2021-10-20T14:14:41-05:00 2020-12-31 330700332 VASQUEZ & CO LLP 655 N CENTRAL AVE STE 1550 GLENDALE CA 91203 990 2020-01-01 237120632 NORTHEAST VALLEY HEALTH CORPORATION NORT 8188981388 1172 NORTH MACLAY AVENUE SAN FERNANDO CA 91340 PATRICIA MORAGA CFO 8188981388 2021-08-03 1 PATRICIA MORAGA 888008888 LYNN D BOSTER P00440365 2138731700 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z PATRICIA MORAGA 1172 NORTH MACLAY AVENUE SAN FERNANDO CA 91340 107422359 0 X WWW.NEVHC.ORG X 1971 CA TO PROVIDE MEDICAL SERVICES PRIMARILY TO THE INDIGENT AND UNDER SERVED OF LOS ANGELES COUNTY. 16 16 1064 4 0 0 38172381 42576921 66151215 64389333 186152 98828 186538 318534 104696286 107383616 3419155 3689512 0 0 76375608 75891459 0 0 145190 25087342 25018570 104882105 104599541 -185819 2784075 38804268 39536265 18246495 16194417 20557773 23341848 X SEE SCHEDULE O 0 0 94477955 3689512 SEE SCHEDULE O 94477955 1 1 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 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 46 0 1 1064 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X PATRICIA MORAGA 8188981388 1172 NORTH MACLAY AVENUE SAN FERNANDO CA 91340 STELLA MENDOZA CHAIRPERSON, DIRECTOR 1.00 X X 0 0 0 KURT CABRERA-MILLER VICE CHAIRPERSON, DIRECTOR 1.00 X X 0 0 0 MARK STOKES SECRETARY, DIRECTOR 1.00 X X 0 0 0 JUAN F VARGAS MD TREASURER, DIRECTOR 1.00 X X 0 0 0 MARIA ANGIE PACHECO DIRECTOR 1.00 X 0 0 0 RICHARD GALVAN DIRECTOR 1.00 X 0 0 0 MEGAN SIMON DIRECTOR 1.00 X 0 0 0 PAUL CHUNG MD DIRECTOR 1.00 X 0 0 0 SHANNON LUND DIRECTOR 1.00 X 0 0 0 MELISSA SCHMIDT DIRECTOR 1.00 X 0 0 0 DR MICHAEL R COUSINEAU DRPH DIRECTOR 1.00 X 0 0 0 SONIA MARISCAL-NAVARRO DIRECTOR 1.00 X 0 0 0 CITTLALY VASQUEZ DIRECTOR 1.00 X 0 0 0 DARLENE BRAGG DIRECTOR 1.00 X 0 0 0 DIANE J MOREY DIRECTOR 1.00 X 0 0 0 CYNTHIA GUERRERO DIRECTOR 1.00 X 0 0 0 KIMBERLY KENT WYARD CEO 40.00 X 294534 0 45354 CHRISTINE LIM-FUN CHAN PARK CMO 40.00 X 359367 0 39037 PATRICIA MORAGA CFO 40.00 X 243767 0 45706 THERESA NITESCU COO 40.00 X 232986 0 37101 ZEINA HIJAZI PHYSICIAN 40.00 X 287268 0 38978 JESSE DAVID SANDERS JR PHYSICIAN 40.00 X 264405 0 39855 BORZOUYEH POURSHARIF PHYSICIAN 40.00 X 336329 0 46800 ALICE AYE-AYE LWIN PHYSICIAN 40.00 X 235775 0 34659 GINA MARIE JOHNSON PHYSICIAN 40.00 X 254243 0 37263 JOSE LUIS TREJO MANUBES HR DIRECTOR 40.00 X 168521 0 32943 PAUL R SMITH CONTROLLER 40.00 X 141668 0 37546 2818863 0 435242 129 0 1 0 TPX COMMUNICATION CO VERIZON PO BOX 509013 SAN DIEGO CA 92150 NETWORK SERVICES 695038 PRIMEX CLINICAL LAB 16742 STAGG ST VAN NUYS CA 91406 LAB SERVICES 536193 NEXTGEN HEALTHCARE INC PO BOX 511449 LOS ANGELES CA 90051 ONLINE IT SERVICE 524545 ACCESS CONTROL SECURITY INC PO BOX 3791 CHATSWORTH CA 91313 SECURITY SERVICE 403538 AUTOMATIC DATA PROCESSING INC PO BOX 31001-1874 PASADENA CA 91110 PAYROLL PROCESSING 308893 10 33613705 