2023-09-19T17:09:05-05:00 2021-06-30 680037990 GILBERT CPAS 2880 GATEWAY OAKS DR STE 100 SACRAMENTO CA 95833 990 2020-07-01 941713704 WELLSPACE HEALTH WELL 9163255556 777 12TH STREET NO 250 SACRAMENTO CA 95811 JONATHAN PORTEUS CEO 9163255556 2023-09-18 1 JONATHAN PORTEUS 999009999 AMANDA H WILLIAMS P01281212 9166466464 2023-09-18 2 AAL1 IAL1 2020 2023-04-26 12:10:37Z X JONATHAN PORTEUS 777 12TH STREET NO 250 SACRAMENTO CA 95811 113777679 0 X WWW.WELLSPACEHEALTH.ORG X 1970 CA ACHIEVING REGIONAL HEALTH THROUGH HIGH QUALITY COMPREHENSIVE CARE. 8 8 1162 124 104497 0 8512204 24646482 68396508 88975158 595 3175 176727 152864 77086034 113777679 0 0 0 0 53430958 57871021 0 0 0 24094304 34369883 77525262 92240904 -439228 21536775 37804786 58935597 29329880 28151474 8474906 30784123 X A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SINCE JUNE 2008, WELLSPACE HEALTH PROVIDES HEALTH CARE SERVICES INCLUDING PRIMARY & DENTAL CARE, BEHAVIORAL HEALTH, SUBSTANCE ABUSE TREATMENT, COUNSELING, PREVENTION AND CRISIS INTERVENTION SERVICES TO SOCIO-ECONOMICALLY DIVERSE FAMILIES AND THEIR CHILDREN. 0 0 81298814 88975158 WELLSPACE HEALTH IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AS WELL AS A BROAD RANGING BEHAVIORAL HEALTH AND SOCIAL SERVICE PROVIDER IN THE SACRAMENTO REGION. A NETWORK OF COMMUNITY HEALTH CENTERS ACROSS THREE COUNTIES (SACRAMENTO, PLACER, AND AMADOR) PROVIDES PRIMARY HEALTH AND INTEGRATED BEHAVIORAL HEALTH CARE FOR ALL AGES, WOMEN'S HEALTH (INCLUDING COMPREHENSIVE PERINATAL CARE THROUGHOUT AND AFTER PREGNANCY AND SPECIALIZED CULTURE-SPECIFIC INFANT MORTALITY PREVENTION SERVICES), AND ORAL HEALTH CARE FOR CHILDREN AND TEENS (CO-LOCATED IN 6 SITES). ADDITIONAL BEHAVIORAL HEALTH LOCATIONS EXTEND THE ORGANIZATION'S CLINICAL REACH THROUGH PREVENTION AND SPECIALTY MENTAL HEALTH AND SUBSTANCE USE DISORDERS TREATMENT, INCLUDING: A FULL CONTINUUM OF CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS TREATMENT PROGRAMS (OUTPATIENT, RESIDENTIAL REHABILITATION, MEDICALLY-MONITORED DETOXIFICATION, MEDICALLY ASSISTED TREATMENTS, CORRECTIONS-BASED AND DRUG COURT SERVICES); NORTHERN CALIFORNIA'S 24-HOUR PRIMARY SUICIDE PREVENTION HOTLINE AND CRISIS SUPPORT LINES; OUTPATIENT CHILDREN'S MENTAL HEALTH AND YOUTH VIOLENCE PREVENTION PROGRAMS; CHILD ABUSE PREVENTION AND HOME VISITATION SERVICES; AND MULTIPLE CARE TRANSITION PROGRAMS (FOR EXAMPLE WITHIN HOSPITAL EMERGENCY DEPARTMENTS, NAVIGATING SERVICES IN THE COMMUNITY, AND TRANSITIONING PATIENTS FROM INPATIENT SETTINGS). WELLSPACE HEALTH EMBRACES THE HIGHEST QUALITY STANDARDS ACROSS THE BREADTH OF ITS SERVICES AND IS ACCREDITED BY THE JOINT COMMISSION FOR BOTH AMBULATORY CARE AND BEHAVIORAL HEALTH. THE EXTENT TO WHICH THE ORGANIZATION INTEGRATES CARE WITHIN ITS HEALTH CENTERS AND BETWEEN ITS ADDITIONAL PROGRAM SITES IS ALSO DOCUMENTED BY ITS ADDITIONAL CERTIFICATIONS FROM THE JOINT COMMISSION FOR BOTH PATIENT CENTERED MEDICAL HOME (PCMH) AND BEHAVIORAL HEALTH HOME (BHH) - THEREBY MAXIMIZING THE ORGANIZATION'S COMMITMENT TO 'WHOLE PERSON CARE.' WELLSPACE HEALTH'S DIVERSE PATIENT POPULATION SPANS THE RICH CULTURAL DIVERSITY OF THE SACRAMENTO REGION, AS WELL AS ALL AGES AND PERSONS WHO ARE HOMELESS. 