2024-05-14T19:48:41-05:00 2023-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2022-07-01 815395044 OLE HEALTH NMTC OLEH 7072541770 1141 PEAR TREE LANE 100 NAPA CA 94558 ROSE MACISAAC TREASURER & CFO 7072541770 2024-05-14 1 ROSE MACISAAC 999009999 0 MICHAEL LUMSDEN P01262236 4159561500 2024-05-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ALICIA HARDY 1141 PEAR TREE LANE 100 NAPA CA 94558 600333 0 X WWW.OLEHEALTH.ORG X 2017 CA TO SUPPORT THE FINANCING AND CONSTRUCTION OF, AND HOLD TITLE TO, THE SOUTH NAPA CAMPUS OF OLE HEALTH. 7 5 0 5 0 0 0 0 534408 597017 72 3316 0 0 534480 600333 0 0 0 0 0 0 0 0 0 1765827 1673606 1765827 1673606 -1231347 -1073273 26948518 25972908 29990065 30087728 -3041547 -4114820 X THE SPECIFIC PURPOSE OF THIS CORPORATION IS TO SUPPORT THE CHARITABLE PURPOSES OF OLE HEALTH AND OLE HEALTH FOUNDATION, INCLUDING, WITHOUT LIMITATION, TO DEVELOP A 30,000 SQUARE FOOT HEALTH CARE FACILITY WITH PRIMARY, BEHAVIORAL, NUTRITIONAL, DENTAL, PRENATAL, PHARMACY AND VISION SERVICES, ON PROPERTY LOCATED AT 300 HARTLE COURT IN NAPA, CALIFORNIA. OLE'S CHARITABLE PURPOSE IS TO ENGAGE IN PROVIDING HIGH QUALITY, COMPREHENSIVE, PREVENTION-ORIENTED PRIMARY CARE SERVICES TO THE MEDICALLY UNDERSERVED IN THE STATE OF CALIFORNIA, AND TO CARRY ON OTHER CHARITABLE ACTIVITIES ALLOWED BY LAW, AS DETERMINED BY THE BOARD OF DIRECTORS. 0 0 0 0 597017 OLE HEALTH NMTC SUPPORTS THE CHARITABLE PURPOSES OF OLE HEALTH BY FINANCING THE CONSTRUCTION OF, AND HOLDING TITLE TO, THE SOUTH NAPA CAMPUS OF OLE HEALTH, WHICH OPENED IN MAY 2019. 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 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 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X CINDY JOHNSON 7072541770 2650 NAPA VALLEY CORPORATE DRIVE NAPA CA 94558 ALICIA HARDY PRESIDENT/CEO 1.00 39.00 X X 0 377325 13077 ROSE MACISSAC TREAS./CFO THRU 2/2022; START 6/2023 1.00 39.00 X X 0 66536 5065 HEMANTA MUNGUR TREAS./CFO THRU 5/2023 1.00 39.00 X X 0 229821 9419 RICHARD JONES CHAIR 1.00 3.00 X X 0 0 0 MAIRA AYALA VICE CHAIR 1.00 1.00 X X 0 0 0 SUE PARRY SECRETARY 1.00 0.00 X X 0 0 0 STEPHEN CORLEY DIRECTOR 1.00 0.00 X 0 0 0 PETE RICHMOND DIRECTOR 1.00 2.00 X 0 0 0 0 673682 27561 0 0 1 0 0 RENTAL REVENUE - OLE HEALTH 532000 597017 597017 597017 3316 3316 600333 597017 0 3316 579529 579529 874300 874300 REIMBURSEMENT TO LENDER 105841 105841 DEBT ISSUANCE COSTS 98562 98562 LICENSES, FEES, TAXES 9122 9122 6252 6252 1673606 0 1673606 0 564547 398094 419246 252280 10205 10205 28650321 3910184 25614437 24740137 340083 572192 26948518 25972908 49454 48554 29462088 29560651 478523 478523 29990065 30087728 X -3041547 -4114820 -3041547 -4114820 26948518 25972908 -1073273 0 X 0 1 X 1 0 X X 1 OLE HEALTH 237221695 7 1 0 597017 1 0 597017 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 SCHEDULE A, PART I, LINE 12G, COLUMN (VI): OLE HEALTH NMTC SUPPORTS THE CHARITABLE PURPOSES OF OLE HEALTH BY FINANCING THE CONSTRUCTION OF THE SOUTH NAPA CAMPUS OF OLE HEALTH, WHICH OPENED IN MAY 2019. UPON COMPLETION OF THE SOUTH NAPA CAMPUS, OLE HEALTH NMTC CONTINUED TO HOLD TITLE TO THIS PROPERTY, WHICH WAS THEN UTILIZED BY OLE HEALTH TO FURTHER ITS EXEMPT PURPOSE. OLE HEALTH NMTC RECOGNIZED $597,017 OF RENTAL REVENUE ON FORM 990, PART VIII, LINE 2A IN RELATION TO THESE FACILITIES FURNISHED TO OLE HEALTH. 2732427 2732427 22844724 2337815 20506909 1919536 1101301 818235 1153634 471068 682566 24740137 DUE TO RELATED ORGANIZATION 478523 478523 X PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT CORPORATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND HAS BEEN GRANTED TAX-EXEMPT STATUS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA REVENUE AND TAXATION CODE. AS OF JUNE 30, 2023 AND 2022, THE ORGANIZATION HAD NO UNRECOGNIZED TAX POSITIONS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. 