2020-02-07T15:25:55-06:00 2019-03-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2018-04-01 952707101 CLINICA SIERRA VISTA % CONSUELO CANTU CLIN 6616353050 1430 TRUXTUN AVENUE BAKERSFIELD CA 93301 BRIAN O HARRIS CEO 6616353050 2019-12-18 true Krystal K Creach P01248198 4178658701 167.68.126.162 43032920200385000009 2020-02-07 P AECC51588B8B05B8A6088E029F5570AF8FA04FA6 AECC51588B8B05B8A6088E029F5570AF8FA04FA6 2018 2020-11-19 02:30:22Z BRIAN O HARRIS 1430 TRUXTUN AVENUE BAKERSFIELD CA 93301 220400192 false X WWW.CLINICASIERRAVISTA.ORG X 1971 CA THE MISSION OF CLINICA SIERRA VISTA IS TO PROVIDE MEDICAL, DENTAL, MENTAL HEALTH, ENABLING PODIATRY/CHIROPRACTIC & VISION SERVICES TO THE UNDERSERVED OF KERN, FRESNO & INYO COUNTIES. 11 11 1485 14 0 53534463 52039309 82537436 71212403 749464 718313 4823651 27753 141645014 123997778 22359683 0 0 0 78703925 87105482 0 0 0 33062715 45830688 134126323 132936170 7518691 -8938392 127506426 144029483 15814091 45426124 111692335 98603359 X THE MISSION OF CLINICA SIERRA VISTA IS TO PROVIDE QUALITY HEALTH CARE TO THE UNDERSERVED POPULATIONS OF THE COMMUNITY. SEE SCHEDULE O FOR ADDITIONAL DETAIL. false false 74323877 41440166 CLINICA SIERRA VISTA IS PROUD TO BE THE PRIMARY HEALTHCARE PROVIDER OF CHOICE TO 150,000 PEOPLE IN KERN, FRESNO, AND INYO COUNTIES. AT OUR 31 STATE-OF-THE-ART COMMUNITY HEALTH CENTERS, WE OFFER A FULL RANGE OF PRIMARY CARE SERVICES, FROM FLU SHOTS TO THE MANAGEMENT OF CHRONIC CONDITIONS LIKE ASTHMA AND DIABETES. WE EMPLOY A STAFF OF THE FINEST PHYSICIANS AND OTHER MEDICAL PERSONNEL WHO DEMONSTRATE A PASSION FOR OUR MISSION TO CARE FOR THE ENTIRE COMMUNITY, INCLUDING THE VULNERABLE, ISOLATED AND POOR. THE MEDICAL CARE SERVICES TEAM HAD 309,435 ENCOUNTERS FOR FY2019 AND WE CONTINUE TO STRIVE TO PROVIDE EACH PATIENT WITH QUALITY HEALTH CARE THAT'S PERSONALIZED TO THEIR INDIVIDUAL NEEDS. 11850909 8439497 CLINICA SIERRA VISTA HAS 10 DENTAL CENTERS TO SERVE THE PRIMARY DENTAL NEEDS OF CENTRAL VALLEY RESIDENTS IN KERN AND FRESNO COUNTIES. OUR DENTISTS HAD 69,388 ENCOUNTERS IN FY2019, AND WE CONTINUE TO ADD STAFF MEMBERS AND SITES TO ADDRESS THE URGENT NEED FOR PRIMARY DENTAL CARE AMONG VULNERABLE AND LOW-INCOME PATIENTS. SEE SCHEDULE O FOR ADDITIONAL DETAIL. 10601004 10159672 CLINICA SIERRA VISTA HAS LOCATIONS THROUGHOUT KERN AND FRESNO COUNTIES WHICH PROVIDE CARE ACROSS THE FULL CONTINUUM OF BEHAVIORAL HEALTH, FOR BOTH ADULTS AND CHILDREN. CLINICA OPERATES SEVERAL SPECIALTY BEHAVIORAL HEALTH CENTERS IN EACH COUNTY, WHERE THE FOCUS IS ON SPECIALIZED BEHAVIORAL HEALTH CARE, INCLUDING THERAPY, CASE MANAGEMENT AND PSYCHIATRY SERVICES. THE BEHAVIORAL AND MENTAL HEALTH SERVICE TEAM HAD 95,096 ENCOUNTERS IN FY2019. SEE SCHEDULE O FOR ADDITIONAL DETAIL. 