2018-05-09T11:19:15-05:00 2017-06-30 910189318 Moss Adams LLP 101 Second Street Suite 900 San Francisco CA 94105 990 2016-07-01 237221695 Ole Health OLEH 7072541770 1100 TRANCAS STREET No 300 NAPA CA 94558 Alicia Hardy CEO 7072541770 2018-05-08 1 Richard Croghan P00089862 4159561500 2018-04-12 2016 2022-09-23 18:48:47Z Alicia Hardy 1100 TRANCAS STREET No 300 NAPA CA 94558 45463671 0 X WWW.OLEHEALTH.ORG X 1972 CA OLE Health is the medical home for the community's underserved patients. 11 11 302 20 0 0 6861113 19333292 15512568 16337600 142216 268275 2386890 2702747 24902787 38641914 0 0 0 0 17829084 20606444 0 0 543770 6413436 6798644 24242520 27405088 660267 11236826 21155956 34717619 4942898 7202995 16213058 27514624 X OLE Health is dedicated to providing high-quality primary health care to our entire community. 0 0 15508190 13221905 OLE HEALTH IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND THE ONLY NOT-FOR-PROFIT HEALTH CENTER IN NAPA COUNTY. THE HEALTH CENTER PROVIDES AFFORDABLE MEDICAL, PERINATAL, AND NUTRITION CARE TO APPROXIMATELY 30,000 PATIENTS PER YEAR. 1974752 2375686 THE DENTAL SERVICES PROGRAM AT OLE HEALTH PROVIDES AFFORDABLE DENTAL CARE TO APPROXIMATELY 6,000 PATIENTS PER YEAR. 1081775 603516 THE MENTAL HEALTH PROGRAM AT OLE HEALTH PROVIDES AFFORDABLE MENTAL HEALTH CARE TO APPROXIMATELY 2,600 PATIENTS PER YEAR. 151845 136493 OLE HEALTH PROVIDES HEALTH EDUCATION TO THE COUNTY'S LOW-INCOME, UNINSURED AND UNDERINSURED RESIDENTS. 151845 136493 18716562 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 36 0 1 302 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X Bill Deane 7072541770 1100 Trancas Street Suite 300 NAPA CA 94558 Rick Jones Chair effective 1/1/2017 4.00 5.00 X X 0 0 0 Kevin Fitzpatrick Vice Chair 4.00 0.00 X X 0 0 0 Patti McFarland Treasurer effective 1/1/2017 4.00 0.00 X X 0 0 0 Maira I Ayala Secretary 4.00 2.00 X X 0 0 0 Johanna Moore Chair through 1/1/2017 / Director 4.00 0.00 X X 0 0 0 Rachel Allen Director 2.00 0.00 X 0 0 0 Lynn Arthur Director 2.00 0.00 X 0 0 0 Christopher Blair Director through 6/27/2017 2.00 0.00 X 0 0 0 Karynne Duncan Director through 1/24/2017 2.00 0.00 X 0 0 0 Teresa Foster Director 2.00 0.00 X 0 0 0 Betty Labastida Director 2.00 0.00 X 0 0 0 Indira Lopez Director through 1/24/2017 2.00 0.00 X 0 0 0 Charles Neave Director 2.00 0.00 X 0 0 0 Alfredo Pedroza Director through 9/27/2016 2.00 0.00 X 0 0 0 Rolando Sanchez Director through 1/24/2017 2.00 0.00 X 0 0 0 Dawnielle Thornburgh Director 2.00 0.00 X 0 0 0 Tanir Ami Chief Executive Officer 40.00 5.00 X 213619 0 14508 Alicia Hardy Deputy Chief Executive Officer 40.00 0.00 X 163771 0 18527 Molly Nelson Chief Financial Officer 40.00 5.00 X 157194 0 14012 Priscila Gonzalez Chief Experience Officer 40.00 0.00 X 147214 0 14284 Ana Kormos Chief Clinical Officer 40.00 0.00 X 125703 0 12567 Jennifer Wilson MD Interim Chief Medical Officer 40.00 0.00 X 225418 0 14838 Vincent Filanova Dental Director 40.00 0.00 X 7500 0 7723 Ninad Athale MD Family Practice Physician 40.00 0.00 X 195542 0 13171 Gabriela Bermudez MD Family Practice