2024-02-06T07:59:30-05:00 2023-03-31 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2022-04-01 952707101 CLINICA SIERRA VISTA CLIN 6616353050 1430 TRUXTUN AVENUE SUITE 400 BAKERSFIELD CA 93301 JOHN CHURCH INTERIM CFO 6616353050 2024-01-31 true JOHN CHURCH 999009999 false THOMAS DINGUS P00951009 5092420874 2024-02-06 2022 2023-04-26 12:10:37Z JOHN CHURCH 1430 TRUXTON AVENUE SUITE 400 BAKERSFIELD CA 93301 200878889 false X WWW.CLINICASIERRAVISTA.ORG X 1971 CA THE MISSION OF CLINICA SIERRA VISTA IS TO PROVIDE QUALITY HEALTH CARE TO THE UNDERSERVED POPULATIONS OF KERN AND FRESNO COUNTIES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 10 10 1644 10 0 74949772 74097338 91292901 107809033 -511151 43094 7914 68945 165739436 182018410 0 0 109753633 116669642 0 0 64041586 60440234 173795219 177109876 -8055783 4908534 144486589 145432487 81974464 77697901 62512125 67734586 X THE MISSION OF CLINICA SIERRA VISTA IS TO PROVIDE QUALITY HEALTH CARE TO THE UNDERSERVED POPULATIONS OF KERN AND FRESNO COUNTIES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. false false 98056341 101289426 CLINICA SIERRA VISTA (CSV) PROVIDES ESSENTIAL MEDICAL SERVICES TO UNDERSERVED, LOW-INCOME, ISOLATED, HOMELESS, AND OTHERWISE VULNERABLE PEOPLE IN KERN AND FRESNO COUNTIES. MEDICAL SPECIALTIES INCLUDE FULL SPECTRUM PRIMARY CARE THROUGH FAMILY MEDICINE, OB/GYN PEDIATRIC, AND OTHER SPECIALTY PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, AND OTHER ADVANCED PRACTICE PROVIDERS. CSV OFFERS ITS PATIENTS OUTREACH TRANSPORTATION, TRANSLATION, CASE MANAGEMENT, DISEASE MANAGEMENT REGISTRY, AND OTHER ENABLING SERVICES TO PROMOTE ACCESS TO EFFECTIVE AND EFFICIENT MEDICAL CARE. CSV PROVIDED 477,340 MEDICAL AND OTHER ENCOUNTERS TO 150,470 PATIENTS IN FISCAL YEAR 2023. 20123949 CLINICA SIERRA VISTA PROVIDES ESSENTIAL BEHAVIORAL HEALTH SERVICES TO UNDERSERVED, LOW-INCOME, ISOLATED, AND OTHERWISE VULNERABLE PEOPLE IN KERN AND FRESNO 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 31,242 BEHAVIORAL HEALTH ENCOUNTERS TO 10,523 PATIENTS IN FISCAL YEAR 2023. 7808917 6519606 CLINICA SIERRA VISTA PROVIDES ESSENTIAL DENTAL HEALTH SERVICES TO UNDERSERVED, LOW-INCOME, ISOLATED, AND OTHERWISE VULNERABLE PEOPLE IN KERN AND FRESNO 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 39,573 DENTAL ENCOUNTERS TO 15,924 PATIENTS IN FISCAL YEAR 2023. 14050552 CLINICA SIERRA VISTA PROVIDES NUTRITION EDUCATION AND SUPPLEMENTAL FOODS TO SAFEGUARD THE HEALTH OF LOW-INCOME PREGNANT, BREASTFEEDING, AND POSTPARTUM WOMEN, AS WELL AS INFANTS AND CHILDREN. THIS PROGRAM IS FUNDED PRIMARILY THROUGH THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN (WIC). 