2021-01-28T17:40:11-07:00 2020-06-30 472251777 CHW LLP 7797 N First Street Suite 15 Fresno CA 93720 990 2019-07-01 952815615 VISTA COMMUNITY CLINIC VIST 7606315000 1000 Vale Terrace Vista CA 92084 Fernando Sanudo CEO 7606315000 2020-12-31 1 Jeremy Ware P00642659 5595495400 2020-12-01 2019 2022-09-23 18:48:47Z Fernando Sanudo 1000 Vale Terrace Vista CA 92084 69090344 0 X X 1972 CA The mission of Vista Community Clinic is to advance community health and hope by providing access to premier health services and education for those who need it most. 12 12 883 47 0 0 12937116 15337613 51450518 50888772 255003 290498 2224394 2573461 66867031 69090344 0 0 0 0 44157278 46453518 0 0 287532 20321123 20392790 64478401 66846308 2388630 2244036 61722669 65167073 8838091 10038459 52884578 55128614 The mission of Vista Community Clinic is to advance community health and hope by providing access to premier health services and education for those who need it most. 0 0 59088819 0 50888772 Vista Community Clinic provided health care and health education services to over 70,000 patients with 265,000 patient encounters during the fiscal year. 0 0 0 59088819 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 56 0 1 883 1 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Michele Lambert 7606315000 1000 Vale Terrace Vista CA 92084 Fernando Sanudo CEO 40 0 X 493800 0 12142 Clint Ketchel Physician 40 0 X 364064 0 10924 Kelly Motadel Chief Medical Officer 40 0 X 349910 0 11573 Cibu Panicker Physician 40 0 X 340996 0 6660 Tina Dhillon-Ashley Physician 40 0 X 334122 0 8049 William Bennett Psychiatrist 40 0 X 305590 0 11224 Melissa Hawkins Physician 40 0 X 288215 0 10474 Michele Lambert CFO 40 0 X 287608 0 11004 Kwan Lee Board President 1 0 X 0 0 0 Frieda Brands Board Vice President 1 0 X 0 0 0 Michael Hire Board Treasurer 1 0 X 0 0 0 Monica Nava Board Secretary 1 0 X 0 0 0 Angela Perez Board Member 1 0 X 0 0 0 Jose Aponte Board Member 1 0 X 0 0 0 Dionicia Dzwigalski Board Member 1 0 X 0 0 0 Raye Clendening Board Member 1 0 X 0 0 0 James Hagar Board Member 1 0 X 0 0 0 Antonio Mora Board Member 1 0 X 0 0 0 Mark Phillipi Board Member 1 0 X 0 0 0 Joseph Troya Board Member 1 0 X 0 0 0 2764305 0 82050 83 0 1 0 Sandra Lopez 1000 Vale Terrace Vista CA 92084 Physician 202268 North County Specialists 3455 Ridgecrest Drive Carlsbad CA 92008 Physician 216000 Broadwell Health 6215 Ferris Square San Diego CA 92121 Psychiatrist 474975 3 0 0 148952 0 12953424 2235237 174116 15337613 Net patient service revenue 621400 42858263 42858263 0 0 8030509 8030509 0 0 50888772 290498 0 0 290498 0 0 0 0 0 0 0 0 0 0 0 0 0 2573461 2573461 0 0 2573461 69090344 53462233 0 290498 1229394 313321 916073 37333722 33875066 3265251 193405 747295 637047 109888 360 4356860 3819741 500549 36570 2786247 2463129 308872 14246 76290 76290 50760 50760 44345 44345 1232036 913393 318643 527 527 1186930 875341 311569 20 1266709 790051 476644 14 2541804 2390552 148872 2380 253728 217468 36260 95845 50229 45616 84256 84256 1920139 1763418 152955 3766 315398 203138 112127 133 Supplies 4902291 4889376 12915 0 Professional Fees 4571676 4571676 0 0 1850056 1315346 498072 36638 66846308 59088819 7469957 287532 4168396 9384628 13797444 