 2018-04-01 to 2019-03-31
- Filed
- 2020-02-07
- IRS object ID
- 202010389349301561
- Schema version
- 2018v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-02-07T15:25:55-06:00 | ReturnTs |
| Tax Period End | 2019-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952707101 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLINICA SIERRA VISTA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % CONSUELO CANTU | InCareOfNm |
| Business Name Control | CLIN | BusinessNameControlTxt |
| Phone | 6616353050 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1430 TRUXTUN AVENUE | AddressLine1Txt |
| City | BAKERSFIELD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRIAN O HARRIS | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6616353050 | PhoneNum |
| Signature | 2019-12-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Krystal K Creach | PreparerPersonNm |
| PTIN | P01248198 | PTIN |
| Phone | 4178658701 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 43032920200385000009 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-02-07 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | AECC51588B8B05B8A6088E029F5570AF8FA04FA6 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | AECC51588B8B05B8A6088E029F5570AF8FA04FA6 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-11-19 02:30:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BRIAN O HARRIS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1430 TRUXTUN AVENUE | AddressLine1Txt |
| City | BAKERSFIELD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $220,400,192 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CLINICASIERRAVISTA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF CLINICA SIERRA VISTA IS TO PROVIDE MEDICAL, DENTAL, MENTAL HEALTH, ENABLING PODIATRY/CHIROPRACTIC & VISION SERVICES TO THE UNDERSERVED OF KERN, FRESNO & INYO COUNTIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 1485 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $53,534,463 | PYContributionsGrantsAmt |
| CY Contributions Grants | $52,039,309 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $82,537,436 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $71,212,403 | CYProgramServiceRevenueAmt |
| PY Investment Income | $749,464 | PYInvestmentIncomeAmt |
| CY Investment Income | $718,313 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,823,651 | PYOtherRevenueAmt |
| CY Other Revenue | $27,753 | CYOtherRevenueAmt |
| PY Total Revenue | $141,645,014 | PYTotalRevenueAmt |
| CY Total Revenue | $123,997,778 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $22,359,683 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $78,703,925 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $87,105,482 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $33,062,715 | PYOtherExpensesAmt |
| CY Other Expenses | $45,830,688 | CYOtherExpensesAmt |
| PY Total Expenses | $134,126,323 | PYTotalExpensesAmt |
| CY Total Expenses | $132,936,170 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,518,691 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$8,938,392 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $127,506,426 | TotalAssetsBOYAmt |
| Total Assets EOY | $144,029,483 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $15,814,091 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $45,426,124 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $111,692,335 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $98,603,359 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF CLINICA SIERRA VISTA IS TO PROVIDE QUALITY HEALTH CARE TO THE UNDERSERVED POPULATIONS OF THE COMMUNITY. SEE SCHEDULE O FOR ADDITIONAL DETAIL. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $74,323,877 | ExpenseAmt |
| Revenue | $41,440,166 | RevenueAmt |
