2023-11-07T16:11:15-06:00 2022-12-31 330700332 VASQUEZ COMPANY LLP 655 N CENTRAL AVE STE 1550 GLENDALE CA 91203 990 2022-01-01 273261289 BARTZ-ALTADONNA COMMUNITY HEALTH CENTER BART 6618744050 43322 GINGHAM AVENUE LANCASTER CA 93535 MARY CUMMINGS CEO 6618744050 2023-11-07 1 MARY CUMMINGS 888008888 0 REGINA L PRINCE CPA P00576936 2138731700 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MARY CUMMINGS 43322 GINGHAM AVENUE LANCASTER CA 93535 23028141 0 X WWW.BACHC.ORG X 2010 CA A STATE-LICENSED CLINIC THAT PROVIDES COMPREHENSIVE PRIMARY MEDICAL CARE, INCLUDING WOMEN'S CARE, FOR LOW-INCOME, UNINSURED, UNDERINSURED, AND HOMELESS PERSONS. 8 8 196 8 0 0 3789305 4255905 14207304 18747056 6677 17130 7036 8050 18010322 23028141 0 0 0 0 10500067 12497265 0 0 0 4566445 4816987 15066512 17314252 2943810 5713889 15706361 22288735 5660237 6528722 10046124 15760013 X TO PROVIDE PATIENT-CENTERED HIGH-QUALITY, TRAUMA-INFORMED HEALTH CARE SERVICES TO ALL RESIDENTS WITH INTESIVE OUTREACH TO THE HOMELESS, OF THE ANTELOPE VALLEY WITHOUT REGARD TO SOCIAL BARRIERS OR ABILITY TO PAY. 0 0 15679776 18747056 BARTZ-ALTADONNA COMMUNITY HEALTH CENTER (BACHC) IS THE ANTELOPE VALLEY'S FIRST FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND IS COMMITTED TO PROVIDING PATIENT-CENTERED TRAUMA-INFORMED PRIMARY CARE SERVICES TO ALL ITS PATIENTS. BACHC'S CLINICS IN LANCASTER, PALMDALE, AND CAL-CITY AND ITS TWO MOBILE UNITS PROVIDED OUTPATIENT MEDICAL CARE; SPECIALTY CARE FOR HIV/AIDS AND HIV RELATED ILLNESS AND URGENT CARE FOR WALK-INS; REFERRALS FOR SPECIALTY CARE, MENTAL HEALTH, BEHAVIORAL, AND PSYCHIATRIC SERVICES; AND SUBSTANCE ABUSE DISORDER ASSESSMENTS AND COUNSELING SERVICES. BACHC ALSO PROVIDED LIMITED PROCEDURES FOR HEALTH CARE SUCH AS IM INJECTIONS, TB TESTS, EAR LAVAGE, EKG(S), AND HEALTH PHYSICALS. OTHER SERVICES INCLUDE FEMALE EXAMINATIONS AND CARE, LIMITED LABORATORY SERVICES AND GENERAL EXAMINATIONS THAT INCLUDE NUTRITIONAL SERVICES. BEGINNING JANUARY 2021, BACHC PROVIDED A HYBRID MODEL OF CARE TO ALL ITS PATIENTS. THIS HYBRID MODEL ALLOWED US TO DECREASE NO-SHOW RATES, INCREASE PROVIDER PRODUCTIVITY, IMPROVE PATIENT OUTCOMES, AND IMPROVE PATIENT SATISFACTION. DURING 2022, BACHC SERVICED 13,348 UNDUPLICATED PATIENTS; PROVIDING 33,965 CLINIC VISITS AND 43,482 VIRTUAL VISITS. THIS INCLUDES 1,327 MENTAL HEALTH CLINIC VISITS AND 3,314 MENTAL HEALTH VIRTUAL VISITS. 