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Nonprofiteer
← LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC

Form 990 for tax year 2022

Filed by LA CLINICA DEL VALLE FAMILY HEALTH CARE CENTER INC.

Totals

Total revenue
$56,141,003
Total expenses
$46,153,212
Contributions and grants received
$17,968,670
Grants paid
$0
Program services expenses (Part IX)
$34,426,374
Management and general expenses
$11,142,172
Fundraising expenses
$584,666
Program service expenses (Part III)
$34,426,374

Program services were 74.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • LINDA REID

    PRESIDENT

    Total calculated
    $0
    Hours/week
    2

  • MONICA MORALES

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    2

  • LINDSEY TRAUTMAN

    TREASURER

    Total calculated
    $0
    Hours/week
    2

  • PAUL ROSTYKUS

    SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • TIGHE O'MEARA

    PAST PRESIDENT (FORMER)

    Total calculated
    $0
    Hours/week
    2

  • VICTORIA BENCOMO

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • SARA COLLINS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • LARRY GIBBS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • SCOTT LEWIS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • LYNNE LOWE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • LISA PARKS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • JEANNE PICKENS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • BRAD RUSSELL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • KARIN TRUJILLO

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • CHRISTIE VAN AKEN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2

  • BRENDA JOHNSON RN MBA

    CEO

    Total calculated
    $303,173
    From this org
    $279,709
    From related orgs
    $0
    Other
    $23,464
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $279,709
    Bonus
    $0
    Other
    $0
    Deferred
    $20,500
    Nontaxable benefits
    $2,964
    Filer's total
    $303,173

  • JILL BOROVANSKY

    CFO (FORMER)

    Total calculated
    $126,366
    From this org
    $111,247
    From related orgs
    $0
    Other
    $15,119
    Hours/week
    40

  • MAHEA KAEO-WAILEHUA

    CFO

    Total calculated
    $91,675
    From this org
    $82,848
    From related orgs
    $0
    Other
    $8,827
    Hours/week
    40

  • TARA JEANNOT

    COO

    Total calculated
    $150,233
    From this org
    $136,466
    From related orgs
    $0
    Other
    $13,767
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $136,466
    Bonus
    $0
    Other
    $0
    Deferred
    $5,960
    Nontaxable benefits
    $7,807
    Filer's total
    $150,233

  • JUSTIN ADAMS

    CHIEF MEDICAL OFFICER

    Total calculated
    $284,435
    From this org
    $266,495
    From related orgs
    $0
    Other
    $17,940
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $262,555
    Bonus
    $0
    Other
    $3,940
    Deferred
    $13,798
    Nontaxable benefits
    $4,142
    Filer's total
    $284,435

  • AMY FINE

    CHIEF DENTAL OFFICER

    Total calculated
    $251,167
    From this org
    $228,933
    From related orgs
    $0
    Other
    $22,234
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $228,933
    Bonus
    $0
    Other
    $0
    Deferred
    $19,042
    Nontaxable benefits
    $3,192
    Filer's total
    $251,167

  • KAREN SAUER

    MEDICAL OFFICER

    Total calculated
    $240,081
    From this org
    $213,083
    From related orgs
    $0
    Other
    $26,998
    Hours/week
    33

    Schedule J breakdown matched by us

    Base
    $211,078
    Bonus
    $0
    Other
    $2,005
    Deferred
    $24,292
    Nontaxable benefits
    $2,706
    Filer's total
    $240,081

  • JAMIE OSBORN

    POPULATION HEALTH OFFICER

    Total calculated
    $238,507
    From this org
    $214,969
    From related orgs
    $0
    Other
    $23,538
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $212,546
    Bonus
    $1,388
    Other
    $1,035
    Deferred
    $20,500
    Nontaxable benefits
    $3,038
    Filer's total
    $238,507

  • TRACI FOSSEN

    CHIEF QUALITY OFFICER

    Total calculated
    $155,980
    From this org
    $144,107
    From related orgs
    $0
    Other
    $11,873
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $144,107
    Bonus
    $0
    Other
    $0
    Deferred
    $8,829
    Nontaxable benefits
    $3,044
    Filer's total
    $155,980

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 — 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 · 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
2022
Filed
20 February 2024
IRS schema version
2022v5.0
Source object
202400519349300835

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