8963216 5737332 42576921 MANAGED CARE 624100 48150535 48150535 NET PATIENT REVENUE 624100 16238798 16238798 64389333 98828 98828 38168 38743 -575 -575 HI-TECH INCENTIVES 900099 229500 229500 OTHER INCOME 900099 89609 89609 319109 107383616 64708442 0 98253 3689512 3689512 1440843 29452 1411391 57711072 53951639 3686804 72629 16739544 15406984 1314132 18428 3444164 2242416 1198448 3300 5656371 4902897 753074 400 104044 104044 1014656 732496 282160 470316 278271 192045 DONATED PHARMACEUTICALS 5780463 5780463 SUPPLIES 4775850 4721560 52967 1323 EQUIPMENT MAINTENANCE & 1746205 1114585 631620 TELEPHONE 1015662 915847 99815 1010839 711833 249896 49110 104599541 94477955 9976396 145190 4732837 8048714 7349945 6100000 5208569 4681668 10987017 10743674 1472368 1524125 228645 186863 22516748 14625509 8479712 7891239 345175 359982 38804268 39536265 10474478 10244041 2409747 864716 2862270 4585660 2500000 500000 18246495 16194417 X 19982005 22589073 575768 752775 20557773 23341848 38804268 39536265 2784075 0 X 0 1 X 1 1 1 X 34667968 34764037 34746630 38172381 42576921 184927937 645260 645260 677193 647823 616235 3231771 35313228 35409297 35423823 38820204 43193156 188159708 188159708 2669 42047 160132 186152 98828 489828 757147 662764 760799 186538 318534 2685782 191335318 306262080 0.98340 0.98100 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 253187 253187 6542869 3093546 3449323 6328469 3628382 2700087 9328795 7903581 1425214 63428 63428 7891239 LINE OF CREDIT 500000 500000 X 107999851 616235 616235 107383616 0 107383616 105215776 616235 616235 104599541 0 104599541 PART X, LINE 2: NEVHC RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION, THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2020 OR 2019. I SUPPORT U 38168 38168 38743 38168 38168 38743 38743 -575 1 CHILDREN HOSPITAL LOS ANGELES 4650 SUNSET BLVD MAIL STOP 84 LOS ANGELES CA 90027 951690977 501(C)(3) 434205 BOOK HOMELESS HEALTH CARE CLINICA MSR ALVARADO 123 S ALVARADO ST LOS ANGELES CA 90057 953881333 501(C)(3) 348123 BOOK HOMELESS HEALTH CARE COMMUNITY HEALTH ALLIANCE OF PASADENA 1855 N FAIROAKS AVE STE 200 PASADENA CA 91103 954536824 501(C)(3) 102107 BOOK HOMELESS HEALTH CARE EAST VALLEY 420 SOUTH GLENDORA AVE WEST COVINA CA 91790 937068586 501(C)(3) 154595 BOOK HOMELESS HEALTH CARE HMLS HEALTHCARE OF LOS ANGELES 2330 BEVERLY BLVD LOS ANGELES CA 90057 954074970 501(C)(3) 252757 BOOK HOMELESS HEALTH CARE JWCH INSTITUTE INC(LA REGION) 5650 JILLSON STREET COMMERCE CA 90026 952289916 501(C)(3) 353496 BOOK HOMELESS HEALTH CARE JWCH INSTITUTE INC (AV REGION 45104 10TH STREET WEST LANCASTER CA 93534 260574826 501(C)(3) 236874 BOOK HOMELESS HEALTH CARE SABAN FREE CLINIC 8405 BEVERLY BLVD LOS ANGELES CA 90048 952539105 501(C)(3) 199493 BOOK HOMELESS HEALTH CARE THE CHILDREN'S CLINIC 2801 ATLANTIC AVE LOS ANGELES CA 90806 951643332 