2019-05-15T15:14:23-05:00 2018-06-30 680037990 GILBERT ASSOCIATES INC 2880 GATEWAY OAKS DR STE 100 SACRAMENTO CA 95833 990 2017-07-01 941713704 WELLSPACE HEALTH WELL 9163255556 777 12TH STREET NO 250 SACRAMENTO CA 95811 JONATHAN PORTEUS CEO 9163255556 2019-05-15 1 KEITH R GLEN P01317613 9166466464 2019-05-09 207.231.71.251 2019-05-15 11:04:04 PD P A4D4634ED01ED4A8EA284AB4A48DC5E565E75EBF E3152073A5A10C551B4FB59E07D8A80CB564240A 2017 2019-02-21 02:37:17Z JONATHAN PORTEUS 777 12TH STREET NO 250 SACRAMENTO CA 95811 53863007 0 X WWW.WELLSPACEHEALTH.ORG X 1970 CA ACHIEVING REGIONAL HEALTH THROUGH HIGH QUALITY COMPREHENSIVE CARE. 9 9 867 54 0 0 9715610 11102036 32818443 42758697 4425 2274 0 0 42538478 53863007 0 0 0 0 25788091 36472833 0 0 0 16501533 18898332 42289624 55371165 248854 -1508158 22891328 21032602 13019021 12666849 9872307 8365753 X A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SINCE JUNE 2008, WELLSPACE HEALTH PROVIDES HEALTH CARE SERVICES INCLUDING PRIMARY & DENTAL CARE, BEHAVIORAL HEALTH, SUBSTANCE ABUSE TREATMENT, COUNSELING, PREVENTION AND CRISIS INTERVENTION SERVICES TO SOCIO-ECONOMICALLY DIVERSE FAMILIES AND THEIR CHILDREN. 0 0 48863140 42758697 WELLSPACE HEALTH IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AS WELL AS A BROAD RANGING BEHAVIORAL HEALTH AND SOCIAL SERVICE PROVIDER IN THE SACRAMENTO REGION. A NETWORK OF COMMUNITY HEALTH CENTERS ACROSS THREE COUNTIES (SACRAMENTO, PLACER, AND AMADOR) PROVIDES PRIMARY HEALTH AND INTEGRATED BEHAVIORAL HEALTH CARE FOR ALL AGES, WOMEN'S HEALTH (INCLUDING COMPREHENSIVE PERINATAL CARE THROUGHOUT AND AFTER PREGNANCY AND SPECIALIZED CULTURE-SPECIFIC INFANT MORTALITY PREVENTION SERVICES), AND ORAL HEALTH CARE FOR CHILDREN AND TEENS (CO-LOCATED IN 6 SITES). ADDITIONAL BEHAVIORAL HEALTH LOCATIONS EXTEND THE ORGANIZATION'S CLINICAL REACH THROUGH PREVENTION AND SPECIALTY MENTAL HEALTH AND SUBSTANCE USE DISORDERS TREATMENT, INCLUDING: A FULL CONTINUUM OF CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS TREATMENT PROGRAMS (OUTPATIENT, RESIDENTIAL REHABILITATION, MEDICALLY-MONITORED DETOXIFICATION, MEDICALLY ASSISTED TREATMENTS, CORRECTIONS-BASED AND DRUG COURT SERVICES); NORTHERN CALIFORNIA'S 24-HOUR PRIMARY SUICIDE PREVENTION HOTLINE AND CRISIS SUPPORT LINES; OUTPATIENT CHILDREN'S MENTAL HEALTH AND YOUTH VIOLENCE PREVENTION PROGRAMS; CHILD ABUSE PREVENTION AND HOME VISITATION SERVICES; AND MULTIPLE CARE TRANSITION PROGRAMS (FOR EXAMPLE WITHIN HOSPITAL EMERGENCY DEPARTMENTS, NAVIGATING SERVICES IN THE COMMUNITY, AND TRANSITIONING PATIENTS FROM INPATIENT SETTINGS). WELLSPACE HEALTH EMBRACES THE HIGHEST QUALITY STANDARDS ACROSS