2021-04-27T18:11:06-07:00 2020-06-30 472251777 CHW LLP 7797 N First Street Suite 15 Fresno CA 93720 990 2019-07-01 237255435 Bay Area Community Health BAYA 5107708133 40910 Fremont Blvd Fremont CA 94538 Zettie Page CEO 5595495400 2021-02-22 0 Jeremy Ware P00642659 5595495400 2021-02-01 2019 2022-09-23 18:48:47Z Bay Area Community Health 40910 Fremont Blvd Fremont CA 94538 47644100 0 X www.bach.health X 1970 CA TRI-CITY IS A FISCALLY RESPONSIBLE NON-PROFIT HEALTH CENTER PROVIDING A DIVERSE SPECTRUM OF EDUCATION, HEALTHCARE AND SOCIAL SERVICES. WE ARE A FREE STANDING COMMUNITY HEALTH CENTER AND MEMBER OF A KEY SERVICE PROVIDER NETWORK WHO SERVE EVERYONE WITHOUT REGARD TO FINANCIAL POSITION, ETHNICITY, LANGUAGE, CULTURE, SEXUAL ORIENTATION OR ANY OTHER CRITERION. WITH A COMMITMENT TO SERVE IN A CARING, NURTURING ATMOSPHERE, WE STRIVE TO PROMOTE OPTIMAL HEALTH, ELIMINATE PREVENTABLE DISEASES, AND IMPROVE THE QUALITY OF LIFE FOR EVERY INDIVIDUAL AND FAMILY IN OUR SOUTH, EASTERN AND CENTRAL ALAMEDA COUNTY COMMUNITY. 11 11 871 0 0 0 11496419 21511155 27406448 26091991 63367 40954 2189216 0 41155450 47644100 0 0 0 0 23237074 28758919 187969 0 609715 17526292 19173199 40951335 47932118 204115 -288018 35065089 68628583 18136826 51988338 16928263 16640245 BAY AREA COMMUNITY HEALTH IS A FISCALLY RESPONSIBLE NON-PROFIT HEALTH CENTER PROVIDING A DIVERSE SPECTRUM OF EDUCATION, HEALTHCARE AND SOCIAL SERVICES. 0 0 37998639 0 26091991 TRI-CITY IS A FISCALLY RESPONSIBLE NON-PROFIT HEALTH CENTER PROVIDING A DIVERSE SPECTRUM OF EDUCATION, HEALTHCARE AND SOCIAL SERVICES. WE ARE A FREE STANDING COMMUNITY HEALTH CENTER AND MEMBER OF A KEY SERVICE PROVIDER NETWORK WHO SERVE EVERYONE WITHOUT REGARD TO FINANCIAL POSITION, ETHNICITY, LANGUAGE, CULTURE, SEXUAL ORIENTATION OR ANY OTHER CRITERION. WITH A COMMITMENT TO SERVE IN A CARING, NURTURING ATMOSPHERE, WE STRIVE TO PROMOTE OPTIMAL HEALTH, ELIMINATE PREVENTABLE DISEASES, AND IMPROVE THE QUALITY OF LIFE FOR EVERY INDIVIDUAL AND FAMILY IN OUR SOUTH, EASTERN AND CENTRAL ALAMEDA COUNTY COMMUNITY. FOR CALENDAR YEAR 2020, BACH SERVED 75,964 PATIENTS WITH A TOTAL OF 384,924. 0 0 0 37998639 1 1 0 0 0 0 0 0 0 0 1 0 0 1 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 1 154 0 1 871 1 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Bay Area Community Health 5102526810 40910 Fremont Blvd Fremont CA 94538 Victor Salazar Medical Director 40 0 X 384800 0 5324 Catherine Song Physician 40 0 X 327600 0 3062 Zettie Page CEO 40 0 X 300300 0 19954 Harsha Ramchandani CMO 40 0 X 300000 0 13248 Umme Khuddus Clinic Director 40 0 X 297378 0 6674 Kevin Herrick Physician 40 0 X 294382 0 0 Jagat Sheth CFO 40 0 X 206405 0 0 Robert Wyckoff Board Chair 1 0 X 0 0 0 Kobin Lee Board Member 1 0 X 0 0 0 Jackie Belser Welch Board Member 1 0 X 0 0 0 David Perez Board Member 1 0 X 0 0 0 Brenda Quillin Board Member 1 0 X 0 0 0 Steve Zhu Board Member 1 0 X 0 0 0 Najia Hamid Board Member 1 0 X 0 0 0 Joseph Davalos Board Member 1 0 X 0 0 0 Elaine Nagel Board Member 1 0 X 0 0 0 Marvin Wong Board Member 1 0 X 0 0 0 Stephanie Reddell Board Member 1 0 X 0 0 0 2110865 0 48262 117 0 1 0 Provider HealthCare 2455 E Parleys Way Salt Lake UT 84109 