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Nonprofiteer
← CLINICA SIERRA VISTA

Form 990 for tax year 2023

Filed by CLINICA SIERRA VISTA.

Totals

Total revenue
$223,306,856
Total expenses
$226,375,552
Contributions and grants received
$71,397,847
Grants paid
$0
Program service revenue
$151,443,169
Investment income
$252,191
Other revenue
$213,649
Total assets, end of year
$143,887,310
Total liabilities, end of year
$78,901,624
Net assets or fund balances, end of year
$64,985,686
Program services expenses (Part IX)
$176,746,470
Management and general expenses
$49,629,082
Fundraising expenses
$0
Program service expenses (Part III)
$176,746,470

Program services were 78.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $69,109,638

  • 1f · All other contributions, gifts and grants

    $2,288,209

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $146,931,051 · related or exempt $146,931,051

  • 2b · Program service revenue: INCENTIVE REVENUE

    total $4,512,118 · related or exempt $4,512,118

  • 3 · Investment income

    total $276,690 · excluded $276,690

  • 6a · Gross rents

    real property $43,020

  • 6b · Less rental expenses

    real property $29,079

  • 6c · Rental income or loss

    real property $13,941

  • 6d · Net rental income or loss

    total $13,941 · excluded $13,941

  • 7a · Gross sales of assets other than inventory

    securities $2,861,833 · other assets $500

  • 7b · Less cost or other basis and sales expenses

    securities $2,764,437 · other assets $122,395

  • 7c · Gain or loss

    securities $97,396 · other assets -$121,895

  • 7d · Net gain or loss

    total -$24,499 · excluded -$24,499

  • 11a · Other revenue: MISCELLANEOUS REVENUE

    total $199,708 · excluded $199,708

  • 11e · Other revenue, total

    $199,708

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $872,786 · management and general $872,786

  • 7 · Other salaries and wages

    total $115,150,999 · program services $93,671,520 · management and general $21,479,479

  • 8 · Pension plan contributions

    total $3,539,695 · program services $3,515,348 · management and general $24,347

  • 9 · Other employee benefits

    total $14,183,008 · program services $13,153,990 · management and general $1,029,018

  • 10 · Payroll taxes

    total $10,559,731 · program services $7,782,610 · management and general $2,777,121

  • 11b · Fees: legal

    total $985,061 · management and general $985,061

  • 11c · Fees: accounting

    total $295,946 · management and general $295,946

  • 11f · Fees: investment management

    total $42,847 · management and general $42,847

  • 11g · Fees: other

    total $30,206,129 · program services $24,108,450 · management and general $6,097,679

  • 12 · Advertising and promotion

    total $1,049,212 · program services $226,553 · management and general $822,659

  • 13 · Office expenses

    total $5,336,811 · program services $2,679,738 · management and general $2,657,073

  • 14 · Information technology

    total $1,820,226 · program services $557,898 · management and general $1,262,328

  • 16 · Occupancy

    total $8,320,116 · program services $7,281,497 · management and general $1,038,619

  • 17 · Travel

    total $801,889 · program services $467,674 · management and general $334,215

  • 19 · Conferences, conventions and meetings

    total $943,211 · program services $470,080 · management and general $473,131

  • 20 · Interest

    total $374,796 · program services $253,408 · management and general $121,388

  • 22 · Depreciation, depletion and amortization

    total $4,802,968 · program services $1,115,225 · management and general $3,687,743

  • 23 · Insurance

    total $847,285 · management and general $847,285

  • 24a · Other expenses: MEDICAL SUPPLIES & DRUGS

    total $16,089,834 · program services $16,089,834

  • 24b · Other expenses: REPAIRS & MAINTENANCE

    total $2,450,355 · program services $833,463 · management and general $1,616,892

  • 24c · Other expenses: PATIENT & CLIENT SERVICES

    total $641,701 · program services $393,443 · management and general $248,258

  • 24e · All other expenses

    total $7,060,946 · program services $4,145,739 · management and general $2,915,207

