2024-05-15T06:35:27-05:00 2023-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-07-01 421533531 EL DORADO COMMUNITY HEALTH CENTER ELDO 5306217700 4212 MISSOURI FLAT RD PLACERVILLE CA 95667 JUDY STEIN CFO 5303508201 2024-05-08 1 JUDY STEIN 999009999 0 MICHAEL J PETERSON CPA P01833529 2187224705 2024-05-08 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z CALEB SANDFORD 4212 MISSOURI FLAT RD PLACERVILLE CA 95667 23684713 0 X WWW.EDCCHC.ORG X 2002 CA TO PROVIDE HEALTH & SOCIAL SERVICES TO PEOPLE IN THE EL DORADO COUNTY AREA TARGETED PRIMARILY TO THE MEDI-CAL AND UNINSURED POPULATION. 15 15 197 18 0 0 6708899 10216134 11953721 13393662 5 12 122866 49705 18785491 23659513 0 0 0 0 12884577 15010344 0 0 475 5259174 7274645 18143751 22284989 641740 1374524 28025507 35668339 17494529 23762837 10530978 11905502 X IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH QUALITY HEALING AND PREVENTATIVE SERVICES. 1 0 15229117 0 13440546 THE CENTER PROVIDED PRIMARY MEDICAL, DENTAL, OPTICAL AND BEHAVIORAL HEALTH SERVICES TO OVER 10,627 PATIENTS AND PERFORMED OVER 86,712 MEDICAL, DENTAL, OPTICAL AND BEHAVIORAL HEALTH VISITS. IN ADDITION, THE CENTER HAS A MAT (MEDICALLY ASSISTED TREATMENT) PROGRAM TO HELP PATIENTS WITH OPIOID USE DISORDER). CONTINUING TO UTILIZE TELEVIDEO/AUDIO VISITS. VACCINATIONS ARE SOMETHING THAT WE FELT RELEVANT TO REPORT DURING THE COVID PANDEMIC AND THE PUSH FOR VACCINATIONS, AND WE'RE NO LONGER REPORTING ON VACCINATIONS IN THAT WAY. 15229117 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 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 0 0 0 0 1 31 0 197 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X JUDY STEIN 5307482327 4212 MISSOURI FLAT RD PLACERVILLE CA 95667 KEVIN MONSMA BOARD CHAIR 1.00 X X 0 0 0 MICHAEL UNGEHEUER VICE CHAIR 1.00 X X 0 0 0 MARK HICKS TREASURER (THRU NOV 2022) 1.00 X 0 0 0 RACHEL PEIGH TREASURER 1.00 X 0 0 0 DORIS BLUMENTHAL SECRETARY 1.00 X 0 0 0 CAROL HERRLIE BOARD DEVELOPMENT, CHAIR 1.00 X 0 0 0 CHRIS BARTON BOARD MEMBER 1.00 X 0 0 0 ANDREA CAMPBELL BOARD MEMBER (THRU MARCH 2023) 1.00 X 0 0 0 JESUS CORDOVA BOARD MEMBER 1.00 X 0 0 0 TOM EWING BOARD MEMBER 1.00 X 0 0 0 JONAS KRIKSSCIUNAS BOARD MEMBER 1.00 X 0 0 0 GREG LAWSON BOARD MEMBER 1.00 X 0 0 0 LETICIA SALINAS BOARD MEMBER 1.00 X 0 0 0 ARDAMAN SINGH BOARD MEMBER 1.00 X 0 0 0 FRANK VERDIN BOARD MEMBER (THRU JULY 2022) 1.00 X 0 0 0 JIM WILTSHIRE BOARD MEMBER 1.00 X 0 0 0 BEN YOUNG BOARD MEMBER 1.00 X 0 0 0 JIM ZEEK BOARD MEMBER 1.00 X 0 0 0 VERONICA VELASQUEZ-MORFIN MEDICAL DIRECTOR 40.00 X 311479 0 19843 TERRI STRATTON CEO (THRU JAN 2023) 40.00 X 205189 0 6998 JUDY STEIN CFO 40.00 X 166748 0 23257 KRISTINE LOKEN-KUEBLI COO 40.00 X 177763 0 10252 CALEB SANDFORD CEO 40.00 X 71625 0 4472 CLINTON COLLINS PHYSICIAN 40.00 X 298814 0 24493 HARPREET SINGH PHYSICIAN 40.00 X 253553 0 34158 ANDREA CASILLAS-CHAVEZ PHYSICIAN 40.00 X 264142 0 21744 HAI LE PHYSICIAN 40.00 X 253070 0 30953 DENISE KELLAHER PSYCHIATRIST 34.00 X 257836 0 0 2260219 0 176170 30 0 1 0 NEENAN ARCHISTRUCTION 3325 S TIMBERLINE SUITE 100 FORT COLLINS CO 80525 ARCHITECT/CONSTRUCTION 11724824 PANOPTIC SERVICES INC 6125 ENTERPRISE DR 4 DIAMOND SPRINGS CA 95619 NETWORK ADMINISTRATION 324729 340 BASICS INC 161 GAITHER DR STE 201 MT LAUREL NJ 08054 340B PROGRAM ADMINISTRATION 154182 MACMAN MANAGEMENT HEALTHCARE SERVICES 1930 DEL PASO RD STE 120 SACRAMENTO CA 95834 CREDENTIALING SERVICES 138810 WORKMAN COMMUNICATIONS 4600 ROSEVILLE RD 120 SACRAMENTO CA 95660 INSTALLATION OF CAT6 CABLING 131785 6 8591581 1624553 186511 10216134 PATIENT SERVICE REVENUE 621400 11080721 11080721 PHARMACY REVENUE 621400 2035559 2035559 HEDIS PROGRAM REVENUE 621400 232382 232382 TOBACCO PREVENTION PROGRAM 621400 45000 45000 13393662 12 12 28021 25200 2821 2821 2821 E.H.R. INCENTIVE 621110 23310 23310 23574 23574 