2024-10-28T12:07:44-05:00 2023-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2023-01-01 952801772 CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC CENT 6196624100 1601 PRECISION PARK LANE SAN YSIDRO CA 92173 BRIAN WALLACE CFO 6196624100 2024-10-26 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2024-10-26 2023 2024-10-15 13:58:12Z SAN YSIDRO HEALTH KEVIN MATTSON 1601 PRECISION PARK LANE SAN YSIDRO CA 92173 522193694 0 X WW.SYHC.ORG X 1971 CA OPERATE COMMUNITY HEALTH CENTERS TO IMPROVE HEALTH AND WELL BEING OF THE UNDERSERVED COMMUNITY. 14 14 3252 73 0 0 49553545 40296042 372578396 479545190 167197 1231443 3382828 712071 425681966 521784746 0 16250 0 0 218307107 277156995 0 0 696993 203211316 238719532 421518423 515892777 4163543 5891969 336857426 351656374 257537956 266444935 79319470 85211439 THE MISSION OF SAN YSIDRO HEALTH IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE WITH ACCESS FOR ALL. 0 0 434125277 16250 479545190 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. SAN YSIDRO HEALTH AND ITS PROGRAM SITES ARE DESIGNED UNDER THE CONCEPT OF THE PATIENT CENTERED MEDICAL HOME (PCMH) MODEL OF CARE, WHERE THE PATIENT, NOT THE SUPPORT STAFF OR PROVIDER, IS THE FOCUS OF ALL CARE AND SERVICES. PATIENTS HAVE ACCESS TO COMPREHENSIVE MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES AS WELL AS SUPPORT SERVICES AND PROGRAMS THAT HELP WITH OTHER NEEDS LIKE FOOD, HOUSING AND HEALTH EDUCATION. DURING THE FISCAL YEAR, THE HEALTH CENTER SAW 128,158 PATIENTS WHO GENERATED 614,840 MEDICAL AND DENTAL VISITS IN THE CURRENT PERIOD. 434125277 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 198 0 3252 1 0 0 0 0 0 1 1 0 0 0 0 1 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X BRIAN WALLACE 6192056339 1601 PRECISION PARK LANE SAN YSIDRO CA 92173 KEVIN MATTSON PRESIDENT AND CEO 40.00 2.00 X 1296514 0 24889 MARIA CARRIEDO-CENICEROS CMO 40.00 X 720214 0 17762 VERONICA DE LA ROSA EXEC VP OF OPERATIONS 40.00 X 565619 0 31955 NICHOLAS WHITLEY MEDICAL CLINIC DIRECTOR 40.00 X 545702 0 31955 BRIAN WALLACE CFO 40.00 X 481111 0 31955 TERRY WHITAKER SR. VP OF FACILITY DEVEL. & MGMT 40.00 X 494670 0 10615 ART MEJIA VP OF CLINIC OPERATIONS 40.00 X 487759 0 3341 GUILLERMO GOMEZ BOARD SECRETARY 2.00 X 3550 0 0 TOMAS URTASUN BOARD TREASURER 2.00 2.00 X 3300 0 0 MERCEDES BERNAL BOARD MEMBER 2.00 X 3300 0 0 FRED DORSEY BOARD MEMBER 2.00 X 3300 0 0 MARGARITA NAVARRO BOARD MEMBER 2.00 X 3300 0 0 MARK OSTRANDER BOARD MEMBER 2.00 X 3300 0 0 REYNALDO PEREZ BOARD MEMBER 2.00 X 3300 0 0 YOLANDA SANTANA BOARD MEMBER 2.00 X 3300 0 0 CATALINA VALENCIA BOARD MEMBER 2.00 X 3300 0 0 MACARIO GUTIERREZ BOARD CHAIR 2.00 X 3190 0 0 GLORIA RAMIREZ BOARD 2ND VICE CHAIR 2.00 X 2700 0 0 KUSAY ARABO BOARD MEMBER 2.00 X 0 0 0 VICTOR NIETO BOARD VICE CHAIR 2.00 X 0 0 0 JAIRO ROMERO MD BOARD MEMBER 