2025-05-15T18:06:07-05:00 2023-10-01 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2023-07-01 942188574 COMMUNICARE HEALTH CENTERS COMM 5302853201 PO BOX 1260 DAVIS CA 95617 ALICIA HARDY CEO 5302853201 2025-05-15 1 0 MICHAEL LUMSDEN P01262236 4159561500 2025-05-15 2023 2025-03-06 01:10:19Z X ALICIA HARDY PO BOX 1260 DAVIS CA 95617 11969599 0 X WWW.COMMUNICAREOLE.ORG X 1973 CA COMMUNICARE HEALTH CENTERS IS A PRIVATE, NON-PROFIT HEALTH CARE ORGANIZATION PROVIDING COMPREHENSIVE MEDICAL AND DENTAL SERVICES, SUBSTANCE ABUSE TREATMENT, BEHAVIORAL HEALTH SERVICES, AND HEALTH EDUCATION THROUGHOUT YOLO COUNTY AT FOUR COMMUNITY CLINIC SITES LOCATED IN DAVIS, WOODLAND, AND WEST SACRAMENTO. SINCE 1972, COMMUNICARE HAS BEEN PROMOTING HEALTHY COMMUNITIES BY PROVIDING AFFORDABLE AND CULTURALLY COMPETENT HEALTH CARE FOR THOSE IN NEED. COMMUNICARE HEALTH CENTERS IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). THE ORGANIZATION MERGED WITH OLE HEALTH EFFECTIVE OCTOBER 1, 2023. X 10 10 545 50 0 0 27654569 5604891 24525374 6299361 17496 22541 110985 42806 52308424 11969599 0 0 0 0 34406150 8733317 0 0 7076 9501318 2600254 43907468 11333571 8400956 636028 54240986 0 11663974 0 42577012 0 X COMMUNICARE HEALTH CENTER'S MISSION IS ROOTED IN THE UNDERLYING PHILOSOPHY THAT HEALTH CARE IS A RIGHT, NOT A PRIVILEGE. OUR MISSION IS CHARACTERIZED BY THE FOLLOWING COMMITMENTS: (I) WE PROVIDE COMPREHENSIVE AND HIGH-QUALITY HEALTH CARE TO ANYONE IN OUR COMMUNITY, REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY; (II) WE DELIVER HEALTH CARE IN A SUPPORTIVE, SAFE ENVIRONMENT EMPHASIZING PATIENT PARTNERSHIP, WELLNESS AND PREVENTIVE HEALTH IN ALL OF OUR SERVICES; (III) WE INVEST IN EMPLOYEES, LEARNERS AND VOLUNTEERS AT ALL LEVELS OF THE ORGANIZATION, AS THEY ARE THE FOUNDATION AND HEART OF THE WORK WE DO. 0 1 4837617 0 3738493 COMMUNICARE OPERATES THREE PRIMARY CARE CENTERS AT CAREFULLY CHOSEN LOCATIONS TO PROVIDE THE BEST ACCESS TO HEALTHCARE FOR YOLO COUNTY RESIDENTS WHO CANNOT AFFORD THE FULL COST OF HEALTHCARE AND HAVE NO HEALTH INSURANCE. SERVICES INCLUDE PRIMARY CARE, REPRODUCTIVE HEALTH, PEDIATRIC, AND ADOLESCENT SERVICES. CLINICAL FACILITIES ARE LOCATED IN DAVIS, WEST SACRAMENTO, AND WOODLAND. VISITS TOTALED 17,622; TOTAL PATIENTS SERVED WAS 8,818. 2699779 0 765541 BEHAVIORAL HEALTH SERVICES IS AN OUTPATIENT SUBSTANCE ABUSE TREATMENT PROGRAM WHICH OFFERS MEDICALLY ASSISTED WITHDRAWAL AND TREATMENT TO ADULTS AND ADOLESCENTS INVOLVED WITH METHAMPHETAMINE, OPIATES, AND MARIJUANA IN GROUPS AND ONE-ON-ONE COUNSELING. ADDITIONALLY, THIS DEPARTMENT NOW OFFERS LIFE COUNSELING SERVICES PROVIDED BY LICENSED CLINICAL SOCIAL SERVICES. SERVICES ARE OFFERED AT THREE COMMUNICARE FACILITIES: DAVIS, WEST SACRAMENTO, AND WOODLAND. VISITS TOTALED 16,229, SERVING OVER 2,533. 