2025-05-08T09:52:29-05:00 2024-06-30 390758449 WIPFLI LLP 170 N RADNOR-CHESTER RD SUITE 200 RADNOR PA 19087 990 2023-07-01 942308748 ALLIANCE MEDICAL CENTER INC ALLI 7073852306 1381 UNIVERSITY AVENUE HEALDSBURG CA 95448 SUSANNAH LABBE CHIEF EXECUTIVE OFFICER 7073852306 2025-05-06 1 0 SOLOMON MARDAKHAEV P01806552 6105653930 2025-04-30 2023 2025-03-06 01:10:19Z SUSANNAH LABBE 1381 UNIVERSITY AVENUE HEALDSBURG CA 95448 23099747 0 X WWW.ALLIANCEMED.ORG X 1971 CA OUR MISSION IS TO IMPROVE THE HEALTH AND WELLNESS OF OUR DIVERSE COMMUNITIES. WE PROVIDE ACCESSIBLE, CARING AND HIGH QUALITY HEALTHCARE SERVICES. 15 15 181 16 0 0 8673276 6505544 14361909 15874837 421 48734 532566 670632 23568172 23099747 0 0 0 0 15095668 15772671 0 165000 165000 7820991 7710740 22916659 23648411 651513 -548664 10477619 10371461 4251726 4694232 6225893 5677229 X OUR MISSION IS TO IMPROVE THE HEALTH AND WELLNESS OF OUR DIVERSE COMMUNITIES. WE PROVIDE ACCESSIBLE, CARING AND HIGH QUALITY HEALTHCARE SERVICES. 0 0 11608488 0 10823889 ALLIANCE MEDICAL CENTER PROVIDES COMPREHENSIVE PRIMARY CARE TO CHILDREN, ADULTS, AND SENIORS ACROSS NORTHERN SONOMA COUNTY, ENSURING ACCESS TO HIGH-QUALITY, CULTURALLY RESPONSIVE HEALTHCARE REGARDLESS OF ABILITY TO PAY. IN 2024, WE DELIVERED OVER 82,000 PATIENT VISITS, OFFERING PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT, WOMEN'S HEALTH, URGENT CARE, VISION SERVICES, IMMUNIZATIONS, AND CANCER SCREENINGS.OUR MULTIDISCIPLINARY TEAM INTEGRATES MEDICAL, BEHAVIORAL HEALTH, AND SOCIAL SUPPORT TO MEET THE COMPLEX NEEDS OF OUR DIVERSE PATIENTS. PROGRAMS SUCH AS ENHANCED CARE MANAGEMENT (ECM) HELP ADDRESS MEDICAL AND SOCIAL CHALLENGES FOR HIGH-NEED INDIVIDUALS. OUR BILINGUAL, BICULTURAL STAFF WORK TO ELIMINATE BARRIERS AND PROMOTE HEALTH EQUITY. ALLIANCE'S MEDICAL PROGRAMS ARE ESSENTIAL TO OUR MISSION OF IMPROVING HEALTH OUTCOMES AND SUPPORTING COMMUNITY WELL-BEING. 3555849 0 3315515 ALLIANCE MEDICAL CENTER PROVIDES COMPREHENSIVE PREVENTIVE AND RESTORATIVE DENTAL SERVICES TO CHILDREN AND ADULTS ACROSS NORTHERN SONOMA COUNTY. IN 2024, OUR DENTAL TEAMS PROVIDED OVER 23,000 VISITS, OFFERING CLEANINGS, SEALANTS, FLUORIDE TREATMENTS, FILLINGS, EXTRACTIONS, AND DENTURES TO PATIENTS REGARDLESS OF ABILITY TO PAY.THROUGH THE EXPANSION OF DENTAL CAPACITY AND INTEGRATION WITH OUR PRIMARY CARE TEAMS, WE ARE ADDRESSING BOTH IMMEDIATE ORAL HEALTH NEEDS AND LONG-TERM DISEASE PREVENTION. BILINGUAL, CULTURALLY RESPONSIVE DENTAL CARE ENSURES EQUITABLE ACCESS FOR ALL PATIENTS. ALLIANCE'S DENTAL SERVICES ARE AN ESSENTIAL PART OF OUR COMMITMENT TO IMPROVING OVERALL HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE. 2562542 0 2389343 ALLIANCE MEDICAL CENTER OFFERS A BROAD RANGE OF SERVICES BEYOND MEDICAL AND DENTAL CARE, INCLUDING BEHAVIORAL HEALTH, SUBSTANCE USE SERVICES, SCHOOL-BASED HEALTH EDUCATION, WIC SUPPORT, AND INTEGRATED WELLNESS PROGRAMS. OUR BILINGUAL, TRAUMA-INFORMED BEHAVIORAL HEALTH TEAM PROVIDES COUNSELING, PSYCHIATRY, AND SUBSTANCE USE SUPPORT TO REDUCE BARRIERS TO CARE. WE PARTNER WITH SCHOOLS TO DELIVER CURRICULA SUCH AS REACH OUT AND READ, MY BODY IS HEALTHY, PUBERTY EDUCATION, HARM REDUCTION DRUG EDUCATION, SAFE DATES, AND REPRODUCTIVE HEALTH EDUCATION. OUR WIC PROGRAM PROMOTES MATERNAL AND CHILD HEALTH THROUGH NUTRITION, BREASTFEEDING SUPPORT, AND ACCESS TO HEALTHY FOODS. INTEGRATED WELLNESS SERVICES INCLUDING NUTRITION COUNSELING, CHIROPRACTIC CARE, AND ACUPUNCTURE EMPOWER PATIENTS TO MANAGE THEIR HEALTH. THESE PROGRAMS ADVANCE ALLIANCE'S MISSION TO STRENGTHEN HEALTH AND WELL-BEING IN OUR COMMUNITY. 