2022-05-11T14:13:10-05:00 2021-06-30 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2020-07-01 954746420 UNICARE COMMUNITY HEALTH CENTER INC UNIC 9099882555 437 N EUCLID AVENUE ONTARIO CA 91762 AVETIK MACHKALYAN CEO 9099882555 2022-05-10 1 AVETIK MACHKALYAN 999009999 TERRI REXRODE CPA MST P00096513 9206620016 2022-05-10 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z AVETIK MACHKALYAN 437 N EUCLID AVENUE ONTARIO CA 91762 28945729 0 X WWW.UNICARECHC.COM X 2002 CA TO BE A COMMUNITY HEALTH CARE ORGANIZATION THAT TREATS EVERYONE WITH DIGNITY, RESPECT AND CULTURAL SENSITIVITY TO HELP CREATE AN ENVIRONMENT IN WHICH ALL CAN PROSPER. 11 11 293 11 0 0 1958638 6244643 19527886 19863567 0 1009 1991356 2836510 23477880 28945729 0 0 0 0 14375126 16702179 0 0 0 10282916 10826676 24658042 27528855 -1180162 1416874 5977718 9003726 7654510 9263644 -1676792 -259918 X A GRASS ROOT, COMMUNITY-BASED FQHC WITH THE DUTY TO SERVE THE UNMET HEALTH CARE NEEDS OF LOW-INCOME PERSONS BY DELIVERING COST-EFFECTIVE, ACCESSIBLE QUALITY CARE. 0 0 23285223 0 22660076 UCHC PROVIDES PATIENT CARE SERVICES IN RESPONSE TO A WIDE RANGE OF MEDICAL CARE NEEDS OF INDIVIDUALS OF ALL AGES - REGARDLESS OF RACE, COLOR, CREED, NATIONAL ORIGIN, GENDER OR DISABILITY - SIX DAYS A WEEK.UCHC'S PRIMARY FUNCTION AND PURPOSE IS TO PREVENT DISEASE BY HEALTH PROMOTION/EDUCATION IN ACTIVITIES AND PRIMARY, SECONDARY AND TERTIARY PREVENTION MODALITIES; TO MINIMIZE RESIDUAL PHYSICAL AND MENTAL DISABILITIES; TO AID THE PATIENT IN ACHIEVING HIS/HER MAXIMUM POTENTIAL WITHIN HIS/HER CAPABILITIES; TO ACCELERATE CONVALESCENCE AND REDUCE THE LENGTH OF THE FUNCTIONAL RECOVERY AND TO EMPOWER MEMBERS OF THE COMMUNITY TO HELP THEMSELVES IN MAINTENANCE OF THEIR HEALTH.UCHC OFFERS A DIVERSE SELECTION OF PROGRAMS AND SERVICES TO CATER TO YOUR INDIVIDUALIZED HEALTH NEEDS. PROGRAMS OFFERED ARE:-FAMILY PACT-FAMILY PLANNING (BIRTH CONTROL METHODS)-CHDP-PHYSICAL EXAM (SCHOOL, SPORTS, AND FOSTER CARE)-PRENATAL CARE AND POSTNATAL CARE-EVERY WOMAN COUNTS (BREAST AND CERVICAL SCREENING)SERVICES OFFERED ARE:-PHYSICAL EXAM-ADULTS AND PEDIATRIC IMMUNIZATION-HEALTH AND EDUCATION COUNSELING-SCREENING FOR CANCER (BREAST, COLON, PROSTATE, ETC.)-DIAGNOSIS AND TREATMENT FOR DISEASES-PRIMARY CARE FOR ACUTE, EPISODIC ILLNESS-MANAGEMENT OF CHRONIC ILLNESSES SUCH AS DIABETES, HYPERTENSION, HEART DISEASE, ASTHMA, ALLERGIES, ETC.-LAB SCREENING AND ANALYSES-ULTRASOUNDS-DENTAL CARE (ONLY OFFERED AT ONTARIO, POMONA, FONTANA, AND WESTLAKE LOCATIONS)-BEHAVIORAL HEALTH 23285223 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 78 0 293 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 CA X GAREGIN POGOSIAN 9099882555 437 N EUCLID AVENUE ONTARIO CA 91762 MARTHA ZUNIGA CHAIR 1.00 X X 0 0 0 NAZELI NERCESSIAN VICE CHAIR 1.00 X X 0 0 0 ROSIO HOBBS SECRETARY 1.00 X X 0 0 0 ALMA ENCISO TREASURER 1.00 X X 0 0 0 ANTONIA CISNEROS MEMBER 1.00 X 0 0 0 YADIRA CONTRERAS MEMBER 1.00 X 0 0 0 ABRAHAM DE GUZMAN MEMBER 1.00 X 0 