11763988 11173068 108539778 true true false false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false true false false false false false false false false false true true true false false true 167 0 true 1485 true false false false false false false false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true false false CA X CONSUELO CANTU 6616353050 1430 TRUXTUN AVENUE BAKERSFIELD CA 93301 JERRY SHIPMAN TREASURER/PRESIDENT BEG 6/18 0.5 0.0 X X 400 0 0 CLARIBEL GUTIERREZ PRESIDENT/V PRESIDENT BEG 6/18 0.5 0.0 X X 800 0 0 JUANITA BENAVIDEZ SECRETARY 0.5 0.0 X X 625 0 0 JOHN M MEANS MEMBER/TREASURER BEG 6/18 0.5 0.0 X X 25 0 0 ROBERTO RIVERA BOARD MEMBER 0.5 0.0 X 525 0 0 ROBERTA GERDS BOARD MEMBER 0.5 0.0 X 75 0 0 SOCORRO GAETA BOARD MEMBER 0.5 0.0 X 225 0 0 JOSE J VALDOVINOS BOARD MEMBER 0.5 0.0 X 400 0 0 PATRICIA MILLER BOARD MEMBER 0.5 0.0 X 250 0 0 WANDA BROWN BOARD MEMBER BEG 8/18 0.5 0.0 X 75 0 0 MICHAEL COSIMANO BOARD MEMBER BEG 8/18 0.5 0.0 X 50 0 0 SUSAN SORRELLS BOARD MEMBER END 9/18 0.5 0.0 X 0 0 0 KHU VANG BOARD MEMBER END 9/18 0.5 0.0 X 0 0 0 HUBERT WILLIAMS BOARD MEMBER END 4/18 0.5 0.0 X 0 0 0 BRIAN HARRIS CEO 40.0 0.0 X 279428 0 20028 CONSUELO CANTU CFO 40.0 0.0 X 259932 0 36482 RYAN C JOHNSON PHYSICIAN 24.0 0.0 X 532125 0 30635 RHONDA ROBINSON PHYSICIAN 24.0 0.0 X 355193 0 31166 KAMI JOW PHYSICIAN 40.0 0.0 X 322715 0 35287 SUNDAY O IRENE PHYSICIAN 40.0 0.0 X 298231 0 35502 GEETA RAMESH PHYSICIAN 40.0 0.0 X 287378 0 33265 2338452 0 222365 124 false true false PROVIDER HEALTHCARE LLC 4252 SOUTH HIGHLAND DRIVE SUITE 10 SALT LAKE CITY UT 84124 LOCUMS 1345779 KEN W SMITH 2000 NORRISS ROAD 102 BAKERSFIELD CA 93308 INTERIOR REMODEL 931154 TRUXTUN TOWER ASSOCIATION 1401 19TH STREET 400 BAKERSFIELD CA 93301 RENT 758607 PHYSICIANS AUTOMATED LAB PO BOX 144405 AUSTIN TX 78714 LABORATORY 325087 MICROAGE PO BOX 2941 PHOENIX AZ 85062 INFORMATION TECH 306527 12 50654703 1384606 52039309 Net Patient Service Revenue 621400 62651486 62651486 Incentive Revenue 621400 8365563 8365563 MISCELLANEOUS REVENUE 900099 195354 195354 71212403 1416073 1416073 0 0 40536 12783 27753 0 27753 27753 95494995 196876 95608496 781135 -113501 -584259 -697760 -697760 0 0 0 0 0 0 0 0 0 0 123997778 71212403 746066 X 0 0 0 0 626949 626949 0 70517020 59792337 10724683 2227650 1818877 408773 8493410 6920039 1573371 5240453 4249488 990965 0 977824 1115 976709 122528 5160 117368 0 0 136435 136435 20410430 18282782 2127648 225578 43615 181963 6393555 4431641 1961914 0 0 4013592 3130098 883494 859077 462867 396210 0 1066959 289279 777680 16981 1037 15944 0 2152190 1009201 1142989 412541 334874 77667 MEDICAL SUPPLIES & DRUGS 5761762 5687133 74629 BAD DEBT 719547 719547 REPAIRS AND MAINTENANCE 1699271 692133 1007138 RECRUITING & RETENTION 688496 563605 124891 173922 104950 68972 132936170 108539778 24396392 0 4275547 4042884 71478843 50346516 7222211 7468969 8192997 5397953 300000 