Physician 40.00 0.00 X 215310 0 17167 Lynette Leighton MD Family Practice Physician 40.00 0.00 X 201709 0 8697 Elizabeth B Martorana Family Practice Physician 40.00 0.00 X 141921 0 21302 Lanita A Morrison General Dentist 40.00 0.00 X 129791 0 6435 1924692 0 163231 38 0 1 0 KLH Consulting Inc 2235 Mercury Way Suite 210 Santa Rosa CA 95407 Computer Support 313046 1 10567785 3694350 5071157 10439 19333292 Net Patient Serv Rev 621400 13234559 13234559 Capitation Revenue 621400 3103041 3103041 16337600 173898 173898 6916134 6821757 94377 94377 94377 PHC Provider incentives 900099 1636649 1636649 340B Compliance Rebates 900099 958809 958809 Meaningful Use Incentive Rev 900099 88860 88860 18429 18429 2702747 38641914 16337600 0 2971022 1348657 696699 552132 99826 14018944 10120569 3632801 265574 439906 304738 126583 8585 3623502 2527164 1025625 70713 1175435 843369 306543 25523 96374 96374 242267 231646 10621 1574076 644440 917371 12265 84431 8888 72405 3138 339745 208299 126919 4527 896022 698397 188481 9144 42751 32773 9897 81 139113 20321 113791 5001 27944 27944 904479 711168 193311 103311 74808 26027 2476 Tech Supplies/Utilities 1568514 1352833 210175 5506 Other Medical Expenses 391048 258578 120017 12453 Recruitment 186491 25157 160939 395 Repairs and Maintenance 44711 34838 9873 157367 125579 23846 7942 27405088 18716562 8144756 543770 5242460 2893774 14322 573137 1620734 995730 2541688 2344697 14330990 389036 305272 7769415 4445560 4311704 3323855 6934153 7219819 1488727 30844 23441 71015 1218177 21155956 34717619 3581794 6057302 407400 380841 953704 764852 4942898 7202995 X 15598512 26739536 614546 775088 16213058 27514624 21155956 34717619 11236826 64740 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 362930 332850 30080 3897142 1914779 1982363 2619658 1510698 1108960 889685 687233 202452 3323855 X Part X, Line 2: The Organization is a nonprofit corporation under Internal Revenue Code Section 501(c)(3) and has been granted tax-exempt status by the Internal Revenue Service and the California Revenue and Taxation Code. As of June 30, 2017 and 2016, the Organization had no unrecognized tax positions or uncertain tax positions requiring accrual. Therefore, no provision for income taxes has been provided in the consolidated financial statements. X X 0 0 0 0 0 0 0 0 0 Tanir Ami Chief Executive Officer 184010 0 0 0 29609 0 7254 0 7254 0 228127 0 0 0 Alicia Hardy Deputy Chief Executive Officer 141346 0 0 0 22425 0 6523 0 12004 0 182298 0 0 0 Molly Nelson Chief Financial Officer 142782 0 0 0 14412 0 5901 0 8111 0 171206 0 0 0 Priscila Gonzalez Chief Experience Officer 134342 0 0 0 12872 0 5859 0 8425 0 161498 0 0 0 Jennifer Wilson MD Interim Chief Medical Officer 181296 0 11686 0 32436 0 6122 0 8716 0 240256 0 0 0 Ninad Athale MD Family Practice Physician 155674 0 11720 0 28148 0 7792 0 5379 0 208713 0 0 0 Gabriela Bermudez MD Family Practice Physician 170990 0 9502 0 34818 0 8579 0 8588 0 232477 0 0 0 Lynette Leighton MD Family Practice Physician 164838 0 3572 0 33299 0 8039 0 658 0 210406 0 0 0 Elizabeth B Martorana Family Practice