501(C)(3) 320923 BOOK HOMELESS HEALTH CARE USC SCHOOL OF DENTISTRY 1149 S HILL ST STE H550 LOS ANGELES CA 90015 951642394 501(C)(3) 428363 BOOK HOMELESS HEALTH CARE VENICE FAMILY CLINIC 604 ROSE AVENUE VENICE CA 90291 952769432 501(C)(3) 725658 BOOK HOMELESS HEALTH CARE EISNER HEALTH 1530 S OLIVE STREET LOS ANGELES CA 90015 951690966 501(C)(3) 72917 BOOK HOMELESS HEALTH CARE PART I, LINE 2: THE COOPERATIVE HEALTH CARE FOR THE HOMELESS NETWORK (CHCHN) ADMINISTRATOR ENSURES COMPLIANCE WITH THE CHCHN CONTRACT AND FEDERAL REQUIREMENTS RELATED TO THE HEALTH CARE FOR THE HOMELESS (HCH) PROGRAM. ALL SUB-RECIPIENTS RECEIVING HCH FUNDS ARE REQUIRED TO SUBMIT DOCUMENTS TO DEMONSTRATE PROPER USAGE OF FUNDS AND SATISFACTORY PROVISION OF HOMELESS HEALTH CARE SERVICES. THE CHCHN ADMINISTRATOR REVIEWS ALL SUB-RECIPIENT SUBMISSIONS, INCLUDING, BUT NOT LIMITED TO, PERIODIC QUALITY IMPROVEMENT AND UTILIZATION REPORTS, INVOICES AND BUDGETS. SUB-RECIPIENTS ARE REQUIRED TO ATTEND PERIODIC MEETINGS/TRAININGS AND PROVIDE ANNUAL FINANCIAL AUDITS WHICH WAS REVIEWED BY ACCOUNTING AND APPROVED BY THE CFO, AND PROOF OF PROFESSIONAL LIABILITY/MEDICAL MALPRACTICE INSURANCE CERTIFICATES. SUB-RECIPIENT'S ELIGIBILITY OF CONTINUED HCH FUNDS IS PREDICATED ON THE SUB-RECIPIENT'S SATISFACTORY PERFORMANCE AND COMPLIANCE WITH ALL CHCHN AND FEDERAL REQUIREMENTS. ALL HCH FUNDS ARE UTILIZED FOR THE SOLE PURPOSE OF PROVIDING COMPREHENSIVE HOMELESS HEALTH CARE SERVICES (I.E., STAFF SALARIES AND HCH-RELATED EXPENDITURES). TECHNICAL ASSISTANCE IS PROVIDED WHEN NECESSARY. X X X X X X 0 0 0 0 0 0 0 1 0 KIMBERLY KENT WYARD CEO 294534 0 0 0 0 0 16199 0 29155 0 339888 0 0 0 CHRISTINE LIM-FUN CHAN PARK CMO 353293 0 0 0 6074 0 19449 0 19588 0 398404 0 0 0 PATRICIA MORAGA CFO 243767 0 0 0 0 0 13407 0 32299 0 289473 0 0 0 THERESA NITESCU COO 232986 0 0 0 0 0 12814 0 24287 0 270087 0 0 0 ZEINA HIJAZI PHYSICIAN 287268 0 0 0 0 0 15800 0 23178 0 326246 0 0 0 JESSE DAVID SANDERS JR PHYSICIAN 264405 0 0 0 0 0 14542 0 25313 0 304260 0 0 0 BORZOUYEH POURSHARIF PHYSICIAN 336329 0 0 0 0 0 18498 0 28302 0 383129 0 0 0 ALICE AYE-AYE LWIN PHYSICIAN 235775 0 0 0 0 0 12968 0 21691 0 270434 0 0 0 GINA MARIE JOHNSON PHYSICIAN 248821 0 0 0 5422 0 13557 0 23706 0 291506 0 0 0 JOSE LUIS TREJO MANUBES HR DIRECTOR 168521 0 0 0 0 0 9269 0 23674 0 201464 0 0 0 PAUL R SMITH CONTROLLER 141668 0 0 0 0 0 7792 0 29754 0 179214 0 0 0 PART I, LINE 7 THE ORGANIZATION HAS A MEDICAL PROVIDER INCENTIVE PLAN IN PLACE WHICH WAS APPROVED BY THE BOARD. THE INCENTIVES ARE BASED ON THE PROVIDERS PRODUCTIVITY, THE PROVIDERS MUST EXCEED SPECIFIED THRESHOLDS BEFORE GETTING PAID. DUE TO THE PANDEMIC THE ORGANIZATION DID NOT PAY INCENTIVES TO PROVIDERS DURING THE YEAR. X 5737332 CURRENT PRICE RATES 0 1 0 FORM 990 PART III LINE 1 THE MISSION OF NORTHEAST VALLEY HEALTH CORPORATION IS TO PROVIDE