| Desc | CLINICA SIERRA VISTA IS PROUD TO BE THE PRIMARY HEALTHCARE PROVIDER OF CHOICE TO 150,000 PEOPLE IN KERN, FRESNO, AND INYO COUNTIES. AT OUR 31 STATE-OF-THE-ART COMMUNITY HEALTH CENTERS, WE OFFER A FULL RANGE OF PRIMARY CARE SERVICES, FROM FLU SHOTS TO THE MANAGEMENT OF CHRONIC CONDITIONS LIKE ASTHMA AND DIABETES. WE EMPLOY A STAFF OF THE FINEST PHYSICIANS AND OTHER MEDICAL PERSONNEL WHO DEMONSTRATE A PASSION FOR OUR MISSION TO CARE FOR THE ENTIRE COMMUNITY, INCLUDING THE VULNERABLE, ISOLATED AND POOR. THE MEDICAL CARE SERVICES TEAM HAD 309,435 ENCOUNTERS FOR FY2019 AND WE CONTINUE TO STRIVE TO PROVIDE EACH PATIENT WITH QUALITY HEALTH CARE THAT'S PERSONALIZED TO THEIR INDIVIDUAL NEEDS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,850,909 | ExpenseAmt |
| Revenue | $8,439,497 | RevenueAmt |
| Desc | CLINICA SIERRA VISTA HAS 10 DENTAL CENTERS TO SERVE THE PRIMARY DENTAL NEEDS OF CENTRAL VALLEY RESIDENTS IN KERN AND FRESNO COUNTIES. OUR DENTISTS HAD 69,388 ENCOUNTERS IN FY2019, AND WE CONTINUE TO ADD STAFF MEMBERS AND SITES TO ADDRESS THE URGENT NEED FOR PRIMARY DENTAL CARE AMONG VULNERABLE AND LOW-INCOME PATIENTS. SEE SCHEDULE O FOR ADDITIONAL DETAIL. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,601,004 | ExpenseAmt |
| Revenue | $10,159,672 | RevenueAmt |
| Desc | CLINICA SIERRA VISTA HAS LOCATIONS THROUGHOUT KERN AND FRESNO COUNTIES WHICH PROVIDE CARE ACROSS THE FULL CONTINUUM OF BEHAVIORAL HEALTH, FOR BOTH ADULTS AND CHILDREN. CLINICA OPERATES SEVERAL SPECIALTY BEHAVIORAL HEALTH CENTERS IN EACH COUNTY, WHERE THE FOCUS IS ON SPECIALIZED BEHAVIORAL HEALTH CARE, INCLUDING THERAPY, CASE MANAGEMENT AND PSYCHIATRY SERVICES. THE BEHAVIORAL AND MENTAL HEALTH SERVICE TEAM HAD 95,096 ENCOUNTERS IN FY2019. SEE SCHEDULE O FOR ADDITIONAL DETAIL. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $11,763,988 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $11,173,068 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $108,539,778 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 167 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1485 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CONSUELO CANTU | PersonNm |
| Phone | 6616353050 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1430 TRUXTUN AVENUE | AddressLine1Txt |
| City | BAKERSFIELD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93301 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JERRY SHIPMAN | ||||||||
| TREASURER/PRESIDENT BEG 6/18 | 0.5 | 0.0 | Yes (X) | Yes (X) | $400 | $0 | $0 | |
| CLARIBEL GUTIERREZ | ||||||||
| PRESIDENT/V PRESIDENT BEG 6/18 | 0.5 | 0.0 | Yes (X) | Yes (X) | $800 | $0 | $0 | |
| JUANITA BENAVIDEZ | ||||||||
| SECRETARY | 0.5 | 0.0 | Yes (X) | Yes (X) | $625 | $0 | $0 | |
| JOHN M MEANS | ||||||||
| MEMBER/TREASURER BEG 6/18 | 0.5 | 0.0 | Yes (X) | Yes (X) | $25 | $0 | $0 | |
| ROBERTO RIVERA | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | Yes (X) | $525 | $0 | $0 | ||
| ROBERTA GERDS | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | Yes (X) | $75 | $0 | $0 | ||
| SOCORRO GAETA | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | Yes (X) | $225 | $0 | $0 | ||
| JOSE J VALDOVINOS | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | Yes (X) | $400 | $0 | $0 | ||
| PATRICIA MILLER | ||||||||
| BOARD MEMBER | 0.5 | 0.0 | Yes (X) | $250 | $0 | $0 | ||
| WANDA BROWN | ||||||||
| BOARD MEMBER BEG 8/18 | 0.5 | 0.0 | Yes (X) | $75 | $0 | $0 | ||
| MICHAEL COSIMANO | ||||||||
| BOARD MEMBER BEG 8/18 | 0.5 | 0.0 | Yes (X) | $50 | $0 | $0 | ||
| SUSAN SORRELLS | ||||||||
| BOARD MEMBER END 9/18 | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| KHU VANG | ||||||||
| BOARD MEMBER END 9/18 | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| HUBERT WILLIAMS | ||||||||
| BOARD MEMBER END 4/18 | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| BRIAN HARRIS | ||||||||
| CEO | 40.0 | 0.0 | Yes (X) | $279,428 | $0 | $20,028 | ||
| CONSUELO CANTU | ||||||||
| CFO | 40.0 | 0.0 | Yes (X) | $259,932 | $0 | $36,482 | ||
| RYAN C JOHNSON | ||||||||
| PHYSICIAN | 24.0 | 0.0 | $532,125 | $0 | $30,635 | Yes (X) | ||
| RHONDA ROBINSON | ||||||||
| PHYSICIAN | 24.0 | 0.0 | $355,193 | $0 | $31,166 | Yes (X) | ||
| KAMI JOW | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $322,715 | $0 | $35,287 | Yes (X) | ||
| SUNDAY O IRENE | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $298,231 | $0 | $35,502 | Yes (X) | ||
