2021-03-25T15:41:24-05:00 2020-03-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2019-04-01 952707101 CLINICA SIERRA VISTA % CONSUELO CANTU CLIN 6616353050 1430 TRUXTUN AVENUE STE 400 BAKERSFIELD CA 93301 STACY FERREIRA INTERIM CEO 6616353050 2021-02-09 true Krystal K Creach P01248198 4178658701 2019 2022-09-23 18:48:47Z X STACY FERREIRA 1430 TRUXTUN AVENUE STE 400 BAKERSFIELD CA 93301 224667987 false X WWW.CLINICASIERRAVISTA.ORG X 1971 CA THE MISSION OF CLINICA SIERRA VISTA IS TO PROVIDE MEDICAL, DENTAL, MENTAL HEALTH, ENABLING PODIATRY/CHIROPRACTIC & VISION SERVICES TO THE UNDERSERVED OF KERN, FRESNO & INYO COUNTIES. 12 12 1556 10 0 52039309 60080313 71212403 72796825 718313 1981360 27753 60400 123997778 134918898 0 0 0 0 87105482 108197590 0 0 0 45830688 51408430 132936170 159606020 -8938392 -24687122 144029483 127815785 45426124 53929286 98603359 73886499 X THE MISSION OF CLINICA SIERRA VISTA IS TO PROVIDE QUALITY HEALTH CARE TO THE UNDERSERVED POPULATIONS OF KERN, FRESNO, AND INYO COUNTIES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. false false 96618871 54161027 CLINICA SIERRA VISTA (CSV) PROVIDES ESSENTIAL MEDICAL SERVICES TO UNDERSERVED, LOW-INCOME, ISOLATED, HOMELESS AND OTHERWISE VULNERABLE PEOPLE IN KERN, FRESNO AND INYO COUNTIES. MEDICAL SPECIALTIES INCLUDE FULL SPECTRUM PRIMARY CARE THROUGH FAMILY MEDICINE, OB/GYN, PEDIATRIC, INFECTIOUS DISEASE & OTHER SPECIALTY PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS AND OTHER ADVANCED PRACTICE PROVIDERS. CSV OFFERS ITS PATIENTS OUTERACH TRANSPORTATION, TRANSLATION, CASE MANAGEMENT, DISEASE MANAGEMENT REGISTRY AND OTHER ENABLING SERVICES TO PROMOTE ACCESS TO EFFECTIVE & EFFICIENT MEDICAL CARE. CSV PROVIDED 438,000 MEDICAL & OTHER ENCOUNTERS TO 125,000 PATIENTS IN FISCAL YEAR 2020. 14355578 4035846 CLINICA SIERRA VISTA PROVIDES ESSENTIAL BEHAVIORAL HEALTH SERVICES TO UNDERSERVED, LOW-INCOME, ISOLATED AND OTHERWISE VULNERABLE PEOPLE IN KERN, FRESNO AND INYO COUNTIES. BEHAVIORAL HEALTH SERVICES INCLUDE PSYCHIATRY, MEDICATION MANAGEMENT, THERAPY, AND INTEGRATED BEHAVIORAL HEALTH USING DISEASE MANAGEMENT REGISTRIES AND ALLIED HEALTH STAFF TO COORDINATE WITH PRIMARY CARE AND OTHER SPECIALTY MEDICAL PROVIDERS. CLINICA SIERRA VISTA PROVIDED 123,000 BEHAVIORAL HEALTH ENCOUNTERS TO 12,000 PATIENTS IN FISCAL YEAR 2020. 12106182 8158691 CLINICA SIERRA VISTA PROVIDES ESSENTIAL DENTAL HEALTH SERVICES TO UNDERSERVED, LOW-INCOME, ISOLATED AND OTHERWISE VULNERABLE PEOPLE IN KERN, FRESNO AND INYO COUNTIES. DENTAL HEALTH SERVICES INCLUDE FULL SPECTRUM PREVENTIVE AND RESTORATIVE CARE INCLUDING EXAMS, X-RAYS, CLEANINGS, FILLINGS, ROOT CANALS, CROWNS AND EXTRACTIONS. CLINICA SIERRA VISTA PROVIDED 58,000 DENTAL ENCOUNTERS TO 20,000 PATIENTS IN FISCAL YEAR 2020. 