COMPREHENSIVE, HIGH QUALITY AND SAFE HEALTH CARE SERVICES TO THE RESIDENTS OF LOS ANGELES COUNTY, PARTICULARLY IN THE SAN FERNANDO AND SANTA CLARITA VALLEYS WITH SPECIAL CONCERN FOR MEDICALLY UNDER-SERVED AND LOW INCOME POPULATIONS. SERVICES ARE DELIVERED IN A MANNER THAT IS SENSITIVE TO THE ECONOMIC, CULTURAL AND SOCIAL NEEDS OF THE COMMUNITY. NORTHEAST VALLEY HEALTH CORPORATION PROVIDES ADVOCACY FOR HEALTH SERVICES, LEADERSHIP IN THE AREAS OF HEALTH CARE DELIVERY AND HEALTH PROFESSIONAL TRAINING, RESEARCH AND HEALTH EDUCATION AND PURSUES DYNAMIC HEALTH CARE PROGRAMS TO MEET THE NEEDS OF THE COMMUNITY. FORM 990 PART III LINE 4A NORTHEAST VALLEY HEALTH CORPORATION (NEVHC) IS A FEDERALLY FUNDED COMMUNITY HEALTH CENTER SERVING LOW INCOME AND MEDICALLY UNDERSERVED RESIDENTS OF LOS ANGELES COUNTY. NEVHC OPERATES 10 LICENSED COMMUNITY CLINICS, 11 WOMEN, INFANT, AND CHILDREN (WIC) PROGRAM CLINICS AND SUBSTANCE ABUSE PROGRAMS THROUGHOUT SAN FERNANDO AND SANTA CLARITA VALLEYS. NEVHC EMPLOYS OVER 1,000 STAFF INCLUDING LICENSED INDEPENDENT PRACTITIONERS SUCH AS PHYSICIANS, DENTISTS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, LICENSED CLINICAL SOCIAL WORKERS AND PSYCHOLOGISTS, IN ADDITION TO MANY OTHER HEALTH PROFESSIONALS AND SUPPORT STAFF, TO CARRY OUT ITS WORK AS A SAFETY-NET PROVIDER. IN 2020, NEVHC CLINICS PROVIDED OVER 322,416 MEDICAL, DENTAL AND BEHAVIORAL HEALTH VISITS TO 89,571 RESIDENTS OF THE SAN FERNANDO AND SANTA CLARITA VALLEYS. 74% OF NEVHC'S PATIENTS LIVE BELOW 100% OF THE FEDERAL POVERTY LEVEL AND 97% LIVE BELOW 200% OF THE FEDERAL POVERTY LEVEL. AT NEVHC, LOW INCOME PATIENTS PAY FOR THEIR SERVICES BASED ON ABILITY TO PAY GUIDELINES. NEVHC HEALTH CENTERS RANGE FROM LARGE MULTI SERVICE PRIMARY CARE SITES TO SMALLER HEALTH CENTERS PROVIDING FOR THE NEEDS OF SPECIAL POPULATIONS SUCH AS STUDENTS AT HIGH RISK SCHOOLS, THE HOMELESS, AND MEN AND WOMEN WHO ARE HIV+ AND WIC. WIC -NEVHC BECAME THE LOCAL AGENCY FOR THE WOMEN, INFANT AND CHILDREN'S PROGRAM IN 1986. NEVHC WIC CLINICS CURRENTLY HAVE A CASELOAD OF 37,950 PARTICIPANTS WHICH INCLUDE PREGNANT AND BREASTFEEDING WOMEN, AND THEIR INFANTS AND CHILDREN UP TO THE AGE OF 5, IN ADDITION TO PROVIDING NUTRITIONAL COUNSELING. WIC IS A CRITICAL FOOD SECURITY PROGRAM THAT PROVIDES VOUCHERS THAT CAN BE USED AT LOCAL MARKETS TO BUY HEALTHY FOODS SUCH AS MILK, CHEESE, WHOLE GRAINS AND FRESH FRUITS AND VEGETABLES. WIC IS ALSO A STRONG ADVOCATE FOR BREAST FEEDING, AND UTILIZES CERTIFIED LACTATION CONSULTANTS AND PEER COUNSELORS TO SUPPORT MOTHERS WHO ARE BREASTFEEDING. COURT STATE DUI-NEVHC CURRENTLY OPERATES A DRIVING UNDER THE INFLUENCE (DUI) PROGRAM. THE DUI PROGRAM OFFERS 6 WEEK, 3 MONTH, 6 MONTH AND 18 MONTH PROGRAMS OF INDIVIDUAL AND GROUP EDUCATION IN ENGLISH AND SPANISH TO INDIVIDUALS REFERRED BY COURTS TO COMPLETE THEIR DUI SENTENCE. COOPERATIVE