270000 0 0 4026250 4310000 0 0 242900 171772 53657901 17917059 17259478 35740842 0 28353696 0 0 0 0 0 50000 14508200 7876851 127506426 144029483 13561879 15413369 0 0 871947 52972 0 0 0 0 0 0 845028 198753 0 343255 535237 29417775 15814091 45426124 X 111692335 98392958 0 210401 0 0 111692335 98603359 127506426 144029483 X -8938392 627181 -4777765 X false true X true true true X 43412597 48754155 50337803 53534463 52039309 248078327 0 0 43412597 48754155 50337803 53534463 52039309 248078327 0 248078327 43483 264980 624125 797296 1456609 3186493 0 0 251264820 360498153 0.98732 0.94990 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3781689 3781689 35956265 7468580 28487685 1791777 1082683 709094 9737257 9365796 371461 2390913 2390913 35740842 Est. due from third-party 7785659 Deposits 91192 7876851 0 EST. DUE TO THIRD PARTY 29417775 29417775 123155034 627181 14668 -551208 90641 123064393 933385 933385 123997778 132163243 14668 68387 83055 132080188 136435 719547 855982 132936170 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT FORM 990, PART VIII, LINE 12: $(719,547) PROVISION FOR UNCOLLECTIBLE ACCOUNTS 304,774 NET ASSETS RELEASED FROM RESTRICTIONS (136,435) INVESTMENT MANAGEMENT FEES ---------- $(551,208) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT LINE 1: $( 55,604) LOSS ON DISPOSAL OF ASSETS 486,597 GRANTS FOR THE ACQUISITION OF PROPERTY AND EQUIPMENT 515,175 TEMPORARILY RESTRICTED CONTRIBUTIONS ( 12,783) RENTAL EXPENSES ---------- $ 933,385 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT FORM 990, PART IX, LINE 25: $ 55,604 LOSS ON DISPOSAL OF ASSETS 12,783 RENTAL EXPENSES ---------- $ 68,387 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT LINE 1: $ 719,547 PROVISION FOR UNCOLLECTIBLE ACCOUNTS X X X X X X false false false false false false false false false BRIAN HARRIS CEO 278798 0 26 0 604 0 0 0 20028 0 299456 0 0 0 CONSUELO CANTU CFO 257672 0 205 0 2055 0 14113 0 22369 0 296414 0 0 0 RYAN C JOHNSON PHYSICIAN 516536 0 15409 0 180 0 10725 0 19910 0 562760 0 0 0 RHONDA ROBINSON PHYSICIAN 324684 0 30249 0 260 0 12024 0 19142 0 386359 0 0 0 KAMI JOW PHYSICIAN 300686 0 21255 0 774 0 12918 0 22369 0 358002 0 0 0 SUNDAY O IRENE PHYSICIAN 293859 0 4102 0 270 0 13133 0 22369 0 333733 0 0 0 GEETA RAMESH PHYSICIAN 268659 0 18449 0 270 0 10896 0 22369 0 320643 0 0 0 RHONDA ROBINSON HC EMPLOYEE PROVIDER LOAN X 150000 60000 false true true RYAN JOHNSON HC EMPLOYEE PROVIDER LOAN X 150000 90000 false true true GEETA RAMESH HC EMPLOYEE PROVIDER LOAN X 150000 120000 false true true 270000 FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION: IT SHALL BE THE MISSION OF CLINICA SIERRA VISTA TO PROVIDE HIGH QUALITY AND COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES AT THE MOST EFFICIENT COST TO UNDERSERVED POPULATIONS OF KERN, FRESNO AND INYO