| GEETA RAMESH | ||||||||
| PHYSICIAN | 40.0 | 0.0 | $287,378 | $0 | $33,265 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,338,452 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $222,365 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 124 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PROVIDER HEALTHCARE LLC | |||||
| 4252 SOUTH HIGHLAND DRIVE SUITE 10 | SALT LAKE CITY | UT | 84124 | LOCUMS | $1,345,779 |
| KEN W SMITH | |||||
| 2000 NORRISS ROAD 102 | BAKERSFIELD | CA | 93308 | INTERIOR REMODEL | $931,154 |
| TRUXTUN TOWER ASSOCIATION | |||||
| 1401 19TH STREET 400 | BAKERSFIELD | CA | 93301 | RENT | $758,607 |
| PHYSICIANS AUTOMATED LAB | |||||
| PO BOX 144405 | AUSTIN | TX | 78714 | LABORATORY | $325,087 |
| MICROAGE | |||||
| PO BOX 2941 | PHOENIX | AZ | 85062 | INFORMATION TECH | $306,527 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $50,654,703 | GovernmentGrantsAmt |
| All Other Contributions | $1,384,606 | AllOtherContributionsAmt |
| Total Contributions | $52,039,309 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 621400 | $62,651,486 | $62,651,486 |
| Incentive Revenue | 621400 | $8,365,563 | $8,365,563 |
| MISCELLANEOUS REVENUE | 900099 | $195,354 | $195,354 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $71,212,403 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,416,073 | TotalRevenueColumnAmt |
| Exclusion | $1,416,073 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $40,536 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,783 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $27,753 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,753 | TotalRevenueColumnAmt |
| Exclusion | $27,753 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $95,494,995 | SecuritiesAmt |
| Other | $196,876 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $95,608,496 | SecuritiesAmt |
| Other | $781,135 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$113,501 | SecuritiesAmt |
| Other | -$584,259 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$697,760 | TotalRevenueColumnAmt |
| Exclusion | -$697,760 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $123,997,778 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $71,212,403 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $746,066 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $626,949 | TotalAmt |
| Management And General | $626,949 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,517,020 | TotalAmt |
| Program Services | $59,792,337 | ProgramServicesAmt |
| Management And General | $10,724,683 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,227,650 | TotalAmt |
| Program Services | $1,818,877 | ProgramServicesAmt |
| Management And General | $408,773 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,493,410 | TotalAmt |
| Program Services | $6,920,039 | ProgramServicesAmt |
| Management And General | $1,573,371 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,240,453 | TotalAmt |
| Program Services | $4,249,488 | ProgramServicesAmt |
| Management And General | $990,965 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $977,824 | TotalAmt |
| Program Services | $1,115 | ProgramServicesAmt |
| Management And General | $976,709 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,528 | TotalAmt |
| Program Services | $5,160 | ProgramServicesAmt |
| Management And General | $117,368 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,435 | TotalAmt |
| Management And General | $136,435 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,410,430 | TotalAmt |
| Program Services | $18,282,782 | ProgramServicesAmt |
| Management And General | $2,127,648 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,578 | TotalAmt |
| Program Services | $43,615 | ProgramServicesAmt |
| Management And General | $181,963 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,393,555 | TotalAmt |
| Program Services | $4,431,641 | ProgramServicesAmt |
| Management And General | $1,961,914 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,013,592 | TotalAmt |