HEALTH CARE FOR THE HOMELESS NETWORK (CHCHN), IN ADDITION TO PROVIDING SERVICES TO THE HOMELESS IN THE SAN FERNANDO AND SANTA CLARITA VALLEYS, NEVHC SERVES AS THE LEAD AGENCY FOR A COALITION OF AGENCIES THROUGHOUT LOS ANGELES COUNTY PROVIDING HEALTH CARE SERVICES TO OVER 16,521 HOMELESS MEN, WOMEN AND CHILDREN ANNUALLY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED AND REVISED AS NECESSARY BY THE MANAGEMENT STAFF AND CORPORATE LEGAL COUNSEL, AND ANY CHANGES CONSIDERED NECESSARY ARE INCORPORATED. THE FORM 990, ALONG WITH MANAGEMENT'S RECOMMENDATION FOR APPROVAL, IS THEN PRESENTED TO THE BOARD OF DIRECTORS AUDIT COMMITTEE. THE AUDIT COMMITTEE REVIEWS THE FORM AND IF THEY APPROVE, THE COMMITTEE RECOMMENDS APPROVAL TO THE FULL BOARD. ANY CHANGES REQUIRED BY THE AUDIT COMMITTEE ARE INCORPORATED INTO THE FORM BEFORE IT IS PRESENTED TO THE BOARD. THE BOARD IS FURNISHED WITH A COPY OF THE FORM 990, WITH THE RECOMMENDATION OF THE AUDIT COMMITTEE. THE BOARD GENERALLY ACCEPTS THE AUDIT COMMITTE'S RECOMMENDATION. AFTER BOARD ACCEPTANCE, THE FORM IS SIGNED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY VIA ITS ANNUAL MANDATORY "CODE OF CONDUCT" POLICY TRAINING. THE ANNUAL TRAINING CONSISTS OF A LIVE PRESENTATION WHICH REVIEWS THE POLICY. IN ADDITION ALL KEY EMPLOYEES, OFFICERS AND DIRECTORS ARE REQUIRED TO DISCLOSE ANNUALLY ALL BUSINESS AND FAMILY RELATIONSHIPS WHICH MIGHT POTENTIALLY CREATE A CONFLICT OF INTEREST. THIS IS DONE BY THE COMPLETION OF A DISCLOSURE FORM ON WHICH ANY SUCH INTEREST MUST BE DESCRIBED. THE FORM IS COMPLETED AND SIGNED ON AN ANNUAL BASIS. IF A CONFLICT ARISES, THE PERSON WITH THE CONFLICT IS NOT ALLOWED TO PARTICIPATE IN THE DISCUSSION OR TO VOTE ON THE TRANSACTION. THERE HAVE BEEN NO INCIDENCES OF CONFLICT DURING THE REPORTING YEAR. FORM 990, PART VI, SECTION B, LINE 15 EVERY TWO TO THREE YEARS, THE ORGANIZATION HIRES A COMPENSATION CONSULTANT TO CONDUCT A SALARY SURVEY, WHICH GENERALLY CONSISTS OF A REVIEW OF OTHER LIKE ORGANIZATIONS WITHIN THE MARKET". THE SURVEY REPORT INCLUDES THE CONSULTANT'S RECOMMENDATIONS. THE RECOMMENDATIONS ARE PRESENTED TO THE BOARD FOR REVIEW. THIS REPORT IS THEN USED AS THE BASIS FOR SETTING SALARY RANGES FOR EXEMPT STAFF POSITIONS. IN ADDITION TO APPROVING THE SALARY RANGES FOR THE EXEMPT STAFF POSITIONS, THE BOARD OF DIRECTORS APPROVES THE SPECIFIC SALARY OF THE CEO AND OF THE CFO. ANY CHANGES TO THESE SALARIES ARE SPECIALLY REVIEWED AND APPROVED BY THE BOARD BEFORE THEY ARE IMPLEMENTED. IN 2020, THE CEO AND CFO RECEIVED A COST OF LIVING INCREASES OF 2% ON 01/01/2020 AND 1.75% ON JULY 15, 2020. FORM 990, PART VI, SECTION C, LINE 19 THE AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. THE ORGANIZATION ARTICLES OF INCORPORATION AND BY-LAWS ARE AVAILABLE UPON REQUEST. OTHER INTERNAL DOCUMENTS ARE NOT ROUTINELY MADE AVAILABLE.