6508068 6441261 129588699 true true false false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false true false false false false false false false false false true true false false false true 268 0 true 1556 true false false false false false false false false false false false false X 12 12 false false false false false false false true true false false true true true true true true true false false CA X CONSUELO CANTU 6616353050 1430 TRUXTUN AVENUE BAKERSFIELD CA 93301 RYAN C JOHNSON PHYSICIAN 40.0 0.0 X 584640 0 38582 VERNA MARQUEZ PHYSICIAN 40.0 0.0 X 562515 0 35187 KAREN TAMMELA PHYSICIAN 40.0 0.0 X 477115 0 13883 STEPHEN SCHILLING FORMER CEO 40.0 0.0 X 421419 0 44769 MICHAEL ILLINGWORTH PHYSICIAN 40.0 0.0 X 436143 0 23943 BRIAN HARRIS CEO 40.0 0.0 X 282139 0 27586 MARCO HORVAT CFO 40.0 0.0 X 97655 0 11691 CLARIBEL GUTIERREZ VICE PRESIDENT 0.5 0.0 X X 1835 0 0 ROBERTO RIVERA BOARD MEMBER 0.5 0.0 X 731 0 0 JUANITA BENAVIDEZ SECRETARY END 01/20/B. MEMBER 0.5 0.0 X X 677 0 0 JOSE J VALDOVINOS B. MEMBER/TREASURER BEG 06/19 0.5 0.0 X 566 0 0 JERRY SHIPMAN PRESIDENT 0.5 0.0 X X 550 0 0 SOCORRO GAETA BOARD MEMBER 0.5 0.0 X 505 0 0 WANDA BROWN BOARD MEMBER END 01/20 0.5 0.0 X 400 0 0 DR PHILIPP MELENDEZ BOARD MEMBER BEG 05/19 0.5 0.0 X 325 0 0 PATRICIA MILLER BOARD MEMBER 0.5 0.0 X 293 0 0 MICHAEL COSIMANO BOARD MEMBER 0.5 0.0 X 225 0 0 JANIE YADON BOARD MEMBER BEG 05/19 0.5 0.0 X 187 0 0 ROBERTA GERDS BOARD MEMBER 0.5 0.0 X 175 0 0 KRIS DELANO BOARD MEMBER BEG 03/20 0.5 0.0 X 0 0 0 2868095 0 195641 152 true true false ACCELARATED URGENT CARE 4208 ROSEDALE HIGHWAY BAKERSFIELD CA 93308 LOCUMS 4157806 OCHIN 1881 SW NAITO PARKWAY PORTLAND OR 97201 EHR SUPPORT 2231511 ADVANCE BUILDING MAINTENANCE PO BOX 19433 SACRAMENTO CA 95819 JANITORIAL 1666152 PHYCHIATRIC MEDICAL 2421 TIVERTON DRIVE BAKERSFIELD CA 93311 MENTAL HEALTH SRVS 1489351 GOLDEN STATE CONSTRUCTION 743 WEST TAFT AVE ORANGE CA 92865 CONSTRUCTION 1234594 47 59071931 1008382 60080313 Net Patient Service Revenue 621400 65756469 65756469 INCENTIVE REVENUE 621400 7004942 7004942 Miscellanous Revenue 900099 35414 35414 72796825 1578602 1578602 0 0 99958 39558 60400 0 60400 60400 90112289 89655633 53898 456656 -53898 402758 402758 0 0 0 0 0 0 0 0 0 0 134918898 72796825 2041760 X 0 0 0 0 425540 425540 466188 466188 87967303 74715750 13251553 2604053 2234586 369467 10352820 8835003 1517817 6381686 5405996 975690 0 860360 550 859810 22514 13570 8944 0 0 141469 141469 21887100 18476380 3410720 320255 78792 241463 6242863 4202665 2040198 0 0 4336723 3408589 928134 1340138 548328 791810 0 1604987 358950 1246037 29105 875 28230 0 2526494 820825 1705669 434536 344624 89912 MEDICAL SUPPLIES & DRUGS 6659610 6518098 141512 BAD DEBT 2444997 2444997 REPAIRS AND MAINTENANCE 1718128 609112 1109016 RECRUITING & RETENTION 630393 432115 198278 208758 138894 69864 159606020 129588699 30017321 0 4042884 8627891 50346516 28886892 7468969 8451874 5397953 5622293 270000 180000 0 0 4310000 4090750 0 0 171772 177627 59821689 20461847 35740842 39359842 28353696 23170070 0 0 0 0 50000 50000 7876851 9198546 144029483 127815785 15413369 17723897 0 0 52972 1291573 0 0 0 0 0 0 198753 69731 343255 179055 29417775 34665030 45426124 53929286 X 98392958 73314014 210401 572485 98603359 73886499 144029483 127815785 -24687122 -29738 X false true X true true true X 48754155 50337803 53534463 52039309 60080313 264746043 0 0 48754155 50337803 53534463 52039309 60080313 264746043 0 264746043 264980 624125 797296 1456609 1678560 4821570 0 0 269567613 378132811 0.98211 