2019-05-14T08:37:22-05:00 2018-06-30 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2017-07-01 954746420 UNICARE COMMUNITY HEALTH CENTER INC UNIC 9099882555 437 N EUCLID AVENUE ONTARIO CA 91762 AVETIK MACHKALYAN CFO 9099882555 2019-05-14 1 TERRI REXRODE CPA MST P00096513 9206620016 2019-05-14 74.87.127.216 2019-05-14 08:11:27 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A43ECD1EE6AF4781A69F6BFA161A98BDE8FA2C07 2017 2019-02-21 02:37:17Z AVETIK MACHKALYAN 437 N EUCLID AVENUE ONTARIO CA 91762 14054326 0 X WWW.UNICARECHC.COM X 2002 CA TO BE A COMMUNITY HEALTH CARE ORGANIZATION THAT TREATS EVERYONE WITH DIGNITY, RESPECT AND CULTURAL SENSITIVITY TO HELP CREATE AN ENVIRONMENT IN WHICH ALL CAN PROSPER. 12 12 152 11 0 0 0 1069181 539319 12246528 0 0 15381 738617 554700 14054326 0 0 0 0 591604 7865671 0 0 0 292074 4903910 883678 12769581 -328978 1284745 2588017 3405081 2043169 2650050 544848 755031 X A GRASS ROOT, COMMUNITY-BASED FQHC WITH THE DUTY TO SERVE THE UNMET HEALTH CARE NEEDS OF LOW-INCOME PERSONS BY DELIVERING COST-EFFECTIVE, ACCESSIBLE QUALITY CARE. 0 0 11147453 12983703 UCHC PROVIDES PATIENT CARE SERVICES IN RESPONSE TO A WIDE RANGE OF MEDICAL CARE NEEDS OF INDIVIDUALS OF ALL AGES - REGARDLESS OF RACE, COLOR, CREED, NATIONAL ORIGIN, GENDER OR DISABILITY - SIX DAYS A WEEK.UCHC'S PRIMARY FUNCTION AND PURPOSE IS TO PREVENT DISEASE BY HEALTH PROMOTION/EDUCATION IN ACTIVITIES AND PRIMARY, SECONDARY AND TERTIARY PREVENTION MODALITIES; TO MINIMIZE RESIDUAL PHYSICAL AND MENTAL DISABILITIES; TO AID THE PATIENT IN ACHIEVING HIS/HER MAXIMUM POTENTIAL WITHIN HIS/HER CAPABILITIES; TO ACCELERATE CONVALESCENCE AND REDUCE THE LENGTH OF THE FUNCTIONAL RECOVERY AND TO EMPOWER MEMBERS OF THE COMMUNITY TO HELP THEMSELVES IN MAINTENANCE OF THEIR HEALTH.UCHC OFFERS A DIVERSE SELECTION OF PROGRAMS AND SERVICES TO CATER TO YOUR INDIVIDUALIZED HEALTH NEEDS. PROGRAMS OFFERED ARE:-FAMILY PACT-FAMILY PLANNING (BIRTH CONTROL METHODS)-CHDP-PHYSICAL EXAM (SCHOOL, SPORTS, AND FOSTER CARE)-PRENATAL CARE AND POSTNATAL CARE-EVERY WOMAN COUNTS (BREAST AND CERVICAL SCREENING)SERVICES OFFERED ARE:-PHYSICAL EXAM-ADULTS AND PEDIATRIC IMMUNIZATION-HEALTH AND EDUCATION COUNSELING-SCREENING FOR CANCER (BREAST, COLON, PROSTATE, ETC.)-DIAGNOSIS AND TREATMENT FOR DISEASES-PRIMARY CARE FOR ACUTE, EPISODIC ILLNESS-MANAGEMENT OF CHRONIC ILLNESSES SUCH AS DIABETES, HYPERTENSION, HEART DISEASE, ASTHMA, ALLERGIES, ETC.-LAB SCREENING AND ANALYSES-ULTRASOUNDS-DENTAL CARE (ONLY OFFERED AT ONTARIO AND POMONA LOCATION)-BEHAVIORAL HEALTH 11147453 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 104 0 152 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 CA X GAREGIN POGOSIAN 9099882555 437 N EUCLID AVENUE ONTARIO CA 91762 AMY MILLS CHAIR 1.00 X X 0 0 0 NATALIE BREWER VICE CHAIR 1.00 X X 0 0 0 PATRICIA AGUAIR - TERMED SECRETARY 1.00 X X 0 0 0 ALMA ENCISO TREASURER 1.00 X X 0 0 0 LAURA BURGER RN DIRECTOR 1.00 X 0 0 0 ALEJANDRA GUTIERREZ DA - TERMED DIRECTOR 1.00 X 0 0 0 HEIDY GARCIA DIRECTOR 1.00 X 0 0 0 RAMONA GUTIERREZ - TERMED DIRECTOR 1.00 X 0 0 0 VAHAN GRIGORYAN DDS