THE BREADTH OF ITS SERVICES AND IS ACCREDITED BY THE JOINT COMMISSION FOR BOTH AMBULATORY CARE AND BEHAVIORAL HEALTH. THE EXTENT TO WHICH THE ORGANIZATION INTEGRATES CARE WITHIN ITS HEALTH CENTERS AND BETWEEN ITS ADDITIONAL PROGRAM SITES IS ALSO DOCUMENTED BY ITS ADDITIONAL CERTIFICATIONS FROM THE JOINT COMMISSION FOR BOTH PATIENT CENTERED MEDICAL HOME (PCMH) AND BEHAVIORAL HEALTH HOME (BHH) - THEREBY MAXIMIZING THE ORGANIZATION'S COMMITMENT TO 'WHOLE PERSON CARE.' WELLSPACE HEALTH'S DIVERSE PATIENT POPULATION SPANS THE RICH CULTURAL DIVERSITY OF THE SACRAMENTO REGION, AS WELL AS ALL AGES AND PERSONS WHO ARE HOMELESS. 48863140 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 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 57 0 1 867 1 0 0 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 KATHY WALKER CFO 9163138455 777 12TH STREET SUITE 250 SACRAMENTO CA 95814 LISA STEWART PRESIDENT/CONSUMER DIRECTOR 1.00 X X 0 0 0 LARRY MAAS VICE PRESIDENT/NON-CONSUMER DIRECTOR 1.00 X X 0 0 0 RUZWA COOPER TREASURER/NON-CONSUMER DIRECTOR 1.00 X X 0 0 0 MARGIE MEZA SECRETARY/CONSUMER DIRECTOR 1.00 X X 0 0 0 JIM TILTON NON-CONSUMER DIRECTOR 1.50 X 0 0 0 JODY GRAY CONSUMER DIRECTOR 1.00 X 0 0 0 TIMOTHY MARTIN CONSUMER DIRECTOR 1.00 X 0 0 0 TODD MURRAY CONSUMER DIRECTOR 1.00 X 0 0 0 GILBERT PEREZ CONSUMER DIRECTOR 1.00 X 0 0 0 ALASDAIR JONATHAN PORTEUS CHIEF EXECUTIVE OFFICER 40.00 X 260333 0 4625 KATHY WALKER CHIEF FINANCIAL OFFICER 40.00 X 165769 0 5137 JANINE BERA CHIEF MEDICAL OFFICER 40.00 X 345969 0 12554 NATHAN ALLEN MD-OB/GYNECOLOGIST 40.00 X 514524 0 6294 TROY SINGH MD-INTERNIST 40.00 X 492756 0 8375 LATA SANTHAKUMAR MD-OB/GYNECOLOGIST 40.00 X 439382 0 4625 SUEJIN KIM MD-OB/GYNECOLOGIST 40.00 X 427630 0 5302 TIFFANY ISLES MD-OB/GYNECOLOGIST 40.00 X 299026 0 8111 2945389 0 55023 68 0 1 0 HOLLY BRACY 2503 LA JOLLA STREET WEST SACRAMENTO CA 95691 PHYSICIAN SERVICES (ON CALL) 284800 PRUDENCIO GABRIEL SAMSON 2102 BROKEN RAIL LANE ROCKLIN CA 95765 PSYCHIATRIST SVCS 199808 2 3103265 7998771 570690 11102036 FEE FOR SERVICE 624100 40632268 40632268 OTHER PROGRAM REVENUE 624100 2099059 2099059 PHARMACY REVENUE 624100 22199 22199 CLIENT RESEARCH FEE 624100 5171 5171 42758697 2274 2274 53863007 42758697 0 2274 794388 698240 96148 29641867 26054958 3586909 277199 243413 33786 3324137 2918988 405149 2435242 2169732 265510 186103 70547 115556 36600 13874 22726 4039221 3557371 481850 30985 15297 15688 1454115 1275166 178949 1457988 987709 470279 4304595 3931959 372636 318375 267384 50991 300502 216420 84082 127092 116857 10235 1152390 1107958 44432 1384860 1220951 163909 PATIENT SUPPLIES 2501774 2468667 