0.98730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3781690 3781690 38795125 10528235 28266890 1833389 1136651 696738 10112291 8796961 1315330 5299194 5299194 39359842 Est. due from third-party 8842611 Deposits 183964 Other Receivables 171971 9198546 0 EST. DUE TO THIRD PARTY 34665030 34665030 132034066 -29738 -2485088 -2514826 134548892 370006 370006 134918898 157113010 93456 93456 157019554 141469 2444997 2586466 159606020 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT FORM 990, PART VIII, LINE 12: $(2,444,997) PROVISION FOR UNCOLLECTIBLE ACCOUNTS ( 141,469) INVESTMENT MANAGEMENT FEES 101,378 NET ASSETS RELEASED FROM RESTRICTIONS ------------ $(2,485,088) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT LINE 1: $( 53,898) LOSS ON DISPOSAL OF ASSETS ( 39,558) RENTAL EXPENSES 463,462 TEMPORARILY RESTRICTED CONTRIBUTIONS ------------ $ 370,006 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT FORM 990, PART IX, LINE 25: $ 53,898 LOSS ON DISPOSAL OF ASSETS 39,558 RENTAL EXPENSES ------------ $ 93,456 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT LINE 1: $ 2,444,997 PROVISION FOR UNCOLLECTIBLE ACCOUNTS X X X X X X false true false false false false false false false BRIAN HARRIS CEO 278337 0 51 0 3751 0 9338 0 18248 0 309725 0 0 0 RYAN C JOHNSON PHYSICIAN 468431 0 10077 0 106132 0 15979 0 22603 0 623222 0 0 0 VERNA MARQUEZ PHYSICIAN 240091 0 275024 0 47400 0 9856 0 25331 0 597702 0 0 0 KAREN TAMMELA PHYSICIAN 440765 0 51 0 36299 0 2732 0 11151 0 490998 0 0 0 MICHAEL ILLINGWORTH PHYSICIAN 417632 0 10051 0 8460 0 1340 0 22603 0 460086 0 0 0 STEPHEN SCHILLING FORMER CEO 387513 0 0 0 33906 0 21248 0 23521 0 466188 0 0 0 RYAN JOHNSON HC EMPLOYEE PROVIDER LOAN X 150000 60000 false true true KAREN TAMMELA HC EMPLOYEE PROVIDER LOAN X 150000 120000 false true true 180000 FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION: IT SHALL BE THE MISSION OF CLINICA SIERRA VISTA TO PROVIDE HIGH QUALITY AND COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTH CARE SERVICES AS THE MOST EFFICIENT COST TO UNDERSERVED POPULATIONS OF KERN, FRESNO AND INYO COUNTIES REGARDLESS OF ABILITY TO PAY AND TO SEEK NECESSARY RESOURCES TO MEET THE GROWING HEALTH CARE DEMANDS WHILE MAINTAINING THE CORPORATION'S FINANCIAL INTEGRITY. WE STRONGLY BELIEVE IN EVERYONE'S RIGHT TO QUALITY HEALTH CARE. THEREFORE, NO ONE IS DENIED SERVICES BASED ON RACE, RELIGION, ETHNICITY, SEX, AGE, DISABILITY OR ECONOMIC STATUS. FORM 99O, PART III, LINE 4B BEHAVIORAL AND MENTAL HEALTH SERVICES: IN ADDITION, SEVERAL COMMUNITY HEALTH CENTERS THROUGHOUT BOTH COUNTIES ARE STAFFED WITH INTEGRATED SOCIAL WORK TO PROVIDE LIGHT THERAPY AND OTHER SOCIAL WORK SERVICES TO OUR PATIENTS. WE CAN ALSO BE FOUND ON MANY SCHOOL CAMPUSES. IN BOTH COUNTIES, OUR SPECIALTY BEHAVIORAL HEALTH CENTERS OFFER SPECIFIC TEAMS FOR CHILDREN (AGES 3-18) AND ADULTS (AGES 18+) WITH MENTAL/BEHAVIORAL HEALTH AND/OR SUBSTANCE USE PROBLEMS. ALL SERVICES ARE PROVIDED IN THE CLIENT'S PREFERRED LANGUAGE. FORM 990, PART III, LINE 4C DENTAL SERVICES: CLINICA SIERRA VISTA BELIEVES THAT EVERYONE IN THE COMMUNITIES WE SERVE SHOULD HAVE ACCESS TO QUALITY