11967601 1731954 1857410 4266268 3753559 200000 200000 10846 7653 636004 984987 48513771 15370590 33837731 33143181 39800 19900 3034226 3848154 61722669 65167073 5234849 6733635 418976 733640 3184266 2571184 0 0 8838091 10038459 X 52760559 54261792 124019 866822 52884578 55128614 61722669 65167073 2244036 0 0 0 0 0 X 0 1 X 1 1 1 X 13667414 17932058 11746198 12937116 15337613 71620399 13667414 17932058 11746198 12937116 15337613 71620399 71620399 215648 225113 232488 255003 290498 1218750 57670 0 0 57670 72896819 0.98249 0.98203 X Schedule A, Part II, Line 10 Other revenues. 201666 0 6050 0 0 0 207716 193890 0 7776 0 0 0 201666 183386 0 10504 0 0 0 193890 166366 0 17020 0 0 0 183386 166587 0 -221 0 0 0 166366 1 0 0 0 0 0 4004277 4004277 0 35171177 9880594 25290583 0 3377202 2224315 1152887 0 5098278 3265681 1832597 0 862837 0 862837 33143181 Estimated third party receivables 3848154 3848154 0 X 69090344 0 0 0 0 0 69090344 0 0 0 69090344 66846308 0 0 0 0 0 66846308 0 0 0 66846308 Schedule D, Part V, Line 4 Support mission of organization. Schedule D, Part X, Line 2 Vista Community Clinic is a private not-for-profit corporation organized under the laws of the State of California. VCC has been determined to be exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code and Section 23701d of the State of California Revenue and Taxation Code by the IRS and Franchise Tax Board, respectively. VCC's returns are subject to examination by federal and state taxing authorities generally for three years after they are filed. Holiday Home Tour 24067 0 24067 0 0 0 0 0 13576 Gala 164617 0 164617 0 0 0 0 0 26156 0 188684 0 188684 0 0 0 0 0 39732 39732 148952 X 0 0 0 0 0 0 0 0 0 Fernando Sanudo CEO 481800 0 0 0 12000 0 0 0 12142 0 505942 0 0 0 Clint Ketchel Physician 364064 0 0 0 0 0 0 0 10924 0 374988 0 0 0 Kelly Motadel Chief Medical Officer 349910 0 0 0 0 0 0 0 11573 0 361483 0 0 0 Cibu Panicker Physician 340996 0 0 0 0 0 0 0 6660 0 347656 0 0 0 Tina Dhillon-Ashley Physician 334122 0 0 0 0 0 0 0 8049 0 342171 0 0 0 William Bennett Psychiatrist 305590 0 0 0 0 0 0 0 11224 0 316814 0 0 0 Melissa Hawkins Physician 288215 0 0 0 0 0 0 0 10474 0 298689 0 0 0 Michele Lambert CFO 287608 0 0 0 0 0 0 0 11004 0 298612 0 0 0 X 1 155000 FMV 0 0 1 0 Form 990, Part VI, Section B, Line 11b The Form 990 is reviewed by senior management and provided to the Board of Directors for review, prior to filing. Form 990, Part VI, Section B, Line 12c Board Members are required to disclose Conflicts of Interest each year; policy is enforced by VCC's Compliance department, headed by Dorothy Lujan, Chief Compliance Officer. Additionally, new Board Members are asked to disclose as part of their onboarding process. Form 990, Part VI, Section B, Line 15 Salary information compiled by CHRO using external sources (relevant labor market data and regional community clinic data, etc.) Meeting of Comp Committee held to review formal structured performance appraisal. Suggested salary, goals/objectives brought to full BOD for approval and vote, all of which is recorded in BOD meeting minutes. Comp Committee meeting held mid-year to review goals/objectives. Form 990, Part VI, Section C, Line 19 Available upon request.