2.00 X 0 0 0 4627429 0 152472 559 0 1 0 FRANK MAC 8534 HOPSEED LANE SAN DIEGO CA 92129 DENTAL SERVICES 574860 DALIA STRAUSER MD 5274 MARGARET STREET BONITA CA 91902 MEDICAL SERVICES 496967 NIHAL DESILVA 2132 STONE CROFT STREET LAS VEGAS NV 89134 PHYCHIATRIST 228114 SCOTT MUSINKI MD 3160 WEST CANYON AVE SAN DIEGO CA 92123 MEDICAL SERVICES 152725 LATISA S CARSON MD 891 KUHN DRIVE SUITE 111 CHULA VISTA CA 91914 MEDICAL SERVICES 152275 15 117646 33117512 7060884 416910 40296042 PATIENT SERVICE REVENUE 621400 464940487 464940487 340B PHARMACY REVENUE 524292 11178130 11178130 3426573 3426573 479545190 1015769 1015769 645490 254651 390839 390839 390839 215406 268 0 0 215406 268 215674 215674 475529 117646 154297 321232 321232 521784746 479545190 0 1943514 X 16250 16250 1870309 1870309 228754802 196199206 32214974 340622 8714912 7359047 1341579 14286 19964582 16906496 3025266 32820 17852390 15074919 2748207 29264 1987255 1987255 1115559 1115559 162599154 152419468 10168275 11411 2610339 1933077 673055 4207 11314609 4416010 6898599 1176810 831538 344225 1047 17369 12273 5081 15 5354224 66139 5288085 9004439 3244071 5760368 1571039 13830 1557209 MEDICAL SUPPLIES AND DR 28093089 28090218 2871 REPAIRS & MAINTENANCE 2774117 2121784 649914 2419 COMMUNICATIONS 2575287 711935 1862336 1016 MINOR EQUIPMENT 2087726 1502102 582876 2748 6438516 3206914 2974464 257138 515892777 434125277 81070507 696993 43873296 26429815 2693400 2728938 6123954 7582225 33976804 32403636 26660333 26382500 730410 1064357 6263524 10876500 217856670 68973046 143656429 148883624 1285971 1040822 71593305 94263957 336857426 351656374 46992020 56641945 1406123 0 134329531 132099564 906761 0 73903521 77703426 257537956 266444935 X 77451590 83072093 1867880 2139346 79319470 85211439 336857426 351656374 5891969 0 X X 0 1 X 1 1 1 X 21755118 28649161 41155833 49553545 40296042 181409699 21755118 28649161 41155833 49553545 40296042 181409699 181409699 166316 1196 15155 167197 1661259 2011123 801249 175362 444658 475529 1896798 185317620 1569309091 0.97890 0.99650 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17200757 17200757 145502812 36505602 108997210 6527232 3999124 2528108 43679024 28468320 15210704 4946845 4946845 148883624 DUE FROM THIRD-PARTY REIMBURSEMENT PROGRAMS 24200887 RIGHT OF USE ASSETS - OPERATING LEASES 68257211 DEPOSITS 1805859 94263957 DUE TO THIRD-PARTY REIMBURSEMENT PROGRAMS 8780886 OPERATING LEASE OBLIGATIONS 68922540 77703426 X PART X, LINE 2: SAN YSIDRO HEALTH IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. SAN YSIDRO HEALTH IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. FEDERAL AND STATE INCOME TAXES ARE PAID ON NONEXEMPT UNRELATED BUSINESS INCOME IN ACCORDANCE WITH THE CODE. CURRENT ACCOUNTING GUIDELINES REQUIRE AN ORGANIZATION TO DETERMINE WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. SAN