| Program Services | $3,130,098 | ProgramServicesAmt |
| Management And General | $883,494 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $859,077 | TotalAmt |
| Program Services | $462,867 | ProgramServicesAmt |
| Management And General | $396,210 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,066,959 | TotalAmt |
| Program Services | $289,279 | ProgramServicesAmt |
| Management And General | $777,680 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,981 | TotalAmt |
| Program Services | $1,037 | ProgramServicesAmt |
| Management And General | $15,944 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,152,190 | TotalAmt |
| Program Services | $1,009,201 | ProgramServicesAmt |
| Management And General | $1,142,989 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $412,541 | TotalAmt |
| Program Services | $334,874 | ProgramServicesAmt |
| Management And General | $77,667 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $5,761,762 | $5,687,133 | $74,629 |
| BAD DEBT | $719,547 | $719,547 | |
| REPAIRS AND MAINTENANCE | $1,699,271 | $692,133 | $1,007,138 |
| RECRUITING & RETENTION | $688,496 | $563,605 | $124,891 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,922 | TotalAmt |
| Program Services | $104,950 | ProgramServicesAmt |
| Management And General | $68,972 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,936,170 | TotalAmt |
| Program Services | $108,539,778 | ProgramServicesAmt |
| Management And General | $24,396,392 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,275,547 | BOYAmt |
| EOY | $4,042,884 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,478,843 | BOYAmt |
| EOY | $50,346,516 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,222,211 | BOYAmt |
| EOY | $7,468,969 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,192,997 | BOYAmt |
| EOY | $5,397,953 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300,000 | BOYAmt |
| EOY | $270,000 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,026,250 | BOYAmt |
| EOY | $4,310,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $242,900 | BOYAmt |
| EOY | $171,772 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $53,657,901 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,917,059 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,259,478 | BOYAmt |
| EOY | $35,740,842 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $28,353,696 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $50,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,508,200 | BOYAmt |
| EOY | $7,876,851 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,506,426 | BOYAmt |
| EOY | $144,029,483 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,561,879 | BOYAmt |
| EOY | $15,413,369 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $871,947 | BOYAmt |
| EOY | $52,972 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $845,028 | BOYAmt |
| EOY | $198,753 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $343,255 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $535,237 | BOYAmt |
| EOY | $29,417,775 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,814,091 | BOYAmt |
| EOY | $45,426,124 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,692,335 | BOYAmt |
| EOY | $98,392,958 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $210,401 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,692,335 | BOYAmt |
| EOY | $98,603,359 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,506,426 | BOYAmt |
| EOY | $144,029,483 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$8,938,392 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $627,181 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$4,777,765 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43,412,597 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $48,754,155 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $50,337,803 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $53,534,463 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52,039,309 | CurrentTaxYearAmt |