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $18,723,540 · end of year $1,976,679

  • 2 · Savings and temporary cash investments

    beginning of year $4,306,503 · end of year $1,311,375

  • 3 · Pledges and grants receivable

    beginning of year $7,202,553 · end of year $6,628,180

  • 4 · Accounts receivable

    beginning of year $10,891,486 · end of year $14,873,388

  • 7 · Other notes and loans receivable

    beginning of year $2,686,260 · end of year $2,115,990

  • 8 · Inventories for sale or use

    beginning of year $228,418 · end of year $228,418

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,308,116 · end of year $1,324,856

  • 10a · Land, buildings and equipment: cost or other basis

    $85,585,132

  • 10b · Land, buildings and equipment: accumulated depreciation

    $35,138,414

  • 10c · Land, buildings and equipment, net

    beginning of year $52,237,871 · end of year $50,446,718

  • 11 · Investments: publicly traded securities

    beginning of year $8,381,014 · end of year $9,284,534

  • 15 · Other assets

    beginning of year $39,466,726 · end of year $55,697,172

  • 17 · Accounts payable and accrued expenses

    beginning of year $20,222,654 · end of year $35,166,848

  • 19 · Deferred revenue

    beginning of year $1,271,702 · end of year $3,690,605

  • 24 · Unsecured notes and loans payable

    beginning of year $27,778 · end of year $19,445

  • 25 · Other liabilities

    beginning of year $56,175,767 · end of year $40,024,726

  • 27 · Net assets without donor restrictions

    beginning of year $67,568,586 · end of year $64,715,391

  • 28 · Net assets with donor restrictions

    beginning of year $166,000 · end of year $270,295

Mission and programs · 2023

Mission

THE MISSION OF CLINICA SIERRA VISTA IS TO PROVIDE QUALITY HEALTH CARE TO THE UNDERSERVED POPULATIONS OF KERN AND FRESNO COUNTIES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.

  • CLINICA SIERRA VISTA (CSV) PROVIDES ESSENTIAL MEDICAL SERVICES TO UNDERSERVED, LOW-INCOME, ISOLATED, HOMELESS, AND OTHERWISE VULNERABLE PEOPLE IN KERN AND FRESNO COUNTIES. MEDICAL SPECIALTIES INCLUDE FULL SPECTRUM PRIMARY CARE THROUGH FAMILY MEDICINE, OB/GYN PEDIATRIC, AND OTHER SPECIALTY PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE PRACTITIONERS, AND OTHER ADVANCED PRACTICE PROVIDERS. CSV OFFERS ITS PATIENTS OUTREACH TRANSPORTATION, TRANSLATION, CASE MANAGEMENT, DISEASE MANAGEMENT REGISTRY, AND OTHER ENABLING SERVICES TO PROMOTE ACCESS TO EFFECTIVE AND EFFICIENT MEDICAL CARE. CSV PROVIDED 582,849 MEDICAL AND OTHER ENCOUNTERS TO 142,204 PATIENTS IN FISCAL YEAR 2024.

    Expenses $126,988,500 · Revenue $140,483,332

  • CLINICA SIERRA VISTA PROVIDES ESSENTIAL BEHAVIORAL HEALTH SERVICES TO UNDERSERVED, LOW-INCOME, ISOLATED, AND OTHERWISE VULNERABLE PEOPLE IN KERN AND FRESNO COUNTIES. BEHAVIORAL HEALTH SERVICES INCLUDE PSYCHIATRY, MEDICATION MANAGEMENT, THERAPY, AND INTEGRATED BEHAVIORAL HEALTH USING DISEASE MANAGEMENT REGISTRIES AND ALLIED HEALTH STAFF TO COORDINATE WITH PRIMARY CARE AND OTHER SPECIALTY MEDICAL PROVIDERS. CLINICA SIERRA VISTA PROVIDED 36,909 BEHAVIORAL HEALTH ENCOUNTERS TO 11,144 PATIENTS IN FISCAL YEAR 2024.