Contracted Providers 620130 M Barakzoy DDS Inc 38056 Martha Avenue Fremont CA 94536 Dental Contractor 2228180 Greg Facktor 316 N Rossmore Avenue Los Angeles CA 94004 Consultants 1277539 Horizon Consulting Group 10311 Exsham Drive Bakersfield CA 93311 Consultants 344099 Kronick Moskovitz and Tiedemann 400 Capital Mall Sacramento CA 95814 Legal 341133 9 0 0 0 0 17204219 4306936 0 21511155 Net patient service revenue 621400 24478570 24478570 0 0 1613421 1613421 0 0 26091991 40954 0 0 40954 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47644100 26091991 0 40954 X 28758919 23048898 5389050 320971 9309532 8450042 619581 239909 3122257 2922957 193729 5571 2119588 1498560 621028 323131 286749 35150 1232 842313 27786 814527 1375896 1206546 169350 179580 162876 16704 1900902 394225 1464645 42032 47932118 37998639 9323764 609715 4243216 11768219 2794091 1217519 3215814 5215451 160212 269274 285885 589494 37744666 10470170 22939570 27274496 1426301 22294130 35065089 68628583 3049841 7922950 367532 4946929 13067640 33485111 1651813 200000 0 5433348 18136826 51988338 X 16928263 16640245 0 0 16928263 16640245 35065089 68628583 -288018 0 0 0 0 0 X 0 1 X 1 1 1 X 9457370 9591758 10969328 11413911 21552109 62984476 9457370 9591758 10969328 11413911 21552109 62984476 62984476 2863 5710 14546 63367 86486 0 0 63070962 0.99863 0.99822 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 4353191 4353191 0 27316581 0 27316581 0 0 0 0 0 5052083 0 5052083 0 1022811 10470170 -9447359 27274496 Net goodwill 20081928 Estimated third party settlements 2212202 22294130 Estimated third party payor settlements 5433348 5433348 X 47644100 0 0 0 0 0 47644100 0 0 0 47644100 47932118 0 0 0 0 0 47932118 0 0 0 47932118 Schedule D, Part X, Line 2 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 Sec 23701(d). The Center files a United States federal tax return and a California state tax return and has determined that its major tax jurisdictions are the United States and California. The Center's returns are subject to examination by federal and state taxing authorities generally for three years after they are filed. X 0 0 0 0 0 0 0 0 0 Victor Salazar Medical Director 384800 0 12500 0 0 0 0 0 5324 0 402624 0 0 0 Catherine Song Physician 327600 0 0 0 0 0 0 0 3062 0 330662 0 0 0 Zettie Page CEO 300300 0 25000 0 0 0 0 0 0 0 325300 0 0 0 Harsha Ramchandani CMO 300000 0 31250 0 0 0 0 0 0 0 331250 0 0 0 Umme Khuddus Clinic Director 297378 0 0 0 0 0 0 0 6674 0 304052 0 0 0 Kevin Herrick Physician 294382 0 0 0 0 0 0 0 0 0 294382 0 0 0 Form 990, Part VI, Section B, Line 11b - Form 990 is reviewed by the audit committee, as delegated by the board of directors, before it is filed. The Form 990 is made available to the full board of directors prior to filing. Form 990, Part VI, Section B, Line 12c The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy. All employees sign a conflict of interest questionnaire when hired. Form 990, Part VI, Section B, Line 15 Pay grades are established through independent entities, market research, and employment agencies. Form 990, Part VI, Section C, Line 19 Available upon request. Form 990, Part IX, Line 11g Professional and purchased services.