33107 BAD DEBT EXPENSE 499231 499231 EQUIPMENT EXPENSE 456803 413196 43607 LABORATORY EXPENSE 294622 293947 675 353076 321275 31801 55371165 48863140 6508025 0 1898310 1458796 6427842 1988111 5175974 6942858 437332 527952 16771674 6678523 8931740 10093151 20130 21734 22891328 21032602 6305275 8042002 3881167 2183428 2832579 2441419 13019021 12666849 X 9779445 8288777 72732 55242 20130 21734 9872307 8365753 22891328 21032602 -1508158 1604 0 X X 0 1 X 1 1 1 X 7570358 6126363 6454043 9715610 11102036 40968410 11523 11523 7581881 6126363 6454043 9715610 11102036 40979933 40979933 275 289 2394 4425 2274 9657 40989590 148085846 0.99980 0.99900 X 20130 1604 21734 17764 2366 20130 18401 -637 17764 0.00000 1.00000 1 0 760166 760166 4504302 1352569 3151733 4571324 1557388 3013936 6472414 3768566 2703848 463468 463468 10093151 54076740 1604 212129 213733 53863007 0 53863007 55583294 212129 212129 55371165 0 55371165 X X X 0 0 0 0 0 0 0 0 0 ALASDAIR JONATHAN PORTEUS CHIEF EXECUTIVE OFFICER 254333 0 0 0 6000 0 4625 0 0 0 264958 0 0 0 KATHY WALKER CHIEF FINANCIAL OFFICER 165769 0 0 0 0 0 0 0 5137 0 170906 0 0 0 JANINE BERA CHIEF MEDICAL OFFICER 345969 0 0 0 0 0 3500 0 9054 0 358523 0 0 0 NATHAN ALLEN MD-OB/GYNECOLOGIST 514524 0 0 0 0 0 6125 0 169 0 520818 0 0 0 TROY SINGH MD-INTERNIST 492756 0 0 0 0 0 0 0 8375 0 501131 0 0 0 LATA SANTHAKUMAR MD-OB/GYNECOLOGIST 439382 0 0 0 0 0 4625 0 0 0 444007 0 0 0 SUEJIN KIM MD-OB/GYNECOLOGIST 427630 0 0 0 0 0 0 0 5302 0 432932 0 0 0 TIFFANY ISLES MD-OB/GYNECOLOGIST 299026 0 0 0 0 0 0 0 8111 0 307137 0 0 0 X 12528 FMV X 40 508175 FMV X ENTERTAINMENT 14 28166 FMV X FOOD 34 18911 FMV X EQUIPMENT 2 2760 FMV X GIFT CARDS 1 150 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT COMMITTEE REVIEWS FORM 990. AFTER ALL QUESTIONS AND COMMENTS ARE RESOLVED, FORM 990 IS REVIEWED AND APPROVED BY THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD OF DIRECTOR MEMBERS ARE REQUIRED TO DECLARE THEIR TYPE OF INDUSTRY, WHICH ARE EXCLUDED FROM ANY REQUESTS FOR PROPOSALS OR ANY SITUATION WHERE FUNDS COULD CHANGE HANDS, OR A SERVICE WOULD BE COMPROMISED. FORM 990, PART VI, SECTION B, LINE 15 WELLSPACE HEALTH USES MARKET COMPARISONS WITH REGIONAL NON-PROFITS AS A GUIDE. ALSO, WELLSPACE HEALTH USES THE PRIVATE MARKET, BASED ON EXPERIENCE, AND QUALIFICATIONS. THIS PROCESS WAS LAST UNDERTAKEN IN 2017. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE PROVIDED UPON REQUEST. THE DOCUMENTS ARE HOUSED AT THE 777 12TH STREET, SUITE 250, SACRAMENTO, CA 95814 FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND THE PROCESS FOR SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.