17726879 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 38 0 181 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 1 1 1 1 1 1 1 1 0 CA X AMY G FAWCETT 7073852306 1381 UNIVERSITY AVENUE HEALDSBURG CA 95448 SUSANNAH LABBE CHIEF EXECUTIVE OFFICER 40.00 X X 334714 0 11779 DENISE MARTIN CHAIR 2.00 X X 0 0 0 NORMAN FUJITA VICE CHAIR 2.00 X X 0 0 0 BEN DURIE SECRETARY 2.00 X X 0 0 0 DENA COCHRAN TREASURER 2.00 X X 0 0 0 JAMIE CAMPOVERDE MEMBER 2.00 X 0 0 0 LYN MURRAY MEMBER 2.00 X 0 0 0 MARY FITZGERALD MEMBER 2.00 X 0 0 0 EZEQUIEL GUZMAN MEMBER 2.00 X 0 0 0 SUSAN LENTZ MEMBER 2.00 X 0 0 0 THERESA MULVANY MEMBER 2.00 X 0 0 0 NANCY NELLA MEMBER 2.00 X 0 0 0 LISZBETH PEREZ MEMBER (FROM FEB 2024) 2.00 X 0 0 0 EMILY VIRGIL MEMBER 2.00 X 0 0 0 YOLANDA GIRON MEMBER 2.00 X 0 0 0 JOSE JUIS RAMIREZ MEMBER 2.00 X 0 0 0 LISA SCHILLINGS MEMBER (THRU OCT 2023 2.00 X 0 0 0 LAURA ARREGUIN MEMBER (THRU SEPT 2023) 2.00 X 0 0 0 AMY FAWCETT CFO 30.00 X 44683 0 3775 LISA WARD CHIEF MEDICAL OFFICER 40.00 X 306800 0 35731 DEENA TRUCCO ULUDEMIR HR DIRECTOR 40.00 X 163142 0 32808 ANDREW LANE SR DENTAL DIRECTOR 40.00 X 226425 0 11934 VANESSA PINTO PHYSICIAN 40.00 X 224093 0 8767 SHYAM KUMBHANI PSYCHIATRIST 40.00 X 220570 0 3760 GARY PACE PHYSICIAN 40.00 X 220268 0 8161 EMBER KEIGHLEY PHYSICIAN 40.00 X 203436 0 9223 1944131 0 125938 35 0 1 0 OCHIN INC PO BOX 5426 PORTLAND OR 97228 BILLING & ERP SERVICES & CONSULTING 1653473 WIPFLI LLP PO BOX 3160 MILWUAKEE WI 532013160 CFO & FINANCIAL CONSULTING 848882 MEDICUS IT 100 NORTH POINT CENTER EAST ALPHARETTA GA 30022 IT CONSULTING 369345 WRITE CHOICE 2205 LUNDY LANE BETTENDORF IA 52722 GRANT WRITING & COMP 232834 4 3231831 3273713 412296 6505544 NET PATIENT SERVICE REVENUE 621300 15874837 15874837 15874837 48734 48734 SPP REIMBURSEMENTS 621300 458102 458102 MEANINGFUL USE INCENTIVES 621300 191958 191958 20572 3850 16722 670632 23099747 16528747 0 65456 1048993 939808 109185 12384323 11116923 1267400 371977 326183 45794 1055171 925268 129903 912207 799905 112302 22230 22230 32924 32924 762528 762528 165000 165000 1664292 715300 948992 3307 2827 480 946014 946014 1044749 282326 762423 883471 633006 250465 14901 14901 120250 49793 70457 595 510 85 243303 133653 109650 91706 23899 67807 SUPPLIES - PHARMACEUTIC 805510 776221 29289 340B EXPENSES 448422 448422 SUPPLIES - CLINICAL 431142 431142 REPAIRS AND MAINTENANCE 143741 71919 71822 51655 34873 16782 23648411 17726879 5756532 165000 9184 19191 2816576 1268910 450809 329579 2391731 3042654 183274 379829 6500783 3287906 2464624 3212877 2161421 2118421 10477619 10371461 2090305 2217176 327862 2161421 2149194 4251726 4694232 X 5667836 5553462 558057 123767 6225893 5677229 10477619 10371461 -548664 0 X 0 1 X 1 1 1 X PART I, LINE 3: ALLIANCE MEDICAL CENTER, INC. IS A NONPROFIT PROVIDING HEALTH CARE SERVICES TO SOCIALLY AND ECONOMICALLY DEPRESEED SECTORS OF SONOMA COUNTY IN CALIFORNIA. ITS EXEMPT STATUS WAS APPROVED UNDER IRC 509(A)(1) AND 170(B) (1)(A)(III). IT IS NOT REQUIRED TO BE LICENSED AS A HOSPITAL AND THEREFORE IS NOT REQUIRED TO COMPLETE SCHEDULE H. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3476555 1289187 2187368 3024228 1998719 1025509 3212877 OPERATING LEASE RIGHT-OF USE ASSETS 2118421 2118421 OPERATING LEASE LIABILITIES 2149194 2149194 X 23099747 0 23099747 0 23099747 23648411 0 23648411 0 23648411 PART X, LINE 2: THE CENTER IS A NONPROFIT CORPORATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND HAVE BEEN GRANTED TAX-EXEMPT STATUSES BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA REVENUE AND TAXATION CODE. AS OF JUNE 30, 2024 AND 2023, THE CENTER HAD NO UNRECOGNIZED TAX POSITIONS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE FINANCIAL STATEMENTS. X X X X X 1 LAUREN SCHWING 1816 BEAVER ST SANTA ROSA CA 95404 DEVELOPMENT DIRECTOR - DONOR CULTIVATION, FUNDRAISING EVENT, 1 148159 165000 148159 148159 165000 148159 CA X X 0 0 0 0 0 0 0 1 0 SUSANNAH LABBE CHIEF EXECUTIVE OFFICER 324498 0 9500 0 716 0 8056 0 3723 0 346493 0 0 0 LISA WARD CHIEF MEDICAL OFFICER 284976 0 20805 0 1019 0 12109 0 23622 0 342531 0 0 0 ANDREW LANE SR DENTAL DIRECTOR 224844 0 1000 0 581 0 7550 0 4384 0 238359 0 0 0 VANESSA PINTO PHYSICIAN 214181 0 9586 0 326 0 6771 0 1996 0 232860 0 0 0 GARY PACE PHYSICIAN 215780 0 1000 0 3488 0 6550 0 1611 0 228429 0 0 0 SHYAM KUMBHANI PSYCHIATRIST 219570 0 1000 0 0 0 3760 0 0 0 224330 0 0 0 EMBER KEIGHLEY PHYSICIAN 201643 0 1525 0 268 0 1711 0 7512 0 212659 0 0 0 DEENA TRUCCO ULUDEMIR HR DIRECTOR 161635 0 0 0 1507 0 6298 0 26510 0 195950 0 0 0 PART I, LINE 7 SCHEDULE J, PART II, COLUMN (B)(II) REPORTS DISCRETIONARY INCENTIVE AMOUNTS THAT WERE APPROVED BY THE BOARD BASED UPON PERFORMANCE. X 6159 412296 FMV 0 0 0 0 PART I, COLUMN (B): NUMBER OF VACCINE SHOTS DONATED FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THE ENTIRE BOARD OF DIRECTORS BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C AMC ETHICAL CONDUCT POLICY REQUIRES THAT EACH COVERED INDIVIDUAL REVIEW AND SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY AND, WHEN REQUIRED, A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE INFORMATION PROVIDED ON THE DISCLOSURE STATEMENT IS AVAILABLE FOR INSPECTION BY MEMBERS OF THE BOARD AND AMC'S LEGAL COUNSEL. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS OF ALLIANCE MEDICAL CENTER IS SOLELY RESPONSIBLE FOR THE SELECTION, COMPENSATION AND PERFORMANCE REVIEW OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER. THE BOARD WILL PERFORM AN ANNUAL EVALUATION AND COMPENSATION REVIEW OF THE CEO, COMPARING THE INTERNAL SALARY SCALE WITH THAT OF THE CALIFORNIA PRIMARY CARE ASSOCIATION'S ANNUAL SALARY SURVEY. THE ALLIANCE MEDICAL CENTER'S CEO WILL DETERMINE THE COMPENSATION LEVEL FOR THE CFO, WHICH WILL THEN BE REVIEWED AND APPROVED ANNUALLY BY THE BOARD OF DIRECTORS OR DESIGNATED BOARD COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 AMC'S GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.