15679776 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 28 0 1 196 1 0 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 JO VASQUEZ 6618744050 43322 GINGHAM AVENUE LANCASTER CA 93535 LIVIA PETERSON BOARD MEMBER 2.00 X 0 0 0 RICCARDO MANSON PRESIDENT 2.00 X X 0 0 0 DAN ANGEL TREASURER 2.00 X X 0 0 0 MARIA ESTRADA TREASURER (UNTIL APRIL 2022) 2.00 X X 0 0 0 SUSAN GUTIERREZ BOARD MEMBER 2.00 X 0 0 0 ROBERT WEBB VICE PRESIDENT 2.00 X X 0 0 0 TAMARA BINNS BOARD MEMBER 2.00 X 0 0 0 TINA THORNTON BOARD MEMBER 2.00 X 0 0 0 ISMENE HERNANDEZ SECRETARY 2.00 X X 0 0 0 MARY CUMMINGS CHIEF EXECUTIVE DIRECTOR 40.00 X 560724 0 23548 JO VASQUEZ CFO 40.00 X 236421 0 22288 PAMELA GRIFFIN CDO 40.00 X 237944 0 17225 CARL HAYES PROVIDER 40.00 X 262370 0 0 AN-CHIH HSIEH PROVIDER 32.00 X 453507 0 24159 AYESHA OGLE PROVIDER 40.00 X 270634 0 16879 ASHRUTA PATEL PROVIDER 40.00 X 311028 0 12856 VANESSA TABUNGAR PROVIDER 40.00 X 183850 0 10213 2516478 0 127168 8 0 1 0 FREEDOM ADDICTION THERAPEUTIC SERVICES I PO BOX 1642 WILDOMAR CA 92595 MEDICAL SERVICES 366975 AA DOCTORS INC 28404 STEEL LANE VALENCIA CA 91354 MEDICAL SERVICES 248880 2 3522057 733848 4255905 NET PATIENT SERVICES 621400 14318678 14318678 CAPITATION REVENUE 621400 3717177 3717177 PHARMACY REVENUE 621400 651276 651276 HRSA PROVIDER RELIEF 621400 59925 59925 18747056 17130 17130 OTHER INCOME 621400 8050 8050 8050 23028141 18747056 0 25180 X 1098150 967939 130211 9371043 8259889 1111154 268780 236910 31870 1015076 894715 120361 744216 655972 88244 220549 216949 3600 12025 11939 86 434414 405136 29278 616963 599370 17593 356822 323620 33202 23883 23830 53 53733 53613 120 246608 246608 591475 582841 8634 159882 157425 2457 PROGRAM EXPENSES 1641004 1641004 REPAIRS & MAINTENANCE 164625 117537 47088 DUES AND LICENSING 131516 128708 2808 LATE FEES 89121 88774 347 74367 66997 7370 17314252 15679776 1634476 0 312249 326078 4336096 7960158 30625 236855 1756566 2235912 44012 32811 75288 101777 11097479 2227802 7962910 8869677 51046 11551 1137569 2513916 15706361 22288735 871717 1255675 4788520 4744614 0 528433 5660237 6528722 X 10046124 15760013 10046124 15760013 15706361 22288735 5713889 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2382635 2382635 4316180 542513 3773667 1897661 732375 1165286 1486242 952914 533328 1014761 1014761 8869677 OTHER RECEIVABLE 2099483 RIGHT-OF-USE ASSETS 414433 2513916 LEASE LIABILITY 419919 ESTIMATED SETTLEMENT AMOUNTS DUE TO THIRD PARTY PAYERS 108514 528433 X 23028141 0 23028141 0 23028141 17314252 0 17314252 0 17314252 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701D OF THE CALIFORNIA REVENUE AND TAXATION CODE AND IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, THE ORGANIZATION IS SUBJECT TO INCOME TAXES ON ANY NET INCOME THAT IS DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON, AND NOT IN FURTHERANCE OF THE PURPOSES FOR WHICH IT WAS GRANTED AN EXEMPTION. NO INCOME TAX PROVISION HAS BEEN RECORDED AS THE NET INCOME, IF ANY, FROM ANY UNRELATED TRADE OR BUSINESS, IN THE OPINION OF MANAGEMENT, IS NOT MATERIAL TO THE FINANCIAL STATEMENTS