2019-04-26T14:22:56-07:00 2018-12-31 472251777 CHW LLP 7797 N First Street Suite 15 Fresno CA 93720 990 2018-01-01 952671433 Open Door Community Health Centers OPEN 7078268633 1275 8th Street Arcata CA 95521 James Bella CFO 7078268633 2019-04-17 1 Jeremy Ware P00642659 5595495400 2019-04-01 108.240.247.227 2018 2019-02-21 02:37:17Z James Bella 1275 8th Street Arcata CA 95521 89405388 0 X www.opendoorhealth.com X 1971 CA Open Door Community Health Centers (ODCHC) exists to provide primary health care - medical, dental and behavioral - and health care education to the residents of Del Norte and Humboldt Counties, California and surrounding rural areas, ODCHC operates 14 clinics and three mobile clinics. In 2016, ODCHC served 55,159 unique individuals, providing 269,015 provider/patient/encounters. Of its patients, 22% are known to live at or below 100% FPL and, cumulatively, 40% are known to live at or below 200% FPL; 5% are uninsured and 75% rely on some form of public insurance. ODCHC provides health care services to all who seek it regardless of the inability to pay. 9 9 796 0 8988632 12226027 63632961 76404981 36295 44389 870079 729991 73527967 89405388 0 0 0 0 42887252 48935371 0 0 0 29273431 30215108 72160683 79150479 1367284 10254909 50863868 59693081 29852777 28562135 21011091 31130946 Open Door Community Health Centers (ODCHC) exists to provide primary health care - medical, dental and behavioral - and health care education to the residents of Del Norte and Humboldt Counties, California and surrounding rural areas, ODCHC operates 12 clinics and three mobile clinics. In 2018, ODCHC served 59,912 unique individuals, providing 265,016 provider/patient/encounters. Of its patients, 13% are known to live at or below 100% FPL and, cumulatively, 25% are known to live at or below 200% FPL; 4% are uninsured and 73% rely on some form of public insurance. ODCHC provides health care services to all who seek it regardless of the inability to pay. 0 0 66714749 0 76404981 Open Door Community Health Centers (ODCHC) exists to provide primary health care - medical, dental and behavioral - and health care education to the residents of Del Norte and Humboldt Counties, California and surrounding rural areas, ODCHC operates 12 clinics and three mobile clinics. In 2018, ODCHC served 59,912 unique individuals, providing 265,016 provider/patient/encounters. Of its patients, 13% are known to live at or below 100% FPL and, cumulatively, 25% are known to live at or below 200% FPL; 4% are uninsured and 73% rely on some form of public insurance. ODCHC provides health care services to all who seek it regardless of the inability to pay. 0 0 0 66714749 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 74 0 1 796 1 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X James A Bella Jr 7078268633 1275 8th Street Arcata CA 95521 Kathleen E Moxon President 1 0 X 0 0 0 Felicia Oldfather Treasurer 1 0 X 0 0 0 Jim Pfingstel Secretary 1 0 X 0 0 0 Sydney Fisher Larson Board Member 1 0 X 0 0 0 Elizabeth Murguia Board Member 1 0 X 0 0 0 Neal Sanders Board Member 1 0 X 0 0 0 Lindsay Righter Board Member 1 0 X 0 0 0 Connie Stewart Board Member 1 0 X 0 0 0 Alison Talbot Board Member 1 0 X 0 0 0 Cheyenne Spetzler Interim CEO 40 0 X 279479 0 0 James A Bella CFO 40 0 X 234979 0 0 Willard Hunter Co- Medical Director 40 0 X 332026 0 0 Carter Wright Dentist 40 0 X 270775 0 0 Marissa Kummerling Physician 40 0 X 277601 0 0 Kelvin Vu Physician 40 0 X 266327 0 0 May Hong Physician 40 0 X 264476 0 0 1925663 0 0 65 0 1 0 Pacific Builders 880 L Street Arcata CA 95521 Construction Services 5931687 Barton Associates PO Box 417844 Boston MA 02241 Professional Recruiting 1114999 OCHIN Inc 707 SW Washington Street Suite 1200 Portland OR 97205 Software Support 1346698 CompHealth 35 Nutmeg Drive Trumbull CT 06611 Professional Recruiting 302313 Above and Beyond Cleaning Services 1570 McCullen Avenue Eureka CA 95503 Janitorial 635595 0 0 0 0 12170998 55029 0 12226027 Net patient service