YSIDRO HEALTH RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. TAX RETURNS FOR TAX YEARS 2020 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES. ANNUAL GOLF TOURNAMENT 285945 55646 230299 18560 38682 32111 RURAL LUNCHEON 307230 62000 245230 36917 28027 593175 117646 475529 55477 38682 60138 154297 321232 0 OSHPD STUDENT LOAN PROGRAM 3 16250 PART I, LINE 2: ALL OUR PROVIDERS ARE ELIGIBLE AND THE PROGRAM SELECTS WHO WILL RECEIVE THE LOAN REPAYMENT. X X X 0 0 0 0 0 0 0 0 0 KEVIN MATTSON PRESIDENT AND CEO 873321 0 414429 0 8764 0 0 0 24889 0 1321403 0 0 0 MARIA CARRIEDO-CENICEROS CMO 529048 0 187578 0 3588 0 0 0 17762 0 737976 0 0 0 VERONICA DE LA ROSA EXEC VP OF OPERATIONS 401384 0 161061 0 3174 0 0 0 31955 0 597574 0 0 0 NICHOLAS WHITLEY MEDICAL CLINIC DIRECTOR 514470 0 31070 0 162 0 0 0 31955 0 577657 0 0 0 BRIAN WALLACE CFO 344726 0 133715 0 2670 0 0 0 31955 0 513066 0 0 0 TERRY WHITAKER SR. VP OF FACILITY DEVEL. & MGMT 347806 0 137858 0 9006 0 0 0 10615 0 505285 0 0 0 ART MEJIA VP OF CLINIC OPERATIONS 347747 0 137198 0 2814 0 0 0 3341 0 491100 0 0 0 X MEDICAL SUPPLIES 6 416910 FMV 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 TAX RETURN IS MADE AVAILABLE VIA EMAIL TO ALL BOARD MEMBERS, THEY ARE GIVEN SEVERAL WEEKS TO REVIEW AND GO OVER ANY QUESTIONS WITH 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, FULLY INDEPENDENT MANAGEMENT AND PROFESSIONAL SERVICES COMPANY WHICH CONDUCTED A COMPREHENSIVE MARKET ANALYSIS OF CEO'S AMONG COMPARABLE REVENUE, FTE, GEOGRAPHY, ETC. AND RECOMMENDED TO THE BOARD OF DIRECTORS A CEO PAY RANGE BASED ON ANALYSIS. THE ORGANIZATION HIRED A THIRD PARTY, FULLY INDEPENDENT MANAGEMENT AND PROFESSIONAL SERVICES COMPANY WHICH CONDUCTED A COMPREHENSIVE MARKET ANALYSIS FOR ALL OFFICERS OF SYH. THEY RECOMMEND RANGE AND PLACEMENT WITHIN THE RANGE. 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. FORM 990, PART IX, LINE 11G MEDICAL CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 132,422,681. MANAGEMENT AND GENERAL EXPENSES 546,189. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 132,968,870. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 19,996,787. MANAGEMENT AND GENERAL EXPENSES 9,622,086. FUNDRAISING EXPENSES 11,411. TOTAL EXPENSES 29,630,284. FORM 990, PART XII, LINE 2C SYH HAS A BOARD AUDIT COMMITTEE THAT OVERSEES ALL ASPECTS OF THE AUDIT. THE ORGANIZATION'S OVERSIGHT PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. SAN YSIDRO HEALTH COMMUNITY SERVICES INC 1601 PRECISION PARK LANE SAN DIEGO CA 92173 873984396 SUPPORT GENERAL OPERATIONS CA 501(C)(3) LINE 12C, III-FI SAN YSIDRO HEALTH 1 SAN YSIDRO HEALTH NATIONAL CITY DEV CORP 1601 PRECISION PARK LANE SAN DIEGO CA 92173 882461312 SUPPORT GENERAL OPERATIONS CA 501(C)(3) LINE 12C, III-FI N/A 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 1