2020-05-12T16:50:48-07:00 2019-12-31 472251777 CHW LLP 7797 N First Street Suite 15 Fresno CA 93720 990 2019-01-01 952801772 Centro De Salud La Communidad De San Ysidro Inc CENT 6194281330 1601 Precision Park Lane San Diego CA 92173 Brian Wallace CFO 6194281330 2020-05-08 1 Jeremy Ware P00642659 5595495400 2020-04-26 172.58.38.148 2019 2020-04-17 16:48:07Z San Ysidro Health San Ysidro Health 1601 Precision Park Lane San Diego CA 92173 200219003 0 X www.syhc.org X 1971 CA Centro De Salud De La Communidad De San Ysidro Inc (DBA- San Ysidro Health) operates community health centers located in San Diego, CA. the organization's mission is to improve health and well being of the community's traditionally under served and culturally diverse people. 13 13 1865 0 23072892 21755118 144528016 174259461 9744 133183 2314609 4071241 169925261 200219003 0 0 0 0 98064905 109234563 0 0 497048 63120961 73641726 161185866 182876289 8739395 17342714 121694565 139066485 69448247 69477453 52246318 69589032 The Mission of San Ysidro Health is to improve the health and well being of our community's traditionally under served and culturally diverse people. The Health Center saw 97,516 patients who produced 473,917 medical and dental visits in the current period. 0 0 151570945 0 174259641 The mission of San Ysidro Health is to improve the health and well being of our community's traditionally under served and culturally diverse people. During the fiscal year, the Health Center saw 97,516 patients who produced 473,917 medical and dental visits in the current period. 0 0 0 151570945 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 153 0 1 1865 1 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Centro de Salud de la Comunidad de San Ysidro 6192056339 1601 Precision Park Lane San Diego CA 92173 Macario Gutierrez Board Chair 2 0 X 1580 0 0 Victor Nieto Vice Chair 2 0 X 0 0 0 Magdalena Peraza Board 2nd Vice Chair 2 0 X 0 0 0 Laura Andrews Board Secretary 2 0 X 0 0 0 Guillermo Gomez Board Treasurer 2 0 X 1050 0 0 Yolanda Santana Board Member 2 0 X 1550 0 0 Gloria Ramirez Board Member 2 0 X 1750 0 0 Kusay Arabo Board Member 2 0 X 0 0 0 Reynaldo Perez Board Member 1 0 X 0 0 0 Fred Dorsey Board Member 2 0 X 1800 0 0 Catalina Valencia Board Member 2 0 X 1350 0 0 Thomas Urtasun Board Member 2 0 X 1200 0 0 Mercedes Bernal Board Member 2 0 X 1750 0 0 Ruth Covell Board Member 2 0 X 1500 0 0 Margarita Navarro Board Member 2 0 X 1450 0 0 Kevin Mattson President and CEO 40 0 X 846427 0 26241 Maria Carriedo-Ceniceros CMO 40 0 X 461387 0 24499 Terry Whitaker COO 40 0 X 318482 0 6577 Hasmukh Sheth MD 40 0 X 323495 0 25312 Nicholas Whitley Medical Clinic Director 40 0 X 337639 0 17250 Oscar Rivera Director Satellite Dental Clinics 40 0 X 316671 0 22992 Jefferson Hendrix Medical Clinic Director 40 0 X 353128 0 2556 Sharon Velasquez Medical Director 40 0 X 297928 0 20313 Gilbert Fimbres CFO 40 0 X 0 0 0 3270137 0 145740 196 1 1 0 Kofi Sefa Boakye 53 Sand Piper Strand Coronado CA 92118 Medical Services 151667 Zachary Freere 273 Church Avenue Chula Vista CA 91910 Dental Services 241270 Latisa Carson 502 South Euclid Avenue National City CA 91950 Medical Services 172500 Bassam Sinno 825 Calle Santa Cruz Encinitas CA 92024 Medical Services 103389 Ralph Hernandez 4773 Sea Coral Drive San Diego CA 92154 Medical Services 236575 5 0 0 520325 0 18945496 2289297 0 21755118 Net patient service revenue 621400 148628019 148628019 0 0 Capitation services revenue 621400 14355709 14355709 0 0 11275733 11275733 0 0 174259461 133183 0 0 133183 0 0 0 0 0 0 0 0 33133 0 0 0 33133 0 33133 0 0 33133 0 0 0 4038108 4038108 0 0 4038108 200219003 178297569 0 166316 5251525 5251525 82813667 74556882 8160037 96748 6131033 5258731 864503 7799 15038338 12499484 2525838 13016 701918 381332 305911 14675 353103 353103 623879 623879 606747 157803 99522 349422 3663337 2332445 1323627 7265 2122747 1139188 983559 6306702 3567333 2738652 717 653787 393988 259523 276 653176 398930 254151 95 2027590 