DIRECTOR 1.00 X 0 0 0 LYNDA REED NP - TERMED DIRECTOR 1.00 X 0 0 0 NANCY HERRERA SECRETARY 1.00 X X 0 0 0 LEONA CANUDAY DIRECTOR 1.00 X 0 0 0 NAZELI NERCESSIAN DIRECTOR 1.00 X 0 0 0 MICHAEL NOFFSINGER DIRECTOR 1.00 X 0 0 0 MARTHA ZUNIGA DIRECTOR 1.00 X 0 0 0 EDVART WARZHAPETIAN DIRECTOR 1.00 X 0 0 0 AVETIK MACHKALYAN CEO 40.00 X 264193 0 16369 GAREGIN POGOSIAN CFO 40.00 X 194502 0 16369 EDUARD GYADUKYAN COO 40.00 X 263619 0 16934 WILLIAM PALEY DO CHIEF MEDICAL OFFICER 40.00 X 209645 0 13967 KELLY VO VICE PRESIDENT 40.00 X 142266 0 33614 SHEIMEKA VAUGHAN PHYSICIAN 40.00 X 206344 0 18036 CATHLEEN MANUSIA PHYSICIAN 40.00 X 138814 0 9232 LILIANA PRAKASAM PHYSICIAN 40.00 X 117595 0 25895 1536978 0 150416 15 0 1 0 VISUM SOLUTIONS 14349 VICTORY BLVD STE 205 VAN NUYS CA 91401 ENROLLMENT AND OUTREACH 1369227 IT SUPPORT MSP 15615 ALTON PARKWAY STE 450 IRVINE CA 92618 IT SUPPORT 131671 ALLSCRIPTS HEALTHCARE 24630 NETWORK PLACE CHICAGO IL 60673 EMR 102047 3 828816 240365 1069181 NET PATIENT SERVICE REVENUE 621400 12231143 12231143 OTHER REVENUE 621400 15385 13943 1442 12246528 EHR INCENTIVE REVENUE 621400 738617 738617 738617 14054326 12983703 0 1442 771986 656188 115798 6647467 5650347 997120 16800 14280 2520 424013 360411 63602 5405 4594 811 23050 23050 76786 76786 232101 217257 14844 415 415 479459 407540 71919 240317 204269 36048 1363603 1159063 204540 27180 23103 4077 3174 3174 17982 17982 231555 231555 67345 56332 11013 OUTREACH & INREACH 1732811 1732811 MEDICAL SUPPLIES 271277 271277 REPAIRS & MAINTENANCE 114602 114602 DUES & SUBSCRIPTIONS 13058 13058 9195 9195 12769581 11147453 1622128 0 114666 490790 58666 1625459 1353517 5374 180739 693811 284401 173458 409410 395150 837550 215244 133075 2588017 3405081 1015801 1391146 38619 17975 272111 798749 607498 190000 361320 2043169 2650050 X 544848 755031 544848 755031 2588017 3405081 X 1284745 -1074562 0 X X 0 1 X 1 1 1 X 25000 625667 1402421 1069181 3122269 25000 625667 1402421 1069181 3122269 177555 2944714 3122269 24281191 0.94310 0.99370 X SCHEDULE A, PART II THE ORGANIZATION CHANGED ACCOUNTING PERIODS IN CALENDAR YEAR 2017 FROM MAY 31ST TO JUNE 30TH AND THEREFORE A SHORT PERIOD EXISTED FROM JUNE 1, 2017 TO JUNE 30, 2017. 504151 189257 314894 189660 95144 94516 409410 DUE TO MEDI-CAL 361320 361320 14054326 0 14054326 0 14054326 12769581 0 12769581 0 12769581 X X 0 0 0 0 0 0 0 0 0 AVETIK MACHKALYAN CEO 264193 0 0 0 0 0 0 0 16369 0 280562 0 0 0 GAREGIN POGOSIAN CFO 194502 0 0 0 0 0 0 0 16369 0 210871 0 0 0 EDUARD GYADUKYAN COO 263619 0 0 0 0 0 0 0 16934 0 280553 0 0 0 WILLIAM PALEY DO CHIEF MEDICAL OFFICER 209645 0 0 0 0 0 0 0 13967 0 223612 0 0 0 KELLY VO VICE PRESIDENT 142266 0 0 0 0 0 17500 0 16114 0 175880 0 0 0 SHEIMEKA VAUGHAN PHYSICIAN 206344 0 0 0 0 0 12591 0 5445 0 224380 0 0 0 GAREGIN POGOSIAN & AVETIK MACHKALYAN CFO & CEO OF ORGANIZATION CLINIC ACQUISITION X 499000 240000 0 1 1 GAREGIN POGOSIAN & AVETIK MACHKALYAN CFO & CEO OF ORGANIZATION BUILDING IMPROVEMENT X 128442 32111 0 1 1 272111 GAREGIN POGOSIAN & AVETIK MACHKALYAN CFO & CEO OF THE ORGANIZATION 327283 THE ORGANIZATION HAS ENTERED INTO A LEASE AGREEMENT WITH SILVER LAKE CO. FOR VARIOUS CLINIC LOCATIONS. 