2024-05-15T10:48:55-05:00 2023-06-30 680456752 DILLWOOD BURKEL & MILLAR LLP 175 CONCOURSE BOULEVARD SUITE A SANTA ROSA CA 95403 990 2022-07-01 680345901 COPPERTOWER FAMILY MED CTR INC DBA ALEXANDER VALLEY HEALTHCARE COPP 7078944229 106 EAST 1ST ST SUITE B CLOVERDALE CA 95425 DEBBIE HOWELL CEO 7078944229 2024-05-13 1 DEBBIE HOWELL 999009999 0 CHRISTINA Z HOLLINGSWORTH P02090706 7075778806 2024-05-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DEBBIE HOWELL 106 EAST 1ST STREET CLOVERDALE CA 95425 6819923 0 X WWW.ALEXANDERVALLEYHEALTHCARE.ORG X 1994 CA TO PROVIDE COMPREHENSIVE PRIMARY CARE, ADDRESSING THE WHOLE PERSON NEEDS, INCLUDING BEHAVIORAL AND ORAL HEALTH CARE. 14 14 81 14 0 0 3373235 3280061 3630375 3538510 1106 1352 0 0 7004716 6819923 0 0 0 0 4969226 5757491 0 0 218727 1509219 1658610 6478445 7416101 526271 -596178 5356116 5549178 446415 1235655 4909701 4313523 TO PROVIDE PATIENT-CENTERED HEALTH CARE WITH EXCELLENCE IN QUALITY, SERVICES, AND ACCESS FOR ALL. 0 0 4881703 3538510 THE HEALTH CENTER PROVIDED 17,000 PRIMARY CARE, BEHAVIORAL HEALTH, AND GENERAL DENTISTRY ENCOUNTERS TO 4,100 PATIENTS DURING THE YEAR. 4881703 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 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 0 0 0 0 0 0 0 1 11 0 1 81 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X JENINE SAUNDERS 7078944229 106 E 1ST ST SUITE B CLOVERDALE CA 95425 JEANNE COX FORMER VICE CHAIRMAN 2.00 X X 0 0 0 ROBERT FREELEN SECRETARY 2.00 X X 0 0 0 JAMES NOVAK DIRECTOR 2.00 X 0 0 0 JAMES BERRY CHAIRMAN 2.00 X X 0 0 0 ORBELINA LANDAVERDE DIRECTOR 2.00 X 0 0 0 MARIA GONZALEZ DIRECTOR 2.00 X 0 0 0 TONY BUGICA DIRECTOR 2.00 X 0 0 0 JEFFREY MEIER VICE CHAIRMAN 2.00 X X 0 0 0 DEBORAH GRIZZARD DIRECTOR 2.00 X 0 0 0 CHARLES LEVINE DIRECTOR 2.00 X 0 0 0 MARK THAYER DIRECTOR 2.00 X 0 0 0 KIM PETERSEN DIRECTOR 2.00 X 0 0 0 JOSEPH WIEDMAN DIRECTOR 2.00 X 0 0 0 CHRIS SWARTZ DIRECTOR 2.00 X 0 0 0 DEBBIE HOWELL CEO 40.00 X 213308 0 21694 JENINE SAUNDERS CFO 40.00 X 183681 0 18715 SAMANTHA GUTHMAN COO 40.00 X 157516 0 6522 CARY WHEELER CMO 38.00 X 250824 0 18164 KEVIN GARVIN DENTAL DIRECTOR 36.00 X 222436 0 19392 ELIZABETH PILE NURSE PRACTITIONER 32.00 X 142108 0 19392 JAMES MURPHY STAFF PHYSICIAN 40.00 X 147854 0 0 ANNE HILOW PROJECT DIRECTOR 32.00 X 125056 0 17794 AMY BROM BH DIRECTOR 40.00 X 129271 0 11549 MARTHA SCHWARTZ STAFF DENTIST 32.00 X 170803 0 9092 1742857 0 142314 13 0 1 0 STROMBERG ARCHITECTURE 1821 5TH STREET BERKELEY CA 94710 ARCHITECT SERVICES 213129 MEDICUS IT PO BOX 66936 ST LOUIS MO 63166 IT SUPPORT / EQUIPMENT 155411 2 1918337 1361724 139902 3280061 MEDICAL FEES 339110 3418112 3418112 OTHER REVENUE 456199 120398 120398 3538510 1352 1352 6819923 3538510 0 1352 1142980 521761 621219 3785109 2523099 1103259 158751 48769 35432 10525 2812 449538 288209 144814 16515 331095 205531 114698 10866 6121 3800 2120 201 46425 28817 16082 1526 219042 215279 3658 105 19246 