TAKEN AS A WHOLE. GAAP REQUIRES THAT AN ORGANIZATION RECOGNIZE IN THE FINANCIAL STATEMENTS THE IMPACT OF A TAX POSITION IF THAT POSITION WILL MORE LIKELY THAN NOT BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2022 AND 2021, THE ORGANIZATION HAD NO MATERIAL UNRECOGNIZED TAX BENEFITS, TAX PENALTIES OR INTEREST. AS OF DECEMBER 31, 2022, INFORMATION RETURNS SUBSEQUENT TO 2018 FILED BY THE ORGANIZATION ARE SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES. X X X X 0 0 0 0 0 0 0 0 0 MARY CUMMINGS CHIEF EXECUTIVE DIRECTOR 445688 0 80121 0 34915 0 13535 0 10013 0 584272 0 0 0 AN-CHIH HSIEH PROVIDER 453507 0 0 0 0 0 17505 0 6654 0 477666 0 0 0 ASHRUTA PATEL PROVIDER 303080 0 0 0 7948 0 9212 0 3644 0 323884 0 0 0 AYESHA OGLE PROVIDER 251343 0 0 0 19291 0 10022 0 6857 0 287513 0 0 0 CARL HAYES PROVIDER 262370 0 0 0 0 0 0 0 0 0 262370 0 0 0 JO VASQUEZ CFO 193230 0 23830 0 19361 0 11207 0 11081 0 258709 0 0 0 PAMELA GRIFFIN CDO 212197 0 21591 0 4156 0 10464 0 6761 0 255169 0 0 0 VANESSA TABUNGAR PROVIDER 183850 0 0 0 0 0 3559 0 6654 0 194063 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE MEETS TO REVIEW THE FORM BEFORE IT IS FILED WITH THE IRS. A COMPLETE COPY OF FORM 990, INCLUDING ALL SCHEDULES, IS PROVIDED TO THE ENTIRE VOTING BOARD BEFORE IT IS E-FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE INTERESTED PERSONS COVERED UNDER THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS ANY PERSON SERVING AS AN OFFICER, EMPLOYEE, MEMBER OF THE BOARD OF DIRECTORS, MAJOR DONOR, OR ANYONE ELSE WHO IS IN A POSITION OF CONTROL OVER BARTZ-ALTADONNA COMMUNITY HEALTH CENTER WHO HAS A PERSONAL INTEREST THAT CONFLICTS WITH THE INTERESTS OF BARTZ-ALTADONNA COMMUNITY HEALTH CENTER. ANNUALLY, EACH EMPLOYEE, OFFICER, OR BOARD MEMBER IS REQUIRED TO SUBMIT A CONFLICT OF INTEREST ATTESTATION AND DISCLOSURE FORM. PROCEDURE. PRIOR TO BOARD OR COMMITTEE ACTION ON A CONTRACT OR TRANSACTION INVOLVING A CONFLICT OF INTEREST, A DIRECTOR OR COMMITTEE MEMBER HAVING A CONFLICT OF INTEREST WHO ATTENDS THE MEETING SHALL DISCLOSE ALL FACTS IN WRITING MATERIAL TO THE CONFLICT OF INTEREST. SUCH PROCEDURE IS REFLECTED IN THE MINUTES OF THE MEETING. A PERSON WHO HAS A CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN OR BE PERMITTED TO HEAR THE BOARD'S OR COMMITTEE'S DISCUSSION OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND TO RESPOND TO QUESTIONS. SUCH PERSON SHALL NOT ATTEMPT TO EXERT HIS OR HER PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, EITHER AT OR OUTSIDE THE MEETING. INTERESTED PERSONS WHO ARE NOT MEMBERS OF THE BOARD OF DIRECTORS SHALL DISCLOSE IN WRITING TO THEIR SUPERVISOR, OR THE CHAIR, OR THE CHAIR'S DESIGNEE, ANY CONFLICT OF INTEREST THAT SUCH PERSON HAS WITH RESPECT