revenue 621400 76404981 76404981 0 0 0 0 0 0 76404981 44389 0 0 44389 0 0 0 0 0 0 0 0 0 0 0 0 0 Meaningful use incentive 621400 425000 425000 0 0 304991 304991 0 0 729991 89405388 77134972 0 44389 X 1099517 585059 514458 36412684 29543800 6868884 1509570 1205294 304276 7137560 5403989 1733571 2776040 2218681 557359 93987 54015 39972 27077 20136 6941 9207553 9181252 26301 11279 10736 543 1448943 1133493 315450 1977470 1545645 431825 3761148 2786064 975084 339632 174001 165631 505689 473338 32351 1898157 1752127 146030 273007 224006 49001 Supplies 10624436 10386838 237598 0 46730 16275 30455 79150479 66714749 12435730 0 318643 1782829 11452200 12641012 4075360 6765236 5193253 7885626 627552 711836 555470 529370 46869326 17651087 21647106 29218239 6994284 158933 50863868 59693081 4829393 5181955 353446 414443 21281736 20733273 1000000 2388202 2232464 29852777 28562135 X 21011091 31130946 0 0 0 0 21011091 31130946 50863868 59693081 10254909 -135054 0 0 0 0 X 0 1 X 1 1 1 X 6600287 7632262 8968611 8988632 12226027 44415819 39259510 49202749 50665058 57911361 76404981 273443659 45859797 56835011 59633669 66899993 88631008 317859478 0 0 0 0 0 0 317859478 20166 15412 16340 36295 44389 132602 20166 15412 16340 36295 44389 132602 586500 297500 574399 870079 729991 3058469 46466463 57147923 60224408 67806367 89405388 321050549 0.99006 0.98675 0.00041 0.00038 X Schedule A, Part III, Line 12 Other revenues. 0 2715972 2715972 0 30286582 17651087 12635495 0 3043367 0 3043367 0 9660183 0 9660183 0 1163222 0 1163222 29218239 Estimated settlements 2232464 2232464 X 89270334 -135054 0 0 0 -135054 89405388 0 0 0 89405388 79150479 0 0 0 0 0 79150479 0 0 0 79150479 Schedule D, Part X, Line 2 The Center has been recognized by the Internal Revenue Service as a non-profit corporation as described in Sec. 501(c)(3) of the Internal Revenue Code (IRC) and is exempt from federal and state income taxes on related income pursuant to Sec. 501(a) of the IRC and California Revenue and Taxation code Section 23701(d). Tax returns are generally open and subject to examination by the appropriate government agencies in the United States and California for three years after they are filed. X X 0 0 0 0 0 0 0 0 0 Cheyenne Spetzler Interim CEO 278479 0 1000 0 0 0 0 0 0 0 279479 0 0 0 James A Bella CFO 233979 0 1000 0 0 0 0 0 0 0 234979 0 0 0 Willard Hunter Co- Medical Director 331026 0 1000 0 0 0 0 0 0 0 332026 0 0 0 Carter Wright Dentist 269775 0 1000 0 0 0 0 0 0 0 270775 0 0 0 Marissa Kummerling Physician 276601 0 1000 0 0 0 0 0 0 0 277601 0 0 0 Kelvin Vu Physician 265327 0 1000 0 0 0 0 0 0 0 266327 0 0 0 May Hong Physician 263476 0 1000 0 0 0 0 0 0 0 264476 0 0 0 X 1 3150 FMV X 1 51636 FMV 0 0 1 0 Form 990, Part VI, Section B, Line 11b Working closely with the appropriate management staff, the CFO gathers and presents the data to the CPA preparing the Form 990 and then presents the draft Form 990 to the Finance Committee of the Board of Directors prior to the Board's review and formal acceptance in a monthly meeting. Form 990, Part VI, Section B, Line 12c Personnel Policies require disclosure of any transactions or business situations (involving the employee and immediate family) which may present a conflict of interest by providing financial benefit resulting from that employees relationship with ODCHC. Board members receive no compensation for their services and are required to provide written Conflict of Interest agreements which are reviewed periodically. Form 990, Part VI, Section B, Line 15 The Board of Directors reviews local, state and national independently prepared salary surveys of community health centers periodically. This data is evaluated in aggregate and with consideration for comparable scope of duties, unique rural conditions, and general economic conditions as well as the economic stability and viability of the organization. Form 990, Part VI, Section C, Line 19 Available upon request. Form 990, Part IX, Line 11g Professional and purchased services.