16443 2803 99504 79279 17605 2620 212566 140176 70597 1793 16472 9500 4625 2347 13759 8545 3872 1342 21259 14019 7060 180 102339 83491 18537 311 28636 19955 8100 581 SUPPLIES 391004 374293 14539 2172 INTERNET & IT SUPPLIES 158220 98397 54639 5184 COMMUNICATIONS 54291 33794 18721 1776 EQUIPMENT EXPENSES 52619 48345 4274 217107 149981 60284 6842 7416101 4881703 2315671 218727 2382588 563094 905919 64172 357821 337952 448885 691942 83406 90329 98188 55746 3931227 624801 901890 3306426 170000 170000 7419 269517 5356116 5549178 446415 953488 0 282167 446415 1235655 X 4709701 3674002 200000 639521 4909701 4313523 5356116 5549178 -596178 0 X 0 1 X 1 1 1 X 1236333 1556649 2381052 3373235 3280061 11827330 1236333 1556649 2381052 3373235 3280061 11827330 11827330 1106 1352 2458 299411 164853 174899 67840 120398 827401 12657189 0.93440 0.90390 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1534018 1534018 232532 7751 224781 357408 356242 1166 316105 260808 55297 1491164 1491164 3306426 LEASE LIABILITIES 282167 282167 X 6819923 0 6819923 0 6819923 7416101 0 7416101 0 7416101 PART X, LINE 2: AVH DETERMINES WHETHER ITS TAX POSITIONS ARE "MORE-LIKELY-THAN-NOT" TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY BASED ON THE TECHNICAL MERITS OF THE POSITIONS. AS OF JUNE 30, 2023, AVH HAS REVIEWED ITS TAX POSITIONS AND HAS CONCLUDED NO RESERVE FOR UNCERTAIN TAX POSITIONS IS REQUIRED. AVH'S EXEMPT ORGANIZATION INFORMATION RETURNS ARE SUBJECT TO REVIEW THROUGH THREE YEARS AFTER THE DATE OF FILING FOR FEDERAL AND FOUR YEARS AFTER THE DATE OF FILING FOR STATE. X X X 0 0 0 0 0 0 0 0 0 CARY WHEELER CMO 250824 0 0 0 0 0 6500 0 11664 0 268988 0 0 0 KEVIN GARVIN DENTAL DIRECTOR 222436 0 0 0 0 0 7728 0 11664 0 241828 0 0 0 DEBBIE HOWELL CEO 213308 0 0 0 0 0 10030 0 11664 0 235002 0 0 0 JENINE SAUNDERS CFO 183681 0 0 0 0 0 8548 0 10167 0 202396 0 0 0 MARTHA SCHWARTZ STAFF DENTIST 170803 0 0 0 0 0 0 0 9092 0 179895 0 0 0 SAMANTHA GUTHMAN COO 157516 0 0 0 0 0 0 0 6522 0 164038 0 0 0 ELIZABETH PILE NURSE PRACTITIONER 142108 0 0 0 0 0 7728 0 11664 0 161500 0 0 0 X VACCINES FOR CHILDREN 1640 69967 FMV X COVID VACCINE 586 66716 FMV X FLU VACCINES 124 2380 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE MADE AVAILABLE TO THE BOARD FOR REVIEW PRIOR TO SUBMISSION IN E-FORM IF AVAILABLE OR IF NOT, IT WILL BE REVIEWED AT THE NEXT REGULAR BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C THE CEO IS RESPONSIBLE FOR FULLY DISCLOSING TO THE BOARD ANY POTENTIAL CONFLICTS OF INTEREST THAT MAY ARISE. FORM 990, PART VI, SECTION B, LINE 15 BY PERFORMANCE REVIEW AND AS COMPARABLE TO PEERS AS OBTAINED THROUGH THE CALIFORNIA PRIMARY CARE ASSOCIATION ANNUAL SALARY SURVEY RESULTS. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF OUR FINANCIAL AUDITS ARE AVAILABLE UPON REQUEST AT OUR OFFICES. THE CORPORATE BYLAWS AND THE CONFLICT OF INTEREST POLICY CONTAINED WITHIN ARE NOT AVAILABLE FOR PUBLIC INSPECTION.