COUNTIES REGARDLESS OF ABILITY TO PAY AND TO SEEK NECESSARY RESOURCES TO MEET THE GROWING HEALTH CARE DEMANDS WHILE MAINTAINING THE CORPORATION'S FINANCIAL INTEGRITY. WE STRONGLY BELIEVE IN EVERYONE'S RIGHT TO QUALITY HEALTH CARE. THEREFORE, NO ONE IS DENIED SERVICES BASED ON RACE, RELIGION, ETHNICITY, SEX, AGE, DISABILITY OR ECONOMIC STATUS. FORM 99O, PART III, LINE 4B DENTAL SERVICES: CLINICA SIERRA VISTA BELIEVES THAT EVERYONE IN THE COMMUNITIES WE SERVE SHOULD HAVE ACCESS TO QUALITY HEALTH CARE. WE HAVE TWO FULLY-EQUIPPED, 40-FOOT MOBILE UNITS THAT TAKE OUR DENTAL AND MEDICAL PROFESSIONALS WHERE THEY ARE NEEDED MOST. OUR UNITS HAVE VISITED SCHOOLS, OFFERING FIRST-TIME CHECKUPS TO THOUSANDS OF CHILDREN, AS WELL AS THE HOMELESS ON THE STREETS AND FARM WORKERS IN THE FIELDS. FORM 990, PART III, LINE 4C BEHAVIORAL AND MENTAL HEALTH SERVICES: IN ADDITION, SEVERAL COMMUNITY HEALTH CENTERS THROUGHOUT BOTH COUNTIES ARE STAFFED WITH INTEGRATED SOCIAL WORK TO PROVIDE LIGHT THERAPY AND OTHER SOCIAL WORK SERVICES TO OUR PATIENTS. WE CAN ALSO BE FOUND ON MANY SCHOOL CAMPUSES. IN BOTH COUNTIES, OUR SPECIALTY BEHAVIORAL HEALTH CENTERS OFFER SPECIFIC TEAMS FOR CHILDREN (AGES 3-18) AND ADULTS (AGES 18+) WITH MENTAL/BEHAVIORAL HEALTH AND/OR SUBSTANCE USE PROBLEMS. ALL SERVICES ARE PROVIDED IN THE CLIENT'S PREFERRED LANGUAGE. FORM 990, PART III, LINE 4D ADDITIONAL PROGRAM SERVICES: ENABLING SERVICES: CLINICA SIERRA VISTA OFFERS A VARIETY OF ENABLING SERVICES TO THE KERN, FRESNO, AND INYO COUNTIES. THESE SERVICES INCLUDE ADOLESCENT AND FAMILY SERVICES, WOMEN, INFANTS, AND CHILDREN (WIC), LAB SERVICES, X-RAY SERVICES, WOMEN'S HEALTH SERVICES, AND SPECIALTY CARE SERVICES. CSV ALSO OFFERS A MULTITUDE OF PROGRAMS TO THE PEOPLE IN THE COMMUNITIES WE SERVE. THESE PROGRAMS INCLUDE A FAMILY MEDICINE RESIDENCY PROGRAM, A HEALTH INSURANCE ASSISTANCE PROGRAM, HEALTHCARE FOR THE HOMELESS, A MEDICALLY VULNERABLE INFANT PROGRAM (MVIP), AND A PHARMACY. THE ENABLING SERVICES TEAM HAD 70,844 ENCOUNTERS DURING FY2019. PODIATRY/CHIROPRACTIC SERVICES: CLINICA SIERRA VISTA OFFERS A SPECIALTY CARE AREA IN PODIATRY (FOOT CARE) AND CHIROPRACTIC SERVICES. THE PODIATRY/CHIROPRACTIC SERVICE TEAM HAD 9,299 ENCOUNTERS DURING FY2019. VISION SERVICES: YOUR VISION IS A GIFT THAT SHOULDN'T BE TAKEN FOR GRANTED. AT CLINICA SIERRA VISTA, WE KNOW THAT THE HIGH COST OF VISION CARE PREVENTS TOO MANY PEOPLE IN THE COMMUNITIES WE SERVE FROM SEEING AN OPTOMETRIST. THAT'S WHY WE'RE PROUD TO NOW OFFER LOW-COST EYE EXAMS AND OPTOMETRY SERVICES AT OUR 34TH STREET COMMUNITY HEALTH CENTER IN BAKERSFIELD, CALIFORNIA. WE SERVE BOTH KIDS AND ADULTS AND WORK WITH MANY INSURANCE COMPANIES. TO KEEP EYECARE ACCESSIBLE, WE ALSO OFFER A SLIDING FEE SCALE FOR PATIENTS WHO DON'T HAVE VISION INSURANCE TO PAY FOR OPTOMETRY SERVICES. THE VISION SERVICES