46884 23659513 13440546 0 2833 1122747 1122747 11760662 8201800 3558862 113875 92625 21250 1120444 716397 404047 892616 584002 308614 7721 7721 58140 58140 220458 152640 67343 475 51866 1236 50630 550710 420199 130511 461438 354750 106688 981683 851498 130185 41413 25528 15885 704263 563410 140853 790426 632340 158086 390548 96615 293933 PHARMACY EXPENSE 1167146 1167146 CLINIC EXPENSES 972240 768481 203759 PERSONNEL COSTS 561491 318939 242552 BAD DEBT EXPENSE 173118 173118 141984 108393 33591 22284989 15229117 7055397 475 1675650 1840053 554103 1187107 2379702 3362936 186836 282307 29370635 3086020 19934554 26284615 3294662 2711321 28025507 35668339 3450957 3224461 441316 88186 13602256 19821065 0 629125 17494529 23762837 X 10530978 11905502 10530978 11905502 28025507 35668339 1374524 0 X X 0 0 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2001755 2001755 21325450 355424 20970026 2085967 1247240 838727 2678169 735770 1942399 1279294 747586 531708 26284615 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 1873471 RIGHT OF USE ASSET 837850 2711321 LEASE LIABILITY 629125 629125 X X X X 0 0 0 0 0 0 0 0 0 VERONICA VELASQUEZ-MORFIN MEDICAL DIRECTOR 309879 0 1000 0 600 0 5984 0 13859 0 331322 0 0 0 CLINTON COLLINS PHYSICIAN 295414 0 3400 0 0 0 2908 0 21585 0 323307 0 0 0 HARPREET SINGH PHYSICIAN 252553 0 1000 0 0 0 4874 0 29284 0 287711 0 0 0 ANDREA CASILLAS-CHAVEZ PHYSICIAN 260342 0 3800 0 0 0 5218 0 16526 0 285886 0 0 0 HAI LE PHYSICIAN 252070 0 1000 0 0 0 4147 0 26806 0 284023 0 0 0 DENISE KELLAHER PSYCHIATRIST 255636 0 1000 0 1200 0 0 0 0 0 257836 0 0 0 TERRI STRATTON CEO (THRU JAN 2023) 202539 0 1000 0 1650 0 4801 0 2197 0 212187 0 0 0 JUDY STEIN CFO 165748 0 1000 0 0 0 3226 0 20031 0 190005 0 0 0 KRISTINE LOKEN-KUEBLI COO 176163 0 1000 0 600 0 2476 0 7776 0 188015 0 0 0 X IUDS 1 185511 FAIR MARKET VALUE 0 0 0 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN PART I, COLUMN (B). FORM 990, PART III, LINE 2 ADDED WOMEN'S REPRODUCTIVE HEALTH BY HIRING A GYNECOLOGIST AND NOW INCLUDE OUT-PATIENT SURGICAL PROCEDURES. ADDED OPTOMETRY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CFO BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE POLICY OF EL DORADO COUNTY COMMUNITY HEALTH CENTER (THE CENTER) THAT ALL DIRECTORS, OFFICERS, EMPLOYEES, AND AGENTS SHALL DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST REGARDLESS OF WHETHER THE INDIVIDUAL THINKS A CONFLICT OF INTEREST ACTUALLY EXISTS. THE BOARD OF DIRECTORS AND THE LEADERSHIP TEAM AT THE CENTER REGULARLY DISCUSS WHETHER THERE IS A CONFLICT OF INTEREST IN DIFFERENT SITUATIONS IN THE CASE OF A POTENTIALLY CONFLICTED PERSON WHO IS A DIRECTOR OR THE CEO. THAT PERSON MAY MAKE A PRESENTATION TO THE BOARD REGARDING WHETHER HE OR SHE HAS A CONFLICT. THE BOARD WILL THEN DISCUSS AND VOTE ON WHETHER A CONFLICT OF INTEREST EXISTS. IN THE CASE OF AN EMPLOYEE, THE CEO WILL DECIDE WHETHER A CONFLICT EXISTS. IF THERE IS REASONABLE CAUSE TO BELIEVE THAT A DIRECTOR, OFFICER, EMPLOYEE, OR AGENT HAS FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE INDIVIDUAL SHALL BE INFORMED OF THE BASIS FOR SUCH BELIEF AND AFFORDED AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF AFTER HEARING THE RESPONSE OF THE INDIVIDUAL, THE BOARD OR CEO DETERMINES THE INDIVIDUAL HAS IN FACT FAILED TO DISCLOSE AN INTEREST, AN APPROPRIATE CORRECTIVE AND/OR DISCIPLINARY ACTION SHALL BE TAKEN. FORM 990, PART VI, SECTION B, LINE 15 ANNUAL SALARY SURVEYS ARE CONDUCTED AND COMPILED BY CPCA WHICH ARE USED TO DETERMINE THE SALARY RANGE FOR EACH POSITION IN THE HEALTH CENTER. THE BOARD OF DIRECTORS APPROVED THE COMPENSATION PHILOSOPHY WHICH IS USING THE CPCA SALARY SURVEY TO COMBINE TWO CATEGORIES AND USING THE AVERAGE OF THEM. OUR SALARY RANGES ARE 105% OF THIS COMBINATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.