HEALTH CARE. WE HAVE TWO FULLY EQUIPPED, 40-FOOT MOBILE UNITS THAT TAKE OUR DENTAL AND MEDICAL PROFESSIONALS WHERE THEY ARE NEEDED MOST. OUR UNITS HAVE VISITED SCHOOLS, OFFERING FIRST-TIME CHECKUPS TO THOUSANDS OF CHILDREN, AS WELL AS THE HOMELESS ON THE STREETS AND FARM WORKERS IN THE FIELDS. FORM 990, PART III, LINE 4D ADDITIONAL PROGRAM SERVICES: CLINICA SIERRA VISTA PROVIDES NUTRITION EDUCATION AND SUPPLEMENTAL FOODS TO SAFEGUARD THE HEALTH OF LOW-INCOME PREGNANT, BREASTFEEDING, AND POSTPARTUM WOMEN, AND TO INFANTS AND CHILDREN. THIS PROGRAM IS FUNDED PRIMARILY THROUGH THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS AND CHILDREN (WIC). FORM 99O, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENT AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CONTROLLER COMPILES AND VERIFIES 990 DATA. A FINAL DRAFT IS REVIEWED AND APPROVED BY THE CEO, CFO, AND BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: CLINICA SIERRA VISTA HAS A CONFLICT OF INTEREST POLICY AND EMPLOYEE CONDUCT IN THE EMPLOYEE HANDBOOK. EACH EMPLOYEE IS GIVEN THE HANDBOOK AND THIS POLICY IS ALSO REVIEWED WITH EACH NEW HIRE. OUR POLICY REQUIRES EMPLOYEES TO REQUEST APPROVAL FOR OUTSIDE EMPLOYMENT. IT REQUIRES DISCLOSURE OF POTENTIAL PERSONAL AND PROFESSIONAL CONFLICTS, AND PROHIBITS EMPLOYEES FROM ENGAGING IN BUSINESS TRANSACTIONS THAT RESULT IN PERSONAL GAIN. THE HUMAN RESOURCES DEPARTMENT AND SUPERVISORS MONITOR THE ADHERENCE TO THIS POLICY. THE BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY ANY CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A & 15B EXECUTIVE COMPENSATION POLICY: COMPENSATION FOR THE CEO IS DETERMINED AND APPROVED BY CLINICA SIERRA VISTA'S BOARD OF DIRECTORS. THE CEO DETERMINES AND APPROVES COMPENSATION FOR OFFICERS AND KEY EMPLOYEES BASED ON BOARD APPROVED SALARY SCHEDULE AND INDIVIDUAL'S QUALIFICATIONS. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC DISCLOSURE: ALL GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES AND SERVICES TOTAL FEES:4782225 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONTRACTING FEES TOTAL FEES:4029546 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:2961602 FORM 990 PART IX LINE 11G DESCRIPTION:CUSTODIAL SERVICES TOTAL FEES:2330387 FORM 990 PART IX LINE 11G DESCRIPTION:PSYCHIATRIST FEES TOTAL FEES:2308549 FORM 990 PART IX LINE 11G DESCRIPTION:SECURITY TOTAL FEES:1323339 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE LAB FEES TOTAL FEES:1027145 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL SERVICE FEES TOTAL FEES:1001456 FORM 990 PART IX LINE 11G DESCRIPTION:DENTAL SERVICES FEES TOTAL FEES:865181 FORM 990 PART IX LINE 11G DESCRIPTION:TEMP EMPLOYMENT SERVICES TOTAL FEES:571980 FORM 990 PART IX LINE 11G DESCRIPTION:INTERPRETING SERVICES TOTAL FEES:486632 FORM 990 PART IX LINE 11G DESCRIPTION:PHARMACY TOTAL FEES:147275 FORM 990 PART IX LINE 11G DESCRIPTION:PAYROLL SERVICES TOTAL FEES:51783 CLINICA SIERRA VISTA FOUNDATION 1430 TRUXTUN AVE STE 400 BAKERSFIELD CA 93301 474328195 SUPPORT CA 501(C)(3) 7 NA true false false false false false false false false false false false false false true true false false false false