81298814 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 0 0 0 1 0 0 0 0 1 0 0 0 1 93 0 1 1162 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X JONATHAN PORTEUS CEO 9163138455 777 12TH STREET SUITE 250 SACRAMENTO CA 95814 JIM TILTON PRESIDENT/NON CONSUMER DIRECTOR 1.50 X X 0 0 0 TODD MURRAY FIRST VICE PRESIDENT/NON CONSUMER DIRECTOR 1.00 X X 0 0 0 RUZWA COOPER TREASURER/NON CONSUMER DIRECTOR 1.50 1.00 X X 0 0 0 TIMOTHY MARTIN SECRETARY/CONSUMER DIRECTOR 1.00 X X 0 0 0 LARRY MAAS PAST PRESIDENT/NON CONSUMER DIRECTOR 1.00 X 0 0 0 MICHAEL HUNTER CONSUMER DIRECTOR 1.00 X 0 0 0 JODY GRAY CONSUMER DIRECTOR 1.00 X 0 0 0 LISA STEWART CONSUMER DIRECTOR 1.00 1.00 X 0 0 0 NATHAN ALLEN MDOBGYNECOLOGIST 40.00 X 461402 0 7438 SALOME GOGOBERIDZE DOOBGYNECOLOGIST 40.00 X 416455 0 15886 SUEJIN KIM MDOBGYNECOLOGIST 40.00 X 453427 0 7844 LATA SANTHAKUMAR MDOBGYNECOLOGIST 40.00 X 397437 0 7928 OLGA THORNE MDOBGYNECOLOGIST 40.00 X 425377 0 21281 CHUE VANG CHIEF FINANCIAL OFFICERCHIEF 40.00 X 145431 0 8224 JANINE BERA CHIEF MEDICAL OFFICER 40.00 X 363325 0 16548 BEN AVEY CHIEF PUBLIC AFFAIRS OFFICER 40.00 X 122343 0 543 ROBERT KAMRATH CHIEF HUMAN RESOURCES OFFICER 40.00 X 135029 0 8797 CORDIA LOSH II CHIEF STRATEGY OFFICER 40.00 X 88969 0 1292 DONA WEISSENFELS CHIEF QUALITY OFFICER 40.00 X 64656 0 2284 BRENDA SHIPP CHIEF OPERATIONS OFFICER 40.00 X 241018 0 23436 CHRISTIE GONZALES CHIEF PROGRAM OFFICER 40.00 1.00 X 139055 0 34216 NANCY BUI-THOMPSON CHIEF INFORMATION OFFICER 40.00 X 0 0 0 ALASDAIR JONATHAN PORTEUS CHIEF EXECUTIVE OFFICER 40.00 1.00 X 282000 0 7277 3735924 0 162994 90 0 1 0 ACCESS NURSE PM LLC PO BOX 635013 CINCINNATI OH 452635013 AFTER HOURS ANSWERING 322559 KELLY MALDONADO 391 S ARROYO FRESNO CA 93727 BILLING SUPPORT 204747 KENNETH FORSYTHE 3106 SCEPTRE DRIVE ROCKLIN CA 95765 PHYSICIAN SERVICES 126714 SAMSON G SAMSON 2102 BROKEN RAIL LANE ROCKLIN CA 95765 PSYCHITARY SERVICES 109169 4 14572614 10073868 1307517 24646482 FEE FOR SERVICE 624100 85851850 85851850 PHARMACY REVENUE 624100 2676210 2676210 OTHER PROGRAM REVENUE 624100 419483 419483 ADS REVENUE 624100 14296 14296 CLIENT RESEARCH FEE 624100 13319 13319 88975158 3175 3175 152864 0 152864 152864 104497 48367 113777679 88975158 104497 51542 1995460 1764854 230606 46317096 40927248 5389848 414951 370199 44752 5558215 4967022 591193 3585299 3186793 398506 180590 83608 96982 71634 33164 38470 7539635 5971645 1567990 11139 5395 5744 2187768 1959161 228607 2269514 1657683 611831 7586364 6803137 783227 181640 129157 52483 263575 187216 76359 418214 239896 178318 1559900 1392093 167807 1424737 1236227 188510 BAD DEBT EXPENSE 4941686 4941686 PATIENT SUPPLIES 3879222 3831023 48199 EQUIPMENT EXPENSE 744109 655183 88926 MISCELLANEOUS 694080 688212 5868 416076 268212 147864 92240904 81298814 10942090 0 1845094 9569083 8382210 16456043 7941426 10655241 3159768 4117748 305307 412939 29308850 11614156 16148646 17694694 22335 29849 37804786 58935597 6634182 8235627 9433941 6181909 5134057 5806238 8127700 7927700 29329880 28151474 X 8452571 29798814 22335 985309 8474906 30784123 37804786 58935597 21536775 7514 764928 0 X X 0 1 X 1 1 1 X 9715610 11102036 10959833 8512204 24646482 64936165 9715610 11102036 10959833 8512204 24646482 64936165 64936165 4425 2274 127424 72595 51542 258260 104727 104497 