14050552 140039759 true true false false false false false false false false true false false true true true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 185 0 true 1644 true false false false false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true true false CA X JOHN CHURCH 6616353050 1430 TRUXTON AVENUE SUITE 400 BAKERSFIELD CA 93301 RYAN JOHNSON PHYSICIAN OB 40.00 X 579954 0 43364 ALMA DAYANGHIRANG PHYSICIAN OB 40.00 X 508106 0 43262 AUTHER ADAMS PHYSICIAN OB 40.00 X 492746 0 34005 DANIEL PEDRO LOPEZ PHYSICIAN OB 40.00 X 491073 0 10046 RAMNEET KAUR MANGAT DIR. WOMEN'S 40.00 X 480965 0 45087 OLGA MEAVE CEO (BEGAN 0 40.00 X 429850 0 25370 IRVING AYALA-RODRIGUEZ CMO 40.00 X 352446 0 24257 JOHN CHURCH INTERIM CFO 40.00 X 348300 0 0 STEPHEN LESLIE CFO (ENDED 0 40.00 X 288636 0 36172 STACY FERREIRA CEO (ENDED 0 40.00 X 275917 0 28502 OSCAR FLETES ORTIZ COO 40.00 0.00 X 199629 0 40197 MICHAEL COSIMANO PRESIDENT 1.00 0.00 X X 0 0 0 JOSE VALDOVINOS VICE PRESIDE 1.00 0.00 X X 0 0 0 MARIO VALENZUELA TREASURER 1.00 0.00 X X 0 0 0 JANIE YADON ASHLEY SECRETARY 1.00 0.00 X X 0 0 0 JUANITA BENAVIDEZ BOARD MEMBER 1.00 0.00 X 0 0 0 SOCORRO GAETA BOARD MEMBER 1.00 0.00 X 0 0 0 ENRIQUE SAHAGUN BOARD MEMBER 1.00 0.00 X 0 0 0 PHILIPP MELENDEZ BOARD MEMBER 1.00 0.00 X 0 0 0 JORDAN DAVIS BOARD MEMBER 1.00 0.00 X 0 0 0 LOUIS GILL BOARD MEMBER 1.00 0.00 X 0 0 0 4447622 330262 170 false true false OCHIN INC PO BOX 5426 PORTLAND OR 97228 EHR SERVICES 3522936 PSYCHIATRIC MEDICAL 1707 EYE ST SUITE 100 BAKERSFIELD CA 93301 MENTAL HEALTH 3379111 ECO-FRIENDLY CC PO BOX 13451 BAKERSFIELD CA 93389 JANITORIAL SER. 3040524 WALLACE & SMITH CONTRACTORS INC 3325 LANDCO DR BAKERSFIELD CA 93308 CONSTRUCTION 2883310 QUIRING GENERAL LLC 5118 E CLINTON WAY STE 201 FRESNO CA 93727 CONSTRUCTION 2455717 83 71437419 2659919 74097338 NET PATIENT SERVICE REVENUE 621400 104806854 104806854 INCENTIVE REVENUE 621400 3002179 3002179 107809033 731837 731837 43020 29029 13991 13991 13991 18137707 5000 18722674 108776 -584967 -103776 -688743 -688743 MISCELLANEOUS REVENUE 900099 54954 54954 54954 182018410 107809033 112039 X 1990806 716691 1274115 91460921 75207080 16253841 3234381 2833042 401339 13523679 11339952 2183727 6459855 5291245 1168610 1086937 1086937 237498 237498 140699 140699 25433759 21100524 4333235 864603 33034 831569 4673252 2767571 1905681 1780584 541788 1238796 6075639 3115443 2960196 705140 400370 304770 650311 288525 361786 28729 2076 26653 4856209 1028260 3827949 846967 48314 798653 MEDICAL SUPPLIES & DRUGS 8548246 8548246 REPAIRS & MAINTENANCE 1772645 911105 861540 RECRUITING & RETENTION 1210750 990586 220164 1528266 4875907 -3347641 177109876 140039759 37070117 0 6290321 18723540 22516948 4306503 11895012 7202553 10692375 10891486 3193635 2686260 227931 228418 397636 1308116 82722553 30484682 55447308 52237871 20334029 8381014 50000 13441394 39466726 144486589 145432487 27499720 20222654 960104 1271702 36111 27778 53478529 56175767 81974464 77697901 X 61214637 67568586 1297488 166000 62512125 67734586 144486589 145432487 X 4908534 313927 X false true X true true true X 52039309 60080313 66793750 74949772 74097338 327960482 52039309 60080313 66793750 74949772 74097338 327960482 327960482 1456609 1678560 1129702 816886 774857 5856614 54954 54954 333872050 422482877 0.98230 0.98120 X PART II, LINE 10 MEDICAL RECORDS 1,257 OTHER 53,697 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4276690 4276690 50497915 19864086 30633829 8005286 1095689 6909597 14813708 9524907 5288801 5128954 5128954 52237871 OPERATING LEASE RIGHT-OF-USE ASSETS 39346904 OTHER