1110085 0 733516 PERINATAL SERVICES - A FULL SPECTRUM OF PRE- AND POST-NATAL CARE, BIRTHS HEALTH EDUCATION, NUTRITION COUNSELING, AND SOCIAL WORK SUPPORT FOR LOW-INCOME AND INDIGENT WOMEN OF YOLO COUNTY. THE PROGRAM IS A CERTIFIED CALIFORNIA PERINATAL SERVICES PROGRAM (CPSP). SERVICES ARE OFFERED AT FIVE FACILITIES IN DAVIS, WEST SACRAMENTO, WOODLAND, WINTERS, AND DIXON WITH BIRTHS AT SUTTER DAVIS HOSPITAL. VISITS TOTALED 3,357 AND BIRTHS AT SUTTER DAVIS HOSPITAL TOTALED OVER 123. 662811 0 1061811 DENTAL PROGRAM - ACUTE AND PREVENTIVE DENTAL CARE IS PROVIDED FOR CHILDREN AND ADULTS. SERVICES INCLUDE COMPLETE ORAL EXAMS, X-RAYS, FILLINGS, ROOT CANALS, SURGERY, GUM THERAPY, AND SPECIALTY REFERRALS. SERVICES ARE PROVIDED AT FOUR SITES IN YOLO COUNTY: DAVIS, WEST SACRAMENTO, AND WOODLAND. COMMUNICARE ALSO VISITS SCHOOLS, CHILD-CARE CENTERS, AND HEALTH FAIRS OFFERING FREE EXAMS, SEALANTS, AND ORAL EDUCATION MATERIALS. VISITS TOTALED OVER 4,410, WITH PATIENT TOTALS OF 2,862. 662811 0 1061811 9310292 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 0 0 1 70 0 1 545 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X ALEXIS KRUSE CPA 5302853265 PO BOX 1260 DAVIS CA 95617 MICHAEL GOLDE PRESIDENT 1.00 X X 0 0 0 ROSE CONROY VICE PRESIDENT 1.00 X X 0 0 0 KIMBERLY MASLANIAK SECRETARY/TREASURER 1.00 X X 0 0 0 RICK BAKER MD BOARD MEMBER 1.00 X 0 0 0 BEATRIZ CABEZON BOARD MEMBER 1.00 X 0 0 0 RIDGE TOLBERT BOARD MEMBER 1.00 X 0 0 0 ILIANA CHEVEZ BOARD MEMBER 1.00 X 0 0 0 TERESA GONZALEZ BOARD MEMBER 1.00 X 0 0 0 ZEENAT TARIQ BOARD MEMBER 1.00 X 0 0 0 RANDALL COOKSEY BOARD MEMBER 1.00 X 0 0 0 MELISSA MARSHALL MD CHIEF EXECUTIVE OFFICER 40.00 X 219357 0 27482 WETONA SUZANNE EIDSON-TON MD MS CHIEF MEDICAL OFFICER 40.00 X 197957 0 9137 HAO KAI CHANG DDS DENTAL DIRECTOR 40.00 X 151733 0 17106 BRENT HANSON MD PHYSICIAN LEAD 40.00 X 146880 0 22683 IAN KIM MD PHYSICIAN 40.00 X 164026 0 13408 BETZABEL KUNKEL MD PHYSICIAN 40.00 X 192884 0 25558 FRANCES SOUTHWICK DO PHYSICIAN 40.00 X 162392 0 21436 DANIEL TREVIZO MD PHYSICIAN 40.00 X 154522 0 12787 LYNN BRAMWELL CHIEF OPERATING OFFICER 40.00 X 135841 0 20590 BONNIE SHEA PHR CHIEF HUMAN RESOURCES OFFICER 40.00 X 120358 0 19384 SARA GAVIN LMFT CHIEF BEHAVIORAL HEALTH OFFICER 40.00 X 118394 0 14951 1764344 0 204522 19 1 1 0 GILBERT NETWORK GROUP PO BOX 1312 DIXON CA 95620 OUTSOURCED IT SERVICES 287204 ECLINICALWORKS 2 TECHNOLOGY DRIVE WESTBOROUGH MA 01581 IT / EHR SERVICES 248338 VESTA HOUSING SOLUTION LLC 1000 TOWN CENTER SUITE 975 SOUTHFIELD MI 48075 CONSTRUCTION SERVICES 235354 CLEANIT MAINTENANCE SYSTEMS LLC 10408 FAIR OAKS BLVD FAIR OAKS CA 95628 JANITORIAL SERVICES 162394 COMSTOCK-JOHNSON ARCHITECTS INC 10520 ARMSTRONG AVENUE MATHER CA 95655 ARCHITECTURAL SERVICES 124607 6 