2020-04-30T15:28:30-07:00 2019-12-31 472251777 CHW LLP 7797 N First Street Suite 15 Fresno CA 93720 990 2019-01-01 952671433 Open Door Community Health Centers OPEN 7078268633 1275 8th Street Arcata CA 95521 James Bella CFO 7078268633 2020-04-30 1 Jeremy Ware P00642659 5595495400 2020-04-01 172.58.38.232 2019 2020-11-19 02:30:22Z James Bella 1275 8th Street Arcata CA 95521 85015714 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 2019, ODCHC served 60,219 unique individuals, providing 248,605 provider/patient/encounters. Of its patients, 17% are known to live at or below 100% FPL; 11% 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. 10 10 829 0 0 0 12226027 9644745 76404981 74100163 44389 32133 729991 1238673 89405388 85015714 0 0 0 0 48935371 51371141 0 0 0 30215108 31359117 79150479 82730258 10254909 2285456 59693081 66125398 28562135 32708996 31130946 33416402 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, 0 0 69148352 0 74100163 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 2019, ODCHC served 60,219 unique individuals, providing 248,605 provider/patient/encounters. Of its patients, 17% are known to live at or below 100% FPL; 11% 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 69148352 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 0 0 0 0 0 0 0 0 0 1 94 0 1 829 1 0 0 0 0 0 0 0 0 X 10 10 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 Alison Talbot Vice President 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 Jay Molofsky Board Member 1 0 X 0 0 0 Cheyenne Spetzler Interim CEO 40 0 X 426704 0 0 James A Bella CFO 40 0 X 245347 0 0 Willard Hunter Medical Director 40 0 X 335924 0 0 Carter Wright Dentist 40 0 X 299033 0 0 Julie Ohnemus Co Medical Director 40 0 X 278890 0 0 Marissa Kummerling Physician 40 0 X 271202 0 0 Kelvin Vu Co Medical Director 40 0 X 309944 0 0 2167044 0 0 34 0 1 0 Iris Telehealth Medical Group 114 W 7th Austin TX 78701 Professional Recruiting 172896 Barton Associates PO Box 417844 Boston MA 02241 Professional Recruiting 1870064 OCHIN Inc 707 SW Washington Street Suite 1200 Portland OR 97205 Software Support 1373653 Ron Lingard 3533 Tracy Court Eureka CA 95501 Contractor 148276 Above and Beyond Cleaning Services 1570 McCullen Avenue Eureka CA 95503 Janitorial 758431 7 0 0 0 0 8452496 1192249 0 9644745 Net patient service revenue 621400 46067709 46067709 0 0 28032454 28032454 0 0 74100163 32133 0 0 32133 0 0 0 0 0 0 0 0 0 0 0 0 0 1238673 1238673 0 0 1238673 85015714 75338836 0 32133 1596810 924759 672051 38781531 31094756 7686775 1623788 1281548 342240 6363422 4805766 1557656 3005590 2377585 628005 3074934 2967260 107674 69190 36785 32405 39596 29194 10402 6414451 6395363 19088 20336 10981 9355 476963 331810 145153 2185618 1633021 552597 3817696 2835190 982506 419922 214100 205822 858694 854005 4689 2709910 2568579 141331 365146 324905 40241 Supplies 9626425 9470886 155539 0 Postage and shipping 156688 136516 20172 0 Equipment 1081493 831668 249825 0 42055 23675 18380 82730258 69148352 13581906 0 1782829 2039172 12641012 13713470 6765236 5945365 7885626 9510576 711836 711345 529370 621353 54279571 20874390 29218239 33405181 158933 178936 59693081 66125398 5181955 11131217 414443 26342 20733273 20014583 2232464 1536854 28562135 32708996 X 31130946 32951344 0 465058 31130946 33416402 59693081 66125398 2285456 0 0 0 0 0 X 0 1 1 1 1 X 7632262 8968611 8988632 12226027 9644745 47460277 49202749 50665058 57911361 76404981 74100163 308284312 56835011 59633669 66899993 88631008 83744908 355744589 0 0 0 0 0 0 355744589 15412 16340 36295 44389 32133 144569 15412 16340 36295 44389 32133 144569 297500 574399 870079 729991 0 2471969 57147923 60224408 67806367 89405388 83777041 358361127 0.99270 0.99006 0.00040 0.00041 X Schedule A, Part III, Line 12 Other revenues 0 2715972 2715972 0 30806586 0 30806586 0 3181577 0 3181577 0 16807577 0 16807577 0 767859 20874390 -20106531 33405181 Estimated third party settlements 1536854 1536854 X 85015714 0 0 0 0 0 85015714 0 0 0 85015714 82730258 0 0 0 0 0 82730258 0 0 0 82730258 Schedule D, Part X, Line 2 Income Taxes: 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 0 0 0 0 0 0 0 0 0 Kelvin Vu Co Medical Director 309944 0 1000 0 0 0 0 0 0 0 310944 0 0 0 Marissa Kummerling Physician 271202 0 1000 0 0 0 0 0 0 0 272202 0 0 0 Carter Wright Dentist 299033 0 3222 0 0 0 0 0 0 0 302255 0 0 0 Willard Hunter Medical Director 335924 0 17401 0 0 0 0 0 0 0 353325 0 0 0 James A Bella CFO 245347 0 2996 0 0 0 0 0 0 0 248343 0 0 0 Cheyenne Spetzler Interim CEO 426704 0 1000 0 0 0 0 0 0 0 427704 0 0 0 Julie Ohnemus Co Medical Director 378890 0 1000 0 0 0 0 0 0 0 379890 0 0 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.