RECEIVABLES 119822 39466726 OPERATING LEASE LIABILITY 39018711 ESTIMATED THIRD-PARTY PAYABLES 17157056 56175767 X 181906740 29029 29029 181877711 140699 140699 182018410 176998206 29029 29029 176969177 140699 140699 177109876 SCHEDULE D, PAGE 3, PART X THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF MARCH 31, 2023 AND 2022, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. SCHEDULE D, PAGE 4, PART XI, LINE 2D RENTAL EXPENSE 29,029 SCHEDULE D, PAGE 4, PART XII, LINE 2D RENTAL EXPENSE 29,029 X X X X X X false false false false false false false false false RYAN JOHNSON PHYSICIAN OB/GYN 419338 28460 132156 16909 26455 623318 ALMA DAYANGHIRANG PHYSICIAN OB/GYN 356885 2240 148981 10375 32887 551368 AUTHER ADAMS PHYSICIAN OB/GYN 375755 24500 92491 13240 20765 526751 DANIEL PEDRO LOPEZ PHYSICIAN OB/GYN 407542 34280 49251 10046 501119 RAMNEET KAUR MANGAT DIR. WOMEN'S HEALTH 409515 16860 54590 12200 32887 526052 OLGA MEAVE CEO (BEGAN 04/22) 348508 500 80842 11985 13385 455220 IRVING AYALA-RODRIGUEZ CMO 316953 15500 19993 12200 12057 376703 JOHN CHURCH INTERIM CFO 348300 348300 STEPHEN LESLIE CFO (ENDED 09/22) 258573 30063 11575 24597 324808 STACY FERREIRA CEO (ENDED 04/22) 211389 64528 13344 15158 304419 OSCAR FLETES ORTIZ COO 177813 500 21316 7310 32887 239826 FORM 990, PART III 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 AND FRESNO 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. 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, PAGE 2, PART III, LINE 4D CLINICA SIERRA VISTA PROVIDES NUTRITION EDUCATION AND SUPPLEMENTAL FOODS TO SAFEGUARD THE HEALTH OF LOW-INCOME PREGNANT, BREASTFEEDING, AND POSTPARTUM WOMEN, AS WELL AS INFANTS AND CHILDREN. THIS PROGRAM IS FUNDED PRIMARILY THROUGH THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN (WIC). FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS REVIEWED BY THE CFO. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PROVIDED TO THE BOARD OF DIRECTORS. ONCE THE BOARD AND MANAGEMENT ARE SATISFIED WITH THE 990, THE CFO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN FORM 990, PAGE 6, PART VI, LINE 12C 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 ADHERENCE TO THIS POLICY. THE BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY ANY CONFLICT OF INTEREST. FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION FOR THE CEO IS DETERMINED AND APPROVED BY CSV'S BOARD OF DIRECTORS. THE CEO DETERMINES AND APPROVES COMPENSATION FOR OFFICERS AND KEY EMPLOYEES BASED ON THE BOARD-APPROVED SALARY SCHEDULE AND INDIVIDUALS' QUALIFICATIONS. FORM 990, PAGE 6, PART VI, LINE 15B SEE FORM 990, PART VI, LINE 15A. FORM 990, PAGE 6, PART VI, LINE 19 ALL GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND FORM 990 ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES 4,729,128 3,561,054 0 CUSTODIAL SERVICES 2,680,860 434,471 0 INTERPRETING SERVICES 1,757,524 19,904 0 PHARMACY SERVICES 4,132,602 0 0 PHYSICIAN FEES 1,997,237 0 0 PSYCHIATRIST FEES 3,673,173 84,960 0 SECURITY 2,130,000 232,846 0 TOTAL 21,100,524 4,333,235 0 FORM 990, PART XI, LINE 9 RENTAL EXPENSE 29,029 RENTAL EXPENSE -29,029