2019-05-14T01:36:01-05:00 2018-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2017-07-01 237221695 OLE HEALTH OLEH 7072541770 1100 TRANCAS STREET NO 300 NAPA CA 94558 BILL DEANE CFO 7072541770 2019-05-13 1 RICHARD CROGHAN P00089862 4159561500 2019-05-09 12.129.7.100 2019-05-13 14:44:39 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 32BFBF1104AA8EEBC72962A0CCB0C2C16BC479E3 2017 2020-04-17 16:48:07Z ALICIA HARDY 1100 TRANCAS STREET NO 300 NAPA CA 94558 31453490 0 X WWW.OLEHEALTH.ORG X 1972 CA OLE HEALTH IS THE MEDICAL HOME FOR THE COMMUNITY'S UNDERSERVED PATIENTS. 12 12 299 20 0 0 19333292 6182508 16337600 24171160 268275 392292 2702747 67528 38641914 30813488 0 0 0 0 20606444 20910808 0 0 555062 6798644 6576230 27405088 27487038 11236826 3326450 34717619 36877895 7202995 6021635 27514624 30856260 X OLE HEALTH IS DEDICATED TO PROVIDING HIGH-QUALITY PRIMARY HEALTH CARE TO OUR ENTIRE COMMUNITY. 0 0 15015881 20228045 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. 2431799 3188256 THE DENTAL SERVICES PROGRAM AT OLE HEALTH PROVIDES AFFORDABLE DENTAL CARE TO APPROXIMATELY 6,000 PATIENTS PER YEAR. 1090080 754859 THE MENTAL HEALTH PROGRAM AT OLE HEALTH PROVIDES AFFORDABLE MENTAL HEALTH CARE TO APPROXIMATELY 2,600 PATIENTS PER YEAR. 417489 0 OLE HEALTH PROVIDES HEALTH EDUCATION TO THE COUNTY'S LOW-INCOME, UNINSURED AND UNDERINSURED RESIDENTS. 417489 0 18955249 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 42 0 1 299 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X BILL DEANE 7072541770 1100 TRANCAS STREET SUITE 300 NAPA CA 94558 RICK JONES CHAIR 2.00 3.00 X X 0 0 0 KEVIN FITZPATRICK VICE CHAIR 2.00 0.00 X X 0 0 0 PATTI MCFARLAND TREASURER 2.00 0.00 X X 0 0 0 MAIRA I AYALA SECRETARY 2.00 1.00 X X 0 0 0 RACHEL ALLEN DIRECTOR THROUGH 12/2017 2.00 0.00 X 0 0 0 LYNN ARTHUR DIRECTOR 2.00 0.00 X 0 0 0 JOE CARILLO MD DIRECTOR 2.00 0.00 X 0 0 0 TERESA FOSTER DIRECTOR 2.00 0.00 X 0 0 0 ROSE HARI DIRECTOR 2.00 0.00 X 0 0 0 BETTY LABASTIDA DIRECTOR 2.00 0.00 X 0 0 0 JOHANNA MOORE DIRECTOR 2.00 0.00 X 0 0 0 CHARLES NEAVE DIRECTOR THROUGH 4/2018 2.00 0.00 X 0 0 0 PETE RICHMOND DIRECTOR 2.00 0.00 X 0 0 0 DAWNIELLE THORNBURGH DIRECTOR 2.00 0.00 X 0 0 0 TANIR AMI CEO THROUGH 11/2017 40.00 1.00 X 264866 0 22949 ALICIA HARDY CEO 40.00 0.00 X 209848 0 20821 MOLLY NELSON CFO THROUGH 11/2017 32.00 9.00 X 186026 0 13518 EMMA MAYER INTERIM CFO 11/2017 - 2/2018 32.00 8.00 X 14300 0 0 BILL DEANE INTERIM CFO START 2/2018 32.00 8.00 X 1237 0 0 STEVE RAMIREZ CMO THROUGH 12/2017 40.00 0.00 X 257968 0 13326 CARL HEARD INTERIM CMO 12/2017 - 3/2018 16.00 0.00 X 6241 0 0 DAVID GORCHOFF CMO START 3/2018 40.00 0.00 X 13142 0 0 VINCENT FILANOVA DENTAL DIRECTOR 40.00 0.00 X 195000 0 13508 ANA KORMOS CHIEF CLINICAL OFF. THROUGH 2/2018 40.00 0.00 X 151929 0 14273 COLLEEN TOWNSEND FAMILY PRACTICE PHYSICIAN 40.00 0.00 X 243378 0 17965 MEGAN CONNICK SITE MEDICAL DIRECTOR 40.00 0.00 X 234544 0 10227 JENNIFER WILSON MED DIR OF CLINICAL QUALITY IMPROV 40.00 0.00 X 234079 0 17407 GABRIELA BERMUDEZ SITE MEDICAL DIRECTOR 40.00 0.00 X 215118 0 24757 LYNETTE LEIGHTON FAMILY PRACTICE PHYSICIAN 40.00 0.00 X 205269 0 16284 2432945 0 185035 45 0 1 0 KLH CONSULTING INC 2324 BETHARDS DRIVE SANTA ROSA CA 95405 ANNUAL MAINTENANCE AGREEMENTS 203989 REDWOOD COMMUNITY HEALTH COALITION 1310 REDWOOD WAY SUITE 135 PETALUMA CA 94954 ANNUAL MAINTENANCE AGREEMENTS 162776 TPX COMMUNICATIONS PO BOX 509013 SAN DIEGO CA 921509013 COMMUNICATIONS/IT/CONNECTIVITY SERVICES 131595 RAVIX GROUP 226 AIRPORT PARKWAY SUITE 400 SAN JOSE CA 95110 CONTRACTED SERVICES 123750 HARVEY KATZMAN 12317 MELANIE CT NEVADA CITY CA 95959 CONSULTING SERVICES 114757 6 148095 3446008 2588405 6182508 