14212 2013378 5167611 2534182 2633429 708179 13898 694281 Suppllies 12693025 12692617 408 0 Professional fees 34729428 34409331 320097 0 Postage and shipping 146150 2836 143314 0 Equipment 1420399 743749 675958 692 1063948 474004 583601 6343 182876289 151570945 30808296 497048 15814357 14871209 2071094 16166084 2468253 2330024 10666542 13806300 340440 536526 995532 2499994 123428965 39788257 79522199 83640708 9816148 5215640 121694565 139066485 12725137 15700543 433804 49276985 52008450 2025231 4987090 1768460 69448247 69477453 X 52246318 69194937 0 394095 52246318 69589032 121694565 139066485 17342714 0 0 0 0 0 X 0 1 X 1 0 X 17467309 21489142 21084593 23072892 21755118 104869054 17467309 21489142 21084593 23072892 21755118 104869054 104869054 56897 85976 18272 9744 133183 304072 105173126 0.99711 0.99792 X 0 8089054 8089054 0 84524906 18600081 65924825 0 4214696 2342959 1871737 0 25744843 18845217 6899626 0 855466 0 855466 83640708 Estimated third party settlements 1768460 1768460 X 200219003 0 0 0 0 0 200219003 0 0 0 200219003 182876289 0 0 0 0 0 182876289 0 0 0 182876289 Schedule D, Part X, Line 2 San Ysidro Health, Inc. is a private not-for-profit corporation organized under the laws of the State of California. The Center has been determined to be exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code and Section 23701(d) of the State of California Revenue and Taxation Code by the IRS and Franchise Tax Board, respectively. Accordingly, no provision for income taxes is included in the accompanying financial statements. The Center has adopted the accounting guidance related to uncertain tax positions, and has evaluated its tax positions and believes that all of the positions taken by the Center in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. The Center's returns are subject to examination by federal and state taxing authorities generally for three years after they are filed. Annual Gala 724394 0 724394 0 0 140874 0 0 89020 Golf Tournament 76855 0 76855 0 0 32912 0 0 18118 0 801249 0 801249 0 0 173786 0 0 107138 280924 520325 X 0 0 0 0 0 0 0 0 0 Sharon Velasquez Medical Director 270606 0 0 0 27322 0 19000 0 1313 0 318241 0 0 0 Jefferson Hendrix Medical Clinic Director 259727 0 0 0 93401 0 0 0 2556 0 355684 0 0 0 Oscar Rivera Director Satellite Dental Clinics 288890 0 0 0 27781 0 22992 0 0 0 339663 0 0 0 Nicholas Whitley Medical Clinic Director 314029 0 0 0 23610 0 17250 0 0 0 354889 0 0 0 Hasmukh Sheth MD 297763 0 0 0 25732 0 25000 0 312 0 348807 0 0 0 Terry Whitaker COO 265501 0 0 0 52982 0 5700 0 877 0 325060 0 0 0 Maria Carriedo-Ceniceros CMO 388562 0 0 0 72824 0 24499 0 0 0 485885 0 0 0 Kevin Mattson President and CEO 667349 0 0 0 179078 0 24770 0 1471 0 872668 0 0 0 Form 990, Part VI, Section B, Line 11b The form 990 tax return is made available to all board members. Board members requesting a copy then review the return, and all questions or concerns are addressed by the SVP/CFO prior to filing. The return is reviewed in detail by the Controller and SVP/CFO prior to filing. Form 990, Part VI, Section B, Line 12c For the employees of the Organization, upon hiring and on an annual basis thereafter, HR distributes the Conflict of Interest(COI) Policy and Disclosure Statement to every Director or higher. The Executive Compliance Committee and/or the Board shall review and determine any financial interest, findings of COI are voted on by committee members and documented in the committee minutes. In addition, as part of the Corporate Compliance Department's annual audit plan monitoring for employee COI occurs during fourth quarter compliance checks. Form 990, Part VI, Section B, Line 15 The Organization hired a third party, independent management and professional services company which conducted a comprehensive market analysis of CEO's comparable revenue, FTE, geography etc and recommended the board of directors CEO pay range based on analysis. Form 990, Part VI, Section C, Line 19 Available upon request.