1043989 2177043 2383859 73290 5604891 NET PATIENT SERVICE REVENUE 621400 5389262 5389262 CAPITATION REVENUE 621400 528853 528853 PATIENT INCENTIVE REVENUE 621400 381246 381246 6299361 22541 22541 MISCELLANEOUS REVENUE 900099 42806 42806 42806 11969599 6299361 0 65347 207590 125311 82279 6974547 5922782 1046105 5660 317739 271879 45600 260 711356 601983 108806 567 522085 440111 81562 412 6124 240 5884 38248 38248 209210 190281 18929 5819 3564 2255 154102 98380 55722 327967 106369 221598 361663 287941 73722 49311 38928 10383 21365 19823 1542 21726 21726 272352 261057 11295 148268 92007 56093 168 PHARMACEUTICALS 497705 497705 MEDICAL/DENTAL SUPPLIES 238906 238906 MEMBERSHIP/SUBSCRIPTION 81841 21988 59853 REPAIRS & MAINTENANCE 4565 4565 161082 64746 96327 9 11333571 9310292 2016203 7076 3685188 0 13438718 0 3780209 0 1623466 0 0 0 0 133573 0 577455 0 0 0 17393856 0 10340684 0 0 0 0 3267837 0 54240986 0 3771185 0 1154146 0 5859691 0 878952 0 11663974 0 X 42567339 0 9673 0 42577012 0 54240986 0 X 636028 -15397 -43197643 X 0 1 X 1 1 1 X 13696354 21442901 19032776 27654569 5604891 87431491 13696354 21442901 19032776 27654569 5604891 87431491 87431491 111582 74004 17496 22541 225623 1446060 2689730 1983731 110985 42806 6273312 93930426 90659478 0.93080 0.91890 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2019 AMOUNT: $ 1,446,060. 2020 AMOUNT: $ 2,689,730. 2021 AMOUNT: $ 1,983,731. 2022 AMOUNT: $ 110,985. 2023 AMOUNT: $ 42,806. SCHEDULE A, PART II: THE ORGANIZATIONS CURRENT YEAR IS A SHORT YEAR ON ACCOUNT OF THE ORGANIZATION MERGING WITH OLE HEALTH. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1875 1875 0 PART II-B, LINE 1: DURING THE SHORT FINAL TAX YEAR, THE ORGANIZATION INCURRED $1,875 OF LOBBYING EXPENDITURES ASSOCIATED WITH DUES PAID TO THE CALIFORNIA PRIMARY CARE ASSOCIATION; LOBBYING ACTIVITIES CARRIED-ON BY THE CALIFORNIA PRIMARY CARE ASSOCIATION PERTAINED TO HEALTHCARE INITIATIVES WITHIN THE STATE OF CALIFORNIA. 0 X 11954202 -15397 -15397 11969599 0 11969599 11333571 0 11333571 0 11333571 PART X, LINE 2: THE CENTER 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 AND FOR THE THREE-MONTH PERIOD ENDED SEPTEMBER 30, 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 0 0 0 0 0 0 0 0 0 MELISSA MARSHALL MD CHIEF EXECUTIVE OFFICER 213215 0 0 0 6142 0 17706 0 9776 0 246839 0 0 0 BETZABEL KUNKEL MD PHYSICIAN 192884 0 0 0 0 0 15339 0 10219 0 218442 0 0 0 WETONA SUZANNE EIDSON-TON MD MS CHIEF MEDICAL OFFICER 197957 0 0 0 0 0 5596 0 3541 0 207094 0 0 0 FRANCES SOUTHWICK DO PHYSICIAN 162392 0 0 0 0 0 12424 0 9012 0 183828 0 0 0 IAN KIM MD PHYSICIAN 164026 0 0 0 0 0 5889 0 7519 0 177434 0 0 0 BRENT HANSON MD PHYSICIAN LEAD 146880 0 0 0 0 0 12177 0 10506 0 169563 0 0 0 HAO KAI CHANG DDS DENTAL DIRECTOR 145247 0 0 0 6486 0 