0 0 SERGIO MARTINEZ MEMBER 1.00 X 0 0 0 MICHAEL NOFFSINGER MEMBER 1.00 X 0 0 0 KASSANDRA SANDOVAL MEMBER 1.00 X 0 0 0 VAGHINAK VISALYAN MEMBER 1.00 X 0 0 0 AVETIK MACHALYAN CEO 40.00 X 447541 0 20008 EDUARD GYADUKYAN COO 40.00 X 424549 0 23283 GAREGIN POGOSIAN CFO 40.00 X 320984 0 20008 ARDA BARDAKJIAN CAO 40.00 X 239734 0 4302 ANITA HADPAWAT-LEE PHYSICIAN 40.00 X 280626 0 16833 KELLY VO EXECUTIVE VICE PRESIDENT 40.00 X 233289 0 15193 WILLIAM PALEY DO CMO 40.00 X 258083 0 15193 RHONDA LUSTER MD 40.00 X 145816 0 8401 NAILA MUBASHAR FAMILY MEDICINE PHYSICIAN 40.00 X 275213 0 6463 2625835 0 129684 33 0 1 0 VISUM SOLUTIONS 14349 VICTORY BLVD STE 205 VAN NUYS CA 91401 OUTREACH/INREACH ENROLLMENT 3052432 ECLINICAL WORKS LLC PO BOX 847950 BOSTON MA 022847950 EMR MANAGEMENT SYSTEM 330881 SHALITY JANITORIAL SERVICES 9058 EGLISE AVE DOWNEY CA 90240 JANITORIAL SERVICES 177954 UNITEK 32790 COLLECTIONS CENTER CHICAGO IL 60693 IT NETWORK/MAINTENANCE 177824 4 5000 5917705 321938 6244643 NET PATIENT SERVICE REVENUE 621400 19863567 19863567 19863567 1009 1009 EHR INCENTIVE REVENUE 621400 2796509 2796509 40001 40001 2836510 28945729 22660076 0 41010 1345775 1345775 12649617 11780175 869442 465127 393404 71723 1087919 977368 110551 1153741 945718 208023 21250 21250 123222 123222 573240 537337 35903 10452 8840 1612 445675 376952 68723 566437 470367 96070 4123135 3596926 526209 17754 15016 2738 11740 9930 1810 524097 443306 80791 97068 82100 14968 OUTREACH & INREACH 3076433 2602194 474239 MEDICAL SUPPLIES 726410 614433 111977 REPAIRS & MAINTENANCE 435874 368662 67212 DUES & LICENSES 33721 28521 5200 40168 33974 6194 27528855 23285223 4243632 0 1866192 1527989 1479461 3790688 31182 57110 4006669 1381893 1485109 2624776 797200 787099 318574 216064 5977718 9003726 1307042 1903238 429927 785064 636857 539014 950000 932413 4330684 5103915 7654510 9263644 X -1676792 -259918 -1676792 -259918 5977718 9003726 1416874 0 X 0 1 X 1 1 1 X 1069181 1148631 1958638 6244643 10421093 1069181 1148631 1958638 6244643 10421093 31558 10389535 1009 1009 10422102 72565402 0.99690 0.97700 X SCHEDULE A, PART II THE ORGANIZATION CHANGED ACCOUNTING PERIODS IN CALENDAR YEAR 2017 FROM MAY 31ST TO JUNE 30TH AND THEREFORE A SHORT PERIOD EXISTED FROM JUNE 1, 2017 TO JUNE 30, 2017. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3730185 1186145 2544040 276484 195748 80736 2624776 ESTIMATED THIRD-PARTY SETTLEMENTS 3103915 PAYCHECK PROTECTION PROGRAM LOAN 2000000 5103915 28945729 0 28945729 0 28945729 27528855 0 27528855 0 27528855 X X 0 0 0 0 0 0 0 0 0 AVETIK MACHALYAN CEO 445961 0 0 0 1580 0 0 0 20008 0 467549 0 0 0 EDUARD GYADUKYAN COO 423689 0 0 0 860 0 0 0 23283 0 447832 0 0 0 GAREGIN POGOSIAN CFO 320092 0 0 0 892 0 0 0 20008 0 340992 0 0 0 ANITA HADPAWAT-LEE PHYSICIAN 280072 0 0 0 554 0 0 0 16833 0 297459 0 0 0 NAILA MUBASHAR FAMILY MEDICINE PHYSICIAN 274914 0 0 0 299 0 0 0 6463 0 281676 0 0 0 WILLIAM PALEY DO CMO 255616 0 0 0 2467 0 0 0 15193 0 273276 0 0 0 KELLY VO EXECUTIVE VICE PRESIDENT 232440 0 0 0 849 0 0 0 15193 0 248482 0 0 0 ARDA BARDAKJIAN CAO 239399 0 0 0 335 0 0 0 4302 0 244036 0 0 0 RHONDA LUSTER MD 145399 0 0 0 417 0 3058 0 5343 0 154217 0 0 0 GAREGIN POGOSIAN EDUARD GYADUKYAN & AVETIK MACHKALYAN CFO, COO & CEO OF THE ORGANIZATION 722270 THE ORGANIZATION HAS ENTERED INTO A LEASE AGREEMENT WITH 123 WEST EAST STREET, LLC FOR ONE CLINIC LOCATION. 