209224 65403649 288349875 0.99290 0.99330 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22335 7514 29849 22409 -74 22335 21734 675 22409 20130 1604 21734 17764 2366 20130 1 0 1728704 1728704 10558091 2838233 7719858 4673498 2874374 1799124 8393066 5901549 2491517 3955491 3955491 17694694 PPP LOAN 7927700 7927700 114163364 7514 378171 385685 113777679 0 113777679 92619075 378171 378171 92240904 0 92240904 X X X 0 0 0 0 0 0 0 0 0 NATHAN ALLEN MDOBGYNECOLOGIST 461402 0 0 0 0 0 6500 0 938 0 468840 0 0 0 SALOME GOGOBERIDZE DOOBGYNECOLOGIST 416455 0 0 0 0 0 4875 0 11011 0 432341 0 0 0 SUEJIN KIM MDOBGYNECOLOGIST 453427 0 0 0 0 0 0 0 7844 0 461271 0 0 0 LATA SANTHAKUMAR MDOBGYNECOLOGIST 397437 0 0 0 0 0 4875 0 3053 0 405365 0 0 0 OLGA THORNE MDOBGYNECOLOGIST 425377 0 0 0 0 0 4875 0 16406 0 446658 0 0 0 CHUE VANG CHIEF FINANCIAL OFFICERCHIEF 145431 0 0 0 0 0 583 0 7641 0 153655 0 0 0 JANINE BERA CHIEF MEDICAL OFFICER 363325 0 0 0 0 0 5513 0 11035 0 379873 0 0 0 BRENDA SHIPP CHIEF OPERATIONS OFFICER 241018 0 0 0 0 0 6500 0 16936 0 264454 0 0 0 CHRISTIE GONZALES CHIEF PROGRAM OFFICER 139055 0 0 0 0 0 0 0 34216 0 173271 0 0 0 ALASDAIR JONATHAN PORTEUS CHIEF EXECUTIVE OFFICER 276000 0 0 0 6000 0 6500 0 777 0 289277 0 0 0 X 17441 FMV X 1263818 FMV X OTHER 0 14730 FMV X FOOD 0 4455 FMV 0 0 0 PART I, COLUMN (B): WELLSPACE HEALTH USES A COMBINATION OF FMV, THRIFT STORE VALUE AND FACE VALUE DEPENDING ON THE ITEM AND CONDITION THAT THE ITEM IS IN. ALL METHODS ARE TAKEN INTO ACCOUNT WHEN ASSIGNING A VALUE TO EACH INDIVIDUAL DONATION. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT COMMITTEE REVIEWS FORM 990. AFTER ALL QUESTIONS AND COMMENTS ARE RESOLVED, FORM 990 IS REVIEWED AND APPROVED BY THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD OF DIRECTOR MEMBERS ARE REQUIRED TO DECLARE THEIR TYPE OF INDUSTRY, WHICH ARE EXCLUDED FROM ANY REQUESTS FOR PROPOSALS OR ANY SITUATION WHERE FUNDS COULD CHANGE HANDS, OR A SERVICE WOULD BE COMPROMISED. FORM 990, PART VI, SECTION B, LINE 15 WELLSPACE HEALTH USES MARKET COMPARISONS WITH REGIONAL NON-PROFITS AS A GUIDE. ALSO, WELLSPACE HEALTH USES THE PRIVATE MARKET, BASED ON EXPERIENCE, AND QUALIFICATIONS. THIS PROCESS WAS LAST UNDERTAKEN IN 2017. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE PROVIDED UPON REQUEST. THE DOCUMENTS ARE HOUSED AT THE 777 12TH STREET, SUITE 250, SACRAMENTO, CA 95814 FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND THE PROCESS FOR SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. 990 PAGE 1 SECTION B THE 990 IS BEING AMENDED TO AGREE TO AUDITED FINANCIAL STATEMENTS. ACCORDINGLY THE FORM 990 PAGE 1 PART I SUMMARY, FORM 990 PAGE 2 PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS, FORM 990 PAGE 9 PART VIII STATEMENT OF REVENUE, FORM 990 PAGE 10 PART IX STATEMENT OF FUNCTIONAL EXPENSES, FORM 990 PAGE 11 PART X, BALANCE SHEET FORM 990 PAGE 12 PART XII, SCHEDULE A SUPPORT SCHEDULE PAGE 2, SCHEDULE D PAGE 2 LAND, BUILDINGS, AND EQUIPMENT, SCHEDULE D PAGE 4 RECONCILIATION OF REVENUE AND EXPENSES WERE REVISED. STRATEGIES FOR CHANGE 4343 WILLIAMSBOURGH DRIVE SACRAMENTO CA 95823 942600143 CHARITABLE CA 501(C)(3) LINE 7 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 STRATEGIES FOR CHANGE K 114000 CASH