12476 0 4630 0 168839 0 0 0 DANIEL TREVIZO MD PHYSICIAN 154522 0 0 0 0 0 6942 0 5845 0 167309 0 0 0 LYNN BRAMWELL CHIEF OPERATING OFFICER 135841 0 0 0 0 0 11676 0 8914 0 156431 0 0 0 BONNIE SHEA PHR CHIEF HUMAN RESOURCES OFFICER 120358 0 0 0 0 0 10637 0 8747 0 139742 0 0 0 SARA GAVIN LMFT CHIEF BEHAVIORAL HEALTH OFFICER 118394 0 0 0 0 0 9763 0 5188 0 133345 0 0 0 X 17 73290 FAIR MARKET VALUE 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE TOTAL NUMBER OF CONTRIBUTIONS RECEIVED (DEFINED AS EACH SEPARATE GIFT) IN SCHEDULE M, PART I, COLUMN (B). CASH AND CASH EQUIVALENTS 2023-10-01 15124321 BOOK VALUE 237221695 OLE HEALTH 1141 PEAR TREE LANE SUITE 100 NAPA CA 94558 501(C)(3) INVESTMENTS 2023-10-01 11391025 BOOK VALUE 237221695 OLE HEALTH 1141 PEAR TREE LANE SUITE 100 NAPA CA 94558 501(C)(3) PATIENT ACCOUNTS RECEIVABLE, NET 2023-10-01 2185086 BOOK VALUE 237221695 OLE HEALTH 1141 PEAR TREE LANE SUITE 100 NAPA CA 94558 501(C)(3) CONTRACT AND GRANT RECEIVABLES 2023-10-01 3653048 BOOK VALUE 237221695 OLE HEALTH 1141 PEAR TREE LANE SUITE 100 NAPA CA 94558 501(C)(3) THIRD PARTY SETTLEMENT RECEIVABLES 2023-10-01 2288652 BOOK VALUE 237221695 OLE HEALTH 1141 PEAR TREE LANE SUITE 100 NAPA CA 94558 501(C)(3) PREPAID, DEPOSITS, AND OTHER ASSETS 2023-10-01 649536 BOOK VALUE 237221695 OLE HEALTH 1141 PEAR TREE LANE SUITE 100 NAPA CA 94558 501(C)(3) OPERATING LEASE - RIGHT-OF-USE ASSETS 2023-10-01 793455 BOOK VALUE 237221695 OLE HEALTH 1141 PEAR TREE LANE SUITE 100 NAPA CA 94558 501(C)(3) PROPERTY AND EQUIPMENT, NET 2023-10-01 17202822 BOOK VALUE 237221695 OLE HEALTH 1141 PEAR TREE LANE SUITE 100 NAPA CA 94558 501(C)(3) ACCOUNTS PAYABLE AND ACCRUED EXPENSES (ASSUMED BY OLE HEALTH) 2023-10-01 -1277057 BOOK VALUE 237221695 OLE HEALTH 1141 PEAR TREE LANE SUITE 100 NAPA CA 94558 501(C)(3) ACCRUED COMPENSATION AND RELATED LIABILITIES (ASSUMED BY OLE HEALTH) 2023-10-01 -1545329 BOOK VALUE 237221695 OLE HEALTH 1141 PEAR TREE LANE SUITE 100 NAPA CA 94558 501(C)(3) LONG TERM DEBT (ASSUMED BY OLE HEALTH) 2023-10-01 -5824941 BOOK VALUE 237221695 OLE HEALTH 1141 PEAR TREE LANE SUITE 100 NAPA CA 94558 501(C)(3) OPERATING LEASE LIABILITIES (ASSUMED BY OLE HEALTH) 2023-10-01 -855979 BOOK VALUE 237221695 OLE HEALTH 1141 PEAR TREE LANE SUITE 100 NAPA CA 94558 501(C)(3) DEFERRED REVENUE (ASSUMED BY OLE HEALTH) 2023-10-01 -586996 BOOK VALUE 237221695 OLE HEALTH 1141 PEAR TREE LANE SUITE 100 NAPA CA 94558 501(C)(3) 1 1 0 1 1 1 1 1 1 1 PART I, LINE 2E: PERSON(S) INVOLVED: MICHAEL GOLDE, ROSE CONROY, RICK BAKER, MD, BEATRIZ CABEZON, RIDGE TOLBERT, ILIANA CHAVEZ, ZEENAT TARIQ, AND RANDALL COOKSEY (ALL MEMBERS OF THE BOARD OF DIRECTORS OF COMMUNICARE HEALTH CENTERS PRIOR TO THE MERGER) BECAME MEMBERS OF THE BOARD OF DIRECTORS OF OLE HEALTH AFTER THE MERGER DATE OF 