0 AVETIK MACHKALYAN AND EDUARD GYADUKYAN CEO AND COO OF THE ORGANIZATION 243822 THE ORGANIZATION HAS ENTERED INTO A LEASE AGREEMENT WITH SILVER LAKE AEG CO. FOR ONE CLINIC LOCATION. 0 AVETIK MACHKALYAN & EDUARD GYADUKYAN CEO AND COO OF THE ORGANIZATION 269835 THE ORGANIZATION HAS ENTERED INTO A LEASE AGREEMENT WITH SILVER LAKE CO. FOR VARIOUS CLINIC LOCATIONS. 0 FORM 990, PART VI, SECTION A, LINE 2 GAREGIN POGOSIAN, EDUARD GYADUKYAN & AVETIK MACHKALYAN HAVE A BUSINESS RELATIONSHIP. EDUARD GYADUKYAN & AVETIK MACHKALYAN HAVE BUSINESS RELATIONSHIPS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY MANAGEMENT AND THE CONTROLLER. THE FORM 990 IS REVIEWED INTERNALLY BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO ALL CLINIC PERSONNEL, INCLUDING ADMINISTRATORS, MANAGEMENT STAFF, PROVIDERS, CONTRACTORS, AND STAFF. INDIVIDUALS MUST AVOID CIRCUMSTANCES GIVING RISE TO POTENTIAL BIAS DUE TO CONFLICTING PERSONAL OR INSTITUTIONAL INTERESTS AND INVESTMENTS NOT CONSISTENT WITH THE INDIVIDUAL'S PERFORMANCE OF UNICARE BUSINESS. WHERE A REAL OR PERCEIVED CONFLICT OF INTEREST MAY EXIST, INDIVIDUALS SHOULD FULLY DISCLOSE THE CONFLICT OF INTEREST TO THE OFFICER/EXECUTIVE/MANAGER TO WHOM THE INDIVIDUAL REPORTS. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, UNICARE MAY TAKE CORRECTIVE ACTION NECESSARY ACCORDING TO THE CIRCUMSTANCES. THOUGH THE RESPONSIBILITY TO AVOID ACTING OUT OF CONFLICT OF INTEREST APPLIES TO ALL INDIVIDUALS, MEMBERS OF THE BOARD, OFFICERS, GOVERNANCE COMMITTEES, AND KEY MANAGEMENT EMPLOYEES HAVE A HEIGHTENED DUTY TO DISCLOSE SUCH CONFLICTS AND TO AVOID PARTICIPATION IN CERTAIN SPECIFIC BOARD TRANSACTIONS. AT ANY TIME THAT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST HAS BEEN IDENTIFIED, UNICARE OFFICERS SHALL PERFORM A REVIEW OF THE CIRCUMSTANCES TO DETERMINE WHETHER OR NOT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS. IF IT IS DETERMINED THAT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS THAT HAS NOT ALREADY BEEN DOCUMENTED, THE CIRCUMSTANCES OF THE CONFLICT OF INTEREST SHALL BE SET FORTH IN AN ADDENDUM TO THE CONFLICTS OF INTEREST DISCLOSURE STATEMENT AND THE CONFLICT OF INTEREST MUST BE FULL DISCLOSED TO THE BOARD. ALL OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS MUST AGREE TO AND SIGN THE CONFLICT OF INTEREST DISCLOSURE STATEMENT. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD EVALUATES THE COMPENSATION OF THE CEO AND OTHER OFFICERS USING COMPARABILITY DATA OF OTHERS IN SIMILAR AREAS AND WITH SIMILAR TYPES OF DUTIES AND PAY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.