NET PATIENT SERV REV 621400 15338693 15338693 PHC PROVIDER INCENTIVE 621400 3473120 3473120 CAPITATION REVENUE 621400 3169246 3169246 340B COMPLIANCE REBATE 621400 1674078 1674078 EHR INCENTIVE REVENUE 621400 516023 516023 24171160 386116 386116 646178 640002 6176 6176 6176 OTHER INCOME 900099 67528 67528 67528 30813488 24171160 0 459820 1228522 619254 609268 15720412 11196189 4118810 405413 525309 370685 141690 12934 2268555 1589265 623593 55697 1168010 815543 324422 28045 37043 37043 136869 136869 1251920 670034 580836 1050 43173 3078 35874 4221 355238 222059 128900 4279 174552 82315 90514 1723 1037774 813085 214557 10132 56608 24131 30403 2074 62313 15872 46163 278 22284 22284 738459 573382 165077 89027 61513 24976 2538 MEDICAL/PHARM SUPPLIES 1423818 1423818 REPAIRS AND MAINTENANCE 418600 55411 363189 DUES & SUBSCRIPTIONS 104311 133 100428 3750 RECRUITMENT 74172 9476 64696 550069 387722 139419 22928 27487038 18955249 7976727 555062 X 2893774 6037235 995730 428026 2330533 2272650 14330990 14330990 42062 46678 305272 370211 7929957 5197322 3310283 2732635 7792956 8020474 1488727 1528278 37013 37013 1190279 1073705 34717619 36877895 6057302 5430761 380841 21041 764852 569833 7202995 6021635 X 19539166 26021609 7975458 4834651 27514624 30856260 34717619 36877895 3326450 15186 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4382224 2688636 1693588 2725784 1814310 911474 821949 694376 127573 2732635 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, 2018 AND 2017, 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 CEO THROUGH 11/2017 264386 0 0 0 480 0 7229 0 15720 0 287815 0 0 0 ALICIA HARDY CEO 209368 0 0 0 480 0 8823 0 11998 0 230669 0 0 0 MOLLY NELSON CFO THROUGH 11/2017 148702 0 0 0 37324 0 7441 0 6077 0 199544 0 0 0 STEVE RAMIREZ CMO THROUGH 12/2017 203155 0 50000 0 4813 0 5308 0 8018 0 271294 0 0 0 VINCENT FILANOVA DENTAL DIRECTOR 194640 0 0 0 360 0 6000 0 7508 0 208508 0 0 0 ANA KORMOS CHIEF CLINICAL OFF. THROUGH 2/2018 151449 0 0 0 480 0 6090 0 8183 0 166202 0 0 0 COLLEEN TOWNSEND FAMILY PRACTICE PHYSICIAN 242898 0 0 0 480 0 9782 0 8183 0 261343 0 0 0 MEGAN CONNICK SITE MEDICAL DIRECTOR 233968 0 216 0 360 0 2044 0 8183 0 244771 0 0 0 JENNIFER WILSON MED DIR OF CLINICAL QUALITY IMPROV 231943 0 1656 0 480 0 6156 0 11251 0 251486 0 0 0 GABRIELA BERMUDEZ SITE MEDICAL DIRECTOR 209718 0 4920 0 480 0 8945 0 15812 0 239875 0 0 0 LYNETTE LEIGHTON FAMILY PRACTICE PHYSICIAN 200891 0 444 0 3934 0 8220 0 8064 0 221553 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 FROM NOVEMBER 2017 - FEBRUARY 2017, THE ORGANIZATION CONTRACTED WITH EMMA MAYER, AN INDEPENDENT CONSULTANT, TO FULFILL THE ROLE OF INTERIM CFO. THEREAFTER, THE ORGANIZATION CONTRACTED WITH BILL DEANE, AN INDEPENDENT CONSULTANT, TO FULFILL THE ROLE OF INTERIM CFO UNTIL AUGUST 2018, WHEN THE INTERIM TITLE WAS REMOVED AND HE WAS ELEVATED TO A FULL-TIME EMPLOYEE. 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. FORM 990, PART X: REVISIONS HAVE BEEN MADE TO THE PRIOR YEAR BALANCE SHEET (AS REFLECTED ON THE FORM 990 FOR THE TAX YEAR ENDING JUNE 30, 2018) WHEN COMPARED TO THE AMOUNTS DECLARED ON THE FORM 990 FOR THE TAX YEAR ENDING JUNE 30, 2017 TO CONFORM WITH ADJUSTMENTS MADE ON THE AUDITED FINANCIAL STATEMENTS. THERE WERE NO ADJUSTMENTS TO TOTAL ASSETS, LIABILITIES, OR NET ASSETS; RATHER, THESE ADJUSTMENTS ARE SIMPLY CHANGES IN CLASSIFICATION. 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 0 1 1 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 OLE HEALTH FOUNDATION A 10054 BOOK/ACTUAL VALUE OLE HEALTH FOUNDATION C 148095 BOOK/ACTUAL VALUE OLE HEALTH FOUNDATION D 237933 BOOK/ACTUAL VALUE OLE HEALTH NMTC D 19651000 LOAN GUARANTEE AMOUNT