| Total | $248,078,327 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43,412,597 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $48,754,155 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $50,337,803 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $53,534,463 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52,039,309 | CurrentTaxYearAmt |
| Total | $248,078,327 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $248,078,327 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43,483 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $264,980 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $624,125 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $797,296 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,456,609 | CurrentTaxYearAmt |
| Total | $3,186,493 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $251,264,820 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $360,498,153 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.98732 | PublicSupportCY170Pct |
| Public Support PY170 | 0.94990 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,781,689 | OtherCostOrOtherBasisAmt |
| Book Value | $3,781,689 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,956,265 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,468,580 | DepreciationAmt |
| Book Value | $28,487,685 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,791,777 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,082,683 | DepreciationAmt |
| Book Value | $709,094 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,737,257 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,365,796 | DepreciationAmt |
| Book Value | $371,461 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,390,913 | OtherCostOrOtherBasisAmt |
| Book Value | $2,390,913 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $35,740,842 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Est. due from third-party | $7,785,659 |
| Deposits | $91,192 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,876,851 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | EST. DUE TO THIRD PARTY | Desc |
| Amt | $29,417,775 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $29,417,775 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $123,155,034 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $627,181 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $14,668 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | -$551,208 | OtherRevenueAmt |
| Revenue Not Reported | $90,641 | RevenueNotReportedAmt |
| Revenue Subtotal | $123,064,393 | RevenueSubtotalAmt |
| Other Revenues Not Included | $933,385 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $933,385 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $123,997,778 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $132,163,243 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $14,668 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $68,387 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $83,055 | ExpensesNotReportedAmt |
| Expenses Subtotal | $132,080,188 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $136,435 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $719,547 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $855,982 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $132,936,170 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| SCHEDULE D, PART XI, LINE 2D | AMOUNTS INCLUDED ON LINE 1, BUT NOT FORM 990, PART VIII, LINE 12: $(719,547) PROVISION FOR UNCOLLECTIBLE ACCOUNTS 304,774 NET ASSETS RELEASED FROM RESTRICTIONS (136,435) INVESTMENT MANAGEMENT FEES ---------- $(551,208) |
| SCHEDULE D, PART XI, LINE 4B | AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT LINE 1: $( 55,604) LOSS ON DISPOSAL OF ASSETS 486,597 GRANTS FOR THE ACQUISITION OF PROPERTY AND EQUIPMENT 515,175 TEMPORARILY RESTRICTED CONTRIBUTIONS ( 12,783) RENTAL EXPENSES ---------- $ 933,385 |
| SCHEDULE D, PART XII, LINE 2D | AMOUNTS INCLUDED ON LINE 1, BUT NOT FORM 990, PART IX, LINE 25: $ 55,604 LOSS ON DISPOSAL OF ASSETS 12,783 RENTAL EXPENSES ---------- $ 68,387 |