0 0 0 0 0 0 0 0 0 ALICIA HARDY PRESIDENT/CEO 0 338640 0 35085 0 3600 0 10863 0 2214 0 390402 0 0 HEMANTA MUNGUR TREAS./CFO THRU 5/2023 0 221051 0 8770 0 0 0 0 0 9419 0 239240 0 0 PART I, LINE 3 THE PRESIDENT/CEO IS COMPENSATED BY OLE HEALTH, A RELATED ORGANIZATION. OLE HEALTH UTILIZES THE FOLLOWING METHODS TO DETERMINE THE COMPENSATION OF THE PRESIDENT/CEO OF OLE HEALTH NMTC: COMPENSATION SURVEYS OR STUDIES; APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 6 OLE HEALTH NMTC DOES NOT HAVE "MEMBERS" BY DEFINITION OF THE BYLAWS; HOWEVER, THE FORM 990 INSTRUCTIONS ALSO DEFINE A "MEMBER" AS ANY PERSON (INCLUDING A CORPORATION OR OTHER LEGAL ENTITY) WHO, PURSUANT TO A PROVISION OF THE ORGANIZATION'S GOVERNING DOCUMENTS, HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE (INCLUDING ELECTING MEMBERS OF THE GOVERNING BODY). ACCORDINGLY, OLE HEALTH NMTC HAS TWO MEMBERS: OLE HEALTH AND OLE HEALTH FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A OLE HEALTH HAS THE POWER TO APPOINT A SIMPLE MAJORITY OF THE ORGANIZATION'S BOARD OF DIRECTORS. THE REMAINDER MAY BE APPOINTED BY OLE HEALTH FOUNDATION, OR ELECTED BY THE EXISTING BOARD. FORM 990, PART VI, SECTION B, LINE 11B TO PREPARE THE FORM 990, THE ORGANIZATION UTILIZED A PROFESSIONAL ACCOUNTING FIRM WHO WORKED WITH THE ORGANIZATION'S FINANCE AND ACCOUNTING TEAM TO GATHER THE REQUIRED INFORMATION. UPON REVIEW OF THE FORM 990 BY THE ORGANIZATION'S MANAGEMENT TEAM, A COPY OF THE FORM 990 WITH ALL RELATED SCHEDULES AND STATEMENTS WAS PROVIDED TO MEMBERS OF THE BOARD OF DIRECTORS BEFORE FILING IN ORDER TO ALLOW SUFFICIENT TIME FOR REVIEW AND COMMENT. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, CORPORATE OFFICER, TOP MANAGEMENT OFFICIAL, KEY EMPLOYEE, AND OTHERS THAT THE ORGANIZATION MAY IDENTIFY ANNUALLY SIGN A STATEMENT THAT AFFIRMS THAT THEY: (I) HAVE RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAVE READ AND UNDERSTOOD THE POLICY, AND HAVE AGREED TO COMPLY WITH THE POLICY, AND (II) WILL TRUTHFULLY DISCLOSE THEIR FINANCIAL INTERESTS AND FAMILY RELATIONSHIPS THAT COULD GIVE RISE TO ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. EACH INSIDER WITH A POTENTIAL CONFLICT OF INTEREST SHALL PROMPTLY DISCLOSE TO THE BOARD ALL MATERIAL FACTS REGARDING HIS/HER INTEREST IN THE TRANSACTION. THE BOARD THEN REVIEWS THE MATERIAL FACTS CONCERNING SUCH INTERESTED PERSON'S INTEREST IN THE TRANSACTION AND DETERMINES IF THE INTEREST CONSTITUTES A CONFLICT OF INTEREST. IF A CONFLICT OF INTEREST HAS BEEN FOUND, THE BOARD MAY ASK QUESTIONS OF AND RECEIVE PRESENTATIONS FROM THE INSIDERS AND ANY OTHER INTERESTED PERSONS, BUT DELIBERATES AND VOTE ON THE TRANSACTION IN THEIR ABSENCE. AFTER EXERCISING DUE DILIGENCE, WHICH MAY INCLUDE INVESTIGATING ALTERNATIVES THAT PRESENT NO CONFLICT OF INTEREST, THE BOARD DETERMINES WHETHER THE TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE TO THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT COMPENSATE ITS PRESIDENT/CEO, OTHER OFFICERS, OR KEY EMPLOYEES; RATHER, THESE INDIVIDUALS ARE COMPENSATED BY OLE HEALTH, A RELATED ORGANIZATION. THEREFORE, PART VI, SECTION A, LINES 15A AND 15B HAVE BEEN ANSWERED "NO" AS MANDATED BY THE FORM 990 INSTRUCTIONS. FORM 990, PART VI, SECTION C, LINE 19 THE AUDITED FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS ARE ALL AVAILABLE UPON REQUEST. OLE HEALTH 1141 PEAR TREE LANE SUITE 100 NAPA CA 94558 237221695 PROVIDES HEALTH CARE TO LOW INCOME AND UNINSURED RESIDENTS CA 501(C)(3) LINE 7 N/A 0 OLE HEALTH FOUNDATION 1141 PEAR TREE LANE SUITE 100 NAPA CA 94558 680149424 FUNDRAISING CA 501(C)(3) LINE 7 OLE HEALTH 0 NAPA VALLEY VINTNERS COMMUNITY HEALTH CENTER 1141 PEAR TREE LANE SUITE 100 NAPA CA 94558 680467715 LEASE OF HEALTHCARE FACILITIES TO OLE HEALTH CA 501(C)(3) LINE 12A, I OLE HEALTH 0 0 0 0 0 1 0 0 0 0 1 0 0 1 1 1 1 0 0 0