TEAM HAD 238 ENCOUNTERS DURING FY2019. FORM 99O, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CONTROLLER COMPILES AND VERIFIES 990 DATA. A FINAL DRAFT IS REVIEWED AND APPROVED BY THE CEO, CFO, AND BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: CLINICA SIERRA VISTA HAS A CONFLICT OF INTEREST POLICY AND EMPLOYEE CONDUCT IN THE EMPLOYEE HANDBOOK. EACH EMPLOYEE IS GIVEN THE HANDBOOK AND THIS POLICY IS ALSO REVIEWED WITH EACH NEW HIRE. OUR POLICY REQUIRES EMPLOYEES TO REQUEST APPROVAL FOR OUTSIDE EMPLOYMENT. IT REQUIRES DISCLOSURE OF POTENTIAL PERSONAL AND PROFESSIONAL CONFLICTS, AND PROHIBITS EMPLOYEES FROM ENGAGING IN BUSINESS TRANSACTIONS THAT RESULT IN PERSONAL GAIN. THE HUMAN RESOURCES DEPARTMENT AND SUPERVISORS MONITOR THE ADHERENCE TO THIS POLICY. THE BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY ANY CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A & 15B EXECUTIVE COMPENSATION POLICY: COMPENSATION FOR THE CEO IS DETERMINED AND APPROVED BY CLINICA SIERRA VISTA'S BOARD OF DIRECTORS. THE CEO DETERMINES AND APPROVES COMPENSATION FOR OFFICERS AND KEY EMPLOYEES BASED ON BOARD APPROVED SALARY SCHEDULE AND INDIVIDUAL'S QUALIFICATIONS. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC DISCLOSURE: ALL GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ 17,495,493 TRANSFER FROM CLINICA SIERRA VISTA FOUNDATION 2,757,651 UNEMPLOYMENT INSURANCE SETTLEMENT 68,843 MEDICARE SETTLEMENT (22,899,752) MEDI-CAL SETTLEMENT ( 2,200,000) PATIENT ACCOUNTS RECEIVABLE ADJUSTMENT ------------- $( 4,777,765) FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL SERVICE FEES TOTAL FEES:6172846 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:4920784 FORM 990 PART IX LINE 11G DESCRIPTION:CUSTODIAL SERVICES TOTAL FEES:2069335 FORM 990 PART IX LINE 11G DESCRIPTION:PSYCHIATRIST FEES TOTAL FEES:1905777 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER SERVICES AND FEES TOTAL FEES:1528687 FORM 990 PART IX LINE 11G DESCRIPTION:SECURITY TOTAL FEES:1180795 FORM 990 PART IX LINE 11G DESCRIPTION:DENTAL SERVICE FEES TOTAL FEES:743338 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONTRACTING FEES TOTAL FEES:655369 FORM 990 PART IX LINE 11G DESCRIPTION:TEMP EMPLOYMENT SERVICES TOTAL FEES:532602 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE LAB FEES TOTAL FEES:280007 FORM 990 PART IX LINE 11G DESCRIPTION:PAYROLL SERVICES TOTAL FEES:169399 FORM 990 PART IX LINE 11G DESCRIPTION:INTERPRETING SERVICES TOTAL FEES:169091 FORM 990 PART IX LINE 11G DESCRIPTION:PHARMACY TOTAL FEES:82400 CLINICA SIERRA VISTA FOUNDATION 1430 TRUXTUN AVE STE 400 BAKERSFIELD CA 93301 474328195 SUPPORT CA 501(C)(3) 7 CSV true false false false false false false false false false false false false false true true false false false true CLINICA SIERRA VISTA FOUNDATION S 17495493 FMV