TO A CONTRACT OR TRANSACTION. SUCH DISCLOSURE SHALL BE MADE AS SOON AS THE CONFLICT OF INTEREST IS KNOWN TO THE INTERESTED PERSON. THE INTERESTED PERSON SHALL REFRAIN FROM ANY ACTION THAT MAY AFFECT BARTZ-ALTADONNA COMMUNITY HEALTH CENTER'S PARTICIPATION IN SUCH CONTRACT OR TRANSACTION. IN THE EVENT IT IS NOT ENTIRELY CLEAR THAT A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE POTENTIAL CONFLICT SHALL DISCLOSE IN WRITING THE CIRCUMSTANCES TO HER OR HER SUPERVISOR OR THE CHAIR OR THE CHAIR'S DESIGNEE, WHO SHALL DETERMINE WHETHER FULL BOARD DISCUSSION IS WARRANTED OR WHETHER THERE EXISTS A CONFLICT OF INTEREST THAT IS SUBJECT TO THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S BOARD OF DIRECTORS HAS A PROCESS FOR REVIEWING AND APPROVING THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND OTHER OFFICERS AND KEY EMPLOYEES ON A REGULAR BASIS TO DETERMINE IT IS FAIR AND REASONABLE WITH THE GOAL OF RETAINING EMPLOYEES AT COMPENSATION LEVELS WITHIN APPROPRIATE MARKET RANGE. THE PROCESS FOR DETERMINING THE COMPENSATION PAID TO THE CHIEF EXECUTIVE OFFICER AND OTHER OFFICERS AND KEY EMPLOYEES INCLUDES THE APPROVAL OF THE COMPENSATION ARRANGEMENT IN ADVANCE, WITH ALL PERSONS WITH A CONFLICT OF INTEREST ABSTAINING FROM THE DELIBERATION AND DISCUSSION OF THE TRANSACTION. THE BOARD OF DIRECTORS REVIEWS DATA OF COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED NONPROFIT EXECUTIVES AT SIMILARLY SITUATED ENTITIES. THE DOCUMENTATION IN THE BOARD MINUTES INCLUDES THE TERMS OF THE TRANSACTION AND THE DATE OF APPROVAL, THE MEMBERS WHO WERE PRESENT DURING THE DEBATE AND VOTE ON THE TRANSACTION, A DESCRIPTION OF THE COMPARABLE DATA AND HOW IT WAS OBTAINED, AND DOCUMENTATION OF THE BASIS FOR THE DETERMINATION. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND THE FORM 990 ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 144,495. MANAGEMENT AND GENERAL EXPENSES 2,398. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 146,893. SECURITY GUARD: PROGRAM SERVICE EXPENSES 72,454. MANAGEMENT AND GENERAL EXPENSES 1,202. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,656. FORM 990, PART IX, LINE 24E PAYROLL FEES: PROGRAM SERVICE EXPENSES 29,085. MANAGEMENT AND GENERAL EXPENSES 3,913. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,998. RECRUITMENT FEES: PROGRAM SERVICE EXPENSES 25,337. MANAGEMENT AND GENERAL EXPENSES 3,408. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,745. HEALTH FAIR EXPENSES: PROGRAM SERVICE EXPENSES 10,767. MANAGEMENT AND GENERAL EXPENSES 42. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,809. MISCELLANEOUS EXPENSE: PROGRAM SERVICE EXPENSES 1,808. MANAGEMENT AND GENERAL EXPENSES 7. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,815.