10/1/2023.ADDITIONALLY, MELISSA MARSHALL, WHO SERVED AS CHIEF EXECUTIVE OFFICER OF COMMUNICARE, BECAME CHIEF STRATEGIC OFFICER OF OLE HEALTH UPON THE EFFECTIVE DATE OF THE MERGER. WETONA SUZANNE EIDSON-TON, MD, WHO SERVED AS CHIEF MEDICAL OFFICER OF COMMUNICARE, BECAME CHIEF MEDICAL OFFICER OF OLE HEALTH UPON THE EFFECTIVE DATE OF THE MERGER. LYNN BRAMWELL, WHO SERVED AS CHIEF OPERATING OFFICER OF COMMUNICARE, BECAME CHIEF ADMINISTRATIVE / OPERATING OFFICER OF OLE HEALTH UPON THE EFFECTIVE DATE OF THE MERGER. SARA GAVIN, WHO SERVED AS CHIEF BEHAVIORAL HEALTH OFFICER OF COMMUNICARE, BECAME CHIEF BEHAVIORAL AND COMMUNITY HEALTH OFFICER OF OLE HEALTH UPON EFFECTIVE DATE OF THE MERGER. AS A RESULT OF THE MERGER WITH OLE HEALTH, MELISSA MARSHALL BECAME ENTITLED TO A SEVERANCE PACKAGE TO BE PAID-OUT TO HER IN THE 2024 CALENDAR YEAR. PART I, LINE 6C: OLE HEALTH ASSUMED THE TAX-EXEMPT BOND LIABILITIES OF COMMUNICARE HEALTH CENTERS UPON THE EFFECTIVE DATE OF THE MERGER (10/1/2023). FORM 990, PART III, LINE 3 EFFECTIVE OCTOBER 1, 2023 THE ORGANIZATION CEASED OPERATING AS A SEPARATE LEGAL ENTITY AND MERGED WITH OLE HEALTH; ALL ACTIVITIES WERE TRANSFERRED TO OLE HEALTH. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT TAX ACCOUNTANT, IN CONJUNCTION WITH THE ORGANIZATION'S ACCOUNTING AND FINANCE DEPARTMENT. A DRAFT FORM 990 IS THEN REVIEWED BY MANAGEMENT; ADJUSTMENTS ARE MADE, AS NECESSARY. A COMPLETE COPY OF THE FORM 990 IS THEN MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE TO THE BOARD OF DIRECTORS ANY POTENTIAL CONFLICTS OF INTEREST. SHOULD A CONFLICT OF INTEREST BE IDENTIFIED, INDEPENDENT VOTING MEMBERS OF THE BOARD SHALL PARTICIPATE IN THE DISCUSSION OF THE ACTION AND VOTING ON THE ITEM; THE PROCEEDINGS ARE DOCUMENTED IN THE BOARD MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. TO ARRIVE AT A REASONABLE COMPENSATION PACKAGE, THE BOARD OF DIRECTORS COMPILES DATA FOR SIMILARLY SITUATED POSITIONS IN SIMILAR GEOGRAPHIC REGIONS FROM A THIRD-PARTY VENDOR, ALSO TAKING INTO ACCOUNT THE CEO'S PERFORMANCE. THE COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE CEO ON AN ANNUAL BASIS. TO ARRIVE AT A REASONABLE COMPENSATION PACKAGE FOR THESE EMPLOYEES, THE CEO COMPILES DATA FOR SIMILARLY SITUATED POSITIONS IN SIMILAR GEOGRAPHIC REGIONS FROM A THIRD-PARTY VENDOR, ALSO TAKING INTO ACCOUNT THE EMPLOYEE'S PERFORMANCE. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: TRANFER OF NET ASSETS TO OLE HEALTH PURSUANT TO MERGER EFFECTIVE 10/1/2023 -43,197,643. FRIENDS OF COMMUNICARE HEALTH CENTERS PO BOX 1260 DAVIS CA 95617 200859263 FUNDRAISING TO SUPPORT COMMUNICARE HEALTH CENTER CA 501(C)(3) LINE 12A, I COMMUNICARE 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 FRIENDS OF COMMUNICARE HEALTH CENTERS C 1043989 BOOK VALUE