| SCHEDULE D, PART XII, LINE 4B | AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT LINE 1: $ 719,547 PROVISION FOR UNCOLLECTIBLE ACCOUNTS |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRIAN HARRIS | ||||||||||||||
| CEO | $278,798 | $0 | $26 | $0 | $604 | $0 | $0 | $0 | $20,028 | $0 | $299,456 | $0 | $0 | $0 |
| CONSUELO CANTU | ||||||||||||||
| CFO | $257,672 | $0 | $205 | $0 | $2,055 | $0 | $14,113 | $0 | $22,369 | $0 | $296,414 | $0 | $0 | $0 |
| RYAN C JOHNSON | ||||||||||||||
| PHYSICIAN | $516,536 | $0 | $15,409 | $0 | $180 | $0 | $10,725 | $0 | $19,910 | $0 | $562,760 | $0 | $0 | $0 |
| RHONDA ROBINSON | ||||||||||||||
| PHYSICIAN | $324,684 | $0 | $30,249 | $0 | $260 | $0 | $12,024 | $0 | $19,142 | $0 | $386,359 | $0 | $0 | $0 |
| KAMI JOW | ||||||||||||||
| PHYSICIAN | $300,686 | $0 | $21,255 | $0 | $774 | $0 | $12,918 | $0 | $22,369 | $0 | $358,002 | $0 | $0 | $0 |
| SUNDAY O IRENE | ||||||||||||||
| PHYSICIAN | $293,859 | $0 | $4,102 | $0 | $270 | $0 | $13,133 | $0 | $22,369 | $0 | $333,733 | $0 | $0 | $0 |
| GEETA RAMESH | ||||||||||||||
| PHYSICIAN | $268,659 | $0 | $18,449 | $0 | $270 | $0 | $10,896 | $0 | $22,369 | $0 | $320,643 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| RHONDA ROBINSON | |||||||
| HC EMPLOYEE | PROVIDER LOAN | Yes (X) | $150,000 | $60,000 | false | Yes (true) | Yes (true) |
| RYAN JOHNSON | |||||||
| HC EMPLOYEE | PROVIDER LOAN | Yes (X) | $150,000 | $90,000 | false | Yes (true) | Yes (true) |
| GEETA RAMESH | |||||||
| HC EMPLOYEE | PROVIDER LOAN | Yes (X) | $150,000 | $120,000 | false | Yes (true) | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $270,000 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (22 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1 | ORGANIZATION'S MISSION: IT SHALL BE THE MISSION OF CLINICA SIERRA VISTA TO PROVIDE HIGH QUALITY AND COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES AT THE MOST EFFICIENT COST TO UNDERSERVED POPULATIONS OF KERN, FRESNO AND INYO COUNTIES REGARDLESS OF ABILITY TO PAY AND TO SEEK NECESSARY RESOURCES TO MEET THE GROWING HEALTH CARE DEMANDS WHILE MAINTAINING THE CORPORATION'S FINANCIAL INTEGRITY. WE STRONGLY BELIEVE IN EVERYONE'S RIGHT TO QUALITY HEALTH CARE. THEREFORE, NO ONE IS DENIED SERVICES BASED ON RACE, RELIGION, ETHNICITY, SEX, AGE, DISABILITY OR ECONOMIC STATUS. |
| FORM 99O, PART III, LINE 4B | DENTAL SERVICES: CLINICA SIERRA VISTA BELIEVES THAT EVERYONE IN THE COMMUNITIES WE SERVE SHOULD HAVE ACCESS TO QUALITY HEALTH CARE. WE HAVE TWO FULLY-EQUIPPED, 40-FOOT MOBILE UNITS THAT TAKE OUR DENTAL AND MEDICAL PROFESSIONALS WHERE THEY ARE NEEDED MOST. OUR UNITS HAVE VISITED SCHOOLS, OFFERING FIRST-TIME CHECKUPS TO THOUSANDS OF CHILDREN, AS WELL AS THE HOMELESS ON THE STREETS AND FARM WORKERS IN THE FIELDS. |
| FORM 990, PART III, LINE 4C | BEHAVIORAL AND MENTAL HEALTH SERVICES: IN ADDITION, SEVERAL COMMUNITY HEALTH CENTERS THROUGHOUT BOTH COUNTIES ARE STAFFED WITH INTEGRATED SOCIAL WORK TO PROVIDE LIGHT THERAPY AND OTHER SOCIAL WORK SERVICES TO OUR PATIENTS. WE CAN ALSO BE FOUND ON MANY SCHOOL CAMPUSES. IN BOTH COUNTIES, OUR SPECIALTY BEHAVIORAL HEALTH CENTERS OFFER SPECIFIC TEAMS FOR CHILDREN (AGES 3-18) AND ADULTS (AGES 18+) WITH MENTAL/BEHAVIORAL HEALTH AND/OR SUBSTANCE USE PROBLEMS. ALL SERVICES ARE PROVIDED IN THE CLIENT'S PREFERRED LANGUAGE. |
| FORM 990, PART III, LINE 4D | ADDITIONAL PROGRAM SERVICES: ENABLING SERVICES: CLINICA SIERRA VISTA OFFERS A VARIETY OF ENABLING SERVICES TO THE KERN, FRESNO, AND INYO COUNTIES. THESE SERVICES INCLUDE ADOLESCENT AND FAMILY SERVICES, WOMEN, INFANTS, AND CHILDREN (WIC), LAB SERVICES, X-RAY SERVICES, WOMEN'S HEALTH SERVICES, AND SPECIALTY CARE SERVICES. CSV ALSO OFFERS A MULTITUDE OF PROGRAMS TO THE PEOPLE IN THE COMMUNITIES WE SERVE. THESE PROGRAMS INCLUDE A FAMILY MEDICINE RESIDENCY PROGRAM, A HEALTH INSURANCE ASSISTANCE PROGRAM, HEALTHCARE FOR THE HOMELESS, A MEDICALLY VULNERABLE INFANT PROGRAM (MVIP), AND A PHARMACY. THE ENABLING SERVICES TEAM HAD 70,844 ENCOUNTERS DURING FY2019. PODIATRY/CHIROPRACTIC SERVICES: CLINICA SIERRA VISTA OFFERS A SPECIALTY CARE AREA