Physician 127264 0 0 0 14657 0 5648 0 15654 0 163223 0 0 0 Form 990, Part VI, Section B, line 11b THE ORGANIZATION UTILIZED A PROFESSIONAL ACCOUNTING FIRM TO PREPARE THE FORM 990, WHO WORKED IN CONJUNCTION WITH THE ORGANIZATION'S FINANCE AND ACCOUNTING TEAM TO GATHER THE REQUIRED INFORMATION. UPON REVIEW OF THE FORM 990 AMONGST THE ORGANIZATION'S MANAGEMENT TEAM, THE FORM 990 WAS THEN SENT TO THE AUDIT & BENEFITS COMMITTEE OF THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THE AUDIT COMMITTEE ALSO PRESENTS THE RESULTS OF ITS REVIEW PROCESS TO THE BOARD OF DIRECTORS, WHO RECEIVES A COPY OF THE FORM PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. Form 990, Part VI, Section B, line 12c ALL EMPLOYEES AND BOARD MEMBERS MUST COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. IT IS ALSO THE CONTINUING RESPONSIBILITY OF THE BOARD, OFFICERS, AND MANAGEMENT EMPLOYEES TO SCRUTINIZE THEIR TRANSACTIONS, OUTSIDE BUSINESS INTERESTS, AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES. TRANSACTIONS WITH PARTIES WITH WHOM A CONFLICTING INTEREST EXISTS MAY BE UNDERTAKEN ONLY IF ALL OF THE FOLLOWING ARE OBSERVED: (1) THE CONFLICTING INTEREST IS FULLY DISCLOSED; (2) THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION; (3) A COMPETITIVE BID OR COMPARABLE VALUATION EXISTS; AND (4) THE BOARD HAS DETERMINED THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. DISCLOSURE FROM EMPLOYEES OF THE ORGANIZATION SHOULD BE MADE TO THE CHIEF EXECUTIVE OFFICER (OR IF HE/SHE IS THE ONE WITH THE CONFLICT, THEN TO THE BOARD CHAIR); DISCLOSURES INVOLVING DIRECTORS SHOULD BE MADE TO THE BOARD CHAIR (OR IF HE/SHE IS THE ONE WITH THE CONFLICT, THEN TO THE BOARD VICE CHAIR). Form 990, Part VI, Section B, line 15 THE CEO AND CFO SALARIES ARE APPROVED BY THE BOARD OF DIRECTORS AFTER PERFORMANCE REVIEWS AND COMPENSATION STUDIES. THE OTHER KEY LEADERSHIP POSITIONS ARE BASED ON A COMPENSATION STUDY DONE BY AN INDEPENDENT FIRM EVERY TWO TO THREE YEARS. IF NECESSARY TO EVALUATE OUTSIDE OF THAT TIME PERIOD, THE HUMAN RESOURCES DEPARTMENT WILL EVALUATE BY SOLICITING EXTERNAL COMPENSATION DATA AND PLACE THE POSITION APPROPRIATELY WITHIN THE ORGANIZATIONAL STRUCTURE. Form 990, Part VI, Section C, line 19 THE AUDITED FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. BOUND COPIES OF AUDITED FINANCIAL STATEMENTS ARE AVAILABLE AT THE ADMINISTRATORS DESK FOR ANYONE WHO ASKS FOR A COPY. THE MOST RECENT AUDITED FINANCIALS AND FORM 990 ARE PUBLISHED ON OUR WEBSITE. ALSO WE PUBLISH A COMMUNITY REPORT WITH CONDENSED FINANCIAL INFORMATION INCLUDED. OLE Health Foundation 1100 TRANCAS STREET SUITE 300 NAPA CA 94558 680149424 FUNDRAISING CA 501(C)(3) Line 12a, I Ole Health 1 OLE Health NMTC 1100 TRANCAS STREET SUITE 300 Napa CA 94558 815395044 NMTC Financing for Exempt Activities CA 501(c)(3) Line 12a, I OLE Health 1 1 1 1 1 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 OLE HEALTH FOUNDATION A 9882 Book/ACTUAL VALUE OLE HEALTH FOUNDATION C 10567785 BOOK/ACTUAL VALUE OLE Health NMTC B 1488727 Book/Actual Value OLE Health NMTC D 29651000 Loan Guarantee Amount