2022-10-13T16:18:47-07:00 2021-12-31 472251777 CHW LLP 7797 N First Street Suite 15 Fresno CA 93720 990 2021-01-01 952801772 CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC CENT 6196624100 1601 Precision Park Lane San Diego CA 92173 Brian Wallace CFO 6194281330 2022-09-01 1 Jeremy Ware P00642659 5595495400 2022-08-29 1 11 1 AAL2 2021 2022-09-23 18:48:47Z San Ysidro Health Brian Wallace 1601 Precision Park Lane San Ysidro CA 92173 351274319 0 X www.syhc.org X 1971 CA Centro De Salud De La Communidad De San Ysidro Inc (DBA- San Ysidro Health) operates community health centers located in San Diego, CA. the organization's mission is to improve health and well being of the community's traditionally under served and culturally diverse people. 12 12 2741 62 0 0 28649161 41155833 220013660 306901118 1196 15155 6292227 3202213 254956244 351274319 0 0 0 0 133677359 177177322 0 0 419446 108484952 181697561 242162311 358874883 12793933 -7600564 199098917 238636758 116715952 163480831 82382965 75155927 The mission of San Ysidro Health is to improve the health and well being of our community's traditionally under served and culturally diverse people. During the fiscal year, the Health Center saw 109,504 patients who generated 593,723 medical and dental visits in the current period. 0 0 298487278 0 309901118 The mission of San Ysidro Health is to improve the health and well being of our community's traditionally under served and culturally diverse people. During the fiscal year, the Health Center saw 109,504 patients who generated 593,723 medical and dental visits in the current period. 0 0 0 298487278 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 157 0 1 2741 1 0 0 0 0 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 Centro de Salud de la Comunidad de San Ysidro 6192056339 1601 Precision Park Lane San Diego CA 92173 Kevin Mattson President and CEO 40 0 X 858935 0 0 Maria Carriedo-Ceniceros CMO 40 0 X 529976 0 0 Terry Whitaker COO 40 0 X 406274 0 0 Nicholas Whitley Medical Clinic Director 40 0 X 405277 0 0 Veronica de la Rosa VP of Operations 40 0 X 393097 0 0 Gaurav Mishra Director of Psych 40 0 X 364305 0 0 Brian Wallace CFO 40 0 X 349784 0 0 Hasmukh Sheth MD 40 0 X 338478 0 0 Ruth Covell Board Member 2 0 X 2700 0 0 Gloria Ramirez Board 2nd Vice Chair 2 0 X 2600 0 0 Guillermo Gomez Board Secretary 2 0 X 2600 0 0 Yolanda Santana Board Member 2 0 X 2600 0 0 Fred Dorsey Board Member 2 0 X 2600 0 0 Thomas Urtasun Board Treasurer 2 0 X 2600 0 0 Mercedes Bernal Board Member 2 0 X 2600 0 0 Margarita Navarro Board Member 2 0 X 2600 0 0 Macario Gutierrez Board Chair 2 0 X 2470 0 0 Catalina Valencia Board Member 2 0 X 2240 0 0 Victor Nieto Vice Chair 2 0 X 0 0 0 Reynaldo Perez Board Member 2 0 X 0 0 0 Paul Monarrez Board Member 2 0 X 0 0 0 3671736 0 0 278 0 1 0 Kofi Sefa Boakye 53 Sand Piper Strand Coronado CA 92118 Medical Services 112750 Frank Mac 8534 Hopseed Lane San Diego CA 92129 Dental Services 476780 Latisa Carson 502 South Euclid Avenue National City CA 91950 Medical Services 142800 Scott Musinski 3160 West Canyon Avenue San Diego CA 92123 Medical Services 162000 Dalia Strauser 5274 Margaret Street Bonita CA 91902 Medical Services 225703 6 0 0 106073 0 39032553 2017207 0 41155833 Net patient service revenue 621400 112288352 112288352 0 0 194612766 194612766 0 0 306901118 15155 0 0 15155 0 0 0 0 0 0 0 0 0 0 0 0 0 3202213 3202213 0 0 3202213 351274319 310103331 0 15155 X 177177322 152769566 24087466 320290 119322137 111082666 8239050 421 16814292 16216310 592309 5673 16027116 6874581 9145728 6807 406597 276383 130124 90 2888980 6366 2882614 7625351 3239478 4385873 18613088 8021928 10504995 86165 358874883 298487278 59968159 419446 39254340 42296383 