IN PODIATRY (FOOT CARE) AND CHIROPRACTIC SERVICES. THE PODIATRY/CHIROPRACTIC SERVICE TEAM HAD 9,299 ENCOUNTERS DURING FY2019. VISION SERVICES: YOUR VISION IS A GIFT THAT SHOULDN'T BE TAKEN FOR GRANTED. AT CLINICA SIERRA VISTA, WE KNOW THAT THE HIGH COST OF VISION CARE PREVENTS TOO MANY PEOPLE IN THE COMMUNITIES WE SERVE FROM SEEING AN OPTOMETRIST. THAT'S WHY WE'RE PROUD TO NOW OFFER LOW-COST EYE EXAMS AND OPTOMETRY SERVICES AT OUR 34TH STREET COMMUNITY HEALTH CENTER IN BAKERSFIELD, CALIFORNIA. WE SERVE BOTH KIDS AND ADULTS AND WORK WITH MANY INSURANCE COMPANIES. TO KEEP EYECARE ACCESSIBLE, WE ALSO OFFER A SLIDING FEE SCALE FOR PATIENTS WHO DON'T HAVE VISION INSURANCE TO PAY FOR OPTOMETRY SERVICES. THE VISION SERVICES TEAM HAD 238 ENCOUNTERS DURING FY2019. |
| FORM 99O, PART VI, SECTION B, LINE 11B | FORM 990 REVIEW PROCESS: 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. THE CONTROLLER COMPILES AND VERIFIES 990 DATA. A FINAL DRAFT IS REVIEWED AND APPROVED BY THE CEO, CFO, AND BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: CLINICA SIERRA VISTA HAS A CONFLICT OF INTEREST POLICY AND EMPLOYEE CONDUCT IN THE EMPLOYEE HANDBOOK. EACH EMPLOYEE IS GIVEN THE HANDBOOK AND THIS POLICY IS ALSO REVIEWED WITH EACH NEW HIRE. OUR POLICY REQUIRES EMPLOYEES TO REQUEST APPROVAL FOR OUTSIDE EMPLOYMENT. IT REQUIRES DISCLOSURE OF POTENTIAL PERSONAL AND PROFESSIONAL CONFLICTS, AND PROHIBITS EMPLOYEES FROM ENGAGING IN BUSINESS TRANSACTIONS THAT RESULT IN PERSONAL GAIN. THE HUMAN RESOURCES DEPARTMENT AND SUPERVISORS MONITOR THE ADHERENCE TO THIS POLICY. THE BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY ANY CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B | EXECUTIVE COMPENSATION POLICY: COMPENSATION FOR THE CEO IS DETERMINED AND APPROVED BY CLINICA SIERRA VISTA'S BOARD OF DIRECTORS. THE CEO DETERMINES AND APPROVES COMPENSATION FOR OFFICERS AND KEY EMPLOYEES BASED ON BOARD APPROVED SALARY SCHEDULE AND INDIVIDUAL'S QUALIFICATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | PUBLIC DISCLOSURE: ALL GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS: $ 17,495,493 TRANSFER FROM CLINICA SIERRA VISTA FOUNDATION 2,757,651 UNEMPLOYMENT INSURANCE SETTLEMENT 68,843 MEDICARE SETTLEMENT (22,899,752) MEDI-CAL SETTLEMENT ( 2,200,000) PATIENT ACCOUNTS RECEIVABLE ADJUSTMENT ------------- $( 4,777,765) |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL SERVICE FEES TOTAL FEES:6172846 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICIAN FEES TOTAL FEES:4920784 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CUSTODIAL SERVICES TOTAL FEES:2069335 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PSYCHIATRIST FEES TOTAL FEES:1905777 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER SERVICES AND FEES TOTAL FEES:1528687 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:SECURITY TOTAL FEES:1180795 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:DENTAL SERVICE FEES TOTAL FEES:743338 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER CONTRACTING FEES TOTAL FEES:655369 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:TEMP EMPLOYMENT SERVICES TOTAL FEES:532602 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OUTSIDE LAB FEES TOTAL FEES:280007 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PAYROLL SERVICES TOTAL FEES:169399 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:INTERPRETING SERVICES TOTAL FEES:169091 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHARMACY TOTAL FEES:82400 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLINICA SIERRA VISTA FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1430 TRUXTUN AVE STE 400 | AddressLine1Txt |
| City | BAKERSFIELD | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 474328195 | EIN |
| Primary Activities | SUPPORT | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CSV | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLINICA SIERRA VISTA FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | S | TransactionTypeTxt |
| Involved | $17,495,493 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |
Comments