    Expenses $21,176,423

  • CLINICA SIERRA VISTA PROVIDES ESSENTIAL DENTAL HEALTH SERVICES TO UNDERSERVED, LOW-INCOME, ISOLATED, AND OTHERWISE VULNERABLE PEOPLE IN KERN AND FRESNO COUNTIES. DENTAL HEALTH SERVICES INCLUDE FULL SPECTRUM PREVENTIVE AND RESTORATIVE CARE, INCLUDING EXAMS, X-RAYS, CLEANINGS, FILLINGS, ROOT CANALS, CROWNS, AND EXTRACTIONS. CLINICA SIERRA VISTA PROVIDED 60,736 DENTAL ENCOUNTERS TO 21,540 PATIENTS IN FISCAL YEAR 2024.

    Expenses $13,353,005 · Revenue $10,959,837

  • CLINICA SIERRA VISTA PROVIDES NUTRITION EDUCATION AND SUPPLEMENTAL FOODS TO SAFEGUARD THE HEALTH OF LOW-INCOME PREGNANT, BREASTFEEDING, AND POSTPARTUM WOMEN, AS WELL AS INFANTS AND CHILDREN. THIS PROGRAM IS FUNDED PRIMARILY THROUGH THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN (WIC).

    Expenses $15,228,542 · Grants $402

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Ramneet Kaur Mangat

    DIR. WOMEN'S

    Total calculated
    $597,468
    From this org
    $562,361
    From related orgs
    $0
    Other
    $35,107
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $439,862
    Bonus
    $31,500
    Other
    $90,999
    Deferred
    $9,254
    Nontaxable benefits
    $25,853
    Filer's total
    $597,468
  • Auther Adams

    PHYSICIAN OB

    Total calculated
    $566,666
    From this org
    $530,537
    From related orgs
    $0
    Other
    $36,129
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $399,636
    Bonus
    $26,047
    Other
    $104,854
    Deferred
    $15,364
    Nontaxable benefits
    $20,765
    Filer's total
    $566,666
  • Tina Dhillon-Ashley

    PHYSICIAN OB

    Total calculated
    $543,187
    From this org
    $531,431
    From related orgs
    $0
    Other
    $11,756
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $434,401
    Bonus
    $31,500
    Other
    $65,530
    Deferred
    $11,756
    Nontaxable benefits
    not reported
    Filer's total
    $543,187
  • Ryan Johnson

    PHYSICIAN OB

    Total calculated
    $547,070
    From this org
    $502,089
    From related orgs
    $0
    Other
    $44,981
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $441,040
    Bonus
    $25,500
    Other
    $35,549
    Deferred
    $18,526
    Nontaxable benefits
    $26,455
    Filer's total
    $547,070
  • Emad Hashemi

    PHYSICIAN OB

    Total calculated
    $539,964
    From this org
    $511,423
    From related orgs
    $0
    Other
    $28,541
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $393,113
    Bonus
    $3,825
    Other
    $114,485
    Deferred
    $15,156
    Nontaxable benefits
    $13,385
    Filer's total
    $539,964
  • Olga Meave

    CEO

    Total calculated
    $493,540
    From this org
    $464,207
    From related orgs
    $0
    Other
    $29,333
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $432,527
    Bonus
    $1,500
    Other
    $30,180
    Deferred
    $15,948
    Nontaxable benefits
    $13,385
    Filer's total
    $493,540
  • John Church

    INTERIM CFO

    Total calculated
    $337,120
    From this org
    $337,120
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $337,120
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    not reported
    Filer's total
    $337,120
  • Michael Cosimano

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • Jose Valdovinos

    VICE PRESIDE

    Total calculated
    $0
    Hours/week
    1
  • Mario Valenzuela

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Janie Yadon Ashley

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • Socorro Gaeta

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Enrique Sahagun

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Philipp Melendez

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Jordan Davis

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Louis Gill

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Di Wu

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Jaberpreet Singh

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Brian Conner

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2023
Filed
12 February 2025
IRS schema version
2023v6.0
Source object
202500459349301020

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