0 GAREGIN POGOSIAN & AVETIK MACHKALYAN CFO & CEO OF THE ORGANIZATION 223763 THE ORGANIZATION HAS ENTERED INTO A LEASE AGREEMENT WITH SILVER LAKE AEG CO. FOR ONE CLINIC LOCATION. 0 GAREGIN POGOSIAN AVETIK MACHKALYAN EDUARD GYADUKYAN CFO, CEO & COO OF THE ORGANIZATION 540000 THE ORGANIZATION HAS ENTERED INTO A LEASE AGREEMENT WITH 123 WEST EAST STREET, LLC FOR ONE CLINIC LOCATION. 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY MANAGEMENT AND THE CONTROLLER. THE 990 IS REVIEWED INTERNALLY BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO ALL CLINIC PERSONNEL, INCLUDING ADMINISTRATORS, MANAGEMENT STAFF, PROVIDERS, CONTRACTORS, AND STAFF. INDIVIDUALS MUST AVOID CIRCUMSTANCES GIVING RISE TO POTENTIAL BIAS DUE TO CONFLICTING PERSONAL OR INSTITUTIONAL INTERESTS AND INVESTMENTS NOT CONSISTENT WITH THE INDIVIDUAL'S PERFORMANCE OF UNICARE BUSINESS. WHERE A REAL OR PERCEIVED CONFLICT OF INTEREST MAY EXIST, INDIVIDUALS SHOULD FULLY DISCLOSE THE CONFLICT OF INTEREST TO THE OFFICER/EXECUTIVE/MANAGER TO WHOM THE INDIVIDUAL REPORTS. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, UNICARE MAY TAKE CORRECTIVE ACTION NECESSARY ACCORDING TO THE CIRCUMSTANCES. THOUGH THE RESPONSIBILITY TO AVOID ACTING OUT OF CONFLICT OF INTEREST APPLIES TO ALL INDIVIDUALS, MEMBERS OF THE BOARD, OFFICERS, GOVERNANCE COMMITTEES, AND KEY MANAGEMENT EMPLOYEES HAVE A HEIGHTENED DUTY TO DISCLOSE SUCH CONFLICTS AND TO AVOID PARTICIPATION IN CERTAIN SPECIFIC BOARD TRANSACTIONS. AT ANY TIME THAT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST HAS BEEN IDENTIFIED, UNICARE OFFICERS SHALL PERFORM A REVIEW OF THE CIRCUMSTANCES TO DETERMINE WHETHER OR NOT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS. IF IT IS DETERMINED THAT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS THAT HAS NOT ALREADY BEEN DOCUMENTED, THE CIRCUMSTANCES OF THE CONFLICT OF INTEREST SHALL BE SET FORTH IN AN ADDENDUM TO THE CONFLICTS OF INTEREST DISCLOSURE STATEMENT AND THE CONFLICT OF INTEREST MUST BE FULL DISCLOSED TO THE BOARD. ALL OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS MUST AGREE TO AND SIGN THE CONFLICT OF INTEREST DISCLOSURE STATEMENT. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD EVALUTATES THE COMPENSATION OF THE CEO AND OTHER OFFICERS USING COMPARABILITY DATA OF OTHERS IN SIMILAR AREAS AND WITH SIMILAR TYPES OF DUTIES AND PAY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 8 PRIOR PERIOD ADJUSTMENT CONSISTS OF THE FOLLOWING: NET ASSETS: ($74,346) PREPAID INSURANCE: $25,661 REVENUE/RECEIVABLE RECOGNIZED/RECEIVED: ($163,791) GRANTS RECEIVABLE: ($58,666) GRANTS AWARDED: ($689,920) NET PATIENT ACCOUNTS RECEIVABLE: ($267,753) AMORTIZATION OF INTANGIBLE ASSET: ($12,000) INSURANCE: ($110) RECOGNIZE GRANT REVENUE EXPENDED: $53,071 LEASEHOLD IMPROVEMENTS: $96,332 ACCOUNTS PAYABLE: $21,204 FIXED ASSETS: ($42,382) EQUIPMENT EXPENSE: $34,678 PAYMENTS AND NEW DEBT: $41,375 DEPRECIATION EXPENSE: ($33,505) DEFERRED RENT: ($10,410) TOTAL PRIOR PERIOD ADJUSTMENT: ($1,074,562)