809690 821538 3481293 9057568 20473792 23390852 395716 598845 6113634 7082396 199475059 52254787 122458510 147220272 6111942 8168904 199098917 238636758 41904445 50890027 72076618 108590804 2734889 4000000 0 0 116715952 163480831 X 81891632 73456701 491333 1699226 82382965 75155927 199098917 238636758 -7600564 0 0 0 373526 0 X 0 1 X 1 1 1 X 21084593 23072892 21755118 27756578 41155833 134825014 21084593 23072892 21755118 27756578 41155833 134825014 134825014 18272 9744 133183 1196 15155 177550 135002564 0.99868 0.99785 X 0 16796758 16796758 0 136452631 25887181 110565450 0 6187826 3192908 2994918 0 32253244 23174698 9078546 0 7784600 0 7784600 147220272 0 X Schedule D, Part X, Line 2 San Ysidro Health, Inc. is a private not-for-profit corporation organized under the laws of the State of California. The Center has been determined to be exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code and Section 23701(d) of the State of California Revenue and Taxation Code by the IRS and Franchise Tax Board, respectively. Accordingly, no provision for income taxes is included in the accompanying financial statements. The Center has adopted the accounting guidance related to uncertain tax positions, and has evaluated its tax positions and believes that all of the positions taken by the Center in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. The Center's returns are subject to examination by federal and state taxing authorities generally for three years after they are filed. Golf 175362 0 175362 0 0 37623 0 0 31666 0 0 175362 0 175362 0 0 37623 0 0 31666 69289 106073 X 0 0 0 0 0 0 0 0 0 Kevin Mattson President and CEO 722104 0 130192 0 6639 0 0 0 138253 0 997188 0 0 0 Maria Carriedo-Ceniceros CMO 447576 0 80000 0 2400 0 0 0 58076 0 588052 0 0 0 Terry Whitaker COO 338982 0 61832 0 5460 0 0 0 41482 0 447756 0 0 0 Nicholas Whitley Medical Clinic Director 405277 0 0 0 0 0 0 0 19200 0 424477 0 0 0 Veronica de la Rosa VP of Operations 327072 0 66625 0 2400 0 0 0 80055 0 476152 0 0 0 Gaurav Mishra Director of Psych 364305 0 0 0 0 0 0 0 30284 0 394589 0 0 0 Brian Wallace CFO 297384 0 50000 0 2400 0 0 0 40082 0 389866 0 0 0 Hasmukh Sheth MD 338478 0 0 0 0 0 0 0 26000 0 364478 0 0 0 Form 990, Part VI, Section B, Line 11b The form 990 tax return is made available to all board members. Board members requesting a copy then review the return, and all questions or concerns are addressed by the SVP/CFO prior to filing. The return is reviewed in detail by the Controller and SVP/CFO prior to filing. Form 990, Part VI, Section B, Line 12c - For the employees of the Organization, upon hiring and on an annual basis thereafter, HR distributes the Conflict of Interest(COI) Policy and Disclosure Statement to every Director or higher. The Executive Compliance Committee and/or the Board shall review and determine any financial interest, findings of COI are voted on by committee members and documented in the committee minutes. In addition, as part of the Corporate Compliance Department's annual audit plan monitoring for employee COI occurs during fourth quarter compliance checks. Form 990, Part VI, Section B, Line 15 The Organization hired a third party, independent management and professional services company which conducted a comprehensive market analysis of CEO's comparable revenue, FTE, geography etc and recommended the board of directors CEO pay range based on analysis. Form 990, Part VI, Section C, Line 19 Available upon request. Form 990, Part IX, Line 11g Purchased and professional fees. San Ysidro Health Community Services 1601 Precision Park Lane San Diego CA 92173 873984396 Support general operations CA 501 c 3 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1